Young Daniel, Kudchadkar Sapna R, Friedman Michael, Lavezza Annette, Kumble Sowmya, Daley Kelly, Flanagan Eleni, Hoyer Erik
Department of Physical Therapy, University of Nevada, Las Vegas, Nevada; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, Maryland.
Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, Maryland; Division of Pediatric Anesthesiology and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Arch Phys Med Rehabil. 2022 May;103(5S):S162-S167. doi: 10.1016/j.apmr.2020.10.142. Epub 2020 Dec 26.
Hospitalized patients often experience unnecessary immobility and inactivity leading to direct harms and poor outcomes. Despite growing evidence that early and regular mobility and activity are safe and helpful for patients in the hospital, there remains substantial room for improvement in clinical practice. Key to improvement is establishing an interdisciplinary approach to measurement and communication using a common language of function. Here we provide a framework for systematic functional measurement in the hospital. We also provide 3 specific examples of how this framework has been used to improve care: (1) targeting specialized rehabilitation providers to the patients most likely to need their services, (2) generating a daily mobility goal for all patients, and (3) identifying patients early who are likely to require postacute care.
住院患者常常经历不必要的身体不动和活动减少，这会导致直接伤害和不良后果。尽管越来越多的证据表明，早期和定期的活动对住院患者是安全且有益的，但临床实践仍有很大的改进空间。改进的关键在于建立一种跨学科的方法，使用通用的功能语言进行测量和沟通。在此，我们提供一个在医院进行系统功能测量的框架。我们还提供了3个具体例子，说明该框架如何用于改善护理：（1）将专业康复服务提供给最有可能需要的患者；（2）为所有患者制定每日活动目标；（3）尽早识别可能需要急性后期护理的患者。
