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Patient Needs and Environments for Cancer Infusion Treatment
Journal of Interior Design Pub Date : 2017-01-28 , DOI: 10.1111/joid.12096
Zhe Wang 1 , Michael Pukszta 2
Affiliation  

More than 50% of cancer patients receive chemotherapy by infusion, which is typically delivered in ambulatory healthcare settings. Influences of the built environment on inpatient care are well documented, but environmental research focusing on ambulatory healthcare is lacking. This empirical research focuses on cancer infusion environments and reveals important patient needs linking the built environment to infusion care. A survey of 166 patients and observations of 252 patients were conducted in an academic cancer center to explore patient preferences on private, semiopen, or open environments for infusion treatment and the reasons for their preferences. The observations investigated patient interactions with the environments during infusion treatment. Findings from qualitative and quantitative data analyses showed that private, semiopen, or open spaces were generally equally popular among patient participants. Needs for high-level privacy, quiet places to nap or sleep, social interaction, patient–nurse access, sunshine, and views to the outside were identified as major reasons for patient preferences. Items important to patients during treatment included patient chair tablets, guest chairs, personal televisions, nap blankets, food or beverages, window views, and sunshine. Participants with access to positive window views reported significantly lower levels of stress and greater hope for successful treatment than their counterparts (p < .05). Findings suggest that important environmental features of ambulatory healthcare settings are both similar to and different from that of inpatient environments in the way they significantly impact the quality and experience of care.

中文翻译:

癌症输液治疗的患者需求和环境

超过 50% 的癌症患者通过输注接受化疗,这通常是在门诊医疗机构中进行的。建筑环境对住院护理的影响有据可查,但缺乏以流动医疗保健为重点的环境研究。这项实证研究侧重于癌症输液环境,并揭示了将建筑环境与输液护理联系起来的重要患者需求。在学术癌症中心进行了一项对 166 名患者的调查和对 252 名患者的观察,以探讨患者对私人、半开放或开放环境进行输液治疗的偏好以及他们偏好的原因。观察结果调查了输液治疗期间患者与环境的相互作用。定性和定量数据分析的结果表明,私人、半开放、或开放空间在患者参与者中普遍同样受欢迎。对高级隐私的需求、安静的小睡或睡眠场所、社交互动、患者与护士的接触、阳光和对外界的看法被确定为患者偏好的主要原因。治疗期间对患者很重要的物品包括患者椅平板电脑、客椅、个人电视、午睡毯、食物或饮料、窗外景色和阳光。与同行相比,能够获得正面窗口视图的参与者报告的压力水平显着降低,成功治疗的希望更大(p < .05)。研究结果表明,流动医疗环境的重要环境特征与住院环境的环境特征既相似又不同,它们显着影响护理质量和体验。
更新日期:2017-01-28
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