Dieser Artikel berichtet von den Ergebnissen einer ersten Auswertung des Einflusses, den eine multisensorische Umgebung auf ältere Menschen mit Demenz hat. Die bei 29 Patienten gesammelten Daten zeigen, dass dies im Allgemeinen eine positive Erfahrung hinsichtlich der Reaktionen auf die Einrichtung und auf ihren Einfluss auf das Verhalten der Patienten war. Dies gilt jedoch nicht für alle Patienten, da insbesondere zu Berührungen einladende Gegenstände eine negative Reaktion hervorriefen, wenn sie dann berührt wurden. Verschiedene Aspekte wurden vom Personal, das die Patienten in das spezifisch eingerichtete Zimmer begleitete, als wünschenswerte Verhaltensveränderungen während des Aufenthaltes in dem Zimmer bewertet. Fragen der Verfeinerung der Forschungsmethodologie werden diskutiert und das Potenzial einer solchen Umgebung als ein Mittel zur Kommunikation wird hervorgehoben.
Literatur
-
1
Adams T.
Kirwood’s approach to dementia and dementia care: a critical but appreciative review.
J Adv Nurs.
1996;
23
948-953
-
2
Armstrong-Esther C A, Browne K D.
The influence of elderly patients’ mental impairment on nurse-patient interaction.
J Adv Nurs.
1986;
11
379-387
-
3
Ashby M, Lindsay W, Pitcaithly D, Broxholme S, Geelen N.
Snoezelen: its effects on concentration and responsiveness in people with profound multiple handicaps.
Br J Occup Ther.
1995;
58
303-307
-
4 Baker D E. Attitudes of Nurses to the Care of the Elderly. Manchester; PhD Thesis, Victoria, University of Manchester 1978
-
5 Baker R, Dowling Z. A New Measure of Response to Multi-Sensory Environments. Research Publication. Research and Development Support Unit. Bournemouth; Institute of Health and Community Studies, Bournemouth University 1995
-
6
Benson S.
Sniff and Doze therapy.
J Dementia Care.
1994;
2
12-14
-
7
Deakin M.
Using relaxation techniques to manage disruptive behaviour.
Nursing Times.
1995;
91
40-41
-
8
Dowling Z, Baker R, Warcing L, Assey J.
Lights, sound, and special effects?.
J Dementia Care.
1997;
5
16-18
-
9
Garnham Hooper L.
Multi sensory integration or separation? (Letter).
Therapy Weekly.
1995;
22
5
-
10 Haggar L. A short training package for care staff using Snoezelen environments with profoundly and multiply disabled clients: design, implementation and evaluation. In: Hutchinson R, Kewin J (Eds) Sensations and Disability: Sensory Environments for Leisure, Snoezelen, Education and Therapy. Chesterfield; ROMPA 1994: 49-87
-
11 Hinton P. Statistics Explained: a Guide for Social Science Students. London; Routledge 1995
-
12
Hope K.
Caring for older people with dementia: is there a case for the use of multi-sensory environments.
Rev Clin Gerontol.
1996;
6
169-175
-
13
Hope K.
Using multi-sensory environments with older people with dementia.
J Adv Nurs.
1997;
25
780-785
-
14 Hutchinson R, Haggar L. The development and evaluation of a Snoezelen leisure resource for people with severe multiple disability. In: Hutchinson R (Ed) Sensations and Disability, Sensory Environments of Leisure. Snoezelen, Education and Therapy. 1994: 48
-
15 Kewin J. Snoezelen - The reason and the Method. In: Hutchinson R, Kewin J (Eds) Sensations and Disability: Sensory Environments for Leisure, Snoezelen, Education and Therapy. Chesterfield; ROMPA 1994: 6-17
-
16 Koch G A. Towards Fourth Generation Evaluation: Listening to the Voices of Older Patients, a Hermeneutic Enquiry. Manchester; PhD Thesis, Victoria, University of Manchester 1993
-
17
Long A P, Haig L.
How do clients benefit from Snoezelen. An exploratory study.
Br J Occupat Ther.
1992;
55
103-106
-
18 Moffat N, Barker P, Pinkney L, Garside M, Freeman C. Snoezelen: an Experience for Older People with Dementia. Chesterfield; ROMPA 1993
-
19
Montbriand M J.
Alternative therapies as control behaviours used by cancer patients.
J Adv Nurs.
1995;
22
646-654
-
20
Nolan M, Grant G, Nolan J.
Busy doing nothing: activity and interaction levels amongst differing populations of elderly patients.
J Adv Nurs.
1995;
22
528-538
-
21
Norberg A, Melin E, Asplund K.
Reactions to music, touch and object presentation in the final stage of dementia. An exploratory study.
Intern J Nurs Stud.
1986;
23
315-323
-
22 Pinkney L, Barker P. Snoezelen - an evaluation of an environment used by people who are elderly and confused. In: Hutchinson R, Kewin J (Eds) Sensations and Disability: Sensory Environments for Leisure, Snoezelen, Education and Therapy. Chesterfield; ROMPA 1994: 172-183
-
23 Polit D F, Hungler B P. Essentials of Nursing Research. New York; Lippincott 1990
-
24
Pulsford D.
Therapeutic activities for people with dementia.
J Adv Nurs.
1997;
26
704-709
-
25
Savage P.
Snoezelen for confused older people.
Elderly Care.
1996;
8
20-21
-
26 Shapiro M. Using Snoezelen with maladaptive behaviour. Proceedings of the „Snoezelen” Conference, 23rd June. Bournemouth; Dorset HealthCare NHS Trust 1995
1 Der Artikel ist zuerst erschienen im „ ;Journal of Psychiatric and Mental Health Nursing” 1998; 5 (5): 377 - 385. Abdruckmit freundlicher Genehmigung des Verlages Blackwell Science Ltd. Übersetzung aus dem Englischen: Prof. Dr. Ruth Schröck.
K. W. Hope
School of Nursing Studies
Coupland III Building
University of Manchester
Oxford Road
Manchester M13 9PL, UK
