园艺疗法改善大学生心理健康问题的效果评价

邱传经; 卢佳美; 赵璟; 王帆; 石林谣; 李晓纹; 阎升光

doi:10.16835/j.cnki.1000-9817.2023.06.020

园艺疗法改善大学生心理健康问题的效果评价

doi: 10.16835/j.cnki.1000-9817.2023.06.020

1.
华北理工大学公共卫生学院，河北唐山 063210
2.
华北理工大学心理与精神卫生学院

基金项目:

教育部人才专项项目 C20200356

河北省社会科学基金项目 HB20SH020

详细信息

作者简介:
邱传经(1998-)，男，江苏盐城人，在读硕士，主要研究方向为流行病与卫生统计学

通讯作者:
阎升光，E-mail：yansg@ncst.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 R179 G478
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- 被引次数: 0
出版历程
- 收稿日期: 2023-02-10
- 修回日期: 2023-04-21
- 网络出版日期: 2023-06-28
- 刊出日期: 2023-06-25

Evaluation of effect of horticultural therapy on improving mental health in university students

1.
School of Public Health, North China University of Science and Technology, Tangshan(063210), Hebei Province, China

摘要

摘要: 目的探究园艺疗法(horticul tural the rapy, HT)改善大学生心理健康问题的有效性，为HT在高校学生心理健康防治中的应用提供证据支持。方法于2022年3—5月采用前后配对设计，招募河北省唐山市某高校心理健康筛查异常者78名作为被试对象(其中HT组57名，对照组21名)，干预组进行8周、每周1次，每次1 h的HT干预(包括植物扦插、栽培、修剪、标本制作等)，对照组采取空白对照。采用心理症状自评量表(SCL-90)测量评分与头发皮质醇作为评价指标，头发皮质醇采取酶联免疫分析ELISA双抗体夹心法检测。采用t检验和非参数检验比较组内或组间差异。结果经过8周干预后，HT组中的症状自评量表(SCL-90)总分降低(t=4.28，P < 0.01)，且低于对照组(t=-2.66，P < 0.01)；而对照组SCL-90总分前后比较差异无统计学意义(t=0.29，P>0.05)，且HT组SCL-90各维度后测得分均降低(P值均 < 0.01)。HT组头发皮质醇水平前后测量差异有统计学意义(Z=-2.75，P < 0.05)，且后测时低于对照组(Z=-3.48，P < 0.01)；而对照组头发皮质醇水平前后测量差异无统计学意义(Z=-0.75，P>0.05)。结论 HT可以改善大学生心理症状，促进心理健康，适用于大学生人群心理干预，有利于大学生健康福祉。
- 精神卫生 /
- 干预性研究 /
- 皮质醇 /
- 学生
Abstract: Objective To investigate the effectiveness of horticultural therapy on improving university students' mental health problems and to provide evidence to support the application of horticultural therapy in the prevention and treatment of university students' mental health. Methods From March to May 2022, a before-and after-paired design was used with a blank control group, mental health screening abnormalities were recruited from a comprehensive university in Hebei Province, including 57 in the intervention group and 21 in the control group, and the Symptom Checklist-90(SCL-90) score and hair cortisol were included as outcome indicators, which was measured by enzyme-linked immunoassay Elisa double antibody sandwich method. Results The total SCL-90 scores of the intervention group decreased (t=4.28, P < 0.01) and were significantly lower compared with the control group(t=-2.66, P < 0.01), while no significant difference was observed in the control group(t=0.29, P>0.05), and the difference between the pre and post measures on each dimension of the SCL-90 was significantly lower in the intervention group (all P < 0.01); the difference between the pre and post measures of hair cortisol contentration in the intervention group was statistically significant(Z=-2.75, P < 0.05), and the hair cortiso contentration in pre-measure group was lower than that of control group(Z=-3.48, P < 0.01). In contrast, the difference between pre and post measurements of hair cortisol in the control group was not significant(Z=-0.75, P>0.05). Conclusion Horticultural therapy can improve the psychological symptoms of university students is suitable for psychological interventions in the university population and is beneficial to the health and well-being of university students.
- Mental health /
- Intervention studies /
- Hydrocortisone /
- Students
注释:

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表 1 干预组8周园艺疗法干预内容

Table 1. The 8-week HT intervention content in the intervention group

时间	时长	训练内容	目的
第1周	1 h	微型月季扦插与植物养护基本知识学习	月季经过药物处理，两周即可生根，一个月即可开花，培养耐心与责任感，有主体体验性
第2周	1 h	多肉植物常识学习、种植与叶插繁殖	多肉植物生命力顽强，被试者可以感悟生命，表现与宣泄
第3周	1 h	球根植物了解、酢浆草种球播种	多年宿根草本，养护简单，共同经历，与植物建立相互关系
第4周	1 h	宿根植物了解、矮化牵牛花栽种	矮化牵牛颜色艳丽，花期长，多年生草本，花后收集种子，感受生命
第5周	1 h	月季移植与修剪	温度和开花时长变化，月季花色随之改变，视觉、嗅觉刺激
第6周	1 h	酢浆草分盆与修剪	酢浆草紫叶、粉花视觉刺激
第7周	1 h	植物养护交流与花茶制备	将所种植的植物花做成花茶，获得成就感与自信心
第8周	1 h	植物花叶标本制作	提供发挥创意的机会，带来满足感与成功感
每日	15 min	观察、驱虫、除草、浇水、施肥、寻找光照	每日按时完成，定期提交成果，交流心得，增加社交，感悟生命的整个过程，增强心理韧性
注：植物与其他材料安全性均通过查询资料结合行业内人士建议选择，项目由熟悉园艺的研究生承担主持人，由有心理学研究背景的研究生辅助。

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表 2 两组大学生园艺疗法干预前后SCL-90各维度得分比较(x ±s)

Table 2. Comparison of SCL-90 before and after measurement for each dimension between two groups(x ±s)

组别	前后测	人数	统计值	躯体化	强迫症状	人际关系敏感	抑郁	焦虑	敌对	恐怖	偏执	精神病性	其他
干预组	前测	57		2.03±0.53	2.91±0.57	2.64±0.45	2.58±0.52	2.32±0.64	2.18±0.59	2.14±0.75	2.15±0.69	2.19±0.55	2.36±0.51
	后测	57		1.12±0.21	1.57±0.48	1.30±0.36	1.24±0.23	1.16±0.21	1.20±0.24	1.13±0.22	1.21±0.25	1.19±0.26	1.21±0.26
			t值	8.68	12.63	12.85	12.85	11.26	9.04	9.07	9.40	10.72	9.80
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
对照组	前测	21		2.21±0.50	3.04±0.49	2.79±0.53	2.66±0.59	2.43±0.48	2.35±0.52	2.24±0.55	2.29±0.64	2.27±0.58	2.50±0.69
	后测	21		2.81±0.60	3.38±0.49	3.33±0.57	3.19±0.40	3.04±0.38	2.85±0.35	2.95±0.58	2.95±0.49	3.00±0.31	2.66±0.48
			t值	-2.42	-2.29	-2.35	-2.42	-2.66	-2.24	-3.04	-3.61	-3.49	-0.69
			P值	0.03	0.03	0.03	0.03	0.02	0.04	0.01	< 0.01	< 0.01	0.50

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