Griffith Health Institute, Griffith University, Queensland, Australia.
Soc Sci Med. 2012 Dec;75(12):2151-9. doi: 10.1016/j.socscimed.2012.08.002. Epub 2012 Aug 13.
The aim of this research was to examine first-person accounts of the significance of place for young adults (aged between 18 and 65 years of age) with complex disabilities moving into purpose-built residential care accommodation. Interviews with residents, family members and staff working at the accommodation site considered the impact of the physical, care and social environment on the experience of place. Five elements of experience were identified, including (a) freedom and self-expression, (b) designed for disability (c) flexible and responsive care environment, (d) establishing relationships and (e) defining spaces. Findings confirmed the need for a 'value added approach' to housing and support for young adults with complex disability. A value added approach extends the importance of place beyond the physical context for people with complex conditions and incorporates essential symbolic and relational concepts of value--being of value (for family members), having value (for residents) and giving value (for staff). The framework of the therapeutic landscape is applied within the context of supported residential care and the factors that promote a healing environment are examined.
本研究旨在探讨 18 至 65 岁患有复杂残疾的年轻人入住专门建造的住宿式护理设施时对环境重要性的第一人称描述。对居民、居住在住宿地的家庭成员和工作人员的访谈考虑了物理、护理和社会环境对环境体验的影响。确定了体验的五个要素，包括 (a) 自由和自我表达，(b) 专为残疾设计，(c) 灵活和响应式护理环境，(d) 建立关系，(e) 定义空间。研究结果证实，需要为残疾年轻人提供一种“增值型住房”和支持。增值型方法将复杂条件下人们对环境的重视延伸到物理环境之外，并纳入了具有重要象征意义和关系的价值概念——对家庭成员有价值、对居民有价值、对工作人员有价值。治疗性景观框架适用于支持性住宿护理的背景下，研究了促进康复环境的因素。
