Badger Sarah, Macleod Rod, Honey Anne
Faculty of Health Sciences,The University of Sydney,Sydney,Australia.
Northern Clinical School,The University of Sydney, and HammondCare,Sydney,Australia.
Palliat Support Care. 2016 Jun;14(3):225-31. doi: 10.1017/S1478951515000826. Epub 2015 Jun 15.
A key aim of palliative care is to improve the quality-of-life of people with a life-threatening illness. Occupational therapists are well positioned to contribute to this aim due to their broad range of interventions, client-centeredness and focus on occupation. However, there is a limited understanding of how occupational therapy contributes to the end-of-life experience, which is crucial to providing optimal care. The aim of this study is to investigate the lived experience of occupational therapy in palliative care for people with a life-threatening illness.
A hermeneutic interpretive phenomenological approach was adopted. Semi-structured interviews were conducted with eight participants recruited from inpatient and outpatient sectors of a specialist palliative care hospital in Sydney, Australia.
The two themes developed from participant responses were: (1) occupational therapy provides comfort and safety and (2) trusting the occupational therapist to know what is needed.
This study gives insight into the ways in which people with a life-threatening illness experience occupational therapy in palliative care. In addition, it provides a starting point to guide practice that is attentive to the needs of people with a life-threatening illness at end-of-life, thus enhancing client-centered care.
姑息治疗的一个关键目标是提高患有危及生命疾病的患者的生活质量。职业治疗师由于其广泛的干预措施、以客户为中心以及对职业的关注，能够很好地为这一目标做出贡献。然而，对于职业治疗如何促进临终体验的理解有限，而这对于提供最佳护理至关重要。本研究的目的是调查职业治疗在为患有危及生命疾病的患者提供姑息治疗中的实际体验。
采用诠释性解释现象学方法。对从澳大利亚悉尼一家专科姑息治疗医院的住院部和门诊部招募的八名参与者进行了半结构化访谈。
从参与者的回答中得出的两个主题是：（1）职业治疗提供舒适和安全；（2）信任职业治疗师知道所需内容。
本研究深入了解了患有危及生命疾病的患者在姑息治疗中体验职业治疗的方式。此外，它为指导实践提供了一个起点，这种实践关注患有危及生命疾病的患者在临终时的需求，从而增强以客户为中心的护理。
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