An explorative study of current strategies to reduce sedentary behaviour in hospital wards

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
A. Mavroeidi, Lianne McInally, F. Tomasella, P. Dall, D. Skelton
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引用次数: 1

Abstract

Prolonged sitting (or sedentary behaviour—SB) has profound detrimental effects on health and is associated with increased risk of chronic disease, hospitalisation and premature death. However, while in hospital, a person will spend the vast majority of the day sitting or lying down. A number of strategies have started to be implemented to counteract this phenomenon and get patients up and moving. This is the first explorative study that used device-based measurements of the postural physical activity of older hospitalised adults taking part in such initiatives. A total of 43 patients, mean age 83.8y (SD 8.3), wore a waterproofed activity monitor (activPAL3) for 4 days (including overnight); physical activity was analysed for waking hours. Interventions designed to get patients up and moving were introduced sequentially. Participants were grouped based on the highest level of intervention they received. There were 4 groups: “control” (n = 12), “education” (advice on SB reduction via infographics on the ward noticeboards, n = 12), “#endpjparalysis” (up and dressed by the nurses before 11: 30 am, n = 9), “personalised activity passports” (agreed by Occupational Therapists and other members of the multidisciplinary team with patients, on SB reduction, n = 10). ANOVA revealed the absence of any differences between the 4 groups for total sitting time (p = 0.989), time spent upright (standing and walking) (p = 0.700), number of sitting events (i.e. sit to stand transitions) (p = 0.418) and longest upright period (p = 0.915). This small explorative study of sequential initiatives within a ward setting to reduce SB found they were not successful. The cross-sectional service-improvement nature of the study limited the ability to assess change in individuals as interventions were introduced. Further work is warranted to untangle the determinants of SB in hospital settings and implement interventions of sustainable SB change in this setting.
减少医院病房久坐行为的当前策略探索性研究
久坐(或久坐行为- sb)对健康有着深远的有害影响,并与慢性病、住院和过早死亡的风险增加有关。然而,在医院里,一个人将花费大部分时间坐着或躺着。一些策略已经开始实施,以抵消这一现象,让病人起来活动。这是第一个探索性的研究,使用基于设备的测量姿势的身体活动的老年住院成年人参加这些活动。共有43例患者,平均年龄83.8y (SD 8.3),佩戴防水活动监测仪(activPAL3) 4天(包括过夜);研究人员分析了醒着时的身体活动情况。旨在让病人站起来活动的干预措施被依次引入。参与者根据他们接受的最高程度的干预进行分组。共有4组:“对照组”(n = 12)、“教育组”(通过病房布告栏上的信息图表提供减少SB的建议,n = 12)、“#结束瘫痪”(上午11:30之前由护士起床并穿好衣服,n = 9)、“个性化活动护照”(由职业治疗师和其他多学科团队成员与患者商定,减少SB, n = 10)。方差分析显示,四组之间在总坐着时间(p = 0.989)、直立(站立和行走)时间(p = 0.700)、坐着事件(即从坐到站的转变)次数(p = 0.418)和最长直立时间(p = 0.915)方面没有任何差异。这个小的探索性研究在病房设置的顺序举措,以减少SB发现他们不成功。该研究的横断面服务改进性质限制了评估干预措施引入后个人变化的能力。进一步的工作需要解开医院环境中SB的决定因素,并在这种环境中实施可持续SB改变的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
AIMS Medical Science
AIMS Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
14.30%
发文量
20
审稿时长
12 weeks
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