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Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi

Yıl 2026, Cilt: 9 Sayı: 2, 1141 - 1165, 16.03.2026
https://doi.org/10.47495/okufbed.1879793
https://izlik.org/JA99BR43PS

Öz

Doğanın kentsel yaşamdan çekildiği toplumlarda psikolojik, sosyolojik ve fiziksel sorunların iyileşme ihtiyacı daha da artmaktadır. Günümüzde, sağlık mimarisinin temel amacı, “iyileştirici bir ortam” sağlamaktır. 21. yüzyıl tasarım yaklaşımlarından biri olan “Restoratif (İyileştirici) Mimari”, hastalıkları önlemeye, iyileşme sürecini hızlandırmaya ve tıbbi uygulamaları desteklemeye yardımcı olan mekanlar tasarlamanın bir süreci olarak ortaya çıkmıştır. Bu yaklaşım, günümüzde büyük ilgi görmüş ve sağlık yapılarında uygulanmaya başlanmıştır. Geçmişte sağlık yapılarının sanayileşmiş ve ruhsuz yapısını bugün doğa ile bağ kuran restoratif çevre tasarım yaklaşımları almıştır. Restoratif çevre tasarım, araştırma ve uygulamalarda hastaların iyileşme süreçlerini hızlandırmak amacıyla Biyofilik tasarım ile Salutojenik tasarım ilkelerini birleştiren yeni bir mimari çerçeve sunmaktadır. Restoratif tasarım yaklaşımı sağlık yapılarında yalnızca fiziksel tedaviye değil, zihinsel ve ruhsal yenilenmeye de odaklanılmasını savunmaktadır. Bu çalışmanın amacı, hastaların ve sağlık profesyonellerinin refahını artırmak, iyileşmeyi desteklemek ve sağlık hizmetleri ortamlarının genel çevre kalitesini iyileştirmek için restoratif tasarım çerçevesinde Biyofilik tasarım ve Salutojenik tasarım ilke ve özelliklerine dayalı “Restoratif (iyileştirici) Çevre Tasarım” yaklaşımı değerlendirilmiştir.

