Perceived acceptability and preferences for low-intensity early activity interventions of older hospitalized medical patients exposed to bed rest: a cross sectional study

摘要: Hospitalized older patients spend most of their time in bed, putting them at risk experiencing orthostatic intolerance. Returning persons to usual upright activity level is the effective way prevent intolerance but some have limited tolerance, supporting need for low-intensity interventions. Consistent with current emphasis on patient engagement intervention design and evaluation, this study explored hospitalized patients’ perceived acceptability of, preference for, two early interventions (bed-to-sitting sitting-to-walking), characteristics (gender, illness severity, comorbidity, illnesses medications effects, baseline functional capacity) associated preference. A convenience sample was recruited from in-patient medical units hospitals Ontario, Canada included 60 cognitively intact adults aged 65+ who were admitted a condition within past 72 h, spent ≥ 24 consecutive hours stretcher or presented ≥ 2 chronic diseases, understood English, able ambulate before admission. cross-sectional observational used. Participants written oral descriptions 2-min video each intervention. The sequence interventions’ presention randomized. Following presentation, research nurse administered measures preference, collected health demographic data. Perceived measured using Treatment Acceptability Preferences Scale. Illness severity Modified Early Warning Score. Comorbidity assessed Age Adjusted Charlson Scale Cumulative Rating – Geriatrics. Baseline capacity Duke Activity Status Index. Participants’ both clustered above scale midpoint. Most preferred sitting-to-walking (n = 26; 43.3%). While none acceptability, (odds ratio = 1.9, p = 0.04) effects ratio = 9.9, p = 0.03) significantly examined found be acceptable adults, future examining feasibility effectiveness.