Research Article
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Palyatif Bakım Merkezleri İç ve Dış Mekanlarında Doğa ile Tasarım

Year 2023, , 781 - 790, 13.10.2023
https://doi.org/10.30910/turkjans.1258325

Abstract

Palyatif bakım, terminal dönem hastaların, kalan hayatlarını daha az sıkıntılı ve daha konforlu geçirmeleri için özelleşmiş bakım şeklidir. Sağlık hizmeti veren yapılarda ya da evde bakımda hastanın ihtiyacı olacak bakım şartlarının uygulanması için özel tasarlanmış mekanlara ihtiyaç vardır. Palyatif bakım, hastanın hastalık sürecinde değişen insani gereksinimlerini ve yakınlarının ihtiyaçlarını karşılamak üzere multidisipliner olarak hazırlanmış bütüncül bir sağlık planı içermelidir. Bu doğrultuda, çalışma kapsamında doğa ile birlikte tasarlanmış iç ve dış mekanların hastalar ve yakınları üzerinde olumlu etkileri olabileceği hipotezi ortaya konmuştur. Çalışma aynı zamanda palyatif bakım merkezlerinde doğa ile bütünleşmiş mekân tasarımlarının palyatif bakım altında olan hastalar ve hasta yakınları üstündeki çoklu etkilerini ortaya koymayı hedeflemiştir.
Literatürde bu bağlamda kabul görmüş üç ayrı araştırmacının birbiri ile ilişkili teorileri; ‘Psiko-evrimsel Teori’, Stresi Yenme Teorisi ve Dikkat Yenileme Teorisi dikkate alınarak mekânsal öneriler sunulmuştur. Yapılan araştırma sonucunda elde edilen veriler ışığında, palyatif bakım merkezlerindeki iç mekân- dış mekân birlikteliğinin doğa elemanlarının olumlu etkileri bağlamında süreklilik içinde tasarlanması gerekliliği ortaya çıkmıştır. Tasarlanan mekanların sadece niceliksel değil, kapsam ve bireylerin gereksinimlerine uyumluluk açısından değerlendirilmesinin palyatif bakımda olumlu etkiler yaratacağı vurgulanmıştır.

