Αξιολόγηση πολύκλινων -...

16
ΤΟΜΟΣ 9 - ΤΕΥΧΟΣ 4 [23] ΕΡΕΥΝΗΤΙΚΗ ΕΡΓΑΣΙΑ ΠΕΡΙΛΗΨΗ Εισαγωγή: Η αξιοποίηση του περιβάλλοντος είναι σημαντική στα νοσοκομεία, τόσο στη δημιουργία θεραπευτικών συνθηκών, όσο και στη βιωσιμότητά τους. Μελλοντικά, η ανάγκη αναδιαμόρφωσης των νοσοκομείων διαφαίνεται πιθανότερη, από την κατασκευή νέων μονάδων. Στην Ελλάδα υπάρχει μεγάλο περιθώριο εξέλιξης της σχετικής αρ- χιτεκτονικής έρευνας και εφαρμογής. Σκοπός: Η αρχιτεκτονική διερεύνηση του περιβάλλοντος πολύκλινων θαλάμων νοσηλείας και η ανταπόκριση των χρηστών σε αυτούς Μεθοδολογία: Μελετήθηκε το περιβάλλον νοσηλείας εξάκλινων θαλάμων ελληνικού δημόσιου νοσοκομείου, με αρ- χιτεκτονική τεκμηρίωση, συγκριτική μελέτη της εμπειρίας ασθενών και συνοδών, καθώς και διερεύνηση της επίδρα- σης της εγγύτητας στο παράθυρο κατά την αξιολόγηση του περιβάλλοντος του θαλάμου. Η μελέτη πραγματοποιήθηκε σε δείγμα ευκολίας, αποτελούμενο από 160 ασθενείς και 136 συνοδούς. Η στατιστική ανάλυση έγινε με ακριβείς ελέγχους ανεξαρτησίας x² στο στατιστικό πακέτο SPSS 20, με επίπεδο σημαντικότητας p < 0,05. Αποτελέσματα: Η αρχιτεκτονική τεκμηρίωση υπέδειξε πως η μορφή του κτιρίου συνέβαλλε θετικά στο φωτισμό και τη θέα των θαλάμων νοσηλείας. Ωστόσο, ο έλεγχος του ηλιακού φωτός κρίθηκε κρίσιμος για την εξασφάλιση άνετων περιβαλλοντικών συνθηκών. Εντός των θαλάμων διαπιστώθηκε μεγάλη χωρική πυκνότητα και μειονεκτήματα της ενδιάμεσης κλίνης, έναντι των ακριανών. Η αξιολόγηση των χρηστών ήταν γενικά θετική και δεν επιβεβαίωνε πάντα τα αντικειμενικά ευρήματα. Οι ασθενείς δεν αξιολογούσαν διαφορετικά το χώρο από τους συνοδούς, παρά μόνο στην άνεση της θέας. Η εγγύτητα στο παράθυρο επηρέαζε συνολικά την ενόχληση από το φυσικό φωτισμό και την άνεση με την οποία οι ερωτώμενοι έβλεπαν έξω από το παράθυρο. Οι ασθενείς επηρεάζονταν επιπλέον στην εκτίμηση του μεγέθους του παραθύρου και οι συνοδοί σε παραμέτρους σχετικές με τη θέα. Συμπεράσματα: Η συνέργεια της κτιριακής μορφολογίας με τη λειτουργία, συμβάλλει στο συνολικά βιώσιμο θεραπευ- τικό περιβάλλον. Η ανθρώπινη εμπειρία μπορεί να διαφέρει σημαντικά από μία αντικειμενικά αποτυπωμένη κατά- σταση. Οι ασθενείς και οι συνοδοί φαίνεται πως βιώνουν με παρόμοιο τρόπο το περιβάλλον νοσηλείας, ενώ υπήρξαν ισχυρές ενδείξεις σκοπιμότητας κατάργησης της ενδιάμεσης κλίνης και μείωσης της δυναμικότητας των θαλάμων. Λέξεις κλειδιά: Αξιολόγηση χρηστών, αρχιτεκτονική νοσοκομείων, αρχιτεκτονική τεκμηρίωση, θεραπευτικό περι- βάλλον, σχεδιασμός χώρου. Αξιολόγηση αρχιτεκτονικού περιβάλλοντος πολύκλινων θαλάμων νοσηλείας Ευαγγελία Σκλάβου, Ιωάννης Τζουβαδάκης Εθνικό Μετσόβιο Πολυτεχνείο Υπεύθυνος Αλληλογραφίας: Σκλάβου Ευαγγελία Διεύθυνση: Ηρώων Πολυτεχνείου 9, Τ. Κ. 157 80 Αθήνα e-mail:[email protected] tel.: +30 694 6060 972 Ημερομηνία υποβολής: 13/07/ 2016 Ημερομηνία Δημοσίευσης:12/12/2016 2016, 9(4): 23-38 ΕΛΛΗΝΙΚΟ ΠΕΡΙΟΔΙΚΟ ΤΗΣ ΝΟΣΗΛΕΥΤΙΚΗΣ ΕΠΙΣΤΗΜΗΣ

Transcript of Αξιολόγηση πολύκλινων -...

Page 1: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

!"#"$ 9 - !%&'"$ 4 [23]

!"!#$%&'(% !")*+'*

!"#$%&'& "()*+,+-: ! "#$%&%'()( *%+ &,-$./00%1*%2 ,'1"$ )(µ"1*$34 )*" 1%)%3%µ,'", *5)% )*( 6(µ$%+-7'" 8,-"&,+*$391 )+18(391, 5)% 3"$ )*( .$:)$µ5*(*/ *%+2. ;,00%1*$3/, ( "1/73( "1"6$"µ5-<:)(2 *:1 1%)%3%µ,':1 6$"<"'1,*"$ &$8"15*,-(, "&5 *(1 3"*")3,+4 1=:1 µ%1/6:1. >*(1 ?00/6" +&/-@,$ µ,7/0% &,-$89-$% ,#=0$#(2 *(2 )@,*$342 "--@$*,3*%1$342 =-,+1"2 3"$ ,<"-µ%742../0123: ! "-@$*,3*%1$34 6$,-,A1()( *%+ &,-$./00%1*%2 &%0A30$1:1 8"0/µ:1 1%)(0,'"2 3"$ ( "1*"&53-$)( *:1 @-()*91 ), "+*%A245607080+9*: ;,0,*48(3, *% &,-$./00%1 1%)(0,'"2 ,#/30$1:1 8"0/µ:1 ,00(1$3%A 6(µ5)$%+ 1%)%3%µ,'%+, µ, "--@$*,3*%1$34 *,3µ(-':)(, )+73-$*$34 µ,0=*( *(2 ,µ&,$-'"2 ")8,191 3"$ )+1%691, 3"892 3"$ 6$,-,A1()( *(2 ,&'6-"-)(2 *(2 ,77A*(*"2 )*% &"-/8+-% 3"*/ *(1 "#$%057()( *%+ &,-$./00%1*%2 *%+ 8"0/µ%+. ! µ,0=*( &-"7µ"*%&%$48(3, ), 6,'7µ" ,+3%0'"2, "&%*,0%Aµ,1% "&5 160 ")8,1,'2 3"$ 136 )+1%6%A2. ! )*"*$)*$34 "1/0+)( =7$1, µ, "3-$.,'2 ,0=7@%+2 "1,#"-*()'"2 xB )*% )*"*$)*$35 &"3=*% SPSS 20, µ, ,&'&,6% )(µ"1*$35*(*"2 p < 0,05.:10;58<)µ*;*: ! "-@$*,3*%1$34 *,3µ(-':)( +&=6,$#, &:2 ( µ%-<4 *%+ 3*$-'%+ )+1=."00, 8,*$3/ )*% <:*$)µ5 3"$ *( 8=" *:1 8"0/µ:1 1%)(0,'"2. C)*5)%, % =0,7@%2 *%+ (0$"3%A <:*52 3-'8(3, 3-')$µ%2 7$" *(1 ,#")</0$)( /1,*:1 &,-$."00%1*$391 )+18(391. ?1*52 *:1 8"0/µ:1 6$"&$)*98(3, µ,7/0( @:-$34 &+315*(*" 3"$ µ,$%1,3*4µ"*" *(2 ,16$/µ,)(2 30'1(2, =1"1*$ *:1 "3-$"191. ! "#$%057()( *:1 @-()*91 4*"1 7,1$3/ 8,*$34 3"$ 6,1 ,&$.,."':1, &/1*" *" "1*$3,$µ,1$3/ ,+-4µ"*". D$ ")8,1,'2 6,1 "#$%0%7%A)"1 6$"<%-,*$3/ *% @9-% "&5 *%+2 )+1%6%A2, &"-/ µ51% )*(1 /1,)( *(2 8="2. ! ,77A*(*" )*% &"-/8+-% ,&(-="E, )+1%0$3/ *(1 ,15@0()( "&5 *% <+)$35 <:*$)µ5 3"$ *(1 /1,)( µ, *(1 %&%'" %$ ,-:*9µ,1%$ =.0,&"1 =#: "&5 *% &"-/8+-%. D$ ")8,1,'2 ,&(-,/E%1*"1 ,&$&0=%1 )*(1 ,3*'µ()( *%+ µ,7=8%+2 *%+ &"-"8A-%+ 3"$ %$ )+1%6%' ), &"-"µ=*-%+2 )@,*$3=2 µ, *( 8="..=µ15>?)µ*;*: ! )+1=-7,$" *(2 3*$-$"342 µ%-<%0%7'"2 µ, *( 0,$*%+-7'", )+µ./00,$ )*% )+1%0$3/ .$9)$µ% 8,-"&,+-*$35 &,-$./00%1. ! "18-9&$1( ,µ&,$-'" µ&%-,' 1" 6$"<=-,$ )(µ"1*$3/ "&5 µ'" "1*$3,$µ,1$3/ "&%*+&:µ=1( 3"*/-)*")(. D$ ")8,1,'2 3"$ %$ )+1%6%' <"'1,*"$ &:2 .$91%+1 µ, &"-5µ%$% *-5&% *% &,-$./00%1 1%)(0,'"2, ,19 +&4-#"1 $)@+-=2 ,16,'#,$2 )3%&$µ5*(*"2 3"*/-7()(2 *(2 ,16$/µ,)(2 30'1(2 3"$ µ,':)(2 *(2 6+1"µ$35*(*"2 *:1 8"0/µ:1.

%<@5(3 /85(7(?: F#$%057()( @-()*91, "-@$*,3*%1$34 1%)%3%µ,':1, "-@$*,3*%1$34 *,3µ(-':)(, 8,-"&,+*$35 &,-$-./00%1, )@,6$")µ52 @9-%+.

!"#$%&'()( *+,#-./-$0#/$1 2.+#34%%$0-$5 2$%1/%#060 7*%4µ60 0$)(%.8*5

!,-../01- +20345,, '637789 &:5,4-;3289!<7=2> ?/@A>4=5 B50,@/C7/15

#D/E<,759 *00805.F-G1-9: +20345, !,-../01-H=/E<,7A8: %FI67 B50,@/C7/15, 9, &. (. 157 80 *<J7-e-mail:[email protected].: +30 694 6060 972

%µ/F5µ871- ,D5450J9: 13/07/ 2016%µ/F5µ871- H8µ5A1/,A89:12/12/2016

2016, 9(4): 23-38%(()*+," -%.+"/+," !)$ *"$)(%&!+,)$ %-+$!)#)$

Page 2: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

[24] !""#$%&' (!)%'*%&' +#, $',#"!-+%&#, !(%,+#.#,

!"!#$%&'(% !")*+'*

2016, 9(3): 44-55

!"#$%&%'

%!""#"$%&'(!)# *+$&!, -!. '.!µ/(01µ23/* %$(.-45""/36/, 76!3 7'# +31)67 )6! !(8!&! 9)-"#%.-$&! (:!"!36;7, & <!)-!(56/, 2003). =6# )>+8(/3#

$%/87, # $%&'(!)# 6/* '/µ#µ23/* %$(.45""/36/, )6#3 *+$&!, 6/ $* ;$.3 -!. 6#3 !)05"$.! 613 !)?$3@3, 613 )*+-+$3@3 6/*, -!. 6/* %(/)1%.-/>, '#"!'7 )6#3 %/.A6#6! -!. 6/ -A)6/, 613 %!($8Aµ$313 *%#($).@3, $%.4$4!.-@3$6!. '.!(-@, (Ulrich et al 2008). B/ ?$(!%$*6.-A %$-(.45""/3 !%/6$"$& ?$µ$".@'# !(87 6#, !(8.6$-6/3.-7, 613 3/)/-/µ$&13 (Malkin 1992) -!. / )6/.8$./?$6#µ23/, )8$'.!)µA, (evidence-based design – EBD) !%/'$.-3>-$6!. 4!).-A $(+!"$&/ *"/%/&#)7, 6/* (Smith & Watkins 2008).

C%.%"2/3, )6/ %3$>µ! 6#, !$.0/(&!,, # /(?/"/+.--7 8(7)# $32(+$.!, !%/6$"$& %(16!(8.-A µ2"#µ! )6., -6.(.!-2, *%/'/µ2, 13 3/)/-/µ$&13. D 4./-".µ!6.-A, )8$'.!)µA,, 1, # %(/)2++.)# µ$ 45)# 6/ 6/%.-A -"&µ!, µ$ )-/%A 6#3 $E!)05".)# )*3?#-@3 %$(.4!""/36.-7, 53$)#,, !E./%/.@36!, 6#3 #".!-7 $32(+$.! -!. 5""$, %$-(.4!""/36.-2, %#+2,, !""5 -!. 6! 0*).-5 0!.3Aµ$3! 6/* -"&µ!6/, (<5;!(# 2002), $&3!. 23! .)8*(A $(+!"$&/, 6A)/ )$ -!.3/>(.$, $+-!6!)65)$.,, A)/ -!. )6/3 $-)*+8(/3.-)µA *%!(8A3613, µ$ )-/%A 6#3 /(?/"/+.-7 8(7)# %A-(13 (ASHRAE 2012).

F /".)6.-7 !(8.6$-6/3.-7 µ$"26# 613 8@(13 *+$&!, $&3!. )-A%.µ/ 3! %$(."!µ453$. µ&! )*3/".-7 %(/)2++.)# 6/* %$(.45""/36/,, +.! 3! µ$+.)6/%/./>36!. 6! /02"# 6/* -!. 3! %$(./(&;/36!. '*)µ$3$&, )*3?7-$, %/* %(/-!-"/>36!. !%A 5)6/8/*, 8$.(.)µ/>,. =6/ µ26(/ %/* !0/(5 6/*, 8@(/* *+$./3/µ.-7, 0(/36&'!,, # '.$($>3#)# -!. # !E./%/&#)# 6/* %$(.45""/36/,, 1, -/.37 )*3.)6@)! 6#, ?$(!%$*6.-7, -!. /.-/"/+.-7, '.5)6!)#, 6#, !(8.6$--6/3.-7, 613 3/)/-/µ$&13, $&3!. -(&).µ/ 3! '.$($*3#?$& (Rostenberg 2009).

