一种新的行为干预措施,以提高熟练护理设施中老年退伍军人的体力活动
Julie A Stutzbach1,2, Kristine S Hare1, Allison M Gustavson3,4
1Physical Therapy Program, Department of Physical Medicine and Rehabilitation,School of Medicine,University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Journal of aging and physical activity
|June 11, 2024
概括
在熟练护理机构 (SNFs) 的体育活动干预措施显示出希望. 高强度康复加移动计划是可行的和可接受的,导致老年退伍军人的身体功能在临床上显著改善.
科学领域:
- 老年学是指老年学的学科.
- 康复医学 康复医学 康复医学
- 行为经济学是一种行为经济学.
背景情况:
- 在熟练护理机构 (SNF) 康复期间的体力活动往往不足以使社区重新融入并防止不良结果.
- 改善身体活动对于接受短期康复的老年人来说至关重要.
研究的目的:
- 评估一种新型干预措施的可行性,可接受性和初步有效性,以增强SNF患者的体力活动.
- 在老年退伍军人中评估高强度康复加移动 (HIR+M) 计划.
主要方法:
- 该HIR+M计划结合了高强度,渐进式抵抗训练与行为经济学的方法 (目标设定,游戏化,损失厌恶).
- 该干预包括由SNF治疗师和移动教练实施的每周五个移动性课程.
- 单个SNF中的老年退伍军人 (n=18) 参加了这项研究.
主要成果:
- 参与者对移动性协议的坚持和满意度很高,临床医师忠实度得分≥95%.
- 虽然没有观察到步数有40%的改善,但参与者在短物理性能电池得分和步行速度方面表现出了临床上有意义的改善.
- 改善与接受常规护理或仅接受高强度康复的历史对照人群相比或更好.
结论:
- 高强度康复加移动计划是SNF居民可行的和可接受的干预措施.
- 将结构化的体力活动与高强度康复相结合,显示出有可能改善老年人住院后的功能结果.
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