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| 照料设施中支持认知症老年人自主性的空间环境作用机制构建——基于扎根理论的跨文化案例研究 |
| Construction of the mechanism of physical environment supporting autonomy of people living with dementia in care facility: a cross-cultural case study based on grounded theory |
| 投稿时间：2025-02-08 修订日期：2025-06-06 |
| DOI：10.12285/jzs.20250208001 |
| 中文关键词: 认知症 空间环境 自主性 案例研究 扎根理论 机制 澳大利亚 中国 |
| 英文关键词: dementia physical environment autonomy case study grounded theory mechanism Australia China |
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| 中文摘要: |
| 当前,我国快速增长的认知症老年人群对专业的照料设施提出迫切需求。现有认知症照护设施空间环境中,多对认知症老年人自主性不够重视,导致其生活质量较低,与“尊重尊严与自主性”的认知症照护环境设计国际共识存在较大差距。研究表明,空间环境是支持认知症老年人自主性的必要条件,然而尚未有研究探讨支持作用机制。程序化版本的扎根理论方法,得到“有条件的自主”这一理论机制。通过对空间环境因素、护理环境因素、风险可控性、与个人因素在“有条件的自主”理论机制中的影响作用路径分析,本文对如何营造支持自主性的认知症照料设施空间环境提出了建议。 |
| 英文摘要: |
| At present, the rapidly increasing population of individuals with dementia in China is imposing an urgent demand for specialized care facilities. However, in existing dementia care facilities, the autonomy of residents with dementia is often insufficiently valued, resulting in a lower quality of life. This represents a significant gap compared to the international consensus on dementia care environments emphasizing dignity and autonomy. Research has demonstrated that the physical environment is a necessary condition for supporting the autonomy of people with dementia. Nevertheless, no study has explored the mechanism of this supportive role. The theoretical mechanism of “conditional autonomy” has been developed using a procedural version of grounded theory. By analyzing the impact pathways of physical environmental factors, care environmental factors, controllable risks, and personal factors within the “conditional autonomy” theoretical mechanism, this paper proposes suggestions on how to create a physical environment in dementia care facilities that supports autonomy. |
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