Chair of Social and Health Care Buildings and Design, Technische Universität Dresden, Faculty of Architecture, Dresden, Germany.
TU Wien, Faculty of Architecture and Planning, Institute of Architecture and Design, Vienna, Austria.
Int J Qual Stud Health Well-being. 2022 Dec;17(1):2087273. doi: 10.1080/17482631.2022.2087273.
To examine stroke inpatients' real-life wayfinding behaviour and how the built environment of rehabilitation clinics might influence their behaviour and experiences.
Stroke inpatients in seven rehabilitation clinics were observed (n = 70), each over the course of 12 consecutive hours. Their paths through the clinic and the locations of encountered wayfinding-related events were mapped on the floor plans and described in the written notes. The observations were supplemented by a survey asking patients about their wayfinding experiences.
For a third of observed patients, at least one wayfinding-related event was observed on the observation day, and 50% of patients reported getting lost in their clinic at least once. Most wayfinding-related events occurred between patient rooms and therapy rooms, and patients frequently relied on backtracking or the help of the staff to find their way. Clinics' layout organization was found to play a role in the wayfinding behaviour of patients.
Wayfinding is a common challenge that stroke inpatients encounter in rehabilitation clinics. Avoiding multiple decision nodes on the paths between patient rooms and therapy rooms and creating distinct identities for corridor segments in the decision nodes and the areas in front of elevators would likely improve wayfinding performance.
考察脑卒中住院患者在现实环境中的寻路行为，以及康复诊所的建筑环境如何影响他们的行为和体验。
观察了 7 家康复诊所的 70 名脑卒中住院患者，每位患者连续 12 小时接受观察。在平面图上记录并在书面记录中描述他们在诊所内的路径以及遇到的寻路相关事件的位置。观察结果通过问卷调查进行补充，询问患者寻路体验。
在观察日，至少有三分之一的患者观察到了一个与寻路相关的事件，且 50%的患者报告至少在一次在他们的诊所迷路。大多数与寻路相关的事件发生在病房和治疗室之间，患者经常依靠折返或工作人员的帮助来找到路。发现诊所的布局组织对患者的寻路行为起着一定作用。
寻路是脑卒中住院患者在康复诊所中经常面临的挑战。避免在病房和治疗室之间的路径上设置多个决策节点，并为决策节点和电梯前的区域赋予独特的身份，这可能会改善寻路表现。
