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急性脑卒中患者在脑卒中单元治疗期间的身体活动水平:一项前瞻性观察研究。

Levels of physical activity in acute stroke patients treated at a stroke unit: A prospective, observational study.

机构信息

Department of Clinical Neuroscience , Institute of Neuroscience and Physiology, , 405 30 Gothenburg, Sweden.

出版信息

J Rehabil Med. 2020 Apr 14;52(4):jrm00041. doi: 10.2340/16501977-2671.

DOI:10.2340/16501977-2671
PMID:32253445
Abstract

OBJECTIVE

A prospective, observational study to describe levels of physical activity in patients with stroke on day 2 and day 5 or 6 after admission to a comprehensive stroke unit in Sweden.

METHODS

The study was performed at the stroke unit at Sahlgrenska University Hospital during a period of 4 months between 2017 and 2018. Consecutive patients with stroke were observed for 1 min every 10 min while the multidisciplinary team was at work. The level of physical activity, location and the people present were noted at each time-point.

RESULTS

A total of 46 patients were observed on day 2, of whom 29 were observed a second time on day 5 or 6. Patients were in bed half of the time and engaged in upright activity for less than 10% of day 2. Patients spent 73% of day 2 in the bedroom and 56% of this day alone. Over time, there was a significant shift of 10% from "in bed" activity to "sitting" (p §lt;0.001).

CONCLUSION

Patients are physically inactive, alone and in their rooms for a majority of the time during the first days at a comprehensive stroke unit. There is some increase in physical activity during the first week after admission.

摘要

目的

一项前瞻性、观察性研究,旨在描述瑞典综合卒中单元入院后第 2 天和第 5 或第 6 天患者的身体活动水平。

方法

该研究于 2017 年至 2018 年期间在萨赫勒格兰斯卡大学医院的卒中单元进行。连续观察卒中患者,在多学科团队工作期间,每 10 分钟观察 1 分钟。在每个时间点记录身体活动水平、位置和在场人员。

结果

共观察到 46 名患者在第 2 天,其中 29 名患者在第 5 或第 6 天再次观察。患者有一半时间在床上,在第 2 天仅有不到 10%的时间进行直立活动。患者在第 2 天的 73%时间在卧室,其中 56%的时间独自在卧室。随着时间的推移,“卧床”活动向“坐”的活动转移了 10%(p‹0.001)。

结论

患者在综合卒中单元的最初几天大部分时间都处于身体不活动状态,且单独呆在房间里。在入院后的第一周,身体活动有一定程度的增加。

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