Immobility in geriatric patients in hospital (pyjama paralysis)
Conditions
Interventions
Group 1: Geriatric patients before the introduction of a concept to promote mobility in hospital (control group). Patients receive geriatric rehabilitation over two weeks as part of routine care inclu
Sponsors
Universitätsklinikum Schleswig-Holstein, Campus Kiel
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: a) have an expected stay of =3 days; b) give consent to research with their data
Exclusion criteria
Exclusion criteria: a) pre-existing immobility; b) who are not cared for by the neuro/geriatric clinic; c) who cannot understand the available languages (severe dementia, foreign language, deafness); d) who have contraindications to mobility; e) who are expected to die in the immediate future; f) readmissions, or g) participation in competing studies with the outcome mobility
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility of a quality improvement project with the outcome inclusion, adherence, delivery, performance, and safety data. •Inclusion will be reported as the objective and relative number of patients who fulfil inclusion criteria, resp. excluded patients (and number/percentage of reasons). •Adherence will be assessed by the number (percentage) of patients who adhere to the quality improvement project during their stay till discharge. Patients who agreed to participation but reject to be mobile at any time during their stay, will be reported in day on the ward, time, frequency, and reason. Adherence will be assessed by chart review and reported for before and after periods. •Delivery: will be assessed by the number (percentage) of patients who received all or only parts of the measurements for improving mobility, assessed by a questionnaire and chart review. •Performance: any deviations from the planned study protocol will be recorded, with reasons and adaptions, assessed by daily meetings with the ward's staff. •Safety: all unwanted safety events will be reported. Events include: a)Termination by patient or legal caregiver, b) Delirium during the course (chart review Nu-Desc data collection, duration & severity), c) Falls with / without consequences (chart review data collection), d) new acquired decubitus (chart review data collection) Other mobility-related events that lead to additional examinations, interventions or treatment days will be recorded, assessed by chart review. This data is monitored and collected daily and during the stay on the ward from charts by doctoral students. If there is an unexpected and significant accumulation, the study will be terminated. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) assessment of mobility including safety aspects, using mobility trackers during the complete stay on the ward, 2) patients’ perceived barriers and facilitators of/to mobility in hospital, assessed by standardized interviews with patients; 3) patients` individual activity levels and general effectiveness of the concept, as perceived by patients and staff, using a questionnaire-based survey with qualitative and quantitative questions, and 4) the relationship between mobility, sleep and delirium, assessed daily by specific mobility trackers, Richard-Campbell Sleep Questionnaire and the Nursing Delirium Screening Checklist. Quantitative data will be statistically analyzed with comparisons per patient and over time, and between groups before vs. after quality improvement. Qualitative data is analyzed using content analysis with the formation of central themes. | — |
Countries
Germany
Contacts
Public ContactPeter Nydahl
Universitätsklinikum Schleswig-Holstein, Campus Kiel
Outcome results
None listed