Rucitra, Anggra Ayu (2026) Model Lingkungan Penyembuhan Pasien Kanker Anak melalui Stimulasi Multisensori Adaptif. Doctoral thesis, Institut Teknologi Sepuluh Nopember.
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Abstract
Pendekatan lingkungan Multisensori dalam desain didasarkan pada asumsi bahwa semakin banyak jumlah dan kombinasi stimulus sensorik akan menghasilkan pengalaman ruang yang lebih positif, dengan anggapan bahwa stimulus tersebut dipersepsi dan direspon secara relatif seragam oleh pengguna. Asumsi ini kemudian diadopsi dalam konsep lingkungan yang menyembuhkan (healing environment), sebagai strategi untuk mendukung kualitas hidup dan proses pemulihan pasien. Namun, dalam konteks fasilitas kesehatan, khususnya pada kelompok rentan, presepsi terhadap ruang sangat dipengaruhi oleh kondisi internal individu, seperti tingkat stres, kerentanan fisiologis dan psikologis. Kondisi ini menjadi semakin krusial pada pasien kanker anak yang memiliki sensitivitas emosional dan sensorik yang tinggi, terutama dalam ruang kemoterapi yang bersifat invasif, berulang,dan berpotensi traumatis. Penelitian ini bertujuan untuk menganalisis keterkaitan antara faktor internal pasien, atribut lingkungan fisik, dan persepsi lingkungan Multisensori dalam membentuk respons emosional pasien kanker anak, serta mengembangkan model konseptual yang menjembatani temuan empiris dengan pengembangan desain ruang kemoterapi yang adaptif dan berbasis evidence. Penelitian ini menggunakan embedded design method dengan pendekatan two-phase research design, yang menempatkan metode kualitatif dan kuantitatif sebagai dua tahapan yang saling melengkapi dan sama-sama esensial.. Tahap kualitatif mencakup observasi perilaku, pemetaan pengalaman sensorik pasien, dan kajian literatur sistematis. Tahap kuantitatif menggunakan Partial Least Squares Structural Equation Modeling (SEM-PLS) untuk menganalisis hubungan kausal antar variabel. Tahap eksperimental menguji stimulus single sensory dan multisensory melalui prototipe pengalaman ruang, termasuk simulasi virtual reality, pengukuran eye tracking, serta stimulus auditori dan olfaktori pada kelompok pasien dengan tingkat stres yang berbeda. Hasil penelitian menunjukkan bahwa respons emosional pasien kanker anak terhadap ruang kemoterapi dipengaruhi secara signifikan oleh kondisi internal pasien, khususnya tingkat stres, yang berperan sebagai mediator utama dalam persepsi terhadap stimulus lingkungan fisik. Temuan ini menantang asumsi bahwa stimulasi Multisensori selalu berdampak positif, serta menegaskan bahwa efektivitas desain Multisensori bersifat kondisional dan bergantung pada keadaan psikologis pasien. Stimulasi Multisensori yang dirancang secara adaptif terbukti lebih efektif dalam membentuk pengalaman ruang yang mendukung penyembuhan dibandingkan stimulasi tunggal yang tidak mempertimbangkan kondisi internal pasien. Berdasarkan temuan tersebut, disertasi ini mengembangkan Multisensory Healing Model sebagai kerangka konseptual integratif yang menempatkan faktor internal pasien sebagai pengendali utama persepsi Multisensori dan respons emosional. Model ini berkontribusi padaa pengembangan teori healing environment serta memberikan landasan teoritis dan panduan aplikatif dalam perancangan ruang perawatan kemoterapi anak yang lebih adaptif, inklusif, dan berbasis bukti (evidence-based design).
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Multisensory approaches in environmental design are traditionally grounded in the assumption that increasing the number and combination of sensory stimuli enhances the quality of spatial experience, premised on the notion that such stimuli are perceived and processed in a relatively uniform manner by users. This assumption has been widely integrated into the healing environment paradigm, positioning sensory-rich design as a strategic means of supporting patients’ well-being and recovery. However, within healthcare settings particularly among vulnerable populations spatial perception is neither neutral nor universal. Rather, it is profoundly shaped by individuals’ internal conditions, including stress levels as well as physiological and psychological vulnerability. These dynamics become especially salient in paediatric oncology contexts, where patients exhibit heightened emotional and sensory sensitivity, and where chemotherapy spaces are characterized by invasive, repetitive, and potentially traumatic experiences. This study investigates the interdependent relationships between patients’ internal conditions, physical environmental attributes, and multisensory environmental perception in shaping the emotional responses of paediatric cancer patients. Beyond empirical examination, the study seeks to advance a conceptual model that systematically bridges empirical evidence with the development of adaptive, evidence-based chemotherapy space design. An embedded design method employing a two-phase research framework was adopted, in which qualitative and quantitative approaches function as complementary and equally essential components. The qualitative phase comprised behavioural observation, sensory experience mapping, and a systematic literature review. The quantitative phase applied Partial Least Squares Structural Equation Modelling (SEM-PLS) to examine causal relationships among variables. An experimental phase further tested single-sensory and multisensory stimuli through spatial experience prototypes, incorporating virtual reality simulations, eye-tracking measurements, and auditory and olfactory interventions across patient groups differentiated by stress levels. The findings demonstrate that paediatric cancer patients’ emotional responses to chemotherapy environments are significantly mediated by internal conditions, with stress emerging as a dominant regulatory factor in the perception of physical environmental stimuli. These results challenge the prevailing assumption that multisensory stimulation is inherently beneficial, revealing instead that its effectiveness is conditional and contingent upon patients’ psychological states. Multisensory environments designed with adaptive sensitivity to internal patient conditions were found to be substantially more effective in fostering healing-supportive spatial experiences than single-sensory interventions that neglect such conditions. Building on these insights, this dissertation proposes the Multisensory Healing Model, an integrative conceptual framework that repositions patients’ internal conditions as the principal modulators of multisensory perception and emotional response. The model advances healing environment theory by shifting the locus of design effectiveness from sensory abundance to perceptual regulation and offers both a rigorous theoretical foundation and actionable guidance for the design of paediatric chemotherapy spaces that are adaptive, inclusive, and firmly grounded in evidence-based design principles.
| Item Type: | Thesis (Doctoral) |
|---|---|
| Uncontrolled Keywords: | Healing Environment; Pasien Kanker Anak; Lingkungan Multisensori; Respons Emosional; Multisensory Healing Model; Paediatric Cancer Patients; Multisensory Environment; Emotional Response; Multisensory Healing Model |
| Subjects: | N Fine Arts > NA Architecture > NA2542.36 Sustainable architecture N Fine Arts > NA Architecture > NA2750.N27 Architectural design--Evaluation. |
| Divisions: | Faculty of Civil, Planning, and Geo Engineering (CIVPLAN) > Architecture > 23001-(S3) PhD Thesis |
| Depositing User: | Anggra Ayu Rucitra |
| Date Deposited: | 19 Feb 2026 06:03 |
| Last Modified: | 19 Feb 2026 06:03 |
| URI: | http://repository.its.ac.id/id/eprint/132511 |
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