G)6A)/, # 2($*3! 6#, $%&'(!)#, 6/* '/µ#µ23/* %$-(.45""/36/, $%.-$36(@3$6!. %$(.))A6$(/ )$ 8@(/*, $(+!)&!, -!. )8/"$&! -!. ".+A6$(/ )$ 8@(/*, *+$./3/-µ.-7, 0(/36&'!, (Choi et al 2012). F %"$./3A6#6! '$ 613

6$"$*6!&13, 28/*3 +&3$. *%A 6/ %(&)µ! 6#, %$(.4!""/36.--7, H*8/"/+&!, (Griffin 1992). =6/ µ26(/ %/* !0/(5 6#3 4.1).µA6#6!, 28$. 7'# $%.)#µ!3?$& # !)*µ013&! µ$6!E> 6#, !35+-#, +.! 53$)# )6! -6&(.! -!. +.! µ$&1)# 6#, 8(7-)#, $32(+$.!, (Zeiler & Boxem 2008). =6/ &'./ %3$>µ!, 6! '.$?37 $+8$.(&'.! /0$&"/*3 3! )*µ%$(."!µ453/*3 6#3 *%/-$.µ$3.-7 !E./"A+#)# 613 %$(.4!""/36.-@3 %!(!-µ26(13 A%1, / 016.)µA,, -!?@, '.!0/($6.-/& 53?(1-%/. !36!%/-(&3/36!. )$ !*65 µ$ '.!0/($6.-A 6(A%/ (Meir et al 2009). I6)., / $*(>6$(/, /(.)µA, 6/* %/./6.-/> %$-(.45""/36/, $&3!. )-A%.µ/ 3! %$(."!µ453$. 81(.-5 8!-(!-6#(.)6.-5 -!?@, -!. 6., !36.'(5)$., )$ !*65, -56. %/* '$3 28$. '.$($*3#?$& $%!(-@, (Wang & Boubekri 2011).

J(/, !*6A 6/ )-/%A, # µ$"26# 6#, !36!%A-(.)#, 613 8(#)6@3 $&3!. )#µ!36.-7. K""1)6$, 6! $*(7µ!6! 6/* )6/.8$./?$6#µ23/* )8$'.!)µ/>, A%1, !*65 %(/->-%6/*3 !%A 6., FJ9, !%’ A%/* %(/2(8$6!. / ->(./, A+-/, 6#, )8$6.-7, 4.4"./+(!0&!,, '$3 28/*3 -!?/".-7 .)8> (Botma & Hoekstra 2006). =6#3 %(/)%5?$.! $E!)05-".)#, 6#, /".)6.-7, 4.1).µA6#6!,, !*6A !%/-65 µ$+5"# )#µ!)&!, +.!6& 6! -6&(.! %/* '$3 !36!%/-(&3/36!. )6/3 %"#?*)µA %/* -!"/>36!. 3! $E*%#($67)/*3, $&3!. %.?!-3A 3! µ#3 -!6!02(/*3 3! %!(!µ$&3/*3 "$.6/*(+.-5, µ$ !%/62"$)µ! 3! 8($.5;/36!. )6#3 -!">6$(# %$(&%61)# )#µ!36.-2, %(/)!(µ/+2, -!. )6# 8$.(A6$(# /".-7 !36.--!65)6!)# (McMinn & Polo 2005). C%.%"2/3, # !35+-# !3!'.!µA(01)#, 613 -6.(.!-@3 $+-!6!)65)$13 613 3/)/-/µ$&13 0!&3$6!. %1, µ$""/36.-5 ?! $&3!. µ$+!">-6$(# !%A 6#3 !35+-# -!6!)-$*7, -!.3/>(.13 µ/35'13 (Hofrichter 2006). F !35+-# )*""/+7, $µ%$.(.-@3 '$'/-µ2313 -!. '.!µA(01)#, $?3.-@3 45)$13 '$'/µ2313 6#, !(8.6$-6/3.-7, 613 3/)/-/µ$&13 $&3!. $%.6!-6.-7 (Huijsman 2006).

=6/ %$(.45""/3 3/)#"$&!,, /. !)?$3$&, !%/6$"/>3 6# 4!).-7 /µ5'! $3'.!02(/36/,. F $µ%$.(&! 6/*, $%#($5-;$6!. 236/3! !%A 6#3 -!65)6!)7 6/*,, !0/> )6$(/>36!. 6/* /.-$&/* %$(.45""/36A, 6/*, -!. $&3!. !3!+-!)µ23/. 3! !%/'$8?/>3 -!. 3! %(/)!(µ/)6/>3 )$ 23! E23/ %$(.-45""/3 (Ulrich et al 2008). =*37?1, $&3!. %$(./(.)µ23/.

($#")A #'*!+$

,-./012034/25 064 437323µ1864, 69 03µ:,9 :-1;4,9 2,/ 1<,-µ3=59 70>4 !??@A,, :.1/ µ1=@?, B1-/CD-/, 2,/ ,4@=2> 1E:?/E>9.

Page 3: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

!"#"$ 9 - !%&'"$ 4 [25]

!"!#$%&'(% !")*+'*

!"#$% #&' ()*&' #&' +,-.µ&', /(&'" !0,1*!#12. µ!13µ/-"4 21"4#12$#4#, 2,1 5'"6+3% 7!" /(&'" #&" /-!8(& #&' 9!*1:.--&"#&% #&'%. ;/-&%, -$83 #4% +/54% #&'% /(&'" 171,<#!*4 &9#126 #&' ()*&' (bedscape) ,--. 2,1 #4% +/,%. =*15µ/"!% /*!'"!% ,9&7<7&'" 5#&'% ,5+!"!<% (,-*,2#6*, 9,+4#12$ 2,1 !0,*#4µ/"& (Schumaker 1989). > &µ.7, #3" «5'"&7)"», 9!*1-,µ:."!1 #&'% 5'88!"!<% #&' ,5+!"&?%, #&'% @*&"#15#/% 2,1 #&'% !9152/9#!%. A9$ #4 µ<,, &1 5'"&7&< µ9&*&?" ", +!3*4+&?" '81!<% ."+*39&1, 9&' :1)"&'" #& ()*& :*,('9*$+!5µ,, /(&'" 5! µ!8.-& :,+µ$ /-!8(& #&' 9!*1:.--&"#$% 2,1 !-!'+!*<, 21"6-5!3" 2,1 9*&5,*µ&86% #4% +/54% #&'%. A9$ #4" .--4, /(&'" 2,1 ,'#&< ", 71,(!1*15#&?" #& !"'9.*(&" 5#*!% #4% !9<52!B4% !"$% &12!<&' 5#& "&5&2&µ!<& 2,1 #&" «!0,",-82,5µ$» 9*&5,*µ&86% 5! /", 2-1"12$ 9!*1:.--&". C9.*-(&'" !"7!<0!1% 93% &1 ,".82!% #4% &µ.7,% ,'#6% 7!" 6#," ,"/2,+!" ,"#12!<µ!"& 71!*!?"454% (Zimring et al 1987). > 5'82*1#126 71!*!?"454 ,5+!")" 2,1 5'"&7)", µ! 52&9$ #&" !"#&915µ$ &µ&1&#6#3" 2,1 71,@&*)", /(!1 µ!8.-& !"71,@/*&".

;& 9,*.+'*& !<",1 ,9$ #, 15('*$#!*, ,*(1#!2#&"12. (,*,2#4*15#12. !"$% ()*&'. > 8!3µ!#*<, #&' 9,*,+?-*&' 2,1 #& :.+&% #&' ()*&' 9&' :*<52!#,1, 2,+&*<D&'" 54µ,"#12. #4 71!<57'54 2,1 #, 9!*1+)*1, !2µ!#.--!'54% #&' 4-1,2&? @3#$% (Rea 2000). E919-/&", #& 9,*.+'*& 9*&5@/*!1 +/, 9*&% #, /03, 4 &9&<,, 2,#’ !-.(15#&, 12,-"&9&1!< #4" ,".824 #&' µ,#1&? ", 9*&5,*µ$D!#,1 5'"!-()% 5#& :.+&%, 9,*/(&"#,% ,@!"$% 9*&&9#126 2,1 ,@!-#/*&' !*!+<5µ,#, 81, #4" ,"#<-4B4 #&' 9!*1:.--&"#&% 9/*," #&' 2#1*<&' (Philips 2000). F#51, 4 +/, !<",1 «2,-6», $#," 4 &9#126 #4% 9!*1-,µ:."!1 /", µ12*$ #&'-.(15#&" 9&5&5#$ 2.+! 5#&1(!<&' #&' 2'*<3% +/µ,#$% #4% 2,1 #&' @$"#&' #4% (/7,@&%, #&9<&, &'*,"$%) (Littlefair 1996).

A9$ #4" 9-!'*. #&' 5#&1(!1&+!#4µ/"&' 5(!71,5µ&?, #& 9,*.+'*& !"15(?!1 #1% +!*,9!'#12/% 171$#4#!% #&' 6-1&' 2,1 #4% +/,% (Ulrich et al 2008). F",% !2 #3" µ4-(,"15µ)" 9&' #& 4-1,2$ @3% !94*!.D!1 #& !' D!1" !<",1 µ/53 #4% 9,*,8386% :1#,µ<"4% D 9&' 9*&2,-!<#,1 $#," & 6-1&% /*(!#,1 5! !9,@6 #& 7/*µ,, 2,+)% 9/*," #4% !9<7*,54% 9&' /(!1 5! 9&--/% 9,+65!1% (Holick 2004), 4 :1#,µ<"4 ,'#6 /(!1 5'"7!+!< µ! #4" 9,*,8386 5!*&-#&"<"4%, 4 &9&<, µ! #4 5!1*. #4% 5(!#<D!#,1 µ! #4 71.+!-54 (Landsdowne & Provost 1998, Lambert et al 2002). =1 Walch et al (2004) 71!068,8," /*!'", 5(!#12. µ! #4" !9<7*,54 #&' 4-1,2&? @3#$% µ/5, 5! 73µ.#1& "&54-!<-,% 5#4" B'(&2&1"3"126 '8!<, 2,1 5#4" 9&5$#4#, 2,1 #& 2$5#&% #3" ,",-84#12)" @,*µ.23", ,5+!")" 9&' !<(," '9&:-4+!< 5! !9!µ:.5!1% #4% 59&"7'-126% 5#6-4%. =1 !*!'"4#/% ,'#&< ,9/7!10," 93% &1 ,5+!"!<% 9&' "&54--!?&"#," 5! +,-.µ&'% "&54-!<,% µ! .9-!#& 4-1,2$ @3%, :<3"," -18$#!*& 5#*!% 2,1 9$"& 2,1 /-,:," 22% -18$#!*, ,",-84#12. @.*µ,2,, #3" &9&<3" #& 2$5#&% 6#," µ!13-µ/"& 2,#. 20% (Walch et al 2004). A"#<5#&1(4 !9<9#354

/(!1 2,1 4 9&1$#4#, #4% +/,% ,9$ #& 9,*.+'*&. G74 ,9$ #& 1984, 4 9*3#&9&*1,26 81, #4" !9&(6 #4% /*!'", #&' Roger Ulrich !<(! '9&7!<0!1 93% ,5+!"!<% 9&' !<(," '9&-:-4+!< 5! !9/µ:,54 5#4" 2&1-1., 9,*&'5<,5," #,(?#!*4 ,".**354, !'(.*15#4 71.+!54 2,1 µ12*$#!*4 ,".824 -6B4% ,",-84#12)" @,*µ.23", $#," /:-!9," 9,*.+'*, µ! +/, 5#4 @?54, 5'82*1#12. µ! ,5+!"!<% #3" &9&<3" #, 9,*.+'*, /:-!9," /"," #&<(& ,9$ #&?:-, (Ulrich, 1984). ;& 5'"&-12$ /*8& #&' Ulrich /(!1 !91:!:,1)5!1, µ!#,0? .--3", 93% /",% ."+*39&% 9&' :1)"!1 5#*!%, +, ,",-2.µB!1 8*48&*$#!*, !." 4 +/, #&' 9!*1-,µ:."!1 @'512. 524"12., 6 ,5#12. !µ9-&'#15µ/", µ! @'512. 5#&1(!<,, 5! 5(/54 µ! ,5#12. 524"12. (3*<% 2,"/", 5#&1(!<& #4% @?54% (Ulrich 1984, Ulrich 1991, Ulrich et al 2008). H5&" ,@&*. 5'82!2*1µ/", #&" 9$"&, 4 54µ,5<, #&' 5(!71,-5µ&? #3" !82,#,5#.5!3" '8!<,% 9*&% #4" !2µ!#.--!'54 #4% @?54%, #&' @3#$% 2,1 .--3" 9!*1:,--&"#12)" 9,-*,8$"#3" 81, #&" /-!8(& #&' 9$"&' /(!1 !9154µ,"+!< 5! 2&*'@,<& 5(!#12$ 9!*1&712$ (Malenbaum et al 2008).

I(!7$" 5! $-&'% #&'% #?9&'% 2#1*<3", 4 µ!8,-?#!-*4 !88?#4#, 5#& 9,*.+'*& /(!1 5'"7!+!< µ! +!#12$#!*!% ,01&-&865!1% ."!54% (Vischer 1996, Aries et al 2010) 2,1 4 ,9$5#,54 ,9$ ,'#$ µ! 9!*155$#!*!% ,*"4#12/% !"#'-9)5!1% 2,1 ,",@&*. 9*&:-4µ.#3" (Veitch 2005, Aries et al 2010). F#51, 4 71!*!?"454 #4% !9<7*,54% #4% !88?#4#,% 5#& 9,*.+'*& 5! ()*&'% "&54-!<,%, 5#4" !"#?9354 2,1 #4" ,01&-$8454 #3" ()*3" ,'#)", +, !<(! 171,<#!*& !"-71,@/*&".

I#4" E--.7,, #& !+"12$ 7<2#'& #3" 74µ$513" "&5&-2&µ!<3" !<",1 674 ,"!9#'8µ/"&, '9&7!12"?&"#,% 93% µ!--&"#12. 4 ,".824 ,",2,<"154% 2,1 ,",71,µ$*@3-54% #3" '9,*($"#3" 2#1*1,2)" '9&7&µ)" #&' +, !<",1 !"#&"$#!*4 ,9$ #4" 2,#,52!'6 "/3" µ&".73". E919-/-&", '9.*(!1 5#,+!*6 /--!1B4 5'"!9&?% 2,1 µ!+&7126% ,*(1#!2#&"126% !915#4µ&"126% 9,*,2&-&?+454% #3" !--4"12)" "&5&2&µ!<3" (Sklavou & Tzouvadakis 2012, Sklavou and Tzouvadakis 2015). ;/-&%, & 2,"&"15µ$% !"!*8!1,26% ,9$7&54% (CJEKA 2008) 7<"!1 µ!" /µ@,54 5#& &12&-&812$ ,9&#?93µ, #3" 2#1*<3", 9,*,:-/9&"#,% 35#$5& #4 :,*?#4#, #4% '9&2!1µ!"126% ,01&-$8454% 2,1 !91:!:,1)"&"#,% #4" !91(!1*4µ,#&-&8<, #3" Meir et al (2009). E9&µ/"3%, '9.*(!1 µ!8.-& 9!*1+)*1& !0/-104% #4% ,*(1#!2#&"126% !915#4µ&"126% /*!'",% 81, #, !--4-"12. "&5&2&µ!<, 2,1 !912,1*&9&<454% #3" 5(!#12)" 5'-5#.5!3". A@&µ&1)"&"#,% #1% 5(!#12/% 9-4*&@&*<!% µ! #4 71!+"6 !µ9!1*<, 2,1 9*,2#126, +, 71!'2&-'"+!< 54µ,-"#12. 4 &*+$#!*4 9*&5/88154 2,1 +, 7&+&?" 2,#.--4-!% -?5!1% µ! 5#$(& #&" !25'8(*&"15µ$ #3" !--4"12)" 74-µ$513" "&5&2&µ!<3".

