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pISSN : 2733-8649 / eISSN : 2733-8657

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2018, Vol.24, No.1

  • 1.

    A Study on the Regulation for Mental Healthcare Facility and Delivery System in China

    Gao, Wen Mei , Yun, Woo Yong , Choul-Gyun Chai | 2018, 24(1) | pp.7~14 | number of Cited : 1
    Purpose: This study analyzes mental healthcare delivery services and types of facilities, the status of installation and operation, and planning standard. The purpose of the study is to propose a basic data for the performance of related research and work tasks, along with an understanding of the Chinese mental healthcare facility type and support system. Furthermore, it will show a lack of current function management as the changes of mental health concept and demand for services increases, and it is intended to provide implications for the construction of mental health facilities. Methods: This study was conducted by a research on law and regulation of China’s mental healthcare delivery service system and mental healthcare facility. The analyzed data are the national standard GB, the optional national standard GB/T, the building construction standard JGJ, and the report issued by the Health Planning and Development Committee. Results: At present mental healthcare facility construction in China is in the period of rapid development and it exposes the layout of medical facilities, which is not currently reasonable and the service does not reach the designated position and so on. Overall, it requires more detailed guidelines to enhance the quality of mental healthcare service. Implications: It is expected that the research of this paper will provide effective reference for future research on Chinese Mental healthcare system and facilities, and can promote construction of Chinese mental healthcare facility theory in perfect condition.
  • 2.

    A Study on the Change of Physical Environment in Seoul Medical Center by Providing Comprehensive Nursing Service

    Kim, Myung-Yun , Choul-Gyun Chai | 2018, 24(1) | pp.15~24 | number of Cited : 3
    Purpose: The research looks at differences between the ‘General ward’ and the ‘Comprehensive nursing ward’ in Seoul Medical Center, regarding the facility improvements and changes in nursing services. It investigates and analyzes spatial problems and improvement needs through a survey and conduct investigation of staffs. It is to propose the primary data for the architectural planning of the future ward with the comprehensive nursing service. Methods: Targeting the comprehensive nursing ward, changes of the physical environment and spatial problems are analyzed through a field survey, behavior investigation, present-condition investigation, and floor plan analysis. Results: The workforce is increased by approximately twice the amount of the nursing staffs in the comprehensive nursing ward, compared to the pre-general ward. When utilizing the general ward, various spatial problems arise due to the restrictions of the facility condition. Because Sub N.S is an important facility as a part of the nursing work function in the ward of the comprehensive nursing service, the opinions of staffs must be considered when selecting a location and composing a space. Implications: It can be used as a primary data for the comprehensive nursing ward when architectural planning of a new hospital.
  • 3.

    A Study on the Cognitive Maps of the Elderly Living in Apartment Area

    Kwon, Soon-Jung , Jeong, Dawoon , Oh, Yeinn | 2018, 24(1) | pp.25~32 | number of Cited : 2
    Purpose: This study was conducted to figure out the cognitive characteristics of the elderly living in apartment complex in order to construct basic data for the design of sustainable and age friendly apartment area. Methods: Cognitive map was used to identify and analyze the elderly residents’ status of residential environment cognitions. The elderly living in Gongreung-dong apartment was randomly interviewed outdoor area and requested to draw cognitive maps on their living environment. 26 valid cognitive maps collected were analyzed, classified into two different types: Line type and Dot type. The average age, cognitive distance, length of residence, number of elements in the map(complexity) were then compared by Line and Dot type, as well as by gender. Correlations among variables also were analysed. Results: Males showed a tendency to draw dot types, which means they are place-centered, and females drew line types more than males, which means they are way-centered. The average cognitive distance of male group was greater than that of female group. As the age went up, the number of perceived place and the cognitive distance decreased. Oder people tended to draw line types rather than dot types. As the cognitive distance was longer, the perceived place and the number of lines increased. Implications: The age was more related to the recognition of the residential environment. The younger the residents were, the more they recognized the elements. The points that were represented by dots in the cognitive maps are places for memories for the individuals. Creating more memorable spaces will affect the cognition of residents on living environment. It is better to improve the cognitive environments before cognitive abilities of residents decrease.
  • 4.

