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通过增强跨专业护理,提高普通医疗病房患者的活动能力和功能。

BOOSTing patient mobility and function on a general medical unit by enhancing interprofessional care.

机构信息

Department of Rehabilitation Science, College of Health Sciences, University of Kentucky, 900 S. Limestone Street, Lexington, KY 40536, USA.

Department of Health and Clinical Sciences, College of Health Sciences, University of Kentucky, Lexington, USA.

出版信息

Sci Rep. 2021 Feb 22;11(1):4307. doi: 10.1038/s41598-021-83444-1.

Abstract

Low mobility during hospitalization remains prevalent despite associated negative consequences. The goal of this quality improvement (QI) project was to increase patient mobility and function by adding a physical therapist (PT) to an existing interprofessional care team. A mobility technician assisted treatment group patients with mobility during hospitalization based on physical therapist recommendations. Change in functional status and highest level of mobility achieved by treatment group patients was measured from admission to discharge. Observed hospital length of stay (LOS), LOS index, and 30-day all cause hospital readmission comparisons between treatment group and a comparison group on the same unit, and between cross-sectional comparison groups one year prior were used for Difference in Difference analysis. Bivariate comparisons between the treatment and a cross-sectional comparison group from one year prior showed a statistically significant change in LOS Index. No other bivariate comparisons were statistically significant. Difference in Difference methods showed no statistically significant change in observed LOS, LOS Index, or 30-day readmission. Patients in the treatment group had statistically significant improvements in functional status and highest level of mobility achieved. Physical function and mobility improved for patients who participated in mobility sessions. Mobility technicians may contribute to improved care quality and patient safety in the hospital.

摘要

尽管存在负面后果,但住院期间的活动量低仍很普遍。本质量改进(QI)项目的目标是通过在现有多专业护理团队中增加物理治疗师(PT)来提高患者的活动能力和功能。根据物理治疗师的建议,活动技术员协助治疗组患者在住院期间进行活动。从入院到出院,测量治疗组患者的功能状态变化和达到的最高活动水平。对同一病房的治疗组和对照组,以及一年前的横截面对照组进行观察性住院时间(LOS)、LOS 指数和 30 天全因住院再入院比较,用于差异中的差异分析。治疗组与一年前的横截面对照组进行的双变量比较显示,LOS 指数有统计学意义的变化。其他双变量比较均无统计学意义。差异中的差异方法显示,观察到的 LOS、LOS 指数或 30 天再入院无统计学意义的变化。治疗组患者的功能状态和达到的最高活动水平均有统计学意义的改善。参加活动的患者的身体功能和活动能力有所提高。活动技术员可能有助于改善医院的护理质量和患者安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf22/7900133/8814b7c08203/41598_2021_83444_Fig1_HTML.jpg

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