Activity participation and well-being of people with dementia in long-term-care settings
Activity participation and well-being of people with dementia in long-term-care settings
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DOI：
10.1177/153944920402400104
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发表时间：
2004-12-01
期刊：
影响因子：
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通讯作者：
Chung, JCC
中科院分区：
文献类型：
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作者：
Chung, JCC
本研究探讨了老年痴呆症疗养院居民从事的活动和他们的幸福状况。痴呆症护理映射被用来记录在6小时内从事的活动，以及43名参与者的福祉。该组的平均年龄为81岁，在疗养院的停留时间为27个月。14%的参与者的临床痴呆评分（CDR）为1分（轻度认知障碍），35%的CDR评分为2分（中度障碍），51%的CDR评分为3分（重度障碍）。结果表明，三个CDR组从事不同的活动。CDRI组比CDR 2组（p <0.001和p <0.05）和CDR 3组（p <0.001）显著更多地参与治疗/休闲活动和日常生活活动。相反，CDR 3组比CDRI组参与更多的被动活动（p < . 001），并且与其他两组相比有更少的社会互动和更多的消极行为（p <0. 05）。此外，他们的幸福感明显低于其他两组（p <0.001）。大多数参与者（82%）表现出较差或非常差的幸福感。由于更好的幸福感与积极和愉快的活动参与有关（tau =+0.67，p < .001），因此需要解决痴呆症低功能个体表现出的低水平活动参与。此外，进一步的研究表明，探讨可能的因素影响他们有限的活动参与。
This study examines the activities engaged in by nursing home residents with dementia and their states of well-being. Dementia Care Mapping was used to record the activities engaged in by, and the well-being of, 43 participants during a 6-hour period. The average age of the group was 81 years and length of stay at the nursing home was 27 months. Fourteen percent of participants had received a Clinical Dementia Rating (CDR) score of 1 (mild level of cognitive impairment), 35% had a CDR score of 2 (moderate impairment), and 51% had a CDR score of 3 (severe impairment). Results indicated that the three CDR groups engaged differently in activities. The CDRI group participated significantly more in therapeutic/leisure activities and activities of daily living than did the CDR2 group (p < .001 and p < .05) and CDR3 group (p < .001). Conversely, the CDR3 group engaged in significantly more passive activities than did the CDRI group (p < . 001), and had fewer social interactions and displayed more negative behavior than the other two groups (p < .05). Moreover, their well-being was significantly worse than that of the other two groups (p < .001). A majority of participants (82%) demonstrated poor to very poor well-being. Because better well-being was associated with positive and enjoyable engagement in activities (tau = +0.67, p < .001), the low level of activity participation demonstrated by low-functioning individuals with dementia needs to be addressed. Moreover, further studies are indicated to explore the possible factors influencing their limited activity participation.