Biophilia: production of active life in palliative care

ABSTRACT Considering the biopsychosocial benefits derived from human/nature interaction, questions were raised considering how the biophilia theory has been inserted in palliative care. The objective was to map, through an integrative review, the historical and scientific conception of the subject, attesting the contemplation of the principles of palliative care. From 1.928 scientific texts, 71 covered the theme, being possible to identify, at least, one of the nine principles, with special focus on integration with psychological and spiritual aspects. The biophilia was applied, mainly, to the emotional aspect, and the zootherapy, to the relational aspect. However, in view of the limitations imposed on attending to aspects of biosafety and reliance on volunteering, it is proposed the insertion of therapeutic horticulture in hospices and visit of the pet.

摘要：鉴于人类与自然互动所带来的生物-心理-社会层面益处，学界针对亲生命性理论（biophilia theory）如何融入姑息治疗这一问题展开了探讨。本研究通过整合式综述，梳理该主题的历史与科学内涵，验证其对姑息治疗各项原则的考量情况。研究检索得到1928篇科学文献，其中71篇涉及该研究主题，这些文献至少涵盖了9项核心原则中的1项，且研究重点集中于与心理及精神层面的整合。亲生命性理念主要应用于情绪层面，而动物疗法（zootherapy）则多用于关系维度。然而，鉴于生物安全照护方面的限制以及对志愿者的依赖，本研究建议在临终关怀机构中引入治疗性园艺（therapeutic horticulture），并开展宠物探访服务。