치매성 고령자를 위한 노인요양시설의 치료적 환경평가척도 개발에 관한 연구 - TESS-NH 환경평가척도 분석을 중심으로
A Study on the development therapeutic environmental rating scales for the elderly people with dementia in nursing homes - Focused on the TESS-NH environmental rating scale Analysis
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Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people withdementia is becoming a big social issue. Therefore, this paper studies the development of therapeuticenvironmental rating scales for the elderly people with dementia in korean nursing homes. Methods: We identify the development process and structure of TESS-NH and understand the detailsof its nature and features. Then, based on the detailed items, we provide major scale factorswhich do influence on therapeutic environmental rating scales using PCA. Results: In the results,TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environmentsfor a short period of time. TESS-2 + sets a large rage of activities of the elderly people withdementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessmentfeatures for improving quality of care (Quality of Care) On the other hand, the main factorsaffecting the therapeutic environmental rating scales in nursing homes are “a consideration forfacility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Carefor spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In thefuture, to develop the therapeutic environmental rating scales on Korea's dementia nursing home,we should actively consider cares of spaces and facility utilization which the residents (the elderlypeople with dementia) are more secure and comfortable.
Abstract
Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people withdementia is becoming a big social issue. Therefore, this paper studies the development of therapeuticenvironmental rating scales for the elderly people with dementia in korean nursing homes. Methods: We identify the development process and structure of TESS-NH and understand the detailsof its nature and features. Then, based on the detailed items, we provide major scale factorswhich do influence on therapeutic environmental rating scales using PCA. Results: In the results,TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environmentsfor a short period of time. TESS-2 + sets a large rage of activities of the elderly people withdementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessmentfeatures for improving quality of care (Quality of Care) On the other hand, the main factorsaffecting the therapeutic environmental rating scales in nursing homes are “a consideration forfacility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Carefor spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In thefuture, to develop the therapeutic environmental rating scales on Korea's dementia nursing home,we should actively consider cares of spaces and facility utilization which the residents (the elderlypeople with dementia) are more secure and comfortable.
참고문헌 (18)
- 김태민, "노인 삶의 질 향상을 위한 노인요양시설 친환경 설계기법에 관한 연구 –자연형 설계기법을 중심으로-", 한국인테리어디자인학회지, 20(6), pp.216~217 (2011)
- 김한덕, "노인요양시설운영의 만족도에 영향을 미치는 요인", 8(1), pp.270~271 (2013), 한국사회복지지원학회
- 박진경, "노인요양시설의 유니버설 디자인 적용성 평가 연구 - 부산지역 12개 시설을 중심으로 -", 한국실내디자인학회 논문집, 20(1), pp.3~13 (2011), 한국실내디자인학회
- 이연숙, "치매노인환경을 위한 선도적 디자인 지침의 체계 비교 분석", 대한건축학회논문집 계획계, 27(11)통권 : 227, pp.91~98 (2011), 대한건축학회
- 임채숙, "한국형 노인복지시설을 계획하기 위한 유니버설 공간․환경 디자인 지침 제안", 디자인학연구, 24(4), pp.67~78 (2011), 한국디자인학회
- 조주영, "물리적환경과 치유요소를 고려한 치매노인요양시설 치유환경 평가도구 연구", 대한건축학회연합논문집, 13(1), pp.101~110 (2011), 대한건축학회지회연합회
- 추연철, "노인요양시설의 이용특성 및 공간구성에 관한 연구", 한국농촌건축학회논문집, 12(3), pp.57~66 (2010), 한국농촌건축학회
- Day K., "The Therapeutic Design of Environments for People with Dementia:Areview of the Empirical Research", The Gerontological Society of America, The Gelontologist, 4(4), pp.397~416 (2000)
- Grant L. A., "Assessing environment in Alzheimer special care unit:The Nursing Unit Rating Scale", Research on Aging, 18, pp.275~291 (1996)
- JONAS E., "“Touching up” Communal Space of a Residential Home Setting: A Comparative Study of Tools for Assessing Changes in the Interior Architectural Space“", Journal of Housing For the Elderly, 25, pp.175~216 (2011)
- Kovach C., "Impacts of a therapeutic environment for dementia care", American Journal of Alzheimer’s Disease, pp.99~110 (1997)
- Lawton M. P., "Measurement in Elderly Chronic Care Population", pp.193~209 (1997), Springer Publishing Co
- Mooney, P., "The importance of exterior environment for Alzheimer residents: Effective care and risk management", Healthcare Management Forum, University of British Columbia, Landscape Architecture Program, 5(2), pp.23~29 (1992)
- Philip D., "Sheps Center for Health Services Research", University of North Carolina at Chapel Hill
- Sloane, "The Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH): an observational instrument for assessing the physical environment of institutional settings for persons with dementia", The journals of gerontology. Series B, Psychological sciences and social sciences, 57(2), pp.69~78 (2002)
- Thomas, D. W., "Ukrainian inpatient dementia care: A case study of two neuropsychiatric hospitals", School of Health Sciences, Eastern Michigan University, Ypsilantim, MI, United States, 7(2), pp.239~249 (2008)
- Weiseman G.D., "Aging in the Community: Living Arrangements and Mobility", Springer Publishing Co.,in press
- The Professional environmental assessment protocol, "Weiseman G.D.", School of Architecture, University of Wisconsin at Milwaukee, ~ (1996)
