Analysis of bedside entertainment services' effect on post cardiac surgery physical activity: a prospective, randomised clinical trial

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Sotiris PapaspyrosDavid J O'Regan

Abstract

A rising number of acute hospitals in the UK have been providing patients with bedside entertainment services (BES) since 1995. However, their effect on postoperative patient mobility has not been explored. The aim of this prospective randomised clinical trial was to compare the level of postoperative physical activity and length of in-hospital stay of patients undergoing cardiac surgery depending on whether they had access to BES or not. One hundred patients requiring elective cardiac surgery were randomised to receive access to BES (52 patients) or not (48 patients). Pedometers were used to quantify postoperative physical activity for 5 days. To assess the significance of the effect of intervention (TV off or on) on the pedometer counts over time a mixed effect Poisson regression model is used, with the time varying aspect as random component. The potential influence of gender difference and age on pedometer counts were assessed by incorporating these two factors as covariates in the Poisson model. On average, patients with no access to BES walked more than those with BES access. This difference ranged between 192 and 609 steps in favour of the first group for each individual postoperative day. Patients with no access to BES ...Continue Reading

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Citations

Jul 4, 2013·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·L NoyezH van Swieten
Aug 29, 2012·Journal of Clinical Nursing·Zenobia C Y ChanKa Kin Yau
Jan 30, 2020·Clinical Rehabilitation·Gleide Glícia Gama LordelloLuiz Eduardo Fonteles Ritt
Jan 11, 2017·Health and Quality of Life Outcomes·Charlotte van LaarLuc Noyez

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