Title Analysis of Pedestrian Environments in Geriatric Long-term Care Hospitals That Support Loitering Behavior From a Therapeutic Environmental Design Perspective
Authors 전수경(Chun, Soo-Kyung) ; 김수란(Kim, Soo-Ran)
DOI https://doi.org/10.5659/JAIK.2022.38.5.3
Page pp.3-13
ISSN 2733-6247
Keywords Geriatric long-term care hospital(GHs); Pedestrian Environment; Assessment; Therapeutic environment; Loitering behavior
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.