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Can a Virtual Nature Experience Reduce Anxiety and Agitation in People With Dementia? 虚拟自然体验能减少痴呆症患者的焦虑和躁动吗?
Pub Date : 2018-03-01 DOI: 10.1080/02763893.2018.1431583
Lori Reynolds, Susan D. Rodiek, M. Lininger, Ms Aubrey McCulley
ABSTRACT Research has found that viewing nature reduces stress and improves mood, but few studies have focused on the potential of viewing nature to reduce negative emotions associated with dementia. Using a counterbalanced design, 14 memory care residents were alternately exposed to a virtual nature experience (treatment) and a generational movie (control). Before and after each exposure, heart rate was measured, and emotions were assessed with the Observed Emotion Rating Scale and the Agitated Behavior Scale. Results are that heart rate declined significantly compared with the generational movie, and anxiety and pleasure showed greater improvements during the nature intervention, although the difference was not significant.
摘要研究发现,观看大自然可以减轻压力,改善情绪,但很少有研究关注观看大自然减少痴呆症相关负面情绪的潜力。使用平衡设计,14名记忆护理居民交替接触虚拟自然体验(治疗)和世代电影(对照)。在每次暴露前后,测量心率,并用观察情绪评定量表和激动行为量表评估情绪。结果显示,与同代电影相比,心率显著下降,在自然干预期间,焦虑和愉悦感表现出更大的改善,尽管差异并不显著。
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引用次数: 28
Listen to the Elders: Design Guidelines for Affordable Multifamily Housing for the Elderly Based on Their Experiences 聆听长者:基于长者经验的经济适用多户长者住宅设计指引
Pub Date : 2018-03-01 DOI: 10.1080/02763893.2018.1431585
Jung-hye Shin
ABSTRACT There is an increasing demand for affordable multifamily housing for a rapidly growing population of ethnic elders. Using the lived experiences of Korean American elders currently residing in affordable housing in the Midwest as one such example, this study seeks to develop design guidelines to meet the specific living needs and desires of this aging population. Verified against well-established building standards and accepted guidelines, these design recommendations lay the groundwork for multifamily housing that will assist elders to age in place in safer, healthier and happier environments.
随着少数民族老年人口的迅速增长,对经济适用的多户住宅的需求日益增加。以目前居住在中西部经济适用房的韩裔美国老年人的生活经历为例,本研究旨在制定设计指南,以满足这一老龄化人口的特定生活需求和愿望。根据完善的建筑标准和公认的指导方针,这些设计建议为多户住宅奠定了基础,这些多户住宅将帮助老年人在更安全、更健康和更快乐的环境中养老。
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引用次数: 7
Visiting the Allotment Garden—A Complete Experience 参观分配花园-完整的体验
Pub Date : 2018-03-01 DOI: 10.1080/02763893.2018.1431580
Nina E. Martens, H. Nordh, M. T. Gonzalez
ABSTRACT This study explored the experiences of healthy elderly regularly visiting the allotment gardens (AGs) in a large city of Norway. Semistructured interviews with eight elderly visitors were analyzed by applying Malterud's strategy for systematic text condensation. Three main themes evolved: AG as a context for social experience; AG as a context for restorative experiences; and AG as a context for reminiscence experiences. The findings underline the importance of AGs as a natural and cultural context and may encourage politicians and planners to take into consideration the importance of neighborhood outdoor contexts offering social, nature, and reminiscence experiences for elderly people.
摘要:本研究探讨挪威某大城市健康老年人定期参观分配花园(AGs)的体验。采用马尔特鲁德的系统文本浓缩策略对8位老年来访者的半结构化访谈进行分析。发展了三个主要主题:AG作为社会体验的背景;AG作为恢复性体验的背景;以及AG作为回忆体验的背景。研究结果强调了AGs作为自然和文化环境的重要性,并可能鼓励政治家和规划者考虑到社区户外环境为老年人提供社会、自然和回忆体验的重要性。
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引用次数: 6
Attitudes Toward Aging and Retirement Homes Before and After Entry Into a Retirement Home 进入养老院前后对老龄化和养老院的态度
Pub Date : 2018-01-02 DOI: 10.1080/02763893.2017.1393484
A. Seifert, H. R. Schelling
ABSTRACT The change of one's habitual living conditions in favor of institutionalized living in a retirement home can be a stressful event. Therefore, the question arises: How does entry into a retirement home affect attitudes toward one's life and aging and toward retirement homes? In order to answer this question, we used longitudinal data from 53 older individuals who were surveyed before and after entry into a retirement home. The data revealed that attitudes toward one's life and aging changed negatively and attitudes toward retirement homes changed positively; however, there are gains and losses in both attitudes.
