Page 184 - Hospital Authority Convention 2018

Parallel Sessions
HOSPITAL AUTHORITY CONVENTION 2018

PS9.3 Innovative Nursing 13:15 Room 221

Horticulture Group to Enhance Psychiatric Rehabilitation
Luk KH, Wing YK, Tsoh J, Kam WK, Lam SP, Ng K, Chau LS, Wong SF, Wong SC, Lai KL, Lo KF, Tsui YW
Department of Psychiatry, Shatin Hospital, Hong Kong
Introduction
Horticultural activities provide positive benefits to psychiatric rehabilitation by improving patients’ cognitive abilities and
social skills, reducing their stress, and reducing their self-harming/violence behaviour tendencies. Recovery model is a
collaborative treatment approach and targets both symptom remission and functional elements such as quality of life and
social functioning. Recovery-oriented practice and person-centred approach are the main foci at the Shatin Hospital.

Objectives
To enhance the quality of life of psychiatric patients during hospitalisation; (2) to promote a sense of satisfaction, pleasure
and social interaction; and (3) to promote in-reach services for psychiatric patients and volunteers.

Methodology
Project funding was supported by Hospital Authority Quality of Care Project. Horticulture activities for male adult psychiatric
inpatients were conducted on weekends from 1 September 2016 to 31 December 2016, and each session was facilitated by
at least one nurse and one supporting staff. Outcomes were assessed pre- and post-intervention via the Brief Psychiatric
Rating Scale, individual care plan and a patient satisfaction form survey.

Results
67 patients from two male adult psychiatric wards were recruited to attend the horticulture group. Average BPRS were 29.6
and 23 in pre- and post-test respectively. The findings of the project demonstrated that all 18 items BPRS had significantly
improved: average anxiety symptom significantly reduced from 2.6 to 1.7; average depressive mood reduced from 2.1 to 1.5.
Individual care plan included patients’ reasons for contents of participation, expectations and clinical progress.
Conclusion
Through horticultural activities the overall clinical outcomes of psychiatric patients undergoing rehabilitation were improved;
it was in line with our pledge to enhance the quality of patient care and to instil hope, stabilise mood, promote empowerment,
engagement and peer support through a holistic approach.

Tuesday, 8 May 2018

182