南方建筑 ›› 2022, Vol. 0 ›› Issue (3): 1-08.DOI: 10.3969/j.issn.1000-0232.2022.03.001

• 学术笔谈 •    下一篇

健康城市与疗愈环境

杜宏武, 李树华, 姜斌, 陈筝, 龙灏, 袁晓梅   

  • 出版日期:2022-03-31 发布日期:2022-04-02
  • 通讯作者: 杜宏武:华南理工大学建筑学院、亚热带建筑科学国家重点实验室,教授,电子邮箱:hongwudu@scut.edu.cn
  • 作者简介:杜宏武:华南理工大学建筑学院、亚热带建筑科学国家重点实验室,教授,电子邮箱:hongwudu@scut.edu.cn;李树华:清华大学建筑学院景观学系,教授,电子邮箱:lishuhua912@163.com;姜斌:香港大学建筑系园境建筑学部,副教授,香港大学城市环境与大众健康虚拟现实实验室,主任,电子邮箱:jiangbin@hku.hk;陈筝:高密度人居环境和生态节能教育部重点实验室、同济大学建筑与城市规划学院景观学系,副教授,电子邮箱:zhengchen@tongji.edu.cn;龙灏:重庆大学建筑城规学院建筑系,教授,电子邮箱:Longhaostudio@126.com;袁晓梅:华南理工大学建筑学院、亚热带建筑科学国家重点实验室,教授,电子邮箱:xmyuan@scut.edu.cn

Discourse on Healthy Cities and Healing Environments

DU Hongwu, LI Shuhua, JIANG Bin, CHEN Zheng, LONG Hao, YUAN Xiaomei   

  • Online:2022-03-31 Published:2022-04-02

摘要: 2016年10月,中共中央、国务院印发《“健康中国2030”规划纲要》,提出要“把健康融入城乡规划、建设、治理的全过程,促进城市与人民健康协调发展”。作为健康中国建设不可或缺的部分,疗愈环境对人类生理和心理健康的价值已得到多方面研究的证实,早期心理医学、康复医学的成果逐渐影响了风景园林、城市规划和建筑学。在当代高密度城市人居,尤其是2020年新冠疫情爆发以来,疗愈环境愈发凸显其重要价值。近年来学者们从不同层级蓝绿空间、自然元素等视角,拓展和深化了相关研究的内容,不断尝试运用新的实验手段,成果斐然。本刊编辑部以“健康城市与疗愈环境”为主题组织学术笔谈,邀请了六位不同背景的学者就疗愈环境议题做集中并各有侧重的探讨。李树华从城市尺度探讨绿色和健康的联系,认为城市是人类聚集和生活的场所,随着人类的进化不断发展。理想城市应当符合人类对美好生活的向往,既能满足生态可持续的绿色发展需求,也能提供有益人类健康的适宜人居环境。“绿康城市”论就是当今缓解“城市病”与“城市人群病”的理想模式之一,而日本东京城市中心“大手町之森”正是“绿康城市”论的实践先驱案例。基于人、自然和城市三者之间的关系,追溯欧美、日本与中国理想城市的发展历程,并对进行建设“绿康城市”实践时应坚持的原则与构成要素进行探讨。美国新冠病毒感染率呈现的显著种族差异反映出健康公义问题。姜斌等就此提出假设:绿色空间覆盖率更高的地区感染率种族差异会明显减少。本研究在控制了社会经济特征变量与慢性疾病变量后,通过多重线性回归模型来测量新冠感染率种族差异与绿色空间变量的关联性。最后得出结论:在县级尺度,更高的绿色空间覆盖率会令种族间的新冠感染率差异显著减少,其中有四类绿色空间类型具有显著影响。最终我们建立了一个周边机制与五个核心机制来解释这种关联性。杜宏武等认为高密度城市日常生活场景满足人的恢复性体验尤为重要,新冠疫情强化了这种需求。良好设计营造的办公楼、住宅两种空中花园都有恢复性效益,但其空间形态、影响因素、作用机制有明显不同。为增进空中花园的恢复性效益,其空间位置、组合与空间联系应合理布置;探索其恢复性效益的影响因素,如视觉通达性、空间层次、绿视率等,提升其空间品质;构建支持性环境,强化复合功能,提高参与度和使用率。陈筝认为城市中的绿色接触对促进城市居民健康非常重要。在实际项目中,高绿街道的健康效益的实现,需要充分考虑街道本身的功能和使用。陈筝结合成都公园城市的街道改造建设,通过行为实验采集了40位被试在具体街道场景中步行、商业设施使用、街旁绿地游憩的选择偏好,以及他们对于街道环境的第一印象和分维度评价。与此同时,通过SMI Redn Professional桌面式眼动仪记录了被试在做相关选择或评价时的注视情况。为健康街道的设计提供决策支持。龙灏尝试梳理、阐述了循证设计在康复花园设计与建设中的具体运用。认为作为CCRC型养老社区中重要的心理生理康复空间,康复花园需要以循证设计为方法,通过科学清晰的方式,提升自身的心理疏导功能,伴随疫情下医养机构封闭化管理的常态化,老年居民的心理健康、抑郁焦虑等等问题愈加突出,希望本文能为未来的康复花园设计思考提供依据与帮助,为新形势下CCRC型养老社区提供切实可行的心理康复空间。围绕WHO 老年友好城市框架,袁晓梅提出“基于健康管理的适老社区环境”概念。从“舒适安全”“促进活动”“亲近自然”“互动联系”四个层面,建构“老人+环境+生活”的关键技术体系。旨在将医学的康复治疗融入老年人日常的户外活动,为提升老年人口健康寿命提供有效的环境解决方案。结合袁晓梅教授团队初步的研究成果与循证实践,说明相关技术的健康绩效与应用潜力。


