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題名:高齡失智者室內居家環境設計準則之研究
書刊名:建築學報
作者:蔡淑瑩 引用關係李美慧何明錦 引用關係李曼萍陳鼎岳
作者(外文):Tsai, Shu-yingLi, Mei-hueiHo, Ming-chinLee, Man-pingChen, Ting-yueh
出版日期:2016
卷期:97
頁次:頁87-98
主題關鍵詞:高齡失智者居家環境行為障礙Seniors with dementiaInterior home environmentBehavioral disorder
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:7
  • 點閱點閱:467
根據2015年內政部統計台灣失智總人口約24.4萬人,目前約有9成之患者居住在家中,由於失智症為不可逆之精神疾病,營造友善舒適之居家環境有助於延緩病程。失智症患者並非喪失自我照顧能力,可以透過適當的環境塑造與生活的支持達到繼續生活的能力,不但可減少照顧者的負擔,也可兼顧失智者之心理狀態。本研究採用專家團體法、問卷法,就23位失智症患者及家屬進行問卷。研究結論為1.高齡失智者之行為障礙以焦躁不安與辨識障礙最多(48%),其次為幻覺妄想(43%)及徘徊遊走與憂鬱自發性減退(26%)。2.室內居家環境設計準則,除了一般原則外,還需考量正向刺激、安全性、辨識性、可及性及可實踐性。3.以失智者為中心的居家環境設計。本研究成果將供新建建築與舊建築進行環境改造時參考,期望能達到高齡失智友善環境之營造。
According to the Directorate-General of Budget, Accounting and Statistics in Taiwan the population of seniors with dementia is 244.000, and there are about 90% of seniors living in their original houses, because dementia is immutable mental illness, so to build the aged friendly interior environment for the senior with dementia could slowing disease. People who have the dementia are not losing their self-care ability. Therefore, if they have the appropriate environmental and the life support, they still have the self-care ability with the appropriate environmental and the life support. That's not only can reduce the burden for caregivers, but also can take care with the mentation for the seniors with dementia. In this research, observation and study 23 seniors with dementia, through focus group interview with the experts and questionnaire with the caregivers and patients. The results are as follows: 1. Behavioral disorders are most happen at impatient, and identification-ability (48%). Then, its hallucination (43%). After that, it's wandering walk and melancholy spontaneity loss (26%). 2. Design principle of indoor home environment. Besides that, still have to consider about the positive stimulation, safety, identification-ability, availability, and practicality. 3. Design principle for the living environment based on the needs for the seniors with dementia. This research result could create a design guidebook about the space perception and design principle of the elderly people with dementia, which can be used as a renovation reference for ordinary people, and construction industry. In the end, to build the aged friendly environment for the senior with dementia.
期刊論文
1.李翊駿(2013)。<2004京都宣言>:保障認知障礙症患者福祉的政策架構。Asian J Gerontol Geriatr,8,44-49。  延伸查詢new window
2.Morgan, D. G.、Stewart, N. J.(1997)。The importance of the social environment in dementia care。Western Journal of Nursing Research,19(6),740-761。  new window
3.曾思瑜(20091100)。採用日本PEAP照護環境評估量表的高齡者機構環境營造案例。建築師,35(11)=419,91-97。  延伸查詢new window
4.吳樺姍、林麗嬋(20090900)。營造失智症照護專區之物理及社會環境。長期照護雜誌,13(2),211-219。  延伸查詢new window
5.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。new window  延伸查詢new window
6.林碩彥(20090600)。高雄市舊社區失智老人友善環境設計問題之初探。城市發展,7,30-47。new window  延伸查詢new window
7.曾建堯、王佳惠、郭乃文(20080400)。失智症長期照護機構環境檢查量表之介紹。北市醫學雜誌,5(2),193-207。  延伸查詢new window
8.郭姵伶、曾淑芬、陳惠芳、李宗潔、顏童文(20121200)。失智症照護單位之環境要素:實證觀點。Medical Journal of South Taiwan,8(2),48-60。  延伸查詢new window
圖書
1.邱照華(2010)。精神科實習手冊。台北市:華杏出版機構。  延伸查詢new window
2.邱銘章、湯麗玉(2009)。失智症照護指南。台北市:原水文化出版。  延伸查詢new window
3.児玉桂子、古賀誉章、沼田恭子、下垣光(2010)。PEAPにもとづく認知症ケアのための施設環境づくり実践マニュアル。東京都:中央法規。  延伸查詢new window
4.児玉桂子(2008)。超高齢社会の福祉居住環境暮らしを支える住宅・施設・まちの環境整備。東京都:中央法規。  延伸查詢new window
5.坂本啓治(2007)。イラストでみる認知症高齢者のためのしつらえ--ユ二ットケアと小規模多機能施設。京都:学芸出版社。  延伸查詢new window
6.Burton, E.、Mitchell, L.(2006)。Inclusive Urban Design: Streets for Life。Oxford:Elsevier。  new window
7.Rahman, S.(2014)。Living Well with Dementia: The Importance of the Person and the Environment for Wellbeing。London:Radcliffe。  new window
單篇論文
1.靳燕玲(2013)。失智型長期照顧機構居住單元空間規劃之研究,內政部建築研究所。,https://ws.moi.gov.tw/Download.ashx?u=LzAwMS9VcGxvYWQvT2xkRmlsZV9BYnJpX0dvdi9yZXNlYXJjaC8yNDc2LzE0NDc5MzAxNTYxLnBkZg%3D%3D&n=Y29tcGxldGUucGRm。  延伸查詢new window
其他
1.天主教失智老人基金會(2012)。失智症照顧者使用手冊,http://www.cfad.org.tw/oldmanphoto/file/plan/carebook0426.pdf。  延伸查詢new window
2.行政院衛生福利部(2013)。行政院衛生署身心障礙鑑定類別、鑑定向度、程度分級及其基準,http://www.enable.org.tw/scope/pdf/20130806-2.pdf。  延伸查詢new window
3.身心障礙者服務資訊網(2015)。身心障礙者之分級與鑑定標準,http://disable.yam.org.tw/life/517。  延伸查詢new window
圖書論文
1.Lawton, M. P.(2000)。Quality of life depression, and end-of-life attitudes and behaviors。Physical Illness and Depression in Older Adults。Newyork:Plenum。  new window
 
 
 
 
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