Modern going near creation of in-hospital comfort for patients and medical personnel in psychiatric establishments of health protection


  • V.V. Chorna National Pirogov Memorial Medical University, Vinnytsya, Ukraine
  • I.V. Sergeta National Pirogov Memorial Medical University, Vinnytsya, Ukraine
  • V.M. Makhnyuk SI "O.M. Marzieiev Institute for Public Health NAMSU", Kyiv, Ukraine
Keywords: psychiatric establishments of health protection, condition of in-hospital comfort, world architectural and designer decisions.

Abstract

Today requires an important focus on providing psychological comfort both for health care professionals in preventing emotional burnout syndrome and inpatient comfort for patients in these settings. The purpose of the work is to carry out a comparative analysis of European experience on the principles of functional and aesthetic organization of interiors and decoration materials of premises of psychiatric health care institutions, to determine the characteristics of the influence of natural and artificial lighting on the psychophysiological state of the body of patients and medical professionals. The material of the study was Form № 18 of the Ministry of Health of Ukraine "Report on work on control of environmental factors affecting the state of health of the population" of the State Institution "Vinnytsia Regional Laboratory Center of the Ministry of Health of Ukraine" for the period 2016-2019. Content analysis of domestic and foreign scientific sources, as well as bibliosemantic, theoretical and analytical methods of research were used in the work. The statistical processing of the study results was performed in a licensed standardized package "Statistica 6.1 for Windows". As a result of studying the experience of European countries on the creation of in- hospital comfort for patients and medical staff of psychiatric health care institutions, the following has been established: taking into account the sanitary and hygienic requirements in the design and arrangement of facilities for mentally ill persons should correspond to the therapeutic environment and promote the establishment of security regimen, improving treatment and prevention work, preventing hospital-acquired infections and therefore being one and the same priorities reform of mental health in Ukraine. According to the results of studying foreign experience on the basis of a systematic and ergo design approach to the re-profiling and reconstruction of existing psychoneurological hospitals in Ukraine, it is determined that its main purpose is to provide comfortable conditions for patients stay and create conditions for conducting psychosocial therapy and rehabilitation of persons with mental disorders. Therefore, the adaptation of hygiene requirements during the design and arrangement of the premises of psychiatric health care facilities should be aimed at ensuring the optimal individual and psychological status of patients and the appropriate parameters of the hospital environment and its sanitary and hygienic characteristics, which must correspond to the latest technology in providing high quality medical care using a biopsychosocial approach that will facilitate the transition to European standards.

References

[1] Betz, M. E., & Boudreaux, E. D. (2016). Managing suicidal patients in the emergency department. Annals of emergency medicine, 67(2), 276-282. http://dx.doi.org/10.1016/ j.annemergmed.2015.09.001.

[2] Carr, R. F. (2011). Psychiatric facility. Design Guidance. Retrieved from http://www. wbdg. org/design/psychiatric.php

[3] CMU (2017). The concept of mental health development in Ukraine until 2030 (PROJECT). CMU Ordinance № 1018.

[4] Derby, M. M., Hamehkasi, M., Eckels, S., Hwang, G. M., Jones, B., Maghirang, R., & Shulan, D. (2017). Update of the scientific evidence for specifying lower limit relative humidity levels for comfort, health, and indoor environmental quality in occupied spaces (RP-1630). Science and Technology for the Built Environment, 23(1), 30-45. http://dx.doi.org/10.1080/ 23744731.2016.1206430

[5] Detsyk, O. Z., & Zolotarova, Zh. M. (2015). Organizational technology for combating and combating the professional burnout of palliative care workers. Rehabilitation and palliative medicine, (2), 93-97. dol: 10.15574/URPM.2015.01.14

[6] Facility Guidelines Institute (2014). Guidelines for Design and Construction of Hospitals and Outpatient Facilities. American Society for Healthcare Engineering Sustainable. https:// www.fgiguidelines.org/wp-content/uploads /2015/08/ 2014_FGI_ SustainableDesign_HOP.pdf

[7] Griffiths, K. M., Christensen, H., Jorm, A. F., Evans, K., & Groves, C. (2004). Effect of web-based depression literacy and cognitive- behavioural therapy interventions on stigmatising attitudes to depression: Randomised controlled trial. The British Journal of Psychiatry, 185(4), 342-349. doi: 10.1192/bjp.185.4.342

[8] Hunt, J. M., & Sine, D. M. (2009). Common mistakes in designing psychiatric hospitals. AIA Academy Journal. Retrieved from http://www.aia.org/groups/aia/documents/pdf/aiab090822.pdf

[9] Hunt, J. M., & Sine, D. M. (2014). Design guide for the built environment of behavioral health facilities. National Association of Psychiatric Health Systems. https://www.fgiguidelines.org/ wp-content/uploads/2017/03/DesignGuideBH _7.2_1703.pdf

[10] Hurovych, I. Ya., Storozhakova, Ya. A., & Fursov, B. B. (2012). International experience in the reform of psychiatric care and the further development of psychiatric services in Russia. Social and Clinical Psychiatry, 22(1), 5-18.

[11] Imerelli, R. E., Kazachynska, K. P., Moisa, B. S., & Shum, S. S. (2016). Rights of persons with mental health problems. Human rights in psychiatric hospitals. Analytical Report of the Ukrainian Helsinki Human Rights Union. Ukrainian Helsinki Human Rights Union. К.: КYТ.

[12] International medical corps (2017). Mental health in transition: evaluation results and recommendations for integrating mental health care into primary care and community platforms in Ukraine. World bank group.

