Department of Nursing Science, University of Vienna, Vienna, Austria.
Nurs Forum. 2021 Jul;56(3):742-751. doi: 10.1111/nuf.12586. Epub 2021 May 5.
Analysis of the concept and development of a conceptual definition of homebound.
Homebound persons have a significantly higher mortality risk as well as physical and psychosocial burden. A clarification of the term is necessary to develop preventive measures.
Concept analysis.
Scientific literature from electronic databases (CINAHL, Medline via PubMed, PsycINFO, PsycArticles, and Scopus) and definitions from online dictionaries.
Walker and Avant's method was applied to guide the concept analysis. To prevent arbitrary and empty results in determining the attributes, antecedents, and consequences a thematic analysis was carried out.
Homebound is defined as an enduring condition in which the life-space is reduced to the home, but moving around in the home is possible (by walking short distances alone or by holding on to furniture, or with the help of a stick, walker, or another person). Homebound has six attributes: in need of help in ADL/IADL and in leaving the life-space, powerlessness, life-space confinement, mobility limitation, endurance, and weakness. Physiological instability and physical immobility are antecedents with wide-ranging influencing factors as illness, complexity, burden, and endogenous/exogenous booster. Homebound has also wide-ranging consequences such as the progression of inactivity, physical, psychosocial, and/or spiritual problems.
The multidimensional concept of homebound modifies the concepts of mobility and immobility. Given the extensive consequences of homebound nurses play a central role in the prevention.
分析居家概念的概念和发展。
居家人员的死亡率以及身体和心理社会负担明显更高。为了制定预防措施，有必要澄清这一术语。
概念分析。
从电子数据库（CINAHL、Medline 通过 PubMed、PsycINFO、PsycArticles 和 Scopus）和在线词典中获取科学文献。
应用沃克和奥凡特的方法指导概念分析。为了防止在确定属性、前因和后果时出现任意和空洞的结果，进行了主题分析。
居家被定义为一种持久的状态，其生活空间缩小到家中，但在家庭中移动是可能的（独自短距离行走，或抓住家具，或借助拐杖、助行器或其他人）。居家有六个属性：在日常生活活动/日常生活自理和离开生活空间方面需要帮助、无力、生活空间受限、移动能力受限、耐力和虚弱。生理不稳定和身体不动是具有广泛影响因素的前因，如疾病、复杂性、负担和内源性/外源性助推器。居家也有广泛的后果，如不活动、身体、心理社会和/或精神问题的进展。
居家的多维概念改变了移动性和不动性的概念。鉴于居家的广泛后果，护士在预防方面发挥着核心作用。
