Faculty of Science Medicine and Health,School of Nursing,University of Wollongong,New South Wales,Australia.
Faculty of Science Medicine and Health,University of Wollongong,New South Wales,Australia.
Int Psychogeriatr. 2018 Apr;30(4):469-480. doi: 10.1017/S1041610217002241. Epub 2017 Nov 2.
ABSTRACTBackground:This scoping review explores the characteristics of the current built environment used to accommodate people with dementia in East and Southeast Asia. It is structured around the eight principles of design found in the Environmental Audit Tool High-Care. In addition, the review examines the level of knowledge and other influences contributing to the development of nursing homes in the region.
The review was carried out utilizing the methodological framework recommended by Arksey and O'Malley. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses provided an overarching structural framework for the reporting process and the Population, Intervention, Comparison, Outcomes, and Context framework defined the scope of the review and focused on the research question. Six databases were accessed for the search, and 1,846 publications between 2001 and 2015 were retrieved.
A total of 48 articles from 9 countries met the inclusion criteria. All articles presented discussions that fundamentally included at least one principle of design and with some including all principles. The most prevailing principle discussed, found in 59% of all the articles was the need for familiarity for residents in the environmental design of facilities.
The review found that the eight principles of design, when applied with cultural sensitivity in countries in East and Southeast Asia can identify gaps in knowledge of the design for dementia enabling environments and suggest areas for improvement. An assessment tool based on the principles of design will be able to provide a guide for stakeholders in the design, development, or modification of nursing home environments.
摘要
本范围界定性研究探讨了东亚和东南亚地区用于安置痴呆症患者的当前建筑环境的特点。它是围绕环境审计工具高关怀中发现的八项设计原则构建的。此外，该研究还考察了有助于该地区养老院发展的知识水平和其他影响因素。
该研究采用了 Arksey 和 O'Malley 推荐的方法论框架。系统评价和荟萃分析的首选报告项目为报告过程提供了一个总体结构框架，而人群、干预、比较、结果和背景框架则定义了研究范围，并侧重于研究问题。为搜索共访问了六个数据库，2001 年至 2015 年期间共检索到 1846 篇出版物。
共有来自 9 个国家的 48 篇文章符合纳入标准。所有文章都进行了讨论，基本上都包含了至少一项设计原则，有些还包含了所有原则。讨论最多的原则是设施环境设计中居民需要熟悉环境，这一原则在所有文章中占 59%。
本研究发现，当在东亚和东南亚国家进行文化敏感性应用时，八项设计原则可以发现痴呆症患者环境设计方面知识的差距，并提出改进的领域。基于设计原则的评估工具将能够为养老院环境的设计、开发或修改的利益相关者提供指导。