    A Study on Environment, Care Process, and Patient-related Factors Associated with Patient Falls - A Retrospective Study of Inpatient Falls in the Unit of General Medicine in the United States

    Young-Seon Choi | 2018, 24(1) | pp.33~40 | number of Cited : 2
    Purpose: The main objective of this paper is, to assess environment, care process, and patient-related factors associated with patient falls. The study also aims at identifying various factors that would affect inpatient falls and, therefore, helping both caregivers and designers contribute to better prevent inpatient falls in their own areas of expertise. Methods: A retrospective analysis of inpatient falls that occurred in the unit of General Medicine in the United States has been conducted and environment, care process, patient-related factors associated with those falls have been analyzed at the same time. Results: The study identified several factors associated with inpatient falls. They range from environmental factors to care process- and patient-related factors. Patient visibility and patient accessibility can matter to patient falls and where those falls occur, along with patient days per room, the percentage of patient days with high fall risk patients per room, the percentage of high fall risk patients per room. Implications: The findings of the study can provide design implications that can be incorporated into design process and design decisions to promote fall prevention in inpatient care units. Inpatient falls can be effectively reduced when caregivers and designers work together to understand the complex nature of inpatient falls and the importance of multidisplinary efforts among various experts in the areas of healthcare.
  • 5.

    Characteristics of Noise in the Nurse Station of Comprehensive Care Wards

    BANG SU JEONG , Young-Hun Oh , HYUNJIN LEE | 2018, 24(1) | pp.41~49 | number of Cited : 0
    Purpose: It is recently reported that the increasing noise in the hospitals has caused psychological and physiological stress problems with patients, and medical staffs. This study intends to investigate and analyze the noise levels in the sub stations in comparison with those in the wards in general. This study tries also to find some alterative solutions to the immediate problems. Methods: Noise measurements are conducted in advance prior to analyzing their results at two general hospitals with more than 900 beds, in the comprehensive nursing service wards and in the main/ sub stations located in the general wards Results: Although the noise level in the comprehensive nursing service wards has been slightly lower than that in the general wards, this result is over the recommended noise levels. Therefore it is recommended that efforts should be made to low down the noise level as an alternative and to replace the aged carts as well. Implications: The comprehensive nursing service wards are required to take measures against the various noise sources.
  • 6.

    A Numerical Study on Pressure Fluctuation and Air Exchange Volume of Door Opening and Closing Speeds in Negative Pressure Isolation Room

    Kim, Jun Young , HONG JIN KWAN | 2018, 24(1) | pp.51~58 | number of Cited : 2
    Purpose: In this study, through the comparison of the pressure fluctuation and air exchange volume in negative isolation room according to the type of the door and door opening/closing speeds, which is one of the main factors causing the cross contamination of the negative pressure isolation room, establishes standard operating procedures to prevent cross contamination in high risk infectious diseases and isolation room design. Methods: In this study, the air flow each of the room is analyzed using ANASYS CFX CODE for flow analysis. In addition, the grid configuration of the door is constructed by applying Immersed Solid Methods. Results: The pressure fluctuation due to the opening and closing of the hinged door was very large when the moment of the hinged door opened and closed. Especially, at the moment when the door is closed, a pressure reversal phenomenon occurs in which the pressure in the isolation room is larger than the pressure in the anteroom. On the other hand, the pressure fluctuation due to the opening and closing of the sliding door appeared only when the door was closed, but the pressure reversal phenomenon not occurred at the moment when the sliding door was closed, unlike the hinged door. As the opening and closing speed of the hinged door increases, the air exchange volume is increased. However, as the opening and closing speed of the sliding door is decreased, the air exchange volume is increased. Implications: According to the results of this study, it can be concluded that the pressure fluctuation due to the opening and closing of the hinged door is greater than the pressure fluctuation due to the opening and closing of the sliding door. In addition, it can be confirmed that the pressure reversal phenomenon, which may cause to reduce the containment effect in negative pressure isolation room, is caused by the closing of the hinged door. Therefore, it is recommended to install a sliding door to maintain a stable differential pressure in the negative isolation room. Also, as the opening and closing speed of the hinged door is slower and the opening and closing speed of the sliding door is faster, the possibility of cross contamination of the room can be reduced. It is therefore necessary to establish standard operating procedures for negative isolation room for door opening and closing speeds.