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迈向以患者为中心的护理:重视医院设计与建筑中的情感因素。

Moving Toward Person-Centered Care: Valuing Emotions in Hospital Design and Architecture.

作者信息

Bogaert Brenda

机构信息

Healthcare Values Chair, Institut de Recherches Philosophiques de Lyon. Université Jean Moulin 3, Lyon, France.

出版信息

HERD. 2022 Apr;15(2):355-364. doi: 10.1177/19375867211062101. Epub 2021 Dec 8.

Abstract

The intangible value of emotions is often neglected in healthcare evaluations; however, it forms an important part of the hospital experience that needs to be taken into consideration to move toward person-centered care. This article conceptualizes how space and architecture may influence patient, family, and healthcare provider emotions. Building upon Gaston Bachelard's , theories on emotional design and architecture, as well as research in environmental design, we suggest several ways to value emotions in hospital design and architecture. The first theme explores several hospital spaces (the waiting room, the hospital room, the treatment room) using Bachelard's phenomenology in order to show how to facilitate emotional security by catering to the individual needs of the user. The second discusses the overall hospital room environment, notably the influence of light, color, and sound on the patient's emotional experience. The third explores architectural theorist Giuliana Bruno's theory of e(motion) to explore the hospital space as , a space of lived experiences, that invites us to rethink the design and architecture of hospital spaces to allow for patient participation. The article also gives suggestions of qualitative, person-centered methodologies that can be used to move forward this debate.

摘要

在医疗评估中,情感的无形价值常常被忽视;然而,它构成了医院体验的重要部分,为了迈向以患者为中心的护理,这一点需要被考虑在内。本文阐述了空间和建筑如何可能影响患者、家属及医护人员的情感。基于加斯东·巴什拉的情感设计与建筑理论以及环境设计研究,我们提出了几种在医院设计与建筑中重视情感的方法。第一个主题运用巴什拉的现象学探讨了几个医院空间(候诊室、病房、治疗室),以展示如何通过满足用户的个体需求来促进情感安全。第二个主题讨论了整体病房环境,尤其是光、颜色和声音对患者情感体验的影响。第三个主题探讨了建筑理论家朱利亚娜·布鲁诺的“e(情感)”理论,将医院空间视为一个生活体验空间,促使我们重新思考医院空间的设计与建筑,以允许患者参与。本文还给出了定性的、以患者为中心的方法建议,可用于推动这一讨论。

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