I2&9$% #4% 9,*&?5,% !*8,5<,% !<",1 4 µ!-/#4 #4% ,"#,9$2*154% #3" (*45#)" 5! 9&-?2-1"&'% +,-.µ&'% "&54-!<,%. A9)#!*&% 5#$(&% !<",1, ,@!"$% 4 5'"!15@&-*. 5#4 8!@?*354 #&' 2!"&? µ!#,0? !--4"126% 2,1 71!-

Page 4: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

[26] !""#$%&' (!)%'*%&' +#, $',#"!-+%&#, !(%,+#.#,

!"!#$%&'(% !")*+'*

!"#$% &'()*+,*#"),-% .'+/"&% ,&) &0+*.'#/ 1 2/µ3#4- 2*1" *+,µ1'5621 *1% +441"),-% +µ7+)'5&%. 8 +'9&25& 3&252*1,+ 2*1 3)34)#9'&0),- &'()*+,*#"),- .'+/"& *+2-2:'6" +441"),;" */7#4#9);" (&74< 9'&µµ),<, ,&µ7$4# 9'&µµ),<, 2*&/'#+)=.% ,&) =)74< «>») ,&) +µ74#/*5?+) *1" *+,µ1'5621 *1% */7#4#95&% *#/ ,&µ7$4#/ 9'&µµ)-,#$ µ#"*.4#/ (Sklavou & Tzouvadakis 2015). @7)74.#" *1% ,&*&9'&0-% *1% +µ7+)'5&% *6" ('12*;", =)&µ#'0;-!1,&" =$# +'+/"1*),: +'6*-µ&*&: 7';*#" &" #) &2!+-"+5% &A)#4#9#$2&" =)&0#'+*),: &7< *#/% 2/"#=#$% *# 7+')3:44#" *#/% ,&) =+$*+'#" &" 1 +99$*1*& 2*# 7&':-!/'# +7)='#$2+ 2*1" &A)#4<9121 &/*-.

!"#$%$&$'()!"#$%&'()* +&% $#,-(& (#./01*

8 .'+/"& =)+A-(!1 2*# ,+"*'),< ,*5')# "#214+5&% 9+-"),#$ "#2#,#µ+5#/ *1% B**),-%, +"*<% *#/ &2*),#$ )2*#$ *6" 3#'+56" 7'#&2*56" *1% B!-"&%. C# ,*5')# &/*< ),&-"#7#)+5 +7)4+9µ."& &'()*+,*#"),: ,')*-')&: &0+"<% *#/ 2/"+)=1*#$ 2(+=)&2µ#$, &0+*.'#/ *1% =)&0#'#7#5121% 2*1 =$"&µ1 ,&) *1" 7&4&)<*1*& *6" !&4:µ6" "#214+5-&% (DE). F2#" &0#': 2*# 2(+=)&2µ<, /7:'(#/" +"=+5-A+)% 76% 1 µ#'0#4#95& *#/ ,*)'5#/ +/"#+5 *#" 0/2),< 06*)2µ<, *#" 14)&2µ< &44: ,&) *#" 0/2),< &+')2µ< *#/ (Sklavou & Tzouvadakis, 2015). @7)74.#", 1 ,&µ7$41 µ#'0- *#/ ,*)'5#/ 7'#2=5=+) =/"&µ),<*1*& 2*#" ,/'5-&'(# "<*)# 7'#2&"&*#4)2µ< *#/ ,&) µ+9&4$*+'# +$'#% !.&% (+),. 1). F2#" &0#': *1 =$"&µ1 *6" DE, 2*# ,*5')# (6'#!+*#$"*&) 7#4$,4)"#) (+),. 2), #4)9<,4)"#) &44: ,&) µ#"<,4)"#) !:4&µ#) "#214+5&%, ,&4$7*#"*&% *# +7)!/µ1-*< 0:2µ& =)+'+$"121%. G*# µ.*'# 7#/ &0#': *1" 7&4&)-<*1*&, µ+ *1" +A&5'+21 *6" DE +"<% #'<0#/, *# ,*5')# &"&,&)"52*1,+ 2*& 74&52)& *6" H4/µ7)&,;" B9;"6" *#/ 2004, #7<*+ 2*1 21µ+')"- *#/ ,&*:2*&21 &7#*+4+5*&) &7< &"&,&)")2µ."#/% &44: ,&) 7&4&)<*+'#/% DE.

8 7+')9'&0),- &/*- .'+/"& &7#*+4+5*&) &7< &'()*+-,*#"),- *+,µ1'5621 ,&) =#µ1µ."+% 2/"+"*+$A+)% ('1-2*;" *6" DE. H) !:4&µ#) 7#/ µ+4+*-!1,&" -*&" #) 7#-4$,4)"#) &"&,&)")2µ."#) DE *6" #'!#7+=),;" ,4)"),;" *#/ =+$*+'#/, *'5*#/ ,&) *.*&'*#/ #'<0#/ *#/ ,+"*'),#$ ,*)'5#/ "#214+5&% ,&) 2*#/% ('-2*+% 2/µ7+')4-0!12&" #) &2!+"+5% 7#/ "#214+$#"*&" 2*#/% DE &/*#$%, ,&!;% ,&) #) 2/"#=#5 *#/%.

8 =+)9µ&*#41I5& .9)"+ 2+ =+59µ& +/,#45&%. H) 3&2),#5 4<9#) 9)& *1" +7)4#9- &/*- -*&" =$#. B0+"<%, !+6'--!1,+ 2,<7)µ# "& µ1" +µ7#=)2*+5 1 ,&!1µ+')"- '#/*5"& +'9&25&% *#/ 7'#267),#$, &0+*.'#/ +,*)µ-!1,+ 76% 1 =#µ1µ."1 2/"."*+/A1 !& +5(+ µ+9&4$*+'1 &"*&7<,')-21 &7< *1" &74- =)&"#µ- +'6*1µ&*#4#956". H) !:4&µ#) "#214+5&% (DE) 2*#/% #7#5#/% +)2.'(#"*&" #) +'+/"1*.% ,&!#'5?#"*&" 2+ 2/"+""<121 µ+ *# 7'#267),<, +"; 1 &"*&7<,')21 *6" 7)!&";" 2/µµ+*+(<"*6" +A&'*)<*&"

21µ&"*),: &7< *1 =):!+2- *#/%.

!2..3-4 $#$3(/5658 &'()*+,*#"),- *+,µ1'5621 7'&9µ&*#7#)-!1,+

µ.26 µ+4.*1% *6" *+("),;" 2(+=56" 7#/ 7&'&(;'12+ 1 *+("),- /71'+25& ,&) µ+ +7)*<7#/ µ+4.*1 *#/ &'()*+-,*#"),#$ 7+')3:44#"*#% *6" DE. B7< *& &'()*+,*#"),: 2(.=)& *+,µ1');!1,&" #) DE 6% 7'#% *& 9+6µ+*'),: *#/% 2*#)(+5&, 2/µ7+')4&µ3&"#µ."6" *#/ 2/"#4),#$ +µ-3&=#$, *1% +7)0:"+)&% &": ,45"1, *#/ 60.4)µ#/ (;'#/ *6" &2!+";", ,&!;% ,&) *#/ 7'#2&"&*#4)2µ#$ ,&) *1% +7)0:"+)&% *6" 7&'&!$'6". J)+'+/";"*&% *1" 14)&,- 9+6µ+*'5&, =)&7)2*;!1,&" #) +*-2)+% 2/"!-,+% =)+52=/-21% *#/ 14)&,#$ 06*<%. 8 +7)*<7#/ µ+4.*1 .9)"+ &0+"<% µ+ *1" ,&*&9'&0- *6" 7&'&*1'-2+6" *6" +'+/"1*;", &0+*.'#/ µ+ 2(+*),- 06*#9'&0),- *+,µ1'5621. C# <"#-µ& ,&) 1 96"5& 4-I1% ,:!+ 06*#9'&05&%, 21µ+)6"<*&" 2+ ."& 2,&'501µ& ,:*#I1%. 8 &'()*+,*#"),- &":4/21 *6" DE 7&'#/2):?+*&) 2*1" &"*52*#)(1 +"<*1*& *6" &7#-*+4+2µ:*6".

8 =)+'+$"121 *1% &A)#4<9121% *6" ('12*;" .9)"+ µ+ =#µ1µ."+% 2/"+"*+$A+)%, 9)& *)% #7#5+% ('12)µ#7#)--!1,+ *# +'6*1µ&*#4<9)# 7#/ &"&7*$(!1,+, 2*&!µ52*1-,+ ,&) ('12)µ#7#)-!1,+ +,*+";% 2+ (;'#/% +'9&25&% &7< *1 J)+!"- @*&)'5& @".'9+)&% (International Energy Agency – IEA) (Hygge 1999). 8 µ+*:0'&21 *#/ +'6*1-µ&*#4#95#/ 2*& +441"),:, <76% ,&) 1 ),&"- ,&) &"&9,&5& 7'#2&'µ#9- *#/ 2+ (;'#/% "#214+5&%, 2$µ06"& µ+ *1 3)34)#9'&05& *#/ 2*#)(+)#!+*1µ."#/ 2(+=)&2µ#$ ,&) !.-µ&*& +"=)&0.'#"*#% *1% +/'$*+'1% .'+/"&%, .9)"+ &7< *#/% 2/99'&0+5% *1% +'9&25&%.

C# +'6*1µ&*#4<9)# &7#*+4#$*&" &7< *.22+')% #µ:-=+% +'6*-2+6". 8 7';*1 ,&*19#'5& -*&" #) =1µ#9'&-0),.% +'6*-2+)%. H) &2!+"+5% +'6*#$"*&" 9)& *# ('#"),< =):2*1µ& "#214+5&% *#/% ,&) #) 2/"#=#5 9)& *# ('<"# 7#/ =).µ+"&" 2*# !:4&µ# "#214+5&%. F4#) #) 2/µµ+*.(#"*+% +'6*#$"*&" 9)& *1" 14),)&,- *#/% #µ:=& ,&) *# 0$4#. 8 =+$*+'1 ,&*19#'5& -*&" #) +'6*-2+)% 2(+*),: µ+ *# &'()-*+,*#"),< 7+')3:44#" *6" !&4:µ6" ,&) 2/9,+,')µ."& *# µ.9+!#% *#/ !&4:µ#/ 2+ 2(.21 µ+ *#" &')!µ< *6" ,'+-3&*);" ((6'),- 7/,"<*1*&), *# µ.9+!#% *#/ 7&'&!$'#/, *& (';µ&*& *#/ !&4:µ#/ ,&) *1% 7#)<*1*& *1% 2,5&21%. 8 *'5*1 ,&*19#'5& &0#'#$2+ *)% 7+')3&44#"*),.% 7&'&-µ.*'#/% *#/ 06*)2µ#$ ,&) *#/ 14)&2µ#$. H) +'6*;µ+"#) &A)#4#9#$2&" *# 0/2),< 06*)2µ< ,&) *#" 14)&2µ<, +"; '6*#$"*&" &" +"#(4#$"*&) &7< *# 0/2),< 06*)2µ<. 8 *.*&'*1 ,&*19#'5& &0#'#$2+ *# 7&':!/'# ,&) *1 !.&.. C<2# #) &2!+"+5%, <2# ,&) #) 2/"#=#5, &A)#4#9#$2&" *# 7&':!/'# 6% 7'#% *& =/"1*),: &'"1*),: (&'&,*1')2*),: *#/ (&.(.7.) ,&) *& !+*),: (&'&,*1')2*),: *#/ (!.(.7.). @7)-74.#", '6*#$"*&" &" +"=)&0.'#"*&) "& =#/" *1 !.& .A6 &7< *# 7&':!/'#, <76% ,&) *1" :"+21 µ+ *1" #7#5& 34.-7#/" *1 !.& &/*- &7< *1 !.21 7#/ 3'52,#"*&). C.4#%, &A)-

Page 5: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

!"#"$ 9 - !%&'"$ 4 [27]

!"!#$%&'(% !")*+'*

!"!#!$%&' () *+&, ,- ./0123%() 4 5/%12.%(), 6,(.3'4 4 µ!/'(4, .'53&6+2!/%& 4 &5316!2), &7"4 4 7.287"!9) 9&3 (+"!- 9&*)%/0&%(394 4 %(2.%%!#:'&. ;3 .2,(4%.3- 91*. 9&()#!28&- 4(&' 9&()#!239+- (23<' &7&'(4%.,' 4 530!(:µ.-. ;3 &203(.9(!'39+- 9&3 7.23=&""!'(39+- .2,-(4%.3-, !µ&5!7!3)µ+'.- &'1 ($7!, 4(!3 9&()#!239+- 9&3 µ.(&=")(+-, 6&8'.(&3 %(!' 78'&9& 1, .'< ) !µ&5!7!8)%4 (!/- &'1 *.µ&(394 9&()#!28&, 6&8'.(&3 %(!' 78'&9& 2. >. 91*. .2,()µ&(!":#3! &'&#2&6:(&' +'&- &$?,' &23*-µ:-, ! !7!8!- %)µ.3,':(&' %. %9&286)µ& ()- 91(!@)- (!/ !2:6!/ (.39. 1) %(!' &'(8%(!30! *1"&µ! '!%)".8&-.

A737"+!', 71', %(! .2,()µ&(!":#3! /7420. 9&3 +'& µ3-92: %9&286)µ& ()- 91(!@)- (.39. 2), :7!/ !3 .2./')(+- %)µ.8,'&' () *+%) (!/ .2,(<µ.'!/ (7"./21 *&"1µ!/ 9&3 .##$()(& %(! 7&21*/2!).

A7.354 ) +2./'& .%(31B.3 %(! !7(39: 7.23=1""!' (!/ CD, ) "4@) .7&29<' 7&2&()24%.,' %. :".- (3- 928%3µ.- 7.23:5!/- (!/ +(!/- 4(&' 928%3µ). >(! 7'.$µ& ()- ."1-03%()- 5/'&(4- &'&%(1(,%)-, :7,- 9&3 #3& 72&9(39!$- ":#!/-, 5.' 4(&' .639(4 ) %/'.04- 7&2!/%8& %(! '!%!-9!µ.8!. E(%3, ) %/'!"394 53129.3& ()- µ."+()- 4(&' &7: (!' F!$"3! (!/ 2011 +,- (! G12(3! (!/ 2014. A6:%!' .?.-(1B!'(&3 &203(.9(!'39+- µ.(&=")(+-, 7!/ 9&(1 () 53129.3& (,' .(<' &/(<' 7&2+µ.3'&' %(&*.2+- 9&3 &µ.(1=")(.-, ) µ.#1") &/(4 53129.3& 5.' 928'.(&3 72!=")µ&(394.

