Murphy Darren, Henderson Annette, Bradley Judy M, Connolly Bronwen, Wilson Jason J, O'Neill Brenda
Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Belfast, United Kingdom.
School of Health Science, Derry/ Londonderry campus, Ulster University, Derry/ Londonderry, United Kingdom.
PLoS One. 2025 Jun 3;20(6):e0322339. doi: 10.1371/journal.pone.0322339. eCollection 2025.
Measuring and promoting physical activity could support rehabilitation and recovery after critical illness. In recent years, there has been an emergence of the use of devices to measure both physical activity and sedentary behaviour in this population. Understanding device selection and processes for data analysis could be helpful for future research and practice when used with this population.
The aim of this review was to explore the current use of device-based physical activity instruments to measure physical activity and sedentary behaviour during and following critical illness.
A scoping review was conducted which followed the Arksey and O'Malley (2005) framework. A comprehensive search of four electronic databases (Medline, ProQuest, Scopus and CINAHL) was conducted using pre-agreed search terms. Screening and data extraction was conducted by two independent reviewers. Data were analysed descriptively by summarising and describing results that linked to the review questions.
Twenty-two studies were included; the majority were observational (n=12), with one randomised control trial. Studies covered the continuum from intensive care admission to 18 months post-hospital discharge. A total of 11 devices were used to assess physical activity and sedentary behaviour, and many different processing decisions were used for data analysis. Physical activity levels were low in the intensive care unit and remained low following discharge from intensive care.
The use of device-based measurement of physical activity and sedentary behaviour after critical illness is an emerging research area. While several devices are available, this review highlights the need for agreed and standardised protocol(s) to guide the processing and analysis of data. Investment is also needed to support the recovery of physical activity and the reduction of excessive sedentary behaviour following discharge from the hospital.
测量和促进身体活动有助于危重症后的康复和恢复。近年来，出现了一些设备用于测量这一人群的身体活动和久坐行为。了解设备选择和数据分析流程对于未来针对该人群的研究和实践可能会有所帮助。
本综述的目的是探讨目前基于设备的身体活动测量工具在危重症期间及之后测量身体活动和久坐行为的应用情况。
按照阿克斯和奥马利（2005年）的框架进行了一项范围综述。使用预先商定的检索词对四个电子数据库（医学期刊数据库、ProQuest、Scopus和护理学与健康领域数据库）进行了全面检索。由两名独立评审员进行筛选和数据提取。通过总结和描述与综述问题相关的结果对数据进行描述性分析。
纳入了22项研究；大多数为观察性研究（n = 12），有一项随机对照试验。研究涵盖了从重症监护入院到出院后18个月的整个时间段。总共使用了11种设备来评估身体活动和久坐行为，并且在数据分析中使用了许多不同的处理决策。重症监护病房内的身体活动水平较低，从重症监护病房出院后仍维持在较低水平。
危重症后基于设备测量身体活动和久坐行为是一个新兴的研究领域。虽然有几种设备可供使用，但本综述强调需要有商定的标准化方案来指导数据的处理和分析。还需要投入资源来支持出院后身体活动的恢复以及减少久坐行为。
