본문 바로가기
KERD
논문KCI 등재

치매 환자의 배회에 영향을 주는 환경요소에 관한 연구- 체계적 문헌연구: 치매 환자를 위한 노인전문병원 및 요양시설을 중심으로

A Study on Environment-related Factors that Affect Wandering for People with Dementia - A Systematic Review of Literature: Focused on the Context of Long-term Care Facilities for People with Dementia

1

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류건축공학

초록

Purpose: This paper‘s main objective is to provide a systematic review of research evidence that articulates the impact of environment-related factors on wandering for people with dementia in the Long-term Care Facilities. Another objective of this study is to identify design implications that can be incorporated into design process and decisions to positively improve wandering abilities for people with dementia. Methods: Comprehensive literature review has been performed to investigate empirical studies and peer-reviewed articles published in many different fields including psychology, architecture, nursing to gerontology. Results: The review found studies that identified environment-related factors, affecting wandering for people with Dementia living in Long-term Care Facilities. Implications: The findings can help us understand wandering behavior and the recommendations in this research can serve as parts of considerations in practice that can help efficiently manage wandering abilities of people with dementia living in Long-term Care Facilities. Further studies with larger samples and various environmental conditions are required to confirm the findings in this study.

Abstract

Purpose: This paper‘s main objective is to provide a systematic review of research evidence that articulates the impact of environment-related factors on wandering for people with dementia in the Long-term Care Facilities. Another objective of this study is to identify design implications that can be incorporated into design process and decisions to positively improve wandering abilities for people with dementia. Methods: Comprehensive literature review has been performed to investigate empirical studies and peer-reviewed articles published in many different fields including psychology, architecture, nursing to gerontology. Results: The review found studies that identified environment-related factors, affecting wandering for people with Dementia living in Long-term Care Facilities. Implications: The findings can help us understand wandering behavior and the recommendations in this research can serve as parts of considerations in practice that can help efficiently manage wandering abilities of people with dementia living in Long-term Care Facilities. Further studies with larger samples and various environmental conditions are required to confirm the findings in this study.

참고문헌 (61)

