小規模家樣型失智症特別照護單位之環境特色--以歐洲國家經驗為例_

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題名：	小規模家樣型失智症特別照護單位之環境特色--以歐洲國家經驗為例
書刊名：	嘉南學報. 人文類
作者：	郭姵伶／曾淑芬／陳惠芳／顏童文／李宗潔
作者(外文)：	Kuo, Pei Ling／Tseng, Su Feng／Chen, Hui Fang／Yen, Tung Wen／Lee, Chung Chieh
出版日期：	2012
卷期：	38
頁次：	頁647-658
主題關鍵詞：	小規模；家樣；照護環境；失智症；特別照護單位；Small scale；Homelike；Care environment；Dementia；Special care unit
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:1 共同引用:5 點閱:110

為能更了解歐洲國家目前發展小規模家樣型照護單位的經驗，並參考其發展重點，本文將藉由文獻回顧方式，整理出歐洲國家在小型家樣式失智症照護單位的環境特色，以作為我國未來改進失智症照護專區計畫的參考。本研究係以PubMed、Medline、Elsevier SDOL、及ProQuest Nursing and Allied Health Source 等資料庫進行搜尋，主要以1980 年至今以英文發表之研究報告為分析對象，並以「dementia 」、「small unit」、「homelike environment」等關鍵字，針對篇名與摘要進行搜尋，最後在限制研究區域、照護單位特性及家庭式生活環境理念等條件下篩選出大約30 篇研究報告進入分析。本研究文獻整理主要分析失智症照護單位設置、家樣式社會照護環境、失智症住民特性、及照護單位營運成本等環境特色，從歐洲的實施經驗也顯示照護單位給予照顧人員的關懷與培訓是不可少的，以確保照護環境能維持像”家” 一樣的生活環境氣氛，本文所分析各國在小規模家樣形的照護環境特色，將有助於我國未來檢討改進相關計畫的參考。

以文找文

The purpose of this study was to explore the developmental emphasis of dementia care unit in European countries, and to sort out the small and homelike environmental feature of dementia care units as a reference for improve the program of the special care units program of our country in the future. This article was searched for references with various electronic databases, including PubMed, Medline, Elsevier SDOL, and ProQuest Nursing and Allied Health Source. English publications from 1980 until 2010 were included in the review. Search terms included dementia, small unit, homelike environments et al. Articles were screened for relevance based on title and abstract and restrictions the prerequisite to the research region, care unit feature, and home for life concept for the screening. Of which 30 were included in the final selection of publications. This article was analyzed with the environmental feature of dementia care unit setting, homelike social care environment, residents’ characteristics and costs. It also showed the appropriate staff training and education is essential and would be helpful in keep the homelike Atmosphere within the care environment. The Analysis of the national environmental characteristics of European would contribute to future improvement of dementia special care unit program in our country.

以文找文

期刊論文
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17.	Sloane, P. D.、Mitchell, C. M.、Preisser, J. S.、Phillips, C.、Commander, C.、Burker, E.(1998)。Environmental correlates of resident agitation in Alzheimer's disease special care units。Journal of the American Geriatrics Society，46，862-869。
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22.	Zeisel, J.、Silverstein, N. M.、Hyde, J.、Levkoff, S.、Lawton, M. P.、Holmes, W.(2003)。Environmental correlates to behavioral health outcomes in Alzheimer's special care units。The Gerontologist，43(5)，697-711。
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24.	黃耀榮(20040100)。失智症照護空間之現況問題與建構趨勢。長期照護雜誌，7(4)，352-354。延伸查詢
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27.	曾思瑜(20090900)。美日兩國有關高齡者照護環境評估量表之比較分析。建築學報，69，191-210。延伸查詢
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29.	Verbeek, H.、Van Rossum, E.、Zwakhalen, S. M. G.、Kempen, G. I. J. M.、Hamers, J. P. H.(2009)。Small, homelike care environments for older people with dementia: a literature review。International Psychogeriatrics，21(2)，252-264。
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31.	Cherry, B.、Carpenter, K.、Waters, C.、Hawkins, W. W.、McGrew, P.、Satterwhite, L. J.、Herring, K.(2008)。Social Compatibility as a Consideration in Caring for Nursing Home Residents With Dementia。Am J Alzheimers Dis Other Demen，23(5)，430-438。
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會議論文
1.	van Hoof, J.、Kort, H. S. M.(2006)。Healthy living environments for older adults with dementia。The 8th International Conference Healthy Buildings，(會議日期: 2006/06/04-06/08)。Lissabon, Portugal。89-93。

學位論文
1.	Janzen, W. M.(2000)。Family members caring for relatives with Alzheimer's disease in long-term care facilities. Unpublished dissertation(碩士論文)。University of Alberta。

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1.	Lieberman, M. A.、Tobin, S. S.(1983)。The experience of old age: stress, coping and survival。New York：Basic Books。
2.	Marshall, M.(1993)。Small scale, domestic style, long stay accommodation for people with dementia。Stirling：Dementia Services Development Centre, University of Stirling。
3.	Moise, P.、Schwarzinger, M.、Um, M.(2004)。Dementia care in 9 OECD countries: a comparative analysis。Paris：OECD。
4.	Tobin, S. S.、Lieberman, M. A.(1976)。Last home for the aged。San Francisco, CA：Jossey-Bass。
5.	Verbeek, H.、van Rossum, E.、Zwakhalen, S. M. G.、Kempen, G. I. J. M.、Hamers, J. P. H.(2008)。Small-scale living for older people with dementia. A descriptive study of the situation in the province of Limburg。Maastricht：Maastricht University Press。
6.	Cohen, U.、Weisman, G. D.(1991)。Holding on to home: Designing environments for people with dementia。Johns Hopkins University Press。
7.	Judd, S.、Phippen, P.、Marshall, M.(1998)。Design for dementia。London：Hawker publications。

其他
1.	Wimo, A.，Morthenson Ekelof, C.(2004)。OECD case study on dementia，Stockholm：Stiftelsen Stockholms läns Äldrecentrum。，https://www.demenscentrum.se/sites/default/files/globalassets/fou_pdf/04_aldrecentrum_oecd.pdf。

圖書論文
1.	Kahana, E.(1982)。A Congruence model for person environment Interaction。Aging and the Environment: Theoretical Approaches。New York：Springer。
2.	Lawton, M. P.(1982)。Competence, environmental press, and the adaptation of older people。Aging and the Environment: Theoretical Approaches。New York：Springer。

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