Schaeffer D, Büscher A
Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Postfach 100131, 33501, Bielefeld, Deutschland.
Z Gerontol Geriatr. 2009 Dec;42(6):441-51. doi: 10.1007/s00391-009-0071-3. Epub 2009 Sep 30.
Using empirical evidence, this paper provides conceptual approaches to prevention and health promotion in long-term care - an area that has gained only limited attention in German discussions on prevention. First, a short analysis of long-term care in Germany is provided; existing problems but also resources with regard to prevention and health promotion in order to identify starting points for the development of interventions are presented. The existing pressure and problem accumulation in long-term care that calls for action on maintaining and promoting the health of long-term care professionals as well as long-term care users are illustrated. Considerations on programs for health promotion in long-term care focus on the users, in particular the oldest old, of long-term care. Finally, considerations on a conceptual framework for a user-oriented approach to prevention and health promotion in long-term care is presented.
本文运用实证依据，提供了长期护理中预防与健康促进的概念性方法——在德国关于预防的讨论中，这一领域仅得到了有限的关注。首先，对德国的长期护理进行了简要分析；阐述了预防与健康促进方面存在的问题以及可用资源，以便确定干预措施发展的切入点。说明了长期护理中现有的压力和问题累积情况，这就需要采取行动来维护和促进长期护理专业人员以及长期护理使用者的健康。对长期护理中健康促进项目的考量聚焦于长期护理的使用者，尤其是高龄老人。最后，提出了关于长期护理中以用户为导向的预防与健康促进概念框架的思考。
