图表展示每小时活动计数可预测老年重症患者的出院结局。
Graphic Representation of Hourly Activity Counts May Identify Discharge Outcomes for Older Adults After Critical Illness.
机构信息
University of Miami School of Nursing and Health Studies, Coral Gables, FL, USA.
出版信息
Rehabil Nurs. 2021;46(5):247-252. doi: 10.1097/rnj.0000000000000312.
PURPOSE
After transitioning from an intensive care unit (ICU), hospitalized older adults are inactive, which may affect discharge outcomes. We examined trends between post-ICU hourly activity counts and discharge disposition among hospitalized older ICU survivors.
DESIGN
A prospective, exploratory research design was used in this study.
METHODS
We enrolled older ICU survivors within 24-48 hours of ICU discharge. Actigraphy measured post-ICU hourly activity counts (0:00 a.m.-23:59 p.m.). Chart review provided discharge disposition. Analyses were conducted to illustrate trends between post-ICU hourly activity counts and discharge disposition.
FINDINGS
Mean hourly activity was about 2,233 ± 569 counts/hour. Graphs revealed trends between hourly activity counts and discharge disposition. Participants with lower post-ICU activity counts, especially during daytime hours, tended to be discharged to a care facility.
CONCLUSIONS
Future nursing research should determine whether post-ICU inactivity during hospitalization is a modifiable risk factor for worse discharge outcomes.
CLINICAL RELEVANCE
Activity could be a prognostic indicator of discharge disposition for older ICU survivors.
目的
从重症监护病房（ICU）出院后，住院老年患者活动量减少，这可能会影响出院结局。我们研究了 ICU 出院后每小时活动计数与出院去向之间的趋势，以了解住院老年 ICU 幸存者的情况。
设计
本研究采用前瞻性、探索性研究设计。
方法
我们在 ICU 出院后 24-48 小时内招募了老年 ICU 幸存者。活动记录仪测量 ICU 后每小时活动计数（从凌晨 0:00 到晚上 11:59）。病历回顾提供了出院去向。分析旨在说明 ICU 后每小时活动计数与出院去向之间的趋势。
结果
平均每小时活动量约为 2233±569 次/小时。图表显示了每小时活动计数与出院去向之间的趋势。活动量较低的 ICU 后患者，尤其是在白天，往往会被送往护理机构。
结论
未来的护理研究应确定住院期间 ICU 后无活动是否是出院结局较差的可改变风险因素。
临床意义
活动量可能是老年 ICU 幸存者出院去向的预后指标。
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