摘要一个人习惯性生活条件的改变有利于养老院的制度化生活,这可能是一件有压力的事情。因此,问题来了:进入养老院如何影响人们对生活和老龄化以及对养老院的态度?为了回答这个问题,我们使用了53名老年人的纵向数据,他们在进入养老院前后接受了调查。数据显示,人们对生活和老龄化的态度发生了负面变化,对养老院的态度也发生了积极变化;然而,这两种态度都有得失。
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引用次数: 11
The Seniors' Outdoor Survey (SOS Tool): A Proposed Weighting and Scoring Framework to Assess Outdoor Environments in Residential Care Settings 老年人户外调查(SOS工具):一个建议的加权和评分框架来评估住宿护理机构的户外环境
Pub Date : 2018-01-02 DOI: 10.1080/02763893.2017.1393489
Eric Bardenhagen, Susan D. Rodiek, Adeleh Nejati, Chanam Lee
ABSTRACT Spending time outdoors offers substantial health benefits for older adults. However, in long-term care settings, outdoor areas may fail to adequately support elderly residents' needs and preferences. The Seniors' Outdoor Survey (SOS Tool) was recently developed to help users evaluate outdoor areas and indoor–outdoor connections in residential facilities for seniors, by rating 60 environmental features on a 1–7 scale. This article proposes a weighting strategy to approximate the relative importance of different items on the tool, according to their potential level of support for resident usage and preferences. A standardized scoring system will allow multiple stakeholders to apply the results to research, design, construction, and renovation projects.
花时间在户外为老年人提供了大量的健康益处。然而,在长期护理环境中,户外区域可能无法充分支持老年居民的需求和偏好。最近开发的老年人户外调查(SOS工具)通过对60个环境特征进行1-7级的评分,帮助用户评估老年人住宅设施的室外区域和室内外连接。本文提出了一种加权策略,根据对居民使用和偏好的潜在支持水平,来近似工具上不同项目的相对重要性。一个标准化的评分系统将允许多个利益相关者将结果应用于研究、设计、建设和改造项目。
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引用次数: 7
The Residential Mobility of Seniors Among Different Residential Forms: Analysis of Metropolitan and Rural Issues for Six Contrasted Regions in Québec, Canada 不同居住形式下老年人的居住流动性:加拿大魁省六个对比地区的都市与农村问题分析
Pub Date : 2018-01-02 DOI: 10.1080/02763893.2017.1393488
G. Marois, S. Lord, Paula Negron-Poblete
ABSTRACT The purpose of this research is to describe and analyze the residential mobility of senior citizens, between 2006 and 2011, among different residential forms in rural and metropolitan areas in the province of Quebec (Canada). A systematic analysis of residential form variability in territories that include both metropolitan and rural areas is performed. First, a typology of residential forms is proposed using a principal component analysis and a hierarchical cluster analysis on environment-related and housing variables. Second, the residential mobility of seniors among these different residential forms is analyzed. The results reveal a certain amount of residential stability among seniors, except where specific conditions are met, such as the death of a spouse or the onset of health problems limiting day-to-day activities. For those who moved, high-rise habitat areas and mixed areas with older rental apartments held the greatest attraction. However, suburban areas attracted the largest number of seniors because these areas account for a sizeable portion of the real estate market.
摘要本研究旨在描述和分析2006年至2011年间,加拿大魁北克省农村和大都市地区不同居住形式的老年人的居住流动性。对包括大都市和农村地区在内的地区的居住形态变异性进行了系统分析。首先,使用主成分分析和层次聚类分析,对环境相关变量和住房变量提出了住宅形式的类型学。其次,分析了老年人在不同居住形态中的居住流动性。研究结果显示,老年人的居住状况有一定的稳定性,除非满足特定条件,如配偶死亡或出现限制日常活动的健康问题。对于那些搬家的人来说,高层居住区和有旧出租公寓的混合区最具吸引力。然而,郊区吸引了最多的老年人,因为这些地区在房地产市场中占据了相当大的份额。
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引用次数: 13
Perceptions of the Neighborhood Environment Associated With Walking at Recommended Intensity and Volume Levels in Recreational Senior Walkers 老年休闲步行者在推荐强度和步行量水平下对邻里环境的感知
Pub Date : 2018-01-02 DOI: 10.1080/02763893.2017.1393485
Susana Carrapatoso, Paula Silva, P. Colaço, J. Carvalho
ABSTRACT This study examined the relationship of perceived neighborhood environment factors with recommended volume and intensity of walking in recreational senior walkers. A sample of 85 seniors used an accelerometer and completed the ALPHA questionnaire. Binomial logistic regressions were conducted to detect associations. Perceptions about traffic safety (odds ratio [OR] = 4.395; 95% confidence interval [CI] = 1.024; 18.866) and pleasant environment (OR = 8.718; 95% CI = 1.803; 42.149) were positively related with the achievement of 10,000 steps per day, in older women. The perception of nearby parks was positively associated with the compliance with peak 30-minutes cadence above 100, in older men (OR = 14.353; CI 95% = 1.321; 15.591). No more significant associations were found between perceptions of the neighborhood environment and walking at recommended intensity and volume levels. These results indicated that community initiatives that encourage traffic safety, pleasant environment, and parks may be a promising direction to promote walking at recommended volume and intensity in senior walkers.