[13] Kastnerova, M., Babinets, L. S., Borovyk, I. O., & Babinets, A. I. (2017). Prevalence of burn out syndrome among nurses in hospitals in the South Bohemia region. Achievements of clinical and experimental medicine, (3), 82-87. doi: 10.11603/1811- 2471.2017/v1.i3.8053

[14] Kazhyn, V. A. (2014). Actual problems of psychiatry in European countries and the structure of psychiatric care on the example of Germany. Perm Medical Journal, 31(2), 123-130.

[15] Kovalov, Yu. M., & Kfia, D. V. (2013). Color design of interiors of psychiatric hospitals. Design theory and practice, (3), 58-69. http://nbuv.gov.ua/UJRN/

[16] Lekhan, V. M., & Kriachkova, L. V. (2019). A system of measures to improve the health of the Ukrainian population based on an analysis of the global burden of disease and its risk factors. Medical perspectives, 24(3), 113-122. https://doi.org/10.26641/ 2307-0404.2019.3/181893

[17] Lo Verso, V. R., Caffaro, F., & Aghemo, C. (2016). Luminous environment in healthcare buildings for user satisfaction and comfort: An objective and subjective field study. Indoor and Built Environment, 25(5), 809-825. doi: 10.1177/ 1420326x15588337

[18] Maruta, N. O., & Chaban, O. S. (2019). Features of emotional burnout in neurological and mental health care professionals. International Neurological Journal, 7(109), 22-29. doi: 10.22141/2224-0713.7.109.2019.183009

[19] Masiakyn, A. V., & Kostiuk, G. P. (2018). Possible ways to increase the effectiveness of psychiatric care. Neurology, neuropsychiatry, psychosomatics, 10(2), 109-113. doi: 10.14412/2074-2711-2018-2-109-113

[20] Mazepa, Y. S., Pishchikov, V. A., & Sydorenko, O. O. (2016). Diagnosis of occupational burnout syndrome for doctors at a multidisciplinary healthcare facility. Achievements of clinical and experimental medicine, (4), 67-69. doi: 10.11603/1811- 2471.2016.v0.i4.7081

[21] Nguyen, T., Tran, T., Tran, H., Tran, T., & Fisher, J. (2019) Challenges in Integrating Mental Health into Primary Care in Vietnam. In: Okpaku S. (eds) Innovations in Global Mental Health. Springer, Cham. https://doi.org/10.1007/978-3-319-70134-9_74- 1/

[22] Pinchuk, I. Ya. (2016). Qualitatively new functional and organizational system of psychiatric care within the framework of reforming the health care system of Ukraine: organizational and legal aspect. Economics and Health Law, (2), 81-88.

[23] Pohoriliak, R. Yu., & Hulchii, O. P. (2018). Dependence of changes in public health indicators and indicators of quality assessment and availability of care on changes in resources. Ukraine. Nation's health, (3), 62-65. http://nbuv.gov.ua/UJRN/ Uzn_2018_3_12

[24] Puras, D., & Gooding, P. (2019). Mental health and human rights in the 21st century. World Psychiatry, 18(1), 42-43. doi: 10.1002/ wps.20599

[25] Reshetnykov, M. M. (2015). Mental health of the population current trends and old problems. National Psychological Journal, 1(17), 9-15. doi: 10.11621/npj.2015.0102

[26] Shafranskyi, V. V., & Dudnyk, S. V. (2016). Mental health of the Ukrainian population: status, problems and solutions. Ukraine. Nation's health, (3), 12-18. http://nbuv.gov.ua/UJRN/ Uzn_2016_3_4

[27] Timashova, V. M., & Timashov, V. А. (2017). Mental health as a component of the conceptual sphere of health and a promising direction for the development of the mental health service in Ukraine. Likars’ka sprava, (7), 250-255. https://liksprava.com/ index.php/journal/article/view/351

[28] Vezhnovets, T. A. (2017). Research on job satisfaction and burnout syndrome in healthcare professionals. ScienceRise. Medical science, 2(10), 36-40. http://nbuv.gov.ua/UJRN/ texcsrm_2017_2_9

[29] Votruba, N., Ziemann, A., Grant, J., & Thornicroft, G. (2018). A systematic review of frameworks for the interrelationships of mental health evidence and policy in low-and middle-income countries. Health research policy and systems, 16(1), 85. doi: 10/1186/s12961-018-0357-2

[30] WHO (2009). Improving health systems and services for mental health. https://www.who.int/ru/news-room/fact-sheets/detail/ mental-health-strengthening-our-response

[31] WHO (2011). The global burden of mental disorders and the need for a comprehensive, coordinated response from the health and social sectors at the country level. 130 session, paragraph 6.2.

[32] Zakal, Yu. (2011). Mental health care in the Republic of Poland. Bulletin of the Association of Psychiatrists of Ukraine, (2), 18-24. http://www.mif-ua.com/archive/article/27208

[33] Zinkler, M., & von Sebastian, P. (2019). End Coercion in Mental Health Services-Toward a System Based on Sypport Only. Laws, MDPI, Open Access Journa, 8(3), 1-10. https://doi.org/ 10.3390/laws8030019
Published
2019-05-05
How to Cite
Chorna, V., Sergeta, I., & Makhnyuk, V. (2019). Modern going near creation of in-hospital comfort for patients and medical personnel in psychiatric establishments of health protection. Biomedical and Biosocial Anthropology, (35), 48-53. https://doi.org/https://doi.org/10.31393/bba35-2019-08