The Impact of the Physical Home Environment for Family Carers of People with Dementia: A Qualitative Study

Journal of Housing for the Elderly Pub Date : 2017-10-02 DOI:10.1080/02763893.2017.1335666

Dia Soilemezi, Phevos Kallitsis, A. Drahota, J. Crossland, R. Stores, A. Costall

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引用次数: 9

Abstract

Abstract Background: The majority of people with dementia are cared for by their families at home. This study aimed to elicit family carers' perceptions on home environmental aspects and strategies with the view to identify barriers and facilitators when caring for a person with dementia at home. Design and methods: Thirteen co-resident family carers were engaged in semi-structured in-depth walking interviews. Interviews were recorded, transcribed and analysed using thematic analysis. Results: Home environments can pose a number of challenges and opportunities. Aspects of the architectural and interior environment (e.g. size, condition, layout and accessibility, familiarity) are perceived as important (Theme 1) as well as a plethora of environmental strategies that encourage independence and comfort at home (Theme 2). Carers' scepticism, timing, costs, property characteristics and mistrust to services are some barriers to implementing environmental strategies (Theme 3). Conclusions: Carers improvised solutions via trial and error and need further education on strategies to create an enabling and comfortable home environment.

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家庭物理环境对痴呆症患者家庭照顾者的影响:一项质性研究

摘要背景：大多数痴呆症患者由家人在家照顾。本研究旨在了解家庭护理人员对家庭环境方面和策略的看法，以确定在家护理痴呆症患者时的障碍和促进因素。设计和方法：13名共同居住的家庭护理人员参与了半结构化的深入步行访谈。访谈采用专题分析法进行记录、转录和分析。结果：家庭环境可能带来许多挑战和机遇。建筑和室内环境的各个方面（例如大小、条件、布局和可达性、熟悉度）被认为是重要的（主题1），以及鼓励在家独立和舒适的大量环境策略（主题2）。护理人员的怀疑、时间、成本、财产特征和对服务的不信任是实施环境战略的一些障碍（主题3）。结论：护理人员通过试错即兴制定了解决方案，需要进一步学习创造有利和舒适的家庭环境的策略。

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来源期刊

Journal of Housing for the Elderly GERONTOLOGY-

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期刊介绍： Housing is more than houses-it is the foundation upon which the essentials of life are anchored. The quality of housing can enhance or diminish the well-being of individuals and families as well as that of the entire community. Before the Journal of Housing for the Elderly, housing for the elderly as a subject area has a relatively brief history. The Journal of Housing for the Elderly aims to serve the needs of gerontological professionals in the fields of architecture and housing, urban planning, and public policy who are responsible for the residential environments of the elderly in the community.