OBJECTIVES To evaluate the physical and functional outcomes of the 'Ending Pyjama Paralysis' intervention in an inpatient geriatric rehabilitation unit. DESIGN Quasi-experimental mixed-methods design nested within the 'REStORing health of acutely unwell adulTs' (RESORT) prospective, observational, longitudinal cohort of geriatric rehabilitation inpatients study. SETTING Geriatric rehabilitation wards in a major metropolitan public hospital between June 2019 and March 2020. INTERVENTION The 'Ending Pyjama Paralysis' movement originated in the UK. Its aim was to encourage patients to 'Get up, Get dressed and Get moving' to reduce hospital-associated functional decline. However, the physical and functional benefits of this campaign have not yet been evaluated. The 'Ending Pyjama Paralysis' was adopted as an integrated intervention on two out of four geriatric rehabilitation wards. The two control wards received usual care. MAIN MEASURES Physical measures included the Short Physical Performance Battery, and functional measures included the Katz Index of Independence in Activities of Daily Living and Lawton and Brody's Instrumental Activities of Daily Living, which were completed on admission and discharge. A linear mixed-effects model was used to analyse the results. RESULTS A total of 833 admissions were included in this study. Of these, 512 patients were in the control group, and 321 were in the intervention group. There were no significant differences in both physical and functional measures between the intervention and control groups. CONCLUSION The 'Ending Pyjama Paralysis' campaign did not result in enhanced functional or physical benefits in geriatric rehabilitation inpatients in this setting when applied in addition to usual care.

中文翻译：

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老年康复住院患者的“起床和穿衣”与功能和身体结果之间是否存在关系？一项准实验研究。

目的 评估住院老年康复中心“结束睡衣瘫痪”干预措施的身体和功能结果。设计 准实验混合方法设计嵌套在“急性不适成人的恢复健康”(RESORT) 前瞻性、观察性、纵向老年康复住院患者队列研究中。2019 年 6 月至 2020 年 3 月期间，在一家大型都市公立医院设置老年康复病房。 干预 “结束睡衣瘫痪”运动起源于英国。其目的是鼓励患者“起床、穿衣、活动”，以减少与医院相关的功能衰退。然而，这项运动的身体和功能益处尚未得到评估。四分之二的老年康复病房采用了“结束睡衣瘫痪”作为综合干预措施。两个控制病房接受常规护理。主要指标 身体指标包括短期身体表现电池，功能指标包括卡茨日常生活活动独立指数以及劳顿和布罗迪工具性日常生活活动，这些指标均在入院和出院时完成。使用线性混合效应模型来分析结果。结果 本研究共纳入 833 名入院患者。其中，512 名患者属于对照组，321 名患者属于干预组。干预组和对照组之间的身体和功能测量没有显着差异。结论 除了常规护理之外，“结束睡衣瘫痪”运动并未对这种情况下的老年康复住院患者带来功能或身体益处的增强。