psychiatryПСИХИАТРИЯPsychiatry (Moscow) (Psikhiatriya)1683-83192618-6667FSBSI “The Mental Health Research Centre”; LLC «Publisher «MIA»10.30629/2618-6667-2023-21-2-17-27psychiatry-951Research ArticleПСИХОПАТОЛОГИЯ, КЛИНИЧЕСКАЯ И БИОЛОГИЧЕСКАЯ ПСИХИАТРИЯPSYCHOPATHOLOGY, CLINICAL AND BIOLOGICAL PSYCHIATRYРеабилитационный потенциал архитектурно-ландшафтных компонентов психиатрических медицинских организацийRehabilitation Potential of Architectural and Design Components of Psychiatric Hospitalshttps://orcid.org/0000-0003-3105-0812ХоммятовМ. Р.KhommyatovM. R.

Марат Рифатович Хоммятов, специалист 1-й категории, отдел фундаментальных, прикладных и поисковых исследований

Москва

Marat R. Khommyatov, Category 1 Specialist, Department of Fundamental, Applied, and Exploratory Research

Moscow

khommarat38@gmail.comhttps://orcid.org/0000-0003-3681-9977СамушияМ. А.SamushiyaM. A.

Марина Антиповна Самушия, доктор медицинских наук, профессор, проректор по научной работе, заведующий кафедрой психиатрии

Москва

Marina A. Samushiya, Professor, Dr. of Sci. (Med.), Vice-Rector for Research, Head of the Department of Psychiatry

Moscow

sma-psychiatry@mail.ruhttps://orcid.org/0000-0001-5476-5453ДенисовД. Б.DenisovD. B.

Дмитрий Борисович Денисов, кандидат медицинских наук, заведующий отделением медицинской экспертизы и обработки информации

Москва

Dmitry B. Denisov, Cand. of Sci. (Med.), Head of the Department of Medical Expertise and Information Processing

Moscow

papirus5@ya.ruhttps://orcid.org/0000-0003-4010-4288КрыжановскийС. М.KryzhanovskijS. M.

Сергей Михайлович Крыжановский, кандидат медицинских наук, доцент, кафедра неврологии

Москва

Sergey M. Kryzhanovskij, Cand. of Sci. (Med.), Associate Professor, Department of Neurology

Moscow

smk@inbox.ruhttps://orcid.org/0000-0002-6979-4860ВдовинаИ. В.VdovinaI. V.

Ирина Владимировна Вдовина, кандидат педагогических наук, доцент, начальник отдела фундаментальных, прикладных и поисковых исследований

Москва

Irina V. Vdovina, Cand. of Sci. (Ped.), Associate Professor, Head of the Department of Fundamental, Applied, and Exploratory Research

Moscow

https://orcid.org/0000-0002-4233-8128БорчининовА. Е.BorchininovA. E.

Алексей Евгеньевич Борчининов, ординатор, кафедра психиатрии

Москва

Alexey E. Borchininov, Resident, Department of Psychiatry

Moscow

aleksejborcininov@gmail.com«Центральная государственная медицинская академия» Управления делами Президента Российской ФедерацииРоссияCentral State Medical Academy of the Administrative Department of the President of the Russian FederationRussian FederationФГБУ «Центральная клиническая больница с поликлиникой» Управления делами Президента Российской ФедерацииРоссияFederal State Budgetary Institution “Central Clinical Hospital with Polyclinic” of the Administrative Department of the President of the Russian FederationRussian Federation«Цен- тральная государственная медицинская академия» Управления делами Президента Российской ФедерацииРоссияCentral State Medical Academy of the Administrative Department of the President of the Russian FederationRussian FederationCentral State Medical Academy of the Administrative Department of the President of the Russian FederationRussian Federation2023060520232121727Copyright © Хоммятов М.Р., Самушия М.А., Денисов Д.Б., Крыжановский С.М., Вдовина И.В., Борчининов А.Е., 20232023Хоммятов М.Р., Самушия М.А., Денисов Д.Б., Крыжановский С.М., Вдовина И.В., Борчининов А.Е.Khommyatov M.R., Samushiya M.A., Denisov D.B., Kryzhanovskij S.M., Vdovina I.V., Borchininov A.E.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journalpsychiatry.com/jour/article/view/951

Цель: проанализировать современные тенденции рациональной организации пространства психиатрических медицинских учреждений для возможности использования этих наработок в улучшении лечебно-реабилитационного потенциала российских больниц. Материалы и методы: поиск соответствующей литературы в базах MEDLINE и PubMed по приведенным далее ключевым словам. Заключение: в статье отражены современные взгляды на организацию психиатрических учреждений, основанные на принципах создания благоприятной среды. Основное внимание уделяется роли архитектурного и дизайнерского компонентов территории больниц, оказывающих немалое влияние на лечение и реабилитацию психиатрических пациентов. Рассмотрены основные правила рациональной организации пространства психиатрического отделения с акцентом на снижение дискомфорта от пребывания в стенах больницы, приведены примеры удачной планировки как отдельных палат, так и отделений в целом. Особое внимание уделяется обустройству околобольничных территорий, детально представлена концепция дизайна CHIMES, содержащая главные принципы создания безопасных для пациентов пространств, наполненных при этом возможностями для различного рода активностей. Создание благоприятного архитектурно-ландшафтного дизайна медицинского учреждения способствует значимому улучшению прогноза для пациентов с психическими расстройствами. 

The aim: to analyze the current trends in the rational organization of the space of psychiatric medical institutions for the possibility of using these developments in improving the treatment and rehabilitation potential of Russian hospitals. Materials and methods: search for relevant scientific articles on the following keywords in the MEDLINE and PubMed databases. Conclusions: the article reflects modern views on the organization of psychiatric institutions based on the principles of creating a favorable environment. The main attention is paid to the role of architectural and design components of the hospital territory, which have a huge impact on the treatment and rehabilitation of psychiatric patients. The basic rules of the rational organization of the space of the psychiatric department with an emphasis on reducing discomfort from staying in the walls of the hospital are given, examples of successful planning of both individual wards and departments as a whole are given. Special attention is paid to the arrangement of hospital areas, the CHIMES concept is presented in detail, which contains the main principles of creating patient-safe spaces filled with opportunities for various kinds of activities. The creation of a favorable architectural and landscape design of a medical institution contributes to a significant improvement in the prognosis for patients with mental disorders.

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The authors declare that there are no conflicts of interest present.