Smart Denise A, Dermody Gordana, Coronado Melany E, Wilson Marian
Washington State University, Spokane, USA.
Gerontol Geriatr Med. 2018 Nov 1;4:2333721418808146. doi: 10.1177/2333721418808146. eCollection 2018 Jan-Dec.
This scoping review (a) describes programs to improve mobility in hospitalized adults and (b) determines the methods used to measure mobility. The Joanna Briggs Institute Methodology for Scoping Reviews was used to conduct this review. Our findings suggest that using a multidisciplinary approach may be the most effective way to promote mobility in hospitalized older adults. Most studies did not articulate how physical activity was measured, indicating that more research is needed. The literature shows that implementation of protocols designed to improve the early and regular implementation of physical mobility activities improves the health outcomes of hospitalized older people. Costs associated with healthcare utilization are also reduced, including hospital length of stay. Mobility programs that quantified mobility through validated measurement tools or accelerometers are the most promising as they provide feedback that reinforces progress of the patient and the expected benefits of early mobility.
本综述性研究（a）描述了改善住院成年人活动能力的项目，（b）确定了用于测量活动能力的方法。本综述采用了乔安娜·布里格斯循证卫生保健中心综述性研究方法。我们的研究结果表明，采用多学科方法可能是促进住院老年人活动能力的最有效方式。大多数研究未阐明身体活动是如何测量的，这表明需要更多研究。文献表明，实施旨在促进早期和定期开展身体活动的方案可改善住院老年人的健康结局。与医疗保健利用相关的成本也会降低，包括住院时间。通过经过验证的测量工具或加速度计对活动能力进行量化的活动项目最具前景，因为它们能提供反馈，强化患者的进展情况以及早期活动的预期益处。
