医院中的早期活动：从STRIDE项目中汲取的经验教训。
Early Mobility in the Hospital: Lessons Learned from the STRIDE Program.
作者信息
Hastings Susan Nicole, Choate Ashley L, Mahanna Elizabeth P, Floegel Theresa A, Allen Kelli D, Van Houtven Courtney H, Wang Virginia
机构信息
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.
出版信息
Geriatrics (Basel). 2018 Dec;3(4). doi: 10.3390/geriatrics3040061. Epub 2018 Sep 26.
Abstract
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.
摘要
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。
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本文引用的文献
1
Supporting teams to optimize function and independence in Veterans: a multi-study program and mixed methods protocol.支持退伍军人优化功能和独立性的团队：一项多研究计划和混合方法方案。
Implement Sci. 2018 Apr 20;13(1):58. doi: 10.1186/s13012-018-0748-3.
2
Association of Posture and Ambulation With Function 30 Days After Hospital Discharge in Older Adults with Heart Failure.老年人心力衰竭出院后 30 天内的姿势和活动与功能的关系。
J Card Fail. 2018 Feb;24(2):126-130. doi: 10.1016/j.cardfail.2018.01.001. Epub 2018 Jan 8.
3
Outcomes of Mobilisation of Vulnerable Elders in Ontario (MOVE ON): a multisite interrupted time series evaluation of an implementation intervention to increase patient mobilisation.安大略省易脆弱老年人活动方案（MOVE ON）的研究结果：一项实施干预措施以增加患者活动能力的多地点中断时间序列评估。
Age Ageing. 2018 Jan 1;47(1):112-119. doi: 10.1093/ageing/afx128.
4
The Tension Between Promoting Mobility and Preventing Falls in the Hospital.医院中促进患者活动能力与预防跌倒之间的矛盾
JAMA Intern Med. 2017 Jun 1;177(6):759-760. doi: 10.1001/jamainternmed.2017.0840.
5
Comparison of Posthospitalization Function and Community Mobility in Hospital Mobility Program and Usual Care Patients: A Randomized Clinical Trial.医院转归功能和社区流动性计划与常规护理患者的比较：一项随机临床试验。
JAMA Intern Med. 2016 Jul 1;176(7):921-7. doi: 10.1001/jamainternmed.2016.1870.
6
Research and Operations: Joining Forces to Improve Care for Veterans.
N C Med J. 2015 Nov-Dec;76(5):315-9. doi: 10.18043/ncm.76.5.315.
7
Harnessing Protocolized Adaptation in Dissemination: Successful Implementation and Sustainment of the Veterans Affairs Coordinated-Transitional Care Program in a Non-Veterans Affairs Hospital.在传播中利用协议化适应：退伍军人事务部协调过渡护理计划在非退伍军人事务部医院的成功实施与持续开展
J Am Geriatr Soc. 2016 Feb;64(2):409-16. doi: 10.1111/jgs.13935. Epub 2016 Jan 25.
8
Rethinking Hospital-Associated Deconditioning: Proposed Paradigm Shift.重新思考医院相关性失能：拟议的范式转变。
Phys Ther. 2015 Sep;95(9):1307-15. doi: 10.2522/ptj.20140511. Epub 2015 Apr 23.
9
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J Am Geriatr Soc. 2014 Nov;62(11):2180-4. doi: 10.1111/jgs.13095. Epub 2014 Oct 30.
10
Barriers to early mobility of hospitalized general medicine patients: survey development and results.住院普通内科患者早期活动的障碍：调查的开展与结果
Am J Phys Med Rehabil. 2015 Apr;94(4):304-12. doi: 10.1097/PHM.0000000000000185.
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