摘要本研究考察了老年休闲步行者的感知社区环境因素与推荐步行量和强度的关系。85名老年人的样本使用了加速度计,并完成了ALPHA问卷调查。进行二项逻辑回归来检测相关性。老年女性对交通安全的认知(比值比[OR]=4.395;95%置信区间[CI]=1.024;18.866)和宜人的环境(OR=8.718;95%CI=1.803;42.149)与每天10000步的成绩呈正相关。在老年男性中,对附近公园的感知与30分钟最高节奏超过100的依从性呈正相关(OR=14.353;CI95%=1.321;15.591)。在对周围环境的感知与以推荐的强度和音量水平行走之间没有发现更显著的关联。这些结果表明,鼓励交通安全、宜人环境和公园的社区举措可能是促进老年步行者以推荐的步行量和强度步行的一个有希望的方向。
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引用次数: 10
Aging in Which Place? Connecting Aging in Place with Individual Responsibility, Housing Markets, and the Welfare State 在哪个地方衰老?将老龄化与个人责任、住房市场和福利国家联系起来
Pub Date : 2018-01-02 DOI: 10.1080/02763893.2017.1393483
C. Martens
ABSTRACT This article proposes an analytical framework for the understanding of aging in place, and asks: Which housing alternatives are compatible with aging in place? Who are responsible for providing housing in old age? A literature review demonstrates that there is no agreement on the “place” in aging in place, but that aging in place policies entail joint individual and public responsibility for housing. An empirical example demonstrates different policy expressions of aging in place at national and local government levels in Norway. The article questions whether a need to move to receive care is compatible with aging in place.
摘要本文提出了一个理解就地老龄化的分析框架,并提出了以下问题:哪些住房替代方案与就地老龄化兼容?谁负责为老年人提供住房?一项文献综述表明,人们对就地老龄化的“位置”没有达成一致,但就地老龄化政策需要个人和公共共同承担住房责任。一个实证例子展示了挪威国家和地方政府对老龄化的不同政策表述。这篇文章质疑搬家接受护理的需求是否与当地的老龄化相适应。
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引用次数: 25
Implementing Multidisciplinary Wellness Programs in Subsidized Housing: University–Community Partnerships 在补贴住房中实施多学科健康计划:大学-社区伙伴关系
Pub Date : 2018-01-02 DOI: 10.1080/02763893.2017.1393486
S. Diwan, Megan C. Chang, S. Bajpai
ABSTRACT University–community partnerships (UCPs) are an important avenue for providing wellness services to seniors in subsidized housing, but there is sparse literature on this topic. The goals of this article are to (a) describe our UCP, which was unique in involving ethnically diverse older adults, and (b) discuss findings of an integrative literature review of UCP examples in subsidized housing. Results showed that UCPs typically received funding for program development and implementation; used multidisciplinary approaches to needs assessment and programming; and reported positive outcomes such as improvement in self-rated health or participant endorsements. This article provides insights and guidance for future UCPs that are much needed in subsidized housing.
摘要大学-社区伙伴关系(UCPs)是为补贴住房中的老年人提供健康服务的重要途径,但关于这一主题的文献很少。本文的目的是(a)描述我们的UCP,它在涉及不同种族的老年人方面是独特的,以及(b)讨论对补贴住房中的UCP实例的综合文献综述的结果。结果表明,UCP通常获得用于项目开发和实施的资金;采用多学科方法进行需求评估和拟订方案;并报告了积极的结果,如自我评价的健康状况或参与者认可的改善。本文为补贴住房中急需的未来UCP提供了见解和指导。
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引用次数: 2
Perceived Safety in Extra-Care Housing for Senior Residents 老年居民额外护理住房的安全感
Pub Date : 2018-01-02 DOI: 10.1080/02763893.2017.1393487
Lisbeth B. Lindahl, Morgan Andersson, J. Paulsson
ABSTRACT Extra-care housing (ECH) is a new housing model in Sweden, falling in between ordinary homes and sheltered housing. The perception of safety among residents living in ECH was explored with the use of in-depth interviews (n = 28, on average 83 years old). A qualitative thematic analysis resulted in a model of perceived safety in the housing environment consisting of four themes: being able to manage on my own; a safe social context; being able to stay; and protection and safety. The model can be used for information, planning, and development of ECH in general.
Extra-care housing (ECH)是瑞典的一种新型住房模式,介于普通住房和庇护住房之间。通过深度访谈(n = 28,平均年龄83岁)探讨了居住在ECH的居民的安全感知。定性专题分析产生了一个住房环境感知安全模型,该模型由四个主题组成:能够自己管理;安全的社会环境;留下来的:能够留下来的;还有保护和安全。该模型可用于一般ECH的信息、规划和开发。
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引用次数: 12
期刊
Journal of Housing for the Elderly
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