Sun Joanna, Brennan Sumiyo, Doan Therese
Wicking Dementia Research and Education Centre, University of Tasmania, Hobart, TAS, Australia.
Institute for Gerontology, J. F. Oberlin University, Tokyo, Japan.
Front Dement. 2025 Feb 3;4:1470066. doi: 10.3389/frdem.2025.1470066. eCollection 2025.
This study explores the underpinning definitions associated with familiarity in the context of dementia inclusive design and nursing home environment.
Environmental design in nursing homes impacts the quality of life and care of residents with dementia. One of the key principles of design is the need for the environment to achieve a sense of familiarity. However, there are divergent perspectives regarding the term "familiarity." Inconsistent definitions are challenging to understand, and they continue to impact the implementation of good design. To that end, this scoping review examines the definitions and associated with familiarity, dementia, and the design of nursing home environments.
The Arksey and O'Malley methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews ensure the rigor of the scoping review. Searches were conducted using six databases for peer-reviewed publications in English from 1991 to 2023. Search terms included "dementia," "nursing home," "long-term care," "familiar," "familiarity," and "environments."
The searches yielded 245 publications. Of those, 46 studies from 19 countries were included in this review. The review uncovered three central themes and compelling evidence citing the inclusion of homelike environments. Emphasis on design considerations includes the wellbeing of the designated population and the need to embrace multisensory integration in the design process.
A strong link exists between familiarity and key design considerations, such as a homelike environment, wellbeing, and multisensory integration. These considerations can enhance the effectiveness of the design of familiar environments.
本研究探讨在痴呆症包容性设计和养老院环境背景下与熟悉度相关的基础定义。
养老院的环境设计会影响痴呆症患者的生活质量和护理质量。设计的关键原则之一是环境需要营造一种熟悉感。然而，对于“熟悉度”一词存在不同观点。定义不一致难以理解，并且持续影响良好设计的实施。为此，本范围综述考察与熟悉度、痴呆症及养老院环境设计相关的定义。
采用阿克西和奥马利的方法框架以及系统评价和Meta分析扩展版的范围综述报告规范，以确保范围综述的严谨性。使用六个数据库检索1991年至2023年以英文发表的同行评审出版物。检索词包括“痴呆症”“养老院”“长期护理”“熟悉的”“熟悉度”和“环境”。
检索共得到245篇出版物。其中，来自19个国家的46项研究纳入本综述。该综述发现了三个核心主题，并有力证据表明需要纳入类似家庭的环境。对设计考量的强调包括特定人群的福祉以及在设计过程中融入多感官整合的必要性。
熟悉度与关键设计考量之间存在紧密联系，如类似家庭的环境、福祉和多感官整合。这些考量可提高熟悉环境设计的有效性。
