University of Sydney, Sydney, NSW, Australia.
Am J Alzheimers Dis Other Demen. 2010 May;25(3):265-75. doi: 10.1177/1533317509357735. Epub 2010 Feb 11.
Concerns about negative outcomes associated with relocating residents are common. Fifty-five residents of a traditional high-care nursing home moved to new, purpose-built, dementia-specific cottages; 35 additional residents moved into the cottages within the first 8 months of operation. Direct-care staff participated in workshops on engaging residents in life-skill activities. Resident behavior was observed using a time sampling and a de-identified behavior mapping procedure. Results showed increases in resident engagement following the move and further increases after staff training. Staff engagement in resident interactive tasks similarly increased both after the move and again after staff training. The newly built cottages scored higher across all domains of 3 different types of environmental assessment, and family satisfaction ratings also improved. These results suggest that relocation need not negatively affect residents with dementia and that this environment provides an attractive model of care for dementia facilities.
人们普遍担心与居民搬迁相关的负面后果。一家传统高护理养老院的 55 名居民搬到了新的、专门建造的、针对痴呆症的别墅；在运营的头 8 个月内，又有 35 名居民搬进了别墅。直接护理人员参加了关于让居民参与生活技能活动的研讨会。使用时间抽样和去识别行为映射程序观察居民的行为。结果表明，搬迁后居民的参与度增加，在员工培训后进一步增加。员工参与居民互动任务的情况也在搬迁后和员工培训后都有所增加。在 3 种不同类型的环境评估的所有领域，新建造的别墅得分都更高，家庭满意度评分也有所提高。这些结果表明，搬迁不一定会对患有痴呆症的居民产生负面影响，并且这种环境为痴呆症设施提供了一个有吸引力的护理模式。
