Agosto 2023 vol. 11 num. 3 - ERGODESIGN & USIHC 2023 & JOP’Design 2023

Artigo - Open Access.

Idioma principal | Segundo idioma

Os princípios de design de ambiente de Fleming–Bennett na percepção familiares de idosos com demência

Fleming-Bennett's principles of environmental design in the perception of family members of older people with dementia

Raymundo, Taiuani Marquine ; Castro, Carla da Silva Santana ; , ; Dario, Marina Baltieri ; Lobato, Beatriz Cardoso ; Medola, Fausto Orsi ;

Artigo:

A demência é uma doença incapacitante que altera a relação pessoa-ambiente. Objetivo: Descrever a percepção dos familiares quanto aos princípios de design de ambiente de Fleming–Bennett, nas categorias segurança, estimulação, socialização e familiaridade e as modificações feitas no domicílio. Método: Estudo qualitativo com amostra composta de familiares de idosos com demência (n=8). A coleta de dados incluiu entrevistas para levantar informações sobre o idoso e o ambiente. A análise de conteúdo foi utilizada. Resultados: Os participantes relataram que as principais adequações do ambiente atendem à Segurança. No que diz respeito à categoria Estimulação, os participantes relataram o uso de objetos de memória-afeto no ambiente; e quanto à categoria Familiaridade e Socialização, referem ser complexas pois envolvem o ambiente físico e de pessoas, principalmente nas fases avançadas. Conclusão: As modificações ambientais são feitas de forma intuitiva, sendo a segurança o princípio mais seguido. Destacam que conhecer os princípios de Fleming-Bennett poderia facilitar a construção de ambiente mais adequado.

Artigo:

Dementia is a disabling disease that alters the person-environment relationship. Objective: To describe the family members' perception of Fleming–Bennett's environmental design principles, in the categories of safety, stimulation, socialization and familiarity, and the modifications made at home. Method: Qualitative study, convenience sample. Family members of elderly people with dementia (n=8) participated. Data collection included interviews about the elderly and the environment. Content analysis was used. Results: Participants reported that the main adaptations of the environment are related to Safety; as for Stimulation, they refer to the presence of affection-memory objects in the environment; and as for the category Familiarity and Socialization, they refer to be complex because they involve the physical environment and people, especially in the advanced stages. Conclusion: Environmental modifications are made intuitively, with security being the most followed principle. They highlight that knowing the Fleming-Bennett principles could facilitate the construction of a more suitable environment.

Palavras-chave: ErgoDesign. Demência. Princípios de Fleming – Bennett; Gerontecnologia,

Palavras-chave: Ergodesign; Dementia. Principles of Fleming-Bennett; Gerontechnology,

