Activity levels of inpatients admitted to two rehabilitation units in regional hospitals: An observational study.
activity levels
occupational therapy
physical activity
physiotherapy
rehabilitation
Journal
The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
revised:
08
11
2020
received:
01
09
2019
accepted:
21
11
2020
pubmed:
30
5
2021
medline:
13
10
2021
entrez:
29
5
2021
Statut:
ppublish
Résumé
The objective of this study is to measure the activity levels of patients admitted to adult general inpatient rehabilitation units in regional areas. These included physical, social, cognitive and self-care activities. A secondary aim was to explore differences in activity levels across different diagnostic groups. An observational study using behavioural mapping. Patient activity was mapped every 15 minutes, over a 12-hour period (07:00-19:00), on two, non-consecutive days. 2 inpatient rehabilitation units, inner regional NSW. All patients were admitted for rehabilitation in an adult general rehabilitation unit. Patients presented with diverse diagnoses (eg neurological, musculoskeletal, orthopaedic, pulmonary and cardiovascular diseases). The sample had a mean age of 74.4 years with a range of 33-96 years. The percentage of the day spent in physical, cognitive or social activities was recorded. In addition, the patients' location and interacting personnel were recorded. Fifty-six participants across 8 diagnosis groups were observed. A total of 2285 observations were made. Patients were observed being active physically for 10% of their day, socially active for 23%, and cognitively for 6%. Patients engaged in other activities such as watching TV or eating 21% of their time, and completing self-care activities 7% of their time. Patients were inactive for 27% of their day. There was no statistically significant difference between the diagnostic groups and activity categories. Patients spent a large proportion of their time inactive and alone in rehabilitation. In order to maximise outcome, rehabilitation units can look at new opportunities to maximise activity and promote engagement.
Types de publication
Journal Article
Observational Study
Langues
eng
Pagination
399-407Informations de copyright
© 2021 National Rural Health Alliance Inc.
Références
Bernhardt J, Dewey H, Thrift A, Donnan G. Inactive and alone: Physical activity within the first 14 days of acute stroke unit care. Stroke. 2004;35(4):1005-1009.
Janssen H, Ada L, Bernhardt J, et al. Physical, cognitive and social activity levels of stroke patients undergoing rehabilitation within a mixed rehabilitation unit. Clin Rehabil. 2014;28(1):91-101.
King A, McCluskey A, Schurr K. The time use and activity levels of inpatients in a co-located acute and rehabilitation stroke unit: An observational study. Top Stroke Rehabil. 2011;18:654-665.
Hassett L, Wong S, Sheaves E, et al. Time use and physical activity in a specialised brain injury rehabilitation unit: An observational study. Brain Inj. 2018;32:850-857.
Keith RA, Cowell KS. Time use of stroke patients in three rehabilitation hospitals. Soc Sci Med. 1987;24:529-533.
Lincoln NB, Gamlen R, Thomason H. Behavioural mapping of patients on a stroke unit. Int Disabil Stud. 1989;11:149-154.
West T, Bernhardt J. Physical activity patterns of acute stroke patients managed in a rehabilitation focused stroke unit. Biomed Res Int. 2013;2013:438679-438688.
Patterson F, Blair V, Currie A, Reid W. An investigation into activity levels of older people on a rehabilitation ward: An observational study. Physiotherapy. 2005;91:28-34.
Bear-Lehman J, Bassile C, Gillen G. A comparison of time use on an acute rehabilitation unit: Subjects with and without a stroke. Phys Occup Ther Geriatr. 2001;20:17-27.
de Weerdt B, Selz G, Nuyens F, et al. Time use of stroke patients in an intensive rehabilitation unit: A comparison between a Belgian and a Swiss setting. Disabil Rehabil. 2000;22:181-186.
De Wit L, Putman K, Dejaeger E, et al. Use of time by stroke patients: A comparison of four European rehabilitation centers. Stroke. 2005;36:1977-1983.
Mackey F, Ada L, Heard R, Adams R. Stroke rehabilitation: Are highly structured units more conducive to physical activity than less structured units? Arch Phys Med Rehabil. 1996;77:1066-1070.
Scrivener K, Pocovi N, Jones T, et al. Observations of activity levels in a purpose-built, inpatient, rehabilitation facility. HERD. 2019;12(4):26-38.
Australian Institute of Health and Welfare. Australia's hospitals at a glance 2016-17. 2018. https://www.aihw.gov.au/getmedia/d5f4d211-ace3-48b9-9860-c4489ddf2c35/aihw-hse-204.pdf.aspx?inline=true. Accessed June 25, 2018.
Australian Bureau of Statistics. Australian Statistical Georgraphy Standard. 2018. https://www.aihw.gov.au/getmedia/d5f4d211-ace3-48b9-9860-c4489ddf2c35/aihw-hse-204.pdf.aspx?inline=true. Accessed August 28, 2018.
Miller RH, Keith RA. Behavioral mapping in a rehabilitation hospital. Rehabil Psychol. 1973;20(4):148-155.
Australasian Rehabilitation Outcomes Centre. AROC impairment codes. 2012 https://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@aroc/documents/doc/uow121224.pdf. Accessed January 17, 2018.
Cooke EV, Mares K, Clark A, Tallis RC, Pomeroy VM. The effects of increased dose of exercise-based therapies to enhance motor recovery after stroke: A systematic review and meta-analysis. BMC Med. 2010;8:60.
Galvin R, Murphy B, Cusack T, Stokes E. The impact of increased duration of exercise therapy on functional recovery following stroke - What is the evidence? Top Stroke Rehabil. 2008;15:365-377.
Kwakkel G, van Peppen R, Wagenaar RC, et al. Effects of augmented exercise therapy time after stroke: A meta-analysis. Stroke. 2004;35:2529-2539.
Poulos CJ. Evaluating inpatient public rehabilitation in Australia using a utilization review tool developed in North America. J Rehabil Med. 2010;42(3):246.
Janssen H, Ada L, Bernhardt J, et al. An enriched environment increases activity in stroke patients undergoing rehabilitation in a mixed rehabilitation unit: A pilot non-randomized controlled trial. Disabil Rehabil. 2014;36:255-262.
Khan F, Amatya B, Elmalik A, et al. An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial. J Rehabil Med. 2016;48:417-425.
McDonald MW, Hayward KS, Rosbergen ICM, Jeffers MS, Corbett D. Is environmental enrichment ready for clinical application in human post-stroke rehabilitation? Front Behav Neurosci. 2018;12:135.
Barker RN, Brauer SG. Upper limb recovery after stroke: The stroke survivors' perspective. Disabil Rehabil. 2005;27:1213-1223.
Kramer SF, Cumming T, Churilov L, Bernhardt J. Measuring activity levels at an acute stroke ward: Comparing observations to a device. Biomed Res Int. 2013;2013:460482.