Schirghuber Johannes, Schrems Berta
Institut für Pflegewissenschaft, Universität Wien, Wien.
Pflege. 2018 Apr;31(2):87-99. doi: 10.1024/1012-5302/a000606. Epub 2018 Jan 26.
Background: Local confinement and bedridden are important phenomena in nursing care. Nevertheless, conceptual definitions and appropriate nursing diagnoses are missing in the current nursing classification systems. Aim: The aim is to provide the basis for a conceptual definition. To this end, the current state of the German and English usage of the terms local confinement and bedridden are presented. At the same time, definitions of English-language terms, which are internationally widely recognized, are elaborated. Additionally, phenomena associated with local confinement and bedridden are recorded and delimited of each other. Method: The identification of the German and English conceptual usage takes place through an integrative literature review covering the period from 1990 to 2016. Results: There are a variety of English-language terms of location confinement and bedridden. The concepts of homebound, wheelchairbound and bedridden form of local confinement and bedridden most extensively. Instability, immobility is connected as cause and inactivity as a consequence. In contrast to this is bedrest, which is ordered and temporally limited. Conclusions: Local confinement and bedridden are to be viewed through the definition of boundedness. The antecedents (instability, immobility) must be diagnosed to derive adequate interventions to avoid or alleviate the consequences.
局部受限和卧床是护理中的重要现象。然而，当前的护理分类系统中缺少概念性定义和恰当的护理诊断。目的：旨在为概念性定义提供依据。为此，呈现德语和英语中“局部受限”和“卧床”这两个术语的当前使用状况。同时，阐述国际上广泛认可的英语术语的定义。此外，记录与局部受限和卧床相关的现象并对其相互进行界定。方法：通过对1990年至2016年期间的文献进行综合回顾来确定德语和英语的概念用法。结果：有多种表示局部受限和卧床的英语术语。居家受限、轮椅依赖和卧床这几种形式最广泛地构成了局部受限和卧床的概念。不稳定、行动不便作为原因与之相关，而活动减少则是结果。与此形成对比的是卧床休息，它是医嘱规定且有时间限制的。结论：应通过受限的定义来审视局部受限和卧床。必须诊断出其前提条件（不稳定、行动不便），以便采取适当的干预措施来避免或减轻后果。
