SPIRITUAL CARE OF CANCER PATIENTS BY INTEGRATED MEDICINE IN URBAN GREEN SPACE: A PILOT STUDY

被引：50

作者：

Nakau, Maiko ^{[1
]}

Imanishi, Jiro ^{[2
]}

Imanishi, Junichi ^{[1
,3
]}

Watanabe, Satoko ^{[2
]}

Imanishi, Ayumi ^{[3
]}

Baba, Takeshi ^{[3
]}

Hirai, Kei ^{[4
]}

Ito, Toshinori ^{[4
]}

Chiba, Wataru ^{[5
]}

Morimoto, Yukihiro ^{[1
,3
]}

机构：

[1] Kyoto Univ, Grad Sch Agr, Kyoto 6068502, Japan

[2] Meiji Univ Integrat Med, MUIM Ctr Integrat Med, Kyoto, Japan

[3] Kyoto Univ, Grad Sch Global Environm Studies, Kyoto 6068502, Japan

[4] Osaka Univ, Grad Sch Med, Dept Complementary & Alternat Med, Osaka, Japan

[5] Takatsuki Red Cross Hosp, Osaka, Japan

来源：

EXPLORE-THE JOURNAL OF SCIENCE AND HEALING | 2013年 / 9卷 / 02期

关键词：

Spiritual care; cancer; forest therapy; horticultural therapy; yoga; supportive group therapy; urban greenery; QUALITY-OF-LIFE; VALIDATION; ONCOLOGY; SCALE;

D O I：

10.1016/j.explore.2012.12.002

中图分类号：

R [医药、卫生];

学科分类号：

10 ;

摘要：

Background: Psycho-oncological care, including spiritual care, is essential for cancer patients. Integrated medicine, a therapy combining modern western medicine with various kinds of complementary and alternative medicine, can be appropriate for the spiritual care of cancer because of the multidimensional characteristics of the spirituality. In particular, therapies that enable patients to establish a deeper contact with nature, inspire feelings of life and growth of plants, and involve meditation may be useful for spiritual care as well as related aspects such as emotion. The purpose of the present study was to examine the effect of spiritual care of cancer patients by integrated medicine in a green environment. Methods: The present study involved 22 cancer patients. Integrated medicine consisted of forest therapy, horticultural therapy, yoga meditation, and support group therapy, and sessions were conducted once a week for 12 weeks. The spirituality (the Functional Assessment of Chronic Illness Therapy-Spiritual well-being), quality of life (Short Form-36 Health Survey Questionnaire), fatigue (Cancer Fatigue Scale), psychological state (Profile of Mood States, short form, and State-Trait Anxiety Inventory) and natural killer cell activity were assessed before and after intervention. Results: In Functional Assessment of Chronic Illness Therapy-Spiritual well-being, there were significant differences in functional well-being and spiritual well-being pre- and postintervention. This program improved quality of life and reduced cancer-associated fatigue. Furthermore, some aspects of psychological state were improved and natural killer cell activity was increased. Conclusions: It is indicated that integrated medicine performed in a green environment is potentially useful for the emotional and spiritual well-being of cancer patients.

引用

页码：87 / 90

页数：4

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