محیط درمان یار(STE)؛ راه حلی برای کنترل آسیب پس از درمان در فضای درمانی (کاهش دوران نقاهت بیماران)
محورهای موضوعی : معمار شهر
زهرا اسدی
1
(پژوهشگر دکتری معماری، دانشکده هنر معماری واحد تهران غرب، دانشگاه آزاد اسلامی، تهران، ایران)
آزاده شاهچراغی
2
(گروه معماری، دانشکده معماری ، دانشگاه آزاد واحد علوم و تحقیقات ، تهران ، ایران)
لیلا زارع
3
(گروه معماری دانشکده هنر و معماری دانشگاه آزاد اسلامی واحد تهران غرب)
مینو قره بگلو
4
(دانشگاه هنر اسلامی تبریز)
کلید واژه: محیط درمان یار(STE), ارتقا مولفه های محیط درمانی, روانشناسی محیط, طراحی بیمارمحور, استرس بیماران.,
چکیده مقاله :
محیط از عوامل تاثیر‌گذار و موثر بر روابط و رفتار افراد است. با توجه به اینکه محیط فیزیکی بیمارستان ها به دلیل تشدید تنش های محیطی به محیط های غیر حمایتی تبدیل شده اند؛ طراحی "محیط درمان یار " در بخش های بستری بیمارستان برای تسهیل و تسریع روند درمان ، بهبود عملکرد و کیفیت زندگی بیماران در طول درمان ، هدف تحقیق است. برای درک این موضوع ، رابطه بین عوامل محیطی و روند بهبودی بیماران در یک بیمارستان با 156 شرکت کننده برای ارزیابی ارتباط بین عوامل محیطی (شاخص های کالبدی ، معنایی-روانی ، اجتماعی- فرهنگی ، رفتاری) و اثرات احتمالی آن بر کیفیت درمان (روند بهبود ، کنترل استرس بیماران ، یازگشت به چرخه زندگی) در بخش بستری انجام شد. یافته های این تحقیق نشان داد که کیفیت فرآیند درمان در بیمارستان رابطه مستقیم با شاخص های محیطی دارد. این مطالعه با بحث کلی در مورد مفاهیم به عنوان وسیله ای برای درک عمیق تأثیر محیط ساخته شده بر تجربه انسان ، کنترل هذیان و استرس، کیفیت بهبود و بازگشت به چرخه زندگی برای جهت دهی به تحقیقات آینده پایان یافت، تا این رویکرد به بیمارستان ها کمک کند، بتوانند شرایط محیطی مناسبی را برای بیماران در بخش بستری فراهم کنند.
Objective:This study investigates the environmental factors affecting the treatment process, increasing the recovery quality, and facilitating the patients’ return to the normal life cycle.Background:The intensification of environmental stresses makes the hospital’s environment stressful and non-supportive. Designing a Supportive Therapist Environment (STE) could facilitate the recovery process and improve the patients’ life quality during treatment procedures in inpatient wards. Method: To this goal an exploratory approach was used.The qualitative data were collected by unstructured interviewing six medical specialists and six architecture professors. A questionnaire was distributed among 156 patients to examine the relationship between environmental factors and the possible effect of treatment quality in a surgical ward, Tabriz hospital, Iran.The conditional logistic regression was used to estimate this association. Results: Findings showed a significant relationship between the environmental components and the treatment process quality. That is, the results confirmed positive effects of the architectural interventions on the patients’ sense of calmness, security, and return to life.Conclusion:This study emphasizes on all dimensions including physical, social and semantic, particularly the ceiling as a main factor in controlling stress and maintaining the calmness.STE model can enhance patient satisfaction, and help hospitals create suitable conditions for patients in inpatient wards. To improve the treatment quality, it is necessary to consider mental, semantic, social, and physical components in designing the hospital environments. The study discusses the concepts for understanding the influence of the built environment on human experience, delirium control, treatment process, recovery quality, and return to life cycle.It also introduces further directions for future research.
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