大型综合医院住院病房设计研究
发布时间：2018-11-13 21:13
【摘要】：本论文研究由“十二五”国家科技支撑计划课题(2013BAJ15B03)资助。随着我国经济水平的不断提升,近年来我国医疗卫生事业发展迅速,同时人民就医需求也不断增大。在此背景下,为满足市场日益增长的医疗需求,提升自身服务水平与竞争力,许多医院纷纷开始对院内建筑设施进行改建、扩建,在医疗界掀起了一股建设高潮。住院楼作为医院建筑设施的重要组成部分,近年来也得到了较快发展。住院病房是住院楼中数量最多、最为重要的组成单元,也是住院病人在院内所待时间最长的场所,因此其设计的好坏一方面影响着使用者的舒适度与满意度,另一方面也决定了整个住院楼建设是否经济合理。虽然近年来建成的住院病房较过去已有了一定发展,但与国外先进病房相比,差距还很大,这是由我国目前的国情所决定的。本文正是基于这样的背景,希望探讨适应我国国情的住院病房设计策略。本文选取具有代表性、典型性的大型综合医院普通住院病房作为研究对象。首先对国内住院病房建设发展相关背景进行了分析,梳理总结了国内外研究中关于病房设计的相关理论研究,并对其进行了对比分析。在此基础上,笔者对大型综合医院住院病房设计影响因素进行了深入分析,主要包括了医疗卫生服务现状、住院病房使用者行为与需求以及室内空间尺度限定三方面。在理论研究的基础上,笔者进行了实地调研。调研内容主要分为两大部分:一部分为对国内多家大型综合医院住院病房现状的调研,并从床位设置与使用、平面布局、相关尺度、室内环境、配套设施五方面对调研成果进行了梳理分析;另一部分内容则是通过问卷调查的方式,对住院病人、护理人员、陪护人员三类住院病房使用人群进行调查了解,收集他们关于住院病房的相关使用意见与需求。通过实地调研以及对调研结果的整理与分析,笔者总结了国内大型综合医院住院病房现存的问题与矛盾,主要包括以下方面:①床位使用紧张,使用者需求与实际情况存在矛盾;②平面布局多采用简单规整的形式,缺乏多样性、适应性;③相关尺度在实际使用过程中存在不足;④室内环境单调,在丰富性、舒适性、人性化等方面有所欠缺;⑤配套设施在满足使用者需求方面存在矛盾与不足。基于这些问题与矛盾,笔者结合对住院病房设计影响因素的分析、对使用者需求的调研以及对国内外优秀设计案例的收集整理,从可行性、普适性层面提出了五点适应我国国情的大型综合医院住院病房设计策略,包括“床位规划与使用的合理性、平面布局的适应性、空间尺度的适宜性、病房环境的人性化、室内设计的家居化”,并针对这五点设计策略进行了较为深入的分析与阐述。
[Abstract]:This thesis is supported by the National Science and Technology support Program (2013BAJ15B03). With the development of economy in our country, the medical and health service is developing rapidly in recent years, and the demand for medical treatment is also increasing. In this context, in order to meet the increasing medical needs of the market, improve their service level and competitiveness, many hospitals have begun to rebuild and expand the hospital building facilities, which set off a construction climax in the medical field. As an important part of hospital construction facilities, hospital buildings have developed rapidly in recent years. The inpatient ward is the most important component unit in the hospital building, and it is also the place where the inpatients spend the longest time in the hospital, so the quality of its design affects the comfort and satisfaction of the users on the one hand. On the other hand, it also determines whether the construction of the entire hospital building is economical and reasonable. Although the inpatient wards built in recent years have developed to some extent compared with the advanced wards abroad there is still a big gap which is decided by the current situation of our country. Based on this background, this paper hopes to discuss the strategies of inpatient ward design adapted to China's national conditions. This article selects the representative, the typical large general hospital general inpatient ward as the research object. First of all, this paper analyzes the related background of the development of inpatient ward construction in China, summarizes the relevant theoretical research on ward design at home and abroad, and makes a comparative analysis on it. On this basis, the author has carried on the thorough analysis to the large-scale general hospital inpatient ward design influence factor, has mainly included the medical and health service present situation, the inpatient ward user behavior and the demand as well as the indoor spatial scale limit three aspects. On the basis of theoretical research, the author carried out field investigation. The contents of the investigation are divided into two parts: one is the investigation of the present situation of the inpatient wards in many large general hospitals in China, and the research includes bed setup and use, plane layout, relevant scale, indoor environment, Supporting facilities in five aspects of the survey results were combed and analyzed; The other part is through the way of questionnaire, the inpatients, nursing staff, attendants of three types of hospital ward users to investigate and understand, collect their views and needs on the use of hospital wards. Through the field investigation and the analysis of the investigation results, the author summarizes the existing problems and contradictions in the inpatient wards of large general hospitals in China, mainly including the following aspects: 1. There is a contradiction between the needs of users and the actual situation; (2) the plane layout is mostly in the form of simple and regular, lacking diversity and adaptability; (3) the relative scale is insufficient in the actual use process; (4) the indoor environment is monotonous, lacking in richness, comfort, humanization and so on. There are contradictions and deficiencies in supporting facilities to meet the needs of users. Based on these problems and contradictions, the author combines the analysis of the factors affecting the design of inpatient wards, the investigation of user needs and the collection and arrangement of excellent design cases at home and abroad. In the aspect of universality, the author puts forward five strategies for the design of hospital ward in large general hospitals, including the rationality of bed planning and use, the adaptability of plane layout, the suitability of spatial scale, and the humanization of ward environment. Interior design of the home, and the five-point design strategy for a more in-depth analysis and elaboration.
