Nature as a therapeutic place and tool for enhancing service users’ engagement in mental health services: A comprehensive synthesis of evidence

IF 3.8 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health & Place Pub Date : 2024-09-01 DOI:10.1016/j.healthplace.2024.103344
Alexandra Troughton , Mellisa Chin , Isaac Amankwaa
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Abstract

This systematic review explored how nature-based care settings influence engagement in mental health therapy. We relied on Joanna Briggs Institute's guidelines for systematic reviews to synthesise data from nine articles selected from an initial pool of 649 records retrieved from PubMed, CINAHL, ScienceDirect, SocINDEX, and JBI EPB. Synthesis revealed six analytical themes: nature as a therapeutic tool, therapeutic relationships, nature's impact on power balance, nature as a safe space, risk of nature and patient-centered care. The findings shed light on the benefits while highlighting some challenges that influence participation in mental health interventions. The findings suggest that integrating nature into mental health care could be an alternative or complementary approach to enhancing patient engagement. However, the specific types of mental health care of this impact vary. Robust clinical trials that examine the effectiveness of the reported benefits are recommended. Such studies must target specific patient groups, such as the young and the elderly. Longitudinal studies that examine the long-term effects and moderating factors are needed to strengthen the evidence base and enhance patient-centered care.

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自然作为一种治疗场所和工具,可提高服务使用者对心理健康服务的参与度:证据综合。
本系统性综述探讨了以自然为基础的护理环境如何影响心理健康治疗的参与度。我们依据乔安娜-布里格斯研究所(Joanna Briggs Institute)的系统性综述指南,从 PubMed、CINAHL、ScienceDirect、SocINDEX 和 JBI EPB 中检索到的 649 条初始记录中筛选出九篇文章,对其中的数据进行了综合。综述揭示了六个分析主题:作为治疗工具的自然、治疗关系、自然对权力平衡的影响、作为安全空间的自然、自然的风险以及以患者为中心的护理。研究结果揭示了自然的益处,同时也强调了影响参与心理健康干预的一些挑战。研究结果表明,将自然融入心理健康护理可以作为一种替代或补充方法来提高患者的参与度。然而,产生这种影响的精神健康护理的具体类型各不相同。建议进行严格的临床试验,检查报告中的益处是否有效。此类研究必须针对特定的患者群体,如年轻人和老年人。还需要进行纵向研究,检查长期效果和调节因素,以加强证据基础,提高以患者为中心的护理水平。
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来源期刊
Health & Place
Health & Place PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.70
自引率
6.20%
发文量
176
审稿时长
29 days
期刊介绍: he journal is an interdisciplinary journal dedicated to the study of all aspects of health and health care in which place or location matters.
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