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Eum and Kim: Effects of a Horticultural Therapy Program on Self-efficacy, Stress Response, and Psychiatric Symptoms in Patients with Schizophrenia
Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2016; 25(1): 48-57.

Published online: 31 March 2016

DOI: https://doi.org/10.12934/jkpmhn.2016.25.1.48

Effects of a Horticultural Therapy Program on Self-efficacy, Stress Response, and Psychiatric Symptoms in Patients with Schizophrenia

Eun-Young Eum1, Hee-Sook Kim2

1Daegu Mental Hospital, Daegu, Korea.

2The Research Institute of Nursing Science · College of Nursing, Kyungpook National University, Daegu, Korea.

Corresponding author: Kim, Hee-Sook. College of Nursing, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu 700-422, Korea. Tel: +82-53-420-4927, Fax: +82-53-422-4926, hskim8879@knu.ac.kr

Received 13 October 2015       Revised 15 February 2016       Accepted 16 March 2016

© 2016 The Korean Academy of Psychiatric and Mental Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The study was done to investigate effects of a horticultural therapy program on self-efficacy, stress response, and psychiatric symptoms in patients with schizophrenia.

Methods

The research design was a quasi-experimental research with a nonequivalent control group non-synchronized pre-posttest. The participants were recruited from patients with schizophrenia admitted to 1 mental hospital located in D City. The research was carried out from August 3 to September 25, 2012. To test the effects of the horticultural therapy program, the participants were divided into two groups, an experimental group (29) and a control group (26). The horticulture therapy was provided to the experiment group for 60 minutes/session twice a week, for 8 weeks. Data were analyzed using Fisher's exact probability test, χ2-test, and t-test with the SPSS/WIN 12.0 program.

Results

After attending the horticultural therapy program, the first hypothesis was verified as the score for self-efficacy in the experimental group was significantly higher than the control group (t=2.12, p=.039). The 3rd hypothesis was verified as the score for PANSS in the experimental group was significantly lower than the control group (t=-5.20, p<.001).

Conclusion

These results indicate that the horticultural therapy program enhanced self-efficacy and lessened psychiatric symptoms in patients with schizophrenia.

Keywords: Horticultural therapy, Stress, Self-efficacy, Psychiatric symptom

Figures and Tables

Table 1

Contents of Horticulture Therapy Program

jkapmhn-25-48-i001
Table 2

Homogeneity Test of General Characteristics (N=55)

jkapmhn-25-48-i002

*Fisher's exact probability test; Exp.=Experimental group; Cont.=Control group; Fisher=Fisher's exact probability test.

Table 3

Homogeneity Test of Dependent Variables in Pre-test (N=55)

jkapmhn-25-48-i003

Exp.=Experimental group; Cont.=Control group; PANSS=Positive and Negative Symptom Scale.

Table 4

Comparison of Dependent Variables between Two Groups in Posttest (N=55)

jkapmhn-25-48-i004

Exp.=Experimental group; Cont.=Control group; PANSS=Positive and Negative Symptom Scale.

Notes

This article is a condensed form of the first author's master's thesis from Kyungpook National University.

