A Comparative Study before and after of remodeling the hospital : occupational health for nurses・workenvironment for nurses・life environment for patients

名古屋大学医院于1994年开始改建。本研究旨在搜集基础资料，探讨医院环境改善的重点、旧问题及新问题。本研究首先调查1994年至1995年医院改建前，护士与病人对医院环境的评价，并加入护士的健康。有腰痛、肩痛、颈痛、臂痛的护理人员分别占55.3%、40.6%、31.2%、18.2%。与护理急诊病人、帮助病人完成出院或出院、人员转移、体位变换、帮助洗头等相关的投诉。采用Znug抑郁自评量表对护士的压力进行调查。护士抑郁情绪与患者沟通相关.护理人员抱怨现有医院工作环境狭窄、使用不便、通风不良、黑暗、制冷效果不佳。此外，他们抱怨没有高度控制的床和担架，因为这些容易引起腰痛。并指出了氧气和真空管道铺设的不足，建议采用输液方式.住院患者对目前医院的生活环境存在狭窄、使用不便、通风不畅、黑暗等问题。此外，他们抱怨床的使用很麻烦，缺少桌子和储物柜。特别是位于六个病房的中心床的患者抱怨一个病房狭窄。手术指征有走廊危险和使用洗手间的麻烦。病人在医院长期指出不足的轮椅和立场灌输。

The hospital of Nagoya University started to remodel in 1994. The purpose of this study is collecting of basic data to discuss about improvement points, old problems, and new problems of hospital environment. At first, we investigated assessments of hospital environment by nurses and patients, added nurse's health, before the hospital was remodeled from 1994 to 1995.1. The proportions of the nursing staff complaining of low-back, shoulder, neck and arm pain was respectively 55.3%, 40.6%, 31.2%, 18.2%. Those associated with the complaints of nursing patients with emergencies, helping patients with entireness or discharge, person transfer, changing position and helping shampoo tasks. And we survey stress of nurses with Znug's Self-Rating Depression Scale. Depression of nurses associated with the communication of patients.2. The nursing staff complained narrow, troubles of using, wrong ventilation, darkness and cooling without effect of the present hospital as working environment. Moreover they complained beds and stretchers without high-controlling, because those are easy to cause low-back pain. And they pointed insufficiency of pipe laying for oxygen and vacuum, stands for instillation.3. Patients at the hospital complained narrow, troubles of using, wrong ventilation and darkness of the present hospital as life environment. Moreover they complained troubles of using of beds, lacking of over-tables and lockers. Especially the patients located the center bed in six patients room compained narrow of a patient room. And the patients had an operation pointed dangerous of corridor and troubles of using washrooms. Patients at the hospital for long term pointed insufficiency of wheelchairs and stands for instillation.