Angepasste Bewegungsunterstützung – Interaktionsgeschehen am Beispiel einer kinästhetischen Mobilisation

Abstract

Background: Mobility impairment is often seen as a reason for needing long-term care. Thus, promoting mobility becomes increasingly significant in nursing homes. The kinaesthetic approach offers a way to support nursing home residents in using their own resources to maintain or improve their mobility. Aim: The present study intends to identify the characteristics of the interaction between nursing home residents with impaired mobility and kinaesthetic trainers during mobilisation. Methods: This secondary analysis comprises nine video sequences interpreted according to Grounded Theory-principles. The findings are described in a basic model. Results: The interaction with nursing home residents is focused on adapted movement support. This assistance shows a positive effect on residents’ self-activity in the tracking process and in the context of other strategies. Intervening conditions like residents’ daily constitution have an influence on nurses’ kinaesthetic strategies. Thereby, nurses have to be highly competent in self-perception. Conclusion: Adapted movement support proves to be a phenomenon basing on the nurse-resident-interaction and allowing residents to actively participate in collaborative action.

Attitudes and needs of residents in long‐term care facilities regarding physical activity—A systematic review and synthesis of qualitative studies

“…This kind of individually adapted stimulation addresses the needs for promoting practical skills during daily activities as well as the need to consider residents' resources. Therefore, the interaction process between nursing home residents and nurses should focus on an adapted movement support (Kim et al, 2016;Maurer et al, 2018). This assistance can show a positive effect on residents' self-activity and allow them to actively participate in collaborative action (Gattinger et al, 2016).…”

“…This assistance can show a positive effect on residents' self-activity and allow them to actively participate in collaborative action (Gattinger et al, 2016). Furthermore, the attitude of the nurse can influence the process of getting bedridden as well (Zegelin, 2008 (Crocker et al, 2013) as well as a short supportive mobilisation during the day (Maurer et al, 2018).…”

“…The mobility and physical functions of the residents can either be promoted by specific exercise programmes, such as balance training and cardiovascular training (Arrieta, Rezola-Pardo, Gil, Irazusta, & Rodriguez-Larrad, 2018), or by supporting the residents during daily activities (Kim, Choi, Kim, Kim, & Chang, 2016). The latter can be done, for example, during the process of getting up or walking from a wheelchair to a normal chair (Maurer, Vosseler, Senn, & Gattinger, 2018). The overall goal of both the approaches, exercise programmes or supporting during daily activities, is to maintain or improve residents' health and, thereby their autonomy and independency.…”