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认知症老年人居家环境改造需求及效果研究

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目前,我国绝大多数认知症老年人在家中接受照护,照护者身心负担较重.记忆、判断、执行等能力的下降使得认知症老年人对居家环境有较为特殊的需求;已有研究表明,居住空间环境质量对其居家生活便利性、安全性有重要影响.当前我国正在大规模开展居家适老化改造工作,但鲜有针对认知症老年人的专业化改造项目.本文依托面向认知症老年人家庭的适老化改造项目,旨在对当前改造需求与后效进行评估.基于对195个家庭的入户调研与改造后回访,研究对认知症老年人居家空间环境现状问题、对不同类型辅具的满意度、以及未来的改造需求与意愿等进行了分析.研究结果表明,目前认知症老年人居家环境存在较多安全隐患,其发生跌倒、走失的比例高于普通老年人,改造中需要针对不同程度病症老年人身心特点进行改造与辅具适配,并引入智能化安全防护设备.研究结果能够为针对认知症老年人家庭的居家适老化改造提供一定参考.
A Study of Needs and Effects of Home Modification for the Dementia Elderly
Currently,the vast majority of people living with dementia in China receive care at home,and caregivers bear a heavy physical and mental burden.The decline in abilities such as memory,judgment,and execution means that people living with dementia have special needs for their home environment.Existing research has shown that the quality of the living environment has a great impact on their convenience and safety in daily life.At present,China is carrying out large-scale home modification projects for older adults,but there are few specialized renovation proj-ects for those with dementia.Based on the home modi-fication project for families with elderlies with dementia,this study aims to evaluate their current needs for home modification and the outcomes of the modification.Based on surveys and follow-up visits to 195 families,this study analyzed the current status of the home environment,their satisfaction with different types of assistive devices,and their needs and desires for future renovation.The results show that there are many safety hazards in the home envi-ronment of people living with dementia,and the incidence of falls and wandering is higher than that of older adults without dementia.Renovation needs to be tailored to the physical and mental characteristics of people with different degrees of dementia and intelligent safety protection equip-ment should be introduced.The results can provide some reference for home modification projects for families with people living with dementia.

elderly with dementiahome modificationphysical environmentneedeffect

李佳婧、李轶、费超、林翔

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北京建筑大学建筑与城市规划学院

上海春华秋实公益基金会

上海尽美长者服务中心

认知症老人 居家适老化改造 空间环境 需求 效果

2024

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清华大学,清华大学建筑设计研究院和中国建筑工业出版社联合主办

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影响因子:0.091
ISSN:1674-9073
年,卷(期):2024.(5)