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老年人的评估和管理住院患者花费很少的时间参与身体,认知或社会意义上的活动:一个时间运动分析

Laura Jolliffe^1,2,3, Taya A Collyer^2,3, Ka Hei Sun²

¹Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Peninsula Campus, 47-49 Moorooduc Highway, Frankston, Victoria, 3199, Australia.

|March 4, 2025

概括

老年评估和管理 (GEM) 的住院患者从事更少的有意义的活动. 室外时间的增加与活动的增加相关,这表明需要采取促进参与GEM环境的干预措施.

科学领域:

老年学是一门学科.
老年医学老年医学
改善医疗保健质量改善医疗保健质量

背景情况:

老年评估和管理 (GEM) 服务为复杂的老年人提供亚急性护理.
有意义的活动对于预防住院老年患者的功能衰退至关重要.
有限的研究存在于GEM住院患者参与有意义的活动.

研究的目的:

量化GEM住院患者在有意义的活动上花费的时间.
探索病房环境,周日和活动水平之间的关联.

主要方法:

使用三个GEM病房的行为映射进行观察性研究.
活动审计每10分钟进行一次,工作日为12小时,周末为10.5小时.
活动分为物理,认知或社会;用于分析的物流混合模型.

主要成果:

住院GEM患者在有意义的活动中花费了16% (身体),6% (认知) 和18% (社会) 的观察时间.
周末日显示认知参与度增加 (OR 4.79),但社会参与度降低 (OR 0.57).
在病房外的时间与所有有意义的活动类型正相关.

结论:

与康复环境相比,GEM住院患者表现出较低的有意义的活动参与度.
可访问的公共区域至关重要,因为室外的时间可以提高活动水平.
干预措施是必要的,以加强在住院GEM设置的积极参与.

关键词:

住院患者住院患者年龄较大的成年人.老年人年长的人.身体活动身体活动社会参与参与社会参与时间和运动研究研究时间和运动研究.

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