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Multi-Sensory Environment and Agitated Behavior in Ageing Residents with Dementia
이숙영,아그네타모렐리 대한건축학회 2010 Architectural research Vol.12 No.1
This research paper explores selected behavioral outcomes of a multi-sensory environment. An experimental study was conducted at a specialized facility for the ageing in Sweden. The objective was to explore the effects of agitated behaviors of ageing residents with dementia and to identify any short-term effects. Appointed nursing staff was instructed to record physically and verbally agitated behaviors on three occasions; pre-session, mid-session, and post-session. Over seven months, nine participants received sixty-one sessions in the multi-sensory room. ANOVA and Post hoc multiple comparisons were performed to identify the differences in mean between each session. Generally irritated/frustrated behavior and eating/drinking non foods revealed statistically significant differences, while there were no significant results in verbally agitated behavior. One short-term effect was observed in one agitated category; a reduction of generally irritated/frustrated behavior. These results suggest that the multi-sensory environment can have positive effects on some manifestations of agitated behavior. This study proposes that a multi-sensory environment may be recommended as an alternative intervention for physically agitated behavior among this category of residents. However, more research is needed to understand the specific effects and the best use of the multi-sensory environment for this population.
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논문 : 포커스그룹 인터뷰를 통한 통합감각환경이 치매노인에게 미치는 영향
이숙영 ( Sook Young Lee ),아그네타모렐리 ( Agenta Morelli ) 디자인융복합학회 2010 디자인융복합연구 Vol.9 No.6
본 연구는 통합감각공간이 치매노인에게 미치는 영향을 알아보기 위해 스웨덴의 프래밍가단 치매노인시설의 협조하에 진행되었다. 이 시설안에 계획된 통합감각공간인 화이트룸에 치매노인과 담당간호사가 머무르고 있는 동안 치매노인들의 행동, 태도 및 감정 등을 관찰, 기록하게 하였다. 약7개월간 총 61회 관찰이 실행된 후 참여한 담당간호사 8명을 대상으로 포커스 그룹 인터뷰를 실시하여 통합감각공간에 대한 이들의 생각과 의견을 질문하였다. 이를 통해 얻은 자료를 질적 자료분석 소프트웨어인 NVivo를 이용하여 분석하였다. 전체적으로 통합감각환경은 치매노인들에게뿐 아니라 간호사들에게도 긍정적인 영향을 미쳤으며 특히 치매노인들의 차분함이 증가되었고 노인과 간호사와의 관계에도 긍정적인 영향을 준 것으로 나타났다. 한편 통합감각공간에 대한 거리낌과 비선호하는 부정적인 반응이 치매노인들에게 나타났으며 이러한 결과들을 고려하였을 때 치매노인 각 개인의 특성과 기호, 현 상태를 충분히 파악한 후 실행한다면 더 나은 치료의 효과까지도 기대해 볼 수 있다. This paper explores the effects of multi-sensory environment on people with dementia through a focus group interview with nursing staff at a dementia facility for the aging in Sweden. Appointed nursing staff was instructed to observe the behavior and emotional response of nine participating residents during sessions in a multi-sensory room. Eight nursing staff carried out a total of sixty-one sessions during a period of seven months. The focus group interview was performed to identify behavior responses during time spent in the multi-sensory room. Overall, the multi-sensory environment showed positive aspects such as an increased calming effect and provided an opportunity for a close nurse-resident bond. Meanwhile, there were negative aspects in terms of resident`s reluctance to enter the room. An important factor was making the right decision on the time and the way to use the room. It appears essential to involve the staff or a guardian who understand the resident`s condition and symptom in order to produce the most positive effect of the multi-sensory room.
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