de Boer Bram, Beerens Hanneke C, Katterbach Melanie A, Viduka Martina, Willemse Bernadette M, Verbeek Hilde
Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, 6200 MD Maastricht, The Netherlands.
Opera Consultancy and Implementation, 5026 RK Tilburg, The Netherlands.
Healthcare (Basel). 2018 Nov 26;6(4):137. doi: 10.3390/healthcare6040137.
It is well recognized that the physical environment is important for the well-being of people with dementia. This influences developments within the nursing home care sector where there is an increasing interest in supporting person-centered care by using the physical environment. Innovations in nursing home design often focus on small-scale and homelike care environments. This study investigated: (1) the physical environment of different types of nursing homes, comparing traditional nursing homes with small-scale living facilities and green care farms; and (2) how the physical environment was being used in practice in terms of the location, engagement and social interaction of residents. Two observational studies were carried out. Results indicate that the physical environment of small-scale living facilities for people with dementia has the potential to be beneficial for resident's daily life. However, having a potentially beneficial physical environment did not automatically lead to an optimal use of this environment, as some areas of a nursing home (e.g., outdoor areas) were not utilized. This study emphasizes the importance of nursing staff that provides residents with meaningful activities and stimulates residents to be active and use the physical environment to its full extent.
人们普遍认识到，物理环境对痴呆症患者的福祉很重要。这影响了疗养院护理部门的发展，该部门越来越关注通过利用物理环境来支持以人为本的护理。疗养院设计的创新通常集中在小规模和类似家庭的护理环境上。本研究调查了：（1）不同类型疗养院的物理环境，将传统疗养院与小规模生活设施和绿色护理农场进行比较；（2）就居民的位置、参与度和社交互动而言，物理环境在实际中是如何被使用的。进行了两项观察性研究。结果表明，为痴呆症患者提供的小规模生活设施的物理环境有可能对居民的日常生活有益。然而，拥有潜在有益的物理环境并不会自动导致对该环境的最佳利用，因为疗养院的一些区域（如户外区域）未得到利用。本研究强调了护理人员的重要性，他们要为居民提供有意义的活动，并激励居民积极活动，充分利用物理环境。
