患者活动受限的概念分析与启示  

Concept analysis and implications of mobolity limitation in patients

作　　者：蔡国旗 柯键 熊杰[3] 邹灯秀[3] 邓娟[3] 肖琦 李苏雅 胡玉兰[1] Cai Guoqi;Ke Jian;Xiong Jie;Zou Dengxiu;Deng Juan;Xiao Qi;Li Suya;Hu Yulan(Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院急诊科,湖北武汉430030 [3]华中科技大学同济医学院附属同济医院重症医学科,湖北武汉430030

出　　处：《护理学杂志》2025年第6期29-34,共6页Journal of Nursing Science

摘　　要：目的 明确患者活动受限的定义及其内涵。方法 系统检索中英文数据库中活动受限的相关文献,采用概念分析法对活动受限进行概念分析。结果 活动受限定义属性分为躯体功能减退、日常活动能力下降、社会参与局限3个方面。前因主要分为病变损伤、运动障碍感知、环境制约;后果主要包括健康风险增加、负面情绪增长、社交功能障碍。评价指标包括综合活动受限指标、日常生活活动能力。结论 活动受限概念的明晰有利于全面评估患者活动受限情况,合理制订康复计划,明晰活动受限成因,科学实施干预策略。Objective To clarify the definition and defining characteristics of mobolity limitation in patients.Methods A systematic search of Chinese and English language databases was conducted to review relevant literature on mobolity limitation.Concept analysis was conducted to define,describe,and delimit the concept of mobolity limitation.Results The defining attributes of mobolity limitation were categorized into three aspects:physical function decline,impaired performance of activities of daily living(ADL),and social participation restriction.The antecedents were pathological damage,perceived motor impairment,and environmental constraints.The consequences included increased health risks,heightened negative emotions,and social function impairment.Evaluation indicators included the Global Activity Limitation Indicator(GALI) and ability to perform ADL.Conclusion Clarifying the concept of mobolity limitation is beneficial for a comprehensive assessment of patients′ mobolity limitation,the formulation of tailored rehabilitation plans,the understanding of the causes of mobolity limitation,and the scientific implementation of intervention strategies.

关 键 词：患者 活动受限 运动障碍 运动认知功能减退综合征 躯体功能 日常生活活动能力 社会参与 概念分析 

分 类 号：R471[医药卫生—护理学]