Effect of horticultural therapy on patients under palliative care

Pao Yue-kong Library Electronic Theses Database

Effect of horticultural therapy on patients under palliative care

 

Author: Kan, Wai Yin
Title: Effect of horticultural therapy on patients under palliative care
Degree: M.Sc.
Year: 2012
Subject: Gardening -- Therapeutic use.
Palliative treatment.
Hong Kong Polytechnic University -- Dissertations
Department: School of Nursing
Pages: xiv, 151 leaves : ill. ; 30 cm.
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b2527583
URI: http://theses.lib.polyu.edu.hk/handle/200/6663
Abstract: Palliative care patients suffered from advanced, terminal illness having a progressive deteriorating general condition which affected their quality of life. Horticultural therapy utilizes horticultural activities and involves the relationship between humans and nature to improve the functioning and general well-being of people. This study aimed at investigating the effect of horticultural therapy on and experience of patients under palliative care in Hong Kong. A two-week intensive horticultural therapy programme was conducted for the palliative care patients. The study adopted a mixed method design. The quality of life of palliative care patients was assessed by the Quality-of-life Concerns in the End of Life Questionnaire (QOLC-E). Demographic and clinical information was also collected. The relationship between variables and effect of the horticultural therapy on their quality of life were analysed using IBM SPSS Statistics 17.0 software. Field observation and unstructured interviews were done to collect data on patients' experiences of horticultural therapy. Field notes and transcribed interview scripts were analysed using qualitative content analysis.
The quality of life of palliative care patients as assessed by the QOLC-E was 6.59 out of 10 (SD: 1.18, N=29). It implied that they had fair quality of life. The pain level and financial condition of patients were moderately correlated with their quality of life. Despite an improvement in the quality of life scores, horticultural therapy did not show a statistically significant difference in improving the quality of life among palliative care patients. Triangulation of data was performed in the data analysis. Six main themes on the horticultural experience emerged: (1) horticultural therapy made me happy; (2) horticultural therapy brought new learning experiences; (3) horticultural therapy allowed me to go through life; (4) horticultural therapy alleviated negative effects of illness; (5) horticultural therapy facilitated sharing with others and the development of interpersonal relationships; and (6) horticultural therapy gave me satisfaction. The study is probably one of the pioneer studies examining the application of horticultural therapy on palliative care patients. It helps increase understanding on the effect on their quality of life and their experience of horticultural therapy, which contributes to the scientific knowledge base in the palliative care field. It also provided hints for improving palliative nursing practice. More efforts should be placed on managing pain, physical symptoms and existential distress among palliative care patients. It is suggested that horticultural therapy be integrated into palliative care practices for possible improvement of patients' general well-being and quality of life.

Files in this item

Files Size Format
b25275835.pdf 2.278Mb PDF
Copyright Undertaking
As a bona fide Library user, I declare that:
  1. I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
  2. I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
  3. I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.
By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.

     

Quick Search

Browse

More Information