{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:38:08Z","timestamp":1770136688349,"version":"3.49.0"},"reference-count":42,"publisher":"Akademiai Kiado Zrt.","issue":"45","license":[{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,11,9]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A mobilit\u00e1s k\u00f6zponti eleme az eg\u00e9szs\u00e9ggel kapcsolatos\n \u00e9letmin\u0151s\u00e9gnek \u00e9s a funkci\u00f3k\u00e9pess\u00e9gnek, mely k\u00e9pess\u00e9g hanyatl\u00e1sa vagy elveszt\u00e9se\n sz\u00e1mos szervrendszert \u00e9rintve hossz\u00fa t\u00e1v\u00fa k\u00f6vetkezm\u00e9nyekkel j\u00e1r, k\u00fcl\u00f6n\u00f6s\n tekintettel a tart\u00f3s ell\u00e1t\u00e1st ig\u00e9nyl\u0151 id\u0151sek eset\u00e9ben. Az id\u0151sell\u00e1t\u00e1sban dolgoz\u00f3\n szakemberek munk\u00e1j\u00e1ban els\u0151sorban az alapvet\u0151 mobilit\u00e1si k\u00e9pess\u00e9g meg\u0151rz\u00e9s\u00e9nek\n vagy jav\u00edt\u00e1s\u00e1nak van jelent\u0151s\u00e9ge.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Kutat\u00e1sunk c\u00e9lja\n kett\u0151s volt: egyr\u00e9szt felm\u00e9rni, hogy a tart\u00f3s ell\u00e1t\u00e1sban \u00e9l\u0151 id\u0151sek milyen\n szint\u0171 mobilit\u00e1si k\u00e9pess\u00e9ggel rendelkeznek; m\u00e1sr\u00e9szt megismerni a k\u00fcl\u00f6nb\u00f6z\u0151\n mobilit\u00e1si szinten l\u00e9v\u0151 id\u0151sek fizikai, kognit\u00edv, valamint \u00f6nell\u00e1t\u00e1si mutat\u00f3it,\n amelyek megk\u00f6nny\u00edthetik a megfelel\u0151 int\u00e9zm\u00e9nyi ell\u00e1t\u00e1s tervez\u00e9s\u00e9t.\n M\u00f3dszer:<\/jats:italic>\n Keresztmetszeti kutat\u00e1sunkat h\u00e1rom id\u0151sotthon 60\n \u00e9v feletti lak\u00f3i k\u00f6r\u00e9ben v\u00e9gezt\u00fck 2023. j\u00fanius \u00e9s 2024. j\u00fanius k\u00f6z\u00f6tt (n = 209).\n A mobilit\u00e1st a de Morton Mobilit\u00e1si Index (DEMMI) valid\u00e1lt magyar verzi\u00f3j\u00e1val, a\n fizikai funkci\u00f3kat a 30 m\u00e1sodperces fel\u00e1ll\u00e1steszttel \u00e9s Timed Up and Go\n teszttel, a kognit\u00edv funkci\u00f3kat a Mini Ment\u00e1l Teszttel, az eles\u00e9st\u0151l val\u00f3\n f\u00e9lelmet a FES-I k\u00e9rd\u0151\u00edvvel, az \u00f6nell\u00e1t\u00e1st a Barthel Indexszel m\u00e9rt\u00fck fel. A\n DEMMI-eredm\u00e9nyeket\n Thorsted \u00e9s mtsai<\/jats:italic>\n hat\u00e1r\u00e9rt\u00e9kei ment\u00e9n n\u00e9gy\n kateg\u00f3ri\u00e1ba soroltuk.\n Eredm\u00e9nyek:<\/jats:italic>\n A r\u00e9sztvev\u0151k \u00e1tlag\u00e9letkora\n 81,34 \u00e9v volt, 71,3%-uk n\u0151. A DEMMI-pontsz\u00e1m alapj\u00e1n 53 f\u0151 (25,4%) nagyon\n cs\u00f6kkent, 41 f\u0151 (19,6%) cs\u00f6kkent, 64 f\u0151 (30,6%) k\u00f6zepesen cs\u00f6kkent \u00e9s 51 f\u0151\n (24,4%) \u00f6n\u00e1ll\u00f3 szint\u0171 mobilit\u00e1ssal rendelkezett. A magasabb mobilit\u00e1si szint\n szignifik\u00e1nsan jobb als\u00f3 v\u00e9gtagi izomer\u0151vel, dinamikus testhelyzett\u0151l f\u00fcgg\u0151\n kontrollal, kognit\u00edv funkci\u00f3val, eles\u00e9st\u0151l val\u00f3 kisebb f\u00e9lelemmel \u00e9s jobb\n \u00f6nell\u00e1t\u00e1ssal t\u00e1rsult.\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n A DEMMI \u00e9rz\u00e9kenyebben jelzi\n a m\u00e9g megmarad\u00f3 mobilit\u00e1si k\u00e9pess\u00e9geket, mint a hagyom\u00e1nyos tesztek, \u00e9s\n eredm\u00e9nyesen ker\u00fcli el a padl\u00f3effektust, \u00edgy hat\u00e9konyan seg\u00edtheti egy int\u00e9zm\u00e9ny\n hum\u00e1ner\u0151forr\u00e1s\u00e1nak megfelel\u0151 allok\u00e1l\u00e1s\u00e1t \u00e9s a sz\u00fcks\u00e9gletalap\u00fa \u00e1pol\u00e1s tervez\u00e9s\u00e9t.