Dying of Boredom: An Exploratory Case Study of Time Use, Apparent Affect, and Routine Activity Situations on Two Alzheimer's Special Care Units
Dying of Boredom: An Exploratory Case Study of Time Use, Apparent Affect, and Routine Activity Situations on Two Alzheimer's Special Care Units
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DOI：
10.5014/ajot.63.3.337
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发表时间：
2009-05-01
影响因子：
2.9
通讯作者：
Hooper, Barbara
中科院分区：
文献类型：
--
作者：
Wood, Wendy;Womack, Jennifer;Hooper, Barbara
这项工具性案例研究的目的是探讨两个阿尔茨海默病特别护理单元(SCU)和两个居民生活质量(QOL)指标-日常时间使用和情绪幸福感-之间的日常活动情况之间的相互关系。14名居民参加了这次活动。我们使用计算机辅助的直接观察收集了四个12小时内的数据，并计算了活动情况与QOL指标的关联以及QOL指标在活动情况下和每天按设施进行的平均持续时间。我们比较了不同设施的QOL指标的平均持续时间，并分析了2名居民的时间使用概况。我们发现，参与者的活动参与能力和情绪活力在两个SCU中都很少表现出来。生活质量下降可归因于参与者的痴呆症相关损伤，以及对他们的职业需求、主动性和能力关注不足。研究结果呼吁职业治疗师作为教育者、导师和顾问参与进来，以提高日常活动情景的有效性，通过日常职业来促进生活质量。
The objective of this instrumental case study was to explore interrelationships among routine activity situations on 2 Alzheimer's special care units (SCUs) and 2 resident quality-of-life (QoL) indicators: daily time use and emotional well-being. Fourteen residents participated. We collected data across four 12-hr days using computer-assisted direct observations and computed associations of activity situations with QoL indicators and mean durations of QoL indicators in activity situations and daily by facility. We compared mean durations of QoL indicators across facilities and analyzed time-use profiles of 2 residents. We found that participants' capacities for activity engagement and emotional vitality were infrequently expressed at both SCUs. Diminished QoL was attributable to participants' dementia-related impairments coupled with insufficient attention to their occupational needs, initiatives, and capacities. Findings call for occupational therapists' involvement as educators, mentors, and consultants to enhance the effectiveness of routine activity situations in promoting QoL through everyday occupations.