老年患者住院期间和出院后手握测试的可行性：一项观察性研究。

Feasibility of hand grip tests during and after hospitalization in geriatric patients: an observational study.

机构信息

Department of Geriatrics, Radboud University Medical Center, Nijmegen, The Netherlands.

Gerontology Department, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

BMC Geriatr. 2024 Aug 24;24(1):703. doi: 10.1186/s12877-024-05305-6.

DOI:10.1186/s12877-024-05305-6

PMID:39182024

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344409/

Abstract

BACKGROUND

Monitoring the recovery trajectory during and after hospitalization can be a valuable method to observe whether additional care is needed to optimize recovery. Hand grip strength tests are commonly used to measure an individual's physical condition. Eforto® is a system to monitor hand grip strength and grip work as measures of recovery. We examined the feasibility of daily repeated hand grip tests measured with Eforto® in geriatric inpatients, during hospitalization and at home after discharge.

METHODS

Geriatric inpatients (n = 191) were evaluated for grip strength and grip work with Eforto®, twice daily during their admission. We calculated attempt and success rates. Participants were divided into complete, high, moderate, and low attempt/success rate groups to study differences in patient characteristics. Reasons for non-attempt and unsuccessful tests were categorized and analyzed. Nine participants were interviewed about acceptability and user experience within the hospital setting. Four out of twenty participants accepted the invitation to continue the measurements after discharge at home for 4 weeks and were interviewed about acceptability and user experience.

RESULTS

Across the 191 participants, the attempt rate was 85% and 86% of the attempted tests was successful. The main reasons for non-attempt were that the patient felt physically unwell (41%), and that the patient was otherwise engaged, for example receiving care or undergoing medical tests (40%). Measurements were unsuccessful mostly because of the patient not having enough strength to reach the 80% threshold needed for the grip work test (60%). Participants in the complete and high attempt/success rate groups had a shorter length of stay (p<0.05) and a lower mortality (p<0.05) than participants in the moderate/low groups. The interview data showed good acceptability and user experience during hospitalization. The acceptability was strengthened by experienced usefulness. Self-monitoring at home resulted in low inclusion rate (20%) and low success rate (25%), with the uncertain time after discharge from the hospital as the main barrier.

CONCLUSIONS

For most patients, the tests were feasible in the supervised hospital setting. At-home testing with Eforto® is challenging, primarily because of the uncertain time after discharge from the hospital.

摘要

背景

在住院期间和出院后监测恢复轨迹可以是观察是否需要额外的护理以优化恢复的有价值的方法。握力测试常用于衡量个体的身体状况。Eforto® 是一种监测握力和握力工作的系统，作为恢复的衡量标准。我们检查了在老年住院患者中每天重复使用 Eforto® 进行握力测试的可行性，包括住院期间和出院后在家中。

方法

对 191 名老年住院患者进行 Eforto® 握力和握力测试，每天两次。我们计算了尝试和成功率。参与者被分为完全、高、中、低尝试/成功率组，以研究患者特征的差异。未尝试和测试不成功的原因进行了分类和分析。对 9 名参与者进行了访谈，以了解他们在医院环境中的可接受性和用户体验。20 名参与者中有 4 名接受邀请，在出院后继续在家中进行 4 周的测量，并对他们的可接受性和用户体验进行了访谈。

结果

在 191 名参与者中，尝试率为 85%，尝试测试的成功率为 86%。未尝试的主要原因是患者感觉身体不适（41%），以及患者因接受护理或进行医学检查等其他原因而忙碌（40%）。测量结果不成功主要是因为患者没有足够的力量达到握力测试所需的 80%阈值（60%）。完全和高尝试/成功率组的参与者的住院时间更短（p<0.05），死亡率更低（p<0.05），而中/低组的参与者则更长（p<0.05）。访谈数据显示，住院期间的可接受性和用户体验良好。有用经验的体验加强了可接受性。在家自我监测导致低纳入率（20%）和低成功率（25%），出院后时间不确定是主要障碍。