Factors Associated With Older Patients' Engagement in Exercise After Hospital Discharge
Factors Associated With Older Patients' Engagement in Exercise After Hospital Discharge
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DOI：
10.1016/j.apmr.2011.04.009
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发表时间：
2011-09-01
影响因子：
4.3
通讯作者：
Haines, Terrence P.
中科院分区：
文献类型：
--
作者：
Hill, Anne-Marie;Hoffmann, Tammy;Haines, Terrence P.
Hill A-M，Hoffmann T，McPhail S，Beer C，Hill KD，Brauer SG，Haines TP.老年患者出院后参与运动的相关因素。Arch Phys Med Rehabil 2011;92：1395- 403. Objectives：To identify factors that are associated with older patients' engagement in exercise in 6 months after hospital discharge.Design：A prospective observational study using quantitative and quantitative evaluation.Setting：Follow up of hospital patients in their home setting after discharge from a metropolitan general hospital.Participants：参与者（N=343）为老年患者（平均年龄+/- SD，79.4+/-8.5岁）从内科、外科和康复病房出院，并在出院后随访6个月。出院时通过一项针对健康信念模型要素的调查测量自我感知意识和福尔斯风险。参与和自我报告的障碍，在6个月后出院使用电话survey.Results：6个月后出院，305名参与者仍然在研究中，其中109人（35.7%）从事结构化的运动计划。多变量逻辑回归分析表明，如果参与者认为自己有跌倒严重损伤的风险，他们更有可能参与锻炼（比值比[OR] = 0.61; 95%置信区间[CI]，0.48.78; P
Hill A-M, Hoffmann T, McPhail S, Beer C, Hill KD, Brauer SG, Haines TP. Factors associated with older patients' engagement in exercise after hospital discharge. Arch Phys Med Rehabil 2011;92:1395-403.Objectives: To identify factors that are associated with older patients' engagement in exercise in the 6 months after hospital discharge.Design: A prospective observational study using qualitative and quantitative evaluation.Setting: Follow-up of hospital patients in their home setting after discharge from a metropolitan general hospital.Participants: Participants (N=343) were older patients (mean age +/- SD, 79.4+/-8.5y) discharged from medical, surgical, and rehabilitation wards and followed up for 6 months after discharge.Interventions: Not applicable.Main Outcome Measures: Self-perceived awareness and risk of falls measured at discharge with a survey that addressed elements of the Health Belief Model. Engagement and self-reported barriers to engagement in exercise measured at 6 months after discharge using a telephone survey.Results: Six months after discharge, 305 participants remained in the study, of whom 109 (35.7%) were engaging in a structured exercise program. Multivariable logistic regression analysis demonstrated participants were more likely to be engaging in exercise if they perceived they were at risk of serious injury from a fall (odds ratio [OR] = .61; 95% confidence interval [CI], .48.78; P