Objective:To identify, examine, and map the characteristics of knowledge of nature-based design in stroke rehabilitation facilities, examine how research in this field has been conducted and identify gaps in knowledge.Background:Many stroke survivors have wide ranging impacts, resulting in long hospital stays to undertake rehabilitation. The physical environment can influence brain recovery; however, there is limited evidence to support the design of effective rehabilitation environments. Conversely, the health benefits available from connection with nature are well established. A nature-based design approach may have benefits and implications for the physical environment of inpatient stroke rehabilitation facilities; however, it is unclear what evidence exists in this field.Method:This scoping review followed the JBI methodological guidance for the conduct of scoping reviews, with systematic searches of six databases.Results:Twenty-eight studies were included in the review. Aims and research methods varied widely. Investigations in 19 studies related to gardens and other designed outdoor nature-based environments. Other studies explored natural analogues, nature inside, inside/outside connections, and the natural environment. Findings from the studies were spread across the fields of design, use, exposure to, and engagement in nature-based environments.Conclusion:The characteristics of knowledge underpinning nature-based design in stroke rehabilitation environments are highly diverse, and significant gaps exist in the evidence base. A framework developed during this review for mapping knowledge on the intentions and impacts for spaces and services in this field assisted to identify these gaps and may be applied to other areas of healthcare design research.

中文翻译：

---

中风康复环境中基于自然的设计：范围界定审查


目标：识别、检查和绘制中风康复设施中基于自然的设计的知识特征，检查该领域的研究如何进行并确定知识差距。背景：许多中风幸存者产生广泛的影响，导致长期住院进行康复治疗。物理环境会影响大脑的恢复；然而，支持有效康复环境设计的证据有限。相反，与自然的联系所带来的健康益处是众所周知的。基于自然的设计方法可能会对住院中风康复设施的物理环境产生好处和影响；然而，尚不清楚该领域存在哪些证据。方法：本次范围界定审查遵循 JBI 进行范围界定审查的方法学指南，对六个数据库进行了系统检索。结果：该评价纳入了 28 项研究。目标和研究方法差异很大。对 19 项与花园和其他设计的户外自然环境相关的研究进行了调查。其他研究探索了自然相似物、内部自然、内部/外部联系以及自然环境。研究结果分布在基于自然的环境的设计、使用、接触和参与等领域。结论：支持中风康复环境中基于自然的设计的知识特征高度多样化，并且在相关领域存在显着差距。证据基础。在本次审查期间开发的框架用于绘制有关该领域空间和服务的意图和影响的知识，有助于识别这些差距，并可应用于医疗保健设计研究的其他领域。