References

  • Abdul-Razek, S.A. 2022. Development of a user-centered design framework for palliative and hospice care patients for a better quality of life experience. International Journal of Enviromental Science & Sustainable Development, 7(1): 105-117.
  • Anonim, 2022. https://www.healthline.com/health/palliative-care#palliative-care-vs-hospice, Erişim Tarihi: 25.12.2022.
  • Aslan, Y. 2020. Palyatif bakımda psikososyal yaklaşım ve değerlendirme: kısa bir derleme. J Med Palliat Care, 1(2): 41-45.
  • Bize, R., Johnson, J.A. ve Plotnikoff RC. 2007. Physical activity level and health-related quality of life in the general adult population: a systematic review. Preventitive Medicine, 45(6):401–15.
  • Maas, J., Verheij, R., Spreeuwenberg, P. ve Groenewegen P. 2008. Physical activity as a ossible mechanism behind the relationship between green space and health: a multilevel analysis. BMC Public Health, 8:206.
  • Haubenhofer, D., Elings, M., Hassink, J. ve Hine R. 2010. The development of green care in western European countries explore. The Journal of Science and Healing, 6(2): 106–111.
  • Bushway, J., Dickinson, L., Stedman, C., Wagenet, P. ve Weinstein A. 2011. Benefits, motivations, and barriers related to environmental volunteerism for older adults: developing a research agenda. International Journal of Aging and Human Development, 72(3):189–206.
  • Defra, H.M.G. 2011. The natural Choice: securing the value of nature. Norwich: The stationary office. ISBN: 9780101808224, UK. 75.
  • Evans, M., Gebbels, S. ve Stockill M. 2008. ’Our shared responsibility’: participation in ecological projects as a means of empowering communities to contribute to coastal management processes. Marine Pollution Bulletin,57:3–7.
  • Fieldhouse, J. 2003. The impact of an allotment group on mental health client’s wealth, well-being and social networking. British Journal of Occupational Therapy, 66:286–296
  • Fjortoft, I. 2001. The natural environment as a playground for children: the impact of outdoor play activities in preprimary school Children. Early Childhood Education Journal, 29(2):111–7.
  • Demirci Güngördü, N. ve Üstün, Ç. 2022. Türkiye’de hospiz bakım sisteminin kurulması için bir model önerisi, Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, 12(3): 464-474.
  • Hale, J., Knapp, C., Bardwell, L., Buchenau, M., Marshall, J. ve Sancar, F. 2011. Connecting food environments and health through the relational nature of aesthetics: gaining insight through the community gardening experience. Social Science and Medicine, 72(11):1853–63.
  • Hermann, J.R., Parker, S.P., Brown, B.J., Siewe, Y.J., Denney, B.A. ve Walker SJ. 2006. After-school gardening improves children’s reported vegetable intake and physical activity. Journal of Nutrition Education and Behavior, 38:201–2
  • Horwitz, P., Finlayson, M. ve Weinstein, P. 2012. Healthy wetlands, healthy people: a review of wetlands and human health interactions. Ramsar Technical Report No. 6. Secretariat of the Ramsar Convention on Wetlands, Gland, Switzerland, & the The World Health Organisation, Geneva, Switzerland.
  • Husk, K., Lovell, R., Cooper, C ve Garside R. 2013. Participation in environmental enhancement and conservation activities for health and well-being in adults. Cochrane Database of Systematic Reviews, 2:1-8.
  • Kabalak, A.A., Öztürk, H. ve Çağıl, H. 2013. Yaşam sonu bakım organizasyonu; palyatif bakım. Yoğun Bakım Dergisi, 11(2):56-70.
  • Kaplan, S. 1983. A Model of Person-Environment Compatibility. Environment and Behavior, 15: 311-332. Kaplan, S. ve Talbot, J.F. 1983. Psychological benefits of a wilderness experience. Behavior and the Natural Environment, 6:163-203.
  • Kaplan, R. ve Kaplan, S. 1989. The experience of nature: a psychological perspective. New York: Cambridge University Press. 368.
  • Kaplan, R. 1993. The Role of Nature in the Context of the Workplace. Landscape and Urban Planning, 26: 193-201.
  • Kaplan, S. 1995. The Restorative Benefits of Nature: Toward an Integrative Framework. Journal of Environmental Psychology. 15: 169-182.
  • Kelleri, S.R. ve Wilson, E.O. 1993. The biophilia hypothesis. lsland Press, Washington, D.C. 484.
  • Kıvanç, M.M. 2017. Türkiye’de palyatif bakım hizmetleri, Sağlık Bilimleri ve Meslekleri Dergisi. 4(2): 132–35.
  • Kinik, Ç. 2019. Palyatif bakımda psikolojik destek. Palyatif Bakım ve Tıp. 14(12): 666-664. Mailer, C., Townsend, M., Pryor, A., Brown, P. ve St Leger, L. 2006. Healthy nature healthy people:'contact with nature'as an upstream health promotion intervention forpopulations. Health Promot. Int. 21 (1), 45-54.
