Department of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Rigshospitalet, Valdemar Hansens Vej 1-23, Glostrup, 2600, Denmark.
Department of Clinical Research, Copenhagen University Hospital, Hvidovre, Denmark.
BMC Geriatr. 2024 Aug 24;24(1):704. doi: 10.1186/s12877-024-05286-6.
Inactivity and bedrest during hospitalisation have numerous adverse consequences, and it is especially important that older patients are mobile during hospitalisation. This study aimed to identify whether the introduction of formal education of clinical staff and a Mobilisation Initiative (MI) could increase mobilisation of patients in a geriatric and a medical ward. Furthermore, to explore patients' and health care staffs' view on facilitators and barriers for mobilisation during hospitalisation.
The study was a pragmatic clinical study. Both qualitative and quantitative methods were used. The patients' level of mobilisation was obtained through short interview-based surveys and observations. Focus group interviews and formal education of clinical staff was initiated to increase awareness of mobilisation along with the implementation of a MI.
596 patient surveys were included. Of all patients, 50% in the geriatric ward and 70% in the medical ward were able to independently mobilise. The highest percentage of patients sitting in a chair for breakfast and lunch in the geriatric ward was 57% and 65%, and in the medical ward 23% and 26%, respectively. A facilitator for mobilisation was interdisciplinary collaboration, and barriers were lack of chairs and time, and the patients' lack of help transferring.
This study adds new knowledge regarding the lack of in-hospital mobilisation in geriatric and medical departments. Mealtimes are obvious mobilisation opportunities, but most patients consume their meals in bed. A potential for a MI is present, however, it must be interdisciplinarily and organisationally anchored for further investigation of effectiveness.
Retrospectively registered at ClinicalTrials.gov with the trial number NCT05926908.
住院期间不活动和卧床休息会带来许多不良后果，尤其重要的是，老年患者在住院期间应保持活动。本研究旨在确定对临床工作人员进行正式教育和实施动员计划（MI）是否可以增加老年病房和内科病房患者的活动量。此外，还探讨了患者和医护人员对住院期间活动的促进因素和障碍的看法。
这是一项实用的临床研究，采用了定性和定量方法。通过简短的基于访谈的调查和观察来获取患者的活动水平。开展焦点小组访谈和临床工作人员的正式教育，以提高对动员的认识，并实施 MI。
共纳入 596 例患者的调查。在老年病房和内科病房中，分别有 50%和 70%的患者能够独立活动。在老年病房，57%和 65%的患者在早餐和午餐时可以坐在椅子上，而在内科病房，这一比例分别为 23%和 26%。促进活动的因素是跨学科合作，障碍是缺乏椅子和时间，以及患者缺乏帮助转移。
本研究增加了关于老年病房和内科部门住院期间活动不足的新知识。用餐时间是明显的活动机会，但大多数患者在床上用餐。实施 MI 具有潜力，但必须在跨学科和组织层面上得到支持，以便进一步研究其效果。
在 ClinicalTrials.gov 上进行了回顾性注册，试验编号为 NCT05926908。
