Department of Special Care Dentistry, Witten/Herdecke University, Alfred-Herrhausen-Str. 44, Witten, 58448, Germany.
Department of Child and Adolescent Psychotherapy and Psychiatry, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, Herdecke, 58313, Germany.
BMC Psychiatry. 2024 Nov 18;24(1):819. doi: 10.1186/s12888-024-06282-1.
The concept of "Healing Architecture" addresses the relevance of design and architectural issues on the outcome of medical and therapeutic treatment in hospitals. The questionnaire ARCHI was developed to record data on the opinion of different groups of users on the architectural design of their therapeutic environment in departments of child and adolescent psychiatry.
A Questionnaire-based cross-sectional study was conducted in two phases between 2020 and 2022 using ARCHI to gather the perspectives of senior physicians and architects on the significance of architectural design in German child and adolescent psychiatric facilities.
In the survey of the senior physicians, 49 heads of child and adolescents psychiatric departments initiated the survey, and 73.5% (n = 36) of them completed the questionnaire in its entirety. During the survey for the architect-specific, 145 individuals commenced the survey, and 60.7% of them completed the questionnaire (n = 88). Significant differences between architects and senior physicians became visible for four of the 93 items, namely "environment of the hospital", "structure of building", "labelling of floors" and "visible cleanliness".
Although senior physicians and architects were characterized by the same opinions on the relevance of architectural design on therapeutic issues for the major part of issues, differences could be obtained for several aspects which are important for the architectural planning of new departments and hospitals. It remains open why both professional groups had different point of views on these four aspects of hospital design which should be clarified to improve the process of hospital development in the future.
“疗愈建筑”的概念探讨了设计和建筑问题与医院医疗和治疗效果的相关性。ARCHI 问卷旨在记录不同群体的用户对儿科和青少年精神病学部治疗环境建筑设计的看法，这些用户包括资深医师和建筑师。
本研究为 2020 年至 2022 年期间开展的一项基于问卷调查的横断面研究，使用 ARCHI 问卷收集德国儿科和青少年精神病学设施中资深医师和建筑师对建筑设计重要性的看法。
在对资深医师的调查中，49 位儿科和青少年精神病学部主任启动了调查，其中 73.5%（n=36）的人完整填写了问卷。在针对建筑师的调查中，145 人开始了调查，其中 60.7%（n=88）的人完成了问卷。在 93 个项目中，有 4 个项目（“医院环境”“建筑结构”“楼层标识”和“可见清洁度”）在资深医师和建筑师之间存在显著差异。
尽管资深医师和建筑师对建筑设计与治疗问题相关性的看法大部分是一致的，但在几个方面仍存在差异，这些差异对新部门和医院的建筑规划很重要。至于为什么这两个专业群体对医院设计的这四个方面有不同的看法，还有待进一步探讨，这将有助于未来改善医院发展进程。
