Res Gerontol Nurs. 2024 Nov-Dec;17(6):271-279. doi: 10.3928/19404921-20241105-01. Epub 2024 Nov 1.
To test a pilot home-telehealth program to enhance functional ability, physical performance, and objective physical activity in Veterans after hospital discharge.
A physical activity trainer and multidisciplinary team supported the progression of rehabilitation goals via a 6-month home exercise program. Pilot program feasibility, including recruitment, retention, reasons for early withdrawal, differences between those who did and did not complete the program, and completion of outcome measures are reported. Outcomes include changes in functional ability, physical performance, and physical activity (using actigraphy) from baseline to endpoint.
Twenty-one of 45 Veterans enrolled did not complete the 6-month program. No baseline differences were found comparing completers and non-completers. The majority of completers ( = 24) were White men with a mean age of 74 years ( = 8 years, range = 64 to 93 years) and included those with no ( = 8), mild ( = 13), and moderate ( = 3) cognitive impairment. Although there were borderline improvements in functional ability and physical performance from baseline to endpoint, mean steps per day increased from 2,206 ( = 1,780) to 3,888 ( = 2,895) ( = 0.04).
The pilot home-telehealth program is feasible and may address declines in function and activity observed during hospital-to-home transitions, including among those with cognitive impairment. [(6), 271-279.].
测试一个家庭远程医疗计划，以增强退伍军人出院后的功能能力、身体表现和客观身体活动。
通过为期 6 个月的家庭锻炼计划，运动训练师和多学科团队支持康复目标的进展。报告了试点计划的可行性，包括招募、保留、提前退出的原因、完成和未完成计划的参与者之间的差异，以及完成结果测量的情况。结果包括从基线到终点时功能能力、身体表现和身体活动（使用活动记录仪）的变化。
45 名登记入伍的退伍军人中有 21 名未完成 6 个月的计划。完成者和未完成者之间没有发现基线差异。大多数完成者（n = 24）是白人男性，平均年龄为 74 岁（ = 8 岁，范围为 64 至 93 岁），其中包括无认知障碍者（n = 8）、轻度认知障碍者（n = 13）和中度认知障碍者（n = 3）。尽管功能能力和身体表现从基线到终点都有边缘改善，但平均每天的步数从 2206（ = 1780）增加到 3888（ = 2895）（ = 0.04）。
家庭远程医疗计划是可行的，可能会解决从医院到家庭过渡期间观察到的功能和活动下降的问题，包括认知障碍者。[（6），271-279.]。
