TY - JOUR
T1 - Physical dependence and urinary catheters both strongly relate to physical inactivity in adults during hospital stay
T2 - a cross-sectional, observational study
AU - Geelen, Sven J. G.
AU - Giele, Boukje M.
AU - Veenhof, Cindy
AU - Nollet, Frans
AU - Engelbert, Raoul H. H.
AU - van der Schaaf, Marike
PY - 2022
Y1 - 2022
N2 - Purpose: To determine which factors are associated with physical inactivity in hospitalized adults of all ages. Methods: A cross-sectional sample of 114 adults admitted to a gastrointestinal surgery, internal medicine or cardiology hospital ward (median age 60, length of stay 13 days) were observed during one random day from 8 am to 8 pm using wireless accelerometers and behavioral mapping protocols. Factors (e.g., comorbidities, self-efficacy, independence in mobility, functional restraints) were collected from medical records, surveys, and observations. Results: Patients were physically active for median(IQR) 26 (13–52.3) min and were observed to lie in bed for 67.3%, sit for 25.2%, stand for 2.5%, and walk for 5.0% of the time. Multivariable regression analysis revealed that physical inactivity was 159.87% (CI = 89.84; 255.73) higher in patients dependent in basic mobility, and 58.88% (CI = 10.08; 129.33) higher in patients with a urinary catheter (adjusted R 2 = 0.52). The fit of our multivariable regression analysis did not improve after adding hospital ward to the analysis (p > 0.05). Conclusions: Independence in mobility and urine catheter presence are two important factors associated with physical inactivity in hospitalized adults of all ages, and these associations do not differ between hospital wards. Routine assessments of both factors may therefore help to identify physically inactive patients throughout the hospital.IMPLICATIONS FOR REHABILITATION Healthcare professionals should be aware that physical inactivity during hospital stay may result into functional decline. Regardless of which hospital ward patients are admitted to, once patients require assistance in basic mobility or have a urinary catheter they are at risk of physical inactivity during hospital stay. Implementing routine assessments on the independence of basic mobility and urine catheter presence may therefore assist healthcare professionals in identifying physically inactive patients before they experience functional decline.
AB - Purpose: To determine which factors are associated with physical inactivity in hospitalized adults of all ages. Methods: A cross-sectional sample of 114 adults admitted to a gastrointestinal surgery, internal medicine or cardiology hospital ward (median age 60, length of stay 13 days) were observed during one random day from 8 am to 8 pm using wireless accelerometers and behavioral mapping protocols. Factors (e.g., comorbidities, self-efficacy, independence in mobility, functional restraints) were collected from medical records, surveys, and observations. Results: Patients were physically active for median(IQR) 26 (13–52.3) min and were observed to lie in bed for 67.3%, sit for 25.2%, stand for 2.5%, and walk for 5.0% of the time. Multivariable regression analysis revealed that physical inactivity was 159.87% (CI = 89.84; 255.73) higher in patients dependent in basic mobility, and 58.88% (CI = 10.08; 129.33) higher in patients with a urinary catheter (adjusted R 2 = 0.52). The fit of our multivariable regression analysis did not improve after adding hospital ward to the analysis (p > 0.05). Conclusions: Independence in mobility and urine catheter presence are two important factors associated with physical inactivity in hospitalized adults of all ages, and these associations do not differ between hospital wards. Routine assessments of both factors may therefore help to identify physically inactive patients throughout the hospital.IMPLICATIONS FOR REHABILITATION Healthcare professionals should be aware that physical inactivity during hospital stay may result into functional decline. Regardless of which hospital ward patients are admitted to, once patients require assistance in basic mobility or have a urinary catheter they are at risk of physical inactivity during hospital stay. Implementing routine assessments on the independence of basic mobility and urine catheter presence may therefore assist healthcare professionals in identifying physically inactive patients before they experience functional decline.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85115140558&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/34528861
U2 - 10.1080/09638288.2021.1970257
DO - 10.1080/09638288.2021.1970257
M3 - Article
C2 - 34528861
SN - 0963-8288
VL - 44
SP - 6684
EP - 6691
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
IS - 22
ER -