医院住院设置和急性护理中的运动干预措施的比较:系统性审查和元分析
Paula Etayo-Urtasun1, Mikel L Sáez de Asteasu1,2, Mikel Izquierdo1,2
1Navarrabiomed, Hospital Universitario de Navarra (HUN)-Universidad Pública de Navarra (UPNA), IdisNA, Department of Health Sciences, C/ de Irunlarrea, s/n, 31008 Pamplona, Navarra, Spain.
Age and ageing
|February 21, 2025
概括
在家医院 (HaH) 护理可以在老年人中保持身体和认知功能. 在住院期间接受监督的运动可以提高身体表现和独立性.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 住院住院可能导致老年人脱离条件.
- 家庭医院 (HaH) 模式为促进身体活动提供了一个潜在的替代方案.
- 这项研究系统地回顾和元分析了HHA与住院患者的功能结果.
研究的目的:
- 为了比较住院和高水平护理机构之间的功能结果.
- 评估运动干预措施在老年人住院和高水平健康环境中的有效性.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,ScienceDirect) 进行了系统的搜索.
- 从2014年起发表的研究使用PICOS框架进行了选择,并对其质量进行了评估.
- 对于运动干预措施,使用随机效应模型元分析,遵守PRISMA 2020指南.
主要成果:
- 九项研究比较了急性护理环境,21项研究检查了运动干预措施 (一个在HaH).
- 研究结果表明,HAH可能会对功能和认知结果产生积极影响.
- 住院患者的运动干预显著改善了体力表现 (SMD=0.42) 和功能独立性 (SMD=0.45).
结论:
- 家庭医院模式显示,它有望在老年人中保持身体和认知状态.
- 在住院期间接受监督的运动是安全有效的,可以提高功能状态.
- 需要进行进一步的研究,以充分探索运动干预措施在HaH模型中的好处.
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