Kaynakça

  • Abdelaal MS., Soebarto V. Salutogenesis as restorative design approaches in healthcare architecture. Architectural Science Review 2019; 62(3): 195-205.
  • Al Khatib I., Samara F., Ndiaye M. A systematic review of the impact of therapeutical biophilic design on health and wellbeing of patients and care providers in healthcare services settings. Front. Built Environ. 2024; 10: 1467692.
  • Almusaed A. Biophilic and bioclimatic architecture: Analytical therapy for the next generation of passive sustainable architecture, Biophilic and Bioclimatic Architecture. Springer-Verlag, London, 2011.
  • Andrade CC., Lima ML., Devlin AS., Hern´andez B. Is it the place or the people? Disentangling the effects of hospitals’ physical and social environments on well-being. Environ. Behav. 2016; 48 (2): 299–323.
  • Antonovsky A. Health, stress and coping. San Francisco: Jossey-Bass;1979.
  • Antonovsky A. The salutogenic model as a theory to guide health promotion. Health Promot. Int. 1996; 11: 11–18.
  • Carpman JR., Grant MA. Design that cares: Planning Health Facilities for Patients and Visitors, 3rd ed.; John Wiley & Sons: Hoboken, NJ, USA, 2016.
  • Cleveland AC. Symbiosis between biophilic design and restorative healing environments: The ımpact on overall well-being of urban dwellers. Florida State University. Master’s thesis, Florida, USA,2014.
  • cramer js., browning wd. transforming Building Practices Through Biophilic Design. In S. F.Kellert, J. H. Heerwagen, & M. L. Mador (Eds.), Biophilic Design. Hoboken, NJ: Wiley.2008;335-346.
  • Dilani A. Psychosocially supportive design: Scandinavian healthcare design, in Dilani, A.(ed.), Design and Health: The Therapeutic Benefits of Design. Stockholm: AB Svensk Byggtjänst, 2001, 31–38.
  • Dilani A. A new paradigm of design and health in hospital planning. World Hospitals and Health Services 2006; 41(4): 17–21.
  • Dilani A. Psychosocially supportive design: A salutogenic approach to the design of the physical environment. Design and Health Scientific Review 2008; 1(2): 47–55.
  • Dilani A., Armstrong K. The salutogenic approach- designing a health-promoting hospital environment, World Hospitals and Health Services: The Official Journal of the International Hospital Federation, 2008; 44(3): 32-35.
  • Dilani A. In design for health. Tsekleves E., Cooper R. Eds.; The beneficial health outcomes of salutogenic design. Routledge: London, UK, 2017; 72–91.
  • Elsharkawi H., Eleishy AMSE., Hegazy IR. Impacts of developing ındoor environmental quality on patients’ health and occupants’ productivity in hospital buildings. Civil Engineering and Architecture 2023; 11(4): 1719-1748.
  • Fries CJ. Healing health care: from sick care towards salutogenic healing systems. Social Theory and Health 2019; 18(1): 16-32.
  • Frumkin H. Biophilic design. The theory, science and practice of bringing buildings to life.. In S. R. Kellert, J. H. Heerwagen, & M. L. Mador (Eds.). Nature contact and human health: building the evidence base. Hoboken: Wiley, 2008; 107–118.
  • Gushin V., Ryumin O., Karpova O., Rozanov I., Shved D., Yusupova A. Prospects for psychological support in interplanetary expeditions. Front. Physiology 2021; 12. 750414. 1-9.
  • Güner AF. Evaluation of quality components in architectural design of healthcare buildings. Online J. Art Des. 2018; 6(4). 73–78.
  • Golembiewski JA. Salutogenic architecture in healthcare settings. Chapter 26. In: Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindström B, et al., (eds.). The Handbook of Salutogenesis. New York: Springer International Publishing; 2017; 267–276
  • Hartig T., Kaisser FG., Bowler PA. Psychological restoration in nature as a positive motivation for ecological behaviour. Environment and Behavior 2001; 33(4): 590–607.
  • Heerwagen JH., Haubach JG., Montgomery J., Weimer WC. Environmental design, work, and well being: managing occupational stress through changes in workplace environment. Official Journal of the American Association of Occupational Health Nurses 1995; 43(9):458-468.
  • Heerwagen JH. Hase B. Building biophilia: Connecting people to nature in building design Environmental Design and Construction 2001; 3: 30-36.
  • Jaušovec M., Gabrovec B. Architectural evaluation of healthcare facilities: A comprehensive review and ımplications for building design. Buildings 2023;13(12): 1-20.
  • Joye Y., van den Berg A. Is love for green in our genes? A critical analysis of evolutionary assumptions in restorative environments research. Urban Forestry & Urban Greening 2011; 10(4): 261–268.
  • Jung D., Kim DI., Kim N. Bringing nature into hospital architecture: Machine learning-based EEG analysis of the biophilia effect in virtual reality. Journal of Environmental Psychology 2023; 89: 102033.
  • Karaçar P., Güner AF., Benli G. Teknolojik değişimlerin hastane mimarisine etkileri. Dicle Üniversitesi 1. Uluslararası Mimarlık Sempozyumu, 4-6 Ekim 2018, sayfa no:773-784, Diyarbakır.
  • Karaçar P., Fidan A. Kamusal yapı olarak hastanelerde iyileştiren mimariyi etkileyen tasarım ilkelerinin değerlendirilmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2022; 11(4): 1587-1601.
  • Kellert S., Calabrese E. The Practice of Biophilic Design.Terrapin Bright LLC, London,2015.
  • Kellert S. Dimensions, elements, and attributes of biophilic design.” In Biophilic Design: The Theory, Science and Practice of Bringing Buildings to Life, edited by Stephen Kellert, Judith Heerwagen, and Martin Mador, 3–19. Hoboken, NJ: Wiley,2008; 227-241.
  • Lawrence RJ. Healthy residential environments. Handbook of Environmental Psychology. In: T. Bechtel, R.B., & Churchman, A. (ed.). New York: Wilyes & Sons. 2002;394-412.
  • Lynch K. The ımage of the city. MIT Press Publishing: Cambridge, MA, USA, 1960.
  • Miola L. Boldrini A., Pazzaglia F. The healing power of nature. Biophilic design applied to healthcare facilities. Current Opinion Psychology 2025; 64: 1-6.
  • Montañana A., Nolé ML., Llinares C. Strategic design approaches for eliciting the perception of ‘prestige’ in housing consumers. Buildings 2024; 14(3): 853. doi:10.3390/buildings14030853
  • Pallant JF., Lae L. Sense of coherence, well-being, coping and personality factors further evaluation of the sense of coherence scale. Pers. Individ. Dif. 2002; 33: 39–48.
  • Pelikan JM. The application of salutogenesis in healthcare settings. Chapter 25, In: Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindström B, et al., (eds.) The Handbook of Salutogenesis New York: Springer International Publishing 2017; 261-266.
  • Ryan CO., Browning WD. Biophilic design. In R. A. Meyers (Ed.). Encyclopedia of sustainability, science and technology. New York: Springer, 2018; 1–44.
  • Sharifi M., Sabernejad J. Investigation of Biophilic architecture patterns and prioritizing them in design performance in order to realize sustainable development goals. Eur. Online J. Nat. Soc. Sci 2016; 5: 325-337.
  • Stokols D. Establishing and maintaining healthy environments. American Psychologist 1992; 47(1): 6-22.
  • Ulrich RS. View through a window may ınfluence recovery from surgery. Science 1984; 224(4647): 420–421
  • URL1 https://archello.com/fr/project/hong-kong-childrens-hospital, (Açık Erişim 10.02.2025).
  • Von Lindern E., Lymeus F., Hartig T. The restorative environment: a complementary concept for salutogenesis studies. In: Mittelmark, M.B. (Ed.), The Handbook of Salutogenesis. Springer, 2017; 181–195.
  • Yeang K., Dilani A. (Eds.) Ecological and Salutogenic Design for a Sustainable Healthy Global Society; Cambridge Scholars Publishing: Newcastle upon Tyne, UK, 2022.
  • Zandi A., Wung S. Health effects of plants, light, and natural elements of biophilic interventions in confined settings: a systematic review, Front. Physiol 2025; 16: 1700518.

