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癌症幸存者的功能缺陷与生活质量:对癌症幸存者护理中职业治疗的启示

Functional Deficits and Quality of Life Among Cancer Survivors: Implications for Occupational Therapy in Cancer Survivorship Care.

作者信息

Hwang Eric J, Lokietz Nicole C, Lozano Rachel L, Parke Megan A

机构信息

Eric J. Hwang, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy, College of Health, Human Services, and Nursing, California State University, Dominguez Hills, Carson, CA;

Nicole C. Lokietz, MS, OTR/L, is Occupational Therapist, California Hand Therapy, Anaheim Hills, CA.

出版信息

Am J Occup Ther. 2015 Nov-Dec;69(6):6906290010. doi: 10.5014/ajot.2015.015974.

Abstract

This study aimed to explore functional deficits and perceived quality of life (QoL) among cancer survivors. Sixty-six participants completed the Post Cancer Outcome Survey developed for the purpose of this study. The results indicated (1) modest to moderate degrees of functional deficits in 28 of the 70 items measuring areas of occupation, performance skills, body functions, and psychosocial well-being within the first year after cancer treatment; (2) significantly lower perceived QoL during the first year of survivorship compared with that before diagnosis, at present, and 5 yr hereafter (p < .001); (3) significant moderate negative correlations between the reported functional deficits and QoL (rs = -.45 to -.57); and (4) a very low percentage of participants (4.5%) receiving occupational therapy during the first year posttreatment. Functional difficulties and compromised QoL identified in this study indicate the need for occupational therapy among cancer survivors. Increasing clients' awareness of occupational therapy for postcancer care is also suggested.

摘要

本研究旨在探讨癌症幸存者的功能缺陷及生活质量(QoL)感知。66名参与者完成了为本研究目的而开发的癌症后结果调查。结果表明:(1)在癌症治疗后的第一年,在测量职业领域、表现技能、身体功能和心理社会幸福感的70个项目中,有28项存在轻度至中度的功能缺陷;(2)与诊断前、目前及诊断后5年相比,存活第一年的生活质量感知显著降低(p < .001);(3)报告的功能缺陷与生活质量之间存在显著的中度负相关(rs = -.45至-.57);(4)治疗后第一年接受职业治疗的参与者比例非常低(4.5%)。本研究中确定的功能困难和生活质量受损表明癌症幸存者需要职业治疗。还建议提高客户对癌症后护理职业治疗的认识。

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