评估痴呆症患者养老院环境设计质量：一种新工具的开发。

Assessing the quality of environmental design of nursing homes for people with dementia: Development of a new tool.

作者信息

Fleming Richard, Bennett Kirsty

机构信息

School of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.

出版信息

Australas J Ageing. 2015 Sep;34(3):191-4. doi: 10.1111/ajag.12233.

DOI:10.1111/ajag.12233

PMID:26337411

Abstract

OBJECTIVE

To develop an environmental audit tool suitable for use across the spectrum of people with dementia.

METHOD

The existing Environmental Audit Tool was supplemented with items describing the environmental needs of people in the final stages of dementia. Two independent raters assessed 30 aged care homes using this draft tool and the Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH). The Environmental Audit Tool-High Care, comprising eight sub-scales with acceptable levels of internal reliability, was constructed. Validity was assessed against the TESS-NH and the EAT-HC's ability to differentiate units specifically for people with dementia from other residential care units.

RESULTS

The EAT-HC sub-scales' inter-rater reliability (ICC) ranged from 0.52 to 0.92. Correlations with the TESS-NH were highly significant. The EAT-HC total score differentiated between dementia-specific homes and others.

CONCLUSION

The EAT-HC can validly and reliably assess environmental features required by a wide range of people with dementia.

摘要

目的

开发一种适用于各类痴呆症患者的环境审计工具。

方法

在现有的环境审计工具中补充描述痴呆症晚期患者环境需求的项目。两名独立评估者使用该工具草案和疗养院治疗环境筛查调查（TESS-NH）对30家老年护理院进行评估。构建了包含八个子量表且内部信度水平可接受的高护理环境审计工具（EAT-HC）。根据TESS-NH以及EAT-HC区分专门为痴呆症患者设立的单元与其他住宿护理单元的能力来评估效度。