Aim:This literature review is conducted to identify knowledge gaps and shape a framework for the development of guidelines and future research on programming and design of rehabilitation environments.Background:Patients suffering from trauma, stroke, neurological or cardiopulmonary conditions, or recovering from surgery or cancer treatment require rehabilitation services. A comprehensive rehabilitation program can support continuum of care for inpatient and outpatient groups. However, within most facilities, rehabilitation environments are found to be outdated and undersized compared to other programs or lack the correct adjacencies within the facility. Unfortunately, this deficiency is echoed by limited guidelines on programming, planning, and design of these environments. General guidelines derived from healthcare environments research is not adaptable to rehabilitation environments, because the paradigm used in most healthcare environment research does not address specific needs of rehabilitation patients in regaining confidence or relearning daily life skills.Method:We conducted a structured literature review, using Preferred Reporting Items for Systematic Reviews and Meta-Analyses as a basis for reporting the available body of work on evidence-based research in rehabilitation environments.Result and Conclusion:Through analysis of the limited literature, specific mediators such as patient confidence and motivation were identified. An environment that creates a balance between privacy and social interaction can promote these mediators. Creating enriched environments through elements that engage the senses and encourage more social and physical interaction is essential for recovery. Finally, accessibility and wayfinding are of great importance in these environments due to potential limited mobility or cognitive impairments of patients.

中文翻译：

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康复环境研究与设计的结构化文献综述


目的：本文献综述旨在找出知识差距，并为制定康复环境规划和设计的指南和未来研究制定框架。背景：患有创伤、中风、神经或心肺疾病或从手术或康复中恢复的患者癌症治疗需要康复服务。全面的康复计划可以支持住院和门诊患者群体的连续护理。然而，在大多数设施内，与其他项目相比，康复环境已经过时且规模过小，或者设施内缺乏正确的相邻区域。不幸的是，这些环境的编程、规划和设计的指导方针有限，也反映了这一缺陷。从医疗保健环境研究中得出的一般指南并不适用于康复环境，因为大多数医疗保健环境研究中使用的范式不能满足康复患者在恢复信心或重新学习日常生活技能方面的特定需求。方法：我们进行了结构化文献综述，使用系统评价和荟萃分析的首选报告项目，作为报告康复环境中循证研究的现有工作的基础。结果和结论：通过对有限文献的分析，确定了特定的中介因素，例如患者信心和动机。在隐私和社交互动之间创造平衡的环境可以促进这些调解者的发展。通过吸引感官并鼓励更多社交和身体互动的元素来创造丰富的环境对于康复至关重要。 最后，由于患者可能存在行动受限或认知障碍，因此在这些环境中，可达性和寻路非常重要。