Ralf Christina, Krupp Sonja, Willkomm Martin
Forschungsgruppe Geriatrie Lübeck, Krankenhaus Rotes Kreuz Lübeck - Geriatriezentrum, Rabenhorst 1, 23568, Lübeck, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Mar;62(3):267-273. doi: 10.1007/s00103-019-02888-z.
In inpatient care there is a need for prevention and health promotion offers that are specific to the target group. In the course of implementing the Prevention Act, those interventions should be chosen for sustainable implementation that are conceptually sound, standardized, workable, low-threshold, and demonstrably effective.The "Lübeck Worlds of Movement Model" is a physically, cognitively, and socially activating prevention program for elderly people in need of care that was developed by the Lübeck Geriatrics Research Group (FGL). It has been implemented in inpatient care facilities since the end of 2015. It takes multimorbidity into account in a multidimensional intervention approach and is characterized by comprehensive motor-cognitive promotion as well as long-term attractiveness.In accordance with sports science principles, exercises were integrated into a "world of movement," making each training session a "cognitive excursion." Twice weekly, one-hour group training is supplemented by individual training to achieve the recommended minimum of 150 min of moderate exercise weekly. The topic-related content encourages seniors to share and exchange stories.So far, standardized planning and documentation sheets have been developed to design training sessions for 17 worlds of movement. More than a thousand of these completed sheets have been sent to the FGL by coaches after completion of the training and addition of comments. Based on these records and on-site feedback, continuous further development of the model is intended, considering findings made in the fields of sports science, nursing science, and geriatrics/gerontology. This includes the extension of the range of topics as well as further differentiation of the offer according to the individual capability of every participating senior citizen.
在住院护理中，需要针对目标群体提供特定的预防和健康促进服务。在实施《预防法》的过程中，应选择那些在概念上合理、标准化、可行、门槛低且效果显著的干预措施，以实现可持续实施。“吕贝克运动世界模型”是吕贝克老年医学研究小组（FGL）为需要护理的老年人开发的一项身体、认知和社交方面的激活预防计划。自2015年底以来，该计划已在住院护理机构中实施。它在多维干预方法中考虑了多种疾病，其特点是全面的运动认知促进以及长期的吸引力。
根据运动科学原理，将锻炼融入到一个“运动世界”中，使每次训练课程都成为一次“认知之旅”。每周两次的一小时小组训练辅以个人训练，以达到每周至少150分钟适度运动的建议量。与主题相关的内容鼓励老年人分享和交流故事。
到目前为止，已经制定了标准化的规划和文件表，用于为17个运动世界设计训练课程。在训练结束并添加评论后，教练们已将一千多份填写完整的表格发送给了FGL。基于这些记录和现场反馈，考虑到运动科学、护理科学以及老年医学/老年学领域的研究结果，旨在对该模型进行持续的进一步开发。这包括扩展主题范围以及根据每位参与的老年公民的个人能力对服务进行进一步区分。
