School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia.
Int J Environ Res Public Health. 2021 May 4;18(9):4892. doi: 10.3390/ijerph18094892.
The physical environment of a treatment centre may impact the well-being of patients and their perceptions of care. Outpatients with haematological cancer may be in contact with the treatment centre over long periods and could be particularly affected. This study aimed to identify haematological cancer patients' perceptions of supportive design elements in the hospital they attended and associations with self-reported mood or well-being. Outpatients from three large metropolitan hospitals in Australia were mailed a self-report questionnaire and responded to statements about the treatment centre concerning their sense of control over the physical surroundings; access to social support; and access to positive distractions. Participants also reported whether they felt the overall environment affected their mood or wellbeing. Of the outpatients who returned the questionnaire ( = 165), almost one-quarter (24%) agreed that the physical environment of the hospital affected their mood or well-being. Patients who disagreed that the hospital was a comfortable temperature or agreed that waiting rooms were crowded had significantly higher odds of reporting that the treatment environment affected their mood or wellbeing. Implementing systems to reduce overcrowding in waiting rooms and increasing patient control over personal temperature in clinics may be the most effective strategies to improve patient wellbeing.
治疗中心的物理环境可能会影响患者的幸福感和他们对治疗的看法。患有血液癌症的门诊患者可能会在治疗中心长时间接触,并且可能会受到特别影响。本研究旨在确定血液癌症患者对其就诊医院中支持性设计元素的看法,以及这些看法与自我报告的情绪或幸福感之间的关联。澳大利亚三家大型都市医院的门诊患者收到了一份自我报告问卷,并对有关他们对周围物理环境的控制感、获得社会支持和获得积极分心的治疗中心的陈述做出了回应。参与者还报告了他们是否感到整体环境影响了他们的情绪或幸福感。在返回问卷的门诊患者中(n=165),近四分之一(24%)的人认为医院的物理环境会影响他们的情绪或幸福感。那些不同意医院温度舒适或同意候诊室拥挤的患者报告说治疗环境影响他们的情绪或幸福感的可能性显著更高。实施减少候诊室拥挤的系统并增加患者对诊所个人温度的控制可能是改善患者幸福感的最有效策略。