- 期刊
某精神專科醫院慢性住院病人兩種園藝治療效果比較之世代研究
A Cohort Study on the Effectiveness of Horticultural Therapy Models for Chronic Inpatients in a Psychiatric Center
摘要
目的：比較甲園藝治療與乙園藝治療對慢性住院病人月出席率與庭園環境之差異情形。方法：採世代研究之單組時間序列（8時段）設計，8個月時段分佈於民國111年11至112年6月間；研究對象為某精神專科醫院慢性住院病人包含慢性病房、日間病房及護理之家。111年11-12月為甲園藝治療，自112年1-6月執行「乙園藝治療」計畫，共獲樣本56人。另分別於4時段（111年11-12月、112年1-2月、3-4月、5-6月）定點拍攝大廳戶外庭園之階段式改變照片。結果：乙園藝治療月出席率顯著（p<0.05）高於甲園藝治療11%～13%。在庭園環境改變方面，111年11月庭園環境灌木叢生；自112年1月，灌木叢生環境改善；112年4月完成碎石步道；112年6月，完成大廳戶外庭園美化。結論：乙園藝治療確實能提升慢性住院病人之月出席率與美化庭園環境。故建議樣本醫院之園藝治療自113年起之園藝治療均可完全取消電動修剪器使用，並於園藝治療團體增加修剪、翻土、整地、鋪石、移珠、扦插之園藝治療項目，豐富介入內容多樣性，以利提升園藝治療活動之月出席率。
並列摘要
Objective. To compare the differences in monthly attendance rates and garden environment changes between two models of horticultural therapy for chronic inpatients. Methods. A cohort study with a single-group time-series design (8 time points) was adopted. The monthly 8 time points were from November 2022 to June 2023. The study subjects were chronic inpatients from a psychiatric center, including those from the chronic care wards, day care wards and nursing homes. Horticultural therapy model A was implemented in November- December 2022, model B was implemented from January to June 2023, with a total of 56 participants. Additionally, photographs documenting the staged changes in the outdoor garden area of the main hall were taken at four time points which was November-December 2022, January-February 2023, March-April 2023, and May-June 2023. Result. The attendance rate for model B horticultural therapy was significantly higher (p < 0.05) than model A by 11%~13%. Regarding changes in the garden environment, in November 2022, the garden environment featured dense shrub growth; starting in January 2023, the shrub environment was improved; in April 2023, the gravel pathway was completed; and in June 2023, the outdoor garden in the lobby was beautified. Conclusion. Horticultural therapy in model B can indeed improve the monthly attendance rate of chronic inpatients and beautify the garden environment. Therefore, it is recommended that from 2024 onwards, the use of electric pruning tools be completely discontinued in horticultural therapy at this hospital. Additionally, it is suggested to include more horticultural therapy activities such as pruning, soil turning, land preparation, stone laying, plant transplanting, and cutting propagation etc. This will enrich the diversity of interventions and improve the monthly attendance rate of horticultural therapy activities.