오감자극 원예치료가 정신분열병환자의 정신사회적기능에 미치는 영향 (Effect of the five senses stimulating Horticultual Therapy on the Mental Social dysfunction of Schizophrenic Patients)

서지정보

· 발행기관 : 인간식물환경학회
· 수록지 정보 : 인간식물환경학회지 / 11권 / 2호 / 41 ~ 47페이지
· 저자명 : 김홍열, 이해란

초록

The present study purposed to examine the effects of horticultural therapy stimulating the five senses on schizophreniacs’ psychosocial functions and symptoms, self-efficacy and insight. The subjects of this study were 9 men and 1 woman in the control group and 7 men and 3 women in the experimental group who were hospitalized in Daegu Rehabilitation Center at Sindang-dong, Dalseo-gu, Daegu. The experiment was conducted from March 6 to June 26 in 2006. As to the necessity of this study, up to recently, treatment for schizophreniacs in hospital has been focused on easing the symptoms. For recovery from schizophrenia, not only the symptoms should be eased through medication, the patients’ functions should be enhanced so that they can perform their roles in society and they may not suffer social disadvantages and ultimately they return to society. This study used evaluation tools such as Korean version of behavior and symptom identification scale, self-efficacy scale and insight scale, and referred to the observation and opinions of horticultural therapists and workers the institution. Measurement was made before and after the application of the horticultural therapy program, and the results were analyzed through paired t-test. In the horticultural therapy stimulating the five senses, first, we used flowers and flowering plant of different colors in order to stimulate the sense of vision, and had the subjects touch and feel various types of soil, stone and materials to stimulate the sense of touch. We also had the subjects listen to the sounds of nature (wind, water, leaves, etc.) through outdoor activities in order to stimulate the sense of hearing, and used fragrant herbs, flowers and fruits to stimulate the sense of smell. In addition, we stimulated the sense of taste by having them taste various kinds of vegetable and fruit grown by themselves such as tomato, red pepper, apple, pear, orange and kiwi.
When the horticultural therapy stimulating the five senses was applied, the control group did not show any significant difference as a whole, but the experimental group showed a significant difference in depression and anxiety among psychosocial functions and symptoms (p<.001), and in self-efficacy (p<.10). However, no significant difference was observed in insight.
The results of this study suggest that horticultural therapy stimulating the five senses is effective in easing schizophreniacs’ psychosocial functions and symptoms. In addition, a movable indoor garden installed at the entrance of the center appeared to improve the patients’ sense of accomplishment and confidence and have a positive effect on their interpersonal relations. Currently, 80% of the members participating in the horticultural therapy are working for pay at the workshop of the institution. This shows that the horticultural therapy program has a positive effect oschizophreniacs’ return to society. If more systematic horticultural therapy programs stimulating the five senses are developed and applied for the long run, they will be greatly effective in schizophreniacs’ social rehabilitation.

영어초록

The present study purposed to examine the effects of horticultural therapy stimulating the five senses on schizophreniacs’ psychosocial functions and symptoms, self-efficacy and insight. The subjects of this study were 9 men and 1 woman in the control group and 7 men and 3 women in the experimental group who were hospitalized in Daegu Rehabilitation Center at Sindang-dong, Dalseo-gu, Daegu. The experiment was conducted from March 6 to June 26 in 2006. As to the necessity of this study, up to recently, treatment for schizophreniacs in hospital has been focused on easing the symptoms. For recovery from schizophrenia, not only the symptoms should be eased through medication, the patients’ functions should be enhanced so that they can perform their roles in society and they may not suffer social disadvantages and ultimately they return to society. This study used evaluation tools such as Korean version of behavior and symptom identification scale, self-efficacy scale and insight scale, and referred to the observation and opinions of horticultural therapists and workers the institution. Measurement was made before and after the application of the horticultural therapy program, and the results were analyzed through paired t-test. In the horticultural therapy stimulating the five senses, first, we used flowers and flowering plant of different colors in order to stimulate the sense of vision, and had the subjects touch and feel various types of soil, stone and materials to stimulate the sense of touch. We also had the subjects listen to the sounds of nature (wind, water, leaves, etc.) through outdoor activities in order to stimulate the sense of hearing, and used fragrant herbs, flowers and fruits to stimulate the sense of smell. In addition, we stimulated the sense of taste by having them taste various kinds of vegetable and fruit grown by themselves such as tomato, red pepper, apple, pear, orange and kiwi.
When the horticultural therapy stimulating the five senses was applied, the control group did not show any significant difference as a whole, but the experimental group showed a significant difference in depression and anxiety among psychosocial functions and symptoms (p<.001), and in self-efficacy (p<.10). However, no significant difference was observed in insight.
The results of this study suggest that horticultural therapy stimulating the five senses is effective in easing schizophreniacs’ psychosocial functions and symptoms. In addition, a movable indoor garden installed at the entrance of the center appeared to improve the patients’ sense of accomplishment and confidence and have a positive effect on their interpersonal relations. Currently, 80% of the members participating in the horticultural therapy are working for pay at the workshop of the institution. This shows that the horticultural therapy program has a positive effect oschizophreniacs’ return to society. If more systematic horticultural therapy programs stimulating the five senses are developed and applied for the long run, they will be greatly effective in schizophreniacs’ social rehabilitation.

참고자료

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