关键词: 健康城市, 疗愈环境, 绿康城市, 健康公义, 健康效益, 康复社区

Abstract: The Central Committee of the Communist Party of China (CPC) and the State Council released a plan in October 2016 entitled "Outline of the Plan of 'Healthy China 2030'." The objective outlined in the plan was to "integrate health into the whole process of urban-rural planning, construction and governance, and promote the harmonious development between cities and human health." As an indispensable part of building a healthy China, the healing environment concept has proven integral to the physiological and psychological health of human beings. The early achievements made in the psychological science and rehabilitation fields have gradually impacted landscape architecture, urban planning and architecture. In modern high-density city settlements, particularly since the COVID-19 outbreak in 2020, the importance of healing environments has been highlighted. In recent years, scholars have expanded on and deepened the research investigating blue-green spaces at different levels, as well as the natural elements of a built environment. They have also attempted to utilize experimental means wherever possible, making remarkable progress in the process. The editorial department of this journal organized an academic conversation on the topic, Healthy Cities and Healing Environments. Six scholars from different backgrounds were invited to take part in a focused, yet diverse, discussion. Based on the relationship between green and health on the urban scale, Li Shuhua explained that cities are places where humans gather and live and, thus, such places continue to develop with the evolution of our species. An ideal city should conform to people's collective desire for a better life. It should not only meet the needs associated with sustainable ecological development but also provide people with an appropriate living environment in favor of human health. The green healthy city theory provides an ideal perspective toward alleviating current "city diseases" and "citizens' diseases.". The Otemachi Forest in the center of Tokyo represents a practical pioneering case of the green healthy city theory. Based on relations between humans, nature and cities, the current study traced the development of ideal cities in Europe, America, Japan and China, and discussed the principles and constituent elements that should be adhered to during practical construction of a green healthy city. There are evident differences among different races in terms of the COVID-19 infection rate in the United States (US), which reflect health justice issues. Therefore, Jiang Bin et al. hypothesized that such differences among races are significantly reduced in areas where green space coverage is high. Taking control over variables covering socioeconomic characteristics and chronic diseases, the current study measured the correlation between racial differences in the COVID-19 infection rate and green space coverage using a multi-linear regression model. The findings from the study revealed that, at the county level, higher green space coverage could significantly reduce racial differences in COVID-19 infection rate. Further, four green space types were found to contribute to this reduction. Finally, a encircling echanism and five core mechanisms were established to interpret such correlation. Du Hongwu et al. determined that it is extremely important that high-density urban scenery meet people's restorative needs, which were exacerbated during the COVID-19 outbreak. Two types of air gardens, which are grown outside well-designed office buildings and residential buildings, both promote restoration. However, their spatial morphologies, influential factors and action mechanisms differ. The spatial locations and relations between combinations and space should be arranged in a way that increases the restorative benefits of air gardens. Toward improving the quality of a space, the influential factors impacting the restorative benefits of air gardens should be explored further. These include visual accessibility, the spatial level of air gardens and the visible greening ratio. Zheng et al. believed that green contact in cities is crucial for the promotion of urban residents' health. In practical projects, full consideration to functions and the use of streets has to be given to such green contact in order that the associated health benefits are realized. Combining the street reconstruction for a park city in Chengdu, Zheng et al. investigated the walking and business-facility use preferences of 40 respondents in specific street scenes as well as the greenland alongside streets for the remainder of the behavioral experiment. Moreover, their first impressions and sub-dimensional evaluation findings of the street environment were collected. At the same time, eye positions of respondents in their relevant choices or evaluations were recorded using an SMI Redn Professional desktop eye tracker. The results of the study provide support for decision-making in the design of healthy streets. Long Hao attempted to review and elaborate on the specific applications of evidence-based design in the design and construction of rehabilitation gardens. He believed that as an important psychological and physiological rehabilitation space in CCRC-type aging communities, rehabilitation gardens should be implemented to improve functions of gardens in psychological counseling based on evidence-based design. The psychological health, depression and anxiety of the aged residents are becoming increasingly prominent issues as the closed management in medical and nursing institutions for the aged is becoming increasingly common as a result of COVID-19. It is expected that the current study will provide reference points and assistance in thinking about rehabilitation garden design into the future and offering a feasible psychological health space for CCRC-type aging communities. Focusing on the age-friendly city framework of the World Health Organization (WHO), Yuan Xiaomei proposed the concept of a "community environment of health management for the aged." This concept helps to establish the key technological system of "the aged + environment + life" from the perspectives of "comfort and safety", "encouragement in activities", "intimacy to nature" and "interaction." She aims to integrate rehabilitation therapy into daily outdoor activities for the aged and provide them with an effective environmental solution to their health-and life-related issues. In the current study, the health performance and application potential of relevant technologies were described through their combination with the findings of the preliminary research and evidence-based practices put forward by the research team led by Professor Yuan Xiaomei.


Key words: healthy city, healing environment, green healthy city, health justice, health benefit, rehabilitation community 

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