fa تدوین رهنمودهای طراحی باغ شفابخش با تاکید بر ارتقای سلامت سالمندان مبتلا به آلزایمر-مرور نظام‌مند عمومى General پژوهشي-مورد پژوهی Research <span style="font-family:B Mitra;"><span style="font-size:12.0pt;">&nbsp;&nbsp;&nbsp; جمعیت جهانی سالمندان با نرخ هشدار دهنده&shy;ای روبه&shy;رشد است، یکی از معضلات اصلی سالمندان بیماری زوال&shy;عقل است و علت اصلی آن، بیماری آلزایمر</span></span> <span style="font-family:B Mitra;"><span style="font-size:12.0pt;">است</span></span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">؛ علائم رفتاری، روانشناختی زوال&shy;عقل، در بیشتر مبتلایان وجود دارد، از&shy;انجایی&shy;که تاکنون هیچ داروی قطعی برای بیماران الزایمری تایید نشده است، اتخاذ درمان غیردارویی، از طریق انواع مداخلات-بویژه مواردی که با طبیعت عجین هستند-امتیازات درمانی ارائه می</span></span><span dir="LTR">&shy;</span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">دهند که برای مبتلایان به آلزایمر</span></span> <span style="font-family:B Mitra;"><span style="font-size:12.0pt;">حیاتی است<a name="_Hlk41567613"></a><a name="_Hlk42871091">. این مرور نظام &shy;مند</a></span></span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">، با پیروی از دستورالعمل&shy;های</span></span><span dir="LTR">PRISMA </span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">،</span></span> <span style="font-family:B Mitra;"><span style="font-size:12.0pt;">و ارزیابی کیفیت منابع از طریق</span></span><span dir="LTR">MMAT</span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">، درجستجوی </span></span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">رهنمودهای طراحی باغ شفابخش با تاکید بر ارتقای </span></span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">سلامت سالمندان مبتلا به الزایمر است</span></span><span dir="LTR">.</span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;"> با جستجوی کلید واژه&shy;های تعریف شده در پایگاه&shy;های داده </span></span><span dir="LTR">Google</span> <span dir="LTR">Scholar</span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;"> و</span></span><span dir="LTR">PubMed</span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">، </span></span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">31 </span></span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">منبع واجد شرایط </span></span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">انتخاب شد. <a name="_Hlk52982982">نتایج </a></span></span><span style="font-family:B Mitra;"><span style="font-size:12.0pt;">در قالب رهنمودهای طراحی باغ شفابخش شامل مکان&shy;یابی(ارتباط بصری، نور)، ایمنی(محصوریت، نورپردازی، خوانایی)، سایه، دسترسی و مسیرهای حرکتی-مکث، فرهنگ مکان و باغبانی-درمانی است. همچنین ارتباط رهنمودهای طراحی باغ شفابخش با علایم رفتاری و روانشناختی سالمندان مبتلا به آلزیمر مشخص شد. فعالیت باغبانی، توجه به مسیر و دسترسی و ملاحظات فرهنگی، از مهمترین مولفه&shy;های طراحی باغ شفابخش برای سالمندان مبتلا به الزایمر است. بیشترین آثار سلامت بخش باغ شفابخش از طریق کاهش رفتارهای اشفته است.</span></span><span dir="LTR"></span> <strong>Introduction: </strong>The global elderly population is growing at an alarming rate. One of the main problems of the elderly is dementia, and the most common cause of dementia is Alzheimer&#39;s disease. Behavioral and Psychological Symptoms of Dementia are present in most Alzheimer&#39;s patients since no definitive medication has been approved for dementia and Alzheimer&#39;s patients. Adopting non-pharmacological treatments through a variety of interventions -especially those involving nature -offers therapeutic benefits that are critical for Alzheimer&#39;s patients.<br> <strong>Methodology: </strong>In this regular review, 31 eligible sources were selected, following PRISMA guidelines, and searching for defined keywords in the Google Scholar and PubMed databases, as well as applying inclusion and exclusion criteria. In the final screening, the quality of qualified resources obtained from the screening process of the first stage(titles and abstracts of articles) and the second stage(full text) was assessed with MMAT. With the unanimity of all three authors, data extraction was prepared in the form of a standard checklist of output information. BPSD-related keywords were first identified using up-to-date and specialized sources in Alzheimer&#39;s disease in the elderly. In the second stage, by reviewing multiple eligible studies, the relationships between BPSD and spatial qualities of the therapeutic garden were identified by coding. In the third stage, the spatial quality relationships affecting BPSD in the therapeutic garden were categorized and presented in the form of therapeutic garden design guidelines for the elderly with Alzheimer&#39;s.<br> <strong>Results: </strong>The results in the form of therapeutic garden design guidelines include the location (visual communication, light), safety (enclosure, lighting, legibility), shadow, access, movement-pause paths, the culture of the place, and horticulture-therapy. Also, the relationship between therapeutic garden design guidelines and behavioral and psychological symptoms of the elderly with Alzheimer&#39;s disease was identified. Most of the therapeutic effects of the therapeutic garden are through the reduction of disturbing behaviors, which is strongly related to the design guidelines, including: inside and outside communication, enclosure, garden, legibility, paths, and accessibility. As a result, compliance with a set of safety considerations related to reducing disturbed behaviors is of particular importance in designing a therapeutic garden for the Alzheimer&#39;s elderly.<br> <strong>Conclusion: </strong>Therapeutic gardens in supportive environments are among the most effective ways to support Alzheimer&#39;s patients in a nursing home and improve BPSD. Considering the three spectrums of cognitive/perceptual, emotional, and behavioral disorders of patients on the one hand and the capacities of the therapeutic garden due to physical and non-physical dimensions, we can expect to reduce the symptoms of the disease by adopting user-oriented design policies. Horticultural activity, attention to route and access, and cultural considerations are among the most essential components of designing a Therapeutic garden for the elderly with Alzheimer&#39;s. باغ شفابخش, سالمندان, BPSD, آلزایمر, سلامت, مرور نظام‌مند. Therapeutic Garden, Elderly, Behavioral and Psychological Symptoms of Dementia, Health, Systematic Review 117 134 http://hafthesar.iauh.ac.ir/browse.php?a_code=A-10-165-47&slc_lang=fa&sid=1 Shima Taheri شیما طاهری 10031947532846004261 10031947532846004261 No Maryam Ghasemi sichani مریم قاسمی سیچانی 10031947532846004262 10031947532846004262 Yes امیرحسین شبانی 10031947532846004263 10031947532846004263 No