Evaluation of the Restorative Environmental Design Approach in Healthcare Buildings

Yıl 2026, Cilt: 9 Sayı: 2, 1141 - 1165, 16.03.2026
https://doi.org/10.47495/okufbed.1879793
https://izlik.org/JA99BR43PS

Öz

In societies where nature is withdrawn from characteristic life, the need for improvement in temperature, heat, and range is increasing. Today, the primary goal of healthcare architecture is to provide a "healing environment." "Restorative Architecture," one of the 21st-century design methods, has emerged as a process of designing spaces that help solve illnesses, accelerate the healing process, and support treatment applications. This approach has gained significant attention and is beginning to be applied in healthcare systems In the past, healthcare buildings had an industrialized and soulless structure, but today, restorative environmental design approaches that connect with nature have taken its place. Restorative environmental design offers a new architectural framework that combines biophilic and salutogenic design principles in research and application to accelerate patients' healing processes. The restorative environmental design approach advocates for focusing not only on physical treatment but also on mental and spiritual rejuvenation in healthcare buildings. The aim of this study is to evaluate the "Restorative Enviromental Design" approach, based on the principles and characteristics of biophilic and salutogenic design within the framework of restorative environmental design, to enhance the well-being of patients and healthcare professionals, support healing, and improve the overall environmental quality of healthcare settings.

