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Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial

The incidence of cancer cases is increasing worldwide, and chemotherapy is often necessary as part of the treatment for many of these cases. Nature-based interventions have been shown to offer potential benefits for human well-being. Objective: This study aims to investigate the outcome of nature im...

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Autores principales: Catissi, Giulia, de Oliveira, Leticia Bernardes, da Silva Victor, Elivane, Savieto, Roberta Maria, Borba, Gustavo Benvenutti, Hingst-Zaher, Erika, Lima, Luciano Moreira, Bomfim, Sabrina Bortolossi, Leão, Eliseth Ribeiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454289/
https://www.ncbi.nlm.nih.gov/pubmed/37623141
http://dx.doi.org/10.3390/ijerph20166555
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author Catissi, Giulia
de Oliveira, Leticia Bernardes
da Silva Victor, Elivane
Savieto, Roberta Maria
Borba, Gustavo Benvenutti
Hingst-Zaher, Erika
Lima, Luciano Moreira
Bomfim, Sabrina Bortolossi
Leão, Eliseth Ribeiro
author_facet Catissi, Giulia
de Oliveira, Leticia Bernardes
da Silva Victor, Elivane
Savieto, Roberta Maria
Borba, Gustavo Benvenutti
Hingst-Zaher, Erika
Lima, Luciano Moreira
Bomfim, Sabrina Bortolossi
Leão, Eliseth Ribeiro
author_sort Catissi, Giulia
collection PubMed
description The incidence of cancer cases is increasing worldwide, and chemotherapy is often necessary as part of the treatment for many of these cases. Nature-based interventions have been shown to offer potential benefits for human well-being. Objective: This study aims to investigate the outcome of nature images on clinical symptom management related to chemotherapy. Methods: A randomized clinical trial was conducted in an outpatient cancer unit of a private hospital in Brazil, with 173 participants over the age of 18 who were undergoing chemotherapy and had signed an informed consent form. The intervention consisted of the presentation of a 12-min video featuring nature images categorized under the themes of Tranquility, Beauty, Emotions Up, or Miscellany. Images were sourced from the e-Nature Positive Emotions Photography Database (e-NatPOEM), a publicly available collection of affectively rated images. Sociodemographic and clinical data, as well as the participants’ connection to nature, were investigated. The Positive Affect/Negative Affect Scale (PANAS) and the Edmonton Symptom Assessment System (ESAS) were applied pre- and post-intervention. Results: Data showed very strong evidence of a reduction in negative affect for the intervention group (p < 0.001) and moderate evidence for the control group (p = 0.034). There was also a significant reduction in the intervention group for pain (p < 0.001), tiredness (p = 0.002), sadness (p < 0.001), anxiety (p < 0.001), and appetite (p = 0.001). The Beauty video had the best performance, while the Tranquility video showed no significant improvement in any of the symptoms evaluated. These findings suggest that images of nature may be a valuable tool to help control clinical and psychological symptoms in cancer patients undergoing chemotherapy.
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spelling pubmed-104542892023-08-26 Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial Catissi, Giulia de Oliveira, Leticia Bernardes da Silva Victor, Elivane Savieto, Roberta Maria Borba, Gustavo Benvenutti Hingst-Zaher, Erika Lima, Luciano Moreira Bomfim, Sabrina Bortolossi Leão, Eliseth Ribeiro Int J Environ Res Public Health Article The incidence of cancer cases is increasing worldwide, and chemotherapy is often necessary as part of the treatment for many of these cases. Nature-based interventions have been shown to offer potential benefits for human well-being. Objective: This study aims to investigate the outcome of nature images on clinical symptom management related to chemotherapy. Methods: A randomized clinical trial was conducted in an outpatient cancer unit of a private hospital in Brazil, with 173 participants over the age of 18 who were undergoing chemotherapy and had signed an informed consent form. The intervention consisted of the presentation of a 12-min video featuring nature images categorized under the themes of Tranquility, Beauty, Emotions Up, or Miscellany. Images were sourced from the e-Nature Positive Emotions Photography Database (e-NatPOEM), a publicly available collection of affectively rated images. Sociodemographic and clinical data, as well as the participants’ connection to nature, were investigated. The Positive Affect/Negative Affect Scale (PANAS) and the Edmonton Symptom Assessment System (ESAS) were applied pre- and post-intervention. Results: Data showed very strong evidence of a reduction in negative affect for the intervention group (p < 0.001) and moderate evidence for the control group (p = 0.034). There was also a significant reduction in the intervention group for pain (p < 0.001), tiredness (p = 0.002), sadness (p < 0.001), anxiety (p < 0.001), and appetite (p = 0.001). The Beauty video had the best performance, while the Tranquility video showed no significant improvement in any of the symptoms evaluated. These findings suggest that images of nature may be a valuable tool to help control clinical and psychological symptoms in cancer patients undergoing chemotherapy. MDPI 2023-08-10 /pmc/articles/PMC10454289/ /pubmed/37623141 http://dx.doi.org/10.3390/ijerph20166555 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Catissi, Giulia
de Oliveira, Leticia Bernardes
da Silva Victor, Elivane
Savieto, Roberta Maria
Borba, Gustavo Benvenutti
Hingst-Zaher, Erika
Lima, Luciano Moreira
Bomfim, Sabrina Bortolossi
Leão, Eliseth Ribeiro
Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial
title Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial
title_full Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial
title_fullStr Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial
title_full_unstemmed Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial
title_short Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial
title_sort nature photographs as complementary care in chemotherapy: a randomized clinical trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454289/
https://www.ncbi.nlm.nih.gov/pubmed/37623141
http://dx.doi.org/10.3390/ijerph20166555
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