Physical environmental designs in residential care to improve quality of life of older people

Source avec lien : Cochrane Database of Systematic Reviews, (3). 10.1002/14651858.CD012892.pub2

L’objectif de cette étude était d’évaluer les effets des modifications de l’environnement physique, qui comprennent des modèles alternatifs de soins résidentiels pour personnes âgées tels qu’un modèle de soins « comme à la maison » (où les résidents vivent dans de petites unités de vie) sur la qualité de vie, le comportement, l’humeur, la dépression et le fonctionnement des personnes âgées vivant dans un établissement de soins résidentiels pour personnes âgées.

Background The demand for residential aged care is increasing due to the ageing population. Optimising the design or adapting the physical environment of residential aged care facilities has the potential to influence quality of life, mood and function. Objectives To assess the effects of changes to the physical environment, which include alternative models of residential aged care such as a ‘home‐like’ model of care (where residents live in small living units) on quality of life, behaviour, mood and depression and function in older people living in residential aged care. Search methods CENTRAL, MEDLINE, Embase, six other databases and two trial registries were searched on 11 February 2021. Reference lists and grey literature sources were also searched. Selection criteria Non‐randomised trials, repeated measures or interrupted time series studies and controlled before‐after studies with a comparison group were included. Interventions which had modified the physical design of a care home or built a care home with an alternative model of residential aged care (including design alterations) in order to enhance the environment to promote independence and well‐being were included. Studies which examined quality of life or outcomes related to quality of life were included. Two reviewers independently assessed the abstracts identified in the search and the full texts of all retrieved studies. Data collection and analysis Two reviewers independently extracted data, assessed the risk of bias in each included study and evaluated the certainty of evidence according to GRADE criteria. Where possible, data were represented in forest plots and pooled.

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