  • Maller, C., Townsend, M., Pryor, A., Brown, P. ve St. Leger, L. 2005. Healthy nature healthy people: “contact with nature” as an upstream health promotion intervention for populations. Health Promotion International. 21:45–54.
  • Mind, 2007. Ecotherapy - the agenda for green mental health, Mental Health Association Press, British.
  • Moore, M., Townsend, M. ve Oldroyd, J. 2006. Linking human and ecosystem health: The benefits of community involvement in conservation groups. Ecohealth, 3(4):255–261.
  • O’Brien, L., Townsend, M. ve Ebden, M. 2010. ’Doing something positive’: volunteers’ experiences of the well-being benefits derived from practical conservation activities in nature. Voluntas, 21(4):525–545.
  • O’Brien, L., Burls, A., Townsend, M. ve Ebden, M. 2011. Volunteering in nature as a way of enabling people to reintegrate into society. Perspectives in Public Health, 131:71–81.
  • Onyeka, T.C. 2010. Psychosocial Issues in Palliative Care: A Review of Five Cases. Indian Journal of Palliative Care, 16(3):123-128.
  • Özçifçi, İ., Kaymaz, I., Tazebay, İ. ve Elmalı, F. 2021. Çevrenin Restoratif Kalitesinin Ölçümü: Algılanan Restoratiflik Ölçeğinin Türkçeye Uyarlanması. Avrupa Bilim ve Teknoloji Dergisi, 23:288-295.
  • Patz, J., Corvalan, C., Horwitz, P. ve Campbell-Lendrum, D. 2012. Our Planet, Our Health, Our Future. Human health and the Rio Conventions: biological diversity, climate change and desertification. A discussion paper, based on a collaboration of the World Health Organization and the Secretariats of the Convention on Biological Diversity, the United Nations Framework Convention on Climate Change and the United Nations Convention to combat desertification. Health in the rio conventions, 64.
  • Peacock, J., Hine, R. ve Pretty, J. 2007. Got the blues, then find some greenspace. The mental health benefits of green exercise activities and green care. London: Mind Press, University of Essex Wivenhoe Park, U.K.
  • Plante, T., Gores, C., Brecht, C., Caroow, J., Imbs, A. ve Willemsen E. 2007. Does exercise environment enhance the psychological benefits of exercise for women?. International Journal of Stress Management, 14(1):88–98.
  • Pillemer, K., Fuller-Rowell, T., Reid, M. ve Wells N. 2010. Environmental volunteering and health outcomes over a 20 year period. Gerontologist, 50:594–602.
  • Pretty, J., Peacock, J., Hine, R., Sellens, M., South, N. ve Griffin M. 2007. Green exercise in the UK countryside: Effects on health and psychological well-being, and implications for policy and planning. Journal of Environmental Planning and Management, 50(2):211-31.
  • Raske, M. 2010. Nursing home quality of life: study of an enabling garden. Journal of Gerontological Social Work, 53(4): 336–51.
  • RSPB, 2004 Royal Society for the Protection of Birds. Natural fit: can green space and biodiversity increase levels of physical activity?. RSPB, England and Wales no. 207076, Scotland no. SC037654.
  • TDK, 2022. https://www.tdk.gov.tr/ Erişim Tarihi: 27.11.2022.
  • Thompson Coon, J., Boddy, K., Stein, K., Whear, R., Barton, J. ve Depledge, M.H. 2011. Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental well-being than physical activity indoors? A systematic review. Environmental Science and Technology, 45:1761–72.
  • Townsend, M. 2006. Feel blue? Touch green! Participation in forest/woodland management as a treatment for depression. Urban Forestry and Urban Greening 2006; 5(3):111–20.
  • Ulrich, R.S., Simons, R.F., Losito, B.D., Fiorito, E., Miles, M.A. ve Zelson, M. 1991. Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology, 11: 201-230.
  • Ulrich, R.S. 1984. View through a window may influence recovery from surgery. Science, 244, 420-421. Ulrich, R. S. 1993. Biophilia, Biophobia, & Natural Landscapes. In: Kellert, S.R. and Wilson, E.O., Eds., The Biophilia Hypothesis, Island Press, Washington DC, 73-137.
  • Ulrich, R. S. 1999. Effects of gardens on health outcomes: Theory and research. In Marcus C. C., Barnes M. (Eds.), Healing gardens, New York, NY: Wiley. 27–86.
  • Whitehouse, S., Varni, J., Seid, M., Cooper-Marcus, C., Ensberg, M, Jacobs, J. ve Mehlenbeck, R. 2001. Evaluating a children's hospital garden environment: Utilization and consumer satisfaction. Journal of Environmental Psychology. 21:301-314.
  • WHO, 2012. https://www.who.int/news-room/fact-sheets/detail/palliative-care
Year 2023, , 781 - 790, 13.10.2023
https://doi.org/10.30910/turkjans.1258325

