Background University Hospital Southampton (UHS) partnered with Saints Foundation (SF), to test the feasibility and acceptability of a non-registered Exercise Practitioner (EP) to work alongside the therapy team to promote physical activity (PA) of hospitalised older people. Our aim was to collect trust level data to review the impact the EP had on outcomes such as length of stay (LOS) and discharge destination (DD) and identify and address any additional challenges that arose. Methods The EP delivered twice weekly gym-based group interventions as well as regular 1:1 rehabilitation and education sessions to hospitalised older patients. Interventions were ward based or within the acute therapy gym. Results From June to August 2023, the EP reviewed 82 patients, mean age of 88 years. 15 (18%) patients underwent 1:1 rehabilitation whereas 67 (82%) patients underwent gym-based rehabilitation sessions. Median LOS for patients reviewed by the EP was 15 days compared with average departmental LOS of 8 days. 53 (65%) patients were able to either maintain or improve their predicted to actual discharge destination, compared with 10 (12%) patients whose physical capability declined. Of those remaining, 1 patient died and 18 others had not yet been discharged. High patient satisfaction levels continued to be reported. Conclusion Intervention by a non-registered EP appears to have an impact on patients’ ability to maintain or improve level of function and physical dependency during acute hospital stay. Factors such as outbreaks of infectious illness and staffing challenges prevented more frequent EP led intervention. Next steps include introducing daily class-based interventions. Participants will be encouraged to attend at least three classes. Anticipated benefits include improvement in patients’ functional levels and reductions in physical dependency on discharge. Additional data will be collected on fear of falling and confidence in function as well as uptake of post discharge activity and readmission.

中文翻译：

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2046 年住院老年人由运动从业者主导的身体活动的结果：Saints Foundation - UHS Partnership

背景 南安普顿大学医院 (UHS) 与圣徒基金会 (SF) 合作，测试非注册运动从业者 (EP) 与治疗团队合作促进住院老年人身体活动 (PA) 的可行性和可接受性。我们的目标是收集信任级别数据，以审查 EP 对住院时间 (LOS) 和出院目的地 (DD) 等结果的影响，并识别和解决出现的任何其他挑战。方法 EP 每周为住院老年患者提供两次基于健身房的团体干预以及定期的 1:1 康复和教育课程。干预措施是在病房或急性治疗体育馆内进行的。结果 2023 年 6 月至 8 月，EP 审查了 82 名患者，平均年龄 88 岁。15 名 (18%) 患者接受了 1:1 康复治疗，而 67 名 (82%) 患者接受了健身房康复课程。EP 审查的患者平均 LOS 为 15 天，而部门平均 LOS 为 8 天。53 名 (65%) 患者能够维持或改善其预测的实际出院目的地，而 10 名 (12%) 患者的体能下降。其余患者中，1 名患者死亡，另有 18 名患者尚未出院。据报道，患者满意度很高。结论 非注册 EP 的干预似乎对患者在急性住院期间维持或改善功能和身体依赖性水平的能力有影响。传染病爆发和人员配备困难等因素阻碍了 EP 主导的更频繁的干预。下一步包括引入基于课堂的日常干预措施。我们鼓励参与者至少参加三门课程。预期的好处包括改善患者的功能水平和减少对出院的身体依赖性。将收集关于对跌倒的恐惧、对功能的信心以及出院后活动和重新入院的更多数据。