Centre of Competence on Ageing, SUPSI-University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.
Department of Occupational Therapy, University of Applied Sciences Wiener Neustadt, Wiener Neustadt, Austria.
Eur Geriatr Med. 2020 Apr;11(2):209-216. doi: 10.1007/s41999-020-00308-z. Epub 2020 Mar 23.
To perform a narrative review of studies on the applicability and feasibility of occupational therapy in persons with delirium by analyzing evaluation and procedural methods in the therapeutic settings.
Starting from the international classification of disability, the focus was to understand if and how occupational therapy as a multi-component intervention can reduce the duration and intensity of delirium to prevent future disabilities. This review also includes scientific studies demonstrating the benefits of occupational therapy in terms of increased functional and occupational outcomes. Finally, the evaluation modalities and the therapeutic procedures performed by the occupational therapist have been analyzed.
The non-pharmacological treatments occupational therapists perform in people with delirium in intensive care settings are supported by scientific evidence.
There is preliminary evidence of the benefit of including occupational therapy in early stages of rehabilitation in acute care to prevent and treat delirium. Nevertheless, further studies are necessary to define the different aspects of the multidisciplinary approach that is common in geriatric practice, primarily determining the adequate timing, and intensity of interventions as well as its appropriate settings.
通过分析治疗环境中的评估和程序方法，对谵妄患者的职业治疗的适用性和可行性进行叙述性综述。
从国际残疾分类出发，重点探讨职业治疗作为一种多组分干预措施，是否以及如何能够降低谵妄的持续时间和严重程度，以预防未来的残疾。本综述还包括了证明职业治疗在增加功能和职业结果方面有益的科学研究。最后，分析了职业治疗师进行的评估方式和治疗程序。
职业治疗师在重症监护环境中对谵妄患者进行的非药物治疗得到了科学证据的支持。
有初步证据表明，在急性护理的早期康复阶段纳入职业治疗以预防和治疗谵妄是有益的。然而，仍需要进一步的研究来确定多学科方法的不同方面，这些方面在老年病学实践中很常见，主要是确定干预措施的适当时间、强度及其适当的环境。
