نوع مقاله : مقاله پژوهشی
موضوعات
عنوان مقاله English
نویسندگان English
Introduction
Multiple Sclerosis (MS) is a multifaceted and complex disease with a wide range of symptoms that negatively impact patients’ ability to perform daily activities. MS is associated with psychological and physical conditions, with environmental factors playing a significant role in its development and prevention. Various elements contribute to the onset of this disease, including genetics, climate conditions, nutrition, and social circumstances (stress, life events, etc.). The complications arising from MS lead to physical and mobility issues, primarily observed among young adults aged 20 to 40. The challenges faced by MS patients encompass both physical and psychological aspects, potentially causing feelings of loss of control over their lives, which can result in depression, increased anxiety, and stress, ultimately diminishing the vitality of both patients and their surroundings. Given the rising number of MS patients and their specific needs on the one hand and the limited number of specialized rehabilitation centers aimed at creating a supportive environment for improving patients’ mental health on the other hand, it is evident that a shift in perspective regarding the design of treatment and rehabilitation centers is of great importance. This shift should allow for viewing a treatment center as a healing environment. Therefore, this research investigates the impact of urban environment design and the surrounding features of rehabilitation centers, seeking to answer whether the presence of green spaces and healing gardens can improve the psychological and physical conditions of MS patients and alleviate MS symptoms. It is also hypothesized that appropriate urban environment design and the existence of green spaces around treatment and rehabilitation centers will enhance patients’ quality of life by reducing stress and anxiety, thus improving their psychological status. The main objective of this study is to establish architectural principles and requirements aligned with factors affecting vitality (control over the environment) in healing environments as effective elements in enhancing the quality of life and increasing hope for MS patients and their families.
Materials and Methods
The research method is applied in nature, utilizing mixed research methods (combining quantitative and qualitative approaches based on primary data analysis and case studies). This study employs primary data and case studies conducted through survey-based descriptive-analytical methods. Initially, relevant literature was reviewed through library studies and online searches, followed by qualitative analysis using SWOT tables (strengths, weaknesses, opportunities, threats) for both domestic and international samples related to the topic. The results were extracted and incorporated into a questionnaire based on theoretical foundations, research objectives, and questionnaire formulation principles. Subsequently, the statistical population and sample were identified; data were summarised and categorized according to research goals before being analyzed using SPSS26 software. The statistical population for this research includes MS patients, their families, and healthcare providers in Tehran.
Findings
The findings revealed eight factors recognized as influential in the vitality of healing environments: expansive or enclosed views, accessibility, gardening activities, garden design, fixed or movable benches, choices for solitude or social interaction, and simplicity of the environment. The garden design emerged as the most significant factor identified. Correlation analysis results indicated that most independent variables positively correlate with the quality of life for MS patients while negatively impacting their psychological status. Specifically, variables such as “having expansive or enclosed views,” “accessibility,” “engaging in gardening activities,” and “garden design allowing individual choices” showed significant relationships with improved quality of life for patients while reducing anxiety, depression, and stress levels. ANOVA results further indicated that expansive or enclosed views, along with accessibility, had the most substantial impact on enhancing quality of life while decreasing anxiety, depression, and stress levels. Multiple regression analysis conducted to assess the direct impact of independent variables on MS patients’ quality of life confirmed that all independent variables (views, accessibility, garden design, etc.) significantly affect patients’ quality of life. Among these variables, having expansive views had the highest beta coefficient at 0.51, while sitting in sunlight or shade had the least impact on quality of life. Given that the average scores for most variables in this study were close to 3, it can be concluded that the design status of therapeutic environments around treatment centers is generally at an average level. This finding is particularly evident for factors like “expansive views” and “accessibility,” which received the highest scores. These components underscore the importance of suitable environmental design in enhancing MS patients’ quality of life.
Conclusion
The conceptual models’ content correlation with theoretical foundations focusing on environmental design’s impact on MS patients’ quality of life indicates that the conceptual model comprises two main categories of variables; each variable category relates to either physical or psychological conditions experienced by MS patients. On the one hand, independent variables pertain to environmental design characteristics that directly affect patient conditions; these include factors such as access to various spaces (sunny or shaded), suitable movement paths for individuals with mobility limitations, appropriate furniture, social activity spaces, and gardening areas. On the other hand, dependent variables reflect MS patients’ quality of life influenced by physical, psychological, social, and spiritual dimensions. Ultimately, research results suggest that appropriate physical space design within rehabilitation centers can aid in improving these patients’ quality of life while reducing issues such as anxiety, depression, and stress; additionally, enhancing vitality through increased control over their environment can expedite patient recovery.
کلیدواژهها English