  1. 김종환, "치매환자의 행태특성 분석을 통한 건축계획에관한 연구", 한국디지털 건축 인테리어학회 논문집, 6(2), pp.55~63 (2006)
  2. 김종환, "치매전문병원 물리적 환경요인 분석을 통한 건축계획연구 -시․도립 치매 전문병원의 주된 3가지 평면유형 사례를 중심으로-", 한국디지털건축인테리어학회 논문집, 8(2), pp.73~82 (2008), 한국디지털건축·인테리어학회
  3. "고령자 통계" (2014), 통계청[URL]
  4. 변영순, "시설치매노인의 문제행동과 환경적 특성에 관한연구", 9(2), pp.246~256 (2002)
  5. 배지연, "배회로의 시지각적 특성에 따른 치매노인의 경로선정과 위치선정에 관한 연구", 대한건축학회논문집 계획계, 20(6), pp.43~50 (2004), 대한건축학회
  6. 박진규, "치유환경 연구문헌 고찰 및 근거중심디자인(Evidence-Based Design) 활성화에 관한 연구 - 미국 치유환경 연구사례를 중심으로 -", 의료·복지 건축, 17(1), pp.41~50 (2011), 한국의료복지건축학회
  7. 송준아, "요양시설치매노인의배회행동", Journal of Korean Academy of Nursing, 38(1), pp.29~38 (2008), 한국간호과학회
  8. 경증치매자 보호를 위한 보험사의 치매신탁 도입방안, "정봉은", 보험연구원, ~, pp.보험연구원 조사자료집 2015-2 (2015)
  9. 최여진, "치매환자의 길찾기 향상을 위한 환경요소에 관한 연구 - 치매환자를 위한 노인전문병원 및 요양시설을 중심으로", 의료·복지 건축, 20(4), pp.27~38 (2014), 한국의료복지건축학회[DOI]
  10. 최영미, "치매거주자의 공간이용행태에 따른 치유환경요인에 관한 연구", 대한건축학회논문집 계획계, 23(5), pp.91~100 (2007), 대한건축학회
  11. 최영선, "노인환자의 안전, 삶의 질, 건강향상을 위한 치유환경요소에 관한 연구 - 노인전문병원 및 노인요양시설 배경 외국연구문헌을 중심으로", 의료·복지 건축, 19(3), pp.7~19 (2013), 한국의료복지건축학회
  12. 최유신, "치매병원 치매환자의 공영생활 고간 사용행태에관한 연구", 대한건축학회논문지 계획계, 15(5), pp.21~28 (1999)
  13. Algase, D.L, "Impact of light levels on wandering", pp.1997
  14. Algase DL, "Wandering and the physical environment", American journal of Alzheimer’s disease and other dementias, 25(4), pp.340~346 (2010)
  15. Altus DE, "Evaluating an electronic monitoring system for people who wander", American Journal of Alzheimer’s disease and other dementias, 15, pp.121~125 (2000)
  16. Baillon S., "A comparison of the effects of Snoezelen and reminiscence therapy on the agitated behavior of patients with dementia", International Journal of Geriatric Psychiatry, 19, pp.1047~1052 (2004)
  17. Baker R, "Effects of multi-sensory stimulation for people with Dementia", Journal of Advanced Nursing, 43(5), pp.465~477
  18. Brawley, E., "Alzheimer's disease: Designing the physical environment", American Journal of Alzheimer's Disease & Other Dementias, 7(1), pp.3~8 (1992)
  19. Brown C., "The adult sensory profile: measuring patterns of sensory processing", The American Journal of Occupational Therapy, 55(1), pp.75~82 (2001)
  20. Chafetz, P.K, "Two-dimensional grid is ineffective against demented patients exiting through glass doors", Psychology and Aging, 5, pp.146~114 (1990)
  21. Choi YS, "Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: a systematic review", Journal of Advanced Nursing, 67(12) (2011)
  22. Clarke, J, "Design for living", Nursing homes long term care management, 42(4), pp.8~11 (1993)
  23. Cohen-Mansfield, J., "The spatial distribution of agitation in agitated nursing home residents", Environment and Behavior, 22, pp.408~419 (1990)
  24. Cohen-Mansfield, J., "Two studies of Pacing in the Nursing home", Journal of Gerontology, 46(3), pp.77~83 (1991)
  25. Cohen-Mansfield, J., "The effects of an enhanced environment on nursing home residents who pace", Gerontologist, 38(2), pp.199~208 (1998)
  26. Cohen,U, "Holding on to home; Designing environments for people with dementia" (1991), Johns Hopkins University Press
  27. Collier, L., "Multisensory stimulation to improve functional performance in moderate to severe dementia--interim results", American Journal Of Alzheimer's Disease And Other Dementias, 25(8), pp.698~703 (2010)
  28. Coltharp, W., Jr., "WANDERING", Journal of Gerontological Nursing, 22(11), pp.5~10 (1996)
  29. Geriatrics: Evaluation of Interventions to prevent elopement among nursing home patients, "Connell, B.R", 35~, pp.Rehabilitation R&D Progress Reports, 35 (1998)
  30. Cooper, J., "Relation of cognitive status and abnormal behaviors in Alzheimer's disease", Journal of the American Geriatrics society, 38, pp.PP867~PP887 (1990)
  31. Dickinson, J.I., "The effects of visual barriers on exiting behavior in a dementia care unit", The Gerontologist, 35(1), pp.127~131 (1995)
  32. Dickinson, J.I., "Wandering behavior and attempted exits among residents diagnosed with dementia related illness: a qualitative approach", Journal of Women and Aging, 10(2), pp.23~34 (1998)
  33. Feliciano L, "Decreasing entry into a restricted area using a visual barrier", Journal of Applied behavior analysis, 37, pp.107~110 (2004)
  34. Hewawasam, L. C., "The use of two-dimensional grid patterns to limit hazardous ambulation in elderly patients with Alzheimer's disease", Nursing Times Research, 1(3), pp.217~227 (1995)
