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緩和ケア病棟における患者と家族の死の準備行動と行為空間の事例的研究

姑息治疗病房患者和家属死亡准备行为和行动空间的案例研究

基本信息

批准号：
07650731
负责人：
YAMAMOTO Kazue
金额：
$ 1.34万
依托单位：
OYAMA National College of Technology
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1995
资助国家：
日本
起止时间：
1995 至 1997
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07650731/
关键词：
Palliative care unit the death-oriented deed of patients Quarity of Life (QOL)hostital enviroment the terminal stage architectural planning of the Ward QOL QOL(生活の筧)

项目摘要

The purpose of this research is the relation between the deed suructure and its medical treatment enviroment of inpatients and their family to show obviously the design guideline of palliative care facilities.The analysis given here is based on hearing, literary writings, and centering around the observation of the deed of the inpatients and their family in a palliative care unit. The result of our anaysis are abstracted as lollows :1.It is necessary that the inpatient at the terminal stage should be offered an intensive and specialized care. It is also necessary to offer the plan in which the care is easily taken in a palliative care unit.2.The condition of inpatients is subject to change and we can divide it into 3 stages. The first stage is the time of the information disclosure between the medical staff and the inpaitents. The second stage is when living the rest of life with a declining spirit. The last stage is when they meet the end. We understand that the structure of the medical treatment environment like patient's room must be considered differently by 3 stage.3.The commucication space in the ward are not sufficiently utilized by inpatients. It is necessary to carry out a plan on the basis of communication scales of 2 or 3 persons in order to make the patients feel free to utilize the space.

本研究旨在探讨住院病人及其家属的行为结构与医疗环境的关系，以明确姑息关怀设施的设计原则，以听证、文献著述为基础，以观察住院病人及其家属的行为为中心。我们的分析结果概括如下：1.对临终病人进行专科重症护理是必要的。也有必要提供在姑息治疗病房中易于护理的计划。2.住院患者的情况可能会发生变化，我们可以将其分为三个阶段。第一阶段是医护人员与患者之间的信息披露时间。第二个阶段是带着颓废的精神度过余生。最后一个阶段是当他们相遇的时候。我们理解，病房等医疗环境的结构必须分3个阶段进行不同的考虑。3.病房内的交流空间没有被住院患者充分利用。有必要在2人或3人的沟通规模的基础上进行规划，以使患者感到自由地利用空间。