!"#$%$ &'()*+ – ,-./%.0.12$+H %/""!#4 5.5!µ+',' #3& () µ."+() ?.98')%. µ.(1

()' +#923%) &7: (! .73%()µ!'39: 9&3 53!39)(39: %/µ=!$-"3! (!/ '!%!9!µ.8!/. I& .2,()µ&(!":#3& 4(&' &'<'/µ&, !$(,- <%(. '& 53&%6&"3%*.8 ) 72!%(&%8& (,' 72!%,73-9<' 5.5!µ+',' (,' %/µµ.(.0:'(,'. ;3 %/µµ.(+0!'(.- .80&' .')µ.2,*.8 #3& (!/- %9!7!$- ()- +2./'&-, .8(. &7: (! '!%)"./(39: 72!%,739: .8(. &7: (!/- .2./')(+-, .'< 4(&' .".$*.2!3 '& %(&µ&(4%!/' () %/µµ.(!04 (!/- !7!3&547!(. %(3#µ4 (! .73*/µ!$%&'. >. 9&'+'& %(153! 5.' &%94*)9. 78.%) #3& () %/µµ.(!04.

3%$%(4%()* $/5064&H .7.?.2#&%8& (,' 5.5!µ+',' ()- 5)µ!%9:7)%)-

+#3'. µ. (! %(&(3%(39: 7&9+(! SPSS 20. H &?3!":#)%) &%*.'<' 9&3 %/'!5<' #3& (& 0&2&9()23%(391 (!/ CD .9-621%()9. µ. %/0':()(.-. H 53.2.$')%) (,' %)µ&'(39<' 53&6!2<' +#3'. µ. %(&(3%(39!$- ."+#0!/- &'.?&2()%8-&- xJ. K- µ+*!5!- .73"+0*)9. ) &923=4- (exact) 9&3 ,- .787.5! %)µ&'(39:()(&- (! p < 0,05, &' 9&3 %(& &7!(.-"+%µ&(& %)µ.3<'!'(&3 9&3 (& .787.5& p < 0,01 9&3 p < 0,001. ;3 5.89(.- %/'16.3&- 7!/ 02)%3µ!7!3!$'(&3 .8'&3 !3 Crammer’s V 9&3 Phi.

!"#$%&%'(!$! (%&%$)'

!. !*+,-./-01,/2 -./µ3*4563;3 .?19"3'!3 CD =28%9!'(&3 %(!' 5.$(.2!, (28(! 9&3

(+(&2(! :2!6! (!/ 9(328!/ (.39. 1). H .7361'.3& .':- .?19"3'!/ CD .8'&3 48,34 (.µ., (! !7!8! &'(3%(!30.8 %. 8,05(.µ./&%*.'4 (.39. 2). ; 9/28,- 0<2!- (!/ *&"1µ!/, 7!/ 72!9$7(.3 &6&32<'(&- (!' 72!*1"&µ! 9&3 (! "!/-(2:, .8'&3 33,10 (.µ. ;3 9"8'.- 53&(1%%!'(&3 &'1 (2.3- 9&(1 µ49!- (,' 7"&L'<' (!80,', %. =1*!- 5,20 µ., &64'!'(&- 7.287!/ 1,73µ #3& ()' 9"8') 9&3 (! 9!µ!58'!. H ,6+"3µ) 9&3 &?3!7!34%3µ) .7361'.3& &'1 9"8') .8'&3 5,6 (.µ.

; 9/28&20!- ':(3!- 72!%&'&(!"3%µ:- (,' CD %)-

!,-./0 1: &12,-3 -45678 69.:61 µ; </=;,>8 58? 6µ0=626@8-A8? 5B/ C0D4µB/ /6A8D;@0? 0/4 296A0/056D,Aµ.

!,-./0 2: &12,-3 -45678 ;>4-D,/61 C0D4µ61 /6A8D;@0?

Page 6: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

[28] !""#$%&' (!)%'*%&' +#, $',#"!-+%&#, !(%,+#.#,

!"!#$%&'(% !")*+'*

µ!"#$% &'( ) *!µ+,-( *$%µ$.%#-( /,%)( 0! $%12.*$3!% 4!0%5 13) $1'3$.%6- 3'# 7'µ!3"'#, $#8 3) 6!,)6!".% 0! $µ&)7"9$3!% !&- 3) :&$.6$"µ$#) µ&!,6-#% ($%6. 3). ; &.'%#-( /,%)( &.)1&"&3$% 13+# !.%13$./ &,$:.5, -&): $"#!% &%0!#- #! &.)6!,$"3!% )&3%6/ 7:1<)."!. =,,'13$ !:3/ 3+# 8.! ) /,%)( 4."16$3!% 1*$3%65 *!µ+,5 6!0’ -,+ 3+ 7%5.6$%! 3): *.-#): ($%6. 4!). >) µ$1+µ2.% ) /,%)( 4."16$3!% 13+# ?+,-3$.+ 021+ 3):. >) *$%µ8#!, !6-µ+ 6!% !:3- 3) @?)( $"#!% *!µ+,- 6!% 3) +,%!6- "*#)( 7$# $µ&)7"9$3!% !&- 3) #! 7%$%17@1$% 4!0%5 µ21! 13) *8.), 1:#$%1<2.)#3!( 13+# &!0+3%6/ 02.µ!#1+ 3): *8.):

!,-./0 3: &1µ2 345-6,/17 8065µ17 /19:63;0< µ3 =/>3,4: ?:< :6,0-2< >,3;9>79:< ?1 @3,µA/0 -0, ?1 -06.-0;B,.

!,-./0 5: C3B,D5661/ 345-6,/E/ 8065µE/ /19:63;0<. #F1>3,-/G1-

/?0, ?0 @BAµ0?0 0/5 .B1H1. (0) !F;?374: 0F1µ./E9:< 9?,< 8=93,< >;F60 9?1 F0B587B1. (D) I63J@1< ?:< 9-;09:< 0F.

?1/ 0983/2. (J) F3B,1B,9µ.< 1F?,-2< -0, 1B;E/ ?:< µ390;0< 8=9:<.

!,-./0 4: %6,0-2 >,3;9>79: -0, ;@/1< 9?,< 9 F.µ. (0), 12 µ.µ. (D)

and 3 µ.µ. (J) 9?17< /.?,17< 8065µ17< /19:63;0<

(0)

(0)

(D)

(D)

(J)

(J)

Page 7: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

!"#"$ 9 - !%&'"$ 4 [29]

!"!#$%&'(% !")*+'*

!""# !$%#&'&(!) (!$(*+,'&! (-& ./0!&*(-(! '.(/12) 3$-45',6!) (7/1. 48). 9' 1!"'1!6,/, *(!& (' -"/!1* :;') 76&!/ µ7<#"', (' µ.!"1*&/ 3,! =) ',/>*&(/' 416!4(,', .,'5$-"#44'&(!) 47 µ7<#"' 8!0µ* (' 1(6,/' !.* $.7,0?,µ!&4-, !""# .7,/',6>'&(!) (!$(*+,'&! (! 7.6.73! 5=(/4µ':. 9' !.*<7$µ! ' 2"/') .,'4.6.(7/ 4(- 37%/# ."7$,#, - '.'6! 3?+7(!/ (' .7,/44*(7,' 5=) (7/1. 4<).

@/ µ.!"1'&*.',(7) ?+'$& 7µ8!3* 9,35 (.µ. 1!/ 36&'$& .,*48!4- 47 µ.!"1*&/ ."#('$) 2µ. .'$ 1!(!"!µ8#&7/ (' µ21') *"'$ ('$ ',*5'$. A 16&-4- 1!(# µ21') ('$ µ.!"-1'&/': 76&!/ 7"7:07,-, 1!0B) 37& $.#,+'$& +=,64µ!(! µ7(!%: (=& (µ-µ#(=& .'$ !&(/4('/+':& 47 1#07 0#"!-µ' 9! 1'$5Bµ!(! 76&!/ µ7(!""/1# µ7 3/."':) 1!0!,':) $!"'.6&!17), 7&B - 416!4- $"'.'/76(!/ 74=(7,/1# µ7 <!"#>/! µ- 3/!.7,!(2 $5!4µ#(/&- 1'$,(6&! 4(' 37:(7,' *,'5' 1!/ 16(,/&- 4('& (,6(' 1!/ ('& (?(!,(' *,'5'. @/ ('6+'/ 76&!/ +,Bµ!(') µ.7> 1!/ (' 3#.73' <1,/ – <!"#>/'$ +,Bµ!(') (7/1. 5).

A 0?! !.* (/) µ.!"1'&*.',(7) ?+7/ !4(/1# 1!/ 5$4/1# 4('/+76!. 9' 1$,6=) 0?µ! (-) !.'(7"76(!/ !.* (' µ.!"-1*&/, ('& 12.' ('$ &'4'1'µ76'$ 1!/ (! <7/('&/1# 1(6,/!. 9' 5*&(' (-) .7,/?+7/ '.(/1?) .,') ('& !4(/1* /4(* (-) C02&!), !""# 1!/ 5$4/1# 4('/+76! ('$ "71!&'.736'$, 2('/ (-& D7&(?"- 1!/ ('& Eµ-((*, *.=) 1!/ 4-µ!&(/1* µ?,') ('$ !((/1': '$,!&':.

!"#$ %&'()*"+,&-,.A 0?4- 36."! 4(' .!,#0$,' 76&!/ 4(!07,2, !5':

1!0',6>7(!/ !.* ('$) ('6+'$) 4(-& 74'+2 (=& '.'6=& +=,'07(76(!/. F.',76 &! !.'µ'&=076 '.(/1# !.* ('& $.*"'/.' 0#"!µ' (,!8B&(!) (' 7&3/#µ74' .!,!.?(!-4µ!, +=,6) =4(*4' &! µ.',76 &! 7./(7$+076 !&(64('/+- !.'µ*&=4- 1!/ !.* (' µ.!"1*&/ (7/1*&7) 5!). G+7/ .,*-48!4- 4(-& 0?!, 4:&374- µ7 (' µ.!"1*&/ 7&B 76&!/ - µ*&- 0?4- 4(-& '.'6! ' !407&2) µ.',76 &! 7"?<%7/ =) ?&! 8!0µ* (-& 1'$,(6&! +=,6) 8'207/! (7/1. 58).

A 0?4- 4(' 8#0') ('$ HI 76&!/ 1!/ !$(2 4(!07,2 1!/ ?+7/ 7.'.(76! ('$ HI 1!/ (-) 0?!). J$4/1#, '/ $.*"'/-.'/ &'4-"7$*µ7&'/, '/ 7./41?.(7) ('$), (! ?./."! ('$ HI !""# 1!/ 7&37+'µ?&=) (! (,!8-<µ?&! 74=(7,/1# $5!-4µ#(/&! .!,!.7(#4µ!(! 64=) 3-µ/'$,<':& 7µ.*3/! 4(-& '.(/12 !.* (' 1,78#(/ !$(* (7/1. 5<). F.',76 &! !.'µ'-&=076 '.(/1# !.'(7"74µ!(/1#, (,!8B&(!) (' $5!4µ#(/&' .!,!.?(!4µ!.

A µ74!6! 0?4- 37& ?+7/ 1#.'/' 4(!07,* *,/'. G(4/, 76-&!/ 7:1'"' &! .7,/',/4(76 +=,/1# !.* (- µ7(!16&-4- (=& 71!(?,=07& 7.6."=& (1'µ'36&! 2 1!/ 1"6&7)). A 0?4- !$(2 .!,'$4/#>7/ 3$41'"67) 47 0?µ!(! '.(/12), 1!0B) !& (,!8-+(':& 1!/ (! 3:' 71!(?,=07& .!,!.7(#4µ!(! 7µ.'36>7(!/ 7&(7"B) - 0?! 1!/ - '.(/12 5$<2 .,') 1#-.'/'& !&(/.7,/4.!4µ* (7/1. 5<), 1#(/ .'$ µ.',76 &! $.'-0#";7/ 3$45',6!.

!. "#$%&'()*) +,)*-./ K$&'"/1# 296 #('µ! ?"!8!& µ?,') 4(- µ7"?(-, 54,1%

(n=160) !407&76) 1!/ 45,9% (n=136) 4$&'3'6. L4'& !5'-,# (' 4$&'"/1* 376<µ!, (' 15,9% (n=47) !.'(?"74!& #('µ! d 30 7(B& 1!/ 64' .'4'4(* 30–39 7(B&, (' 21,6% (n=64) µ7(!%: 40-49 7(B&, (' 18,6% (n=55) µ7(!%: 50-59 7(B& 1!/ (' 28% (n=83) t 60 7(B&, 7&B 55,4% (n=164) 2(!& #&-3,7) 1!/ (' 44,6% (n=132) 2(!& <$&!617). @/ .7,/44*(7,'/ !407&76) 2(!& #&= (=& 60 7(B& (f=36,9%, n=59) 1!/ - ."7/'&*(-(# ('$) 2(!& #&3,7) (f=69,4%, n=111). 9' µ7-<!":(7,' .'4'4(* (=& !407&B& (45%, n=72) &'4-"7:'-&(!& .7,/44*(7,7) !.* 5 -µ?,7), C.* ('$) $.*"'/.'$), 25% (n=40) 8,/41*&('$4!& 4(' 0#"!µ' 3-4 -µ?,7), 12,5% (n=20) 2-3 -µ?,7), 15% 1-2 -µ?,7) (n=24) 1!/ (' $.*"'/-.' 2,5% (n=4) 8,/41*&('$4!& 4(' &'4'1'µ76' "/<*(7,' !.* µ6! -µ?,!. @/ .7,/44*(7,'/ 4$&'3'6 2(!& µ7(!%: 40-49 7(B& (27,2%, n=37) 1!/ - ."7/'&*(-(# ('$) 2(!& <$&!6-17) (f=61%, n=53). @/ .7,/44*(7,'/ 4$&'3'6 .?,&!<!& 4(' &'4'1'µ76' .7,/44*(7,7) !.* 8 B,7) (-& -µ?,! (41,9%, n=57), 35,3% (n=48) ?µ7&!& 4-8 B,7), 13,2% (n=18) </! 2-4 B,7), 6,6% (n=9) </! 1-2 B,7) 1!/ (' $.*"'/.' 2,9% (n=4) ?µ7&!& </! "/<*(7,' !.* µ6! B,! (-& -µ?,!.

F7 <&Bµ'&! (-& 7<<:(-(! 4(' .!,#0$,', (' 36,6% (n=58) (=& !407&B& 8,/41*(!& 36."! ('$, (' 28,1% (n= 45) 4(- µ?4- 1!/ (' 35,6% (n= 57) 4(' 8#0') ('$ HI. C&(6-4('/+!, !.* ('$) 4$&'3':) .'$ 4$µµ7(76+!&, (' 34,6% (n=47) 8,/41*&('$4!& 36."! 4(' .!,#0$,', (' 25,7% (n=35) 4(- µ?4- 1!/ (' 39,7% (n=54) 4(' 8#0') ('$ HI.

