{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T04:03:07Z","timestamp":1780632187928,"version":"3.54.1"},"reference-count":40,"publisher":"Hogrefe Publishing Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pflege"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p> Zusammenfassung.Hintergrund: Ortsfixierung und Bettl\u00e4gerigkeit sind bedeutende Ph\u00e4nomene der Gesundheits- und Krankenpflege. Trotzdem fehlen konzeptuelle Definitionen und entsprechende Pflegediagnosen in den g\u00e4ngigen Pflegeklassifikationssystemen. Ziel: Ziel ist es, die Grundlage f\u00fcr konzeptionelle Definitionen zu schaffen. Dazu wird der aktuelle Stand der deutsch- und englischsprachigen Begriffsverwendungen zu Ortsfixierung und Bettl\u00e4gerigkeit erfasst. Zugleich werden jene englischsprachigen Begriffsdefinitionen herausgearbeitet, die eine breite internationale Anerkennung finden. Dar\u00fcber hinaus werden die mit Ortsfixierung und Bettl\u00e4gerigkeit im Zusammenhang stehenden Ph\u00e4nomene erfasst und voneinander abgegrenzt. Methode: Die Identifizierung deutsch- und englischsprachiger Begriffsverwendungen erfolgt durch eine integrative \u00dcbersichtsarbeit f\u00fcr den Zeitraum von 1990 bis 2016. Ergebnisse: Es gibt eine Vielzahl an englischsprachigen Begriffen zu Ortsfixierung und Bettl\u00e4gerigkeit. Die Begriffe homebound, wheelchairbound und bedridden bilden Ortsfixierung und Bettl\u00e4gerigkeit am h\u00e4ufigsten ab. Instabilit\u00e4t und Immobilit\u00e4t stehen als Ursachen und Inaktivit\u00e4t als Folge in Verbindung. Gegens\u00e4tzlich zu betrachten ist Bettruhe (bedrest), die angeordnet und zeitlich befristet ist. Schlussfolgerungen: Ortsfixierung und Bettl\u00e4gerigkeit sind durch die einheitliche Definition der Gebundenheit (boundedness) zu betrachten. Dabei m\u00fcssen die Ursachen (Instabilit\u00e4t, Immobilit\u00e4t) diagnostiziert werden, um ad\u00e4quate Interventionen zur Vermeidung bzw. Linderung der Folgen ableiten zu k\u00f6nnen. <\/jats:p>","DOI":"10.1024\/1012-5302\/a000606","type":"journal-article","created":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T09:34:40Z","timestamp":1517218480000},"page":"87-99","source":"Crossref","is-referenced-by-count":13,"title":["Ortsfixierung und Bettl\u00e4gerigkeit im Kontext von Gebundenheit                (boundedness). Die Entwicklung einer konzeptuellen Begriffsdefinition auf Grundlage einer                integrativen \u00dcbersichtsarbeit"],"prefix":"10.1024","volume":"31","author":[{"given":"Johannes","family":"Schirghuber","sequence":"first","affiliation":[{"name":"Institut f\u00fcr Pflegewissenschaft,                Universit\u00e4t Wien, Wien"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berta","family":"Schrems","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pflegewissenschaft,                Universit\u00e4t Wien, Wien"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2014.04.0100"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1590\/S0080-623420140000100018"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52354.x"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1080\/13607860600844614"},{"key":"c5","doi-asserted-by":"crossref","unstructured":"Choi, N.\n                        G., Marti, C. N.,                      Bruce, M.\n                        L. & Kunik, M.\n                  E. (2012). Relationship between depressive symptom severity                   and emergency department use among low-income, depressed homebound older adults                   aged 50 years and older. doi:                10.1186\/1471-244X-12-233","DOI":"10.1186\/1471-244X-12-233"},{"key":"c6","doi-asserted-by":"crossref","unstructured":"Cohen-Mansfield,\n                        J., Shmotkin,\n                     D. & Hazan,\n                     H. (2012). Homebound older persons. Prevalence,                   characteristics, and longitudinal predictors. 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Kassel:                RECOM."},{"key":"c12","first-page":"111","author":"Heusinger J.","year":"2013","journal-title":"Ressourcen f\u00fcr Selbstst\u00e4ndigkeit im Alter"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1191\/0269215505cr795oa"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50158.x"},{"key":"c15","first-page":"104","volume":"59","author":"H\u00f6wler E.","year":"2006","journal-title":"Pflegezeitschrift"},{"key":"c16","unstructured":"Karmarkar,\n                        A. M. (2009). Prescription, Outcomes, and Risk Assessment of                   wheelchairs for aging population. Dissertation.                   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