Motion nature projection reduces patient's psycho-physiological anxiety during CT imaging

Zijlstra, Emma; Hagedoorn, Mariët; Krijnen, Wim P.; Schans, Cees P. van der; Mobach, Mark P.

doi:10.1016/j.jenvp.2017.07.010

Cited by 11 publications

(10 citation statements)

References 34 publications

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“…Consistent with SRT predictions, several controlled studies of patient and nonpatient groups have found that viewing trees, plants, flowers, or other nature-but not most built environments lacking nature-can produce rapid and substantial psychological and physiological recovery from stress (Brown, Barton, & Gladwell, 2013;Hartig, Evans, Jamner, Davis, & Ga ¨rling, 2003;Parsons, Tassinary, Ulrich, Hebl, & Grossman-Alexander, 1998;Ulrich et al, 1991;Zijlstra, Hagedoorn, Krijnen, Van der Schans, & Moback, 2017). Physiological restoration from stress is evident, for example, in reduced blood pressure and sympathetic nervous system activity.…”

Section: Evolutionary Theory: Why Nature and Gardens Should Foster Re...mentioning

confidence: 86%

ICU Patient Family Stress Recovery During Breaks in a Hospital Garden and Indoor Environments

Ulrich

Cordoza

Gardiner

et al. 2019

HERD

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Objectives: Measure the immediate change in intensive care unit (ICU) family members’ state stress levels from the beginning to the end of a person’s visit to a hospital garden and compare the changes produced by the garden with those associated with spending time in indoor hospital environments intended for respite and relaxation. Background: No previous research has compared the efficacy of different physical environments as interventions to foster stress reduction in family members of ICU patients, a group of hospital visitors known to experience high levels of distress. Method: A convenience sample of 42 ICU patient family (from 42 different families) completed the Present Functioning Visual Analogue Scales (PFVAS) before and after each visit (128 total visits) to a garden, an atrium/café, or ICU waiting room. Results: Stress scores significantly declined (i.e., improved) from the start to the end of a break on all PFVAS subscales ( p < .0001) in both the garden and indoors locations. However, it is noteworthy that garden breaks resulted in significantly greater improvement in the “sadness” scale than breaks in indoor locations ( p = .03), and changes in all five other PFVAS scores showed somewhat more reduction of stress for breaks spent in the garden than indoors, although these differences were not statistically significant. Conclusion: Creating an unlocked garden with abundant nature located close to an ICU can be an effective intervention for significantly mitigating state stress in family members of ICU patients and can be somewhat more effective than indoor areas expressly designed for family respite and relaxation.

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Section: Evolutionary Theory: Why Nature and Gardens Should Foster Re...mentioning

confidence: 86%

ICU Patient Family Stress Recovery During Breaks in a Hospital Garden and Indoor Environments

Ulrich

Cordoza

Gardiner

et al. 2019

HERD

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“…Some patients preferred a homelike ambience. Although it is known that pleasantness of the room can indirectly reduce patients' stress (Dijkstra et al, 2008b;Zijlstra et al, 2017), patients did not describe this relationship and may not be aware of the effects of interior features. An explanation may be that patients are in stressful periods of their life and are focused on receiving a treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Physical environments can potentially reduce anxiety and increase satisfaction (Ulrich et al, 2004;Campos Andrade et al, 2013). It is known that perceived pleasantness of a health-care setting can have a mediating role in reducing stress (Dijkstra et al, 2008b;Zijlstra et al, 2017). Therefore, the pleasantness of the physical environment might be critical to patients who receive chemotherapy (Sitzia and Wood, 1998).…”

Section: Introductionmentioning

confidence: 99%

The experience of patients in an outpatient infusion facility: a qualitative study