DOI: 10.5151/ergodesign2023-64

Referências bibliográficas
  • [1] "Associação Brasileira de Alzheimer. Tratamento. 2020. Disponível em: https://abraz.org.br/2020/sobre-alzheimer/tratamento-2/ 2022. Acesso em: 13 de Janeiro de 2022.
  • [2] CALKINS, Margaret P. From research to application: Supportive and therapeutic environments for people living with dementia. The Gerontologist, v. 58, supl. 1, p. 114-128. Disponível em https://pubmed.ncbi.nlm.nih.gov/29361065/ 2023. Acesso em: 19 mar. 2023.
  • [3] CALKINS, Margaret P. Design for dementia: Planning environments for the elderly and the confused. Owings Mills, MD: National Health Publishing, 1988.
  • [4] COHEN, Uriel; WEISMAN, Gerald D. Holding on to home: Designing environments for people with dementia. Baltimore, MD: Johns Hopkins University Press, 1991.
  • [5] DAY, Kristen; CARREON, Desirelys; STUMP, Christyan. The therapeutic design of environments for people with dementia: A review of the empirical research. The Gerontologist, v. 40, n. 4, p.397–416, ago. 2000. Disponível em https://pubmed.ncbi.nlm.nih.gov/10961029/ 2023. Acesso em: 19 mar. 2023.
  • [6] FLEMING, Richard; ZEISEL, John; BENNETT, Kirsty. World Alzheimer Report 2020: Design Dignity Dementia: dementia-related design and the built environment. Alzheimer’s Disease International, London, England, v.01, sept. 2020. Disponível em: https://www.alzint.org/resource/world-alzheimer-report-2020, 2021. Acesso em: 03 fev. 2021.
  • [7] FONSECA, Antonio M. Aging in Place, Envelhecimento em casa e na comunidade em Portugal. Public Sciences e Policies, Portugal, v.VI, n. 2, p. 21 – 39, dez. 2020. Disponível em: https://cpp.iscsp.ulisboa.pt/index.php/capp/article/view/91,2021. Acesso em: 12 mar. 2021.
  • [8] LAWTON, Michael P. Environment and other determinants of wellbeing in older people. The Gerontologist, v. 23, n. 4, p. 556–561, 1883. Disponível em: https://pubmed.ncbi.nlm.nih.gov/6352420/ 2022., Acesso em: 12 mar. 2022.
  • [9] LAWTON, Michael. P.; NAHEMOW, Lucille. Ecology and the aging process. In C. Eisdorfer and M.P. Lawton (Eds.) Psychology of adult development and aging. Washington, DC: American Psychological Association, 1973.
  • [10] LAWTON, Michael P; WEISMAN, Gerald D; SLOANE, Phillip D; NORRIS-BAKER, Caroliyn; CALKINS, Margaret; ZIMMERMAN, Sheryl I. Professional environmental assessment procedure for special care units for elders with dementing illness and its relationship to the therapeutic environment screening schedule. Alzheimer Disease and Associated Disorders, v. 14, n. 1, p. 28–38, Jan-Mar 2000. Disponível em: https://pubmed.ncbi.nlm.nih.gov/10718202/, 2023. Acesso em: 12 mar. 2023.
  • [11] LAWTON, Michael P; SIMON, Bonnie. The ecology of social relationships in housing for the elderly. The Gerontologist, n. 8, v. 2, p. 108–115, 1968. Disponível em: https://academic.oup.com/gerontologist/article-abstract/8/2/108/583541, 2022. Acesso em: 18 jan 2022.
  • [12] MARQUARDT, Gesine; SCHMIEG, Peter. Dementia-friendly architecture: Environments that facilitate wayfinding in nursing homes. American Journal of Alzheimer’s Disease & Other Dementias, v. 24, n. 4, p. 333–340, aug-sep 2009. Disponível em: https://pubmed.ncbi.nlm.nih.gov/19487549, 2021. Acesso em: 18 jan 2021.
  • [13] MARQUARDT, Gesine. (2011). Wayfinding for people with dementia: A review of the role of architectural design. HERD. Health Environments Research & Design Journal, v. 4, n. 2, p. 75–90, jan 2011. Disponível em: https://journals.sagepub.com/doi/10.1177/193758671100400207?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed, 2021. Acesso em: 14 jan 2021.
  • [14] CARTHERY-GOULART, Maria T., AREZA-FEGYVERES, Renata, SCHULTZ, Rodrigo R., OKAMOTO, Ivan, CARAMELLI, Paulo, BERTOLUCCI, Paulo H.F, NITRINI, Ricardo. Adaptação transcultural da escala de avaliação de incapacidade em demência (Disability Assessment For Dementia - DAD). Arq. Neuro-Psiquiatr. 65 (3b) • Set 2007. Disponível em: https://www.scielo.br/j/anp/a/67bQXRHPNCX8mNScBFHGvGc/?lang=pt Acesso em: 06 de junho de 2023.
