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首页> 外文期刊>International journal of older people nursing >People with dementia and the hospital environment: The view of patients and family carers
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People with dementia and the hospital environment: The view of patients and family carers

机译：痴呆症患者和医院环境：患者和家庭护理人员的观点

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Background: A metropolitan geriatric evaluation and management (GEM) facility in Australia was undergoing expansion, and consideration for the needs of individuals with dementia and their family carers was identified as important in planning the new facility. Existing literature revealed that people in hospital value privacy, minimal noise, family amenities and homeliness, but these findings did not consider the perspectives of the person with dementia specifically. Aim: The aim was to elicit the perspectives of current inpatients with dementia, and their family carers, about the environment/design features that they believe are necessary for people with dementia, and their family carers. Method and design: This qualitative study utilised in-depth semi-structured interviews to obtain information from current inpatients with dementia and their family carers. Results: Participants described how the care received was more important than the physical environment; however, participants also valued homeliness, privacy for the patient and for conversations, a shared space without a television and a connection to the outside. Participants described how accommodating carers, providing quiet spaces and appropriate amenities were also important. Conclusions: While participants valued care over the physical surroundings, they also offered valuable information about their experience in the ward environment. Despite cognitive difficulties, people with dementia were able to provide useful information about the environment within which they were being cared. Implications for practice: Consumer opinions about hospital design/environment should be considered as an important source of data. Privacy and personal space for people with dementia and their family carers, a connection with the outside environment, and the needs of carers and visitors are all important considerations when designing healthcare environments.
机译：背景：澳大利亚的大都会老年医学评估和管理（GEM）设施正在扩建中，在规划新设施时，考虑到痴呆症患者及其家庭护理人员的需求已被认为很重要。现有文献表明，医院里的人们非常重视隐私，噪音最小，家庭设施和居家环境，但是这些发现并未具体考虑痴呆症患者的观点。目的：目的是就目前认为患有痴呆症的住院患者及其家庭护理人员，对他们认为对于痴呆症患者及其家庭护理人员而言必不可少的环境/设计特征发表看法。方法和设计：这项定性研究利用深入的半结构化访谈从当前的痴呆症患者及其家庭护理人员那里获取信息。结果：参与者描述了所得到的护理比身体环境更重要。但是，参与者还重视居家环境，患者和对话的私密性，没有电视的共享空间以及与外界的连接。与会者描述了如何容纳照顾者，提供安静的空间和适当的便利设施也很重要。结论：尽管参与者重视对周围环境的关心，但他们还提供了有关病房环境中的宝贵经验的信息。尽管存在认知障碍，但痴呆症患者仍能够提供有关其所处环境的有用信息。对实践的影响：消费者对医院设计/环境的意见应被视为重要的数据来源。在设计医疗保健环境时，痴呆症患者及其家庭照顾者的隐私和个人空间，与外部环境的联系以及照顾者和访客的需求都是重要的考虑因素。

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