{"title":"每小时活动计数的图形表示法可识别重病后老年人的出院结果。","authors":"Maya N Elías, Cindy L Munro, Zhan Liang","doi":"10.1097/rnj.0000000000000312","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>After transitioning from an intensive care unit (ICU), hospitalized older adults are inactive, which may affect discharge outcomes. We examined trends between post-ICU hourly activity counts and discharge disposition among hospitalized older ICU survivors.</p><p><strong>Design: </strong>A prospective, exploratory research design was used in this study.</p><p><strong>Methods: </strong>We enrolled older ICU survivors within 24-48 hours of ICU discharge. Actigraphy measured post-ICU hourly activity counts (0:00 a.m.-23:59 p.m.). Chart review provided discharge disposition. Analyses were conducted to illustrate trends between post-ICU hourly activity counts and discharge disposition.</p><p><strong>Findings: </strong>Mean hourly activity was about 2,233 ± 569 counts/hour. Graphs revealed trends between hourly activity counts and discharge disposition. Participants with lower post-ICU activity counts, especially during daytime hours, tended to be discharged to a care facility.</p><p><strong>Conclusions: </strong>Future nursing research should determine whether post-ICU inactivity during hospitalization is a modifiable risk factor for worse discharge outcomes.</p><p><strong>Clinical relevance: </strong>Activity could be a prognostic indicator of discharge disposition for older ICU survivors.</p>","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073790/pdf/","citationCount":"0","resultStr":"{\"title\":\"Graphic Representation of Hourly Activity Counts May Identify Discharge Outcomes for Older Adults After Critical Illness.\",\"authors\":\"Maya N Elías, Cindy L Munro, Zhan Liang\",\"doi\":\"10.1097/rnj.0000000000000312\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>After transitioning from an intensive care unit (ICU), hospitalized older adults are inactive, which may affect discharge outcomes. We examined trends between post-ICU hourly activity counts and discharge disposition among hospitalized older ICU survivors.</p><p><strong>Design: </strong>A prospective, exploratory research design was used in this study.</p><p><strong>Methods: </strong>We enrolled older ICU survivors within 24-48 hours of ICU discharge. Actigraphy measured post-ICU hourly activity counts (0:00 a.m.-23:59 p.m.). Chart review provided discharge disposition. Analyses were conducted to illustrate trends between post-ICU hourly activity counts and discharge disposition.</p><p><strong>Findings: </strong>Mean hourly activity was about 2,233 ± 569 counts/hour. Graphs revealed trends between hourly activity counts and discharge disposition. Participants with lower post-ICU activity counts, especially during daytime hours, tended to be discharged to a care facility.</p><p><strong>Conclusions: </strong>Future nursing research should determine whether post-ICU inactivity during hospitalization is a modifiable risk factor for worse discharge outcomes.</p><p><strong>Clinical relevance: </strong>Activity could be a prognostic indicator of discharge disposition for older ICU survivors.</p>\",\"PeriodicalId\":49631,\"journal\":{\"name\":\"Rehabilitation Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2021-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073790/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Rehabilitation Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/rnj.0000000000000312\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rehabilitation Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/rnj.0000000000000312","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Graphic Representation of Hourly Activity Counts May Identify Discharge Outcomes for Older Adults After Critical Illness.
Purpose: After transitioning from an intensive care unit (ICU), hospitalized older adults are inactive, which may affect discharge outcomes. We examined trends between post-ICU hourly activity counts and discharge disposition among hospitalized older ICU survivors.
Design: A prospective, exploratory research design was used in this study.
Methods: We enrolled older ICU survivors within 24-48 hours of ICU discharge. Actigraphy measured post-ICU hourly activity counts (0:00 a.m.-23:59 p.m.). Chart review provided discharge disposition. Analyses were conducted to illustrate trends between post-ICU hourly activity counts and discharge disposition.
Findings: Mean hourly activity was about 2,233 ± 569 counts/hour. Graphs revealed trends between hourly activity counts and discharge disposition. Participants with lower post-ICU activity counts, especially during daytime hours, tended to be discharged to a care facility.
Conclusions: Future nursing research should determine whether post-ICU inactivity during hospitalization is a modifiable risk factor for worse discharge outcomes.
Clinical relevance: Activity could be a prognostic indicator of discharge disposition for older ICU survivors.
期刊介绍：
Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue.
Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.
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