患有癌症的患者常常因癌症和癌症治疗的并发症而住院。许多人经历了身体功能下降，包括失去机动性，这可能导致住院时间延长和再次入院率增加。我们旨在确定移动项目是否能改善护理质量并减少医疗保健利用率。我们在一所大型学术医疗中心的肿瘤科单元为所有没有卧床医嘱的患者实施了一个移动援助项目，时间为2018年10月1日至2021年2月28日。该项目包括护理评估，使用后续护理活动测量（AMPAC），一个从卧床到行走≥250英尺的序数比例尺，以量化机动性。计划的护理是由物理治疗（PT）、护理和行动援助（一位接受了增强康复训练的医疗助理）在多学科的方式下决定的。然后患者每天7天进行两次移动。使用描述性统计和混合效应逻辑回归，在比实施前6个月的时间段中评估程序对住院时间、再次入院和机动性变化的影响。总共识别出1,496名住院患者。接受干预的患者出院后30天内再次入院的几率明显减少（OR为0.53，95％CI为0.37至0.78，P = .001）。接受干预的患者的AMPAC最终评分高于或等于中位数的比率的比率显着更高（OR为1.60，95％CI为1.04至2.45，P <.05）。住院时间没有显着差异。使用这个移动项目导致再次入院率显著降低，并且保持或改善了患者的机动性。这表明非物理治疗专业人员可以有效地使患有癌症的住院患者行走，从而减轻了PT和护理资源的负担。未来的工作将评估该项目的可持续性并评估其与医疗保健成本的关联。

Patients with cancer are often hospitalized with complications from cancer and cancer treatment. Many experience a decline in physical functioning, including loss of mobility, which likely contributes to increased length of stay (LOS) and increased readmissions. We aimed to determine whether a mobility program would improve quality of care and decrease health care utilization.We implemented a mobility aide program on an oncology unit in a large academic medical center for all patients without bedrest orders between October 1, 2018, and February 28, 2021. The program consisted of nursing evaluation using the Activity Measure for Post-Acute Care (AMPAC), an ordinal scale ranging from bed rest to ambulating ≥ 250 feet, to quantify mobility. Plan of care was determined in a multidisciplinary manner with physical therapy (PT), nursing, and a mobility aide, who is a medical assistant with enhanced rehabilitation training. Patients were then mobilized two times per day 7 days a week. Using descriptive statistics and mixed effects logistic regression, we evaluated the programs impact on LOS, readmissions, and changes in mobility during this time period compared with the 6-month interval before implementation.A total of 1,496 hospitalized patients were identified. The odds of hospital readmission within 30 days of discharge was significantly less for those who received the intervention (OR, 0.53; 95% CI, 0.37 to 0.78; P = .001). The odds ratio (OR) of having a final AMPAC score at or above the median was significantly higher for those who received the intervention (OR, 1.60; 95% CI, 1.04 to 2.45; P < .05). There was no significant difference in LOS.Use of this mobility program resulted in a significant decrease in readmissions and maintained or improved patients' mobility. This demonstrates that non-PT professionals can effectively mobilize hospitalized patients with cancer, thereby decreasing the burden on PT and nursing resources. Future work will evaluate the sustainability of the program and evaluate association with health care costs.