Partition around cafeteria tables in a residential facility for the elderly : Influence on emotions and social interaction among patients with dementia Shinya Hisano 1 , Hajime Shimizu 2 , Takashi Miyake 1 , Yoshiko Nakagawa 3 , Yoshiyuki Sakaida 4 1Rehabilitation College Shimane 2Graduate School of Health Sciences, Hiroshima University 3Geriatric Service Facilities, Shirakinosato 4Residential Institutions for Severely Disabled Persons, Shirakinosato Keyword: 認知症 , 高齢者 , 環境 , (仕切り) , QOL , Dementia , Elderly , Environment , Partition , Quality of Life pp.17-26
Published Date 2008/2/15
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 In a residential facility for the elderly, we used a single-case design to examine the influence of partitioning of the space around cafeteria tables on the emotions and social interactions of patients with dementia. The subjects included four elderly residential patients with dementia. The ABA'B' design was used: during the baseline period (A) there was no partition; during the first intervention period (B) the partition was introduced; it was then removed for the second baseline period (A) and then reinstalled for the final intervention period (B). Emotion (Apparent Affect Rating Scale: AARS, 17 item Dementia Mood Assessment Scale: DMAS 17) and social interaction were measured and compared from still pictures of facial expressions. These stills were taken from videos of patients' behavior under each table configuration during lunch. No clearly significant differences were recognized in patient A, who had severe dementia. In patient B, who had an aggravation tendency and "anxiety/fear" on the AARS, showed a tendency to improve when the partition was used, and this patient's DMAS 17 showed improved "sense of enjoyment" and "positive interaction". During the intervention period, at least one item among the AARS score for "pleasure", the DMAS 17 score for "emotional responsiveness", and the "positive interaction" assessment was considered to have improved in patients C and D, who had mild to moderate dementia. Installation of a partition around the table was considered to have a potentially positive influence on the emotions and social interactions of elderly patients with mild to moderate dementia.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会