Evidence mapPaperPMID 41723397Full record

ArticleBMC psychiatry2026

Nature- based nursing intervention: the impact on insomnia and feeling of hopelessness among patients with depression at Nour El-Hikma psychiatric hospital, Egypt (A controlled quasi- experimental study).

Hanaa A Radwan, Nehal Sobhy Emaraa, Rania Sobhy El Gendy, Kariema I El Berry

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Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Hanaa A RadwanDepartment of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Shibin El Kom, 32511, Egypt. hanaa.radwan@nursing.menofia.edu.eg.
Nehal Sobhy EmaraaDepartment of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Shibin El Kom, 32511, Egypt.
Rania Sobhy El GendyDepartment of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Shibin El Kom, 32511, Egypt.
Kariema I El BerryDepartment of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Shibin El Kom, 32511, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is the most prevalent mental disorder in Egypt. It is often accompanied by insomnia and feeling of hopelessness which significantly cause many challenges. Traditional psychotherapy does not alleviate these symptoms. Nature- based nursing intervention, also referred to as a green intervention, that is implemented as program in a natural environment. It has emerged as favorable intervention to enhance mental health outcomes. Conversely, their impact on improving insomnia and hopelessness remain unclear.

aimThe study evaluated how does a nature-based nursing intervention affects insomnia and feelings of hopelessness in patients with depression.

methodsA quasi-experimental research design was handled from half of May 2025 to half of October 2025 on 62 depressed patients classified into study and control groups at the Nour El-Hikma psychiatric hospital, Meet-Khalaf, Shibin Elkom, Menoufia Governorate, Egypt. Insomnia and feeling of hopelessness were measured utilizing a sleep disorders scale, and a Beck Hopelessness Scale, respectively. The SPSS v26 software was chosen to perform the data analysis. Categorical data were expressed as frequencies and percentages, and the Chi-square test was applied to find out group differences.

resultsThere was no significant difference between the two groups in terms of sociodemographic variables (P < 0.05). There was a statistically significant difference between depressed patients in the studied groups prior, post, and follow-up after 2 months regarding insomnia level and feeling of hopelessness (p < 0.001). Also, there was a statistically significant positive correlation between hopelessness and insomnia after nature-based nursing intervention among only the nature-based group (r = 0.977*, p = 0.005).

conclusionNature-based nursing intervention had significant benefits on improving insomnia and reducing feelings of hopelessness in patients with depression. CLINICAL TRIAL: No clinical trial.

Indexed as

DepressionDepressive DisorderHopeSleep Initiation and Maintenance DisordersAdultEgyptFemaleHospitals, PsychiatricHumansMaleMiddle AgedFeeling of hopelessnessInsomniaNature-based nursing interventionPatients with depression

Identifiers

PMID41723397
PMCPMC12934053

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.