自然的快乐：自然连接作为辅助生活设施中心理健康的来源。

IF 3.8 2区医学 Q2 GERIATRICS & GERONTOLOGY

Journal of the American Medical Directors Association Pub Date : 2025-08-05 DOI:10.1016/j.jamda.2025.105740

Annika Kolster MD , Ulla L. Aalto MD, PhD , Timo Partonen MD, PhD , Hannu Kautiainen PhD , Laura J. Rautiainen MSc , Anu Jansson PhD , Jill S. Litt PhD , Montse Masó-Aguado RN, Env , Kaisu H. Pitkälä MD, PhD

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引用次数: 0

摘要

与自然的接触是恢复力和幸福感的来源，基于自然的干预（nbi）可能支持老年人的健康和自我效能。nbi的健康相关结果不仅取决于周围环境和活动，还取决于感知到的自然联系。虽然在辅助生活设施（ALFs）中实施了nbi，但在这种情况下尚未调查自然联系。本研究探讨了ALFs居民的个体自然联系与心理健康之间的关系，以及这种关系如何受到流动性的影响。设计：描述性横断面调查研究。环境和参与者：芬兰赫尔辛基市区25个ALFs的854名居民（≥55岁）被纳入本研究。方法：从医疗记录中确认人口统计学、诊断和用药情况，而使用自我报告的方法评估活动能力和心理健康状况。受访者对与自然互动的不同方式的重要性进行了评分。采用12项老年人自然连接量表（GNCS）的得分来评估自然连接。结果：参与者的平均年龄为83岁，多病很常见，54%被诊断为痴呆。GNCS得分与心理健康有关，特别是与生活满意度、被需要感和生活热情有关。探索性因素分析发现了与自然互动方式的变化，描述了(1)心中的自然，(2)室外可达性，(3)自然理解的维度。户外活动很重要，此外，对于行动能力差的参与者来说，GNCS得分越高，心理健康状况越好。结论和启示：自然联系支持心理健康，特别是当活动能力差时。我们的研究结果支持老年人护理中nbi的发展，这是基于自然的社会处方不断发展的领域的一部分。了解个人需求对于有效和安全的干预措施至关重要。

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Happy by Nature: Nature Connection as a Source of Psychological Well-Being in Assisted Living Facilities

Objectives

Contact with nature is a source of resilience and well-being, and nature-based interventions (NBIs) potentially support older adults’ health and self-efficacy. Health-related outcomes of NBIs depend not only on the surroundings and activity, but also on the perceived nature connection. Although NBIs are implemented in assisted living facilities (ALFs), the nature connection has not been investigated in this setting. This study explores how individual nature connection is associated with psychological well-being among residents in ALFs, and how this is affected by mobility.

Design

Descriptive cross-sectional survey study.

Setting and Participants

A total of 854 residents (aged ≥55 years) in 25 ALFs in the metropolitan area of Helsinki, Finland, were included in this study.

Methods

Demographics, diagnoses, and medications were confirmed from medical records, whereas mobility and psychological well-being were assessed using self-reported measures. Responders graded the importance of different ways to interact with nature. The score on the 12-item Gerontological Nature Connection Scale (GNCS) was used for assessment of nature connection.

Results

Participants’ mean age was 83 years, multimorbidity was common, and 54% were diagnosed with dementia. The GNCS score was associated with psychological well-being, especially with life satisfaction, feeling needed, and zest for life. Exploratory factor analysis recognized variation in ways to interact with nature, describing the dimensions of (1) nature in mind, (2) outdoor accessibility, and (3) nature apprehension. Accessing the outdoors was important, and furthermore, for participants with poor mobility, a higher GNCS score was related to better psychological well-being.

Conclusions and Implications

Nature connection supports psychological well-being, especially when mobility is poor. Our findings support the development of NBIs in the care of older adults as part of the evolving field of nature-based social prescribing. Understanding individual needs is essential for effective and safe interventions.

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来源期刊

Journal of the American Medical Directors Association 医学-老年医学

CiteScore

11.10

自引率

6.60%

发文量

472

审稿时长

44 days

期刊介绍： JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality