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《癌症居家生活干预》的发展:一种基于职业疗法的针对居家晚期癌症患者的干预方案。

The development of the 'Cancer Home-Life Intervention': An occupational therapy-based intervention programme for people with advanced cancer living at home.

机构信息

Centre for Nutrition and Rehabilitation, University College Absalon, Naestved, Denmark.

The Research Initiative of Activity Studies and Occupational Therapy, Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense C, Denmark.

出版信息

Scand J Occup Ther. 2021 Oct;28(7):542-552. doi: 10.1080/11038128.2020.1735514. Epub 2020 Apr 7.

Abstract

BACKGROUND

Occupational therapy-based interventions may help people with advanced cancer to live actively despite their illness. However, there is limited evidence concerning what kinds of content intervention should encompass, and how this should be done.

OBJECTIVE

To describe the development and content of an occupational therapy-based intervention programme for people with advanced cancer living at home.

MATERIAL AND METHODS

In the development of the intervention, an evidence synthesis was performed based on a systematic literature search, data from a cross-sectional study, and experiences from an expert panel.

RESULTS

The programme contains six components: 1) An initial interview to select which of the other five components to address, based on the participants' individual needs. The interview addressed problems and needs of participants in relation to prioritized activities, in order to tailor the following components: 2) prioritisation of resources, energy and everyday activities; 3) adaptation of activities; 4) adaptation of posture and seating; 5) provision of assistive technology; and, 6) modification of the physical home environment.

CONCLUSION

An occupational therapy-based intervention programme for people with advanced cancer living at home has been developed. The study generates knowledge and insights relevant to improving the treatment of this patient group.

摘要

背景

基于职业疗法的干预措施可能有助于身患晚期癌症的人积极地生活下去。然而,关于干预措施应包含哪些内容以及应如何实施,目前证据有限。

目的

描述为居家的晚期癌症患者制定的基于职业疗法的干预方案的发展和内容。

材料和方法

在干预措施的制定过程中,我们进行了一项证据综合,其依据是系统文献检索、一项横断面研究的数据以及专家小组的经验。

结果

该方案包含六个部分:1. 初步访谈,根据参与者的个体需求,选择其他五个部分中的哪一个进行处理。访谈涉及参与者在优先活动方面的问题和需求,以定制以下部分:2. 资源、能量和日常活动的优先级排序;3. 活动的调整;4. 姿势和坐姿的调整;5. 辅助技术的提供;以及 6. 物理家居环境的改造。

结论

为居家的晚期癌症患者制定了基于职业疗法的干预方案。本研究为改善这一患者群体的治疗提供了相关知识和见解。

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