Edris Nuredin, Bashir Fathi, Zeleke Belay
Wollega University, Institute of Engineering and Technology, Department of Architecture, P.O.Box: 395, Nekemte, Ethiopia.
Heliyon. 2024 May 18;10(10):e31531. doi: 10.1016/j.heliyon.2024.e31531. eCollection 2024 May 30.
Recently hospital managers and designers become more interested in 'patient centered design' (PCD) through the integration of patients' perceptions and expectations of the hospitals' physical environment. This increased interest in PCD indicates the improved understanding of the impacts of hospital's physical environment on all users including patients, families and hospital staff. Literature shows that incorporating users' perceptions of the physical environment during the design process is very important to produce PCD. The current study is aimed at assessing the impacts of four demographic factors namely: age, sex, education level and area of residence on users' perceptions of hospitals' physical environment. Five principal design factors were identified: views, safety &comfort, facilities &way finding, architectural & hygiene and sensory. For the questionnaire survey, the statistical analysis has been conducted with IBM SPSS Statistics version 27.0. Demographic data was analyzed descriptively by computing frequencies and percentages. Then the descriptive statistics for the items i.e. frequencies, percentages, means and standard deviations (SD) were computed. Non-parametric tests were applied to assess variances in constructed principal dimensions concerning users' demographic factors. The users of two hospitals: Nekemte specialized hospital & Paulos comprehensive hospital participated in the survey. A total of 480 respondents were participated in ranking the importance of 21 questionnaire items on 5-point Likert scale. The result reveals that education level has a significance role (p-value = 00.001,00.002,0.032) for the difference between perceptions of three out of five summated design factors namely; views, facilities & way finding and architectural& hygiene respectively. Similarly, residence area has significantly contributed for the difference in users' perceptions (-value = 00.001, 00.001, 0.025) on three summated design factors; views, safety &comfort and architectural & hygiene respectively. Based on the analysis, the study suggests that identifying perceptions of all users is very important to help designers to design PCD based on empirical evidence.
最近,医院管理者和设计师通过整合患者对医院物理环境的看法和期望,对“以患者为中心的设计”(PCD)产生了更大的兴趣。对PCD兴趣的增加表明,人们对医院物理环境对包括患者、家属和医院工作人员在内的所有使用者的影响有了更好的理解。文献表明,在设计过程中纳入使用者对物理环境的看法对于实现PCD非常重要。当前的研究旨在评估年龄、性别、教育水平和居住地区这四个人口统计学因素对使用者对医院物理环境看法的影响。确定了五个主要设计因素:视野、安全与舒适、设施与导向、建筑与卫生以及感官。对于问卷调查,使用IBM SPSS Statistics 27.0版本进行了统计分析。通过计算频率和百分比对人口统计学数据进行描述性分析。然后计算各项目的描述性统计数据,即频率、百分比、均值和标准差(SD)。应用非参数检验来评估关于使用者人口统计学因素的构建主维度中的差异。两家医院的使用者:内克姆特专科医院和保罗斯综合医院参与了调查。共有480名受访者参与了对21个问卷项目在5点李克特量表上重要性的排序。结果显示,教育水平对于五个汇总设计因素中的三个因素,即视野、设施与导向以及建筑与卫生的看法差异具有显著作用(p值分别为0.001、0.002、0.032)。同样,居住地区对于使用者在三个汇总设计因素,即视野、安全与舒适以及建筑与卫生方面的看法差异也有显著贡献(p值分别为0.001、0.001、0.025)。基于分析,该研究表明,识别所有使用者的看法对于帮助设计师根据实证证据设计PCD非常重要。