Abstract

References

  • Abdul-Razek, S.A. 2022. Development of a user-centered design framework for palliative and hospice care patients for a better quality of life experience. International Journal of Enviromental Science & Sustainable Development, 7(1): 105-117.
  • Anonim, 2022. https://www.healthline.com/health/palliative-care#palliative-care-vs-hospice, Erişim Tarihi: 25.12.2022.
  • Aslan, Y. 2020. Palyatif bakımda psikososyal yaklaşım ve değerlendirme: kısa bir derleme. J Med Palliat Care, 1(2): 41-45.
  • Bize, R., Johnson, J.A. ve Plotnikoff RC. 2007. Physical activity level and health-related quality of life in the general adult population: a systematic review. Preventitive Medicine, 45(6):401–15.
  • Maas, J., Verheij, R., Spreeuwenberg, P. ve Groenewegen P. 2008. Physical activity as a ossible mechanism behind the relationship between green space and health: a multilevel analysis. BMC Public Health, 8:206.
  • Haubenhofer, D., Elings, M., Hassink, J. ve Hine R. 2010. The development of green care in western European countries explore. The Journal of Science and Healing, 6(2): 106–111.
  • Bushway, J., Dickinson, L., Stedman, C., Wagenet, P. ve Weinstein A. 2011. Benefits, motivations, and barriers related to environmental volunteerism for older adults: developing a research agenda. International Journal of Aging and Human Development, 72(3):189–206.
  • Defra, H.M.G. 2011. The natural Choice: securing the value of nature. Norwich: The stationary office. ISBN: 9780101808224, UK. 75.
  • Evans, M., Gebbels, S. ve Stockill M. 2008. ’Our shared responsibility’: participation in ecological projects as a means of empowering communities to contribute to coastal management processes. Marine Pollution Bulletin,57:3–7.
  • Fieldhouse, J. 2003. The impact of an allotment group on mental health client’s wealth, well-being and social networking. British Journal of Occupational Therapy, 66:286–296
  • Fjortoft, I. 2001. The natural environment as a playground for children: the impact of outdoor play activities in preprimary school Children. Early Childhood Education Journal, 29(2):111–7.
  • Demirci Güngördü, N. ve Üstün, Ç. 2022. Türkiye’de hospiz bakım sisteminin kurulması için bir model önerisi, Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, 12(3): 464-474.
  • Hale, J., Knapp, C., Bardwell, L., Buchenau, M., Marshall, J. ve Sancar, F. 2011. Connecting food environments and health through the relational nature of aesthetics: gaining insight through the community gardening experience. Social Science and Medicine, 72(11):1853–63.
  • Hermann, J.R., Parker, S.P., Brown, B.J., Siewe, Y.J., Denney, B.A. ve Walker SJ. 2006. After-school gardening improves children’s reported vegetable intake and physical activity. Journal of Nutrition Education and Behavior, 38:201–2
  • Horwitz, P., Finlayson, M. ve Weinstein, P. 2012. Healthy wetlands, healthy people: a review of wetlands and human health interactions. Ramsar Technical Report No. 6. Secretariat of the Ramsar Convention on Wetlands, Gland, Switzerland, & the The World Health Organisation, Geneva, Switzerland.
  • Husk, K., Lovell, R., Cooper, C ve Garside R. 2013. Participation in environmental enhancement and conservation activities for health and well-being in adults. Cochrane Database of Systematic Reviews, 2:1-8.
  • Kabalak, A.A., Öztürk, H. ve Çağıl, H. 2013. Yaşam sonu bakım organizasyonu; palyatif bakım. Yoğun Bakım Dergisi, 11(2):56-70.
  • Kaplan, S. 1983. A Model of Person-Environment Compatibility. Environment and Behavior, 15: 311-332. Kaplan, S. ve Talbot, J.F. 1983. Psychological benefits of a wilderness experience. Behavior and the Natural Environment, 6:163-203.
  • Kaplan, R. ve Kaplan, S. 1989. The experience of nature: a psychological perspective. New York: Cambridge University Press. 368.
  • Kaplan, R. 1993. The Role of Nature in the Context of the Workplace. Landscape and Urban Planning, 26: 193-201.
  • Kaplan, S. 1995. The Restorative Benefits of Nature: Toward an Integrative Framework. Journal of Environmental Psychology. 15: 169-182.
  • Kelleri, S.R. ve Wilson, E.O. 1993. The biophilia hypothesis. lsland Press, Washington, D.C. 484.
  • Kıvanç, M.M. 2017. Türkiye’de palyatif bakım hizmetleri, Sağlık Bilimleri ve Meslekleri Dergisi. 4(2): 132–35.
  • Kinik, Ç. 2019. Palyatif bakımda psikolojik destek. Palyatif Bakım ve Tıp. 14(12): 666-664. Mailer, C., Townsend, M., Pryor, A., Brown, P. ve St Leger, L. 2006. Healthy nature healthy people:'contact with nature'as an upstream health promotion intervention forpopulations. Health Promot. Int. 21 (1), 45-54.
  • Maller, C., Townsend, M., Pryor, A., Brown, P. ve St. Leger, L. 2005. Healthy nature healthy people: “contact with nature” as an upstream health promotion intervention for populations. Health Promotion International. 21:45–54.
