Kanai Masashi, Izawa Kazuhiro P, Nozoe Masafumi, Kubo Hiroki, Kobayashi Miki, Onishi Akira, Mase Kyoshi, Shimada Shinichi
Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan; Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe, Japan; Cardiovascular stroke Renal Project (CRP), Kobe, Japan.
Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe, Japan; Cardiovascular stroke Renal Project (CRP), Kobe, Japan.
J Stroke Cerebrovasc Dis. 2019 Apr;28(4):1048-1055. doi: 10.1016/j.jstrokecerebrovasdis.2018.12.029. Epub 2019 Jan 11.
Although there are reports on the promotion of physical activity during hospitalization, there is no evidence that promoting in-hospital physical activity continues over time after discharge. The purpose of this study was to evaluate the long-term effect of promoting in-hospital physical activity on postdischarge physical activity and self-efficacy for physical activity in patients with mild ischemic stroke.
This was a cross-sectional study of a post hoc analysis of a previous randomized controlled trial. Patients with mild ischemic stroke were divided into the intervention group (in which physical activity was promoted during hospitalization) and a control group. To promote in-hospital physical activity, patients in the intervention group were instructed in the self-monitoring approach. After discharge, we measured physical activity and self-efficacy for physical activity by mailing a questionnaire to the patients. The average number of steps taken was used the index of postdischarge physical activity.
The study sample comprised 30 patients, with 13 patients in the intervention group and 17 patients in the control group. There were no significant differences in physical activity values (6176.8 versus 6112.8 steps/day, P = .932) and self-efficacy for physical activity score (66.0 versus 76.0 points, P = .801) between the 2 groups.
This study showed that the promotion of in-hospital physical activity did not appear to increase physical activity and self-efficacy for physical activity in patients with mild ischemic stroke after discharge. Additional study is needed to establish a more specific approach to promote physical activity during hospitalization that will carry over during long-term follow-up.
尽管有关于住院期间促进身体活动的报道，但没有证据表明促进住院期间的身体活动在出院后能长期持续。本研究的目的是评估促进住院期间身体活动对轻度缺血性中风患者出院后身体活动及身体活动自我效能的长期影响。
这是一项对先前随机对照试验进行事后分析的横断面研究。轻度缺血性中风患者被分为干预组（住院期间促进身体活动）和对照组。为促进住院期间的身体活动，干预组患者接受了自我监测方法的指导。出院后，我们通过向患者邮寄问卷来测量身体活动及身体活动自我效能。平均步数被用作出院后身体活动的指标。
研究样本包括30名患者，干预组13名，对照组17名。两组之间的身体活动值（分别为6176.8步/天和6112.8步/天，P = 0.932）和身体活动自我效能得分（分别为66.0分和76.0分，P = 0.801）没有显著差异。
本研究表明，促进住院期间的身体活动似乎并未增加轻度缺血性中风患者出院后的身体活动及身体活动自我效能。需要进一步研究以建立一种更具体的方法来促进住院期间的身体活动，并在长期随访中持续发挥作用。
