Moulton Elizabeth, Wilson Rosemary, Deluzio Kevin
School of Nursing, Faculty of Health Sciences (Ms Moulton and Dt Wilson), and Department of Mechanical and Materials Engineering, Faculty of Engineering and Applied Science (Dr Deluzio), Queen's University, Kingston, Ontario, Canada.
ANS Adv Nurs Sci. 2019 Oct/Dec;42(4):E11-E23. doi: 10.1097/ANS.0000000000000247.
This article provides an analysis of the concepts of movement and mobility within the context of the International Classification of Functioning, Disability, and Health (ICF) for patients' functioning, disability, and health. The methodology developed by Walker and Avant was used to clarify definitions, components, and relationships relevant to the 2 concepts and to the elements of the ICF framework. Definitions and the relationship between concepts are key information that clinicians and researchers need to measure the correct concept when they are assessing the effectiveness of interventions in nursing practice. Concept analysis findings are grounded by the notion that movement occurs when the body causes its own displacement and is explained by the basic principles of physics, human anatomy, and physiology. Mobility is then distinct because it is affected by the environment that the individual is in and can be assisted by any type of mobility aid. Mobility does not need to be generated by the individual's muscles but does need to be controlled by the individual who is mobile. An individual's mobility in his or her environment is important to his or her well-being and needs to be understood in relationship to his or her movements.
本文在《国际功能、残疾和健康分类》（ICF）的背景下，对患者功能、残疾和健康方面的运动和活动能力概念进行了分析。采用沃克和阿凡特开发的方法，以阐明与这两个概念以及ICF框架要素相关的定义、组成部分和关系。定义以及概念之间的关系是临床医生和研究人员在评估护理实践中干预措施的有效性时，用以衡量正确概念的关键信息。概念分析结果基于这样一种观念，即当身体引起自身位移时就会发生运动，这可以用物理学、人体解剖学和生理学的基本原理来解释。而活动能力则有所不同，因为它受个体所处环境的影响，并且可以借助任何类型的移动辅助工具。活动能力不一定由个体的肌肉产生，但确实需要由具有活动能力的个体进行控制。个体在其环境中的活动能力对其幸福感很重要，并且需要结合其运动来理解。