Kaynakça

  • Abdelaal MS., Soebarto V. Salutogenesis as restorative design approaches in healthcare architecture. Architectural Science Review 2019; 62(3): 195-205.
  • Al Khatib I., Samara F., Ndiaye M. A systematic review of the impact of therapeutical biophilic design on health and wellbeing of patients and care providers in healthcare services settings. Front. Built Environ. 2024; 10: 1467692.
  • Almusaed A. Biophilic and bioclimatic architecture: Analytical therapy for the next generation of passive sustainable architecture, Biophilic and Bioclimatic Architecture. Springer-Verlag, London, 2011.
  • Andrade CC., Lima ML., Devlin AS., Hern´andez B. Is it the place or the people? Disentangling the effects of hospitals’ physical and social environments on well-being. Environ. Behav. 2016; 48 (2): 299–323.
  • Antonovsky A. Health, stress and coping. San Francisco: Jossey-Bass;1979.
  • Antonovsky A. The salutogenic model as a theory to guide health promotion. Health Promot. Int. 1996; 11: 11–18.
  • Carpman JR., Grant MA. Design that cares: Planning Health Facilities for Patients and Visitors, 3rd ed.; John Wiley & Sons: Hoboken, NJ, USA, 2016.
  • Cleveland AC. Symbiosis between biophilic design and restorative healing environments: The ımpact on overall well-being of urban dwellers. Florida State University. Master’s thesis, Florida, USA,2014.
  • cramer js., browning wd. transforming Building Practices Through Biophilic Design. In S. F.Kellert, J. H. Heerwagen, & M. L. Mador (Eds.), Biophilic Design. Hoboken, NJ: Wiley.2008;335-346.
  • Dilani A. Psychosocially supportive design: Scandinavian healthcare design, in Dilani, A.(ed.), Design and Health: The Therapeutic Benefits of Design. Stockholm: AB Svensk Byggtjänst, 2001, 31–38.
  • Dilani A. A new paradigm of design and health in hospital planning. World Hospitals and Health Services 2006; 41(4): 17–21.
  • Dilani A. Psychosocially supportive design: A salutogenic approach to the design of the physical environment. Design and Health Scientific Review 2008; 1(2): 47–55.
  • Dilani A., Armstrong K. The salutogenic approach- designing a health-promoting hospital environment, World Hospitals and Health Services: The Official Journal of the International Hospital Federation, 2008; 44(3): 32-35.
  • Dilani A. In design for health. Tsekleves E., Cooper R. Eds.; The beneficial health outcomes of salutogenic design. Routledge: London, UK, 2017; 72–91.
  • Elsharkawi H., Eleishy AMSE., Hegazy IR. Impacts of developing ındoor environmental quality on patients’ health and occupants’ productivity in hospital buildings. Civil Engineering and Architecture 2023; 11(4): 1719-1748.
  • Fries CJ. Healing health care: from sick care towards salutogenic healing systems. Social Theory and Health 2019; 18(1): 16-32.
  • Frumkin H. Biophilic design. The theory, science and practice of bringing buildings to life.. In S. R. Kellert, J. H. Heerwagen, & M. L. Mador (Eds.). Nature contact and human health: building the evidence base. Hoboken: Wiley, 2008; 107–118.
  • Gushin V., Ryumin O., Karpova O., Rozanov I., Shved D., Yusupova A. Prospects for psychological support in interplanetary expeditions. Front. Physiology 2021; 12. 750414. 1-9.
  • Güner AF. Evaluation of quality components in architectural design of healthcare buildings. Online J. Art Des. 2018; 6(4). 73–78.
  • Golembiewski JA. Salutogenic architecture in healthcare settings. Chapter 26. In: Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindström B, et al., (eds.). The Handbook of Salutogenesis. New York: Springer International Publishing; 2017; 267–276
  • Hartig T., Kaisser FG., Bowler PA. Psychological restoration in nature as a positive motivation for ecological behaviour. Environment and Behavior 2001; 33(4): 590–607.
  • Heerwagen JH., Haubach JG., Montgomery J., Weimer WC. Environmental design, work, and well being: managing occupational stress through changes in workplace environment. Official Journal of the American Association of Occupational Health Nurses 1995; 43(9):458-468.
  • Heerwagen JH. Hase B. Building biophilia: Connecting people to nature in building design Environmental Design and Construction 2001; 3: 30-36.
  • Jaušovec M., Gabrovec B. Architectural evaluation of healthcare facilities: A comprehensive review and ımplications for building design. Buildings 2023;13(12): 1-20.
  • Joye Y., van den Berg A. Is love for green in our genes? A critical analysis of evolutionary assumptions in restorative environments research. Urban Forestry & Urban Greening 2011; 10(4): 261–268.
  • Jung D., Kim DI., Kim N. Bringing nature into hospital architecture: Machine learning-based EEG analysis of the biophilia effect in virtual reality. Journal of Environmental Psychology 2023; 89: 102033.
  • Karaçar P., Güner AF., Benli G. Teknolojik değişimlerin hastane mimarisine etkileri. Dicle Üniversitesi 1. Uluslararası Mimarlık Sempozyumu, 4-6 Ekim 2018, sayfa no:773-784, Diyarbakır.
  • Karaçar P., Fidan A. Kamusal yapı olarak hastanelerde iyileştiren mimariyi etkileyen tasarım ilkelerinin değerlendirilmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2022; 11(4): 1587-1601.
  • Kellert S., Calabrese E. The Practice of Biophilic Design.Terrapin Bright LLC, London,2015.
  • Kellert S. Dimensions, elements, and attributes of biophilic design.” In Biophilic Design: The Theory, Science and Practice of Bringing Buildings to Life, edited by Stephen Kellert, Judith Heerwagen, and Martin Mador, 3–19. Hoboken, NJ: Wiley,2008; 227-241.
  • Lawrence RJ. Healthy residential environments. Handbook of Environmental Psychology. In: T. Bechtel, R.B., & Churchman, A. (ed.). New York: Wilyes & Sons. 2002;394-412.
  • Lynch K. The ımage of the city. MIT Press Publishing: Cambridge, MA, USA, 1960.
  • Miola L. Boldrini A., Pazzaglia F. The healing power of nature. Biophilic design applied to healthcare facilities. Current Opinion Psychology 2025; 64: 1-6.
  • Montañana A., Nolé ML., Llinares C. Strategic design approaches for eliciting the perception of ‘prestige’ in housing consumers. Buildings 2024; 14(3): 853. doi:10.3390/buildings14030853
  • Pallant JF., Lae L. Sense of coherence, well-being, coping and personality factors further evaluation of the sense of coherence scale. Pers. Individ. Dif. 2002; 33: 39–48.
  • Pelikan JM. The application of salutogenesis in healthcare settings. Chapter 25, In: Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindström B, et al., (eds.) The Handbook of Salutogenesis New York: Springer International Publishing 2017; 261-266.
  • Ryan CO., Browning WD. Biophilic design. In R. A. Meyers (Ed.). Encyclopedia of sustainability, science and technology. New York: Springer, 2018; 1–44.
  • Sharifi M., Sabernejad J. Investigation of Biophilic architecture patterns and prioritizing them in design performance in order to realize sustainable development goals. Eur. Online J. Nat. Soc. Sci 2016; 5: 325-337.
  • Stokols D. Establishing and maintaining healthy environments. American Psychologist 1992; 47(1): 6-22.
  • Ulrich RS. View through a window may ınfluence recovery from surgery. Science 1984; 224(4647): 420–421
  • URL1 https://archello.com/fr/project/hong-kong-childrens-hospital, (Açık Erişim 10.02.2025).
  • Von Lindern E., Lymeus F., Hartig T. The restorative environment: a complementary concept for salutogenesis studies. In: Mittelmark, M.B. (Ed.), The Handbook of Salutogenesis. Springer, 2017; 181–195.
  • Yeang K., Dilani A. (Eds.) Ecological and Salutogenic Design for a Sustainable Healthy Global Society; Cambridge Scholars Publishing: Newcastle upon Tyne, UK, 2022.
  • Zandi A., Wung S. Health effects of plants, light, and natural elements of biophilic interventions in confined settings: a systematic review, Front. Physiol 2025; 16: 1700518.
Toplam 44 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Yeşil Yapılar ve Çevreler
Bölüm Araştırma Makalesi
Yazarlar

