Journal of the Korean housing association (한국주거학회논문집)

The Korean Housing Association (한국주거학회)
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Effects of Snoezelen Room on Agitated Behavior of People with Dementia

스노잘렌 공간이 치매노인 동요행동에 미치는 영향

  • Published : 2008.08.25
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Abstract

Snoezelen, multi-sensory stimulation, provides stimulation through the visual, aural, tactile, olfactory, gustatory and proprioceptive senses. Its aim is to be a relaxing, feeling of safety, novelty and stimulation with no expectations for performance. Agitated behavior of people with dementia causes significant problems and distress for cares. The objective of this research study was to test the effects of Snoezelen room on physical and verbal agitated behaviors of people with dementia. Four patients participated five sessions in Snoezelen room of 'F' dementia care facility in Sweden. Assessment instrument was basically used Cohen-Mansfield Agitation Inventory-Short Form to be rated by caregivers on a 5-point frequency scale. Pre-trial and post-trial assessments were carried out during $27^{th}$ Aug.-$27^{th}$ Sept. 2007. Result shows that Snoezelen room has some short-term positive effect on agitated behavior even though there was a considerable variation individuals responded. This result adds to the increasing evidence that Snoezelen could be a therapeutic environment for the elderly with dementia. Further research study, with larger number of participation, and a control group is required to establish more scientific evidence of Snoezelen effects on health outcome.

