摘要
Objectives:While receptive art engagement is known to promote health and wellbeing,active art engagement has not been fully explored in health and nursing care.This review is to describe the existing knowledge on art making and expressive art therapy in adult health and nursing care between 2010 and 2020.Methods:Relevant studies and grey literature were searched and identified between March 17 and April 10,2020 from EBSCO,CINAHL,Medline and ERIC databases and a general Internet search.Following data charting and extraction,the data(n=42 papers)were summarized and reported in accordance with PRISMA-ScR guidelines.Results:In the included papers,both art making and expressive art therapy were seen in different health care and nursing contexts:yet not the home care context.The emphasis of art activities were group activities for chronically or terminally ill residents,adults aged 65 years or older.A focus on personal narrative was often seen,which may explain why art activities appear to be linked to acknowledging and building new strengths and skills,making meaning of experiences,personal growth,symptom alleviation,and communication;all used to foster collaboration between patients,patients’near-ones and health care professionals.Conclusions:Art activities appear to be suitable for every context and can promote personcenteredness and the measurement of nursing outcomes,and they should be considered an essential part of health and nursing care,nursing education and care for health care personnel.
目的参与艺术活动可以增进健康和幸福,本研究旨在探索2010-2020年成人保健护理中艺术创作和表现性艺术治疗的现状。方法2020年3月17日至4月10日从EBSCO、CINAHL、Medline和ERIC数据库中检索相关研究和灰色文献,并在互联网上进行搜索。按照PRISMA流程,对纳入的42篇文献进行综述。结果所纳入的文献包括在不同健康照护情境下艺术创作和表达性艺术治疗的相关研究,但未见家庭护理情境下的相关研究。艺术活动主要是为慢性病或疾病晚期患者、65岁及以上的人群组织的小组活动。研究中常常可以看到对个人叙述的关注,这也许可以解释为什么艺术活动可以与获得新的优势和技能、赋予经验意义、个人成长、症状缓解和交流联系起来;所有这些都可用于促进患者、患者身边的人和健康照护专业人员之间的合作。结论艺术活动似乎适合各种情境,可以促进以人为本的护理和结局,应将其作为健康照护、护理教育和医护人员关怀的重要组成部分。
