Hastings Susan Nicole, Choate Ashley L, Mahanna Elizabeth P, Floegel Theresa A, Allen Kelli D, Van Houtven Courtney H, Wang Virginia
Center of Innovation for Health Services Research in Primary Care, Durham VA Health Care System, Durham, NC 27705, USA;
Department of Medicine, Duke University School of Medicine, Durham, NC 27710, USA.
Geriatrics (Basel). 2018 Dec;3(4). doi: 10.3390/geriatrics3040061. Epub 2018 Sep 26.
Immobility during hospitalization is widely recognized as a contributor to deconditioning, functional loss, and increased need for institutional post-acute care. Several studies have demonstrated that inpatient walking programs can mitigate some of these negative outcomes, yet hospital mobility programs are not widely available in U.S. hospitals. STRIDE (assiSTed eaRly mobIlity for hospitalizeD older vEterans) is a supervised walking program for hospitalized older adults that fills this important gap in clinical care. This paper describes how STRIDE works and how it is being disseminated to other hospitals using the Replicating Effective Programs (REP) framework. Guided by REP, we define core components of the program and areas where the program can be tailored to better fit the needs and local conditions of its new context (hospital). We describe key adaptations made by four hospitals who have implemented the STRIDE program and discuss lessons learned for successful implementation of hospital mobility programs.
住院期间的活动受限被广泛认为是导致身体机能下降、功能丧失以及机构急性后期护理需求增加的一个因素。多项研究表明，住院患者步行计划可以减轻其中一些负面后果，但美国医院中广泛提供的医院活动计划并不多。STRIDE（住院老年退伍军人辅助早期活动）是一项针对住院老年人的有监督的步行计划，填补了临床护理中的这一重要空白。本文描述了STRIDE如何运作，以及它如何使用复制有效计划（REP）框架传播到其他医院。在REP的指导下，我们定义了该计划的核心组成部分以及该计划可以进行调整以更好地适应其新环境（医院）的需求和当地条件的领域。我们描述了实施STRIDE计划的四家医院所做的关键调整，并讨论了成功实施医院活动计划的经验教训。
