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评估社区园艺对痴呆症患者生活目标感的影响:一项整群随机试验研究。

Evaluating the Impact of Community Gardening on Sense of Purpose for Persons Living with Dementia: A Cluster-Randomized Pilot Study.

作者信息

Styck Abigail C, George Daniel R

机构信息

Penn State College of Medicine, Hershey, PA, USA.

Department of Humanities, Penn State College of Medicine, Hershey, PA, USA.

出版信息

J Alzheimers Dis Rep. 2022 Jul 4;6(1):359-367. doi: 10.3233/ADR-220018. eCollection 2022.

Abstract

BACKGROUND

Gardening has been shown to have positive effects on persons living with dementia, but no studies have explored the effects of gardening on sense of purpose.

OBJECTIVE

Explore how gardening may influence sense of purpose for people with dementia.

METHODS

Ten residents with dementia diagnoses living in a skilled care facility participated in hour-long gardening sessions twice weekly at outdoor raised beds over a two-month duration. One group ( = 5) donated vegetables to a food pantry while the other ( = 5) harvested produce for personal use. Semi-structured interviews with participants and their caregivers conducted post-intervention were analyzed for themes.

RESULTS

Participants and caregivers reported biopsychosocial benefits of gardening, identifying four main themes: 1) Gardening outdoors provided specific physical benefits that improved quality of life; 2) Working on a project in a group setting improved mood and fostered a sense of community; 3) Gardening promoted reminiscence and reinforced a sense of self; 4) Gardening provided participants with a sense of purpose and pride.

CONCLUSION

Gardening has biopsychosocial benefits for persons living with dementia, and there appears to be additive benefit linked to improved sense of purpose via charitable giving.

摘要

背景

园艺已被证明对痴呆症患者有积极影响,但尚无研究探讨园艺对生活目标感的影响。

目的

探究园艺如何影响痴呆症患者的生活目标感。

方法

10名居住在专业护理机构且被诊断患有痴呆症的居民,在为期两个月的时间里,每周两次参加在户外高架苗床进行的为时一小时的园艺活动。一组(n = 5)将蔬菜捐赠给食品储藏室,而另一组(n = 5)收获农产品供个人使用。对干预后与参与者及其照料者进行的半结构化访谈进行主题分析。

结果

参与者和照料者报告了园艺带来的生物心理社会益处,确定了四个主要主题:1)户外园艺带来了特定的身体益处,改善了生活质量;2)在团体环境中开展项目改善了情绪并培养了社区意识;3)园艺促进了回忆并强化了自我意识;4)园艺为参与者提供了目标感和自豪感。

结论

园艺对痴呆症患者具有生物心理社会益处,并且通过慈善捐赠改善生活目标感似乎有额外的益处。

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本文引用的文献

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Effects of garden visits on people with dementia: A pilot study.参观花园对痴呆症患者的影响:一项试点研究。
Dementia (London). 2020 May;19(4):1009-1028. doi: 10.1177/1471301218793319. Epub 2018 Aug 28.

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