Division of Nursing and Medical Technology, Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden.
Scand J Caring Sci. 2022 Dec;36(4):910-925. doi: 10.1111/scs.13089. Epub 2022 May 23.
Stress-related illness is increasing and is a common cause of sick leave. Spending time in nature have a positive effect on health and well-being for instance by reducing stress. Specific programmes with nature-based interventions (NBI) with the intention to involve people in activities in a supportive natural environment have been developed for people with stress-related illness.
To identify and summarise scientific studies of NBIs to promote health for people with stress-related illness.
The design used in this study is integrative literature review. Scientific studies focusing on any type of NBI for people with stress-related illness were sought in Cinahl, PubMed, PsycInfo, AMED and Scopus. In total, 25 studies using both qualitative and quantitative designs were included in the review.
The reviewed studies focused on garden or forest interventions. In the majority of the studies, NBIs were performed in groups, including individual activities, and the length of programmes varied. Interventions in natural environments have unique qualities for individualised, meaningful activities and interactions with others in a non-demanding atmosphere. NBIs offer restoration that reduces stress, improves health and well-being and strengthen self-efficacy and work ability. Connectedness with nature support existential reflections and people with stress-related illness can achieve balance in everyday life.
In conclusion, NBIs may have advantages to promote health for people with stress-related illness and should therefore be considered as an alternative to those affected. Further research from different perspectives, including nursing, is needed to understand the possibilities of NBIs and how they can be integrated into practice.
与压力相关的疾病正在增加，是导致病假的常见原因。花时间在大自然中对健康和幸福感有积极影响，例如减轻压力。已经为患有与压力相关疾病的人开发了具有基于自然干预（NBI）的特定计划，旨在让人们参与支持性自然环境中的活动。
确定和总结促进与压力相关疾病患者健康的 NBI 科学研究。
本研究采用综合文献综述设计。在 Cinahl、PubMed、PsycInfo、AMED 和 Scopus 中搜索了针对与压力相关疾病的任何类型 NBI 的科学研究。共有 25 项使用定性和定量设计的研究被纳入综述。
综述研究重点关注花园或森林干预措施。在大多数研究中，NBI 是在小组中进行的，包括个人活动，方案的长度也各不相同。自然环境中的干预措施具有独特的品质，可以进行个性化、有意义的活动，并在非要求性的氛围中与他人互动。NBI 提供恢复，可以减轻压力，改善健康和幸福感，并增强自我效能感和工作能力。与自然的联系支持存在性反思，患有与压力相关疾病的人可以在日常生活中达到平衡。
总之，NBI 可能对促进与压力相关疾病患者的健康有优势，因此应被视为这些患者的替代选择。需要从不同角度，包括护理角度，进一步研究 NBI 的可能性以及如何将其纳入实践。
