Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
S Cedrs Bello
Architect. MSc. In Programming and Design of Health Establishments. Teacher
Associated. Researcher SPI-Conicit.
RESUMEN
En este artculo se discuten los efectos del ambiente fsico, sobre la salud y
satisfaccin de los usuarios de los ambientes hospitalarios, as como tambin la
percepcin del ambiente y sus efectos tranquilizadores y teraputicos en los
pacientes. Se sealan algunos criterios de diseo, como son seguridad y privacidad,
que contribuyen a humanizar el ambiente fsico, promover la salvaguarda y elevar la
dignidad de cada persona como usuario de un establecimiento de salud. Se
presenta la calidad de la edificacin como una respuesta a los requerimientos de los
usuarios.
Palabras Claves: Humanizacin, Arquitectura Hospitalaria, Percepcin espacial.
ABSTRACT
This paper discusses the effect of the physical hospital environments as work places
on the User health and job satisfaction, also the environment perception and its
therapeutic effects on patients, as well. It is also designed design criteria, such as
security and privacy that enhance the humanization aspect of the physical
environment that ensures the person's Dignity as a user of a health facility. The
concept of quality is presented as a response to user requirements.
Key Words: Humanization, Hospital architecture, space Perception.
INTRODUCTION
There is much debate today about the supremacy of the design, humanization and
spatial perception, of the hospital environments on the technological aspects, and
many investigations have been carried out confirming the therapeutic it is having
the physical environment in the recovery process of patients (1.2 , 3, 4). Likewise,
the health risks of hospital staff have been studied as product designs inadequate
physical infrastructure (5.6).
The word humanization, synthesizes all the actions, measures and behaviors that
are safeguard and dignity of each human being as user of a health facility. This
means that the user is in the design decision, not only as a producer of functional as
an expression of human values that must be considered.
If we assume that the user of a hospital is not only the patient, but each person that
in a way, interacts with the physical space and with the organization of the
establishment, be it the community, the visitor, the nurse, the doctor, etc., we
understand that the aspect of humanization must reach each level of the decisions,
therefore must include: urban design, building design, unit design space, interior
design and equipment.
For the design of the physical environment, organizational system, and behavioral
models, of a health establishment, it is necessary to start by establishing the cultural
context and user, in order to promote a humanized perception of the establishment
and promote a process of user identification with the symbols, messages, and
meanings that the aspect of the building can communicate.
These human reactions to the spaces, can help us in the collection of data and in the
preparation of the establishment's programming, through contributions from the
different users. But this is not everything, from the requirements of users to
specifications of the building, is a laborious task that requires of a multidisciplinary
approach to hospital design.
In this process we should not ignore the cultural history and the existential situation
of the users, nor to produce approved buildings (typical projects), moving away
from the objectives we want to achieve.
The two largest health services in the future will be the repowering of the human,
and the habitat redesign. The repowering of the human means to fulfill the spiritual
potential of people through physical, emotional and mental means, this potential is
the predisposition to give answers, but it must be driven by an environment "that
stimulate. "A well-designed human habitat activates spiritual potential and creates
multiple pathways for expression. Through design, certain behaviors can be
stimulated or inhibited; we can ignore the sociocultural factors of individuals who
come from their environment. These factors determine patterns of behavior
learned during life a person, if we want a healthy person, we should go around a
room healthy, expressed in a broad way in the concept of Primary Health Care: "The
levels of social well-being, include all that this means, that is, disposition of excreta,
light, housing, roads, food education, so that those diseases considered avoidable,
in the current state of knowledge, are reduced or disappear.
DESIGN PRINCIPLES
In the design of hospital environments, in addition, to meet the requirements space
and functional, it is important to consider some basic criteria that collaborate with
the humanization of these environments, such as security and privacy.
Security: The physical environment should try to safeguard personal sensitivity and
human dignity of patients and their families, try to lessen their anxieties and
concerns, especially in those cases where patients and their families are
experiencing difficult times, such as waiting for the results of a surgery, an
emergency, intensive care, or a crucial diagnosis. This can be done consider when
selecting finishes, taking into account that there is no need to create all aseptic
environments, giving priority to maintenance, reflective surfaces are not
desirable. How many times during a hospital visit did we are struck by the coldness
of the physical environment, all the reflective materials, the metal furniture, by
chance, or with difficulty of orientation, lack of lighting or pleasant view, with the
impression of a huge, oppressive and potentially authoritarian, in which the human
dimension feels canceled (8). Security can be to provide a warm, non-institutional
environment in order to reduce fear, and increase the confidence and self-esteem
of the users.
Bibliographic references
1. Del Nord Romano. Human Centered approach to hospital design. In:
<Http://www.healthdesign.org/en20.htm> (see: 10-11-1998).
2. Shepley M. / s good healthcare design more dependent upon art or science? In:
<Http://www.healthdesign.org/forum> (see: 10-11-1998).
3. Fiset, Martn. Architecture and the Art of Healing. The Canadian Architec
Villalobos C, et al. Chromosomal Alterations in Anesthetists of the University
Hospital Of Maracaibo. Rev. of the Faculty of Medicine, UCV. 1998; 21 (2): 108-114. 7.
Kaiser L. Need for a Paradigm Design. In: <http://www.healthdesign.org/forum>
(See: 10-11-1998)