Increased Use of Porch or Backyard Nature during COVID-19 Associated with Lower Stress and Better Symptom Experience among Breast Cancer Patients.
Increased Use of Porch or Backyard Nature during COVID-19 Associated with Lower Stress and Better Symptom Experience among Breast Cancer Patients.
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DOI：
10.3390/ijerph18179102
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发表时间：
2021-08-28
影响因子：
--
通讯作者：
Wyatt G
中科院分区：
文献类型：
--
作者：
Pearson AL;Breeze V;Reuben A;Wyatt G
与大自然接触已被用来促进身心健康，并越来越多地用于癌症患者。然而，COVID-19疫情在公共场所接触自然及癌症护理方面均带来新挑战。本研究的目的是评估在大流行期间，乳腺癌患者主动和被动使用自然、与自然接触的场所以及与自然接触的关联的变化，以改善感知压力和症状体验。我们于2020年7月（COVID-19的第一波）使用ResearchMatch（n = 56）对诊断为乳腺癌的人进行了一项横断面调查。在这个以美国为基础，主要是白色，富裕，受过高等教育的女性样本中，我们发现，平均而言，参与者首次被诊断患有乳腺癌的年龄为54岁，处于第2或第3阶段。18%的参与者由于大流行而经历了癌症护理中断。正如预期的那样，公共场所的活动也大幅减少，包括使用公园/小径和植物园。相比之下，在家附近、门廊或后院的时间明显增加。此外，还观察到涉及被动自然接触的室内活动显着增加，例如通过窗户观察鸟类，听鸟鸣，闻雨水或植物。减少使用公园/小径与更高的压力显着相关（Coef =-2.30，p = 0.030），增加后院/门廊的使用与较低的压力显著相关（Coef =-2.69，p = 0.032），较低的症状困扰（Coef =-0.80，p = 0.063）和较低的症状严重程度（Coef =-0.52，p = 0.009）。最常见的户外活动选择是透过窗户观看大自然（84%），其次是观看大自然的图像（71%）和通过窗户聆听大自然（66%）。最不受欢迎的替代品是自然场景的虚拟现实（25%）。虽然户外与大自然的接触减少了，但参与者仍然找到了在家中和周围体验大自然恢复活力的方法。在规划干预措施时，特别令人感兴趣的是，人们更喜欢实际的或真实的自然，而不是通过技术体验的自然。这可能是我们样本的一个人工制品，也可能代表在健康危机期间与“真实的世界”保持联系的愿望。自然接触可能是一种灵活的策略，可以减轻癌症患者的压力并改善症状体验，特别是在公共卫生危机或癌症护理中断期间。
Contact with nature has been used to promote both physical and mental health, and is increasingly used among cancer patients. However, the COVID-19 pandemic created new challenges in both access to nature in public spaces and in cancer care. The purpose of our study was to evaluate the change in active and passive use of nature, places of engaging with nature and associations of nature contact with respect to improvements to perceived stress and symptom experience among breast cancer patients during the pandemic. We conducted a cross-sectional survey of people diagnosed with breast cancer using ResearchMatch (n = 56) in July 2020 (the first wave of COVID-19). In this US-based, predominantly white, affluent, highly educated, female sample, we found that, on average, participants were first diagnosed with breast cancer at 54 years old and at stage 2 or 3. Eighteen percent of participants experienced disruptions in their cancer care due to the pandemic. As expected, activities in public places significantly decreased as well, including use of parks/trails and botanical gardens. In contrast, spending time near home, on the porch or in the backyard significantly increased. Also observed were significant increases in indoor activities involving passive nature contact, such as watching birds through a window, listening to birdsong, and smelling rain or plants. Decreased usage of parks/trails was significantly associated with higher stress (Coef = −2.30, p = 0.030) and increased usage of the backyard/porch was significantly associated with lower stress (Coef = −2.69, p = 0.032), lower symptom distress (Coef = −0.80, p = 0.063) and lower symptom severity (Coef = −0.52, p = 0.009). The most commonly reported alternatives to outdoor engagement with nature were watching nature through a window (84%), followed by looking at images of nature (71%), and listening to nature through a window (66%). The least commonly enjoyed alternative was virtual reality of nature scenes (25%). While outdoor contact with nature away from home decreased, participants still found ways to experience the restorative benefits of nature in and around their home. Of special interest in planning interventions was the fact that actual or real nature was preferred over that experienced through technology. This could be an artifact of our sample, or could represent a desire to be in touch with the “real world” during a health crisis. Nature contact may represent a flexible strategy to decrease stress and improve symptom experience among patients with cancer, particularly during public health crises or disruptions to cancer care.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3
作者：
Gladwell, V. F.;Brown, D. K.;Sandercock, G. R. H.
通讯作者：
Sandercock, G. R. H.
影响因子：
3.1
作者：
Beyer, Kirsten M. M.;Szabo, Aniko;Stolley, Melinda
通讯作者：
Stolley, Melinda
影响因子：
6.9
作者：
Campbell, Kristin L.;Landells, Catherine E.;Brenner, Darren R.
通讯作者：
Brenner, Darren R.
影响因子：
10.1
作者：
Cox, Daniel T. C.;Shanahan, Danielle F.;Gaston, Kevin J.
通讯作者：
Gaston, Kevin J.