【学位授予单位】：重庆大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：TU246.11
本文编号：2330431
[Abstract]:This thesis is supported by the National Science and Technology support Program (2013BAJ15B03). With the development of economy in our country, the medical and health service is developing rapidly in recent years, and the demand for medical treatment is also increasing. In this context, in order to meet the increasing medical needs of the market, improve their service level and competitiveness, many hospitals have begun to rebuild and expand the hospital building facilities, which set off a construction climax in the medical field. As an important part of hospital construction facilities, hospital buildings have developed rapidly in recent years. The inpatient ward is the most important component unit in the hospital building, and it is also the place where the inpatients spend the longest time in the hospital, so the quality of its design affects the comfort and satisfaction of the users on the one hand. On the other hand, it also determines whether the construction of the entire hospital building is economical and reasonable. Although the inpatient wards built in recent years have developed to some extent compared with the advanced wards abroad there is still a big gap which is decided by the current situation of our country. Based on this background, this paper hopes to discuss the strategies of inpatient ward design adapted to China's national conditions. This article selects the representative, the typical large general hospital general inpatient ward as the research object. First of all, this paper analyzes the related background of the development of inpatient ward construction in China, summarizes the relevant theoretical research on ward design at home and abroad, and makes a comparative analysis on it. On this basis, the author has carried on the thorough analysis to the large-scale general hospital inpatient ward design influence factor, has mainly included the medical and health service present situation, the inpatient ward user behavior and the demand as well as the indoor spatial scale limit three aspects. On the basis of theoretical research, the author carried out field investigation. The contents of the investigation are divided into two parts: one is the investigation of the present situation of the inpatient wards in many large general hospitals in China, and the research includes bed setup and use, plane layout, relevant scale, indoor environment, Supporting facilities in five aspects of the survey results were combed and analyzed; The other part is through the way of questionnaire, the inpatients, nursing staff, attendants of three types of hospital ward users to investigate and understand, collect their views and needs on the use of hospital wards. Through the field investigation and the analysis of the investigation results, the author summarizes the existing problems and contradictions in the inpatient wards of large general hospitals in China, mainly including the following aspects: 1. There is a contradiction between the needs of users and the actual situation; (2) the plane layout is mostly in the form of simple and regular, lacking diversity and adaptability; (3) the relative scale is insufficient in the actual use process; (4) the indoor environment is monotonous, lacking in richness, comfort, humanization and so on. There are contradictions and deficiencies in supporting facilities to meet the needs of users. Based on these problems and contradictions, the author combines the analysis of the factors affecting the design of inpatient wards, the investigation of user needs and the collection and arrangement of excellent design cases at home and abroad. In the aspect of universality, the author puts forward five strategies for the design of hospital ward in large general hospitals, including the rationality of bed planning and use, the adaptability of plane layout, the suitability of spatial scale, and the humanization of ward environment. Interior design of the home, and the five-point design strategy for a more in-depth analysis and elaboration.
【学位授予单位】：重庆大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：TU246.11
【引证文献】
相关会议论文 前1条
1 顾伟敏;李雪辉;陈海涛;潘悦华;;运用病床效率指标科学指导医院病床合理配置[A];中国医院协会病案管理专业委员会第二十三届学术会议论文集[C];2014年
，本文编号：2330431
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