Background: The end-of-life experience is significantly influenced by the surrounding environment, emphasizing the importance of exploring built environmental factors in palliative care, especially for pediatric patients. As the majority of end-of-life individuals are elderly or adults, most studies have focused on the environment for this demographic. However, it is essential to recognize that children and adolescents may have distinct needs in this regard. Aim: This narrative review aims to explore the impact of the built environment on pediatric end-of-life patients in inpatient units within palliative care settings. Method: A comprehensive search was conducted across four key databases (PubMed, MEDLINE, PsycINFO, and CINAHL) to identify relevant articles. The screening process commenced with an initial assessment of article titles and abstracts, followed by a thorough examination of full-text studies that met the inclusion criteria. Data synthesis involved thematic analysis facilitated by NVIVO software and informed by the findings extracted from selected literature. Results: The review identified 22 studies meeting inclusion criteria, revealing key insights into environmental considerations in pediatric palliative care. Four themes emerged, highlighting the significance of activities and play environments, accommodation spaces for patients, supportive spaces for families, and outdoor and green spaces. Conclusions: Acknowledging limited research on architectural aspects and reliance on family and staff perspectives, future studies should prioritize understanding pediatric patients' perspectives, particularly adolescents. The study underscores the importance of enhancing environmental design in pediatric palliative care to meet the unique needs of patients and their families.

中文翻译：

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探索姑息治疗住院病房的绝症儿科患者的环境考虑因素：叙述性回顾。


背景：临终经历受到周围环境的显着影响，强调探索构建环境因素在姑息治疗中的重要性，特别是对于儿科患者。由于大多数临终者是老年人或成年人，因此大多数研究都集中在这一人群的环境上。然而，必须认识到儿童和青少年在这方面可能有不同的需求。目的：这篇叙述性综述旨在探讨建筑环境对姑息治疗机构住院病房儿科临终患者的影响。方法：对四个关键数据库（PubMed、MEDLINE、PsycINFO 和 CINAHL）进行全面检索，以识别相关文章。筛选过程首先对文章标题和摘要进行初步评估，然后对符合纳入标准的全文研究进行彻底检查。数据合成涉及由 NVIVO 软件促进的主题分析，并根据从选定文献中提取的研究结果提供信息。结果：审查确定了 22 项符合纳入标准的研究，揭示了儿科姑息治疗中环境因素的重要见解。出现了四个主题，强调活动和游戏环境、患者住宿空间、家庭支持空间以及户外和绿色空间的重要性。结论：承认对建筑方面的研究有限并且依赖家庭和工作人员的观点，未来的研究应优先考虑了解儿科患者的观点，特别是青少年的观点。 该研究强调了加强儿科姑息治疗环境设计以满足患者及其家人的独特需求的重要性。