Centre for Quality of Life, Netherlands Cancer Institute, Amsterdam, the Netherlands.
Department of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
Aust Occup Ther J. 2020 Jun;67(3):260-268. doi: 10.1111/1440-1630.12649. Epub 2020 Feb 14.
The aim of this study was to investigate reasons why people consulted an occupational therapist following cancer treatment, and to examine the outcome of occupational therapy interventions, in the context of multidisciplinary rehabilitation.
Data from 181 patients were collected retrospectively. The International Classification of Human Functioning and Health (ICF) was used to describe the reasons for occupational therapy consultation. Patients had completed the Canadian Occupational Performance Measurement (COPM) before and after the occupational therapy intervention. Change scores were calculated with a 95% confidence interval and a two-sided p-value obtained from a paired t-test.
The reasons for occupational therapy consultation were predominantly within the ICF domain "Activities and Participation". On average, patients improved 3.0 points (95% CI 2.8-3.2) on the performance scale of the COPM, and 3.4 points (95% CI 3.2-3.7) on the satisfaction scale (both: p = <.001).
The result of this study supports the added value of occupational therapy to cancer rehabilitation, and emphasise the positive effect of occupational therapy on everyday functioning. Controlled clinical studies are needed to strengthen the evidence.
本研究旨在探讨癌症治疗后人们寻求职业治疗师帮助的原因，并在多学科康复的背景下，研究职业治疗干预的效果。
回顾性收集了 181 名患者的数据。使用《国际功能、残疾和健康分类》（ICF）描述职业治疗咨询的原因。患者在接受职业治疗干预前后完成了加拿大职业表现测量（COPM）。使用双侧配对 t 检验，计算变化分数的 95%置信区间和双侧 p 值。
职业治疗咨询的原因主要在 ICF 领域“活动和参与”内。平均而言，COPM 的表现量表上患者提高了 3.0 分（95%置信区间 2.8-3.2），满意度量表上提高了 3.4 分（95%置信区间 3.2-3.7）（均：p<.001）。
本研究结果支持职业治疗对癌症康复的附加价值，并强调职业治疗对日常生活功能的积极影响。需要进行对照临床试验以加强证据。
