A Hospital Ward Environment that Ensures Quality of Life for Dementia Patients

本研究调查了导致创建医院病房环境的条件，以促进痴呆症患者的独立性和安全性。作者采访了病房环境中的护理主任和护理人员，这些环境的特点是最大限度地发挥痴呆症患者的潜力。还对老年医院的痴呆症患者进行了观察性研究，这些老年医院没有积极致力于创造生活质量的病房环境。调查表明；积极参与为痴呆症患者提供安全和舒适的护理主任倾向于向工作人员提供相关的专业信息，并帮助创造工作条件，使护理人员能够更自主地工作。因此，整个医院组织能够专注于提供患者护理，从而成功地创造了一个具有高质量患者护理的病房环境。在这样的病房环境中……而且，探视时间没有限制。鼓励护理人员提出建议，并积极参与改善患者护理。此外，在这种情况下，工作人员流动率很低。在病房环境不适合处理痴呆症患者的情况下，这些患者通常与房间里的其他患者隔离，并且每天大部分时间都在病床附近度过。尽管这些患者对触手可及的物体表现出兴趣，对各种类型的声音也表现出兴趣，但他们无法充分利用这些刺激。因此，一个高质量的病房环境被发现是一个痴呆症患者和他们的家人的自主权得到保护，并在其中鼓励护理人员的积极参与。这项调查的结果表明，能否创造一个高质量的生活病房环境在很大程度上取决于护理主任的技能和能力。少

This study investigated the conditions that lead to the creation of a hospital ward environment that promotes both independence and safety for dementia patients. The authors interviewed interviewing nursing directors and nursing staff in ward environments that were characterized as maximizing the potential of dementia patients. Observational studies were also conducted on dementia patients in geriatric hospitals not actively committed to the creation of a quality-of-life ward environment. The survey indicated that ;1. Nursing directors who were actively engaged in providing for the safety and comfort of dementia patients tended to make relevant professional information available to the staff and helped to create working conditions that enabled the nursing staff to work more autonomously. As a result, the entire hospital organization was able to focus on providing patient care, thus succeeding in the creation of a ward environment with high-quality patient care. In such ward environment … More s, there were no restrictions on visiting hours. The nursing staff was encouraged to make suggestions and was actively engaged in improving patient care. In addition, staff turnover was low under such conditions.2. In cases where the ward environment was not set up to handle dementia patients, these patients were often isolated from other patients in the room and spent much of their day in the immediate vicinity of their beds. Although these patients showed interest in objects within their reach, as well as interest in various types of sounds, they were not able to take full advantage of these stimuli.Thus, a high quality ward environment was found to be one in which the autonomy of dementia patients and their family is preserved, and in which the active participation of the nursing staff is encouraged. The results of this survey suggest that the success or failure of being able to create a high-quality-of-life ward environment is very much dependent on the skills and ability of the nursing director. Less