Worldwide, 14 million people were diagnosed with cancer, and 8.8 million victims of cancer died in 2015 (Cancer, 2017). There is no doubt that cancer is a traumatic experience. Using designthinking strategies, the purpose of this qualitative study was to examine if the built environment in cancer care facilities influences anxiety in patients and to generate patient-driven solutions to reduce stress. Due to its human-centered and codesign emphasis, design thinking is uniquely qualified to explore cancer treatment facility design. Yet, little research using a design-thinking approach examines how the built environment influences stress among patients in an oncology unit. Eight stakeholders (n = 8), including cancer survivors, patients, caregivers, and staff, participated in three design-thinking workshops generating ideas for oncology units. In Workshop One, participants identified issues that caused anxiety through journaling and experience diagramming, including amount of travel within the facility, small uncomfortable waiting rooms, smells, and institutional spaces. Using prioritizing strategies, participants concluded with, “How can we optimize patients’ time and movement within a facility?” This question informed subsequent workshops where participants brainstormed and prototyped ideas. The final solution addressed patient time and movement through the creation of individualized Patient Treatment Pods (PTP) that provided control, privacy, comfort, and minimal travel within oncology units. Participants clustered the PTPs around a restroom, patient lounge, nurse’s station, and nutrition. Utilizing participants’ personal experiences along with design thinking led to a prototype that creates a cancer treatment facility that may better suit patient needs while potentially reducing anxiety.

中文翻译：

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癌症治疗设施：使用设计思维检查焦虑和患者体验

2015 年，全球有 1400 万人被诊断出患有癌症，880 万癌症受害者死亡（癌症，2017 年）。毫无疑问，癌症是一种创伤性经历。使用设计思维策略，这项定性研究的目的是检查癌症护理设施中的建筑环境是否会影响患者的焦虑，并制定以患者为导向的解决方案以减轻压力。由于其以人为本和协同设计的强调，设计思维在探索癌症治疗设施设计方面具有独特的资格。然而，很少有研究使用设计思维方法检查建筑环境如何影响肿瘤科患者的压力。八名利益相关者（n = 8），包括癌症幸存者、患者、护理人员和工作人员，参加了三个设计思维研讨会，为肿瘤学单位提出想法。在研讨会一中，参与者通过日记和体验图表确定了引起焦虑的问题，包括设施内的旅行量、不舒服的小候诊室、气味和机构空间。使用优先策略，参与者总结道：“我们如何优化患者在设施内的时间和活动？” 这个问题为随后的研讨会提供了信息，参与者在那里集思广益和原型化想法。最终的解决方案通过创建个性化的患者治疗舱 (PTP) 来解决患者的时间和运动问题，该舱可提供控制、隐私、舒适和最小的肿瘤科室行程。参与者将 PTP 聚集在洗手间、病人休息室、护士站和营养品周围。