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노인환자의 안전, 삶의 질, 건강향상을 위한 치유환경요소에 관한 연구 - 노인전문병원 및 노인요양시설 배경 외국연구문헌을 중심으로

A Study on Healing Environmental Factors that Promote Safety, Quality of Life, and Health of Elderly Patients - Focused on Studies Published in English in the Context of Geriatric Hospitals or Elderly Care Facilities

최영선
한국의료복지건축학회 (Korea Institute Of Healthcare Architecture)|2013.08|의료·복지 건축 (JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE)|제19권 제3호|pp. 7-19

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참고문헌

키워드

Health건강Geriatric Hospitals근거기반설계치유환경Evidence-Based Design노인전문병원Healing Environments
주제분류건축공학

초록

Purpose: The main objective of this paper is, first, to assess a body of research evidence that articulates the impact of environmental and design factors on safety, quality of life, and health of the elderly who reside in geriatric hospitals or other elderly care facilities and, second, to draw out design implications that can be incorporated into design process and design decisions to help create healing environments for the elderly. Methods: Extensive literature review has been conducted to identify rigorous empirical studies that link the design of elderly care facilities to health-related outcomes and scrutinized peer-reviewed articles published in many different fields including architecture, psychology, nursing to gerontology. Results: The review found a growing body of rigorous studies that identified physical environmental and design factors that improve safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities. Implications: The findings of the review can be translated to design decisions to promote safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities.

Abstract

Purpose: The main objective of this paper is, first, to assess a body of research evidence that articulates the impact of environmental and design factors on safety, quality of life, and health of the elderly who reside in geriatric hospitals or other elderly care facilities and, second, to draw out design implications that can be incorporated into design process and design decisions to help create healing environments for the elderly. Methods: Extensive literature review has been conducted to identify rigorous empirical studies that link the design of elderly care facilities to health-related outcomes and scrutinized peer-reviewed articles published in many different fields including architecture, psychology, nursing to gerontology. Results: The review found a growing body of rigorous studies that identified physical environmental and design factors that improve safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities. Implications: The findings of the review can be translated to design decisions to promote safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities.

참고문헌 (65)

