PDF(Pubmed)
Abstract：
OBJECTIVE: To evaluate the physiological and psychological changes in cancer survivors who engage in repeated forest therapy in a living environment.
METHODS: This study included stay-based forest therapy for female cancer survivors aged ≥40 years. The program was conducted in two cycles, each spanning 3 weeks and consisting of a 2-night, 3-day stay, followed by daily life integration. The cycles were repeated from July 2, 2022, to August 18, 2022. Participant assessment included standard physical health parameters and a questionnaire on general characteristics, lifestyle habits, stress levels, and health status.
RESULTS: Thirty-seven female cancer survivors participated in the forest healing program, 56.8% of whom had a history of breast cancer. The median body mass index (BMI) was 23.80 kg/m2 (range, 21.00-25.60). More than half of the patients reported mild-to-moderate fatigue, chronic pain, and mild-to-moderate depression (81%, 65%, and 73%, respectively). After two cycles of forest therapy, no significant differences were observed in terms of fatigue, pain, or BMI levels. However, significant improvements were found in quality of life measures, particularly the psychological quality of life (mean score 12.54 at baseline vs. 13.48 after cycle 2; P=0.007). Positive improvements were also observed in terms of stress (mean score 17.03 vs. 13.76; P=0.002) and depression (mean score 8.35 vs. 6.11; P=0.002) levels.
CONCLUSIONS: Our forest-healing program demonstrated that nature-based therapies improve the mental health and quality of life of female cancer survivors, suggesting the need for further research on nature-based interventions to better support cancer survivors.
METHODS: This study included stay-based forest therapy for female cancer survivors aged ≥40 years. The program was conducted in two cycles, each spanning 3 weeks and consisting of a 2-night, 3-day stay, followed by daily life integration. The cycles were repeated from July 2, 2022, to August 18, 2022. Participant assessment included standard physical health parameters and a questionnaire on general characteristics, lifestyle habits, stress levels, and health status.
RESULTS: Thirty-seven female cancer survivors participated in the forest healing program, 56.8% of whom had a history of breast cancer. The median body mass index (BMI) was 23.80 kg/m2 (range, 21.00-25.60). More than half of the patients reported mild-to-moderate fatigue, chronic pain, and mild-to-moderate depression (81%, 65%, and 73%, respectively). After two cycles of forest therapy, no significant differences were observed in terms of fatigue, pain, or BMI levels. However, significant improvements were found in quality of life measures, particularly the psychological quality of life (mean score 12.54 at baseline vs. 13.48 after cycle 2; P=0.007). Positive improvements were also observed in terms of stress (mean score 17.03 vs. 13.76; P=0.002) and depression (mean score 8.35 vs. 6.11; P=0.002) levels.
CONCLUSIONS: Our forest-healing program demonstrated that nature-based therapies improve the mental health and quality of life of female cancer survivors, suggesting the need for further research on nature-based interventions to better support cancer survivors.
摘要：
■评估在生活环境中进行反复森林疗法的癌症幸存者的生理和心理变化。
■这项研究包括针对年龄≥40岁的女性癌症幸存者的留校森林治疗。该计划分两个周期进行，每个为期3周，由2晚组成，停留3天,其次是日常生活的融合。这些周期从2022年7月2日至2022年8月18日重复。参与者评估包括标准身体健康参数和一般特征问卷，生活习惯,应力水平，和健康状况。
■37名女性癌症幸存者参加了森林修复计划，其中56.8%有乳腺癌病史。中位体重指数(BMI)为23.80kg/m2(范围,21.00-25.60）。超过一半的患者报告轻度至中度疲劳，慢性疼痛,和轻度至中度抑郁症（81%，65%,73%,分别)。经过两个周期的森林疗法，在疲劳方面没有观察到显著差异，疼痛,或BMI水平。然而,生活质量指标有显著改善，特别是心理生活质量(基线时平均得分为12.54与第2周期后13.48；P=0.007）。在压力方面也观察到了积极的改善(平均得分为17.03vs.13.76；P=0.002）和抑郁（平均得分为8.35与6.11；P=0.002）水平。
■我们的森林修复计划表明，基于自然的疗法可以改善女性癌症幸存者的心理健康和生活质量，这表明需要进一步研究基于自然的干预措施，以更好地支持癌症幸存者。
■这项研究包括针对年龄≥40岁的女性癌症幸存者的留校森林治疗。该计划分两个周期进行，每个为期3周，由2晚组成，停留3天,其次是日常生活的融合。这些周期从2022年7月2日至2022年8月18日重复。参与者评估包括标准身体健康参数和一般特征问卷，生活习惯,应力水平，和健康状况。
■37名女性癌症幸存者参加了森林修复计划，其中56.8%有乳腺癌病史。中位体重指数(BMI)为23.80kg/m2(范围,21.00-25.60）。超过一半的患者报告轻度至中度疲劳，慢性疼痛,和轻度至中度抑郁症（81%，65%,73%,分别)。经过两个周期的森林疗法，在疲劳方面没有观察到显著差异，疼痛,或BMI水平。然而,生活质量指标有显著改善，特别是心理生活质量(基线时平均得分为12.54与第2周期后13.48；P=0.007）。在压力方面也观察到了积极的改善(平均得分为17.03vs.13.76；P=0.002）和抑郁（平均得分为8.35与6.11；P=0.002）水平。
■我们的森林修复计划表明，基于自然的疗法可以改善女性癌症幸存者的心理健康和生活质量，这表明需要进一步研究基于自然的干预措施，以更好地支持癌症幸存者。
