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[老年人卧床限制——文献综述]

[Bed confinement in old people-A literature review].

作者信息

Berger Bianca, Graeb Fabian, Baumann Manfred, Reuther Sven

机构信息

Fakultät Soziale Arbeit, Bildung und Pflege, Hochschule Esslingen, Flandernstraße 101, 73732, Esslingen, Deutschland.

Hospizstiftung Rems-Murr-Kreis e. V., Backnang, Deutschland.

出版信息

Z Gerontol Geriatr. 2025 May;58(3):209-213. doi: 10.1007/s00391-024-02350-z. Epub 2024 Sep 4.

DOI:10.1007/s00391-024-02350-z
PMID:39230577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12048456/
Abstract

BACKGROUND

Particularly older people are affected by mobility restrictions and can go through the process of gradually becoming bedridden. This can potentially lead to extensive consequences for the individuals involved, which must be considered in their care.

AIMS

To bundle nursing implications related to the phenomenon of being bedridden in the field of long-term care and to provide impulses for research in nursing science.

METHODS

Research in relevant specialist databases (2003-2023) based on the criteria of a scoping review.

RESULTS

In Germany there is a standard for maintaining and promoting mobility that addresses bed and local confinements but German language studies on these phenomena are rare. In the international context, these issues are researched more intensively, focussing on risk factors for the development of immobility and the negative consequences for those affected. The publications focus on the reduction of these factors, while less attention is paid to the organization of life in bed and the participation and involvement of those affected.

DISCUSSION

The complexity of the phenomenon is not fully illustrated in current research. In order to develop a nursing perspective research projects that also include aspects of life in bed are a central aspect in order to take greater account of the reality of bedridden people's lives and their potential for participation and involvement.

摘要

背景

尤其是老年人会受到行动限制的影响,并可能逐渐走向卧床不起。这可能会给相关个体带来广泛的后果,在对他们的护理中必须予以考虑。

目的

汇总长期护理领域中与卧床现象相关的护理要点,并为护理科学研究提供动力。

方法

根据范围综述的标准,在相关专业数据库中进行研究(2003 - 2023年)。

结果

在德国,有一项关于维持和促进行动能力的标准,涉及卧床和局部受限情况,但关于这些现象的德语研究很少。在国际背景下,对这些问题的研究更为深入,重点关注行动不便发展的风险因素以及对受影响者的负面影响。这些出版物侧重于减少这些因素,而对卧床生活的组织以及受影响者的参与关注较少。

讨论

当前研究并未充分阐明该现象的复杂性。为了形成护理视角,还包括卧床生活方面的研究项目是一个核心方面,以便更充分地考虑卧床者的生活现实及其参与潜力。

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1
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Z Gerontol Geriatr. 2025 May;58(3):209-213. doi: 10.1007/s00391-024-02350-z. Epub 2024 Sep 4.
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本文引用的文献

1
Molecular Epidemiology of and MRSA in Bedridden Patients and Residents of Long-Term Care Facilities.长期护理机构卧床患者和居民中[具体病菌名称]及耐甲氧西林金黄色葡萄球菌(MRSA)的分子流行病学
Antibiotics (Basel). 2022 Nov 1;11(11):1526. doi: 10.3390/antibiotics11111526.
2
Listening to Caregivers' Voices: The Informal Family Caregiver Burden of Caring for Chronically Ill Bedridden Elderly Patients.倾听照护者的心声:长期患病卧床的老年患者的非正式家庭照护者负担。
Int J Environ Res Public Health. 2022 Jan 5;19(1):567. doi: 10.3390/ijerph19010567.
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Grieves and struggles of family caregivers providing care for bedridden elderly patients affected by chronic degenerative diseases.照顾因慢性退行性疾病卧床不起的老年患者的家庭护理者的悲伤和挣扎。
Invest Educ Enferm. 2021 Jun;39(2). doi: 10.17533/udea.iee.v39n2e09.
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Mobility in Older Community-Dwelling Persons: A Narrative Review.社区居住老年人的活动能力:一项叙述性综述
Front Physiol. 2020 Sep 15;11:881. doi: 10.3389/fphys.2020.00881. eCollection 2020.
5
Updated methodological guidance for the conduct of scoping reviews.范围综述实施的更新方法学指南。
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[Not Available].[无可用内容]。
Z Evid Fortbild Qual Gesundhwes. 2019 Jun;143:1-7. doi: 10.1016/j.zefq.2019.05.004. Epub 2019 Jul 9.
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Taking to Bed at the End of Life.生命末期的卧床护理。
J Am Geriatr Soc. 2019 Jun;67(6):1248-1252. doi: 10.1111/jgs.15822. Epub 2019 Mar 4.
8
Predictors of Caregiver Burden in Caregivers of Bedridden Patients.卧床患者照顾者负担的预测因素。
J Nurs Res. 2019 Jun;27(3):e24. doi: 10.1097/jnr.0000000000000297.
9
Burden of Restricted Activity and Associated Symptoms and Problems in Late Life and at the End of Life.晚年和生命末期限制活动的负担及相关症状和问题。
J Am Geriatr Soc. 2018 Dec;66(12):2282-2288. doi: 10.1111/jgs.15566. Epub 2018 Oct 2.
10
2,000 Steps/Day Does Not Fully Protect Skeletal Muscle Health in Older Adults During Bed Rest.每天2000步并不能完全保护老年人卧床休息期间的骨骼肌健康。
J Aging Phys Act. 2019 Apr 1;27(2):191-197. doi: 10.1123/japa.2018-0093. Epub 2019 Jan 20.