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阿尔茨海默病患者用于户外寻路的策略:一项重复观察研究。

Strategies used by people with Alzheimer's disease for outdoor wayfinding: A repeated observational study.

机构信息

Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.

Faculty for Health and Social Sciences, University College in Southeast-Norway, Drammen, Norway.

出版信息

Dementia (London). 2021 Feb;20(2):505-517. doi: 10.1177/1471301219896453. Epub 2019 Dec 24.

DOI:10.1177/1471301219896453
PMID:31874572
Abstract

This study aimed to describe the wayfinding strategies used during outdoor walks by people with Alzheimer's disease. Inspired by an ethnographic approach, observations and conversations during repeated outdoor walks with five people with Alzheimer's disease living in their own homes were conducted. Data were analyzed using qualitative content analysis. The wayfinding strategies the participants described were: (1) landmarks, (2) used their senses, (3) stopped, looked around, and thought, (4) walking the same way or loop and in familiar areas, and (5) only walked in places and on routes where they could see other people and houses. Using wayfinding strategies might help people with Alzheimer's disease to be independent during outdoor walks, and discussing these strategies with relatives and nursing care staff may help finding people with Alzheimer's disease if lost outdoors. Wayfinding during the winter might be facilitated if temporary and changeable objects are avoided in people with Alzheimer's disease's walking route.

摘要

本研究旨在描述阿尔茨海默病患者在户外散步时使用的寻路策略。受民族志方法的启发,对 5 名居住在自己家中的阿尔茨海默病患者进行了多次户外散步时的观察和对话。使用定性内容分析对数据进行分析。参与者描述的寻路策略包括:(1)地标;(2)使用感官;(3)停下来,四处看看,思考;(4)走相同的路或环路,在熟悉的区域;(5)只在能看到其他人或房屋的地方和路线上行走。使用寻路策略可能有助于阿尔茨海默病患者在户外散步时保持独立,如果在户外走失,与亲属和护理人员讨论这些策略可能有助于找到患者。如果在阿尔茨海默病患者的行走路线上避免临时和易变的物体,冬季的寻路可能会更加容易。

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Out-of-home participation among people living with dementia: A study in four countries.痴呆症患者的户外参与情况:一项四国研究。
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Machine learning detects altered spatial navigation features in outdoor behaviour of Alzheimer's disease patients.
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Sci Rep. 2022 Feb 24;12(1):3160. doi: 10.1038/s41598-022-06899-w.
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Spatial Disorientation in Alzheimer's Disease: The Missing Path From Virtual Reality to Real World.阿尔茨海默病中的空间定向障碍:从虚拟现实到现实世界的缺失路径
Front Aging Neurosci. 2020 Oct 27;12:550514. doi: 10.3389/fnagi.2020.550514. eCollection 2020.