Norris Jennifer
Tamworth Rural Referral Hospital, New South Wales, Australia.
Am J Lifestyle Med. 2018 Feb 20;14(1):61-70. doi: 10.1177/1559827618757189. eCollection 2020 Jan-Feb.
Patients with cardiac dysfunction are at increased risk of mild cognitive impairment, which can affect their ability to successfully engage in daily activities important for home and community safety and in maintaining health and well-being. This risk increases in accordance with the number of cardiac conditions and cardiovascular risk factors or comorbidities. Occupational therapy has a role in chronic disease management in assessing and improving functional abilities affected by physical, emotional, and cognitive domains. With a holistic and client-centered approach, occupational therapy can complement lifestyle medicine principles through promotion and enablement of engagement in purposeful activity and self-management practices. It is suggested that the clinical management of patients with cardiac dysfunction expands beyond the traditional physical aspects of care to encompass cognitive considerations and incorporate occupational therapy in practice.
心脏功能障碍患者发生轻度认知障碍的风险增加,这可能会影响他们成功参与对家庭和社区安全至关重要的日常活动以及维持健康和幸福的能力。这种风险会随着心脏疾病的数量、心血管危险因素或合并症的增加而上升。职业治疗在慢性病管理中发挥着作用,可评估和改善受身体、情感和认知领域影响的功能能力。通过整体和以客户为中心的方法,职业治疗可以通过促进和使患者参与有目的的活动及自我管理实践来补充生活方式医学原则。建议心脏功能障碍患者的临床管理超越传统的身体护理方面,纳入认知考量,并在实践中纳入职业治疗。