9' .,B(' 4(#3/' (-) µ7"?(-), - 1!(!<,!52 (-) !%/-'"*<-4-) (=& +,-4(B& </! (! !,+/(71('&/1# 1!/ .7,/-8!""'&(/1# +!,!1(-,/4(/1# (=& HI, .!,'$4/#>7(!/ !&# 'µ#3! 7&3/!5?,'&(') (!407&76) 1!/ 4$&'3'6) 4('& .6&!1! 1. A µ7"?(- (=& 7,7$&-(/1B& 7,=(247=& !.7/1'&6>7(!/ 4('& .6&!1! 2.

/01'%. %&'()*"+,&-,.M7&/1#, ' HI 37& !%/'"'<20-17 3/!5',7(/1# !.* ('$)

!407&76) 1!/ ('$) 4$&'3':). F'&!3/12 7%!6,74- !.'(?-"747 - #&74- (-) 0?!) ?%= !.* (' .!,#0$,', 1!0B) '/ !407&76) !&?57,!&, .'": 4$+&*(7,! !.* ('$) 4$&'3':), *(/ 37& 76+!& !.,*41'.(- '.(/12 7.!52 µ7 ('& 7%=(7,/1* +B,', (xN=9,674, p < 0,01, JCramer=0,181 (.6&!1!) 2).

2334-$-) #-, 5)+167+,A 7<<:(-(! 4(' .!,#0$,' 7.-,?!>7 4-µ!&(/1# (-&

#&74- (-) 0?!) ?%= !.* !$(*, (*4' (=& !407&B& (xN = 30,009, p < 0,001, JCramer = 0,316), *4' 1!/ (=& 4$-&'3B& (xN = 32,114, p < 0,001, JCramer = 0,34). L4'& !5',# ('$) !407&76), (o 54,05% (n= 160) !&?57,!& 4$-+&*(7,! .=) ?8"7.!& #&7(! !.* (' .!,#0$,' *(!& 8,/-41*&('$4!& 36."! 47 !$(* (72,4%, n=42) !.’ *, (/ 4(- µ?4- (46,7%, n= 21) 2 4(' 8#0') (45,6%, n=26) ('$ HI. L4' 37 µ7<#"=&7 - !.*4(!4- !.* (' .!,#0$,', (*4' !$%!&*(!&

Page 8: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

[30] !""#$%&' (!)%'*%&' +#, $',#"!-+%&#, !(%,+#.#,

!"!#$%&'(% !")*+'*

,-./0/1 1: +230456507 /859:;3<=< 692 >?45@A::9.691 6B. ?8A0:5.B. C/:AµB. .9=<:?-/1, /.A 0/6<39450D1 (/) 0/5 E-65µ?1 (@) µ?6/-@:<6D1. ,/492=5AF9.6/5 95 />904-=?51 /=C?.G. 0/5 =2.9EG. =? =2H.;6<6?1 f%. I>92 «/.H.>» : /4.<650; H/4/06<45=650;

>/4/CJ492 0/5 ;>92 «C.H.>.» : C?650; H/4/06<45=650; >/4/CJ492.

/.

@.

Page 9: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

!"#"$ 9 - !%&'"$ 4 [31]

!"!#$%&'(% !")*+'*

,-./0/1 2: *2345678µ/4/ /09:;3<1 567=>3? /.5@/94A8-/1 xB 4A1 /@:36C=A8A1 4D. /9>:45043.:0E. 0/: 259:;/663.4:0E. >/9/04A9:84:-0E. /2C 4A. 3µFG/ 5.G:/H793.431 0/: 4A. /2C84/8A 43? 59D4Eµ5.3? /2C 43 2/9FI?93. J: G:>34Cµ51 µ54/;6A471 8Aµ5:E-

.3.4/: µ5 /8459-803 (*).

Page 10: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

[32] !""#$%&' (!)%'*%&' +#, $',#"!-+%&#, !(%,+#.#,

!"!#$%&'(% !")*+'*

! "#$%&'(!(% &% )µ"*+,-*&(%# )&()./0, '"10 %&%234)# (* 6,9% (n=4) (1& %5$)&/& "*6 &*5!.)6'(%& +,".% 5(* "%47$64*, (* 15,6% (n=7) %6(/& "*6 84#59'(%& 5(! µ35! 9%# (* 43,9% (n= 25) %6(/& "*6 84#59'(%& 5(* 87$*0 (*6 :;. O# %5$)&),0 "*6 +659*.)<*&(%& µ)&, %..7 ('5* /5() &% %#5$7&*&(%# "10 µ) µ#94= "4*5"7$)#% µ"*4*<5%& &% (* %&(#µ)(1",5*6& («5>)(#9=» 7&)5!) =(%& ")4#55'()4*# 5(! µ35! (*6 :; (37,8%, n=17) %"' )9),&*60 "*6 84#59'-&(*65%& )9%(341$)& (20,7%, n=12 +,".% 5(* "%47$64* 9%# 10,5%, n=6 5(* 87$*0 (*6 $%.7µ*6). ?%4%(!4),(%# )",5!0 "10 +,".% 5(* "%47$64* *# %5$)&),0 8,1&%& +<* 2*430 56>&'()4% «5>)(#9=» +659*.,%, 56@94#(#97 µ) (* 87$*0 (*6 :;. A# 56&*+*, %&32)4%&, %&(,5(*#>%, '(# 8.3-"*6& 7&)(% 3B1 %"' (* "%47$64* '(%& 84#59'&(*65%& +,".% 5) %6(' (87,2%, n=41), 56@94#(#97 µ) (! µ35! (*6 :; (40%, n=14), )&/ 5(* 87$*0 (*6 :; ! "#$%&'(!(% &% 8.3")# 3&%0 56&*+'0 7&)(% 3B1 =(%& 50%. C%&3&%0 56&*-+'0 +,".% 5(* "%47$64* +)& $)/4!5) "10 )µ"*+,-)(%# ".=410 &% +)# 3B1. D5('5*, 5(* 87$*0 (*6 $%.7µ*6 ! "#-$%&'(!(% %6(= =(%& "*..%".75#% (20,4%, n=11), 56@94#-(#97 µ) (! µ35! (5,7%, n=2). E3.*0, «5>)(#9=» +659*.,% %&%2)4'(%& 56&=$10 %"' (*60 56&*+*<0 "*6 84#59'(%& 5(! µ35! (54,3%, n= 19), µ)(7 5(* 87$*0 (*6 :; (29,6%, n= 16) 9%# (3.*0 +,".% 5(* "%47$64* (12,8%, n=6).

F )@@<(!(% 5(* "%47$64* 843$!9) "10 )"!43%-) 9%# (#0 +<* *µ7+)0 )&+#%234*&(*0 5(!& )9(,µ!5! (!0 )&'>.!-5!0 %"' (* 265#9' 21(#5µ'. G#% (*60 %5$)&),0, "4*3-96H) "10 '5* µ#94'()4! =(%& ! %"'5(%5! (*60 %"' (* "%47$64*, ('5* µ)@7.1&) ! "#$%&'(!(% &% 8#/&*6& )&'->.!5! (xI= 6,503, p < 0,05, JCramer= 0,20), %2*< %"' )9),&*60 "*6 %"7&(!5%& $)(#97, (* 34,5% (n=20) 84#59'-&(*65%& +,".% 5(* "%47$64*, (* 26,7% (n=12) 5(! µ35! 9%# (* 14% (n=8) 5(* 87$*0 (*6 :;. A# 56&*+*, +,".% 5(*

"%47$64* )&*>.*<&(%& %"' (* 210 (44,7%, n=21) (4)#0 2*430 56>&'()4% %"' %6(*<0 5(! µ35! (*6 :; (14,3%, n=5) 9%# µ#7µ#5! 2*47 56>&'()4% %"' %6(*<0 5(* 87$*0 (25,9%, n=14) (xI=9,451, p < 0,01, JCramer=0,26).

F %"'5(%5! %"' (* "%47$64* )"!43%-) µ'&* (*60 %5$)&),0 (54,1%, n=160) 5(!& )&(<"15! (*6 µ)@3$*60 (*6 "%4%$<4*6 (xI =14,257, p<0,01, JCramer=-0,21). K,".% 5(* "%47$64* 9%# 5(* 87$*0 (*6 :;, *# %5$)&),0 394#&%& 56>&'()4% (* "%47$64* $)(#97 (75,9%, n=44 9%# 71,9%, n=41 %&(,5(*#>%), 5) 5>35! µ) (! µ35! (*6 :; (60%, n=27), '"*6 ! "#$%&'(!(% %+#72*4!0 %B#*.'@!5!0 (40%, n=18) =(%& +#".75#% 56@94#(#97 µ) (! $35! +,".% 5(* "%47$64* (24,1%, n=14) 9%# (* 87$*0 (*6 :; (19,3%, n=11). L(* 87$*0 (*6 :; 6"=4>) µ,% µ#94= "#$%&'(!(% &% 94,&*6& *# %5$)&),0 (* "%47$64* 10 «µ#94'» (8,8%, n=5), )&/ 5(#0 ".!5#35()4)0 5(* "%47$64* $35)#0 %6(= =(%& µ!+)&#9=.

A# 56&*+*, )"!4)7-*&(%& µ)µ*&1µ3&% %"' (!& %"'5(%5! "*6 ),>%& %"' (* "%47$64* 5) (4)#0 )"#".3-*& ")4#"(/5)#0. ?4/(*&, 5(!& %B#*.'@!5! (!0 $3%0 10 «21()#&=» = «µ*6&(=» (45,9%, n= 136) (xI =9,598, p<0,01, J=0,26), 9%$/0 '5* µ)@7.1&) ! %"'5(%5! %"' (* "%-47$64*, ('5* %6B%&'(%& ! "#$%&'(!(% &% >%4%9(!4#5(), ! $3% $)(#97 (78,7%, n=37) +,".% 5(* "%47$64*, 82,9% (n=29) 5(! µ35! 9%# 98,1% (n=53) 5(* 87$*0 (*6 :;. K)<-()4*&, 5(!& )9(,µ!5! (*60 %& (* "%47$64* "4*5234)# $)(#9*<0 %&(#")4#5"%5µ*<0 (45,9%, n=136) (x2 =7,844, p<0,05, J=0,24). K,".% 5(* "%47$64* 9%# 5(* 87$*0 (*6 :;, ! "#$%&'(!(% &% $)14=5*6& "10 %"*5"7(%# )6>74#-5(% ! "4*5*>= (*60 =(%& 5!µ%&(#97 µ)@%.<()4! (42,6%, n=20 9%# 44,4%, n=24) %"' (! µ35! (*6 :; (17,1%, n=6). E3.*0, *# 56&*+*, 843$!9) &% )"!4)7-*&(%# 5(!& 9%(7-(%B! (!0 $3%0 10 «%".=» = «")4,".*9!», (45,9%, n=136),

Page 11: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

!"#"$ 9 - !%&'"$ 4 [33]

!"!#$%&'(% !")*+'*

(x! =7,863, p<0,05, "=0,24). #$ %&' (' )*+',,-.*+(' ./ 0*1+/,&$ «&)23» (87,5%, n=119), / *%.4µ/,/ &5.3 3.&$ ,56$-.*+/ ,./ µ7,/ .(5 89 (94,3%, n=33) %&' .( :;0(< (92,6%, n=50) ,5=%+'.'%; µ* ./ 07,/ >4)2& ,.( )&+;05+( (f = 76,6%).

!"#$%$!$? )4$&%&< 1 )&+(5,';@*' .& &)(.*27,µ&.& ./< %&.&-

=+&A3< ./< &B'(2-=/,/< &,0*$1$ %&' ,5$(>1$ .C$ *B;-%2'$C$ (+0()*>'%1$ 89. #)- &5.-$ )+(%D).*' )C< (' µ',(4 ,6*>-$ *+C.1µ*$(' 7%+'$&$ .(5< 89 µ'%+(D<, µ* µ*=;2& )&+;05+&, (5>7.*+& 6+1µ&.& %&' %&23 ,%4&,/.

E,($ &A(+; ,./ 6C+'%3 )5%$-./.&, %+4$*.&' µ*=;-2/, &A(D .& 1,73 µ7.+& C< ,5$(2'%- )2;.(< ='& µ4& %24$/, )2;.(5< 1 µ. %&' µ3%(5< 2µ. %&' 7$& %(µ(>4$( )2;.(5< %&' µ3%(5< )*+4)(5 0,5 µ., *4$&' (+'&%3. F)')27($, / CA72'µ/ *)'A;$*'& &$; %24$/ 5)(2(=4,./%* ,.& 5,6 ..µ. G *)'A;$*'& )(5 %&.&2&µ:;$(5$ / %24$/ %&' .( %(µ(>4$( *4$&' 5,25 ..µ. H.($ 61+( )(5 &)(µ7$*', 0& 3.&$ '>&$'%- $& µ)(+(D$ $& 6C+(0*./0(D$ &A*$-< µ4& %&+7%2& ='& .(5< *)',%7).*< 3 .(5< ,5$(>(D<, &A*.7+(5 :(/03µ&.& ='& ./$ %'$/.()(4/,/ .(5 &,0*$(D<, -)C< µ4& %&+7%2&, 3 7$&< )*+')&./.3+&<. I,.-,(, / 6C+(07./,/ .C$ )&-+&);$C µ* *+=($(µ'%- %&' 2*'.(5+='%- .+-)(, -)C< %&' / )+-:2*J/ ='& '%&$- %&' &$&=%&4( *2*D0*+( 61+(, >*$ %+4$*.&' *A'%.3 ,* 3,3 ..µ.

G )2*'($-./.& %&' .C$ >D( (µ;>C$ *$>'&A7+($.(< 6&+&%.3+',* .'< µ)&2%($-)(+.*< 0*.'%;. K+;=µ&.', / *)'A;$*'& )(5 %&.&2&µ:;$(5$ &$.',.('6*4 ,6*>-$ ,.( 80% ./< )+-,(J/<. K7+&$ ./< >'*5%-25$,/< )+-,:&,/< ,./ 07&, / µ*=;2/ &5.3 &$&2(=4& )&+&0D+(5 – )+-,(-J/< ,5$*',A7+*' ,./ µ7=',./ >5$&.3 /2'&%3 >'*4,>5,/ (ASHRAE 2012), ,5$03%/ )(5 76*' ,5$>*0*4 µ* *$4,65-,/ ./< &$;%&µJ/< .C$ (+0()*>'%1$ .+&5µ;.C$ (Holick 2004, Walch 2004). #)- ./$ ;22/, *;$ >*$ &$.'µ*.C)',.*4 %&.;22/2&, .( >5$&.- /2'&%- AC< µ)(+*4 $& )+(%&27,*' >5,A(+4& (Rea 2000, ASHRAE 2012), µ*'1$($.&< .&5.--6+($& %&' ./ 0*+&)*5.'%3 &B4& ./< 07&<.

