| Summary: | 碩士 === 國立臺北科技大學 === 建築系建築與都市設計碩士班 === 107 === The global population is facing an increasing population. According to the International Dementia Association, the number of demented people has reached more than 40 million. In the United States, the number of dementia population has reached more than 5 million in 2017, and Australia has more than 400,000; however, the statistical result of Taiwan is currently more than 260,000. In the face of global ageing and dementia, in the field of non-pharmacological treatment, functional therapists in Netherlands give priority to sensory treatment rooms that are helpful for patients with weak cognitive functions. Hospitals and Day Care Services in the United States and Europe have successively added sensory facilities, and the sensory room has improved the performance of internal space after being placed into natural plants. Due to the bettermedical resources and the quicker access of latest information in Taiwan's northern cities, this study explores the sensory room of the Day Care Services in Taipei City. The Dementia Care Mapping (DCM) is used to observe the emotions and behaviors of the elderly, andthen the questionnaire is preparedfor the caregivers to further interviews.Afterwards, applying the above research methods in two Day Care Services to compare the benefits of the old dementia in the sensory healing environment with the domestic and foreign literatures, and propose the basis for the sensory room setting and the direction of the future day care service to build the sensory room. Therefore, the conclusion of this study:
I. Effects of comprehensive integration and construction of sensory Chambers on aged people
A. Dementia Care Mapping by Dementia Care Mapping in this study; DCM), and compared and analyzed by pre-test, middle test and posterior test. After integrated investigation of paired sample t test, it was found that 49% of the aged people showed positive behavior and positive emotion due to the intervention of sensory chamber.
B. the questionnaire was conducted to integrate nurses, directors and social workers. According to the seven indexes mentioned in the questionnaire, zhongshan day care services considered the highest safety (mean value =4.0), and nangang day care service considered the highest environmental support (mean value =3.9).
C. in-depth interview results
This study conducted in-depth interviews with caregivers to understand the benefits of the establishment of sensory rooms in two day care services for elderly people. Not only the elderly, but also the five senses stimulation intervention course was helpful to caregivers, which helped them get good feedback on their work and improve their efficiency in care.
1. Necessity of building sensory rooms
In the center of the sun set inside the corner for symptoms of cognitive neuropsychology, scattered, senses focus defect status to discuss the healing efficiency is low, the reason is that staff walking around and wander with neuropsychology, distractions can't concentrate with other people, thus creating a quiet let neuropsychology, space field experience sensory stimulation, for its help is efficient.
2. Contact with nature reduces behavioral symptoms and shows positive emotions
By comparing the two day care services, not only for sensory interior ministry survey, observations in day care services in the design and the weather is good, one day lead neuropsychology, bathed in natural animals and plants, not only into indoor activities, five senses to stimulate the most close to human natural available via the primal instinct feeling, so watch out the curriculum activities not only senses interior ministry line more positive behavior and mood, in the outdoor activities are more likely to feel happy face of neuropsychology, emotional atmosphere, link life experience when a positive effect, so building interior department of the soft natural objects, It can change the aged from participating in the course to enjoying the healing experience of sensory stimulation.
3. Connecting with people and things that are relevant to your life experience is very effective for alertness
Combination of the familiar alertness was of great help for itself, according to the attendant also think nostalgic the metope of room showed the past familiar scenery, is extremely significant for neuropsychology, so like to tell the story of the past to share to people around you, and can achieve resonance, have the same background of culture of each other because of metope paint of familiarity and more frequent communication, can actively participate in activities to reduce the behavior of self-imposed isolation, through the experience more can bring back to share with children and the younger generation (family), promote between parent and positive effect.
II. According to the survey results, it is recommended to pay attention to the following matters:
A. Enrich the sensory space contents of the five senses
The establishment mode of foreign sensory rooms is based on the principle of diversity and interior space. There are different field changes in the indoor space for the aged to choose, and considering the symptoms of the aged, the equipment with too many scientific LED lights should be reduced, and the sensory rooms related to life experience should be planned, such as beach situation. After the balance of body and mind, add the environment and space atmosphere where people are born and have contact with nature, so that the aged can have various choices and immerse themselves in comfortable corners to achieve healing effect.
B. by spatial planning to provide a clear indication of activity zoning
Indoor building internal space configuration of high safety and environment inside like to stay at home the feeling of sitting room, and connecting with the balcony space landscape design combined with comfortable, which extend from accessible to people-oriented of the physical and spiritual healing place, bathed in the comfortable five senses stimulation, let relaxes feeling happy neuropsychology, curriculum content, is not only advantageous to be caregivers, nurse practitioner, director, social workers and their families because of space of comfortable sense of involvement and have a good relationship of positive feedback effect.
C. indoor cultural features and interactive functions
The wall of the sensory room can connect the wall characteristics of different day care services in each district or the elderly people with the familiar Taiwanese culture of life experience, for example; Temples, night market, etc., and at the time of setting metope can be combined with easy interaction of wisdom or life objects to do the design principles of tactile stimuli, such as: gear shaft, touch the material and interactive APP etc., through the life and the link related to sexual activity, can cause the curiosity of neuropsychology, from passive to active told the nurse practitioner, and social work division, director of the hope to be able to participate in the experience, and experience to get corresponding to a sense of achievement, in the process of establishing self-confidence, to cognitive neuropsychology, not only think that senses the classroom is the place of one day in class, but can provide relaxation neuropsychology, healing field.
D. increase the frequency of interpersonal interaction
Sensory room as the bridge between people and media, can be a social worker by the teacher to arrange activities, can let the same background of neuropsychology, each other together, by different life experiences transformation situation, make each other topics extend and produce emotional connections, prompting neuropsychology, met friends and are more willing to come to the day care service, in order to increase the support effect of spiritual, and enable beamed with open, affect the surrounding, neuropsychology, enrich each other's life.
E. User participation
Sensory room build a pleasant and comfortable space atmosphere, combined with the natural elements and local metope, and to arrange sensory room course content, nurse practitioner, and social workers, director of the division was able to choose to have the same background of neuropsychology, and have the same life experiences of neuropsychology, can produce more trust to each other and promote interaction frequency, and avoid any frustration, some rejection of sensory course.
F. sensory rooms should be combined with outdoor and semi-outdoor
The combination of indoor and outdoor can be combined with the four seasons garden and simple farm garden, which can connect the life experience of the aged and combine with the production of aging, so that the aged people not only enjoy the service, but also can promote the aged people to have the function of giving, and feel that they can be useful to the society, and make the psychology produce the meaning and value of survival. It can also bring in natural ventilation and comfortable sunlight, so that the body and mind can be calm and realistic. In addition, it can increase the enjoyment of auditory stimulation of the aged by outdoor birds and leaves, and trigger the connection between the experienced situation and stabilize the body and mind.
G. model customization
Due to the different living backgrounds of the aged, some modular design is added to the sensory interior. When each group of aged people enters, different situations and tactile changes can be generated on the walls. Or play the familiar music, so that the aged are willing to enter the sensory room to enjoy the healing process.
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