Dermody Gordana, Kovach Christine R
Res Gerontol Nurs. 2018 Jan 1;11(1):17-27. doi: 10.3928/19404921-20171023-01.
Hospitalized older adults who do not receive sufficient mobility are more likely to sustain negative health outcomes, including higher rates of mortality and institutionalization. Accordingly, the purpose of the current secondary data analysis was to examine the nurse-promoted mobility of hospitalized older adults and the association between nurses' barriers and nurse-promoted mobility. In addition, the relationship among patient severity of illness, proxy levels for function, and nurse-promoted mobility was examined. The final study sample included 61 nurses working in medical units caring for a total of 77 older adults. Findings suggest nurse knowledge gaps and attitude barriers could potentially influence the type and frequency of mobility they promote in older patients. A relationship was found between older patients with impaired mobility using assistive devices for mobility at home, and those at high risk for falls and nurses promoting more sedentary activity (e.g., chair sitting, walking in the room). Interestingly, nurses promoted significantly more sedentary mobility for patients with physical therapy orders. [Res Gerontol Nurs. 2018; 11(1):17-27.].
未获得足够活动量的住院老年人更有可能出现负面健康结果，包括更高的死亡率和入住养老院率。因此，本次二次数据分析的目的是研究护士促进住院老年人活动的情况以及护士面临的障碍与护士促进活动之间的关联。此外，还研究了患者疾病严重程度、功能替代水平与护士促进活动之间的关系。最终的研究样本包括61名在医疗科室工作的护士，他们共护理了77名老年人。研究结果表明，护士的知识差距和态度障碍可能会潜在地影响他们在老年患者中促进活动的类型和频率。在家中使用辅助设备进行活动的行动不便的老年患者与有跌倒高风险且护士促进更多久坐活动（如坐在椅子上、在房间内行走）的患者之间存在关联。有趣的是，对于有物理治疗医嘱的患者，护士促进的久坐活动明显更多。[《老年护理研究》。2018年；11(1):17 - 27。]