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n A DEMMI alkalmas a tart\u00f3s ell\u00e1t\u00e1sban \u00e9l\u0151\n id\u0151sek mobilit\u00e1si k\u00e9pess\u00e9g\u00e9nek differenci\u00e1lt felm\u00e9r\u00e9s\u00e9re, az eredm\u00e9nyek pedig\n t\u00e1mpontot adhatnak az int\u00e9zm\u00e9nyeknek a min\u0151s\u00e9gi id\u0151sell\u00e1t\u00e1s biztos\u00edt\u00e1s\u00e1hoz \u00e9s a\n szem\u00e9lyi felt\u00e9telek optim\u00e1lis eloszt\u00e1s\u00e1hoz. Orv Hetil. 2025; 166(45):\n 1777\u20131785.\n <\/jats:p>","DOI":"10.1556\/650.2025.33414","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T15:33:18Z","timestamp":1762702398000},"page":"1777-1785","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Tart\u00f3s ell\u00e1t\u00e1st ny\u00fajt\u00f3 int\u00e9zm\u00e9nyben \u00e9l\u0151 id\u0151s szem\u00e9lyek mobilit\u00e1si k\u00e9pess\u00e9ge"],"prefix":"10.1556","volume":"166","author":[{"given":"Zsigmond","family":"Gyombolai","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Morfol\u00f3giai \u00e9s Fizol\u00f3giai Tansz\u00e9k Budapest, Vas u. 17., 1088 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyok Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Simon","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Fizioter\u00e1piai Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Zs\u00f3fia","family":"Kubik","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Fizioter\u00e1piai Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izabella","family":"J\u00f3n\u00e1sn\u00e9 Sztruh\u00e1r","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Fizioter\u00e1piai Tansz\u00e9k Budapest Magyarorsz\u00e1g"},{"name":"F\u0151v\u00e1rosi \u00d6nkorm\u00e1nyzat Pesti \u00dati Id\u0151sek Otthona Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rich\u00e1rdn\u00e9","family":"Mayer","sequence":"additional","affiliation":[{"name":"Gizella Otthon Biatorb\u00e1gy Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3250-8664","authenticated-orcid":true,"given":"\u00c9va","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Morfol\u00f3giai \u00e9s Fizol\u00f3giai Tansz\u00e9k Budapest, Vas u. 17., 1088 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Mayo NE, Mate KK. Quantifying mobility in quality of life. In: Wac\n K, Wulfovich S. (eds.) Quantifying quality of life. Incorporating daily life\n into medicine. Springer, Cham, 2022; pp. 119-136.\n https:\/\/doi.org\/10.1007\/978-3-030-94212-0_5","DOI":"10.1007\/978-3-030-94212-0_5"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Brown CJ, Flood KL. Mobility limitation in the older patient: a\n clinical review. JAMA 2013; 310: 1168-1177.\n https:\/\/doi.org\/10.1001\/jama.2013.276566","DOI":"10.1001\/jama.2013.276566"},{"key":"R3","unstructured":"Kullmann L. International classification of daily living function,\n disability and health status. [A tev\u00e9kenyked\u00e9s, fogyat\u00e9koss\u00e1g \u00e9s eg\u00e9szs\u00e9g\n nemzetk\u00f6zi oszt\u00e1lyoz\u00e1sa.] Orv Hetil. 2002; 143: 1403-1410.\n [Hungarian]"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Moulton E, Wilson R, Deluzio K. Movement and mobility: concept\n analysis. ANS Adv Nurs Sci. 2019; 42: E11-E23.\n https:\/\/doi.org\/10.1097\/ANS.0000000000000247","DOI":"10.1097\/ANS.0000000000000247"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Kehler DS, Theou O, Rockwood K. Bed rest and accelerated aging in\n relation to the musculoskeletal and cardiovascular systems and frailty\n biomarkers: a review. Exp Gerontol. 2019; 124: 1106430.\n https:\/\/doi.org\/10.1016\/j.exger.2019.110643","DOI":"10.1016\/j.exger.2019.110643"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Graf C. Functional decline in hospitalized older adults. Am J Nurs.\n 2006; 106: 58-67.\n https:\/\/doi.org\/10.1097\/00000446-200601000-00032","DOI":"10.1097\/00000446-200601000-00032"},{"key":"R7","unstructured":"Knight J, Nigam Y, Jones A. Effects of bedrest 5: the muscles,\n joints and mobility. Nursing Times 2019; 115: 54-57."