改善和维持重度精神疾病患者职业表现与参与度的干预措施证据：一项系统综述
Evidence for Interventions to Improve and Maintain Occupational Performance and Participation for People With Serious Mental Illness: A Systematic Review.
作者信息
D'Amico Mariana L, Jaffe Lynn E, Gardner Jennifer A
机构信息
Mariana L. D'Amico, EdD, OTR/L, FAOTA, is Associate Professor, Nova Southeastern University-Tampa, FL;
Lynn E. Jaffe, ScD, OTR/L, FAOTA, is Professor and Program Director, Florida Gulf State University, Fort Myers.
出版信息
Am J Occup Ther. 2018 Sep/Oct;72(5):7205190020p1-7205190020p11. doi: 10.5014/ajot.2018.033332.
OBJECTIVE
This systematic review evaluates the evidence for the effectiveness of interventions within the scope of occupational therapy to improve and maintain performance and participation for people with serious mental illness. Areas included in this review are activities of daily living, instrumental activities of daily living, leisure, social participation, and rest and sleep.
METHOD
Databases searched included MEDLINE, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews. Reviewers read and assessed citations, abstracts, and full-text articles for inclusion and analysis.
RESULTS
Sixty-one articles were selected for inclusion. The review yielded strong evidence for psychoeducation and occupation- and cognitive-based interventions, moderate evidence for skills-based interventions, and limited evidence for technology-supported interventions.
CONCLUSION
Results of this review support use of evidence-based practice within the scope of occupational therapy, inclusion of occupational therapy practitioners as mental health service providers, and continued research.
目的
本系统评价评估职业治疗范围内的干预措施对改善和维持严重精神疾病患者的表现及参与度的有效性证据。本评价涵盖的领域包括日常生活活动、工具性日常生活活动、休闲、社会参与以及休息和睡眠。
方法
检索的数据库包括MEDLINE、PsycINFO、CINAHL、OTseeker和Cochrane系统评价数据库。评审人员阅读并评估文献引用、摘要和全文文章以确定是否纳入及进行分析。
结果
61篇文章被选入。该评价得出心理教育以及基于职业和认知的干预措施有强有力的证据，基于技能的干预措施有中等证据，技术支持的干预措施有有限证据。
结论
本评价结果支持在职业治疗范围内采用循证实践，将职业治疗从业者纳入心理健康服务提供者范畴，并持续开展研究。
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