Chun Min Young, Hwang Jihye, Yun Ji Young, Sim Geum Yun, Choi Gyoung Sil, Kim Geon Ha, Jeong Jee Hyang
Department of Neurology, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
Department of Neurology, Keimyung University Daegu Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Dement Neurocogn Disord. 2020 Dec;19(4):140-151. doi: 10.12779/dnd.2020.19.4.140.
Rapid population aging and an increase in the demented elderly became major social concerns in South Korea. Environmental design is increasingly recognized as an important aid for long-term care of patients with dementia as well as pharmacotherapy. We did a pilot study to investigate the effect of the Seoul Dementia Healing Design Project In-House Design (S-DHDP-IHD) in improving the quality of life of the cognitively impaired patients and of the S-DHDP Environmental Design (S-DHDP-ED) in increasing daily outdoor activities for cognitively impaired individuals and not cognitively impaired (NCI) elderly residents.
We applied the S-DHDP-IHD to 2 households of patients with mild cognitive impairment (MCI) and early-stage vascular dementia (VD). We assessed the effectiveness of intervention by surveys and video recordings of daily tasks. Additionally, we applied the S-DHDP-ED to 5 community facilities and randomly selected 287 residents over 65 years old (32 dementia caregivers and 255 NCI elderly) to participate in surveys.
S-DHDP-IHD intervention showed improved instrumental activities in MCI patient and early-stage VD patient. Also, the satisfaction with an intervened home environment was increased. Following S-DHDP-ED intervention, non-demented residents engaged in more outdoor and social activities. They were also satisfied with the function and design of the installed facilities.
S-DHDP encompassing both home and environmental improvements was effective in readapting cognitively impaired individuals and could achieve a customized, holistic approach to dementia caregiving by means of the improved design.
韩国人口快速老龄化以及老年痴呆患者数量增加已成为主要的社会问题。环境设计作为治疗痴呆患者的重要辅助手段，其重要性日益得到认可，不亚于药物治疗。我们开展了一项试点研究，以调查首尔痴呆症康复设计项目室内设计（S-DHDP-IHD）对改善认知障碍患者生活质量的效果，以及S-DHDP环境设计（S-DHDP-ED）对增加认知障碍个体和非认知障碍（NCI）老年居民日常户外活动的效果。
我们将S-DHDP-IHD应用于2户轻度认知障碍（MCI）和早期血管性痴呆（VD）患者家庭。我们通过日常任务的调查和视频记录来评估干预效果。此外，我们将S-DHDP-ED应用于5个社区设施，并随机选择287名65岁以上居民（32名痴呆症护理人员和255名NCI老年人）参与调查。
S-DHDP-IHD干预显示MCI患者和早期VD患者的工具性活动有所改善。此外，对干预后的家庭环境的满意度也有所提高。在S-DHDP-ED干预后，非痴呆居民参与了更多的户外活动和社交活动。他们对所安装设施的功能和设计也很满意。
涵盖家庭和环境改善的S-DHDP在使认知障碍个体重新适应方面是有效的，并且可以通过改进设计实现针对痴呆症护理的定制化、整体化方法。
