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专为痴呆症患者设计的美术馆参观项目:“你是为了当下而做”。

An art gallery access programme for people with dementia: 'you do it for the moment'.

机构信息

Aged Care Evaluation Unit, NSW Greater Southern Area Health Service, Australia.

出版信息

Aging Ment Health. 2009 Sep;13(5):744-52. doi: 10.1080/13607860902918207.

Abstract

OBJECTIVES

People with dementia often have decreased opportunities to engage in higher level intellectual or sensory activities. This programme investigated the effect of taking people with dementia to discuss artworks at the National Gallery of Australia (NGA).

METHOD

Fifteen people from the community and eight from residential care attended the gallery once a week for 6 weeks. They discussed artworks with NGA Educators trained in dementia skills. Sessions were filmed and the level of engagement analysed using time sampling methods. Focus groups with participants, carers, and educators provided qualitative data.

RESULTS

Participants were engaged from the outset and remained engaged. They became animated, gained confidence and were able to discuss and interact with the artworks and the social process. This included the more impaired RACF groups, who were more withdrawn or behaviourally disturbed in their usual environment, raising the concept of excess disability. In focus groups these participants had impoverished memory for the programme but community participants remembered it with pleasure and wanted it to continue. Carers confirmed these sentiments but reported no lasting change in participants. Educators spoke mostly about what they had learned, including new ways to present to other clients.

CONCLUSION

The programme went beyond many dementia activities. Despite no evidence for lasting effects, all involved wanted the programme to continue. A carer quote: You do it for the moment encapsulates a sense that an activity is worthwhile even if it gives benefit only whilst running. The programme is continuing and expanding.

摘要

目的

痴呆症患者通常减少了参与更高层次智力或感官活动的机会。本项目研究了带领痴呆症患者去澳大利亚国家美术馆(NGA)讨论艺术品的效果。

方法

15 名来自社区的人和 8 名来自养老院的人每周去美术馆一次,共 6 周。他们与接受过痴呆症技能培训的 NGA 教育者讨论艺术品。会话被拍摄下来,并使用时间抽样方法分析参与度。与参与者、照顾者和教育者进行焦点小组讨论提供了定性数据。

结果

参与者从一开始就参与并保持参与。他们变得活跃起来,获得了信心,能够讨论和与艺术品以及社交过程互动。这包括更受限制的养老院群体,他们在日常环境中更加孤僻或行为紊乱,提出了过剩残疾的概念。在焦点小组中,这些参与者对该项目的记忆非常有限,但社区参与者愉快地记得它,并希望继续进行。照顾者证实了这些观点,但报告说参与者没有持久的变化。教育者主要谈论他们所学到的东西,包括向其他客户展示的新方法。

结论

该项目超越了许多痴呆症活动。尽管没有持久效果的证据,但所有参与者都希望该项目继续进行。一位照顾者的评价:“你做这件事是为了当下”,这反映出一种观点,即即使某项活动只能在进行时提供益处,但它也是有价值的。该项目正在继续扩大。

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