Helewa A, Goldsmith C H, Lee P, Bombardier C, Hanes B, Smythe H A, Tugwell P
Department of Physical Therapy, University of Western Ontario, London, Canada.
Lancet. 1991 Jun 15;337(8755):1453-6. doi: 10.1016/0140-6736(91)93138-y.
Because there is little information about the efficacy of home occupational therapy, we decided to assess the effects of a home service on patients with rheumatoid arthritis. 105 patients aged 18-70 years, on stable medical therapy, were randomised to receive a 6-week comprehensive programme of occupational therapy (experimental group, 53 patients) or to receive no such treatment (control group, 52). At 6 weeks, control patients received the experimental regimen, and experimental patients were continued on treatment as needed up to 12 weeks. Outcomes were measured at baseline, 6, and 12 weeks with a global functional capacity score (functional score). At 6 weeks the functional score for the experimental group was significantly higher than that for the control group (mean difference = 8.1, 95% Cl 1.7 to 15.8, p = 0.012). Control patients at 12 weeks showed a similar improvement to experimental patients at 6 weeks, and between 6 and 12 weeks the experimental patients were stable. Occupational therapy leads to a statistically significant and clinically important improvement in function in patients with rheumatoid arthritis.
由于关于家庭职业治疗疗效的信息很少，我们决定评估一项上门服务对类风湿关节炎患者的影响。105名年龄在18至70岁、接受稳定药物治疗的患者被随机分为两组，一组接受为期6周的综合职业治疗方案（实验组，53例患者），另一组不接受此类治疗（对照组，52例）。6周时，对照组患者接受实验方案治疗，实验组患者根据需要继续治疗至12周。在基线、6周和12周时，使用整体功能能力评分（功能评分）来测量结果。6周时，实验组的功能评分显著高于对照组（平均差异=8.1，95%可信区间1.7至15.8，p=0.012）。12周时对照组患者的改善情况与6周时实验组患者相似，且在6至12周期间实验组患者情况稳定。职业治疗能使类风湿关节炎患者的功能在统计学上有显著且临床上有重要意义的改善。
