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A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients

BACKGROUND AND OBJECTIVE: Mobility decline and worsening of the cognitive status are all too often the result of acute hospital treatment in older patients. This is particularly pronounced in patients with pre-existing cognitive impairment. This study strived to analyze the routines of geriatric acu...

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Autores principales: Belala, Nacera, Maier, Carolin, Heldmann, Patrick, Schwenk, Michael, Becker, Clemens
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820593/
https://www.ncbi.nlm.nih.gov/pubmed/31664583
http://dx.doi.org/10.1007/s00391-019-01644-x
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author Belala, Nacera
Maier, Carolin
Heldmann, Patrick
Schwenk, Michael
Becker, Clemens
author_facet Belala, Nacera
Maier, Carolin
Heldmann, Patrick
Schwenk, Michael
Becker, Clemens
author_sort Belala, Nacera
collection PubMed
description BACKGROUND AND OBJECTIVE: Mobility decline and worsening of the cognitive status are all too often the result of acute hospital treatment in older patients. This is particularly pronounced in patients with pre-existing cognitive impairment. This study strived to analyze the routines of geriatric acute care and identify reasons and triggers for sedentary behavior during acute hospitalization of cognitively impaired inpatients. METHODS AND PATIENTS: A sample of 20 moderately cognitively impaired geriatric inpatients (average age 84 years) were recruited on an acute care ward. Information on persons attending the patient, daytime, location, context, patient’s activity behavior and difficulty of action were collected by behavioral mapping over a period of 35 1‑min timeslots and extrapolated to a period of 525 min. Routines were further analyzed via semi-structured interviews with five healthcare professionals (HCP). RESULTS: Relevant relations between various categorical and ordinal variables, such as patients’ activity behavior, persons attending the patient, daytime, location, difficulty of action and contextual factors were found. Extrapolated data showed that patients spent 396.9 min (75%) in their room, 342.0 min (65%) were spent alone and 236.2 min (45%) lying in bed. The time patients spent alone was grossly underestimated by HCP. CONCLUSION: Time spent without company, lacking meaningful activities and continuous bedridden periods due to missing demands to leave the room might have led to time spent inactive and alone. These seem to be strong predictors for sedentariness. Routines of acute care should be reorganized to increase physical activity and thereby reduce sedentary behavior of this patient group.
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spelling pubmed-68205932019-11-06 A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients Belala, Nacera Maier, Carolin Heldmann, Patrick Schwenk, Michael Becker, Clemens Z Gerontol Geriatr Themenschwerpunkt BACKGROUND AND OBJECTIVE: Mobility decline and worsening of the cognitive status are all too often the result of acute hospital treatment in older patients. This is particularly pronounced in patients with pre-existing cognitive impairment. This study strived to analyze the routines of geriatric acute care and identify reasons and triggers for sedentary behavior during acute hospitalization of cognitively impaired inpatients. METHODS AND PATIENTS: A sample of 20 moderately cognitively impaired geriatric inpatients (average age 84 years) were recruited on an acute care ward. Information on persons attending the patient, daytime, location, context, patient’s activity behavior and difficulty of action were collected by behavioral mapping over a period of 35 1‑min timeslots and extrapolated to a period of 525 min. Routines were further analyzed via semi-structured interviews with five healthcare professionals (HCP). RESULTS: Relevant relations between various categorical and ordinal variables, such as patients’ activity behavior, persons attending the patient, daytime, location, difficulty of action and contextual factors were found. Extrapolated data showed that patients spent 396.9 min (75%) in their room, 342.0 min (65%) were spent alone and 236.2 min (45%) lying in bed. The time patients spent alone was grossly underestimated by HCP. CONCLUSION: Time spent without company, lacking meaningful activities and continuous bedridden periods due to missing demands to leave the room might have led to time spent inactive and alone. These seem to be strong predictors for sedentariness. Routines of acute care should be reorganized to increase physical activity and thereby reduce sedentary behavior of this patient group. Springer Medizin 2019-10-29 2019 /pmc/articles/PMC6820593/ /pubmed/31664583 http://dx.doi.org/10.1007/s00391-019-01644-x Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Themenschwerpunkt
Belala, Nacera
Maier, Carolin
Heldmann, Patrick
Schwenk, Michael
Becker, Clemens
A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients
title A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients
title_full A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients
title_fullStr A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients
title_full_unstemmed A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients
title_short A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients
title_sort a pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients
topic Themenschwerpunkt
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820593/
https://www.ncbi.nlm.nih.gov/pubmed/31664583
http://dx.doi.org/10.1007/s00391-019-01644-x
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