},{"key":"R8","unstructured":"Knight J, Nigam Y, Jones A. Effects of bedrest 6: bones, skin,\n self-concept and self-esteem. 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Nursing Times [Online] 2018; 114:\n 54-57."},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Narsakka N, Suhonen R, Groot B, et al. Promoting activity and\n mobility in long-term care environments: a photo-elicitation study with older\n adults and nurses. J Clin Nurs. 2023; 32: 8078-8094.\n https:\/\/doi.org\/10.1111\/jocn.16866","DOI":"10.1111\/jocn.16866"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Brett L, Noblet T, Jorgensen M, et al. The use of physiotherapy in\n nursing homes internationally: a systematic review. PLoS ONE 2019; 14: e0219488.\n https:\/\/doi.org\/10.1371\/journal.pone.0219488","DOI":"10.1371\/journal.pone.0219488"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Sterke S, da Cunha AP, Voogt L, et al. Roles and tasks of\n physiotherapists in nursing homes: a survey. 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[Hungarian]\n https:\/\/doi.org\/10.1556\/650.2024.32950","DOI":"10.1556\/650.2024.32950"},{"key":"R35","doi-asserted-by":"crossref","unstructured":"Szekeres T, Perczel-Forintos D, Kresznerits S. Clinical picture and\n differential diagnosis of depression in old age. [A depresszi\u00f3 klinikai k\u00e9pe \u00e9s\n differenci\u00e1ldiagnosztik\u00e1ja id\u0151skorban.] Orv Hetil. 2023; 164: 1537-1543.\n [Hungarian] https:\/\/doi.org\/10.1556\/650.2023.32875","DOI":"10.1556\/650.2023.32875"},{"key":"R36","unstructured":"McArthur C. Enhancing opportunities for physical activity among\n long-term care residents: a narrative review. JCOM 2019; 26:\n 90-96."},{"key":"R37","doi-asserted-by":"crossref","unstructured":"Yip JY. Theory-based advanced nursing practice: A practice update on\n the application of Orem\u2019s Self-Care Deficit Nursing Theory. SAGE Open Nurs.\n 2021; 7: 23779608211011993.\n https:\/\/doi.org\/10.1177\/23779608211011993","DOI":"10.1177\/23779608211011993"},{"key":"R38","doi-asserted-by":"crossref","unstructured":"Sommers J, Vredeveld T, Lindeboom R, et al. De Morton Mobility Index\n is feasible, reliable, and valid in patients with critical illness. Phys Ther.\n 2016; 96: 1658-1666.\n https:\/\/doi.org\/10.2522\/ptj.20150339","DOI":"10.2522\/ptj.20150339"},{"key":"R39","doi-asserted-by":"crossref","unstructured":"Zupanc A, Vidmar G, Novak P, et al. Feasibility of de Morton\n Mobility Index for adult patients of all ages at low and basic functioning\n level: a study using the Slovenian translation. Int J Rehabil Res. 2019; 42:\n 352-357.\n https:\/\/doi.org\/10.1097\/MRR.0000000000000370","DOI":"10.1097\/MRR.0000000000000370"},{"key":"R40","doi-asserted-by":"crossref","unstructured":"Camp PG, Sima CA, Kirkham A, et al. The de Morton mobility index is\n a feasible and valid mobility assessment tool in hospitalized patients with an\n acute exacerbation of chronic obstructive pulmonary disease. Chron Respir Dis.\n 2019; 16: 1479973119872979.\n https:\/\/doi.org\/10.1177\/1479973119872979","DOI":"10.1177\/1479973119872979"},{"key":"R41","doi-asserted-by":"crossref","unstructured":"Soubra R, Chkeir A, Novella JL. A systematic review of thirty-one\n assessment tests to evaluate mobility in older adults. Biomed Res Int. 2019;\n 2019: 1354362. https:\/\/doi.org\/10.1155\/2019\/1354362","DOI":"10.1155\/2019\/1354362"},{"key":"R42","doi-asserted-by":"crossref","unstructured":"Braun T, Thiel C, Schulz RJ, et al. Responsiveness and\n interpretability of commonly used outcome assessments of mobility capacity in\n older hospital patients with cognitive spectrum disorders. 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