PDF(Pubmed)
Abstract：
UNASSIGNED: Gardens and outdoor spaces are an important part of institutional environments for people with dementia. However, evidence regarding the benefits these spaces have for people with dementia is still limited. This paper presents the evaluation of the redevelopment of an inaccessible outdoor space into a therapeutic garden on a high dependency psychogeriatric unit in an acute hospital.
UNASSIGNED: A Mixed methods evaluation was undertaken. An interrupted time series analysis investigated the impact of the garden on falls and challenging behaviours of patients using routinely collected data. Perspectives of the redeveloped garden were captured through (a) a staff survey and (b) semi-structured interviews with families of patients.
UNASSIGNED: Rates of falls and challenging behaviours dropped at the time of the garden opening but showed increasing rates each month both before and after the garden opened. Most staff believed that the garden provided benefits for patients however limited staff time and concerns over patient safety were barriers to use. Families identified four main themes related to garden use including: (1) being outside (2) occupation and identity, (3) being stimulating, and (4) barriers and facilitators.
UNASSIGNED: The garden was regarded positively by families and staff however, there were barriers that prevented it from being better utilised. Staff concerns over risk were not reflected in falls and challenging behaviour outcomes. Further research into how barriers to garden use may be overcome is justified.
UNASSIGNED: A Mixed methods evaluation was undertaken. An interrupted time series analysis investigated the impact of the garden on falls and challenging behaviours of patients using routinely collected data. Perspectives of the redeveloped garden were captured through (a) a staff survey and (b) semi-structured interviews with families of patients.
UNASSIGNED: Rates of falls and challenging behaviours dropped at the time of the garden opening but showed increasing rates each month both before and after the garden opened. Most staff believed that the garden provided benefits for patients however limited staff time and concerns over patient safety were barriers to use. Families identified four main themes related to garden use including: (1) being outside (2) occupation and identity, (3) being stimulating, and (4) barriers and facilitators.
UNASSIGNED: The garden was regarded positively by families and staff however, there were barriers that prevented it from being better utilised. Staff concerns over risk were not reflected in falls and challenging behaviour outcomes. Further research into how barriers to garden use may be overcome is justified.
摘要：
■花园和室外空间是痴呆症患者机构环境的重要组成部分。然而,关于这些空间对痴呆症患者的益处的证据仍然有限。本文介绍了在急性医院的高度依赖的精神病院中将难以接近的室外空间重新开发为治疗花园的评估。
■进行混合方法评价。中断的时间序列分析使用常规收集的数据调查了花园对跌倒和挑战患者行为的影响。通过（a）员工调查和（b）对患者家属的半结构化访谈来捕获重新开发的花园的观点。
■在花园开放时，跌倒率和挑战性行为有所下降，但在花园开放前后，每个月的跌倒率都在上升。大多数工作人员认为花园为患者提供了好处，但是有限的工作人员时间和对患者安全的担忧是使用的障碍。家庭确定了与花园使用相关的四个主要主题，包括：（1）外部（2）职业和身份，（3）刺激，(4)障碍和促进者。
■花园受到家庭和工作人员的积极评价，有一些障碍阻止了它被更好地利用。员工对风险的担忧并未反映在跌倒和具有挑战性的行为结果中。进一步研究如何克服花园使用障碍是合理的。
■进行混合方法评价。中断的时间序列分析使用常规收集的数据调查了花园对跌倒和挑战患者行为的影响。通过（a）员工调查和（b）对患者家属的半结构化访谈来捕获重新开发的花园的观点。
■在花园开放时，跌倒率和挑战性行为有所下降，但在花园开放前后，每个月的跌倒率都在上升。大多数工作人员认为花园为患者提供了好处，但是有限的工作人员时间和对患者安全的担忧是使用的障碍。家庭确定了与花园使用相关的四个主要主题，包括：（1）外部（2）职业和身份，（3）刺激，(4)障碍和促进者。
■花园受到家庭和工作人员的积极评价，有一些障碍阻止了它被更好地利用。员工对风险的担忧并未反映在跌倒和具有挑战性的行为结果中。进一步研究如何克服花园使用障碍是合理的。
