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基于证据的康复实践在心理健康障碍者植物园中的发展。

Development of Evidence-Based Rehabilitation Practice in Botanical Garden for People With Mental Health Disorders.

机构信息

Environment and Sustainable Development, 217879Singidunum University, Belgrade, Serbia.

Department of Landscape Architecture and Horticulture, Faculty of Forestry, 54801University of Belgrade, Serbia.

出版信息

HERD. 2021 Oct;14(4):242-257. doi: 10.1177/19375867211007941. Epub 2021 Apr 16.

DOI:10.1177/19375867211007941
PMID:33858211
Abstract

AIM

This article aims to make clearer, with supporting evidence, the clinical benefits of the nature-based rehabilitation program (NBRP) and the restorative values of visiting botanical garden for people with stress-related mental disorders.

BACKGROUND

Throughout the years, nature-based therapy has been acknowledged as a valuable rehabilitation practice that integrates specially designed natural environments and nature-related activities for people with mental health conditions.

SUBJECT AND METHODS

The comparative analyses of parallel conducted the NBRP at botanical garden and occupational therapy realised at the Day Hospital of the Institute of Mental Health in Belgrade included 27 participants divided into two groups. The data collection employed a mixed method combining a Clinical Global Impression (CGI) Scale and on-site observations.

RESULTS

The positive findings on the psychological recovery of the participants seem to be related to NBRP. The restorative potential of the garden was recognized through the observed interaction between participants and the natural entities employed through the various themed activities. The observed landscape elements especially solitary plant specimens or tall and single-form trees within the garden can be embraced as design guidelines for the development of an evidence-based practice that can support the recovery process of people with mental health conditions.

CONCLUSION

Our findings endorse that ongoing social development and progressive urbanization have broadened the interest in scientific research involving nature-based solutions that help preserve the physical and mental health of people in low- and middle-income Western Balkan countries with a high prevalence of mental disorders in the urban environment that relates to social inequalities and natural disasters.

摘要

目的

本文旨在用证据支持的方式,更清楚地阐明基于自然的康复计划(NBRP)对与压力相关的精神障碍患者的临床益处,以及参观植物园的恢复价值。

背景

多年来,基于自然的疗法已被公认为一种有价值的康复实践,它将特别设计的自然环境和与自然相关的活动整合在一起,为有心理健康问题的人提供服务。

受试者和方法

在贝尔格莱德心理健康研究所日间医院进行的基于自然的康复计划(NBRP)和职业治疗的平行比较分析中,包括 27 名参与者,分为两组。数据收集采用混合方法,结合临床总体印象(CGI)量表和现场观察。

结果

参与者心理康复的积极发现似乎与 NBRP 有关。花园的恢复潜力通过参与者与通过各种主题活动使用的自然实体之间的观察到的互动得到认可。观察到的景观元素,特别是花园中的孤独植物标本或高大的单形树木,可以作为设计指南,用于开发基于证据的实践,以支持有心理健康问题的人的康复过程。

结论

我们的研究结果证实,随着社会的不断发展和城市化的推进,人们对涉及基于自然的解决方案的科学研究产生了浓厚的兴趣,这些解决方案有助于保护低、中收入的西巴尔干国家人们的身心健康,这些国家在城市环境中精神障碍的患病率很高,与社会不平等和自然灾害有关。

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