I< ,%4&,/, (' %(5+.4$*< &B'(2(=30/%&$ )+1.& 0*.'%; %&' µ*.; (5>7.*+&. G %(5+.4$& *4$&' &)- .& )'( >/µ(A'-23 µ7,& ,%4&,/< ,./$ F22;>&. F)(µ7$C<, µ4& %(5+.4$& )(5 ,%';@*' *)&+%1< (2-%2/+( .( )&+;05+( )2/+(4 .'< )+(,>(%4*< %&' *4$&' &$&µ*$-µ*$( $& &B'(2(=/0*4 0*.'-%;. I,.-,(, / %(5+.4$& &)(%2*4*' µ*+'%1< 3 (2'%1< ./ 07&, &A(D *4$&' &>'&A&$3<. K7+&$ .(5 -.' 7.,' (' &,0*$*4< ,.*+(D$.&' .& *5*+=*.'%; (A72/ ./< 07&<, / &)-6+C,3 ./< %(5+.4$&< *)/+*;@*' ,/µ&$.'%; ./$ *µA;$',/ .C$ 6+Cµ;.C$ .(5 >Cµ&.4(5.

? AC.',µ-< %&' ( /2'&,µ-< .C$ 89 %+40/%* ,5$(-2'%; 0*.'%;, 5)(>*'%$D($.&< )C< / &+6'.*%.($'%3 &+63 .(5 $& &%(2(50*4 / µ(+A3 .(5 %.'+4(5 ./$ )(+*4& .(5 32'(5 (Sklavou & Tzouvadakis, 2015) 3.&$ )*.56/µ7$/.

L22C,.*, -.&$ (' ,5µµ*.76($.*< +C.30/%&$ &+=-.*+& &$ 0*C+(D$ )C< &)- .( )&+;05+( µ)&4$*' 5)*+:(2'%- /2'-&%- AC< &);$./,&$ %&.; ./$ )2*'($-./.; .(5< &+$/.'%;, *$1 ,./$ *+1./,/ &$ &)- .( )&+;05+( *',7+6*.&' *56;-+',.& ( 32'(<, (' )*+',,-.*+(' &);$./,&$ %&.&A&.'%;. G 5)(%*'µ*$'%3 &5.3 &B'(2-=/,/ &$.'%+(D*' .& *5+3µ&.& ./< &+6'.*%.($'%3< .*%µ/+4C,/<, %&' ,5=%*%+'µ7$& ./$ D)&+B/ ,5$0/%1$ )(5 0& *5$((D,&$ ./$ ().'%3 >5,A(-+4&, *'>'%; %&.; .(5< 6*'µ*+'$(D< µ3$*<. #5.3 / >'&A(-+()(4/,/ 5)(>*'%$D*' ./ ,6*.'%-./.& ./< 5)(%*'µ*$'%3< &B'(2-=/,/< (Meir et al 2009). #)- ./$ ;22/, .( )(,(,.- )(5 >32C,* *$-62/,/ %&' )C< &)- .( )&+;05+( )+;=-µ&.' *',7+6*.&' )(2D< 32'(< %&2*4 ='& )*+*.&4+C µ*27-./ .(5 A5,'%(D AC.',µ(D, %&01< 4,C< / &$.40*,/ ./< 2&µ)+-./.&< µ*.&BD .(5 ,5$(2'%; AC.*'$(D *BC.*+'%(D )*+':;22($.(< %&' .(5 *,C.*+'%(D .(5 89 )+(%&2*4 >5-,A(+4& (Rea 2000).

T( )&+;05+( >*$ *%.'µ30/%* -.' )*+'(+4@*' ./$ '>'-C.'%-./.& (privacy) .C$ $(,/2*5-µ*$C$, (D.* -.' )+(-%&2*4 &$&,A;2*'&. G &$*µ)->',./ %&' &$*B72*=%./ %4$/-,/ %&.; µ3%(< .(5 µ)&2%($'(D )(5 >'&)',.10/%* ,./$ &+6'.*%.($'%3 .*%µ/+4C,/, 0& 5)(>*4%$5* .( &$.40*.(. G &$.40*,/ &5.3 0& µ)(+(D,* $& &'.'(2(=/0*4 &)- ./$ *5-6;+',./ )+(>';0*,/ %&' &$(63 ,* >'&A(+*.'%; &+$/.'%7< ,5$03%*< µ* .'< ()(4*< 76(5$ ,5$>*0*4 .-,( / 07&, -,( %&' ( 32'(< (Ulrich 1984, Lambert et al 2002). I,.-,(, / )2*'($-./.& .C$ &,0*$1$ >*$ 0*1+/,* )C< .( )&+;-05+( .(5< ,5$>7*' µ* ./ AD,/, (D.* )C< &)(,);*' ./$ )+(,(63 .(5< &)- ./$ %&.;,.&,3 .(5<, .( ()(4( 0& µ)(-+(D,* $& *+µ/$*50*4 µ* .( ,%*).'%- )C< .& A5,'%; ,.('-6*4& ./< 07&< *4$&' )*+'(+',µ7$& %&' %&.’ *)7%.&,/ ( *$ =7$*' 6&+&%.3+&< ./< >*$ *µ)$7*' 0*.'%- &$.')*+',)&,µ- (Ulrich et al 2008). L22C,.* >D( ,* %;0* )7$.* *+C.1µ*-$(5< :+3%&$ ./ 07& «&>';A(+/». EµC<, / ,5=%*%+'µ7$/ 07& *4$&' %&23 (Littlefair 1996), M* &5.- ,5$;>*' .( -.' / 07& %+40/%* ,6*>-$ &)- .( ,D$(2( .C$ *+C./07$.C$ C< «*56;+',./», «AC.*'$3», «&)23» %&' «%&0/,56&,.'%3».

N$& *$>'&A7+($ *D+/µ& )(5 %+4$*.&' ,%-)'µ( $& >'*-+*5$/0*4 )*+&'.7+C *4$&' .( *$>'&A7+($ %&' / ;$*,/ ./< 07&< &)- .( )&+;05+(. F$1 .( µ7=*0(< .(5 )&+&0D+(5 %&' / )('%'24& .(5 *BC.*+'%(D )*+':;22($.(< %+40/%&$ %&.; ./$ &+6'.*%.($'%3 .*%µ/+4C,/ -.' 0& *$',6D(5$ .( *$>'&A7+($ ./< 07&<, / )2*'($-./.& .C$ *+C./07$.C$ *46* ,6*.'%- 3 %&0-2(5 *$>'&A7+($. #5.- 0& µ)(+(D,* $& &'.'(2(=/0*4 &)- .& *µ)->'& )+(< ./ 07&. K+;=µ&.', &$ %&' / )2*'($-./.& *%.4µ/,* )C< :27)*' ;$*.& 7BC, 3.&$ µ*=;2( .( )(,(,.- *%*4$C$ )(5 &$.'µ*.1)'@&$ ,6*.'%3 >5,%(24& 3 *µ)(>4@($.&$ *$.*21<. H5$>5&,.'%; µ* ./$ )+(,C)'%3 >';0*,/, &5.- 4,C< >+& &$&,.&2.'%; ,.( *$->'&A7+($ $& &$.&)(%+'0*4 %;)('(< ,./ 07& 7BC &)- .( )&+;05+(.

H5=%+'.'%;, (' >D( (µ;>*< *$>'&A7+($.(< >*$ &B'(2--=/,&$ >'&A(+*.'%; .(5< 89 (:2. )4$&%& 2). #5.- *$',6D*'

Page 12: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

[34] !""#$%&' (!)%'*%&' +#, $',#"!-+%&#, !(%,+#.#,

!"!#$%&'(% !")*+'*

!"# $%&'$&("µ)!*+*,-) %./ 0)& *& 12#*3*- 4&5#*2# 1"-µ)#!&06 stress (Zimring et al 1987), 2%*3$&0#7*#!)/ %./ !$+&08 )19$#$-/ 0)& 12#*3*- )#!)%*0(-#*#!)& µ$ 6µ*&* !(6%* 1!* %$(&48++*# #*1"+$-)/ 0)& 3$ 4&5#*2# !61* 3&):*($!&08 !* '5(* )2!6. ;(8,µ)!&, " %+$&*#6!"!) !.# 12#*35# (77,2%) <µ$#$ 1!* 98+)µ* %8#. )%6 !<11$(&/ 5($/ !"# µ<(), $#5 =!)# )(0$!*- 0)& $0$-#*& %*2 <µ$#)# %$(&116!$($/ )%6 *0!5 5($/ !"# "µ<(). ><!*&$/ &3&)&!$-(6!"!$/ $#&1'7*2# !"# )#8,0" %(*1)(µ*,=/ !"/ µ$+<!"/ 0)& !" 3&)'$-(&1" !.# )%*!$+$1µ8!.# !"/ 0)!8 %$(-%!.-1" (Botma & Hoekstra 2006, Huijsman 2006).

? µ6#" %$(-%!.1" %*2 $#!*%-1!"0$ 1!)!&1!&08 1"-µ)#!&0= 3&):*(8 µ$!)@7 !.# 37* *µ83.# =!)# 1!"# )@&*+6,"1" !"/ 8#$1"/ µ$ !"# *%*-) 4+<%*2# <@. )%6 !* %)(892(*. >* $7("µ) )2!6 $(µ"#$7$!)& )%6 !) 3&)-:*($!&08 ')()0!"(&1!&08 !.# 37* *µ83.#. A& 12#*3*-, µ%*(*7# #) %(*1)(µ61*2# 1$ 1"µ)#!&06 4)9µ6 !" 9<1" !*2/, *7!./ 51!$ #) 4+<%*2# 8#$!) <@.. A& )19$#$-/, 6#!)/ %$(&*(&1µ<#*& 0)& µ$ $+8'&1!* <+$,'* !*2 %$(&48+-+*#!6/ !*2/, 1%8#&) µ%*(*7# #) %(*1)(µ61*2# !" 1!8-1" 15µ)!6/ !*2/ 0)& )2!6 µ6#* )# <'*2# 08%*&* 4)9µ6 0&#"!&06!"!)/. B&3&08 61*# ):*(8 61*2/ 3$# 4(-10*#!)& 3-%+) 1!* %)(892(*, " *%!&0= !*2/ %$(&+)µ48#$& <%&%+) 0)& )#9(5%*2/ %*2 %)($µ48++*#!)& µ$!)@7 $0$-#.# 0)& !"/ 9<)/. >) 1!*&'$-) )2!8 $-#)& %&9)#6 #) )%*!$+<1*2# *%!&08 $µ%63&). C$3*µ<#"/ !"/ 9$()%$2!&0=/ %*&6!"!)/ %*2 <'$& " 9<) ,&) !"# %*($-) )#80)µD"/ 0)& $# ,<#$& 2,$-) !.# )19$#5# 0)& !"/ )#)1!)+!&0=/ 3(81"/ %*2 <'$& " 1!<("1= !"/ (Ulrich et al 2008), 0(-#$!)& 106%&µ" " %$($!)-(. 3&$($7#"1" !"/ 3&81!)1"/ )2!=/.

E1*# ):*(8 1!" 32#"!&0= $%-3()1" !"/ $,,7!"!)/ 1!* %)(892(* 1!"# )@&*+6,"1" !*2 %$(&48++*#!*/ !*2 9)+8µ*2, " µ$+<!" $%&4$4)-.1$ !"# +*,&0= 2%69$1" !"/ )('&!$0!*#&0=/ !$0µ"(-.1"/, %./ " )%61!)1" )%6 !* %)(892(* 9) $%"(<)F$ !"# 8#$1" !"/ 9<)/ %(*/ !) <@. (4+. %-#)0) 2). G$#&08 %(*<02D$ %./ 61* µ$,8+.#$ " )%61!)1" )%6 !* %)(892(*, !61* µ$,8+.#$ 0)& " 32-10*+-) 9<)/ %(*/ !) <@.. A& )19$#$-/ 3$ 1!" µ<1" !*2 HI )#!&µ$!5%&F)# µ$(&0= 3210*+-) 12'#6!$() )%6 !* 489*/ !*2 HI, $#&1'7*#!)/ !" 9$5("1" !"/ µ$1)-)/ 9<1"/ ./ )(#"!&08 :*(!&1µ<#". J2!6 $%&4$4)&5#$!)& )%6 !* 6!& *& 12#*3*- )#<:$()# %+=(" 8#$1" 12'#6!$() 1!* 489*/ )%’ 6, !& 1!" µ<1" !*2 HI.

? 121'<!&1" µ$!)@7 !"/ )%61!)1"/ )%6 !* %)(892(* 0)& !"/ $#6'+"1"/ )%6 !* :21&06 :.!&1µ6 (4+. %-#)0) 2) =!)# )#)µ$#6µ$#", ):*7 !* :./ 1!"# %$(&*'= 0*#!8 1!* %)(892(* $-#)& $#!*#6!$(* )%6 !* 489*/ !*2 9)+8µ*2. J2!6 $@",$- !* 6!& 61* %&* 0*#!8 4(-10*#!)# 1!* %)(8-92(* *& )19$#$-/, !61* 12'#6!$() <0(&#)# %./ 4&5#*2# 321:*(-). K++.1!$ 2%=(@$ 1'$!&0= !$0µ"(-.1" )%6 !"# )('&!$0!*#&0= µ$+<!" 6%*2 2%<3$&@$ %&9)#</ 12#-9=0$/ 3"µ&*2(,-)/ 321:*(-)/, *& *%*-$/ $#!$-#*#!)& )%6 !"# %$(&*(&1µ<#" 0&#"!&06!"!) 0)& %(*1)(µ*1!&06!"!)

!.# )19$#5#. A& 12#*3*- 6µ./ 1!* 489*/ !*2 HI, )#<-:$()# $#6'+"1" 12'#6!$() )%’ 6, !& 1!" µ<1". ;&9)#5/ !* 02(-./ 9<µ) !"/ *%!&0=/ )%6 !" 4)97!$(" 9<1", =!*& !* $1.!$(&06 !*2 HI, #) ,-#$!)& )#!&+"%!6 ./ %&* 10*!$&-#6 1$ 1'<1" µ$ !* $@.!$(&06 %$(&48++*# 0)& " )#!-9$1" )2!= #) %(*0)+$- $#6'+"1" (Rea 2000). C&):*($!&08, 9) =!)# $7+*," 2%69$1" %./ " µ$,8+" )%61!)1" )%6 !* %)(892(* 0)& " %$(&*(&1µ<#" %(614)1" 1!" 9<) µ$&5-#$& !"# )#*'= !.# 12#*35# 1!"# 6%*&) $#6'+"1", *%6!$ 1"µ$&5#*#!)& *& 1'$!&0</ )#):*(</, !* *%*-* 12#83$& µ$ !&/ ,$#&0</ $#3$-@$&/ !"/ 4&4+&*,():-)/ (Veitch 2005). L$ 089$ %$(-%!.1", )@-F$& #) 3&$($2#"9$- " 3&):*(*%*-"1" µ$!)@7 12#*35# 0)& )19$#5#, )06µ" 0)& )# " )#8+21" )#8 *µ83) $#3&):<(*#!*/ $35 3$# $#!6%&1$ 1!)!&1!&08 1"µ)#!&0= 1'<1".