Zijlstra

Hagedoorn

Lechner³

et al. 2020

Self Cite

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Purpose As hospitals are now being designed with an increasing number of single rooms or cubicles, the individual preference of patients with respect to social contact is of great interest. The purpose of this study is to gain a better understanding of the experience of patients in an outpatient infusion center. Design/methodology/approach A total of 29 semi-structured interviews were conducted, transcribed and analyzed by using direct content analysis. Findings Findings showed that patients perceived a lack of acoustic privacy and therefore tried to emotionally isolate themselves or withheld information from staff. In addition, patients complained about the sounds of infusion pumps, but they were neutral about the interior features. Patients who preferred non-talking desired enclosed private rooms and perceived negative distraction because of spatial crowding. In contrast, patients who preferred talking, or had no preference, desired shared rooms and perceived positive distraction because of spatial crowding. Research limitations/implications In conclusion, results showed a relation between physical aspects (i.e. physical enclosure) and the social environment. Practical implications The findings allow facility managers to better understand the patients’ experiences in an outpatient infusion facility and to make better-informed decisions. Patients with different preferences desired different physical aspects. Therefore, nursing staff of outpatient infusion centers should assess the preferences of patients. Moreover, architects should integrate different types of treatment places (i.e. enclosed private rooms and shared rooms) in new outpatient infusion centers to fulfill different preferences and patients should have the opportunity to discuss issues in private with nursing staff. Originality/value This study emphasizes the importance of a mix of treatment rooms, while new hospital designs mainly include single rooms or cubicles.

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“…The first is psychological feedback, including the anxiety state and perceived environmental restorativeness of the subjects. The anxiety states of participants were measured by using STAI-Y6 with eight questions to indicate their anxiety level (Zijlstra et al, 2017). Perceived restorativeness score (PRS) was adopted to evaluate the subjects' perceived restorativeness (Hartig et al, 1997).…”

Section: Measurementsmentioning

confidence: 99%

Influence of the Acoustic Environment in Hospital Wards on Patient Physiological and Psychological Indices

Zhou

Meng

et al. 2020

Front. Psychol.

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Patients in general wards are often exposed to excessive levels of noise and activity, and high levels of noise have been associated with depression and anxiety. Previous studies have found that an appropriate acoustic environment is beneficial to the patient's therapeutic and treatment process; however, the soundscape is rarely intentionally designed or operated to improve patient recovery, especially for psychological rehabilitation. To gain the most accurate, and least variable, estimate of acoustic environmental stimuli/properties, virtual reality (VR) technology should be used to ensure that other environmental factors are stable and uniform in order to reduce the stimulation of other environmental factors. Therefore, this study aims to discuss the influence of the acoustic environment on patient physiological/psychological indicators and the mechanism of the effect on recovery using VR technology. A digital threedimensional (3D) model of a hospital room was constructed, and experimental subjects wore VR glasses to visualize a real ward scene. Four typical sound categories were selected to analyze the effect of the acoustic environment on recovery; physiological indicators were monitored, and psychological factors were subjectively evaluated. The results show that music plays an important role in reducing stress as it can aid in a patient's physiological (skin conduction levels) and psychological stress recovery. Furthermore, mechanical and anthropogenic sounds exert negative effects on a patient's stress recovery. However, the effect is only limited to psychological stress indicators. The interaction effects of demographic characteristics and the acoustic environment are not significant, and future studies could consider the social-economic characteristics of patients. Based on these findings, we provide evidence that indicates that a hospital's acoustic environment is an important influencing factor on the stress recovery of patients and can serve as a reference for healthcare architects and policy makers.

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Motion nature projection reduces patient's psycho-physiological anxiety during CT imaging

Cited by 11 publications

References 34 publications

ICU Patient Family Stress Recovery During Breaks in a Hospital Garden and Indoor Environments

ICU Patient Family Stress Recovery During Breaks in a Hospital Garden and Indoor Environments

The experience of patients in an outpatient infusion facility: a qualitative study

Influence of the Acoustic Environment in Hospital Wards on Patient Physiological and Psychological Indices

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