Heinzmann, Jeannelle; Baumgartner, Christine; Liechti, Fabian D (2022). Goal-Directed Mobility of Medical Inpatients-A Mini Review of the Literature. Frontiers in medicine, 9, p. 878031. Frontiers 10.3389/fmed.2022.878031
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Background
Inpatients spend most of their hospitalization in bed, which can lead to negative physical, social, and psychological outcomes, especially in the geriatric population. Goal-directed mobilization involves setting mobility goals with patients and care teams working together toward achieving these goals.
Methods
Three different platforms (SCOPUS, Ovid Medline, PubMed) were searched. Search terms included "goal-directed," "goal-attainment" or "goal-setting," and "inpatient" or "hospitalization" and "mobility" or "mobilization." Articles were included if mobility goals were set in acutely hospitalized adults. Studies were excluded if only covering specific illness or surgery.
Results
One Hundred Seventy three articles were screened for inclusion by two independent reviewers. In the final analysis, 13 articles (5 randomized controlled trials, 2 Post-hoc analyses, 3 quality-improvement projects, 1 pre-post two group analysis, 1 comment and 1 study protocol) were assessed. Goal-directed mobilization improved mobility-related outcomes, i.e., level of mobilization, activity, daily walking time and functional independence. Readmissions, quality of life, discharge disposition and muscle weakness were not significantly altered and there was conflicting evidence regarding length of stay and activities of daily living.
Conclusion
There is a lack of evidence of goal-directed mobilization on relevant outcomes due to the low number of studies in the field and the study design used. Further research on goal-directed mobility should use standardized mobility protocols and measurements to assess mobility and the effects of goal-directed mobility more accurately and include broader patient populations.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine |
UniBE Contributor: |
Baumgartner, Christine, Liechti, Fabian |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2296-858X |
Publisher: |
Frontiers |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
08 Jun 2022 08:20 |
Last Modified: |
05 Dec 2022 16:20 |
Publisher DOI: |
10.3389/fmed.2022.878031 |
PubMed ID: |
35665320 |
Uncontrolled Keywords: |
goal-attainment goal-directed mobilization hospital medicine internal medicine mobility physiotherapy |
BORIS DOI: |
10.48350/170462 |
URI: |
https://boris.unibe.ch/id/eprint/170462 |
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