Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Utrecht, The Netherlands.
Research Center of Healthy and Sustainable Living, Research group Innovation of Movement Care, HU University of Applied Sciences Utrecht, Utrecht, Utrecht, The Netherlands.
Clin Rehabil. 2023 Nov;37(11):1501-1509. doi: 10.1177/02692155231189607. Epub 2023 Jul 24.
To evaluate the preliminary effectiveness of a goal-directed movement intervention using a movement sensor on physical activity of hospitalized patients.
Prospective, pre-post study.
A university medical center.
Patients admitted to the pulmonology and nephrology/gastro-enterology wards.
The movement intervention consisted of (1) self-monitoring of patients' physical activity, (2) setting daily movement goals and (3) posters with exercises and walking routes. Physical activity was measured with a movement sensor (PAM AM400) which measures active minutes per day.
Primary outcome was the mean difference in active minutes per day pre- and post-implementation. Secondary outcomes were length of stay, discharge destination, immobility-related complications, physical functioning, perceived difficulty to move, 30-day readmission, 30-day mortality and the adoption of the intervention.
A total of 61 patients was included pre-implementation, and a total of 56 patients was included post-implementation. Pre-implementation, patients were active 38 ± 21 minutes (mean ± SD) per day, and post-implementation 50 ± 31 minutes per day (Δ12, = 0.031). Perceived difficulty to move decreased from 3.4 to 1.7 (0-10) (Δ1.7, = 0.008). No significant differences were found in other secondary outcomes.
The goal-directed movement intervention seems to increase physical activity levels during hospitalization. Therefore, this intervention might be useful for other hospitals to stimulate inpatient physical activity.
使用运动传感器评估基于目标的运动干预对住院患者身体活动的初步效果。
前瞻性、前后对照研究。
一所大学医学中心。
呼吸科和肾病/胃肠科病房的住院患者。
运动干预包括（1）患者自我监测身体活动，（2）设定每日运动目标和（3）张贴运动和步行路线的海报。身体活动使用运动传感器（PAM AM400）进行测量，每天测量活跃分钟数。
主要结局是实施前后每日活跃分钟数的平均差异。次要结局包括住院时间、出院去向、与不活动相关的并发症、身体功能、活动困难感知、30 天再入院、30 天死亡率以及干预措施的采用。
实施前共纳入 61 例患者，实施后共纳入 56 例患者。实施前，患者每天活跃 38±21 分钟（均值±标准差），实施后每天活跃 50±31 分钟（Δ12，=0.031）。活动困难感知从 3.4 降至 1.7（0-10）（Δ1.7，=0.008）。其他次要结局未见显著差异。
基于目标的运动干预似乎可以增加住院期间的身体活动水平。因此，这种干预措施可能对其他医院刺激住院患者的身体活动有用。
