Dresden University of Technology, Germany.
Am J Alzheimers Dis Other Demen. 2011 Feb;26(1):51-7. doi: 10.1177/1533317510387584.
We investigated the relationship between architectural space syntax measures describing the spatial layout of a home and activities of daily living (ADL) among people with dementia. We visited the homes of 82 participants in a dementia care comparative effectiveness clinical trial and measured the space syntax variables intelligibility and convexity along with several clinical variables, including ADLs. In regression models, we estimated the cross-sectional association between space syntax measures and ADLs. Higher convexity was associated with worse performance of basic but not instrumental ADLs (adjusted β =19.2, P = .02). Intelligibility was not associated with ADLs. These results imply that enclosed rooms with a clearly legible meaning and function might be better memorized and associated with the spatial layout of the home resulting in better basic ADL performance. These results warrant further research on space syntax measures in the home environment of people with dementia, including longitudinal study, which we are pursuing.
我们研究了描述家庭空间布局的空间句法测量指标与痴呆症患者日常生活活动（ADL）之间的关系。我们访问了痴呆症护理对照临床试验中 82 名参与者的家庭，并测量了空间句法变量可理解性和凸度以及包括 ADL 在内的几个临床变量。在回归模型中，我们估计了空间句法测量指标与 ADL 之间的横断面关联。较高的凸度与基本但非工具性 ADL 的表现较差相关（调整后的β=19.2，P=.02）。可理解性与 ADL 无关。这些结果表明，具有清晰可理解的意义和功能的封闭房间可能更容易被记住，并与家庭的空间布局相关，从而导致基本 ADL 表现更好。这些结果证明需要对痴呆症患者家庭环境中的空间句法测量指标进行进一步研究，包括我们正在进行的纵向研究。
