Measuring physical and social environments in nursing homes for people with middle- to late-stage dementia.
Measuring physical and social environments in nursing homes for people with middle- to late-stage dementia.
复制标题
测量中晚期痴呆症患者疗养院的物理和社会环境。
DOI：
10.1111/j.1532-5415.2006.00851.x
复制
发表时间：
2006
影响因子：
6.3
通讯作者：
Reimer,Marlene
中科院分区：
文献类型：
--
作者：
Slaughter,Susan;Calkins,Margaret;Eliasziw,Michael;Reimer,Marlene
OBJECTIVES:To evaluate measures of dementia care environments by comparing a special care facility (SCF) with traditional institutional facilities (TIFs).DESIGN:A cross‐sectional comparative study of nursing home environments conducted as part of a longitudinal study on quality of life for residents with dementia.SETTING:Twenty‐four traditional nursing homes and one special care facility.PARTICIPANTS:One SCF with six distinct environments, 24 TIFs with 45 distinct environments, and 88 family members.MEASUREMENTS:Therapeutic Environment Screening Scale—2+ (TESS‐2+); Special Care Unit Environmental Quality Scale (SCUEQS), a subset of the TESS‐2+ items; Composite Above Average Quality Score (CAAQS), a composite score of all items on the TESS‐2+; and Models of Care Instrument (MOCI).RESULTS:The SCUEQS did not detect a significant difference between the SCF and the TIFs (30.0 vs 27.2,P=.28). The CAAQS detected a significant difference between the SCF and the TIFs, whereby the SCF environments were rated as having above‐average quality in 71.4% of the domains, compared with 57.3% for the TIF environments (95% confidence interval (CI) for difference=2.6–25.6%,P=.02). Using the MOCI, SCF families were 1.8 times as likely to rate the SCF as a home or resort versus a hospital as TIF families rating TIFs (95% CI for odds ratio=1.5–2.1,P<.001).CONCLUSION:The TESS‐2+ CAAQS differentiated between physical environments better than the more established SCUQES. The MOCI distinguished between environments using a more holistic approach to measurement. The availability of environmental measures that are able to discriminate between specialized and traditional long‐term care settings will facilitate future outcome‐based research.
