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題名 | 身體障礙老人的居家環境改善--以醫院復健科腦中風出院病患為例=Improvement on Living Environment About the Elderly with Handicapped--A Case Study on the Cerebral Apoplexy Patients |
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作者 | 曾思瑜; 陳茂柏; | 書刊名 | 建築學報 |
卷期 | 29 1999.06[民88.06] |
頁次 | 頁45-63 |
分類號 | 419.76 |
關鍵詞 | 身體障礙; 老年人; 居家環境改善; Handicapped; Elderly; Environment improvement; |
語文 | 中文(Chinese) |
中文摘要 | 本研究使用郵送問卷和個案訪問調查的方法,追蹤從醫院復健科出院、50歲以上 、罹患腦中風身體機能發生障礙的病患,由調查結果中可以整理出身體有障礙的準高齡者, 其生活行為及在居家環境層面的改善方面有以下特徵: (1) 改善住宅環境動機,以「促進患者的生活自立程度」和「方便照顧」為主;而「住宅的 硬體限制條件」和「經濟因素的限制條件」是進行環境改善的阻礙因素。 (2) 隨著老人身心機能的退化在老人寢室中所進行的生活行為有複合化的趨勢。 (3) 當生活自立程度高時,改善動機以促進患者獨立進行日常生活動作為主,以進行輔助器 具層次的改善較多;當自立程度中度時,則因為受住宅硬體環境的制約比較大,大多同時建 築改善及輔助器具層次的改善;而自立程度低時,因為在日常生活行為大多需要依賴他人, 因此以更換房間改善及輔助器具層次的改善比較多。 整體來說,臺灣傳統式住宅對於老年人來說最大的問題是門檻高低差很多,其次是浴室、廁 所等衛浴設備設置在屋外,各空間單元間移動動線長等問題。相對地,現代式住宅中其主要 共通的問題點是在內外空間接點的門廳或出入口處門寬太窄或有高低差;達到垂直交通目的 的樓梯或電梯空間;及地面層未預留寢室空間等問題。 |
英文摘要 | This case study focuses on the cerebral apoplexy patients, who are over fifty years old with handicapped and have already left rehabilitation hospital, by questionnaires and interview. We suveryed the condictions and problems of the barriers in living areas, and further studied the physical environments to be adapted to suit the handicapped elderly to live. There are some characteristics in daily activity of the handicapped elderly and the living environment improvements: (1) The main motivations to improve the living environment are to enhance the patient's self-care and to be easy for caring. The restrictions from the house's structure and economic condiction are both the ob-structions to improve the living environment. (2) The more senile deterioration of the elderly, the more “complexity” of the activities in the handicapped elderly bedroom. (3) If Activity of Daily Living (ADL) is in high level, most of the cases enchance equipment level. As ADL is in middle level, most of the cases both enchance architectural and equipment levels. Then as ADL is in low level, most of the cases changed the elder's room and enchance the equipment level. In sum, in traditional houses the most difficult problems for the elderly are thresholds, bathroom or toilet outdoors, and long circulation between rooms. On ther other hand, in modern houses the common problems are threshold and width of the door too narrow; stairs and elevator are no reserved room on ground floor. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。