久坐不动行为和相关因素影响了内科病房的入院情况
Nurlan Mammadzada1,2, Ilker Tasci3,4
1Department of Internal Medicine, Gulhane Faculty of Medicine, University of Health Sciences Türkiye, Ankara, Türkiye.
Internal and emergency medicine
|August 23, 2024
概括
近90%的内科住院患者的体力活动 (PA) 水平低到中等. 降低PA与功能依赖和更低的生活质量有关,而不是典型的慢性疾病.
科学领域:
- 老年学是一门学科.
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 久坐不动的生活方式与慢性疾病密切相关.
- 了解住院老年人的体力活动 (PA) 水平对于有针对性的干预至关重要.
- 降低PA可能会影响患者的治疗结果和医疗保健利用率.
研究的目的:
- 为了确定50岁及以上的内科住院患者入院时减少体力活动 (PA) 的患病率.
- 在这个患者群体中确定与低PA水平相关的因素.
- 探索PA水平与临床特征,生活质量和绩效指标之间的关系.
主要方法:
- 一个单中心的横截面研究,涉及240名内科住院患者 (≥50岁).
- 使用国际体力活动问卷 (IPAQ) 评估的体力活动 (PA).
- 评估的护理指标,生活质量 (EQ-5D 3L),营养状况,功能状况 (定时上行),肌肉力量和认知功能.
主要成果:
- 47.1%的参与者表现出低PA水平,另外40.8%的参与者表现出中度PA.
- 低PA与功能依赖 (在/在家外) 和较低的EQ-5DVAS分数有关.
- 与预期相反,低血压与糖尿病或高血压等常见并发症没有显著相关,但与表现和护理指标有关.
结论:
- 在内科住院患者中,减少体力活动 (PA) 的患病率很高.
- 功能依赖和生活质量下降是与该队列中低PA相关的关键因素.
- 干预措施应侧重于改善功能状态和生活质量,以解决住院老年人低PA的问题.
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