Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, 52994Suleyman Demirel University, Isparta, Turkey.
Faculty of Physical Therapy and Rehabilitation, 37515Hacettepe University, Ankara, Turkey.
Clin Rehabil. 2022 Dec;36(12):1623-1634. doi: 10.1177/02692155221116818. Epub 2022 Jul 25.
The aim of this study was to compare the effectiveness of supervised and unsupervised functional level-based exercises program for elderly inpatients on physical activity, mobility, health-related quality of life and depression status.
A single-blinded randomised controlled trial.
Internal medicine service.
Patients aged 65 years or older.
A supervised functional level-based exercise program was applied to the intervention group by a physiotherapist, for 40 min 5 times a week during their hospitalisation. Patients in the control group were asked to perform an unsupervised functional level-based exercise program which was described by the physiotherapist during the first visit.
Mobility, physical activity level and health-related quality of life were assessed at admission and discharge in both groups. Depression status was evaluated at admission and 3 months after discharge.
Sociodemographic features between intervention group ( = 62) and control group ( = 62) were similar. The intervention group showed a higher increment in mobility, physical activity level and quality of life scores than the control group ( = 0.62, < 0.05; = 0.57, < 0.05; = 1.12, < 0.05 respectively). Inpatients in the intervention group, depression scores were lower 3 months after discharge ( = 0.42, < 0.05). The length of stay in the hospital was not different between the groups.
A supervised functional level-based exercise program is more effective than an unsupervised functional level-based exercise program for mobility, physical activity, depression and quality of life in elderly inpatients. These positive contributions are seen within a short period like a 5 to 10 days stay in hospital.
ClinicalTrials.gov(NCT03516032).
本研究旨在比较监督和非监督基于功能水平的锻炼计划对老年住院患者身体活动、移动能力、健康相关生活质量和抑郁状态的效果。
单盲随机对照试验。
内科病房。
年龄在 65 岁或以上的患者。
由物理治疗师对干预组患者实施监督的基于功能水平的锻炼计划，每周 5 次，每次 40 分钟，在住院期间进行。对照组患者被要求进行非监督的基于功能水平的锻炼计划，该计划由物理治疗师在首次就诊时进行描述。
两组患者在入院和出院时均评估移动能力、身体活动水平和健康相关生活质量。入院时和出院后 3 个月评估抑郁状态。
干预组（n=62）和对照组（n=62）的社会人口统计学特征相似。干预组的移动能力、身体活动水平和生活质量评分的增加均高于对照组（ =0.62，<0.05； =0.57，<0.05； =1.12，<0.05）。干预组住院患者出院后 3 个月的抑郁评分较低（ =0.42，<0.05）。两组患者的住院时间无差异。
与非监督基于功能水平的锻炼计划相比，监督基于功能水平的锻炼计划更能提高老年住院患者的移动能力、身体活动、抑郁和生活质量。这些积极的贡献在住院期间的 5 至 10 天内就能看到。
ClinicalTrials.gov（NCT03516032）。