  • [15] ORGANIZAÇÃO MUNDIAL DA SAÚDE. CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde [Centro Colaborador da Organização Mundial da Saúde para a Família de Classificações Internacionais, em Português, org.; coordenação da tradução Cássia Maria Buchalla]. – 1. ed., 1. reimpre. – São Paulo: Editora da Universidade de São Paulo, 2008.
  • [16] PARKER, Chris; BARNES, Sarah; MCKEE, Kevin; MORGAN, Kevin; TORRINGTON, Judith; TREGENZA, Peter. Quality of life and building design in residential and nursing homes for older people. Ageing and Society, v.24, n.6, p. 941–962, nov 2004. Disponível em: https://eprints.whiterose.ac.uk/1513/1/barnes.s2.pdf, 2022. Acesso em: 20 mar 2022.
  • [17] PASSINI, Romedi; PIGOT, Hélène; RAINVILLE, Constant; TÉTREAULT, Marie-Hélène. Wayfinding in a nursing home for advanced dementia of the Alzheimer’s type. Environment and Behavior, v. 32, n. 5, p. 684–710, sep 2000. Disponível em: https://journals.sagepub.com/doi/10.1177/00139160021972748, 2023. Acesso em: 12 mar 2023.
  • [18] SHABHA, Gasson; EDWARDS, David J; GAINES, Kristi; LAYCOK, Paul. Toward an Integrated Context-Based Design Approach for Dementia Residential Care Homes: A Review of Key Operational Design Problems. HERD. Health Environments Research & Design Journal. V. 15, n. 4, p. 323-342, oct 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/35833917/, 2023. Acesso em: 12 mar 2023.
  • [19] WORLD HEALTH ORGANIZATION. Global status report on the public health response to dementia. World Health Organization, Geneva, 2021. Disponível em: https://www.who.int/publications/i/item/9789240033245, 2022. Acesso em: 10 mar 2022.
  • [20] WORLD HEALTH ORGANIZATION. Global action plan on the public health response to dementia 2017–2025. World Health Organization, Geneva, sep 2017. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/259615/9789241513487-eng.pdf?sequence=1&isAllowed=y, 2022. Acesso em: 10 mar 2022.
  • [21] WORLD HEALTH ORGANIZATION. Risk reduction of cognitive decline and dementia: WHO guidelines. World Health Organization, Geneva, jan 2019. Disponível em: https://www.who.int/publications/i/item/978924155054, 2022. Acesso em: 10 mar 2022.
  • [22] VAN VACREM, Marieke; SPRUYTTE, Nele; DECLERCQ, Anja G; VAN AUDENHOVE, Chantal. Nighttime restlessness in people with dementia in residential care: an explorative field study. Gerontol Geriatr. V.47, n.2, p. 75-85, apr 2016. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26886877/, 2023. Acesso em: 13 mar 2023.
  • [23] ZEISEL, John; SILVERSTEIN, Nina M; HYDE, Joan; LEVKOFF, Sue; LAWTON, Michael P; HOLMES, William. (2003). Environmental correlates to behavioral health outcomes in Alzheimer’s special care units. The Gerontologist, n.43, n.5, p.697–711. Disponível em: https://pubmed.ncbi.nlm.nih.gov/14570966/, 20 Acesso em: 19 mar 20
  • [24] VAN BUUREN, Leonie P.G, MOHAMMADI, Masi. Dementia-Friendly Design: A Set of Design Criteria and Design Typologies Supporting Wayfinding. HERD: Health Environments Research & Design Journal. n. 15, v. 1, p. 150-172, jan 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34519238/, 2023. Acesso em 19 mar 2023."
Como citar:

Raymundo, Taiuani Marquine; Castro, Carla da Silva Santana; , ; Dario, Marina Baltieri; Lobato, Beatriz Cardoso; Medola, Fausto Orsi; "Os princípios de design de ambiente de Fleming–Bennett na percepção familiares de idosos com demência", p. 1003-1015 . In: Anais do ERGODESIGN & USIHC 2023 & JOP’Design 2023. São Paulo: Blucher, 2023.
ISSN 2318-6968, DOI 10.5151/ergodesign2023-64

últimos 30 dias | último ano | desde a publicação


downloads


visualizações


indexações