? 121'<!&1" µ$!)@7 $,,7!"!)/ 1!* %)(892(* 0)& 12-'#6!$("/ 9$!&0=/ $0!-µ"1"/ !*2 µ$,<9*2/ !*2, %*2 3&-)%&1!59"0$ ,&) !*2/ )19$#$-/, 12#83$& µ$ !&/ $#3$-@$&/ !"/ 4&4+&*,():-)/ (Vischer 1996, Aries 2010). M1!61*, " µ$1)-) 9<1" 1'$!-1!"0$ µ$ 3&%+81&) %&9)#6!"!) *23<!$-("/ )@&*+6,"1"/. J2!6 9) µ%*(*71$ #) $(µ"#$29$- )%6 !) 321µ$#= ')()0!"(&1!&08 !"/ 9<1"/ )2!=/, 0)95/ * )19$#=/ %*2 3$# µ%*($- #) *(&*9$!=1$& !*# %(*1.%&06 !*2 '5(* $#3$'*µ<#./ )%*!()4&<!)& 0)& ,-#$!)& %)9"!&-06/ (Schumaker 1989), 08!& %*2 -1./ $%"($81$& !"# $# ,<#$& $#!7%.1" !*2 %$(&48++*#!6/ !*2.

A& 12#*3*- 4(<9"0$ #) $%"($8F*#!)& )%6 !" 9<1" !*2/ 1!* 98+)µ* 1!"# )@&*+6,"1" !(&5# $%&%+<*# %)()-µ<!(.#. ;(5!*#, 1!"# )#!-+"D" !"/ 9<)/ ./ «:.!$&#=» = «µ*2#!=». E1* %&* 0*#!8 4(&106!)# * 12#*36/ 1!* %)(892(*, !61* )2@)#6!)# " %&9)#6!"!) #) $0!&µ=1$& %./ " 9<) $-#)& «:.!$&#=», 2%*3$&0#7*#!)/ 9$!&06!$(" 3&89$1" 1$ 0*#!&#6!$(" )%61!)1" )%6 !* %)(892(*, !* *%*-* ,$#&08 12#83$& µ$ !" 4&4+&*,():-) (Vischer 1996, Veitch 2005, Aries, 2010). C$7!$(*# 1!"# $0!-µ"1" !"/ 32#"!&0=/ %(*1:*(8/ 9$!&05# )#!&%$(&1%)1µ5# )%6 !* %)(892(* (4+. %-#)0) 2), 0)95/ 1!"# $#3&8µ$1" µ<1" !*2 HI =!)# %*+7 +&,6!$(* %&9)#6 #) $-#)& 9$!&0*-, 12-,0(&!&08 µ$ !&/ 2%6+*&%$/ 37* 9<1$&/. J2!6 12#83$& µ$ !"# 8%*D" %./ " µ$1)-) 9<1" 1!* 98+)µ* $-#)& " +&,6-!$(* %(*#*µ&)0= )%6 !&/ !($&/ 0)& -1./ %(*0)+$- µ-) ,$-#&08 )(#"!&0= %(*3&89$1" !*2 '(=1!", 2%*3$&0#7*#!)/ 6µ./ %)(8++"+) %./ " '.(&0= *(&*9<!"1" !*2 %(*1.-%&0*7 '5(*2 $-#)& 1"µ)#!&0= 0)& ,&) !*2/ 12#*3*7/. ><-+*/, 1!*# ')()0!"(&1µ6 !"/ 9<)/ ./ «)%+=» = «%$(-%+*-0"», 0*#!8 1!* %)(892(* *& 12#*3*- <!$&#)# #) 4(-10*2# 12'#6!$() !" 9<) «%$(-%+*0"». L$ $0$-#" !" 9<1", " 9<) !*2 $@.!$(&0*7 %$(&48++*#!*/ )%+5#$!)& 1$ 6+" !"/ !" +$%!*µ<($&), %*2 12µ%$(&+)µ48#$& 0!-(&) 3&):*($!&0=/ µ*(:*+*,-)/ 0)& *,0*%+)1-)/, 08!& %*2 -1./ 0)9&1!8 !" 9<) 3710*+" 1!"# )%*0.3&0*%*-"1= !"/. J#!-9$!), " *%!&0= )%6 µ$,)+7!$(* 489*/ -1./ $-#)& %&* )%+*%*&"-µ<#" 1!&/ 4)1&0</ *µ83$/, =!*& 02(-./ 9<µ) 0)& :6#!*.

Page 13: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

!"#"$ 9 - !%&'"$ 4 [35]

!"!#$%&'(% !")*+'*

!" #$% "% &'()*)+, -)* )./0)12"*$&* 3&(#4"5 '$/* &6%-"4#7/'/ $/, (8&, &.# $/* )779$/$1 $"5, '$" .&01(50", )+*&% +':, 8*-)%6/ .:, &."4&µ;1*"5* $/* )5)07)$%3< $/, -01'/ &.# 31() (8'/ '$" (14&µ".

!"#$%#$&'%$ ()& '"*"()&=.:, 8>)% <-/ ).%'/µ&*()+, 5.10>"5* )*-)+6)%,

.:,, ') -%)(*8, ).+.)-", / &0>%$)3$"*%3< 80)5*& $:* *"'"3"µ)+:* -)* )+>) $/* +-%& )684%6/ µ) 144"5, $9."5, 3$%0+:* (Choi et al 2002), )*? / ).+-0&'/ $"5 -"µ/µ8-*"5 .)0%;144"*$", -%)0)5*1$&% 350+:, &.# $/* .)0%-;&44"*$%3< @5>"4"7+& 3&% #>% $#'" &.# 144"5, 341-"5, (Griffin 1992). A.%.48"*, .80&* µ)µ"*:µ8*:* &6%#4"7:* )6&%08'):*, '$/* A441-& .&0&$/0)+$&% )* 78*)% &."5'+& &0>%$)3$"*%3<, )3.&+-)5'/, 3&% 80)5*&, 790: &.# $& *"'"3"µ)+&, $#'" ') &3&-/µ&B3#, #'" 3&% ).&77)4µ&$%3# ).+.)-" (Sklavou & Tzouvadakis, 2015). A."µ8*:,, "% &0>%$)3$"*%38, 80)5*), '>)$%31 µ) $" .)0%;144"* *"'/-4)+&, '$/* A441-& &*$%µ)$:.+2"5* )6’ &0><, '";&0"9, .)0%"0%'µ"9,. C$/* .&0"9'& )07&'+&, )44)+@)% '5*"4%-31 %3&*"9 3&% &*&73&+"5 )0)5*/$%3"9 807"5, "% &µ%7?, &0>%$)3$"*%38, 80)5*), $"5 *"'/4)5$%3"9 .)0%;144"*$", '$" ;%;4%"70&D%3# 5.#;&(0" $/, µ)48$/,, <$&* .)0%"0%-'µ8*),. A.%.48"*, 4#7: &."5'+&, 87350:*, ).%'$/µ"-*%31 $)3µ/0%:µ8*:* &0>%$)3$"*%3?* µ)("-"4"7%3?* )07&4)+:*, / 80)5*& $/, &*$&.#30%'/, $:* >0/'$?* ;&'+'$/3) ') )0:$/µ&$"4#7%" '>)-%&'µ8*" 7%& >?0"5, )07&'+&, (Hygge 1999), $" "."+" .0"'10µ"'), µ) µ%308, &44&78,, '$%, '573)30%µ8*), &*173),.

E*&, -)9$)0", .)0%"0%'µ#, &D"01 '$"* &."34)%'µ# $"5 .0"':.%3"9 &.# $%, "µ1-), )*-%&D80"*$", '$/* .&0"9'& µ)48$/. F5$# '5*8;/ 7%&$+ $" *"'/4)5$%3# .0"-':.%3# ."5 '5µµ)$)+>) '$%, -"µ/µ8*), '5*)*$)96)%, 3&% &*$%'$"%>"9') '$%, 34%*%38, ."5 )'$+&') / 80)5*&, <$&* 4%7#$)0" $"5 ).%$0).$"9 7%& $"5, )487>"5, xG (n<50). F*&7*:0+2)$&% :'$#'" .:, / µ)48$/ $/, &*$&.#30%'/, $"5 *"'/4)5$%3"9 .0"':.%3"9 )+*&% 30+'%µ/ 7%& $/* "0(< )%3#*& $/, 5D%'$1µ)*/, 3&$1'$&'/, $:* HI, #.:, 3&% $/ '5*"4%3< &6%"4#7/'< $/,.

!84",, " $0#.", '544"7<, $:* -)-"µ8*:* (8$)% 8*&* .0";4/µ&$%'µ# :, .0", $"* &5("0µ/$%'µ# 3&% $/* )%-4%30+*)%& $:* '5µµ)$)>#*$:*, &D"9 "% &.&*$<')%, )*#, <$&* .%(&*# *& )./0)1'"5* < *& .0"-%&(8'"5* $"5, 5.#4"%."5,. J'$#'", / 844)%@/ %-%:$%3#$/$&, )+*&% 8*& )*5.10>"* >&0&3$/0%'$%3# $:* ."4934%*:* HI (Ulrich 2008), )*? 144), µ"0D8, '5*8*$)56/,, #.:, / &.4< -%&*"µ< )0:$/µ&$"4"7+:*, -)* (& )+>&* $"* +-%" ;&(µ# '5µµ)$"><,.

&+'!"#,&',(,- !#%(,&"$&!& )50<µ&$& $/, .&0"9'&, µ)48$/, 5."'$/0+2"5*

.:, $" 3)*$0%3# 3$+0%" *"'/4)+&, $"5 *"'"3"µ)+"5 ."5 '5µ.)0%4<D(/3) ') &5$< '>)-%1'$/3) '3#.%µ& µ) $0#." ."5 (& µ)7%'$"."%"9') $/* /4%&3< -%)+'-5'/ '$" )':$)-0%3# $:* (&41µ:* *"'/4)+&, (Sklavou and Tzouvadakis, 2015). K )5)07)$%3< ).+-0&'/ $"5 /4%&3"9 D:$#,, 3&% $/, (8&,, $)3µ/0%?(/3&* $#'" 3&$1 $/* &0>%$)3$"*%-3< 80)5*&, #'" 3&% $/* )* 78*)% ()$%3< &6%"4#7/'/ $:* >0/'$?*. L14%'$&, )*? )*$".+'$/3&* '5*(<3), ."5 -/-µ%"507"9* ".$%3< -5'D"0+& ') '573)30%µ8*), >0"*%38, .)0%#-"5,, $& )50<µ&$& $/, &6%"4#7/'/, $:* >0/'$?* -)* '5µD?*/'&*, 5."-)%3*9"*$&, .:, / 5."3)%µ)*%3< )3$+µ/'/ µ."0)+ *& &.8>)% &03)$1 &.# $" &*&µ)*#µ)-*" (Meir et al 2009). J'$#'", / ()$%3< &*$&.#30%'/ $:* >0/'$?* µ."0)+ )+*&% &*">< -5'µ)*?* '5*(/3?*, .0"-3)%µ8*"5 *& &."4&9')% 3&*)+, $%, )5)07)$%38, %-%#$/$), $/, (8&, 3&% $"5 <4%"5 (Aries 2010). H .&0"9'& µ)48$/ -) -%)0)9*/') $" -%&>:0%'µ# &5$# 3&% ).#µ)*), µ)48-$), (& <$&* '3#.%µ" *& $"* -%)0)5*<'"5*. M80&* &5$"9 #µ:,, / &0>%$)3$"*%3< $)3µ/0+:'/ 5.8-)%6) .:, ') '573)30%µ8*), >0"*%38, .)0%#-"5, (& -/µ%"507"9*$&* &*$%3)%µ)*%31 $)3µ/0%:µ8*& -5'µ)*)+, .)0%;&44"*$%-38, '5*(<3), (Rea 2000, ASHRAE 2012). A+*&% 30+'%µ/ / µ)48$/ ;)4$+:'/, $/, -%&>)+0%'/, $"5 /4%&3"9 D:$#,. H& 16%2) *& µ)4)$/()+ 8*& '9'$/µ& '3+&'/, &."$)4"9-µ)*" &D)*#, &.# 8*& )6:$)0%3# $µ<µ&, ."5 (& )*+'>5) $/ '3+&'/ ."5 .&08>)% $" *#$%" µ.&43#*% 3&% &D)$80"5 &.# 8*& )':$)0%3#, ."5 (& )4&>%'$"."%"9') $/* &*$+()-'/ $/, 4&µ.0#$/$&, µ)$&69 )6:$)0%3"9 3&% )':$)0%3"9 .)0%;144"*$", $"5 (&41µ"5. F*1µ)'& '$& 3&("0%'$%31 30%$<0%& (& 8.0).) *& '5µ.)0%4&µ;1*"*$&% / &."D57< $"5 &."34)%'µ"9 $/, (8&, 3&% $/, .&0&µ#0D:'/, $/, &.#>0:'/, $"5 )':$)0%3"9 .)0%;144"*$",.

N% "µ1-), )*-%&D80"*$", -)* -%8D)0&* '/µ&*$%31 '$/* &6%"4#7/'/ $"5 HI. J'$#'", "% &'()*)+, .&0&µ8-*"5* / .0:$&0>%3< "µ1-& )*-%&D80"*$",, :, 1*(0:."% ') )5&+'(/$/ 3&$1'$&'/, ."5 ;%?*"5* µ%& '$0)''"7#*& )µ.)%0+& 3&% 8>"5* %-%&%$)0#$/$),, .0"$%µ<')%, 3&% &*1-73),, .80&* $:* %&$0%3?*, ."5 .08.)% *& &*&7*:0+2"*$&% 3&$1 $/ -%&µ#0D:'/ $:* >?0:* #."5 (& *& -%&;%?-'"5* $" >0"*%3# -%1'$/µ& $/, *"'/4)+&, $"5,. F6+2)% *& '/µ)%:()+ .:, / )µ.)%0+& 3&% ".$%3< $"5 .0"':.%3"9, ."5 ;%?*)% $"5, >?0"5, &5$"9, )*$)4?, -%&D"0)$%31, )+*&% &*&73&+& $#'" 7%& $/* "0(< $)3µ/0+:'/ $/, 5D%-'$1µ)*/, 3&$1'$&'/, )*#, .)0%;144"*$", 57)%"*"µ%3<, D0"*$+-&,, #'" 3&% $/* )* 78*)% &0>%$)3$"*%3< 80)5*& 7%& $/ ;)4$%'$"."+/'/ $"5 .)0%;144"*$", *"'/4)+&,. A."µ8-*:,, / '5µµ)$">< $"5, ') .&0#µ"%), 80)5*), )+*&% 30+-'%µ/.

