Journal of the Architectural Institute of Korea (대한건축학회논문집)

Architectural Institute of Korea (대한건축학회)
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Analysis of Pedestrian Environments in Geriatric Long-term Care Hospitals That Support Loitering Behavior From a Therapeutic Environmental Design Perspective

배회행위를 지원하는 치유를 위한 노인요양병원 보행환경 평가 및 개선안 연구

  • Chun, Soo-Kyung (Dept. of Interior Architecture, Hanyang University) ;
  • Kim, Soo-Ran (Dept. of Architecture and urban design, Hongik University)
  • 전수경 (한양대 실내건축디자인과) ;
  • 김수란 (홍익대 건축도시대학)
  • Received : 2021.10.25
  • Accepted : 2022.04.04
  • Published : 2022.05.30
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Abstract

The physical conditions of pedestrian environments play a significant role in promoting health maintenance and encouraging daily walking activities. Previous studies of this generally focused on analyzing urban residential environments, dementia care units or general hospitals that support loitering behavior; however, the conditions of pedestrian environments in geriatric long-term care hospitals (GHs) should be considered differently from the aforementioned establishments. The purpose of this study is to evaluate pedestrian environments that support loitering behavior from a therapeutic environmental design perspective. A literature review and expert interviews with interior designers, caregivers and nurses were conducted to generate a checklist of pedestrian environment conditions in GHs; the checklist entailed five factors related to safety, accessibility, territory, nature and aesthetics and services along with twenty-two sub-factors incorporating the therapeutic environment perspective. Several design improvements were noted and in need of being reexamined and revamped to be more appropriate for elderly patients and their circumstances; current laws did not properly consider this safety factor. There were poor conditions in the outdoor pedestrian areas and the indoor pedestrian environments had numerous obstacles in place. Exhibiting a natural garden in the wards with natural light and open spaces are necessary to encourage elderly patients to want to walk, but these pedestrian-friendly conditions weren't readily available in all hospitals. For future purposes, the comprised checklist of pedestrian environment conditions in GHs could be used as evaluation criteria for certifying GHs and potentially a useful reference for policymakers to strengthen regulations in creating more suitable recovery conditions for elderly patients.

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