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Humaniza??o hospitalar, ambiente f?sico e rela??es assistenciais :a percep??o de arquitetos especialistasViana, Luciana de Medeiros 25 October 2004 (has links)
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Previous issue date: 2004-10-25 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The creation of the Humanization Program of Hospital Care and the increasing number of academic works and journal articles that discuss more humane practices in the health care services express the emphasis given to the theme in Brazil. In these discussions, however, it is not usual to find reference to architecture as a relevant factor in the humanization of hospitals, even though it is known that the physical structure of the building may help the recovering of the patients; elements such as gardens, the use of colors and open spaces may soften the impact caused by the hospital routine on patients. Considering the contribution the architectural project may bring to the humanization of hospitals, the aim of this study was to verify how the architects perceive the hospital humanization process. Besides having searched for subsides in informal interviews with health professionals, in visits to hospitals and in related seminars, the study was based on semi-structured interviews with architects of Natal, Rio Grande do Norte, who are specialists in this kind of projects. The content analysis of the interviews showed that physical space and attendance are essential to the humanization process. Those professionals see two humanization tendencies: while private hospitals have the structural physical appearance considered as humanized, public hospitals emphasize the humanization in attendance, fact that illustrates the contradictions in Brazilian health system. The interviewees consider the post-occupancy evaluation of the building as a learning exercise that contributes to new projects, but surprisingly they do not mention the patients opinion as part of it. Two annoying facts have emerged from the interviews, as also seen in preliminary stages of the study: rare are the works that focus on the person-environment relationship, and the definition of humanized hospital environments is still broad and inaccurate. This suggests the need of new studies in order to better understand how the two factors shown in this study attendance and physical space interact towards a true hospital humanization / A cria??o do Programa de Humaniza??o da Assist?ncia Hospitalar e o n?mero crescente de artigos e teses que discutem pr?ticas mais humanas no atendimento em sa?de expressam a ?nfase dada ao tema no Brasil. Nessas discuss?es, entretanto, n?o costuma haver refer?ncia ? arquitetura como fator relevante para a humaniza??o hospitalar, embora j? se saiba que a estrutura f?sica do edif?cio pode auxiliar no restabelecimento dos pacientes; elementos como jardins, uso de cores e espa?os abertos podem amenizar o impacto causado pela rotina hospitalar sobre os pacientes. Considerando a contribui??o que o projeto arquitet?nico pode trazer para a humaniza??o de hospitais, o objetivo deste estudo foi verificar a percep??o dos arquitetos acerca do processo de humaniza??o hospitalar. Al?m de ter buscado subs?dios em entrevistas informais com profissionais de sa?de, em visitas a hospitais e semin?rios sobre o assunto, a pesquisa foi baseada em entrevistas semi-estruturadas com os arquitetos de Natal, Rio Grande do Norte, especialistas neste tipo de projeto. A an?lise do conte?do das entrevistas revelou que espa?o f?sico e atendimento s?o essenciais ao processo de humaniza??o. Para aqueles profissionais, h? duas tend?ncias de humaniza??o: enquanto hospitais privados t?m a apar?ncia f?sica de sua estrutura considerada como humanizada, hospitais p?blicos enfatizam a humaniza??o do atendimento, num contraste que refor?a as contradi??es do sistema de sa?de do pa?s. Os entrevistados consideram a avalia??o do edif?cio depois de entregue ao uso um exerc?cio de aprendizagem que contribui para novos projetos, mas, surpreendentemente, n?o contemplam a opini?o dos pacientes. Confirmam-se duas inquieta??es decorrentes dos levantamentos preliminares: raros s?o os trabalhos que focalizam as rela??es pessoa-ambiente, e a defini??o de ambiente hospitalar humanizado ainda ? abrangente e imprecisa. Isso sugere a necessidade de novas pesquisas para compreender melhor como os dois fatores apontados neste estudo atendimento e espa?o f?sico interagem para uma verdadeira humaniza??o hospitalar
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