Hospital بیمارستان jhosp Medical Sciences http://jhosp.tums.ac.ir 211 godadmin 2008-1928 2228-7450 000 000 000 000 000 fa jalali 1404 6 1 gregorian 2025 9 1 24 2 online 1 fulltext
fa بهینه‌سازی مصرف انرژی در بیمارستان‌ها: ضرورت‌ها و استراتژی‌ها(یک نامه به سردبیر) Optimizing Energy Consumption in Hospitals: Needs and Strategies سیاست گذاری ، برنامه ریزی و رهبری و مدیریت در بیمارستان سیاست گذاری ، برنامه ریزی و رهبری و مدیریت در بیمارستان نامه به سردبیر Cover Letter <span style="font-size:14pt"><span style="line-height:22pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" zar="">سردبیر محترم</span></b></span></span></span></span></span><br> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">بیمارستان&shy;ها به دلیل وسعت زیاد جزء ساختمان&shy;هایی با مصرف انرژی بالا هستند که برای پشتیبانی از عملیات خود به مقادیر قابل‌توجهی برق، گرمایش، سرمایش و آب نیاز دارند. تقاضای بالای انرژی در بیمارستان‌ها عمدتاً به عوامل مختلفی از جمله فعالیت شبانه&shy;روزی، تجهیزات پزشکی تخصصی، کنترل دما، رطوبت و نیازهای روشنایی نسبت داده می‌شود</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">(1)</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">. در ساخت بیشتر بیمارستان&shy;های موجود، مسائل مربوط به بهینه&shy;سازی مصرف انرژی کمتر مورد توجه قرار گرفته&shy;اند. در حقیقت، طی چند دهه گذشته، به دلیل کم بودن هزینه&shy;های تأمین انرژی و کم&shy;توجهی به موضوع پایداری اقتصادی و زیست&shy;محیطی، طراحی و ساخت بیمارستان&shy;ها تنها با هدف تأمین استاندارد&shy;های بهداشتی مورد نیاز بوده و تأثیر کارایی انرژی بر ساختمان نادیده گرفته شده است</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">(2)</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">. چالش</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">محدودیت</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">منابع</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">انرژی،</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">یکی</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">از</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">مهم‌ترین</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">موضوعات</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">مطرح</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">در</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">دنیا بوده</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">و</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">تأمین</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">نیازهای</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">جوامع</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">مدرن</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">تنها</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">با</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">استفاده</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">از</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">منابع</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">انرژی</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">سنتی، امکان&shy;پذیر</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">نیست و بر</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">اساس</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">تحقیقات</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">انجام</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">شده</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">در</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">این</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">زمینه،</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">می&shy;توان دریافت</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">که</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">میزان</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">مصرف</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">انرژی</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">در</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">نیم</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">قرن</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">گذشته</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">به</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">طور</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">سرسام&shy;آوری افزایش</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">یافته</span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">است</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">(3)</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">. در نتیجه، استراتژی‌های مدیریت انرژی در این محیط باید به گونه‌ای طراحی شوند که هم به کاهش هزینه‌ها و هم به بهبود بهره‌وری انرژی کمک کنند، بدون اینکه بر عملکرد پزشکی و راحتی بیمار تأثیر منفی بگذارند.</span></span> <br> &nbsp; بیمارستان, انرژی, استراتژی, بهینه سازی Hospital, energy, strategy, optimization 255 258 http://jhosp.tums.ac.ir/browse.php?a_code=A-10-1934-1&slc_lang=fa&sid=1 Fatemeh Zarezadeh Mehrizi فاطمه زارع زاده مهریزی zarezadeh2014@gmail.com No Master’s Degree in Nursing, MSc Psychiatric Nursing, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. کارشناسی ارشد پرستاری، روانپرستاری، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران. Adel Eftekhari عادل افتخاری adel.eftekhari.66@gmail.com Yes Assistant Professor, PhD in Health in Disasters and Emergencies, Meybod School of Medical Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. استادیار، دکترای تخصصی سلامت در بلایا و فوریتها، دانشکده علوم پزشکی میبد، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی شهید صدوقی، یزد، ایران.