Wood Wendy, Harris Shelly, Snider Melinda, Patchel Stacy A
Division of Occupational Therapy, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Am J Alzheimers Dis Other Demen. 2005 Mar-Apr;20(2):105-18. doi: 10.1177/153331750502000210.
Routine activity situations on an Alzheimer's disease (AD) special care unit were examined with respect to residents' social and physical environmental interactions, time use, and apparent affect. Using a computer-assisted observational tool, observers recorded prevailing activity situations and corresponding behaviors and affects of seven residents every 10 minutes, from 8:00 AM to 8:00 PM, across four days. Although meals/snacks and some activity groups were positively associated with use of physical objects and engagement in activities, residents were predominantly environmentally disengaged, inactive, or without positive affects during the most prevalent activity situations of background media, downtime, and television. Findings suggest that routine activity situations may act as potent environmental influences on the quality of life (QOL) of people with AD and mediate the effectiveness of other environmental interventions undertaken on their behalf.
针对阿尔茨海默病(AD)特殊护理单元中的日常活动情况,研究了居民的社会和物理环境互动、时间利用以及明显的情绪状态。观察者使用计算机辅助观察工具,在四天时间里,从上午8点到晚上8点,每隔10分钟记录7名居民的主要活动情况以及相应的行为和情绪。尽管用餐/吃零食和一些活动小组与实物使用和活动参与呈正相关,但在背景媒体、休息时间和看电视等最普遍的活动情况下,居民主要处于与环境脱节、不活跃或没有积极情绪的状态。研究结果表明,日常活动情况可能对AD患者的生活质量(QOL)产生强大的环境影响,并调节代表他们进行的其他环境干预措施的效果。