Abstract
Background: Prefrailty prevalence increases with age, and can lead to negative healthcare outcomes. Prefrailty prevention and management are very important actions to prolong independence in older adults. Self‑efficacy is one of the psychological factors that are the most reliable predictors of older adults' initiation and uptake of physical activity. Gerontological nurses play a crucial role in the early identification of older adults with pre-frailty and tailoring preventive and rehabilitative multicomponent exercise interventions which are considered a key factor in decreasing, preventing, or even reverse decline associated with prefrailty. Aim of the study: To determine the effect of nursing intervention on the physical performance self-efficacy among community dwelling older adults in the pre-frail stage. Settings: El-Waffa club for older adults which affiliated to the Ministry of Social Solidarity, in Alexandria, Egypt. Subjects: Forty pre-frail community dwelling older adults were included in this study. Tools: Six tools were used to collect data ;Frailty Index for Elders,Short Physical Performance Battery, Socio-demographic and Clinical Data of Community-dwelling Elders, Barthel Index, Instrumental Activities of Daily Living, and Exercise Self-efficacy Scale. Results: statistically significant differences were found in the studied older adults’ pre-frailty status, physical performance, and their self-efficacy after the implementation of the study intervention as (P= 0.000 for all of these variables). Conclusion: physical performance self-efficacy and prefrailty status of all studied pre-frail community dwelling older adults improved after the implementation of the multicomponent exercise program. Recommendations: Prefrailty screening should be performed for all community dwelling older adults. The multicomponent exercise program can be safely and effectively incorporated into standard nursing practice in caring for pre-frail community dwelling older adults.
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