Direkt zum Inhalt
  1. Publizieren |
  2. Suche |
  3. Browsen |
  4. Neuzugänge rss |
  5. Open Access |
  6. Rechtsfragen |
  7. EnglishCookie löschen - von nun an wird die Spracheinstellung Ihres Browsers verwendet.

Life-space and movement behavior in nursing home residents: results of a new sensor-based assessment and associated factors

Jansen, Carl-Philipp ; Diegelmann, Mona ; Schnabel, Eva-Luisa ; Wahl, Hans-Werner ; Hauer, Klaus

In: BMC Geriatrics, 17 (2017), Nr. 36. S. 1-9. ISSN 1471-2318

[thumbnail of 12877_2017_Article_430.pdf]
Vorschau
PDF, Englisch
Download (903kB) | Lizenz: Creative Commons LizenzvertragLife-space and movement behavior in nursing home residents: results of a new sensor-based assessment and associated factors von Jansen, Carl-Philipp ; Diegelmann, Mona ; Schnabel, Eva-Luisa ; Wahl, Hans-Werner ; Hauer, Klaus steht unter einer Creative Commons Namensnennung 3.0 Deutschland

Zitieren von Dokumenten: Bitte verwenden Sie für Zitate nicht die URL in der Adresszeile Ihres Webbrowsers, sondern entweder die angegebene DOI, URN oder die persistente URL, deren langfristige Verfügbarkeit wir garantieren. [mehr ...]

Abstract

Background: Studies on life-space (LS) and its determinants have previously been limited to community-dwelling subjects but are lacking in institutionalized older persons. The purpose of this study was to provide an advanced descriptive analysis of LS in nursing home residents and to identify associated factors based on an established theoretical framework, using an objective, sensor-based assessment with a high spatiotemporal resolution. Methods: Cross-sectional study in two nursing homes in Heidelberg, Germany (n = 65; mean age: 82.9 years; 2/3 female). Changes of location in the nursing home (Transits) as well as time spent away from the private room (TAFR) were assessed using a wireless sensor network. Measures of physical, psychosocial, cognitive, socio-demographic, and environmental factors were assessed via established motor performance tests, interviews, and proxy-reports. Results: LS of residents was largely restricted to the private room and the surrounding living unit (90%); 10% of daytime was spent outside the living unit and/or the facility. On average, TAFR was 5.1 h per day (±2.3; Range: 0–8); seven Transits (6.9 ± 3.2; Range: 0–18) were performed per day. Linear regression analyses revealed being male, lower gait speed, higher cognitive status, and lower apathy to be associated with more Transits; higher gait speed, lower cognitive status, and less depressive symptoms were associated with more TAFR. LS was significantly increased during institutional routines (mealtimes) as compared to the rest of the day. Conclusions: The sensor-based LS assessment provided new, objective insights into LS of institutionalized persons living in nursing homes. It revealed that residents’ LS was severely limited to private rooms and adjacent living units, and that in institutional settings, daily routines such as meal times seem to be the major determinant of LS utilization. Gait speed, apathy, and depressive symptoms as well as institutional meal routines were the only modifiable predictors of Transits and/or TAFR, and thus have greatest potential to lead to an enhancement of LS when targeted with interventions. Trial registration: Current Controlled Trials ISRCTN96090441 (retrospectively registered).

Dokumententyp: Artikel
Titel der Zeitschrift: BMC Geriatrics
Band: 17
Nummer: 36
Verlag: BioMed Central
Ort der Veröffentlichung: London
Erstellungsdatum: 14 Feb. 2017 12:17
Erscheinungsjahr: 2017
ISSN: 1471-2318
Seitenbereich: S. 1-9
Institute/Einrichtungen: Fakultät für Verhaltens- und Empirische Kulturwissenschaften > Psychologisches Institut
Zentrale und Sonstige Einrichtungen > Netzwerk Alternsforschung
DDC-Sachgruppe: 150 Psychologie
610 Medizin
Leitlinien | Häufige Fragen | Kontakt | Impressum |
OA-LogoDINI-Zertifikat 2013Logo der Open-Archives-Initiative