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：鉴于人与自然互动所带来的生物心理社会层面益处，学界提出相关疑问：亲生命性理论（biophilia theory）如何被应用于姑息治疗（palliative care）领域。本研究旨在通过整合性综述（integrative review）梳理该主题的历史沿革与科学认知，并验证其对姑息治疗各项原则的契合性。本次研究初筛获得1928篇学术文献，最终纳入71篇契合主题的文献，经分析可确认，这些文献至少覆盖了九大原则中的一项，且研究重点多聚焦于与心理、精神层面的整合。亲生命性理论主要被应用于情绪关怀维度，而动物疗法（zootherapy）则多用于关系维系维度。然而，鉴于生物安全层面的相关限制以及对志愿人员的依赖，本研究建议在临终关怀院（hospices）中引入治疗性园艺（therapeutic horticulture）并开展宠物探访活动。