Abstract：
This systematic review evaluated the effectiveness of environment-based interventions that address behavior, perception, and falls in the home and other settings for people with Alzheimer\'s disease (AD) and related major neurocognitive disorders (NCDs).
Database searches were limited to outcomes studies published in English in peer-reviewed journals between January 2006 and April 2014.
A total of 1,854 articles were initially identified, of which 42 met inclusion criteria.
Strong evidence indicates that person-centered approaches can improve behavior. Moderate evidence supports noise regulation, environmental design, unobtrusive visual barriers, and environmental relocation strategies to reduce problematic behaviors. Evidence is insufficient for the effectiveness of mealtime ambient music, bright light, proprioceptive input, wander gardens, optical strategies, and sensory devices in improving behavior or reducing wandering and falls. Although evidence supports many environment-based interventions used by occupational therapy practitioners to address behavior, perception, and falls in people with AD and related major NCDs, more studies are needed.
Database searches were limited to outcomes studies published in English in peer-reviewed journals between January 2006 and April 2014.
A total of 1,854 articles were initially identified, of which 42 met inclusion criteria.
Strong evidence indicates that person-centered approaches can improve behavior. Moderate evidence supports noise regulation, environmental design, unobtrusive visual barriers, and environmental relocation strategies to reduce problematic behaviors. Evidence is insufficient for the effectiveness of mealtime ambient music, bright light, proprioceptive input, wander gardens, optical strategies, and sensory devices in improving behavior or reducing wandering and falls. Although evidence supports many environment-based interventions used by occupational therapy practitioners to address behavior, perception, and falls in people with AD and related major NCDs, more studies are needed.
摘要：
这项系统评价评估了基于环境的干预措施的有效性，感知，患有阿尔茨海默病（AD）和相关的主要神经认知障碍（NCD）的人在家中和其他环境中跌倒。
数据库搜索仅限于2006年1月至2014年4月在同行评审期刊上以英文发表的结局研究。
初步确定共1854篇文章，其中42人符合纳入标准。
强有力的证据表明，以人为本的方法可以改善行为。适度的证据支持噪音调节，环境设计,不显眼的视觉障碍，和环境搬迁策略，以减少问题行为。用餐时环境音乐的有效性证据不足，明亮的光线,本体感受输入，漫步花园，光学策略，和改善行为或减少流浪和跌倒的感觉装置。虽然证据支持许多基于环境的干预措施，使用职业治疗从业者来解决行为，感知，以及患有AD和相关主要非传染性疾病的人的下降，需要更多的研究。
数据库搜索仅限于2006年1月至2014年4月在同行评审期刊上以英文发表的结局研究。
初步确定共1854篇文章，其中42人符合纳入标准。
强有力的证据表明，以人为本的方法可以改善行为。适度的证据支持噪音调节，环境设计,不显眼的视觉障碍，和环境搬迁策略，以减少问题行为。用餐时环境音乐的有效性证据不足，明亮的光线,本体感受输入，漫步花园，光学策略，和改善行为或减少流浪和跌倒的感觉装置。虽然证据支持许多基于环境的干预措施，使用职业治疗从业者来解决行为，感知，以及患有AD和相关主要非传染性疾病的人的下降，需要更多的研究。
