Norweg Anna, Bose Pia, Snow Gloria, Berkowitz Monique E
Health and Disability Research Institute, Boston University, Boston, MA, USA.
Occup Ther Int. 2008;15(2):114-32. doi: 10.1002/oti.251.
The purpose of this qualitative study was to analyse participants' perceptions of a pulmonary rehabilitation programme, which combined occupational therapy with physical therapy. Semi-structured interviews were used to collect data from four adults with chronic obstructive pulmonary disease (COPD) who attended an outpatient pulmonary rehabilitation programme in New York City. Features of the occupational therapy programme reported to be valuable were biofeedback and clinician support. Participants reported more control of dyspnoea, improved mental health and confidence in performing daily activities, less fatigue, more physically active lifestyles and hope for the future. Limitations of the study were that participants were interviewed only once and themes were not verified with participants. The study results also cannot be generalized. Further research is needed to evaluate the effectiveness of occupational therapy in promoting self-management and coping skills and restoring occupational performance in adults with COPD. Participants' responses provide additional support for developing cognitive-behavioural protocols in occupational therapy and measuring their effectiveness in relieving anxiety symptoms and promoting dyspnoea management.
这项定性研究的目的是分析参与者对一项将职业治疗与物理治疗相结合的肺康复计划的看法。采用半结构化访谈从四名患有慢性阻塞性肺疾病（COPD）的成年人中收集数据，这些参与者参加了纽约市的一个门诊肺康复项目。据报告，职业治疗计划中具有价值的特征包括生物反馈和临床医生支持。参与者报告称，对呼吸困难的控制增强、心理健康状况改善、进行日常活动的信心增强、疲劳减轻、身体活动更加积极以及对未来充满希望。该研究的局限性在于仅对参与者进行了一次访谈，且未与参与者核实主题。研究结果也无法进行推广。需要进一步开展研究，以评估职业治疗在促进慢性阻塞性肺疾病成年人的自我管理和应对技能以及恢复职业表现方面的有效性。参与者的回答为在职业治疗中制定认知行为方案以及衡量其在缓解焦虑症状和促进呼吸困难管理方面的有效性提供了额外支持。
