a Department of Orthopaedics, Rehabilitation and Physical Therapy , Leiden University Medical Center , Leiden , The Netherlands.
b Department for Research , Sophia Rehabilitation Center , The Hague , The Netherlands.
Physiother Theory Pract. 2019 Oct;35(10):975-985. doi: 10.1080/09593985.2018.1460429. Epub 2018 Apr 16.
Inactivity during hospitalization leads to a functional decline and an increased risk of complications. To date, studies focused on older adults. This study aims to compare the physical activities performed by older adult and adult hospitalized patients.
Patients hospitalized for >3 days at a university hospital completed a questionnaire regarding their physical activities (% of days on which an activity was performed divided by the length of stay) and physical activity needs during hospitalization. Crude and adjusted comparisons of older adult (>60 years) and adult (≤60 years) patients were performed using parametric testing and regression analyses.
Of 524 patients, 336 (64%) completed the questionnaire, including 166 (49%) older adult patients. On average, the patients were physically active on 35% or less of the days during their hospitalization. Linear regression analysis showed no significant associations between being an older adult and performing physical activities after adjusting for gender, length of stay, surgical intervention, and meeting physical activity recommendations prior to hospitalization. Most patients were well informed regarding physical activity during hospitalization; however, the older adult patients reported a need for information regarding physical activities after hospitalization more frequently (odds ratios, 2.47) after adjusting for educational level, gender, and physical therapy during hospitalization.
Both older adult and adult patients are physically inactive during hospitalization, and older adult patients express a greater need for additional information regarding physical activity after hospitalization than adult patients. Therefore, personalized strategies that inform and motivate patients to resume physical activities during hospitalization are needed regardless of age.
住院期间的不活动会导致功能下降和并发症风险增加。迄今为止，已有研究集中在老年人身上。本研究旨在比较老年和成年住院患者的身体活动。
在一所大学医院住院超过 3 天的患者完成了一份关于他们身体活动的问卷（活动天数除以住院天数的百分比）和住院期间的身体活动需求。使用参数检验和回归分析对老年（>60 岁）和成年（≤60 岁）患者进行了未经调整和调整后的比较。
在 524 名患者中，有 336 名（64%）完成了问卷，其中 166 名（49%）为老年患者。平均而言，患者在住院期间的活动天数不足 35%。线性回归分析表明，在调整性别、住院时间、手术干预和住院前达到身体活动建议后，年龄较大与进行身体活动之间没有显著关联。大多数患者对住院期间的身体活动有充分的了解；然而，在调整教育程度、性别和住院期间的物理治疗后，老年患者报告在出院后对身体活动信息的需求更为频繁（比值比，2.47）。
老年和成年住院患者在住院期间身体活动不足，老年患者在出院后对身体活动信息的需求大于成年患者。因此，无论年龄大小，都需要制定个性化的策略，在住院期间告知和激励患者恢复身体活动。
