伴随智力障碍者转移到新设施的挑战性行为变化
Mizuho Kawanaka1,2, Yuto Iwanaga1,3, Akiko Tokunaga1
1Department of Occupational Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8520, Japan.
Healthcare (Basel, Switzerland)
|February 10, 2024
概括
重组一个护理设施,提供私人房间和单元护理系统,大大减少了严重智力障碍患者的挑战性行为. 这包括更少的侵略性和自我伤害行为.
科学领域:
- 智力障碍 智力障碍 智力障碍
- 行为科学 行为科学
- 医疗设施设计 医疗设施设计
背景情况:
- 具有挑战性的行为 (CB),如自我伤害和侵略,在严重智力障碍的个体中很普遍.
- 传统的护理设施格式往往涉及共享生活空间,可能会加剧CB.
研究的目的:
- 调查重组护理机构对严重智力障碍居民挑战性行为的影响.
- 评估在私人房间和单元护理系统实施后CB的变化.
主要方法:
- 一项准实验性研究,涉及21名在重组前后的护理之家A的住户.
- 护理人员在基线,1个月和重组后6个月进行了问卷调查.
- 对三个时间点的CB分数进行定量分析.
主要成果:
- 观察到,攻击性,刻板印象和有针对性的CB (例如,打头,便涂抹) 显著减少.
- 新的格式包括每个居民的私人房间和单元护理系统.
- 这些环境变化似乎减少了刺激,提高了环境的可预测性.
结论:
- 重组护理设施以包括私人空间和单位护理可以有效地减少具有挑战性的行为.
- 环境修改对于改善严重智力残疾人的生活质量和护理至关重要.
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