Pelin Karaçar

Gönderilme Tarihi 2 Şubat 2026
Kabul Tarihi 22 Şubat 2026
Yayımlanma Tarihi 16 Mart 2026
DOI https://doi.org/10.47495/okufbed.1879793
IZ https://izlik.org/JA99BR43PS
Yayımlandığı Sayı Yıl 2026 Cilt: 9 Sayı: 2

Kaynak Göster

APA Karaçar, P. (2026). Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi. Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi, 9(2), 1141-1165. https://doi.org/10.47495/okufbed.1879793
AMA 1.Karaçar P. Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi. Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi. 2026;9(2):1141-1165. doi:10.47495/okufbed.1879793
Chicago Karaçar, Pelin. 2026. “Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi”. Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi 9 (2): 1141-65. https://doi.org/10.47495/okufbed.1879793.
EndNote Karaçar P (01 Mart 2026) Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi. Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi 9 2 1141–1165.
IEEE [1]P. Karaçar, “Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi”, Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi, c. 9, sy 2, ss. 1141–1165, Mar. 2026, doi: 10.47495/okufbed.1879793.
ISNAD Karaçar, Pelin. “Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi”. Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi 9/2 (01 Mart 2026): 1141-1165. https://doi.org/10.47495/okufbed.1879793.
JAMA 1.Karaçar P. Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi. Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi. 2026;9:1141–1165.
MLA Karaçar, Pelin. “Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi”. Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi, c. 9, sy 2, Mart 2026, ss. 1141-65, doi:10.47495/okufbed.1879793.
Vancouver 1.Pelin Karaçar. Sağlık Yapılarında Restoratif (İyileştirici) Çevre Tasarım Yaklaşımının Değerlendirilmesi. Osmaniye Korkut Ata Üniversitesi Fen Bilimleri Enstitüsü Dergisi. 01 Mart 2026;9(2):1141-65. doi:10.47495/okufbed.1879793

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