Ibsen Tanja Louise, Eriksen Siren, Patil Grete Grindal
Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway,
Department of Public Health Science, Faculty of Landscape and Society, Norwegian University of Life Sciences, Ås, Norway.
J Multidiscip Healthc. 2018 Jul 27;11:349-358. doi: 10.2147/JMDH.S167135. eCollection 2018.
Day care services provide meaningful activities and coping experiences in a safe environment for people with dementia, as well as improve quality of life. Such services vary in types and settings. Farm-based day care (FDC) services are described as services that have been adapted from the farm setting, using farm resources to promote health. There is limited knowledge on the service offered in both FDC and regular day care services for people with dementia. The present study aims to investigate FDC in Norway and describe the services and the participants' care environment.
We mapped the existing farms offering day care in Norway by the spring 2017 (N=33) and collected information through two cross-sectional surveys (N=32) answered by the service providers at the farms.
The farms included in this survey provided day care services to 227 people with dementia, located in most regions of Norway. The services varied in terms of group size and half of the services had young people with dementia (≤65 years) and people with dementia at an early stage as their primary target group. About half of the staff had health care education (47.5%), and there were staff with agricultural competence available in most FDCs. All farms reported that the participants spent time outdoors every day, and all services, except two, had animals. The providers highlighted the opportunity to choose activities that were individually tailored for each participant, as the diversity of resources in the farm made it possible to organize different activities.
FDC services have similarities in organization, daily structure, and number of health education personnel to other day care services, but differ in type of care environment with a wide range of activities and available resources like farm buildings, gardens, animals, and outdoor areas.
日托服务为痴呆症患者在安全的环境中提供有意义的活动和应对体验，同时提高生活质量。此类服务在类型和环境方面各不相同。基于农场的日托（FDC）服务被描述为从农场环境改编而来的服务，利用农场资源促进健康。关于FDC和为痴呆症患者提供的常规日托服务的相关知识有限。本研究旨在调查挪威的FDC，并描述其服务及参与者的护理环境。
我们绘制了截至2017年春季挪威提供日托服务的现有农场地图（N = 33），并通过农场服务提供者回答的两项横断面调查收集信息（N = 32）。
本次调查纳入的农场为挪威大部分地区的227名痴呆症患者提供日托服务。服务在团体规模方面存在差异，一半的服务将患有痴呆症的年轻人（≤65岁）和早期痴呆症患者作为主要目标群体。约一半的工作人员接受过医疗保健教育（47.5%），大多数FDC都有具备农业技能的工作人员。所有农场都报告称参与者每天都在户外度过，除了两家服务机构外，所有服务都有动物。提供者强调有机会选择为每个参与者量身定制的活动，因为农场资源的多样性使得组织不同活动成为可能。
FDC服务在组织、日常结构和健康教育人员数量方面与其他日托服务有相似之处，但在护理环境类型上有所不同，具有广泛的活动以及农场建筑、花园、动物和户外区域等可用资源。
