Adelaide Geriatrics Training and Research with Aged Care (G-TRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA 5011, Australia.
National Health and Medical Research Council Centre of Research Excellence, Frailty and Healthy Ageing, University of Adelaide, Adelaide, SA 5011, Australia.
Int J Environ Res Public Health. 2020 Dec 14;17(24):9359. doi: 10.3390/ijerph17249359.
Sedentary behaviour (SB) can delay hospitalised older adults' recovery from acute illness and injuries. Currently, there is no synthesis of evidence on SB among hospitalised older people. This scoping review aimed to identify and map existing literature on key aspects of SB among hospitalised older adults, including the prevalence, measurement and intervention strategies for SB and sedentary behaviour bouts (SBBs) as well as healthcare professionals, patients and carers' perspectives on interventions. Several electronic databases were searched between January 2001 and September 2020. The Joanna Briggs Institute (JBI) framework was used to conduct this scoping review. Out of 1824 articles, 21 were included comprising 16 observational studies, 3 randomised controlled trials, 1 comparative study, and 1 phase-1 dose-response study. The sample size ranged from 13 to 393, with all 1435 participants community-dwelling before hospitalisation. Only two studies focused on measuring SB and SBBs as a primary outcome, with others (n = 19) reporting SB and SBB as a sub-set of physical activity (PA). Older adults spent an average of 86.5%/day (20.8 h) sedentary. Most studies (n = 15 out of 21) measured SB and SBB using objective tools. Hospitalised older people spent most of their waking hours sedentary. Studies explicitly focused on SB and SBB are lacking, and the perspectives of patients, carers and healthcare professionals are not clarified. Future hospital-based studies should focus on interventions to reduce SB and SBB, and the perspectives of healthcare professionals, patients and carers' taken into account.
卧床行为（SB）会延迟住院老年患者急性疾病和损伤的康复。目前，尚无针对住院老年人卧床行为的综合证据。本范围综述旨在确定和绘制现有关于住院老年人卧床行为的关键方面的文献，包括卧床行为的流行率、测量和干预策略，以及对干预措施的医护人员、患者和照护者的看法。在 2001 年 1 月至 2020 年 9 月期间，对几个电子数据库进行了搜索。采用乔安娜·布里格斯研究所（JBI）框架进行这一范围综述。在 1824 篇文章中，有 21 篇被纳入，其中包括 16 项观察性研究、3 项随机对照试验、1 项比较研究和 1 项 1 期剂量反应研究。样本量从 13 到 393 不等，所有 1435 名参与者在住院前均居住在社区。只有两项研究将测量 SB 和 SBB 作为主要结局，而其他研究（n = 19）将 SB 和 SBB 作为体力活动（PA）的一部分进行报告。老年人每天平均有 86.5%/天（20.8 小时）处于久坐状态。大多数研究（n = 21 项中的 15 项）使用客观工具测量 SB 和 SBB。住院老年人大部分清醒时间都处于久坐状态。缺乏专门针对 SB 和 SBB 的研究，也没有明确患者、照护者和医护人员的看法。未来的基于医院的研究应侧重于减少 SB 和 SBB 的干预措施，并考虑医护人员、患者和照护者的看法。
