Jonathan Jaques Children's Cancer Center of Miller Children's Hospital, Long Beach, CA, USA.
HERD. 2011 Summer;4(4):34-59. doi: 10.1177/193758671100400404.
Studies show that hospital built environments can affect physical and psychological outcomes and healthcare satisfaction in adults, but pediatric research is sparse.
To investigate the effects of the built environment on hospitalized pediatric hematology-oncology patients and their parents by testing the hypothesis that perceived built environment satisfaction mediates the relationship between the objective built environment and psychosocial functioning, as well as parental healthcare satisfaction.
The hospital built environment was evaluated subjectively through the PedsQL™ Hospital Healing Environment Module satisfaction questionnaires and objectively by quantifying environmental features. Outcomes for patients and parents included present functioning and affect. Healthcare satisfaction was also assessed for parents. Structural equation modeling (SEM) was used to test the mediational hypothesis.
Participants were 90 hospitalized pediatric hematology-oncology patients and 149 parents of pediatric hematology-oncology patients.
For both parents and children, analyses revealed a significant positive relationship between the quality of the objective built environment and built environment satisfaction. For parents, significant relationships emerged in the expected direction between built environment satisfaction and present functioning, healthcare satisfaction, and negative affect.
Both pediatric hematology-oncology patients and their parents can reliably report their own perceived built environment satisfaction, which is significantly related to the quality of the objective built environment. For parents, results support the mediational hypothesis, highlighting the importance that perceived built environment satisfaction plays in psychosocial functioning and healthcare satisfaction.
研究表明，医院的建筑环境可以影响成人的身体和心理结果以及医疗保健满意度，但儿科研究较少。
通过测试假设，即感知的建筑环境满意度介导客观建筑环境与心理社会功能以及父母医疗保健满意度之间的关系，来调查建筑环境对住院儿科血液肿瘤患者及其父母的影响。假设是感知的建筑环境满意度可以调节客观建筑环境与心理社会功能以及父母医疗保健满意度之间的关系。
通过 PedsQL™医院治疗环境模块满意度问卷对医院建筑环境进行主观评估，并通过量化环境特征进行客观评估。患者和父母的结果包括当前功能和影响。还评估了父母的医疗保健满意度。结构方程模型（SEM）用于测试中介假设。
参与者为 90 名住院儿科血液肿瘤患者和 149 名儿科血液肿瘤患者的父母。
对于父母和儿童，分析显示客观建筑环境质量与建筑环境满意度之间存在显著正相关。对于父母，建筑环境满意度与当前功能、医疗保健满意度和负性情绪之间呈现出预期的关系。
儿科血液肿瘤患者及其父母都可以可靠地报告自己对感知的建筑环境满意度，这与客观建筑环境的质量显著相关。对于父母来说，结果支持中介假设，强调了感知的建筑环境满意度在心理社会功能和医疗保健满意度方面的重要性。
