Academic-Practice-Partnership between Bern University of Applied Sciences and Insel Gruppe, School of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
The Laboratory for Rehabilitation Engineering, Institute for Human Centered Engineering HuCE, School of Engineering and Computer Science, Bern University of Applied Sciences, Biel, Switzerland.
Technol Health Care. 2024;32(6):4637-4651. doi: 10.3233/THC-240816.
Physical inactivity is prevalent among hospitalized patients and the daytime spent lying should be utilised for exercise. However, implementing new interventions in hospitals' complex daily routines is difficult and requires a participatory approach.
Exploring clinical settings and clinicians' perspectives regarding exercise in hospitalized patients to gauge the potential of further development of an in-bed training device and to formulate development goals.
A User-Centered Design approach was employed, consisting of work shadowing and focus groups with physiotherapists and nurses. Content and network analyses of the focus group data were performed. Personas were then developed and used to create clinical scenarios.
Some clinicians perceived in-bed exercise counterproductive, while others recognized potential for unsupervised training. The most important design characteristics appeared to be a small size, low weight and simplicity of use to facilitate storage, transportation, and administration, respectively. The scenarios revealed that the device's use could increase the physical activity time by 1.4%, although it would also increase the working time of clinicians.
The study highlighted the difficulties in developing a usable training device but encouraged the authors to pursue their efforts under the strict condition of following the formulated development goals.
住院患者普遍存在身体活动不足的问题，白天卧床时间应该用于锻炼。然而，在医院复杂的日常工作中实施新的干预措施是困难的，需要采取参与式方法。
探讨临床环境和临床医生对住院患者运动的看法，以评估进一步开发卧床训练设备的潜力，并制定开发目标。
采用以用户为中心的设计方法，包括物理治疗师和护士的工作观察和焦点小组。对焦点小组数据进行内容和网络分析。然后开发人物角色并用于创建临床场景。
一些临床医生认为卧床运动适得其反，而另一些医生则认识到了非监督训练的潜力。最重要的设计特点似乎是体积小、重量轻和使用简单，分别便于存储、运输和管理。这些场景表明，该设备的使用可以将患者的身体活动时间增加 1.4%，尽管这也会增加临床医生的工作时间。
该研究强调了开发可用训练设备的困难，但鼓励作者在严格遵循制定的开发目标的条件下继续努力。
