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Eindhoven University of Technology MASTER Thermal comfort in hospital wards a comparison between two indoor conditioning systems van Osta, M.P.A. Award date: 2017 Link to publication Disclaimer This document contains a student thesis (bachelor's or master's), as authored by a student at Eindhoven University of Technology. Student theses are made available in the TU/e repository upon obtaining the required degree. The grade received is not published on the document as presented in the repository. The required complexity or quality of research of student theses may vary by program, and the required minimum study period may vary in duration. General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain __________________________________________________ Thermal comfort in hospital wards A comparison between two indoor conditioning systems __________________________________________________ Mike van Osta student nr. 0771671 Building Physics and Services Eindhoven University of Technology Supervisors: prof. dr. H.S.M. (Helianthe) Kort dr. ir. M.G.L.C. (Marcel) Loomans dr. A.K. (Asit) Mishra ir. W. (Wim) Maassen PdEng Date: 26-01-2018 Master Thesis: 7SS37 II Summary Summary Health care facilities need to become more energy efficient in order to reach upcoming nearly zero energy requirements (nZEB). However, for hospitals comfort and safety of the patients is paramount. In this research these two perspectives are combined. In situ measurements are compared with questionnaires involving 169 voluntary participating individual patients in two hospitals during summer and autumn. Energy demand is determined with dynamic building simulations and energy performance calculations. For most medium stay patients, indoor temperatures between 21°C and 23°C are experienced as comfortable. This is independent of hospital and season. Warmer indoor temperatures must be possible for patients needing this due to personal preference or health conditions. More influence on temperature and air quality is experienced by patients lying in a single patient room with the ability to open a window (p<0.01). The fraction of patients who find it necessary to control indoor temperature increases with the length of stay of the patient (p=0.03). Comfort models predict thermal comfort different than patients’ perceive. For hospitals, upper and lower limit of the adaptive comfort limits may be shifted down for better agreement with orthopedic hospital patients. Broader temperature ranges and sustainable systems, e.g. heat pumps and ground storage, lower the energy consumption. However, it is concluded that renovation of the building façade with increased heat resistance has the biggest influence and is certainly needed to reach nZEB requirements. M.P.A. van Osta III IV Table of Contents Table of Contents Summary ................................................................................................................................................ III Table of Contents .................................................................................................................................... V Acknowledge ......................................................................................................................................... VII Nomenclature ........................................................................................................................................ IX 1. Introduction .................................................................................................................................... 1 1.1. Research question ................................................................................................................... 2 1.2. Scientific relevance of the research ........................................................................................ 2 2. Methodology ....................................................................................................................................... 4 2.1. Data collection ........................................................................................................................ 4 2.2. Data analysis ........................................................................................................................... 8 2.3. Building Simulations .............................................................................................................. 10 3. Measurement Results ................................................................................................................... 13 3.1. Indoor climate conditions ..................................................................................................... 13 3.2. Experience of patients .......................................................................................................... 14 3.3. Comfort standards ................................................................................................................ 18 3.4. Discussion .............................................................................................................................. 22 3.5. Conclusion ............................................................................................................................. 24 4. Simulation Results ......................................................................................................................... 26 4.1. Dynamic building simulation ................................................................................................. 26 4.2. Energy performance calculation ........................................................................................... 27 4.3. Discussion .............................................................................................................................. 29 4.4. Conclusion ............................................................................................................................. 30 5. General Discussion ........................................................................................................................ 31 6. General Conclusion ....................................................................................................................... 33 7. Further Research and Implementation ......................................................................................... 34 Bibliography .......................................................................................................................................... 35 M.P.A. van Osta V Appendices Appendix A Impression of measurement location ............................................................................... 38 Appendix B Measurement equipment and characteristics .................................................................. 41 Appendix C Questionnaire Patient’s comfort Survey ........................................................................... 45 Appendix D Activity level and clothing insulation................................................................................. 50 Appendix E General measurement results ........................................................................................... 52 Appendix F Measurement Results Hospital A ....................................................................................... 56 Appendix G Measurement Results Hospital B ...................................................................................... 64 Appendix H Additional Measurements ................................................................................................. 72 Appendix I Statistical Analysis ............................................................................................................... 74 Appendix J Observations ....................................................................................................................... 89 Appendix K Comfort standards ............................................................................................................. 90 Appendix L Building Characteristics ...................................................................................................... 93 Appendix M Simulation results for individual scenarios....................................................................... 97 VI Acknowledge Acknowledge This report is a result of my graduation research to achieve the master degree in Building Physics and Services at Eindhoven University of Technology. This research is executed as part of the nZEB Hospital project that Royal HaskoningDHV executes in cooperation with students from TU/e which is supported by TVVL and REHVA. I would like to thank all people from the area of hospitals, consultants and the university who have contributed to the realization of this research. I would like to thank prof. dr. Helianthe Kort, dr. ir. Marcel Loomans, and dr. Asit Mishra from TU/e for their contribution, support and advice during useful conversations. I would like to thank ir. Wim Maassen PdEng from Royal HaskoningDHV and TU/e for his support, advice, and for giving