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The Impact of the Physical Environment on Depressive Symptoms of Older Residents Living in Care Homes: A Mixed Methods Study

机译:物理环境对住在敬老院的老年人抑郁症状的影响:一项混合方法研究

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Background and Objectives:udForty percent of residents living in care homes in the United Kingdom have significant depressive symptoms. Care homes can appear to be depressing places, but whether the physical environment of homes directly affects depression in care home residents is unknown. This study explores the relationship between the physical environment and depressive symptoms of older people living in care homes.udResearch Design and Methods:udIn a prospective cohort study the physical environment of 50 care homes were measured using the Sheffield Care Environment Assessment Matrix (SCEAM) and depressive symptoms of 510 residents measured using the Geriatric Depression Scale (GDS-15). The study was supplemented with semi-structured interviews with residents living in the care homes. Quantitative data were analyzed using multi-level modeling, and qualitative data analyzed using a thematic framework approach.udResults:udThe overall physical environment of care homes (overall SCEAM score) did not predict depressive symptoms. Controlling for dependency, social engagement, and home type, having access to outdoor space was the only environmental variable to significantly predict depressive symptoms. Residents interviewed reported that access to outdoor space was restricted in many ways: locked doors, uneven foot paths, steep steps, and needing permission or assistance to go outside.udDiscussion and Implications:udWe provide new evidence to suggest that access to outdoor space predicts depressive symptoms in older people living in care home. Interventions aimed at increasing access to outdoor spaces could positively affect depressive symptoms in older people.
机译:背景和目标: ud居住在英国护理院中的居民中有40%患有严重的抑郁症状。养老院看起来似乎是令人沮丧的地方,但是,房屋的物理环境是否直接影响养老院居民的抑郁状况尚不清楚。本研究探讨了居住在养老院中的老年人的物理环境与抑郁症状之间的关系。 ud研究设计和方法: ud在一项前瞻性队列研究中,使用Sheffield Care Environment Assessment Matrix(SCEAM)测量了50所养老院的物理环境)和使用老年抑郁量表(GDS-15)测量的510名居民的抑郁症状。该研究还通过对住在养老院的居民进行的半结构化访谈进行了补充。使用多级建模分析定量数据,并使用主题框架方法分析定性数据。 ud结果: ud疗养院的整体物理环境(总体SCEAM评分)不能预测抑郁症状。控制依赖关系,社交活动和家庭类型,可以使用室外空间是唯一能够显着预测抑郁症状的环境变量。接受采访的居民报告说,在许多方面限制进入户外空间:上锁的门,不平坦的步道,陡峭的台阶以及需要许可或协助才能出门。 ud讨论与启示: ud我们提供了新的证据来建议您进入户外空间可以预测住在养老院的老年人的抑郁症状。旨在增加进入室外空间的干预措施可能会对老年人的抑郁症状产生积极影响。

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