  35. Hiatt, L.G, "Alzheimer’s disease and Dementia", pp.309~332 (1988)
  36. Hughes, "Psychiatry in the elderly" (2002), Oxford University Press
  37. Kincaid, C, "The effect of a wall mural on decreasing four types of dor testing behavior", Journal of Applied gerontology, 42, pp.558~560 (2003)
  38. Margot-Cattin, I., "Access technology and dementia care: Influences on residents’ everyday lives in a secure unit", Scandinavian Journal of Occupational Therapy, 13(2), pp.113~124 (2006)
  39. Marquardt, G, "Dementia-friendly architecture:Environments that facilitate wayfinding in nursing homes", American Journal of Alzheimer's Disease & Other Dementia, 24(4), pp.333~340 (2009)
  40. Marquardt, G., "Wayfinding for people with dementia: A review of the role of architectural design", Health Environments Research & Design Journal, 4(2), pp.75~90 (2011)
  41. Mayer, R, "Does a mirror deter wandering in demented older people?", International Journal of Geriatric Psychiatry, 6, pp.607~609 (1991)
  42. Miskelly, F., "A novel system of electronic tagging in patients with dementia and wandering", Age and Ageing, 33, pp.304~306 (2004)
  43. Namazi, K. H, "Long-term memory cuing to reduce visuo-spatial disorientation in Alzheimer's disease patients in a special care unit", Am J Alzheimers Dis Other Demen, 6(6), pp.10~15 (1991)
  44. North American Nursing Diagnosis Association, "NANDA-I nursing Diagnoses: Definitions and Classification", pp.162~ (2009)
  45. North American Nursing Diagnosis Association, "Nursing diagnosis: Definitions and clarifications, 2001-2002", pp.206~207 (2001), NANDA
  46. Negley, E. N., "No exit: the effects of an electronic security system on confused patients", Journal of Gerontological Nursing, 16(8), pp.21~ (1990)
  47. Neville, C. C., "Implementing the wandering evidence for older people with dementia: Key issues for nurses and carers", International Journal of Older People Nursing, 1(4), pp.235~238 (2006)
  48. Nolan, B. A. D., "Using external memory aids to increase room finding by older adults with dementia", Am J Alzheimers Dis Other Demen, 16(4), pp.251~254 (2001)
  49. Nursing, "How to Help Your Wandering Clients", Home Health, 30(2), pp.6~7 (2000)
  50. Passini, R., "Wayfinding and dementia: some research findings and a new look at design", Journal of Architectural and Planning Research, 15(2), pp.133~151 (1998)
  51. Passini, R., "Wayfinding in a nursing home for advanced dementia of the Alzheimer’s type", Environment & Behavior, 32(5), pp.684~710 (2000)
  52. Perritt, Mitzi R., "Empirical findings suggest recommendations for carpet pattern and texture", Alzheimer’s Care Quarterly, 6(4), pp.300~305 (2005)
  53. Robinson L, "Effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia: a systematic review", Intranational Journal of Geriatric Psychiatry, 22, pp.9~22 (2006)
  54. Roger, B, "Effects of multi-sensory stimulation for people with dementia", Journal of Advanced Nursing, 43(5), pp.465~477 (2003)
  55. Rowe, M.A., "Antecedents, descriptions and consequences of wandering in cognitively- impaired adults and the safe return program", American Journal of Alzheimer’s disease and other dementias, 16(6), pp.344~352 (2001)
  56. Swanson, E. A., "Catastrophic reactions and other behaviors of Alzheimer’s residents: Special unit compared with traditional units", Archives of Psychiatric Nursing, 7, pp.292~299 (1993)
  57. Taiot PN, "The behavior rating scale for dementia of the consortium to establish a registry for Alzheimer’s disease: The behavioral pathology committee of the consortium to establish a registry for Alzheimer’s disease", Am J Psychiatry, 152, pp.1349~1357
  58. Thornburn JM, "Tactile sensitivity as a function of age", Journal of Gerontology, 36(1), pp.34~39 (1981)
  59. Ulrich, R., "The role of the physical environment in the hospital of the21st century: A once-in-a-lifetime opportunity" (2004), The Center for Health Design
  60. Ulrich, R.S, "A review of the research literature on evidence-based healthcare design", Health Environments Research & Design Journal, 1(3), pp.61~125 (2008)
  61. Zeizsel, "Best practices, An “environment behavior model for alsheimer special care units", The american Journal of alzheimer’s care and related Disorders & Research, pp.4~20 (1994)

이 간행물의 다른 논문 (6건)