Chen Yuh-Min, Ji Jeng-Yi
1PhD, RN, Associate Professor, School of Nursing, China Medical University 2MSN, RN, Project Instructor, School of Nursing, China Medical University.
J Nurs Res. 2015 Sep;23(3):167-71. doi: 10.1097/jnr.0000000000000063.
This preliminary study examined the effect of horticultural therapy on psychosocial health in older nursing home residents. A combined quantitative and qualitative design was adopted. Convenience sampling was used to recruit 10 older residents from a nursing home in Taichung, Taiwan. Participants joined a 10-week indoor horticultural program once a week, with each session lasting for about 1.5 hours. A single-group design with multiple measurements was adopted for the quantitative component of this study. Interviews held 1-2 days before the intervention (T0) were used to collect baseline data. The two outcome variables of this study, depression and loneliness, were reassessed during the 5th (T1) and 10th (T2) weeks of the intervention. Generalized estimating equations were used to test the mean differences among T0, T1, and T2 measures. After the 10-week program, qualitative data were collected by asking participants to share their program participation experiences. The results of generalized estimating equation showed significant improvements in depression and loneliness. Four categories emerged from the qualitative data content analysis: social connection, anticipation and hope, sense of achievement, and companionship. Given the beneficial effects of the horticulture therapy, the inclusion of horticultural activities in nursing home activity programs is recommended.
这项初步研究考察了园艺疗法对老年疗养院居民心理社会健康的影响。采用了定量与定性相结合的设计。通过便利抽样从台湾台中的一家疗养院招募了10名老年居民。参与者每周参加一次为期10周的室内园艺项目，每次课程持续约1.5小时。本研究的定量部分采用单组多次测量设计。在干预前1 - 2天（T0）进行访谈以收集基线数据。在干预的第5周（T1）和第10周（T2）对本研究的两个结果变量，即抑郁和孤独感进行重新评估。使用广义估计方程来检验T0、T1和T2测量值之间的均值差异。在为期10周的项目结束后，通过要求参与者分享他们参与项目的经历来收集定性数据。广义估计方程的结果显示抑郁和孤独感有显著改善。定性数据内容分析得出了四个类别：社会联系、期待与希望、成就感和陪伴。鉴于园艺疗法的有益效果，建议在疗养院活动项目中纳入园艺活动。
