Department of Rehabilitation Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
Allied Health Sciences College, Sungai Buluh, Ministry of Health, Kuala Lumpur, Malaysia.
Disabil Rehabil. 2021 Sep;43(19):2729-2738. doi: 10.1080/09638288.2020.1715492. Epub 2020 Jan 21.
This novel study aims to explore the relationship between occupational participation, meaningful activity, and the health-related quality of life of people living with a diagnosis of colorectal cancer.
A cross-sectional study design with 113 colorectal cancer survivors (from two large public hospitals in Malaysia) was conducted. Data collection tools included the Occupational Participation Questionnaire, Engagement in Meaningful-activities, and the European Organization for Research and Treatment in Cancer Quality of Life (QOL) Questionnaire. Data analyses were conducted using SmartPLS to examine path analyses between the three measures.
There were independent significant relationships between (1) occupational participation, and (2) meaningful activity engagements on the dependent variable of QOL in this cohort of cancer survivors. More importantly, the result showed that "meaningful-activity" positively and significantly mediates the path between occupational participation and quality of life [β = 0.250 (0.46*0.59), < 0.001( = 3.91)].
Engagement in meaningful activity mediates the occupational participation of a cohort of colorectal survivors, and produces an impact on their quality of life. This study demonstrates that "occupational participation" (an important construct in occupational therapy), has the potential to improve colorectal cancer survivors' quality of lives. Therefore, the role of occupational therapists must be optimized within the oncology team, to improve occupational participation and patients' abilities to engage in meaningful activities for better quality of life.Implications for RehabilitationOccupational therapy intervention addresses the needs of people of all ages, who encountered limitations in their daily occupational participations.Cancer can have significant impact on occupational performance, and occupational therapy can improve these limitations to improve their Quality of Life.Occupational therapy should be a vital part in the cancer survivorship treatment plan for it can significantly improve occupational performance and quality of life of cancer survivors.
本研究旨在探讨职业参与、有意义活动与结直肠癌患者健康相关生活质量之间的关系。
采用横断面研究设计，纳入来自马来西亚两家大型公立医院的 113 名结直肠癌幸存者。数据收集工具包括职业参与问卷、参与有意义活动和欧洲癌症研究与治疗组织生活质量问卷。采用 SmartPLS 进行数据分析，以检验三个测量指标之间的路径分析。
在这组癌症幸存者中，职业参与与有意义活动参与与生活质量的因变量之间存在独立的显著关系。更重要的是，结果表明“有意义活动”积极且显著地调节了职业参与与生活质量之间的路径[β=0.250（0.46*0.59），<0.001（=3.91）]。
有意义活动的参与中介了结直肠幸存者队列的职业参与，并对其生活质量产生影响。本研究表明，“职业参与”（职业治疗中的一个重要概念）有可能改善结直肠癌幸存者的生活质量。因此，必须优化肿瘤治疗团队中职业治疗师的作用，以改善职业参与和患者参与有意义活动的能力，从而提高生活质量。
职业治疗干预针对所有年龄段的人群，他们在日常生活的职业参与中遇到限制。癌症会对职业表现产生重大影响，而职业治疗可以改善这些限制，提高他们的生活质量。职业治疗应该成为癌症生存者治疗计划的重要组成部分，因为它可以显著改善癌症生存者的职业表现和生活质量。
