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A qualitative and quantitative investigation of effects of indoor built environment for people with dementia in care and attention homes

机译：定性和定量研究室内建筑环境对养老院中老年痴呆症患者的影响

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The demented elderly have physical, emotional and behavioral patterns that differ from those of the normal elderly, and those patterns differentiate their needs in terms of the indoor built environment (IBE). Therefore, it is essential to investigate the effects of the IBE on the quality of life (QoL) of the demented elderly. To ensure the study's reliability and validity, multiple research methods were applied, including qualitative methods (i.e., an interview) and quantitative ones (i.e., a questionnaire survey). In total, 96 demented elderly residents and 18 caregivers from eight care and attention (C&A) homes were involved in the current study. Based on the data collection, an IBE-QoL model was developed using a reliability test, correlation analysis and regression analysis. The model confirmed the following: 1) building services factors - lighting, temperature, lifts and water supply - predict demented elderly residents' physical health, psychological health, independence, activities of daily living and social relationships; and 2) supporting facilities factors - signage, finishes and furniture - also exert a positive impact on the residents' physical health, activities of daily living, social relationships and cognitive functioning. Practical recommendations are made, including that C&A homes provide access to a sky garden on each floor, label water taps with hot/ cold signs, provide signage with iconic information at different strategic locations, employ color contrasting finishes in different rooms, use historical furniture, and so on. This study's results provide valuable insight into improving C&A homes' IBE in order to enhance the QoL of the demented elderly.
机译：痴呆的老年人的身体，情感和行为方式与正常老年人不同，这些方式根据室内建筑环境（IBE）区分了他们的需求。因此，研究IBE对痴呆老年人的生活质量（QoL）的影响至关重要。为了确保研究的可靠性和有效性，应用了多种研究方法，包括定性方法（即访谈）和定量方法（即问卷调查）。总共有来自8个护理和看护（C＆A）住所的96名痴呆的老年居民和18名护理人员参与了本研究。基于数据收集，使用可靠性测试，相关分析和回归分析开发了IBE-QoL模型。该模型证实了以下内容：1）建筑服务因素-照明，温度，电梯和供水-预测痴呆的老年人的身体健康，心理健康，独立性，日常生活活动和社会关系； 2）辅助设施因素-标牌，饰面和家具-也对居民的身体健康，日常生活活动，社会关系和认知功能产生积极影响。提出了一些实用的建议，包括在C＆A住宅中提供通往每个楼层空中花园的通道，在水龙头上贴上热/冷的标志，在不同的战略位置向标牌提供标志性信息，在不同的房间使用对比色的饰面，使用历史悠久的家具，等等。这项研究的结果为改善护理安老院的IBE，以提高老年痴呆症患者的生活质量提供了宝贵的见识。

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