“我看到了美丽，我看到了艺术，我看到了设计，我看到了爱。”一项由居民主导、共同设计的园艺项目在长期护理机构中的发现。
"I see beauty, I see art, I see design, I see love." Findings from a resident-driven, co-designed gardening program in a long-term care facility.
机构信息
School of Nursing, University of Northern British Columbia, Prince George, British Columbia, Canada.
School of Social Work, University of Northern British Columbia, Prince George, British Columbia, Canada.
出版信息
Health Promot Chronic Dis Prev Can. 2022 Jul;42(7):288-300. doi: 10.24095/hpcdp.42.7.03.
BACKGROUND
Engagement with the natural environment is a meaningful activity for many people. People living in long-term care facilities can face barriers to going outdoors and engaging in nature-based activities. In response to needs expressed by our long-term care facility resident partners, we examined the feasibility and benefits of a co-designed hydroponic and raised-bed gardening program.
METHODS
Our team of long-term care facility residents, staff and researchers co-designed and piloted a four-month hydroponic and raised-bed gardening program along with an activity and educational program, in 2019. Feedback was gathered from long-term care facility residents and staff through surveys (N = 23 at baseline; N = 23 at follow-up), through five focus groups (N = 19: n = 10 staff; n = 9 residents) and through photovoice (N = 5). A qualitative descriptive approach was applied to focus group transcripts to capture a rich account of participant experiences within the naturalistic context, and descriptive statistics were calculated.
RESULTS
While most residents preferred to go outside (91%), few reported going outside every day (30%). Program participants expressed their joy about interacting with nature and watching plants grow. Analyses of focus group data generated the following themes: finding meaning; building connections with others through lifelong learning; impacts on mental health and well-being; opportunities to reminisce; reflection of self in gardening activities; benefits for staff; and enthusiasm for the program to continue.
CONCLUSION
Active and passive engagement in gardening activities benefitted residents with diverse abilities. This fostered opportunity for discussions, connections and increased interactions with others, which can help reduce social isolation. Gardening programs should be considered a feasible and important option that can support socialization, health and well-being.
背景
与自然环境互动对许多人来说是一种有意义的活动。居住在长期护理机构的人可能面临户外活动和参与自然为基础的活动的障碍。针对我们的长期护理机构居民合作伙伴表达的需求，我们研究了共同设计水培和高架床园艺计划的可行性和益处。
方法
我们的长期护理机构居民、工作人员和研究人员团队于 2019 年共同设计并试行一个为期四个月的水培和高架床园艺计划以及一个活动和教育计划。通过调查（基线 N = 23；随访 N = 23）、五次焦点小组（N = 19：n = 10 名工作人员；n = 9 名居民）和照片分享（N = 5）从长期护理机构居民和工作人员那里收集了反馈。采用定性描述方法对焦点小组的记录进行分析，以在自然环境中捕捉参与者的丰富体验，并计算描述性统计数据。
结果
虽然大多数居民更喜欢户外活动（91%），但很少有人报告每天都出去（30%）。计划参与者表达了他们与自然互动和观看植物生长的喜悦。对焦点小组数据的分析产生了以下主题：寻找意义；通过终身学习与他人建立联系；对心理健康和幸福感的影响；怀旧的机会；在园艺活动中反映自我；对工作人员的好处；以及继续该计划的热情。
结论
积极和被动地参与园艺活动使具有不同能力的居民受益。这为讨论、联系和增加与他人的互动提供了机会，这有助于减少社会孤立。园艺计划应被视为一种可行且重要的选择，可以支持社交、健康和幸福感。
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