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环境审计选评估:建立基于证据的设计工具的可靠性和有效性
Migette L Kaup1, Margaret P Calkins2, Adam Davey3
1Department of Interior Design & Fashion Studies, College of Health and Human Sciences, Kansas State University, Manhattan, Kansas, USA.
Innovation in aging
|June 21, 2023
概括
环境审计选评估 (EASE) 工具可靠地评估长期护理环境,区分传统和类似家庭的痴呆症护理环境. 它提供了一种全面的方法来评估对生活质量至关重要的设计细微差别.
科学领域:
- 老年学和环境心理学
- 医疗保健设施设计和评估
- 痴呆症护理和生活质量研究研究
背景情况:
- 现有的长期护理评估工具缺乏通用性和与质量结果的联系.
- 需要工具来评估环境设计元素,并区分护理模式.
- 这对于维持痴呆症患者及其照顾者的生活质量至关重要.
研究的目的:
- 系统地评估环境审计选评估 (EASE) 工具的可靠性和有效性.
- 为了更好地识别最佳的长期护理设计模型.
- 支持维护痴呆症护理机构的生活质量.
主要方法:
- 在13个地点选择了28个居住区 (LA),分为传统,混合和家庭设计.
- 三位独立评估人员使用了EASE工具,同时使用了现有的三种评估工具 (TESS-NH,PEAP,EAT-HC).
- 通过重新评估选定的LAs来评估interrater和inter-occasion可靠性.
主要成果:
- EASE工具显示了高的interrater和inter-occasion可靠性和一致性.
- EASE评分与环境审计工具 (EAT-HC) 有很高的相关性 (r=0.88),与PEAP (r=0.82) 和TESS-NH (r=0.71) 有中等的相关性.
- EASE成功地区分了传统和类似家庭的设置 (p=0.016) 但不是混合设置.
结论:
- EASE工具是评估长期护理环境的可靠和有效工具.
- 与美国现有的工具 (PEAP,TESS-NH) 不同,EASE区分环境模型.
- EASE的综合评分捕捉了细微的设计差异,与EAT-HC的二分法评分不同,使其在评估痴呆症护理环境方面更为优越.
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