Mourão Isabel, Mouro Cláudia V, Brito Luís Miguel, Costa Sofia R, Almeida Telma C
Instituto Politécnico de Viana do Castelo Escola Superior Agrária, Ponte de Lima, Portugal.
Centro de Investigação de Montanha, Braganca, Portugal.
Br J Occup Ther. 2022 Feb;85(2):111-119. doi: 10.1177/03080226211008719. Epub 2021 May 4.
Therapeutic horticulture (TH) can be considered a non-pharmacological approach to support psychiatric treatments for the improvement of physical and mental health, but information is lacking on whether it has advantages as compared to more conventional occupational therapies (OTs).
The study focused on institutionalized 25 clients attending TH among other OTs and 15 clients attending OT other than TH. The measures used were the 'Subjective Happiness Scale' (SHS) and the 'Social and Emotional Loneliness Scale for Adults' (SELSA-S), along with sociodemographic and clinical data. The study design was descriptive, observational and cross-sectional.
Scores obtained from the SHS and SELSA-S were generally similar for both groups, although 40% of clients in the TH group perceived relaxation. These are in agreement with previous studies performed with chronic schizophrenia clients reporting that TH might effectively decrease depression/anxiety symptoms, but the feeling of hopelessness and quality of life did not change, probably due to long-term institutionalization and required medication that may limit other effects. Within the TH group, clients preferred specific horticultural tasks and more days/week attending activities decreased loneliness and increased happiness.
TH interventions as an integrative treatment option merits further study on both process and outcome evaluation, to maximize its effectiveness.
治疗性园艺（TH）可被视为一种非药物方法，以支持精神科治疗，促进身心健康，但与更传统的职业疗法（OT）相比，它是否具有优势尚缺乏相关信息。
该研究聚焦于25名在接受其他职业疗法的同时还参与治疗性园艺的机构收容患者，以及15名只接受职业疗法而未参与治疗性园艺的患者。所使用的测量工具包括“主观幸福感量表”（SHS）和“成人社交与情感孤独量表”（SELSA-S），同时收集社会人口统计学和临床数据。研究设计为描述性、观察性和横断面研究。
两组从SHS和SELSA-S获得的分数总体相似，尽管治疗性园艺组中有40%的患者感到放松。这些结果与之前对慢性精神分裂症患者进行的研究一致，表明治疗性园艺可能有效减轻抑郁/焦虑症状，但绝望感和生活质量并未改变，这可能是由于长期住院以及所需药物治疗可能限制了其他效果。在治疗性园艺组中，患者更喜欢特定园艺任务，每周参与活动的天数增多可减少孤独感并增加幸福感。
治疗性园艺干预作为一种综合治疗选择，在过程和结果评估方面都值得进一步研究，以使其效果最大化。
