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加拿大职业表现测量的实施:对实践的影响。

Administration of the Canadian Occupational Performance Measure: effect on practice.

作者信息

Colquhoun Heather L, Letts Lori J, Law Mary C, MacDermid Joy C, Missiuna Cheryl A

机构信息

Ottawa Hospital Research Institute, University of Ottawa, Civic Campus, 1053 Carling, Ottawa, Ontario, K1Y 4E9.

出版信息

Can J Occup Ther. 2012 Apr;79(2):120-8. doi: 10.2182/cjot.2012.79.2.7.

Abstract

BACKGROUND

The Canadian Occupational Performance Measure (COPM) is recommended as a systematic approach to identify issues and determine client progress in occupational therapy, yet little empirical evidence is available that supports this practice.

PURPOSE

To determine if COPM administration was associated with changes in eight dimensions of occupational therapy practice.

METHODS

Twenty-four occupational therapists on eight geriatric rehabilitation sites completed a before-and-after study with a repeated baseline. The eight practice dimensions were assessed after three months of usual care (no COPM use) and after three months of intervention (COPM use) using chart stimulated recall (CSR) interviews and chart audit.

FINDINGS

Mean practice scores for CSR interviews indicated a statistically significant practice improvement (p < .0001) across the eight dimensions, including knowledge of client perspective, clinical decision making, clinician ability to articulate outcomes, and documentation. Chart audit indicated that COPM use resulted in identifying more occupation-focused issues.

IMPLICATIONS

COPM administration could improve occupational therapy practice.

摘要

背景

加拿大职业表现测量工具(COPM)被推荐作为一种系统方法,用于确定职业治疗中的问题并评估患者进展情况,但目前几乎没有实证证据支持这种做法。

目的

确定使用COPM是否与职业治疗实践的八个维度的变化相关。

方法

八个老年康复机构的24名职业治疗师完成了一项具有重复基线的前后对照研究。在常规护理三个月(未使用COPM)和干预三个月(使用COPM)后,使用图表激发回忆(CSR)访谈和图表审核对八个实践维度进行评估。

结果

CSR访谈的平均实践得分表明,在包括对患者观点的了解、临床决策、临床医生阐述结果的能力以及记录等八个维度上,实践有统计学意义的显著改善(p < .0001)。图表审核表明,使用COPM能发现更多以职业为重点的问题。

启示

使用COPM可以改善职业治疗实践。

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