"Naturen sviker aldrig, den möter alltid" : - En kvalitativ intervjustudie om fysioterapeuters erfarenheter av att använda naturen i arbetet med personer med utmattningssyndrom

Sammanfattning: Background  Long term sick leave due to stress-related diseases, including burnout syndrome, is an increasing problem in Sweden. A relatively new and sparsely studied treatment method is nature based therapy. Several clinics aim at rehabilitation of the burnout syndrome, where physiotherapist is one of the professions of a multimodal team.   Purpose  To study the physiotherapists experience in work with nature based rehabilitation for patients with burnout syndrome.   Design and method  A qualitative method was used in this study. Four physiotherapists which currently are working or have the experience from working with nature based rehabilitation were selected to participate. Semi-structured interviews were used followed by a content analysis with an inductive approach.   Results The first theme from our result is stress reducing environment and the categories are Undemanding, Nature gives peace and quiet, Nature makes lines and gives a different focus, and Nature gives inspiration. The other theme is The physiotherapists guidance in body and mind and the categories are Guidance to physical activity in nature, Sensitive response to patient, Help to reflect, and Participating patient.   Conclusion Physiotherapist can contribute with their knowledge of the body and mind in the rehabilitation of patients with burnout syndrome. In combination with a stress reducing environment that nature can offer, an effectual rehabilitation is possible.   Key words Physiotherapy, nature based rehabilitation, burnout, mental health, nature assisted therapy