Article | . 2019 Vol. 37, Issue. 1
The Horticultural Activity of Touching Soil and the Autonomic Nervous Stress Response of Patients with Brain Disease



Department of Horticulture, Daegu Catholic University1
Keunsarang Nursing Hospital2




2019.. 151:158


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The purpose of this study was to investigate the effect of the horticultural activity of touching soil in the hospital on autonomic nervous stress response of patients with brain disease. The study was performed 12 times from August 2, 2017 to October 18, 2017 on 53 patients with brain disease admitted to the rehabilitation hospital in G city. The patients were divided into 4 groups, including one control group and 3 experimental groups (a horticultural activity group that touches the soil, a horticultural activity group that does not touch the soil, and a group that only looks at plants in the room). We measured the stress index of the autonomous nerve. The control group didn’t show any change, but the stress index of experimental group A got significantly lower from 60.3 to 46.8 (p = 0.001), and that of experimental group B got significantly lower from 67.3 to 56.7 (p = 0.036). In addition, as a result of testing the vascular health index, both experimental groups A and B, who actively participated in the horticultural activity, didn’t show a significant difference. However, it was found that the vascular health index of the control group significantly got worse from 11.1 to 0.6 (p = 0.010) and from 13.5 to -0.8 (p = 0.047) in experimental group C. In terms of average pulse, both the control and experimental groups did not show a significant difference, but experimental groups A (p = 0.649), B (p = 0.502), and C (p = 0.406), except the control group (p = 1.000), were found to gain their stability as their average pulse got lower.



1. Berg AH, Palomaki M, Lehtihalmes J, Kaste M (2001) Post stroke depression in acute phase after stroke. Cerebrovasc Dis 12:14-20. doi: 10.1159/000047675  

2. Busse M (2003) Stroke rehabilitation: guidelines for exercise and training to optimize motor skill. Man Ther 8:261. doi:10.1016/ S1356-689X(03)00041-9  

3. Ekman P, Levenson RW, Feiesen WV (1983) Autonomic nervous activity distinguishes among emotions. Science 221:1208-1210. doi:10.1126/science.6612338  

4. Glen G (2006) Cerebrovascular Accident Stroke. In HM Pendleton, W Schultz-Krohn, eds, Pedretti's Occupational Therapy: Practice Skills for Physical Dysfunction, 6th ed. Mosby, Inc., St. Louis, MO, USA, pp 802-837  

5. Goodwin GK, Pearson-Mims CH, Lohr VI (1994) The impact of adding interior plants to a stressful setting. In M France, P Lindsey, JS Rice, eds, The healing dimension of people-plant relations. Center Design Research, Department of Environmental Design, UC Davis, CA, USA, pp 353-362.  

6. Jang EJ, Yun SY, Choi BJ, Lee NH (2017) Survey of plants and types of horticultural activity program in hospitals-Focused on the thesis from 1998 to 2016-. J People Plants Environ 20:159-164. doi:10.11628/ksppe.2017.20.2.159  

7. Jang JG (2008) Effect of indoor plants in hospital rooms on the reducing of cortisol of inpatients. MS thesis, Gyeongsang Natl Univ, Jinju, Korea  

8. Jungersten L, Ambring A, Wall B, Wennmalm A (1997) Both physical fitness and acute exercise regulate nitric oxide formation in healthy humans. J Appl Physiol 82:760-764. doi:10.1152/jappl.1997.82.3.760  

9. Lee ES, Cho MK, Yoon JW, Son KC (2008) Effect of horticultural therapy program based on reminiscence on the psychological and physiological improvement of the aged. Korean J Hortic Sci Technol 26:177-188   

10. Lim MJ (2015) Horticultural activity program for improving school happiness for students in the department of agriculture specialized high school. MS thesis, Konkuk Univ, Seoul, Korea  

11. Lowry CA (2007) Identification of an immune-responsive mesolimbocortical serotonergic system: potential role in regulation of emotional behavior. Neuroscience 146:756-772. doi:10.1016/j.neuroscience.2007.01.067  

12. Mazzeo RS (1991) Catecholamine responses to acute and chronic exercise. Med Sci Sports Exerc 23:839-845. doi:10.1249/00005768- 199107000-00012  

13. Mcgowan CR, Robertson RJ, Espstein LH (1985) The effect of bicycle ergometer exercise at varying intensities on the heart rate, EMG and mood state responses to a mental arithmetic stressor. Res Q Exerc Sport 56:131-137. doi:10.1080/02701367.1985.10608447  

14. Moon SW, Seo JS, Nam BW, Choi JY (2004) Poststroke depression. Konkuk J Med Sci 14:45-52  

15. Morgan WP, O’Connor PJ (1988) Exercise and mental health. In RK Dishman, ed, Exercise Adherence. Human Kinetics Publishers, Inc., Champaign, IL, USA, pp 91-121  

16. Park HY (2001) The Effect of emotional and informational support intervention on role stress and depression of primary family care givers caring stroke patients. MS thesis, Keimyung Univ, Daegu, Korea  

17. Relf D (1990) Psychological and sociological response to plant: implications for horticulture. Hortscience 25:11-13  

18. Seoul News Paper (2010) Touching and enjoying the soil. http://www.seoul.co.kr/new/. Accessed 16 January 2017  

19. Son KC, Lee JS (1997) Effects of indoor plants on the changes of human brain electroencephalography(EEG). J Korean Soc Hortic Sci 15:653-654  

20. Statistics Korea (2016) Death cause statistics 2015. http://kosis.kr/. Accessed 5 February 2017  

21. Talbott JA, Stern D (1976) Flowering plants as a therapeutic environmental agent in a psychiatric hospital. Hortscience 11:365-366.  

22. Ulrich RS (1981) Natural versus urban scenes: some psychological effects. Environ Behav 13:523-556. doi:10.1177/0013916581135001  

23. Vanderlei LCM, Pastre CM, Hoshi RA, Carvalho TD, Godoy MFD (2009) Basic notions of average pulse variability and its clinical applicability. Braz J Cardiovasc Surg 24:205-217. doi:10.1590/S0102-76382009000200018  

24. World Health Organization (2014) The top ten cause of death: The 10 leading causes of death in the world, 2000 and 2012. http://www.who.int/mediacentre/. Accessed 3 February 2017  

25. Yun SY (2007) Effect of the application of horticultural therapy based on Pincus’ theory of rehabilitation practice on demented elders’ daily activity functions and physiological changes. PhD Diss, Daegu Catholic Univ, Gyeongsan, Korea   

26. Yun SY, Jang EJ, Choi BJ, Choi HS (2018) A survey on the soil pathogenic microorganisms of flowerpot in the hospital room. Res Crops 19:254-258. doi:10.5958/2348-7542.2018.00037.2