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References

  1. 보건복지부(2008), 노인보건복지사업안내, www. Mohw.go.kr
  2. 오은진(2000), 요양원 건축의 치료적 환경특성과 치매노인 행동의 상호관련성, 연세대 박사학위논문
  3. 최영미 외(2004), 치매노인을 위한 통합감각자극환경의 평가연구, 대한건축학회논문집 계획계, 22(7), 89-98
  4. Baillon S. et al. (2004), A comparison of the effects of Snoezelen and reminiscence therapy on the agitated behavior of patients with dementia, Internatioal Journal of Geriatric Psychiatry, Vol. 19, 1047-1052 https://doi.org/10.1002/gps.1208
  5. Baker R. et al. (1997), Snoezelen: its long-term and shortterm effects on older people with dementia, British Journal of Occupational Therapy, Vol. 60(5), 213-218 https://doi.org/10.1177/030802269706000507
  6. Brawley E.C. (2001). Environmental design for Alzheimer's disease: a quality of life issue, Aging and Mental Health, Vol. 5, S79-S83 https://doi.org/10.1080/13607860120044846
  7. Brawley E.C. (1997). Designing for Alzheimer's Disease: Strategies for creating better care environments, John Wiley & Sons, Inc
  8. Brown C. et al. (2001), The adult sensory profile: measuring patterns of sensory processing, The American Journal of Occupational Therapy, Vol. 55(1), 75-82 https://doi.org/10.5014/ajot.55.1.75
  9. Calkins M.P. (2001), The physical and social environment of the person with Alzheimer's disease, Aging and Mental Health, Vol. 5, S74-S78 https://doi.org/10.1080/713650003
  10. Cohen-Mansfield J. & Billig N. (1986), Agitated behaviours in the elderly: A conceptual review, Journal of American Geriatric Society, Vol. 34(10), 711-721
  11. Diepen E. et al. (2002), A pilot study of the psychological and behavioral effects of Snoezelen in dementia, British Journal of Occupational Therapy, Vol. 65(2), 61-66 https://doi.org/10.1177/030802260206500203
  12. Erik et al. (2002), A pilot study of the physiological and behavioural effects of Snoezelen in dementia, British Journal of Occupational Therapy, Vol. 65(2), 61-66 https://doi.org/10.1177/030802260206500203
  13. Hall G.R. & Buckwalter K.C. (1987), Progressively lowered stress threshold: A conceptual model for care of adults with Alzheimer's disease, Archives of Psychiatric Nursing, Vol. 1(6), 399-406
  14. Hogg J., Cavet J. et al. (2001), The use of 'Snoezelen' as multisensory stimulation with people with intellectual disabilities?: a review of the research, Research in Developmental Disabilities, Vol. 22, 353-372 https://doi.org/10.1016/S0891-4222(01)00077-4
  15. Hope K.W. (1998), The effects of multisensory environments on older people with dementia, Journal of Psychiatric and Mental Health Nursing, Vol. 5, 377-385 https://doi.org/10.1046/j.1365-2850.1998.00143.x
  16. Hope K.W. (1997). Using multi-sensory environments with older people with dementia, Journal of Advanced Nursing, Vol. 25, 780-785 https://doi.org/10.1046/j.1365-2648.1997.1997025780.x
  17. Hulsegge J. & Verheul, A. (1986), Snoezelen Another World: A practical book of sensory experience environments for the mentally handicapped, Chesterfield, UK: Rompa. Recited in P. Pagliano (1999). Multisensory Environments. London: David Fulton Publishers, 46
  18. Julia C.M. et al. (2005), The effects of the implementation of Snoezelen on the quality of working life in psychogeriatric care, Internation Psychogeriatrics, Vol. 40(4), 397-416
  19. Kewin J. (1991), Snoezelen: essentials and basics (some thoughts about design). Recited in P. Pagliano (1999), Multisensory Environments, London: David Fulton Publishers, 41
  20. Kovach C.R. (2000), Sensoristasis and imbalance in persons with dementia, Journal of Nursing Scholarship, Fourth Quarter, 379-384
  21. Kovach C.R. & Schlidt A.M. (2001), The agitation-activity interface of people with dementia in long-term care, American Journal of Alzheimer's Disease and Other Dementias, Vol. 16(4), 240-246 https://doi.org/10.1177/153331750101600410
  22. Kovach C.R. & Stearns S.A. (1994), DSUs: A study of behavior before and after residence, Journal of Gerontological Nursing, Vol. 20(12), 33-39
  23. Ory M.G. (1994), Dementia special care: The development of a national research initiative, Alzheimer Disease and Associated Disorders, Vol. 8(1), S389-S394
  24. Pagliano P. (1999), Multisensory Environments, London: David Fulton Publishers
  25. Pinkney L. (1997), A comparison of the snoezelen environment and a music relaxation group on the mood and behaviour of patients with senile dementia, British Journal of Occupational Therapy, Vol. 60(5), 209-212 https://doi.org/10.1177/030802269706000506
  26. Roger B. et al. (2003), Effects of multi-sensory stimulation for people with dementia, Journal of Advanced Nursing, Vol. 43(5), 465-477 https://doi.org/10.1046/j.1365-2648.2003.02744.x
  27. Schwarz B. et al. (2004), Effect of design interventions on a dementia care setting, American Journal of Alzheimer's Disease and Other Dementias, Vol. 19(3), 172-176 https://doi.org/10.1177/153331750401900304
  28. Shari A.M. et al. (2007), Effects of a Snoezelen room on the behavior of three autistic clients, Research in Developmental Disabilities, Vol. 28, 304-316 https://doi.org/10.1016/j.ridd.2006.04.001
  29. Smith K. & McAllister P. (1994), Snoeszelen-experience from a day hospital for adults with mental difficulties. p.19. Recited in Paul Pagliano (1999), Multisensory Environments, London: David Fulton Publishers
  30. Verkaik R. et al. (2004), The effects of psychosocial methods on depressed, aggressive and apathetic behaviors of people with dementia: a systematic review, International Journal of Geriatric Psychiatry, Vol. 20, 301-314 https://doi.org/10.1002/gps.1279
  31. Voyer P., Verreault R. et al. (2005), Prevalence of physical and verbal aggressive behaviours and associated factors among old adults in long-term care facilties, BMC Geriatrics, Vol. 5(13), 1-20 https://doi.org/10.1186/1471-2318-5-1
  32. Wagner A.W. et al. (1995), Behavior problems among dementia residents in special care units?: Changes over time, Journal of the American Geriatrics Society, 43(7), 784-787 https://doi.org/10.1111/j.1532-5415.1995.tb07051.x
  33. Wimo A. et al. (2007), An Estimate of the total worldwide societal costs of dementia in 2005, Alzheimer's & Dementia: The Journal of the Alzheimer's Association, Vol. 3(2), 81-91 https://doi.org/10.1016/j.jalz.2007.02.001