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Indirect Nutrition and Mobility Risks during Hospitalization: An Architectural Perspective on the nutritionDay Study
Maja Kevdzija1, Alessandro Laviano2, Isabella Worf3
1TU Wien, Faculty of Architecture and Planning, Institute of Architecture and Design, 1040 Vienna, Austria.
Hospital architectural design impacts patient mobility and nutrition. A study found reduced mobility and changes in eating habits during hospitalization, highlighting the need for better hospital environments to support patient recovery and well-being.
Area of Science:
- Healthcare Design
- Patient Mobility
- Nutritional Science
Background:
- Patient nutrition and mobility are influenced by complex factors, including the hospital's built environment.
- Existing research highlights the built environment's impact on patient well-being, yet its role in hospital nutrition and mobility remains understudied.
Purpose of the Study:
- To investigate the relationship between the built environment, nutrition, and mobility in general hospitals.
- To analyze findings from the nutritionDay study concerning architectural design and nutrition environments in hospital wards.
Main Methods:
- Utilized data from the annual nutritionDay study, a one-day cross-sectional survey.
- Collected ward-specific and patient-specific variables via online questionnaires in 31 languages.
Main Results:
- A significant decrease in patient mobility was observed post-hospitalization (61.5% to 56.8%), with an increase in bedridden patients (6.5% to 11.5%).
- Longer length of stay (LOS) was associated with patients needing more assistance.
- Mobility changes correlated with alterations in eating patterns, and while many units offered extra meals, few fostered a positive eating environment (30%).
Conclusions:
- The hospital's built environment may indirectly influence patient mobility, independence, and nutritional intake.
- Findings suggest a need for improved hospital ward design and nutrition environments to support patient recovery.
- Further research is recommended to explore these complex relationships.
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