Effects of horticulture therapy on nursing home older adults in southern Taiwan
- 826 Downloads
This study aimed to test the effects of horticulture therapy on activities of daily living, happiness, meaning of life, and interpersonal intimacy of nursing home older adults in southern Taiwan.
A quasi-experimental study was applied. Eighty-five older adults aged 65 or older who lived in nursing homes in southern Taiwan were recruited conveniently. All participants completed the study: experimental group (n = 41) and control group (n = 44). The experimental group received horticulture therapy for 1 h once a week for 8 weeks, while the control group continued their routine daily activities. The following questionnaires were administered before and after the intervention period: (1) Barthel Index (BI), (2) Chinese Happiness Inventory short version (CHI), (3) Meaning of Life Scale (MLS), and (4) Interpersonal Intimacy Scale (IIS).
The BI, CHI, MLS, and IIS scores significantly improved in the experimental group (p < .05). After 8 weeks of horticulture therapy, the BI, CHI, and IIS scores of experimental group participants were significantly better than the scores of control group participants (p < .05); however, the MLS scores of two groups showed no significant differences (p = .738).
Horticulture therapy improved activities of daily living, happiness, and interpersonal intimacy of older adults in nursing homes. We recommend that nursing homes recruit and train personnel to lead horticultural therapy and to incorporate the therapy as routine daily activities in the facilities.
KeywordsActivities of daily living Happiness Horticulture therapy Interpersonal intimacy Meaning of life Older adults
Sincere appreciation is directed by our group to Professor Frank Belcastro for his superlative manuscript editing; to the directors and staff of seven nursing homes for their support and assistance; and to the 85 wonderful older adults for their generous participation.
All authors meet the criteria for authorship and have approved the final article, and all those entitled to authorship are listed as authors.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The study was approved by the Institutional Review Board of Kaohsiung Medical University Chung-Ho Memorial Hospital (KMUH-IRB-20140044).
- 5.Lo, J. L. (2008). The daily occupations of elderly nursing home residents: The residents’ perspective. Journal of Taiwan Occupational Therapy Association, 26(1), 53–63.Google Scholar
- 7.Huang, C. Y., Hsu, W. C., Li, C. L., & Chiu, Y. C. (2011). A review of physical interventions for patients with dementia. The Journal of Long-term Care, 15, 157–167.Google Scholar
- 8.Chen, H. M., & Huang, Y. L. (2005). The theory and application of horticultural therapy. Journal of the Chinese Society for Horticultural Science, 51, 135–144.Google Scholar
- 9.Kuo, Y. J. (2005). Landscape and horticulture therapy. Taipei: Chan’s Arch.Google Scholar
- 12.Kiyota, E. (2009). People-nature interactions: The therapeutic role of nature in elderly residents’ everyday experience in a long term care facility. Available from ProQuest Dissertations and Theses databases (UMI No. 3363430).Google Scholar
- 13.Rappe, E. (2005). The influence of a green environment and horticultural activities on the subjective well-being of the elderly living in long-term care. Helsinki: University of Helsinki.Google Scholar
- 14.Whear, R., Coon, J. T., Bethel, A., Abbott, R., Stein, K., & Garside, R. (2014). What is the impact of using outdoor spaces such as gardens on the physical and mental well-being of those with dementia? A systematic review of quantitative and qualitative evidence. Journal of the American Medical Directors Association, 15(10), 697–705.CrossRefPubMedGoogle Scholar
- 15.Liu, Y. C. (2010). Feasibility study of horticultural activities to the demented elderly at a senior care home (Unpublished master’s thesis). Taipei: National Taiwan University.Google Scholar
- 18.Kim, M. Y., Kim, G. S., Mattson, N. S., & Kim, W. S. (2010). Effects of horticultural occupational therapy on the physical and psychological rehabilitation of patients with hemiplegia after stroke. Korean Journal of Horticultural Science and Technology, 28(5), 884–890.Google Scholar
- 19.Söderback, I., Söderström, M., & Schälander, E. (2004). Horticultural therapy: The “healing garden” and gardening in rehabilitation measures at Danderyd Hospital Rehabilitation Clinic, Sweden. Developmental Neurorehabilitation, 7(4), 245–260.Google Scholar
- 20.Hsieh, S. A. (2012). Study of effects of horticulture therapy on heart rate of the hospitalized stroke patients (Unpublished master’s thesis). Taichung: Central Taiwan University of Science and Technology.Google Scholar
- 21.Wichrowski, M., Whiteson, J., Haas, F., Mola, A., & Rey, M. J. (2005). Effects of horticultural therapy on mood and heart rate in patients participating in an inpatient cardiopulmonary rehabilitation program. Journal of Cardiopulmonary Rehabilitation and Prevention, 25(5), 270–274.CrossRefGoogle Scholar
- 23.Masuya, J., Ota, K., & Mashida, Y. (2014). The effect of a horticultural activities program on the psychologic, physical, and cognitive function and quality of life of elderly people living in nursing homes. International Journal of Nursing and Clinical Practices. doi: 10.15344/2394-4978/2014/109.Google Scholar
- 27.Yang, H. H. (2010). A study on meaning of life and death anxiety of older persons in long-term care facilities: A case study of Kaohsiung and Pingtung region. (Unpublished master’s thesis). Chia-Yi, Taiwan: Nanhua University.Google Scholar
- 28.Kaohsiung City Government, Social Affairs Bureau. (2016). List of senior citizens’ welfare institutions in Kaohsiung city. Retrieved from http://socbu.kcg.gov.tw/index.php?prog=2&b_id=4&m_id=160&s_id=660
- 29.Yen, Y. C., Rebok, G. W., Yang, M. J., & Lung, F. W. (2008). A multilevel analysis of the influence of Apolipoprotein E genotypes on depressive symptoms in late-life moderated by the environment. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 32(2), 479–486.CrossRefPubMedGoogle Scholar
- 30.Shen, W. (2013). Horticulture therapy. Taipei: City Publishing.Google Scholar
- 34.Liu, M. J. (2000). A study on the relationship between elderly interpersonal intimacy, adult attachment, and well-being (Unpublished master’s thesis). Kaohsiung: National Kaohsiung Normal University.Google Scholar
- 35.Ministry of the Interior. (2015). 2014 gender analysis. Retrieved from http://sowf.moi.gov.tw/stat/gender/103analysis1-2.pdf
- 36.Ministry of the Interior, Department of Statistics. (2016). 2015 education statistics of population aged over 15 years old. Retrieved from http://www.moi.gov.tw/stat/news_content.aspx?sn=10225
- 37.Porchey, P. (2007). Horticultural therapy: How can it make a difference in your everyday life. Proceeding of Florida State Horticultural Society, 120, 351–352.Google Scholar