Adelaide Geriatrics Training and Research with Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Basil Hetzel Institute for Translational Health Research, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
Health Promot J Austr. 2023 Feb;34(1):41-47. doi: 10.1002/hpja.630. Epub 2022 Jun 30.
Despite growing research on sedentary behaviour and physical activity among hospitalised older people, there is little evidence of effective intervention strategies. This study sought input from clinical staff from various health professions on strategies to increase physical activity and reduce sedentariness for hospitalised older people.
A 60-minute focus group discussion involving two physiotherapists, two occupational therapists, one doctor, one nurse and one social worker was conducted. Participants were recruited from a subacute geriatric ward and an acute orthopaedic ward with an orthogeriatric service at a general hospital. Data were thematically analysed.
Six strategies to reduce sedentary behaviour and increase physical activity were identified: clear and positive communication for patients and family/carers; educating patients and family/carers; involving family/carers and volunteers; setting physical activity goals; utilising group activities and activities of daily living (ADL); and making the hospital environment activity-friendly.
This research has revealed novel strategies to increase physical activity and reduce sedentary behaviour in hospital. The next step is to design interventions for testing.
尽管针对住院老年人的久坐行为和身体活动进行了大量研究，但有效的干预策略证据有限。本研究旨在征求来自不同健康专业的临床医务人员的意见，以制定针对住院老年人的增加身体活动和减少久坐行为的策略。
进行了一次 60 分钟的焦点小组讨论，参与者包括两名物理治疗师、两名职业治疗师、一名医生、一名护士和一名社会工作者。参与者是从一家综合医院的亚急性老年病房和急性骨科病房以及骨科老年服务中招募的。对数据进行了主题分析。
确定了六项减少久坐行为和增加身体活动的策略：与患者和家属/照顾者进行清晰、积极的沟通；教育患者和家属/照顾者；让家属/照顾者和志愿者参与；设定身体活动目标；利用小组活动和日常生活活动（ADL）；以及使医院环境有利于活动。
本研究揭示了增加住院患者身体活动和减少久坐行为的新策略。下一步是设计干预措施进行测试。
