Lindahl-Jacobsen Line, Hansen Dorte Gilså, Wæhrens Eva Ejlersen, la Cour Karen, Søndergaard Jens
Research Unit of General Practice, Institute of Public Health, University of Southern Denmark , Odense , Denmark.
Scand J Occup Ther. 2015 Mar;22(2):137-46. doi: 10.3109/11038128.2014.985253. Epub 2015 Jan 12.
Many cancer patients report unmet rehabilitation needs. Rehabilitation may include activities of daily living (ADL) tasks, but little is known about how cancer patients perform these tasks and how they prioritize their daily activities. Hence, this study aims to identify and characterize ADL task performance problems among a group of adult disabled hospitalized cancer patients using interview and questionnaire data.
Cross-sectional study on prevalence of ADL task performance problems experienced by disabled hospitalized cancer patients using the Activities of Daily Living Questionnaire (ADL-Q) (n = 118) and the Canadian Occupational Performance Measure (COPM) (n = 55).
All 118 patients reported problems with ADL task performance. Based on the ADL-Q patients reported more problems within instrumental (I-)ADL than personal (P-)ADL. In both I-ADL and P-ADL the results differed between women and men. There was significant overlap between problems identified using the COPM and the ADL-Q instruments. RESULTS from the COPM showed that 65% of problems were related to self-care, 25% to leisure, and 19% to productivity. Using both instruments identified more ADL problems than when using only one of the instruments.
Adult hospitalized disabled cancer patients experience a high degree and variation in difficulties performing ADL, illustrating the need for a comprehensively planned assessment of problems and needs.
许多癌症患者表示康复需求未得到满足。康复可能包括日常生活活动（ADL）任务，但对于癌症患者如何执行这些任务以及如何安排日常活动的优先级知之甚少。因此，本研究旨在利用访谈和问卷调查数据，识别并描述一组成年住院残疾癌症患者在ADL任务执行方面的问题。
采用横断面研究方法，使用日常生活活动问卷（ADL-Q）（n = 118）和加拿大职业表现测量工具（COPM）（n = 55），对住院残疾癌症患者经历的ADL任务执行问题的患病率进行研究。
118名患者均报告了ADL任务执行方面的问题。根据ADL-Q，患者报告的工具性（I-）ADL问题比个人性（P-）ADL问题更多。在I-ADL和P-ADL中，男女结果存在差异。使用COPM和ADL-Q工具识别出的问题有显著重叠。COPM的结果显示，65%的问题与自我护理有关，25%与休闲有关，19%与生产力有关。使用两种工具比仅使用一种工具识别出的ADL问题更多。
成年住院残疾癌症患者在执行ADL方面存在高度困难且存在差异，这表明需要对问题和需求进行全面规划的评估。
