Geriatric Education and Research Institute, Singapore.
Rehabilitation Services, Khoo Teck Puat Hospital, Singapore.
J Am Med Dir Assoc. 2019 Oct;20(10):1351.e1-1351.e11. doi: 10.1016/j.jamda.2019.06.021. Epub 2019 Aug 8.
Although the therapeutic effects of horticulture on older adults have been widely investigated, a recent and comprehensive synthesis of available evidence on outcomes is lacking. We systematically reviewed evidence for the therapeutic effects of horticulture on older adults.
A systematic search of PubMed, MEDLINE, Sage Journals, ProQuest, Science Direct, and CINAHL was conducted. Articles were selected if they were quantitative studies published in English from 2008 to 2018.
Articles were selected if they included participants aged 60 years and older and used horticulture as the main intervention.
Experimental studies were appraised using the Physiotherapy Evidence Database Scale.
The systematic search yielded 20 articles. Significant pre-post improvement was reported in quality of life, anxiety, depression, social relations, physical effects, and cognitive effects. However, between-group results were lacking or nonsignificant.
There is evidence for benefits of horticulture among older adults, particularly in long-term care facilities. Nonetheless, as the robustness of evidence is lacking, more rigorous randomized controlled trials and between-group effects need to be investigated.
尽管园艺疗法对老年人的疗效已得到广泛研究，但目前缺乏对现有证据的综合分析。本研究旨在系统综述园艺疗法对老年人的疗效。
系统检索了 PubMed、MEDLINE、Sage 期刊、ProQuest、Science Direct 和 CINAHL 数据库，纳入 2008 年至 2018 年期间以英文发表的、针对 60 岁及以上老年人、以园艺疗法为主要干预手段的定量研究。
纳入研究的参与者年龄均≥60 岁，且均采用园艺疗法作为主要干预手段。
采用 Physiotherapy Evidence Database Scale 量表对实验性研究进行评价。
系统检索共获得 20 篇文献。结果显示，园艺疗法可显著改善老年人的生活质量、焦虑、抑郁、社会关系、身体机能和认知功能，但组间比较结果缺乏或无统计学意义。
园艺疗法对老年人具有一定疗效，但现有证据的可信度有限，需要进一步开展更严格的随机对照试验和组间效应研究。