  1. 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
  2. 삼정 KPMG 경제연구원, "주식회사 대한민국 다가올 10년을 말한다" (2011), 원앤원북스
  3. 양금석, "노인병원과 노인전문요양시설 생활공간의 이용에 관한 연구", 한국농촌건축학회논문집, 9(27), pp.103~110 (2007), 한국농촌건축학회
  4. 이병우, "치매전문요양시설 옥외공간의 현황분석에 관한 연구", 대한건축학회지회 연합회 학술발표대회 논문집, 11(1) (2006)
  5. 이숙영, "스노잘렌 공간이 치매노인 동요행동에 미치는 영향", 한국주거학회논문집, 19(4), pp.79~87 (2008), 한국주거학회
  6. Algase D. L., "Wandering: a dementia-compromised behavior", J Gerontol Nurs, 25(9), pp.10~16 (1999)
  7. Algase, D. L., "Wandering and the Physical Environment", American Journal of Alzheimers Disease and Other Dementias, 25(4), pp.340~346 (2010)
  8. Ancoli-Israel S., "Sleep fragmentation in patients from a 
nursing home", J Gerontol., 44, pp.18~ (1989)
  9. Alessi, C. A., "Randomized, controlled trial of a nonpharmacological intervention to improve abnormal sleep", wake patterns in nursing home residents, 2005, pp.53(5), 803~810
  10. Ancoli-Israel, S., "Variations in circadian rhythms of activity, sleep and light exposure related to dementia in nursing home patients", Sleep, 20, pp.18~23 (1997)
  11. Ancoli-Israel, S., "Increased light exposure consolidates sleep and strengthens circadian rhythms in severe Alzheimer's disease patients", Behavioral Sleep Medicine, 1(1), pp.22~36 (2003)
  12. Ancoli-Israel, S., "Sleep fragmentation in patients from a 
nursing home", J Gerontol., 44, pp.18–M21~ (1989)
  13. 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)
  14. Baker R., "Snoezelen: its long-term and short- term effects on older people with dementia", British Journal of Occupational Therapy, 60(5), pp.213~218 (1997)
  15. Barnes, S., "Space, choice and control, and quality of life in care settings for older people", Environment and Behavior, 38(5), pp.589~604 (2006)
  16. Barry E., "Preventing accidental falls among older people in long stay units", Irish Medical Journal, 94(6), pp.172~ (2001)
  17. Brandis S., "A collaborative occupational therapy and nursing approach to falls prevention in hospital inpatients", Journal of Quality in Clinical Practice, 19(4), pp.215~220 (1999)
  18. Beers M. H., "The Merck Manual of Geriatrics. 3rd ed", pp.48~52 (2000), Merck & Co
  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. Calkins, M. P., "Design for dementia: Planning environments for the elderly and confused" (1988), National Health Publishing
  21. Cohen-Mansfield, J., "Assessment of agitation", Int Psychogeriatr, 8, pp.233~245 (1996)
  22. Cohen-Mansfield, J., "Two studies of pacing in the nursing home", J Gerontol, 46(3), pp.M77~M83 (1991)
  23. 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)
  24. Dale, M. C., "Factors affecting survival of elderly nursing home residents", Int J Ger Psych., 16, pp.70~76 (2001)
  25. Detweiler, M. B., "Does a Wander Garden Influence Inappropriate Behaviors in Dementia Residents?", Am J Alzheimers Dis Other Demen, 23(1), pp.31~45 (2008)
  26. Detweiler, M. B., "Scheduled Medications and Falls in Dementia Patients Utilizing a Wander Garden", American Journal of Alzheimers Disease and Other Dementias, 24(4), pp.322~332 (2009)
  27. Epstein, M., "Therapeutic gardens: plant centered activities meet sensory, physical and psychosocial needs", Oreg J Aging, 9, pp.8~14 (1991)
  28. Espiritu, R. C., "Low illumination by San Diego adults : Association with atypical depressive symptoms", Biological Psychiatry, 35, pp.403~407 (1994)
  29. Fisher, A., "AMPS Assessment of Motor and Process Skills" (2003), Three Star Press Inc
  30. Fonda, D., "Sustained reduction in serious fall-related injuries in older people in hospital", Medical Journal of Australia, 184(8), pp.379~382 (2006)
  31. Haines, T. P., "Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial", British Medical Journal, 328(7441), pp.676~679 (2004)
  32. Hanson, J., "Continuing to care: Shaping identity through the material culture of the home, In Quality in later life: Rights, rhet- oric and reality", Proceedings of the British Society of Gerontology 30th Annual Conference, pp.178~182 (2001), University of Stirling
  33. Hitcho, E. B., "Characteristics and circumstances of falls in a hospital setting: a prospective analysis", Journal of General Internal Medicine: Official Journal of the Society for Research and Education in Primary Care Internal Medicine, 19(7), pp.732~739 (2004)
  34. Hope K. W., "The effects of multisensory environments on older people with dementia", Journal of Psychiatric and Mental Health Nursing, 5, pp.377~385 (1998)
  35. Jacobs, D., "Twenty-four hour sleep-wake patterns 
in a nursing home population", Psychol. Aging, 4, pp.352~356 (1989)
