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[吕贝克主题运动活动护理模式的实施。地方层面的合作以加强柏林-潘科的预防与健康促进工作]

[Implementation of the Lübeck model of themed movement activities in nursing. Cooperation at the local level to strengthen the prevention and health promotion in Berlin-Pankow].

作者信息

Dierich Katja, Nicolai Maria-Theresia, Franzen Henrieke

机构信息

Qualitätsverbund Netzwerk im Alter - Pankow e. V. (QVNIA e. V.), Schönhauser Allee 59b, 10437, Berlin, Deutschland.

Zentrum für Bewegungsförderung Berlin, Gesundheit Berlin-Brandenburg e. V., Berlin-Brandenburg, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Mar;62(3):289-295. doi: 10.1007/s00103-019-02907-z.

DOI:10.1007/s00103-019-02907-z
PMID:30758636
Abstract

In accordance with Prevention Act law and the associated new prevention mandate of the nursing care funds, more preventive and health promoting activities have been taking place in inpatient care facilities since 2016. The Lübeck model of themed movement activities as a part of the program "Grow older in Balance" of the Federal Center for Health Education was developed as a physical, mental, and socially activating prevention program for elderly people with physical and cognitive impairments.The regional implementation of the Lübeck model in inpatient care facilities, facilities for age-appropriate living, as well as in day-care, serves the Berlin project "Adaptation and implementation of the Lübeck model of themed movement activities in the model region of Pankow - Low threshold exercise offers in nursing facilities for the elderly." This model project of the regional network Qualitätsverbund Netzwerk im Alter - Pankow e. V. (QVNIA e. V.) is presented in the current article.The relevant local structures and cooperation as well as the resulting and program-related requirements for participating actors are highlighted. With the aim of sustainable implementation of physical activity promotion in the nursing setting, a possible implementation path and quality assurance measures are presented.The transfer has shown that the concept of the Lübeck model can also be implemented in metropolitan structures. However, the implementation requires the consideration of the regional framework conditions. A centralized local control with the corresponding structural and procedural expertise as well as quality assurance assets is necessary. Positive experiences in the implementation of the program were acquired during the model phase and recommendations for the continuation and further development can be derived.

摘要

根据《预防法》以及护理基金相关的新预防指令,自2016年以来,住院护理机构开展了更多的预防和健康促进活动。吕贝克主题运动活动模式作为联邦健康教育中心“平衡中变老”项目的一部分,是为身体和认知有障碍的老年人制定的一项身体、心理和社交方面的激活预防计划。吕贝克模式在住院护理机构、适老生活设施以及日托机构中的区域实施,服务于柏林项目“在潘科模型区改编并实施吕贝克主题运动活动模式——为老年护理机构提供低门槛运动服务”。区域网络“老年质量联盟网络——潘科”(QVNIA)的这个示范项目在本文中予以介绍。文中强调了相关的地方结构与合作以及对参与行为体由此产生的与项目相关的要求。为了在护理环境中可持续地推广体育活动,本文提出了一种可能的实施路径和质量保证措施。推广表明,吕贝克模式的理念也可以在大城市结构中实施。然而,实施需要考虑区域框架条件。需要有具备相应结构和程序专业知识以及质量保证资源的集中式地方管控。在示范阶段获得了该项目实施中的积极经验,并可据此得出关于继续推进和进一步发展的建议。

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