Tune P, Bowie P
Upton House, Box Hill, Victoria, Australia.
Age Ageing. 2000 Jul;29(4):325-8. doi: 10.1093/ageing/29.4.325.
to determine the environmental quality of community-based residential and nursing care for people with dementia.
survey of a stratified random sample of care homes.
forty-six registered residential and nursing homes in a single health district.
scales for the assessment of environments for people with dementia, including care practices, social activities, social facilities, reality orientation cues, physical condition and space availability.
over 90% of the homes had high quality scores on at least two measures. Provision of reality orientation cues was usually poor. Nursing homes catering specifically for 'the elderly mentally infirm' had more restrictive care practices, whilst local-authority residential homes had a better provision of recreational facilities. Private sector homes were in much better condition than public sector homes but their care practices were more institutional--this may be related to the provision of nursing and elderly mentally infirm care almost exclusively by the private sector.
the environmental quality of community-based residential care is generally good, but improvements could be made, particularly with reality orientation cues.
确定为痴呆症患者提供的社区居家及护理服务的环境质量。
对养老院进行分层随机抽样调查。
单一健康区的46家注册居家及护理院。
用于评估痴呆症患者环境的量表，包括护理措施、社交活动、社交设施、现实定向提示、身体状况和空间可用性。
超过90%的养老院在至少两项指标上得分较高。现实定向提示的提供情况通常较差。专门收治“老年精神虚弱者”的护理院护理措施更具限制性，而地方政府开办的居家护理院娱乐设施配备更好。私营部门的养老院状况比公共部门的好得多，但它们的护理措施更具机构化——这可能与几乎完全由私营部门提供护理及老年精神虚弱者护理服务有关。
社区居家护理的环境质量总体良好，但仍有改进空间，尤其是在现实定向提示方面。