  36. Kallin, K., "Why the elderly fall in residential care facilities, and suggested remedies", Journal of Family Practice, 53(1), pp.41~52 (2004)
  37. Kane, R. A., "Resident outcomes in small-house nursing homes : A longitudinal evaluation of the initial green house program", Journal Of The American Geriatrics Society, 55(6), pp.832~839 (2007)
  38. Kitwood, T., "A new approach to the evaluation of dementia care", Journal of Advances in Health and Nursing Care, 1, pp.41~60 (1992)
  39. Oliver D., "Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review", Age and Ageing, 33(2), pp.122~130 (2004)
  40. Lawton, M. P., "The ecology of social relationships in hous-ing for the elderly", Gerontologist, 8(2), pp.108~115 (1968)
  41. Lawton, M. P., "The physical environment of the person with Alzheimer’s disease", Aging and Mental Health, 5(1), pp.S56~S64 (2001)
  42. Manabe, K., "Sleep patterns and mortality among elderly patients in a geriatric hospital", Gerontology, 46, pp.318~322 (2000)
  43. Marlowe, R. A., "Effects of environment on elderly state hospital relocates", Paper presented at: The 44th Annual Meeting of the Pacific Sociological Association (1973)
  44. McMinn, B. G., "Confined to barracks: The effects of indoor confinement on aggressive behavior among inpatients of an acute psychogeriatric unit", Am J Alzheimers Dis Other Demen, 15, pp.36~41 (2000)
  45. Mooney, P., "The importance of exterior environment for Alzheimer residents: effective care and risk management", Healthc Manage Forum, 5(2), pp.23~29 (1992)
  46. Cohen-Mansfield, J., "Assessment of agitation", IntPsychogeriatr, 8, pp.233~245 (1996)
  47. Morley, J. E., "Falls—where do we stand?", Mo Med, 104(1), pp.63~67 (2007)
  48. Lieberman, M. A., "Relocation research and social policy", Gerontologist, 14, pp.494~500 (1974)
  49. Namazi, K. H., "Pertinent autonomy for resi-dents with dementias : Modification of the physical environment to enhance independence", Am J Alzheimers Dis Other Demen, 7, pp.16~21 (1992)
  50. Passini, R., "Wayfinding in a nursing home for advanced dementia of the Alzheimer’s type", Environment & Behavior, 32(5), pp.684~710 (2000)
  51. Rappe, E., "Effects of garden visits on long-term care residents as related to depression", Horttechnology, 15(2), pp.298~303 (2005)
  52. Roger, B., "Effects of multi-sensory stimulation for people with dementia", Journal of Advanced Nursing, 43(5), pp.465~477 (2003)
  53. Rubenstein, L. Z., "Falls and their prevention, In Medical Care of the Nursing Home Resident: What Physicians Need to Know", pp.103~115 (1996), American College of Physicians
  54. Rule, B. G., "Design of institutions : Cognitive functioning and social interactions of the aged resident", Journal of Applied Gerontology, 11(4), pp.475~488 (1992)
  55. Joseph, A., "Presence and Visibility of Outdoor and Indoor Physical Activity Features and Participation in Physical Activity Among Older Adults in Retirement Communities", Journal of Housing for the Elderly, 19(3, pp.4) (2005), 141~
  56. Joseph, A., "Where Active Older Adults Walk : Understanding the Factors Related to Path Choice for Walking Among Active Retirement Community Residents", Environment and Behavior, 39(1), pp.75~105 (2007)
  57. Schnelle, J. F., "The nighttime environment, incontinence care, and sleep disruption in nursing homes", J Am GeriatrSoc, 41, pp.910~914 (1993)
  58. The Joint Commission, "Defining the problem of falls, In Reducing the Risk of Falls in Your Health Care Organization", pp.13~17 (2005), The Joint Commission
  59. Stolze, H., "Falls in frequent neurological diseases – prevalence, risk factors and aetiology", Journal of Neurology, 251(1), pp.79~84 (2004)
  60. Tinetti, M. E., "The nursing home life-space diameter. A measure of extent and frequency of mobility among nursing home residents", J Am Geriatr Soc, 38, pp.1311~1315 (1990)
  61. Tzeng, H. M., "The extrinsic risk factors for inpatient falls in hospital patient rooms", Journal of Nursing Care Quality, 23(3), pp.233~241 (2008)
  62. The role of the physical environment in the hospital of the21st century: A once-in-a-lifetime opportunity, "Ulrich, R.", The Center for Health Design, ~ (2004)
  63. 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)
  64. Verkaik, R., "The effects of psychosocial meth- ods on depressed, aggressive and apathetic behaviors of people with dementia: a systematic review", International Journal of Geriatric Psychiatry, 20, pp.301~314 (2004)
  65. Yao, L., "Environmental ambiance as a new window on wandering", West J Nurs Res, 28(1), pp.89~104 (2006)

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