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对于养老院居民来说,运动和压力伤害预防护理:解决无知问题
Tracey L Yap1, Jenny Alderden, Kais Gadhoumi
1Tracey L. Yap, PhD, RN, CNE, WCC, FGSA, FAAN, is Professor, School of Nursing, Duke University, Durham, North Carolina, USA. Jenny Alderden, PhD, APRN, is Associate Professor, Boise State University, Boise, Idaho. Kais Gadhoumi, PhD, is Assistant Professor, School of Nursing, Duke University. Susan D. Horn, PhD, is Consultant, Salt Lake City, Utah. Sharon Eve Sonenblum, PhD, is Associate Research Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Judith C. Hays, PhD, FGSA, is Associate Research Professor Emerita, School of Nursing, Duke University. Susan M. Kennerly, PhD, RN, CNE, WCC, FAAN, is Professor, College of Nursing, East Carolina University, Greenville, North Carolina.
养老院居民在直立时比躺着时移动更多,基于肥胖或痴呆症没有显著差异. 支持3小时的重新定位间隔,挑战不活动假设.
科学领域:
- 老年学是一门学科.
- 护理科学 护理科学
- 生物力学 生物力学
背景情况:
- 养老院居民通常被认为是不活跃的,增加压力受伤的风险.
- 长时间静止的姿势是不动性和皮肤分解的担忧.
研究的目的:
- 为了比较养老院住户躺着与直立姿势的运动频率.
- 为了检查肥胖,痴呆症或两者都不存在的居民的运动模式.
- 为了分析长时间静止期间的短暂运动.
主要方法:
- 使用TEAM-UP临床试验中的二次数据 (N=934) 的描述性探索性研究.
- 在长时间 (2-5小时) 没有重新定位的情况下分析短暂的运动 (<60秒).
- 在居民子组和重新定位间隔之间比较移动率.
主要成果:
- 当居民直立时,相比躺卧时,发生的暂时性移动显著更多.
- 患有肥胖或痴呆症的居民的运动频率与没有这些疾病的居民相似.
- 与不肥胖患者相比,肥胖患者的运动频率更高,特别是在2-4小时间隔内.
- 在所有子组中,重定位间隔高达3小时时段的插曲性短暂运动显着更高.
结论:
- 这些发现挑战了养老院居民不活动的假设.
- 标准的3小时重新定位间隔可能是合适的,特别是高密度床,而不会增加压力受伤的风险.
- 建议小心重定位间隔超过3小时;需要进一步研究保护运动效应.
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