Salutogenesis concept for hospice design
https://doi.org/10.31675/1607-1859-2021-23-2-9-23
Abstract
The salutogenesis concept is widely used in a healthcare system, but many architects of hospices do not use this term. This paper describes the key aspects of the salutogenesis concept, work on patient adaptation in palliative care facilities, which directly affects the building architecture and organization of the planning and functional model.
The salutogenesis concept is based on three types of internal resources that support and strengthen health, their combination provides a coherence or forward movement, which resists to the entropic forces of disease and infirmity. The coherence consists of resources that improve: manageability (the ability to maintain homeostasis and physical function); resources that improve comprehensibility (the ability to see order and meaning even in uncertain situations); resources that enrich the meaningfulness, significance (desire and reasons for resisting illness). The paper considers the theoretical aspects of the salutogenesis concept for creating specialized institutions.About the Authors
A. S. GromovaRussian Federation
Alena S. Gromova, MSc
Tomsk, Solyanaya Sq., 2
O. G. Litvinova
Russian Federation
Olga G. Litvinova, PhD, A/Professor
Tomsk, Solyanaya Sq., 2
References
1. Antonovsky A. Breakdown: A needed fourth step in the conceptual armamentarium of modern medicine // Social Science & Medicine (1967). 1972. V. 6. № 5. P. 537–544.
2. Antonovsky A. Health, Stress and Coping. San Francisco : Jossey-Bass, 1979.
3. Antonovsky A. Unraveling the mystery of health: How people manage stress and stay well. Jossey-bass, 1987.
4. Antonovsky A. The salutogenic model as a theory to guide health promotion // Health promotion international. 1996. V. 11. № 1. P. 11–18.
5. Beauchemin K.M., Hays P. Sunny hospital rooms expedite recovery from severe and refractory depressions // Journal of affective disorders. 1996. V. 40. № 1–2. P. 49–51.
6. Beauchemin K.M., Hays P. Dying in the dark: sunshine, gender and outcomes in myocardial infarction // Journal of the Royal Society of Medicine. 1998. V. 91. № 7. P. 352–354.
7. Bitterman N. Psychiatric ward dayroom: Human factors and design issues // World Health Congress. Brisbane: International Academy of Design and Health, 2013.
8. Calhoun J.B. Population density and social pathology // California Medicine. 1970. V. 113. № 5. P. 54.
9. Changeux J.P. et al. Nicotinic acetylcholine receptors: from molecular biology to cognition. Odile Jacob Publishing Corp, 2005.
10. Rao M.L. et al. Blood serotonin, serum melatonin and light therapy in healthy subjects and in patients with nonseasonal depression // Acta Psychiatrica Scandinavica. 1992. V. 86. № 2. P. 127–132.
11. Dancer S.J. How do we assess hospital cleaning? A proposal for microbiological standards for surface hygiene in hospitals // Journal of Hospital Infection. 2004. V. 56. № 1. P. 10–15.
12. Dijkstra K., Pieterse M., Pruyn A. Physical environmental stimuli that turn healthcare facilities into healing environments through psychologically mediated effects: systematic review // Journal of advanced nursing. 2006. V. 56. № 2. P. 166–181.
13. Dilani A. A new paradigm of design and health in hospital planning // World hospitals and health services: the official journal of the International Hospital Federation. 2005. V. 41. № 4. P. 17–21.
14. Rudd M., Vohs K.D., Aaker J. Awe expands people’s perception of time, alters decision making, and enhances well-being // Psychological science. 2012. V. 23. № 10. P. 1130–1136.
15. Donne, J. Emergency initiations and a few steps in my sick. London : Thomas Iones, 1624.
16. Floresco S.B. et al. Modulation of hippocampal and amygdalar-evoked activity of nucleus accumbens neurons by dopamine: cellular mechanisms of input selection // Journal of Neuroscience. 2001. V. 21. № 8. P. 2851–2860.