K '5'>8$%'/ $/, )779$/$&, '$" .&01(50" µ) $/* 1*)'/ 7%& (8& 3&% $/, )*#>4/'/, &.# $" D5'%3# D:$%'µ# >0<2"5* .)0)$&+0: -%)0)9*/'/,, 3&(?, +':, *& µ)%?-*)$&% / &*">< ') -5'µ)*)+, '5*(<3), 4#7: $/, -5'3"-4+&, .0#';&'/, '$/ (8& (Veitch 2005, Aries 2010). A3$#,

Page 14: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

[36] !""#$%&' (!)%'*%&' +#, $',#"!-+%&#, !(%,+#.#,

!"!#$%&'(% !")*+'*

!"#$%, #! &"'(µ!#! ")$*&+,-%$"- ./µ!-#+,0 µ&+$-&,#(-µ!#! #/1 µ&.!2!1 34./1, 4-!-#+ #5- ")$6$2)5-, #7.$ .& &)2)&*$ !'8+#&,#$-+,(1 #&,µ/'25./1, 7.$ ,!+ !9+$67:/-./1 #5- 8'/.#;-. < !)$".2! .!=;1 ,!3$'+.µ4-$" )'$-.5)+,$% 8;'$", &2-!+ )+3!-7 -! &-+.8%&+ #$ &-")0'8$- stress )$" >+;-&+ $ !.3&-(1, ,0#+ )$" 3! *'0.&+ !-!-.#!6#+,0 .#/- )$'&2! #/1 !-0,!µ?(1 #$". @&*$µ4-/1 #/1 )&'+$'+.µ4-/1 &)+=0-&+!1 !-0 ,62-/ )$" #&,µ/'+;3/,& .#/- ")0'8$".! ,!#0.#!./, 3! (#!- .,7)+µ/ / *+&'&%--/./ #/1 µ&25./1 #5- ,6+-;- !)7 49+ .& #4..&'+1. A"-.+,0, µ2! #4#$+! µ&64#/ &2-!+ ,'2.+µ$ -! :2-&+ µ&3$*+,0 ,!+ *+&)+.#/µ$-+,0, !)7 &)+.#(µ$-&1 ,!+ &)!::&6µ!#2&1 765- #5- &-*+!=&'7µ&-5- &+*+,$#(#5-, ."µ)&'+6!µ->!-$µ4-5- #$" +!#'+,$%, -$./6&"#+,$%, !'8+#&,#$-+,$%, $+,$-$µ+,$% ,!+ *+$+,/#+,$% ,60*$".

B46$1, #7.$ / :&=%'5./ ,!+ / .%-3&./, 7.$ ,!+ / 85'+,( ,!#!-7/./ ,!+ µ&#0='!./ &)+µ4'$"1 )'$*+!-:'!=;-, !)!+#(.&5-, !-!:,;- ,!+ )'$.*$,+;-, .& 4-! &-+!2$, 6&+#$"':+,7 ,!+ >+;.+µ$ !)$#46&.µ!, &2-!+ µ2! *"-!µ+,( ,!+ )$6")!'!µ&#'+,( *+!*+,!.2!, )$" &µ)2)#&+ .#$- #$µ4! #/1 C'8+#&,#$-+,(1. D#$ µ4#'$ )$" !=$'0 #! -$.$,$µ&2!, / !-#+µ&#;)+./ #$" &::&-$%1 )&'+$'+.µ$% )$" !-#+µ&#5)2E&+ .(µ&'! / &)+.#/µ$-+,( !'8+#&,#$-+,( 4'&"-! !660 ,!+ / &=!'µ$:( #/1, ,!3;1 ,!+ / !-0:,/ &946+9(1 #/1, &2-!+ 3&µ&6+;*$"1 ./µ!.2!1. < &9&+*2,&"-./ !'8+#&,#7-5- .#$- #$µ4! #5- 8;'5- ":&2!1 ,!+ / &-&':( ."µµ&#$8( #$"1 .#/ *+&)+.#/µ$-+,( )'$.4::+.(

#5- -$.$,$µ&25-, &2-!+ ,'2.+µ/.

!"#$%&' ()* !"++,-./)*FD: @+&,)&'!25.& 76! #! .#0*+! µ&64#/1, 51 µ4'$1

#/1 *+*!,#$'+,(1 #/1 *+!#'+>(1 (>+>6+$:'!=+,( 4'&"-!, .8&*+!.µ71 #/1 4'&"-!1, &,#46&./ #5- &)+µ4'$"1 .#!*2-5-, !-06"./ ,!+ &'µ/-&2! !)$#&6&.µ0#5-, *+&'&%-/./ *"-/#+,;- >&6#+5#+,;- .&-!'25-).

GB: H!#&%3"-& #/- 4'&"-!, 51 &)+>64)5- #/1 *+*!-,#$'+,(1 *+!#'+>(1 #/1 FD.

H!+ $+ *%$ ."::'!=&21 !9+$67:/.!- ,!+ &-4,'+-!- #$ #&6+,7 ,&2µ&-$ )$" ")$>6(3/,& .#$ )&'+$*+,7.

/"0-,1!(1/!F,='0E$-#!+ 3&'µ41 &"8!'+.#2&1 .#$ *+$+,/#+,7, +!-

#'+,7, -$./6&"#+,7, &,)!+*&"#+,7 ,!+ #&8-+,7 )'$.5)+,7 #$" -$.$,$µ&2$" )$" ."µµ&#&28& .#/- 4'&"-! ,!+ *+&"-,76"-& #/- *+&,)&'!25.( #/1 .& 76! #! .#0*+! ($':!-5-#+,7 ,!+ &,#&6&.#+,7). G*+!2#&'&1 &"8!'+.#2&1 &,='0E$-#!+ .#$ -$./6&"#+,7 )'$.5)+,7 :+! #/ ."-&8( ,!+ &)$+,$-*$µ/#+,( *+03&./. F"8!'+.#2&1 &,='0E$-#!+ .#/- ,. I'"-./2*! H!';-/ – Richardson, ,!3/:(#'+! D#!#+.#+,(1 .#/ D8$6( F=!'µ$.µ4-5- J!3/µ!#+,;- ,!+ A".+,;- F)+-.#/µ;- (DFJAF) #$" F.J. K$6"#&8-&2$" :+! #/- )$6%#+-µ/ ,!3$*(:/.( #/1 .#$- #$µ4! &9&+*2,&".(1 #/1.

Page 15: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

!"#"$ 9 - !%&'"$ 4 [37]

!"!#$%&'(% !")*+'*

Aries M B C, Veitch J A & Newsham G R. (2010). Windows, view and office characteristics predict physical and psychological discomfort. Journal of environmental psychology 30: 533-541.

American Society of Heating, Refrigerating and Air-cooling Engineers (ASHRAE). (2012). Advanced energy design guide for large hospitals. ASHRAE, Atlanta.

Botma E. & Hoekstra E. (2006). Hospital rooms: Where they‘ve been, where they‘re going. In C. Wagenaar (Ed.). The Architecture of Hospitals. Rotterdam: NAi.

Choi J H, Beltran L O & Kim H S. (2012). Impacts of indoor daylight environments on patient average length of stay (ALOS) in a healthcare facility, Building and Environment 50: 65-75.

Griffin J P. (1992). The impact of noise on critically ill people. Holistic Nurse Practitioner 6 (4), 53–56.

Guenther R. & Vittori G. (2008). Sustainable healthcare architecture. John Wiley & Sons, New York.

Vischer J. C. (1996). Workspace Strategies: Environment as a Tool for Work. New York: Chapman & Hall.

Hofrichter L. (2006). Hospital rooms: Where they‘ve been, where they‘re going. In C. Wagenaar (Ed.). The Architecture of Hospitals. Rotterdam: NAi.

Holick M F. (2004). Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers and cardiovascular disease. American journal of clinical nutrition 80(6 suppl): 1678S-1688S.

Huijsman R. (2006). History and trends in Dutch hospital architecture. In C. Wagenaar (Ed.). The Architecture of Hospitals. Rotterdam: NAi.

Hygge S. & Löfberg H. A. (1999). POE. Post-Occupancy Evaluation of Daylight in Buildings. (IEA SHC TASK 21/ ECBCS Report, Annex 29). Gâble: Centre for built environment.

Lambert G W, Reid C, Kaye D M, Jennings G L & Esler M D. (2002). Effect of sunlight and season on serotonin turnover in the brain. Lancet 360: 1840-1842.

Landsdowne A T & Provost S C. (1998). Vitamin D3 enhances mood in healthy subjects during winter. Phsycopharmacology, 135(4): 319-323.

Littlefair P J. (1996). Designing with innovative daylighting. Building Rresearch Establishment Report BR305. London: Building Rresearch Establishment.

Malenbaum S, Keefe F J, Williams A C, Ulrich R & Somers T J. (2008). Pain in its environmental context: implications for designing environments to enhance pain control. Pain, 134: 241-244.

MALKIN J. (1992). Hospital interior architecture. Van Nostrand Reinhold, New York.

McMinn J & Polo M. (2005). 41° to 66°: Regional responses to sustainable architecture in Canada. Cambridge, Cambridge Galleries.

Meir I A, Garb Y, Jiao D, & Cicelsky A. (2009). Post Occupancy Evaluation: an inevitable step toward Sustainability. Advances in Building Research 3: 189–220.

Philips D. (2000). Lighting modern buildings. Oxford, Architectural Press.

Rea M S (ed). (2000). IESNA Lighting Handbook: Reference and Application, 9th edition. IESNA, New York.

Rostenberg B. (2009). Bridging the gap between sustainability and evidence-based design. Design and Health [online]. Available at: http://www.worldhealthdesign.com/Sustainability-and-Evidence.aspx [accessed 12 Jul 2016].

Shumaker S A, & Pequegnat W. (1989). Hospital design, health providers, and the delivery of effective health care. In Zube E H, & Moore G T (Eds.), Advances in environment, behavior and design, Vol. 2. New York: Plenum Press.

Sklavou E & Tzouvadakis I. (2012). Healing environment and evidence based design (EBD): The international experience and the case of Greece. Archives of Hellenic Medicine 29(2):154-161.

Sklavou, E & Tzouvadakis, I. (2015). Towards better planning and design of hospitals; lessons from the Greek experience. Housing Policies and Urban Economics 3: 63–78.

Smith R & Watkins N. (2008). Therapeutic Environments. Academy of Architecture for Health, Washington.

Ulrich R S. (1984). View through a window may influence recovery from surgery. Science 224: 420-421.

Ulrich R S, Simons R F, Losito B D, Fiorito E, Miles M A & Zelson M. (1991). Stress recovery during exposure to natural and urban environments. Journal of environmental psycology 11: 201-230.

Ulrich R S, Zimring C M, Zhu X, DuBose J, Seo H, Choi Y, et al. (2008). A review of the research literature on evidence-based healthcare design. Health Environments Research and Design Journal (HERD) 1(3): 61-125.

Veitch J A, Geerts J, Charles K E, Newsham G R, & Marquardt C J G. (2005). Satisfaction with lighting in open-plan offices: COPE field findings. In: Proceedings of Lux Europa 2005. Berlin, 19 September 2005.

Vischer J C. (1996). Workspace Strategies: Environment as a Tool for Work. New York: Chapman & Hall.

Walch J M, Rabin B S, Day R, Williams J N, Choi K & Kang J D. (2005). The effect of sunlight on post-operative analgesic medication usage: A prospective study of patients undergoing spinal surgery. Psychosomatic Medicine 67:156-163.

Wang N. & Boubekri !. (2011). Design recommendations based on cognitive, mood and preference assessments in a sunlit workspace. Lighting Research and Technology 43: 55–72.

Zeiler W. & Boxem G. (2008). Sustainable schools: Better than traditional schools?. TVVL Magazine. 37(10): 24-31.

Zimring C, Reizenstein C J, & Michelson W. (1987). Design for special populations: Mentally retarded persons, children, hospital visitors. In D. Stokols, & I. Altman (Eds.). Handbook of environmental psychology, Vol. 2. New York: John Wiley & Sons.

"#$#%&'() * & +#,-#./&0) 1. (2003). 2# 3,-$45678# 9) %0,4$7:&(.6#. 3.;78# <$$4%6-() 1#&.6-() 20(1):67-75.

+/'#.4 < 3. (2002). !"#$%"µ&'"$() *+,-"&*µ() $&" .&/0'"$1 0%"&$1 *2-*'3µ&'&. =7: 2'#%#-/-4 < (7->). ?60-$6µ#&6-@) ,;7>6#,µ@) ,&4% <$$/>#: <%7.A76#-( #5@>0,4 -#6 -#&7:BC%,76) 7D#.µ0A(), E6--F.µ6, "3E<. [online]. G6#BF,6µ0 ,&0: http://www.cres.gr/kape/education/bioclimatic_brochure.pdf [&7$7:&#8# 5.@,H#,4: 23 =75& 2016].

I50:.A780 57.6H/$$0%&0) -#6 -$6µ#&6-() #$$#A() (IE<"3). (2008). 4&-5#5"*µ() 65,78,"&$3) 9.(-#*0) 4'"7"&$#: ;#µ<& (46=94), 3B(%#.

?1?+1J*K3L13

Page 16: Αξιολόγηση πολύκλινων - journal-ene.grjournal-ene.gr/wp-content/uploads/2017/02/aksiologisi-arxitektonikou... · εία (Καλαντζής & Λασκαράτος

[38] !""#$%&' (!)%'*%&' +#, $',#"!-+%&#, !(%,+#.#,

!"!#$%&'(% !")*+'*

ABSTRACT Introduction: Leveraging the physical environment’s merits is crucial in healthcare settings towards fostering sustainable healing conditions. In the future, the need to retrofit hospitals already appears more probable than to build new facilities. In Greece, holistic healthcare architecture has significant potential and room to develop. Aim: The architectural research of multi-bed patient room environment. Method: A sample of multi-bed patient rooms of a Greek hospital was studied per architectural documentation and user evaluation survey. Beyond recording the existing situation and user experience, user group differences and the influence of window proximity were studied. The survey sample was based on convenience and comprised 160 patients and 136 visitors. Statistical analysis was performed in SPSS 20, using chi-square exact tests of independence. The chosen level of significance was p < 0.05.Results: Architectural documentation showed that the building morphology had a positive impact in patient rooms, with regard to sunlight penetration and view. Further solar daylight control was deemed necessary, to facilitate overall environmental comfort conditions. High spatial density and considerable disadvantages of the middle patient bed, compared to the one bedside the window and the one further in the back of the room, were also ascertained. User groups did not evaluate their surroundings significantly different, with the exception of ease of access to the view. Window proximity influenced both patients and visitors in evaluating ease of access to the view and visual discomfort. Patients were further affected on window size evaluation and visitors on view related aspects.Conclusions: Synergy between building form and function contributes in creating holistic sustainable healing environments. User evaluation can deviate from objective documentation. Patients and visitors experienced the patient room in a similar manner. The middle bed was ascertained to have significant disadvantages. Notwithstanding specific particularities and needs, bed reduction should be considered.

Key-words: architectural documentation, evidence-based design, healing environment, healthcare architecture, user evaluation.

Multi-bed patient room architectural evaluation

Evangelia Sklavou, Ioannis TzouvadakisNational Technical University of Athens

Corresponding Author: Sklavou EvangeliaAdress: Iroon Polytechniou 9, P. C. 15780 Athens.e-mail:[email protected].: +30 694 6060 972

Submission Date: 13/07/ 2016Publication Date: 12/12/2016