Department of Neurosciences, Johns Hopkins Hospital, Baltimore, MD.
Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.
Nurs Outlook. 2018 May-Jun;66(3):254-262. doi: 10.1016/j.outlook.2018.02.006. Epub 2018 Feb 27.
Hospital-acquired functional decline due to decreased mobility has negative impacts on patient outcomes. Current nurse-directed mobility programs lack a standardized approach to set achievable mobility goals.
We aimed to describe implementation and outcomes from a nurse-directed patient mobility program.
The quality improvement mobility program on the project unit was compared to a similar control unit providing usual care. The Johns Hopkins Mobility Goal Calculator was created to guide a daily patient mobility goal based on the level of mobility impairment.
On the project unit, patient mobility increased from 5.2 to 5.8 on the Johns Hopkins Highest Level of Mobility score, mobility goal attainment went from 54.2% to 64.2%, and patients exceeding the goal went from 23.3% to 33.5%. All results were significantly higher than the control unit.
An individualized, nurse-directed, patient mobility program using daily mobility goals is a successful strategy to improve daily patient mobility in the hospital.
因活动能力下降导致的医院获得性功能衰退对患者结局有负面影响。目前的护士主导型活动方案缺乏设定可实现活动目标的标准化方法。
我们旨在描述一项护士主导的患者活动方案的实施情况和结果。
将项目单元中的质量改进活动方案与提供常规护理的类似对照单元进行比较。创建了约翰霍普金斯活动目标计算器，以根据活动能力受损程度来指导每日患者活动目标。
在项目单元中，患者的约翰霍普金斯最高活动水平评分从 5.2 增加到 5.8，活动目标达成率从 54.2%提高到 64.2%，超过目标的患者比例从 23.3%提高到 33.5%。所有结果均显著高于对照单元。
使用每日活动目标的个体化、护士主导的患者活动方案是提高医院内患者日常活动能力的成功策略。