  • Mind, 2007. Ecotherapy - the agenda for green mental health, Mental Health Association Press, British.
  • Moore, M., Townsend, M. ve Oldroyd, J. 2006. Linking human and ecosystem health: The benefits of community involvement in conservation groups. Ecohealth, 3(4):255–261.
  • O’Brien, L., Townsend, M. ve Ebden, M. 2010. ’Doing something positive’: volunteers’ experiences of the well-being benefits derived from practical conservation activities in nature. Voluntas, 21(4):525–545.
  • O’Brien, L., Burls, A., Townsend, M. ve Ebden, M. 2011. Volunteering in nature as a way of enabling people to reintegrate into society. Perspectives in Public Health, 131:71–81.
  • Onyeka, T.C. 2010. Psychosocial Issues in Palliative Care: A Review of Five Cases. Indian Journal of Palliative Care, 16(3):123-128.
  • Özçifçi, İ., Kaymaz, I., Tazebay, İ. ve Elmalı, F. 2021. Çevrenin Restoratif Kalitesinin Ölçümü: Algılanan Restoratiflik Ölçeğinin Türkçeye Uyarlanması. Avrupa Bilim ve Teknoloji Dergisi, 23:288-295.
  • Patz, J., Corvalan, C., Horwitz, P. ve Campbell-Lendrum, D. 2012. Our Planet, Our Health, Our Future. Human health and the Rio Conventions: biological diversity, climate change and desertification. A discussion paper, based on a collaboration of the World Health Organization and the Secretariats of the Convention on Biological Diversity, the United Nations Framework Convention on Climate Change and the United Nations Convention to combat desertification. Health in the rio conventions, 64.
  • Peacock, J., Hine, R. ve Pretty, J. 2007. Got the blues, then find some greenspace. The mental health benefits of green exercise activities and green care. London: Mind Press, University of Essex Wivenhoe Park, U.K.
  • Plante, T., Gores, C., Brecht, C., Caroow, J., Imbs, A. ve Willemsen E. 2007. Does exercise environment enhance the psychological benefits of exercise for women?. International Journal of Stress Management, 14(1):88–98.
  • Pillemer, K., Fuller-Rowell, T., Reid, M. ve Wells N. 2010. Environmental volunteering and health outcomes over a 20 year period. Gerontologist, 50:594–602.
  • Pretty, J., Peacock, J., Hine, R., Sellens, M., South, N. ve Griffin M. 2007. Green exercise in the UK countryside: Effects on health and psychological well-being, and implications for policy and planning. Journal of Environmental Planning and Management, 50(2):211-31.
  • Raske, M. 2010. Nursing home quality of life: study of an enabling garden. Journal of Gerontological Social Work, 53(4): 336–51.
  • RSPB, 2004 Royal Society for the Protection of Birds. Natural fit: can green space and biodiversity increase levels of physical activity?. RSPB, England and Wales no. 207076, Scotland no. SC037654.
  • TDK, 2022. https://www.tdk.gov.tr/ Erişim Tarihi: 27.11.2022.
  • Thompson Coon, J., Boddy, K., Stein, K., Whear, R., Barton, J. ve Depledge, M.H. 2011. Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental well-being than physical activity indoors? A systematic review. Environmental Science and Technology, 45:1761–72.
  • Townsend, M. 2006. Feel blue? Touch green! Participation in forest/woodland management as a treatment for depression. Urban Forestry and Urban Greening 2006; 5(3):111–20.
  • Ulrich, R.S., Simons, R.F., Losito, B.D., Fiorito, E., Miles, M.A. ve Zelson, M. 1991. Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology, 11: 201-230.
  • Ulrich, R.S. 1984. View through a window may influence recovery from surgery. Science, 244, 420-421. Ulrich, R. S. 1993. Biophilia, Biophobia, & Natural Landscapes. In: Kellert, S.R. and Wilson, E.O., Eds., The Biophilia Hypothesis, Island Press, Washington DC, 73-137.
  • Ulrich, R. S. 1999. Effects of gardens on health outcomes: Theory and research. In Marcus C. C., Barnes M. (Eds.), Healing gardens, New York, NY: Wiley. 27–86.
  • Whitehouse, S., Varni, J., Seid, M., Cooper-Marcus, C., Ensberg, M, Jacobs, J. ve Mehlenbeck, R. 2001. Evaluating a children's hospital garden environment: Utilization and consumer satisfaction. Journal of Environmental Psychology. 21:301-314.
  • WHO, 2012. https://www.who.int/news-room/fact-sheets/detail/palliative-care
There are 46 citations in total.

Details

Primary Language Turkish
Subjects Agricultural, Veterinary and Food Sciences
Journal Section Research Article
Authors

Cigdem Cetin 0000-0002-0585-6989

Filiz Çetinkaya Karafakı 0000-0001-6710-4224

Publication Date October 13, 2023
Submission Date March 1, 2023
Published in Issue Year 2023

Cite

APA Cetin, C., & Çetinkaya Karafakı, F. (2023). Palyatif Bakım Merkezleri İç ve Dış Mekanlarında Doğa ile Tasarım. Turkish Journal of Agricultural and Natural Sciences, 10(4), 781-790. https://doi.org/10.30910/turkjans.1258325