性别、疼痛与身体活动对痴呆患者住院后的影响。
Gender, Pain, and Function Associated With Physical Activity After Hospitalization in Persons Living With Dementia.
机构信息
Ross and Nese College of Nursing, Pennsylvania State University, University Park, PA.
School of Nursing, University of Maryland, Baltimore, MD.
出版信息
Alzheimer Dis Assoc Disord. 2023;37(4):357-362. doi: 10.1097/WAD.0000000000000583. Epub 2023 Sep 20.
BACKGROUND
The purpose of this study was to identify factors that are associated with physical activity after hospitalization in persons living with dementia.
METHODS
Multiple linear regressions were conducted to test factors associated with objective activity levels (sedentary, low, moderate, and vigorous) among 244 patients living with dementia from a randomized controlled trial.
RESULTS
Within 48 hours of hospital discharge, time in sedentary behavior was associated with increased pain (β=0.164, P =0.015). Time in low activity was associated with less pain (β=-0.130, P =0.049) and higher physical function (β=0.300, P =<0.001). Time in moderate activity was associated with increased physical function (β=0.190, P =0.008) and male gender (β=0.155, P =0.016). No significant associations of potential factors were found with time in vigorous activity.
CONCLUSIONS
Our findings suggest that managing or reducing pain, encouraging individual functional level, and gender could influence time spent in physical activity after acute hospitalization in persons living with dementia.
背景
本研究旨在确定与痴呆患者住院后体力活动相关的因素。
方法
对来自一项随机对照试验的 244 名痴呆患者进行了多元线性回归分析，以测试与客观活动水平（久坐、低、中、高强度）相关的因素。
结果
在出院后 48 小时内，久坐行为时间与疼痛增加有关（β=0.164，P=0.015）。低活动时间与疼痛减轻（β=-0.130，P=0.049）和身体功能提高有关（β=0.300，P<0.001）。中等活动时间与身体功能提高（β=0.190，P=0.008）和男性性别有关（β=0.155，P=0.016）。潜在因素与剧烈活动时间无显著关联。
结论
我们的研究结果表明，在急性住院后，管理或减轻疼痛、鼓励个体功能水平和性别可能会影响痴呆患者的体力活动时间。
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