References

1. Ministry of Health and Welfare. 2011 survey on mental illness in Korea. Press release [Internet]. Seoul: Ministry of Health and Welfare;2012. 02. 1–46. cited 2012 February 15. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=266858&page=1.
2. National Health Insurance Service. Early detection of schizophrenia is very important. Press release [Internet]. Seoul: National Health Insurance Service;2015. 08. 1–11. cited 2015 August 31. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/14869.
3. Judge AM, Perkins DO, Niere J, Penn DL. Pathways to care in first episode psychosis: a pilot study on help-seeking precipitant and barriers to care. J Ment Health. 2005; 14(5):465–469. DOI: 10.1080/09638230500271089.
crossref
4. Kim HJ, Kim IS, Kim DH. Effect of dance/movement therapy on mental health in inpatient with schizophrenia. Korean J Content Soc. 2011; 11(4):458–467. DOI: 10.5392/jkca.2011.11.4.458.
crossref
5. Kim EJ, Kwon ES, Lee HS, Lee SY, Park IH, Jung DN, Lee EJ, Jeong YH. Effects of a sterss-management program on stress coping methods, interpersonal relations, and quality of life in patients with chronic mental illness. J Korean Acad Psychiatr Ment Health Nurs. 2011; 20(4):423–433. DOI: 10.12934/jkpmhn.2011.20.4.423.
crossref
6. Burgess AW, Lazare A. Psychiatric nursing in hospital and the community. 2nd ed. Englewood Cliffs, N. J.: Prince-Hall;1976. p. 520.
7. Cho SK, Kim HJ. Examine the effects of a horticultural activities program on physically handicapped children's self esteem and stress. J Child Educ. 2012; 21(2):299–310.
8. Lee KY, Ha YS, Kim MJ, Yang S, Lee JS, Lim YS, et al. Psychiatric mental health nursing. 3rd ed. Seoul: Hyunmoon;2007. p. 634.
9. Toyoda M. Development of horticultural therapy evaluating system using three elements. Acta Hort. 2008; 790(5):55–61. DOI: 10.17660/ActaHortic.2008.790.5.
10. Lee MS, Lee KS, Oh GO, Gu JH. Effects of horticultural therapy on behavioral psychotic symptom and sociability of schizophrenic patients. J Korean Soc People Plant Environ. 2006; 9(4):130–139.
11. Song JH, Sim WK. A experimental study on the effects of horticultural therapy: with a special reference to negative symptoms of schizophrenia. J Korean Soc People Plant Environ. 2000; 3(1):51–59.
12. Cho MK, Jung SI, Son KC, Kim MK. Effect of phased application of horticultural therapy programs on improvements of assertiveness and interpersonal relationship of chronic schizophrenia. Korean J Hort Sci Technol. 2003; 44(6):972–979.
13. Kim HY, Lee HR. Effect of the five senses stimulating horticultural therapy on the mental social dysfunction of schizophrenic patients. J Korean Soc People Plant Environ. 2008; 11(2):41–47.
14. Jang EJ, Han GW, Hong JW, Yoon SE, Park CH. Meta-analysis of research papers on horticultural therapy program effect. Korean J Hort Sci Technol. 2010; 28(4):701–707.
15. Kim AY. A study on the academic failure-tolerance and its correlates. Korean J Educ Psychol Assoc. 1997; 1(2):1–19.
16. Koh KB, Park JK, Kim CH. Development of the stress response inventory. J Korean Neuropsychiatr Assoc. 2000; 39(4):707–719. DOI: 10.1097/00006842-200107000-00020.
17. Choi SM, Kang TY, Woo JM. Development and validation of a modified form of the stress response inventory for workers. J Korean Neuropsychiatr Assoc. 2006; 45(6):541–553.
18. Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987; 13(2):261–276. DOI: 10.1093/schbul/13.2.261.
crossref
19. Yi JS, Ahn YM, Shin HK, An SK, Joo YO, Kim SH, et al. Reliability and validity of the korean version of the positive and negative syndrome sale. J Korean Neuropsychiatr Assoc. 2001; 40(6):1090–1105.
20. Kim SH. Meta-analysis for the effectiveness of researches related to horticultural therapy [master's thesis]. Seoul: Konkuk University;2007. 72.
21. Son KC, Jung HJ, Bae HJ, Song JE. Comparison of the effectiveness of different horticultural therapy programs for individuals with chronic schizophrenia. Korean J Hort Sci Technol. 2004; 22(1):135–142.
22. Hewson ML. Horticultural as therapy. . Guelf: Homewood Health Centre;1994. p. 153.
23. Park YH, Kim HY. Effect of horticultural therapy on the self-efficacy and emotional intelligence of children in the child welfare institutions. J Korean Soc People Plant Environ. 2010; 13(2):7–11.
24. Lee EY, Song JE, Son KC. Horticultural therapy based on selfefficacy theory for improving of the health promotion behavior and life satisfaction in low-income elderly living alone. Korean J Hort Sci Technol. 2010; 28(2):37–38.
25. Lee KH. A study on the effect of horticultural therapy upon insane person's stress and tension [master's thesis]. Daegu: Catholic University;2010. 46.
26. Kang SY, Jang EJ, Park CH. Effects of horticultural therapy on the self-esteem, social-supporter and stress of the high school students. J Korean Soc People Plant Environ. 2012; 15(1):9–14.
27. Bell JM. Stress life events and coping methods in mental-illness and wellness behaviors. Nurs Res. 1997; 26(2):136–141.
crossref
28. Carrieri-kohlman V, Lindsey AM, West CN. Pathophysiological phenomena in nursing-human response to illness. 3th ed. Philadelphia: Saunders;2003. p. 640.
29. Choi DA. Study on the stress and stress coping method of chronic schizophrenic patient: Cases of outpatients using the neuropsychiatric hospitals [master's thesis]. Seoul: Ewha Womans University;1992. 56.
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