綠色自然照顧對社區復健中心精神病患之成效

The Effectiveness of Green Care for Mental Illness in Community Rehabilitation Center

簡才傑(Tsai-Chieh Chien) ； 周煥銘(Huann-Ming Chou)

《文化創意產業研究學報》 7卷2期 (2017/06) Pp. 37-42

https://doi.org/10.6639/JCCIR.2017.0702.01

摘要

綠色自然照護是一種盛行於歐美的健康照護新策略，透過照護過程中加入了生物及非生物因素獲得療癒一種治療模式，很多研究顯示在身心障礙，包含精神病患照護上面有相當程度療效。然而，很多文獻並未指出使用在精神病患社區復健上的療效，故本研究擬探討在進行六週的綠色自然照護過程中對精神病患 在社區復健治療成效上的成果為何。故本研究找到中部地區一家小型精神病患社區復健中心，共有7位精神障礙病患加入為期六週綠色自然照護課程，其中包含簡介與種植綠豆、種植地瓜葉、盆栽彩繪、環保盆栽、葉子拓印、成果發表等課程。成效評量採用綠色自然照顧滿意度調查表，並利用質性敘述方式針對滿意度調查部分進行述說。研究結果發現滿意度最高的分別是心情輕鬆，園藝知識以及感受生命，透過該模式學員可感受到愉悅感，增進植栽知識以及有效感受的植物生長的生命力，故顯示綠色自然照顧是一個可以使用在社區復健中心的一種良好的治療模式，同時也是一種極佳的文化產業創新策略。

關鍵字

精神病患 ； 綠色自然照顧 ； 社區融合 ； 質性述說 ； 復元

並列摘要

Green care is an emerging health care practice that is currently gaining popularity in Europe and the United States. This care concept involves utilizing both biological and nonbiological factors to promote health. Numerous studies have shown that green care substantially benefits patients with psychiatric disorders; however, many of these studies have not specified the effect of applying green care to community-based rehabilitation programs for these patients. Thus, the present study examined the effectiveness of green care integrated with a community-based rehabilitation program for patients with psychiatric disorders. A 6-week green care intervention was implemented, where the patients were guided to participate in gardening-related activities, including planting mung beans and sweet potato leaves, painting pots, making environmentally friendly potted plants, stamping with leaves, and presenting their final results. The effectiveness of this intervention was evaluated using a patient satisfaction survey on the green care-integrated program, with which qualitative descriptions were obtained. The survey responses revealed that the patients assigned the highest satisfaction scores to ＂positive mood,＂ ＂gardening knowledge,＂ and ＂perception of vitality,＂ suggesting that this intervention enabled them to experience pleasant feelings, improve their gardening knowledge, and perceive the vitality of plants. At the same time, it can be a wonderful strategy of cultural and creative industry.

並列關鍵字

Psychiatric Patient ； Green Care ； Social Inclusion ； Qualitative Narrative ； Recovery

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