17. Salmivalli C. Feeling good about oneself, being bad to others? Remarks on self-esteem, hostility, and aggressive behavior // Aggression and violent behavior. 2001. V. 6. № 4. P. 375–393.
18. Devlin A.S. Psychiatric ward renovation: Staff perception and patient behavior // Environment and Behavior. 1992. V. 24. № 1. P. 66–84.
19. Golembiewski J.A. Start making sense: Applying a salutogenic model to architectural design for psychiatric care // Facilities. 2010. V. 28. № 3–4. P. 100–117.
20. Golembiewski J.A. et al. Moving from theory to praxis on the fly: Introducing a salutogenic method to expedite mental health care provision in disaster situations // Australian Journal of Emergency Management, The. 2012. V. 27. № 2. P. 42.
21. Golembiewski J.A. Salutogenic architecture in healthcare settings // The handbook of salutogenesis. 2017. P. 267–276.
22. Golembiewski J.A. The architecture of the psychiatric milieu // Facilities. 2013.
23. Strümpfer D.J.W., Gouws J.F., Viviers M.R. Antonovsky's Sense of Coherence Scale related to negative and positive affectivity // European Journal of Personality. 1998. V. 12. № 6. P. 457–480.
24. Le Hunte B., Golembiewski J. Stories have the power to save us: A neurological framework for the imperative to tell stories // Arts and Social Sciences Journal. 2014. V. 5. № 2. Article number: 73 1–4.
25. Golembiewski J.A. The designed environment and how it affects brain morphology and mental health // HERD: Health Environments Research & Design Journal. 2016. V. 9. № 2. P. 161–171.
26. Howes O.D. et al. Midbrain dopamine function in schizophrenia and depression: a postmortem and positron emission tomographic imaging study // Brain. 2013. V. 136. № 11. P. 3242–3251.
27. Hurst L. The environment in chronic schizophrenia // International Journal of Social Psychiatry. 1960. V. 7. № 1. P. 65–73.
28. Isovich E. et al. Social isolation after a single defeat reduces striatal dopamine transporter binding in rats // European Journal of Neuroscience. 2001. V. 13. № 6. P. 1254–1256.
29. Strümpfer D.J.W., Viviers M.R., Gouws J.F. Item-phrasing in Antonovsky's sense of coherence scale related to negative and positive affectivity // Personality and Individual Differences. 1998. V. 24. № 5. P. 669–675.
30. Koppisetti S. et al. Reactive oxygen species and the hypomotility of the gall bladder as targets for the treatment of gallstones with melatonin: a review // Digestive diseases and sciences. 2008. V. 53. № 10. P. 2592–2603.
31. Lawton M.P., Nahemow L. Ecology and the aging process. 1973.
32. Le Hunte B., Golembiewski J. Stories have the power to save us: A neurological framework for the imperative to tell stories // Arts and Social Sciences Journal. 2014. V. 5. № 2. Article number: 73 1–4.
33. Mittelmark M.B., Bull T. The salutogenic model of health in health promotion research // Global Health Promotion. 2013. V. 20. № 2. P. 30–38.
34. Parker R. Health literacy: a challenge for American patients and their health care providers // Health promotion international. 2000. V. 15. № 4. P. 277–283.
35. Ulrich R.S. Effects of interior design on wellness: Theory and recent scientific research // Journal of health care interior design. 1991. V. 3. № 1. P. 97–109.
36. Vaaler A.E., Morken G., Linaker O.M. Effects of different interior decorations in the seclusion area of a psychiatric acute ward // Nordic journal of psychiatry. 2005. V. 59. № 1. P. 19–24.
Review
For citations:
Gromova A.S., Litvinova O.G. Salutogenesis concept for hospice design. Vestnik Tomskogo gosudarstvennogo arkhitekturno-stroitel'nogo universiteta. JOURNAL of Construction and Architecture. 2021;23(2):9-23. (In Russ.) https://doi.org/10.31675/1607-1859-2021-23-2-9-23