Department of Physical and Occupational Therapy, Bispebjerg Frederiksberg University Hospital, Copenhagen and University of Copenhagen, Denmark; Department of Cardiology, Bispebjerg Frederiksberg University Hospital, Copenhagen and University of Copenhagen, Denmark; The Parker Institute, Bispebjerg Frederiksberg University Hospital, Copenhagen and University of Copenhagen, Denmark.
Department of Physical and Occupational Therapy, Bispebjerg Frederiksberg University Hospital, Copenhagen and University of Copenhagen, Denmark.
Eur J Intern Med. 2019 Nov;69:50-56. doi: 10.1016/j.ejim.2019.08.019. Epub 2019 Sep 4.
Physical inactivity is common during hospitalisation and poses a threat to functional capacity and independency in the elderly.
We aimed to assess the effect of physical activity measurements with visual feedback about time spent in various activities on the average daily time spent out of bed during hospitalisation.
We recorded physical activity during hospitalisation by accelerometers and compared the effect of the visual feedback (intervention) with no feedback (control) on time spent out of bed. Patients admitted to the pulmonary ward were invited and assigned to intervention with feedback or control with no feedback in 6 alternating waves of approximately 18 patients each. The order of feedback/no feedback was randomised at the outset of the study. The visual feedback intervention group was provided with visual feedback of the daily time spent in bed, sitting, standing, and walking. The control group did not receive feedback.
93 patients completed the study with a median length of stay of 5 days. Across all patients there were no statistically significant group differences in daily time out of bed; however, patients with independent mobility spent 51 minutes (95% CI 0 to 102; P = .049) more out of bed when provided with visual feedback compared to no feedback.
A simple technology assisted physical activity intervention with visual feedback to encourage mobility was not effective at increasing time spent out of bed among hospitalised patients. With feedback, a subgroup of patients with independent walking abilities increased time out of bed and may benefit from this type of intervention.
clinicaltrials.gov Identifier: NCT01945749.
住院期间身体活动不足较为常见，这对老年人的功能能力和独立性构成威胁。
我们旨在评估通过视觉反馈来测量身体活动，了解不同活动所花费的时间，对住院期间平均每天离床时间的影响。
我们通过加速度计记录住院期间的身体活动，并将视觉反馈（干预组）与无反馈（对照组）对离床时间的影响进行比较。我们邀请并将入住呼吸科病房的患者分配到干预组（有反馈）或对照组（无反馈），每组约 18 例患者，共分为 6 个交替波。在研究开始时，反馈/无反馈的顺序是随机的。视觉反馈干预组获得了每天卧床、坐立、站立和行走时间的视觉反馈。对照组则没有反馈。
93 例患者完成了研究，中位住院时间为 5 天。在所有患者中，离床时间的组间差异无统计学意义；然而，与无反馈相比，具有独立活动能力的患者在获得视觉反馈时，离床时间增加了 51 分钟（95%CI 0 至 102；P=0.049）。
一种简单的技术辅助身体活动干预，通过视觉反馈鼓励活动，对增加住院患者的离床时间没有效果。对于具有独立行走能力的患者，反馈组增加了离床时间，可能受益于这种干预。
clinicaltrials.gov 标识符：NCT01945749。
