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A Study on Program and Organization of Space for the Children's Hospice Unit in Hospital
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병동형 소아 호스피스의 프로그램 및 공간구성에 관한 연구

논문 기본 정보

Type
Academic journal
Author
이재빈 (홍익대학교) KONG SOON KU (홍익대학교) Lee Seung Yong (한라대학교)
Journal
한국공간디자인학회 한국공간디자인학회 논문집 한국공간디자인학회 논문집 제17권 제7호 KCI Accredited Journals
Published
2022.10
Pages
315 - 324 (10page)

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A Study on Program and Organization of Space for the Children's Hospice Unit in Hospital
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2022

A Study on Program and Organization of Space for the Children’s Hospice Unit in Hospital
KONG SOON KU ,  Lee Seung Yong 한국공간디자인학회 논문집 2022.10 Academic journal
A Study on Program and Construction of Space for the Children''s Hospice Unit in Hospital
이재빈 건축설계전공 2022.01 Thesis
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(Background and Purpose) Despite the rapid increase in academic and practical interest in terminal quality of life due to the development of medical technology and the increase in average age, the number of end-of-life children is increasing and is not being prioritized by medical law. End-of-life children have a variety of causative diseases compared to adults, and it is difficult to standardize services due to poor prognosis; moreover, various characteristics should be considered, and at the same time, they should be approached with treatments suitable for each stage of development. Recently, Korea has established a basis for providing a children’s hospice by identifying these problems and implementing a pilot project for pediatric palliative care; however, it has limitations only in providing advisory pediatric palliative care services. This study recognizes the limitations of domestic children’s hospice and palliative care services, and based on the understanding of hospice and palliative care and the characteristics of end-of-life children, we recommend ward-type children’s hospice facilities with standardized programs and space organization. (Method) The absence and necessity of domestic ward-type children hospice were presented, and for the program and spatial resolution, the definition and characteristics of hospice and palliative care, characteristics of end-of-life children, current status of domestic and foreign children hospice, and facility classification were investigated. The necessity of domestic ward-type children hospice was presented, the definition and characteristics of hospice and palliative care, the characteristics of end-of-life children, the current status of domestic and foreign children hospice, and the classification of hospice facilities were investigated. Subsequently, through literature research and web search, advanced cases of overseas ward-type children’s hospices are investigated, and the program and space composition are analyzed. (Results) The appropriate spatial composition ratio, according to the case, was found to be 24.82–37.05% in the patient area, 17.07–29.21% in the employee area, 36.55–49.49 in the public area, and 1.16–93% in other management areas. Providing more than three special treatment programs is a big feature that distinguishes it from general hospices, and playrooms are provided according to children’s facilities. Additionally, the composition of a single room and a bathroom is the standard composition, and the area of the hospital room is 14.90–22.18 square meters, and the area of the bathroom is preferably 4–11 square meters. (Conclusions) This study is meaningful in focusing on end-of-life patients in Korea who are in the blind spot of medical services and improving treatment and services for them. The topic of this study should be further studied according to the progress of the current pilot project and the development of the children's medical environment. This study’s results will guide children's medical welfare and ensure the quality of life of children with terminal illnesses.n this study, it is hoped that it will guide children's medical welfare and ensure the quality of life of end-of-life children.

(연구배경 및 목적) 의료기술의 발달과 평균연령의 증가에 따라 말기 삶의 질에 대한 관심이 급증함에도 불구하고 말기 어린이 환자의 수는 증가하고 있으며 의료법의 우선순위에 놓이지 못하고 있다. 어린이 말기환자는 성인에 비해 원인 질병이 다양하며 예후가 불량해 서비스를 정형화하기 어려워 다양한 특징을 고려해야 하며, 어린이로서의 삶의 질 향상과 동시에 각 발달 단계에 알맞은 치료법으로 접근해야 한다. 최근 국내에서도 이러한 문제점을 파악하고 소아청소년 완화의료 시범사업을 시행해 소아호스피스 제공체계 마련을 위한 근거를 수립하고 있지만 자문형 소아청소년 완화의료서비스를 제공하는 데에 그쳐 한계를 지닌다. 본 연구는 국내 소아청소년 호스피스·완화의료서비스의 한계를 인식하고 호스피스·완화의료와 어린이 말기환자의 특성에대한 이해를 바탕으로 표준화된 프로그램 및 공간구성을 갖는 병동형 소아 호스피스 시설을 제안한다. (연구방법) 국내 병동형소아 호스피스의 부재와 필요성을 제시하고, 프로그램 및 공간적 해결을 위해 호스피스·완화의료의 정의 및 특성, 성인 말기환자와 구분되는 어린이 말기환자의 특징, 국내·외 소아 호스피스의 현황 및 호스피스의 시설 구분을 조사하였다. 이후 문헌조사및 웹서치를 통해 국외 병동형 소아 호스피스 선진사례를 조사하고 프로그램 및 공간구성을 분석한다. (결과) 사례에 따른 적정공간구성비는 환자영역 24.82 ~37.05%, 직원영역 17.07~29.21%, 공용영역 36.55 ~49.49, 기타관리영역 1.16~9.03%로드러났다. 3가지 이상의 특수치료 프로그램을 제공하는 것이 일반 호스피스와 구분되는 큰 특징이며 어린이 시설에 맞게 놀이방이 제공된다. 또한 1인실+목욕실 구성이 일반적이며 병실의 면적은 14.90~22.18㎡, 목욕실의 면적은 4~11㎡가 바람직하다. (결론) 본 연구는 의료서비스 제공순서의 사각지대에 머무르던 국내 어린이 말기 환자와 그 삶을 조명하고 이들을 위한 처우와서비스를 개선하는 데에서 의미를 갖는다. 해당 연구의 주제는 현 시범사업의 성쇠와 소아청소년 완화의료 환경의 발전에 따라더욱 미시적인 관점에서 고찰되어야 하며 본 연구를 기틀로 여타 어린이 의료복지를 위한 방향 수립에 지침이 되고 어린이 말기환자의 삶의 질을 보장하는 데에 보탬이 되기를 기망한다.
#호스피스 #완화의료 #어린이 환자 #프로그램 #공간구성 #Hospice #Palliative care #Children patient #Program #Space organization

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