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

本研究旨在探讨住院病人及其家属的契据结构与其医疗环境的关系，以显示缓和疗护设施的设计准则。本文的分析是基于听力和文学作品，并围绕着对姑息治疗病房住院病人及其家属行为的观察。我们的分析结果概括如下：1。对终末期住院病人进行重症专科护理是必要的。也有必要提供一个计划，使病人在姑息治疗病房中容易得到照顾。住院病人的情况是有变化的，我们可以把它分为三个阶段。第一阶段是医护人员与患者之间信息披露的时间。第二个阶段是带着颓废的精神度过余生。最后一个阶段是他们相遇的时候。我们明白，医疗环境的结构，如病人的房间，必须由3阶段不同的考虑。住院病人没有充分利用病房内的交流空间。有必要根据2人或3人的交流规模进行规划，以使患者能够自由地利用空间。

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.