継続的な視点からみた痴呆性高齢者グループホームの環境とその変容に関する研究

抄録

This is a study in person-environment relation at a group living: group home in Japan for people with dementia. Here the focus is on the environmental meanings and the changes for the residents from long-term and continuous point of view. The survey was carried out for over four years continuously at one group living for dementia opened in 1997. As survey methods, observation of behavior and interviews with staff were used. Some results shows as follows : (1) Private room plays important role. People with severe dementia can often use their private room by appropriate guidance and memorial things for themselves. (2) Relations with others are changing with progressing dementia or changing ADL. Using pattern and meaning of spaces changed in longterm, various form and characteristic of spaces were used effectively at specific period of one person. (3) Every resident plays an important role in a group dynamics. New and old residents influence each other directly or indirectly in their lives. That's an essential point and meaning of group living for people with dementia.