Wong Kevin, McLaughlan Rebecca, Collins Anna, Philip Jennifer
Austin Health, Heidelberg, Victoria, Australia
School of Architecture & the Built Environment, The University of Newcastle, Callaghan, New South Wales, Australia.
BMJ Support Palliat Care. 2023 Mar;13(1):45-51. doi: 10.1136/bmjspcare-2021-003087. Epub 2021 Dec 31.
It is essential that the physical environments in which inpatient palliative care is provided support the needs of patients and the facilitate the multidimensional delivery of palliative care. This review aims to identify the features and characteristics of inpatient palliative care environments that enhance or detract from the patient experience; and identify opportunities for progress within this field.
Three databases were searched: MEDLINE (1946-2020), PsycINFO (1806-2020) and CINAHL (1937-2020). Articles were screened by title and abstract with included studies read in full for data extraction. Data synthesis involved thematic analysis informed by the findings of the included literature. Inclusion criteria were studies with empirical methodology examining adult palliative care in the hospital, hospice or nursing home environment. Studies that examined palliative care delivered within the emergency department, ICU or within the home were excluded, as were those related to paediatric palliative care.
Four main themes were identified: the provision of privacy, facilitating interactions with family, facilitating comfort through homeliness and connections to nature.
The board acceptance of single rooms as the preeminent design solution for supporting privacy, dignity and family interaction, alongside current conceptions of homeliness that typically focus on matters of interior design, are limiting possibilities for further design innovation within palliative care settings. Research that investigates a broader set of design strategies through which the built environment can support care, alongside enhanced interdisciplinary collaboration, could positively contribute to patient and family experiences of inpatient palliative care.
提供住院姑息治疗的物理环境必须支持患者的需求，并促进姑息治疗的多维度提供。本综述旨在确定增强或有损患者体验的住院姑息治疗环境的特征；并确定该领域的进展机会。
检索了三个数据库：MEDLINE（1946 - 2020）、PsycINFO（1806 - 2020）和CINAHL（1937 - 2020）。通过标题和摘要筛选文章，对纳入的研究进行全文阅读以提取数据。数据综合涉及根据纳入文献的研究结果进行的主题分析。纳入标准是采用实证方法研究医院、临终关怀机构或养老院环境中成人姑息治疗的研究。排除在急诊科、重症监护病房或家中提供的姑息治疗的研究，以及与儿科姑息治疗相关的研究。
确定了四个主要主题：提供隐私、促进与家人的互动、通过营造温馨感和与自然的联系来促进舒适。
董事会认可单人房间是支持隐私、尊严和家庭互动的卓越设计解决方案，以及当前通常侧重于室内设计问题的温馨概念，正在限制姑息治疗环境中进一步设计创新的可能性。通过建筑环境可以支持护理的更广泛设计策略的研究，以及加强跨学科合作，可能会对住院姑息治疗的患者和家庭体验产生积极影响。
