Reid Denise
Department of Occupational Therapy, University of Toronto, Toronto, Ontario M5G 1V7, Canada.
Int J Rehabil Res. 2004 Sep;27(3):203-8. doi: 10.1097/00004356-200409000-00005.
This study measured how stroke survivors perceived their housing environment. Quantitative and qualitative data were collected using the Usability in My Home Questionnaire with 19 stroke survivors who all lived in the community. Overall, they reported that the design of their homes allowed them to manage their self-care activities but not all of their household activities. The outside design of the home posed difficulties, with uneven ground and poor lighting and stair access. Inside the home, space was a problem, particularly for stroke survivors using wheelchairs. Living in restricted spaces was the result of the person-technology-environment fit. These results show that the housing environment is not experienced similarly by all old persons, and that the environmental experiences reported by the sample often appear inconsistent with the quality of their housing environment as judged by objective indicators; for instance, subjective reports are often more favorable than would be expected in light of the limiting aspects of the objective environment. Recommendations for housing design strategies and for occupational therapy practice are offered.
本研究测量了中风幸存者如何看待他们的居住环境。通过《我的家庭可用性问卷》收集了19名居住在社区的中风幸存者的定量和定性数据。总体而言，他们报告说，房屋的设计使他们能够进行自我护理活动，但并非所有家务活动。房屋的外部设计存在困难，地面不平、照明不佳以及楼梯通行不便。在房屋内部，空间是个问题，尤其是对于使用轮椅的中风幸存者来说。生活在受限空间是人与技术-环境适配的结果。这些结果表明，并非所有老年人对居住环境的体验都相同，而且样本报告的环境体验往往与客观指标判断的住房环境质量不一致；例如，主观报告往往比根据客观环境的限制因素预期的更为乐观。文中还提供了住房设计策略和职业治疗实践的建议。
