Hendriks Iris H, van Vliet Deliane, Gerritsen Debby L, Dröes Rose-Marie
Department of Psychiatry,EMGO Institute for Health and Care Research,VU University Medical Center,Amsterdam,the Netherlands.
Department of Primary and Community Care,Radboud Alzheimer Centre,Radboud University Nijmegen Medical Centre,Nijmegen,the Netherlands.
Int Psychogeriatr. 2016 Sep;28(9):1455-70. doi: 10.1017/S1041610216000612. Epub 2016 May 3.
The aim of this study is to develop and try out an approach for personalized nature activities for people with dementia.
A qualitative descriptive study using focus group interviews with people with dementia was conducted. Based on the results of the focus groups and the relevant literature, the approach was developed. In a qualitative descriptive pilot study with a one-group design, we tried out the approach regarding acceptability and experience of the intervention among people with dementia, and satisfaction with the approach among healthcare professionals. Additionally, we investigated the organizational feasibility.
From the focus groups, eight key aspects of experiencing nature were identified as being important for quality of life (e.g. relaxation, freedom), as well as six categories of preferred activities (e.g. active, passive, and social activities). Based on these themes and categories, an approach was developed to design nature activities according to the personal wishes, needs, and experiences of people with dementia. During the intervention, participants in the pilot study showed high levels of positive behaviors and low levels of negative behaviors. As regards, organizational feasibility, eight themes for successful implementation of nature activities were identified.
This exploratory study contributes to the knowledge regarding the development and implementation of person-centered nature activities for people with dementia. The implementation of the activities could be improved by training professionals in person-centered care. The effect of the person-centered nature activities approach should be investigated.
本研究旨在开发并试行一种针对痴呆症患者的个性化自然活动方法。
采用对痴呆症患者进行焦点小组访谈的定性描述性研究。基于焦点小组的结果和相关文献，开发了该方法。在一项采用单组设计的定性描述性试点研究中，我们就该方法在痴呆症患者中的可接受性和干预体验，以及医疗保健专业人员对该方法的满意度进行了试行。此外，我们还调查了组织可行性。
从焦点小组中，确定了体验自然的八个关键方面对生活质量很重要（例如放松、自由），以及六类偏好的活动（例如主动、被动和社交活动）。基于这些主题和类别，开发了一种根据痴呆症患者的个人愿望、需求和体验来设计自然活动的方法。在干预期间，试点研究的参与者表现出高水平的积极行为和低水平的消极行为。关于组织可行性，确定了成功开展自然活动的八个主题。
这项探索性研究有助于了解针对痴呆症患者开展以患者为中心的自然活动的开发和实施情况。通过对专业人员进行以患者为中心的护理培训，可以改进活动的实施。应以患者为中心的自然活动方法的效果应进行调查。
