Research Department & The Nursing Department, Fundación Cardioinfantil -Instituto de Cardiología, Bogotá, Colombia.
Nursing Department of Clínica, Palermo-Congregación de las Hermanas de la Caridad Dominicas de la Presentación de la Santísima Virgen, Bogotá, Colombia.
J Adv Nurs. 2019 Sep;75(9):1823-1837. doi: 10.1111/jan.13958. Epub 2019 Mar 6.
To determine the impact of strategies to promote mobilization on physical function in hospitalized adults with medical conditions.
Slow progress is noted on the promotion of mobilization during hospitalization for adult patients admitted for medical conditions. This may reflect the limited evidence on the evaluation of the impact of progressive mobilization activities on clinical endpoints in adult patients throughout hospitalization.
A systematic review and meta-analysis of published randomized controlled trials in any language.
The literature search was performed in the MEDLINE, CINAHL online, HealthStar, EMBASE, the Cochrane Library Controlled Trials Registry and LILACS databases (January 2000-February 2017).
Two authors independently identified randomized trials meeting inclusion criteria, assessed their quality and extracted relevant data. Outcomes assessed were the changes in physical function evaluated by scales measuring either the aerobic (metres walked/second) or the balance domain (using the Time Up and Go test, in seconds), length of hospital stay (days), and adverse clinical events. We calculated pooled mean differences or Mantel-Haenszel odds ratios and 95% confidence intervals for continuous or dichotomous outcome data and obtained heterogeneity statistics across studies.
Thirteen studies, including in total 2,703 participants, met our eligibility criteria. Patients in the intervention group showed significant improvement in physical function (aerobic domain), reduced length of stay, and a reduction of pulmonary embolism.
Patients and health providers should consider a course of therapy that enhances the functional capacity of medical patients during hospitalization.
确定促进活动能力的策略对患有内科疾病的住院成年人身体功能的影响。
在促进内科住院患者活动能力方面进展缓慢。这可能反映了在评估整个住院期间逐步活动对成年患者临床终点的影响方面，证据有限。
对任何语言发表的随机对照试验进行系统评价和荟萃分析。
文献检索在 MEDLINE、CINAHL online、HealthStar、EMBASE、Cochrane 图书馆对照试验登记处和 LILACS 数据库（2000 年 1 月至 2017 年 2 月）进行。
两名作者独立确定符合纳入标准的随机试验，评估其质量并提取相关数据。评估的结果是通过衡量有氧运动（走/秒）或平衡域（使用时间上和走测试，以秒为单位）的量表评估的身体功能的变化、住院时间（天）和不良临床事件。我们计算了连续或二分类结果数据的汇总均数差值或 Mantel-Haenszel 比值比和 95%置信区间，并获得了跨研究的异质性统计数据。
13 项研究，共包括 2703 名参与者，符合我们的纳入标准。干预组患者的身体功能（有氧运动域）显著改善，住院时间缩短，肺栓塞减少。
患者和医疗保健提供者应考虑对住院内科患者进行增强其功能能力的治疗方案。
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