UNASSIGNED: Many stroke survivors have wide ranging impacts, resulting in long hospital stays to undertake rehabilitation. The physical environment can influence brain recovery; however, there is limited evidence to support the design of effective rehabilitation environments. Conversely, the health benefits available from connection with nature are well established. A nature-based design approach may have benefits and implications for the physical environment of inpatient stroke rehabilitation facilities; however, it is unclear what evidence exists in this field.
UNASSIGNED: This scoping review followed the JBI methodological guidance for the conduct of scoping reviews, with systematic searches of six databases.
UNASSIGNED: Twenty-eight studies were included in the review. Aims and research methods varied widely. Investigations in 19 studies related to gardens and other designed outdoor nature-based environments. Other studies explored natural analogues, nature inside, inside/outside connections, and the natural environment. Findings from the studies were spread across the fields of design, use, exposure to, and engagement in nature-based environments.
UNASSIGNED: The characteristics of knowledge underpinning nature-based design in stroke rehabilitation environments are highly diverse, and significant gaps exist in the evidence base. A framework developed during this review for mapping knowledge on the intentions and impacts for spaces and services in this field assisted to identify these gaps and may be applied to other areas of healthcare design research.
■许多中风幸存者有广泛的影响,导致长期住院接受康复治疗。物理环境会影响大脑的恢复;然而,支持有效康复环境设计的证据有限。相反,与自然有关的健康益处已经确立。基于自然的设计方法可能对住院中风康复设施的物理环境有好处和影响;然而,目前尚不清楚该领域存在哪些证据。
■此范围审查遵循JBI方法指导进行范围审查,对六个数据库进行系统搜索。
■28项研究纳入综述。目的和研究方法千差万别。对19项与花园和其他设计的户外自然环境有关的研究进行了调查。其他研究探索了天然类似物,里面的自然,内部/外部连接,和自然环境。这些研究的结果遍布设计领域,使用,暴露于,以及参与基于自然的环境。
■在中风康复环境中,支持自然设计的知识特征是高度多样化的,证据基础存在显著差距。在这次审查期间开发的框架,用于绘制有关该领域空间和服务的意图和影响的知识,有助于确定这些差距,并可应用于医疗保健设计研究的其他领域。