Effects Of Peer Education On The Sedentary Behavior Of The Elderly In Nursing Homes

Objective:1.To investigate the status quo of sedentary behavior of the elderly in nursing home and analyze its influencing factors.2.To explore the influence of peer education intervention mode on the sedentary behavior,participation in group activities and health-promoting lifestyle of the elderly in nursing home.Methods:1.From October 2019 to January 2020,215 elderly people from 6 nursing home in Taiyuan were conveniently selected as the research objects.The general information questionnaire and the sedentary behavior questionnaire of the elderly were used to conduct a status survey.2.From October 2020 to January 2021,72 elderly people in a nursing home in Taiyuan were selected and divided into the experimental group(36 cases)and the control group(36 cases).The control group received routine health education,daily life management and a sedentary brochure,and the experimental group received 6-week peer education on the basis of the control group.The Sedentary Behavior Questionnaire and Health Promoting Lifestyle Profile-Ⅱ,Revise(HPLP-ⅡR)were used to measure before and after the intervention,and the number of health classes attended by the two groups was compared during the intervention.Results:1.The average sedentary time of the elderly in the nursing home was(8.85±2.81)h/d,174 elderly people with sedentary time≥6h/d,that is,83% of the elderly people had sedentary behavior.Univariate analysis results showed that there were significant differences in average sedentary time among the elderly in nursing institutions with different ages,genders,educational levels,marital status,disease types,frequency of group activities,sedentary hobbies,living environment,and institutional environmental safety cognition(P<0.05).The results of multiple linear stepstep regression analysis showed that gender,age,type of disease,type of residence,sedentary preference,and perception of institution environment safety were independent influencing factors of sedentary time of the elderly in nursing home,which could explain 63.2% of the variation.2.Two groups of elderly people sedentary behavior before intervention,there was no statistically significant difference(P>0.05),the experimental group after intervention in the elderly,the longest continuous sedentary time,total sedentary time were lower than that of control group(P<0.05),and the experimental group before and after the intervention of the sedentary time 30 min or more times,the longest continuous sedentary time,total sedentary time more significant differences(P<0.001);The two groups before intervention HPLP-Ⅱ R score there was no statistically significant difference comparison,the experimental group after intervention of the elderly to promote lifestyle scale score was significantly higher than that of before intervention(P<0.001),and after the intervention HPLP-Ⅱ R score more similar between the two groups was statistically significant(P<0.05);There was statistically significant difference in the number of group activities between the two groups during the intervention(t=4.495,P<0.001).Conclusion:1.Sedentary behavior is common among the elderly in nursing home.Sedentary time of the elderly mainly focuses on watching TV and taking a nap in a trance,and the elderly have insufficient awareness of the health hazards of sedentary behavior;Sedentary behavior of the elderly is related to age,sex,residence type,disease type,sedentary hobby and self-rated environmental safety degree.2.Health education in nursing home is beneficial to reduce the sedentary time of the elderly,and peer education is better than conventional health education.Peer education is conducive to promoting the elderly in pension institutions to participate in collective activities,increase physical activities,and form an active and healthy lifestyle.