Mackenzi Pergolotti, PhD, OTR/L, is Director of Research, ReVital Cancer Rehabilitation, Mechanicsburg, PA. At the time of the study, she was Postdoctoral Fellow, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill;
Antoine Bailliard, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy, University of North Carolina at Chapel Hill.
Am J Occup Ther. 2020 May/Jun;74(3):7403205140p1-7403205140p9. doi: 10.5014/ajot.2020.036897.
Despite the growing literature on the association of functional, physical, and quality-of-life (QOL) deficits with poor postoperative outcomes, there is a gap in the literature identifying women's occupational performance needs after ovarian cancer surgery.
To describe the experiences of women hospitalized after ovarian cancer surgery to identify potential areas for intervention. Goals were to (1) identify functional needs and limitations at time of discharge as measured by the typical acute care occupational therapy evaluation and semistructured interview and (2) understand the women's perspectives of their needs for occupational therapy and a safe return to home.
Single-arm, cross-sectional descriptive study. Mixed-methods data collection and analysis.
Academic cancer center.
Women with ovarian cancer (N = 11) who had completed surgery.
Semistructured interviews and patient-reported outcome measures (PROMs) completed postsurgery.
PROMs included the National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List, the PROMIS Global Physical Health (GPH) and Global Mental Health (GMH) scales, and the Possibilities for Activity Scale-Women (PActS-W).
The mean NCCN Distress score was 6.0 (standard deviation [SD] = 3.1, with the top three concerns being pain (80%), worry (80%), and fatigue (78%). Mean GPH and GMH T scores were 38.0 (SD = 8.8) and 48.2 (SD = 8.4), respectively. Women scored a mean of 39.2 (SD = 11.2, range = 26-58) on the PActS-W. Thematic analyses found that the women were uncertain about potential functional limitations and significantly distressed.
Women with ovarian cancer experienced high levels of uncertainty and distress after surgery. Integrating in-home or community-based occupational therapy into routine care could decrease functional distress and uncertainty and help women manage concerns related to pain, worry, and fatigue.
This study suggests that occupational therapy evaluation and intervention are needed to decrease distress and improve QOL of women upon discharge after ovarian cancer surgery.
尽管越来越多的文献研究了功能、身体和生活质量（QOL）缺陷与术后不良结局之间的关联，但在文献中仍存在一个空白，即确定卵巢癌手术后女性的职业表现需求。
描述接受卵巢癌手术后住院女性的经历，以确定干预的潜在领域。目标是（1）通过典型的急性护理职业治疗评估和半结构化访谈来确定出院时的功能需求和限制，以及（2）了解女性对职业治疗和安全返回家庭的需求。
单臂、横断面描述性研究。混合方法数据收集和分析。
学术癌症中心。
已完成手术的卵巢癌女性（N=11）。
手术后进行半结构化访谈和患者报告的结果测量（PROM）。
PROM 包括国家综合癌症网络（NCCN）的痛苦温度计和问题清单、PROMIS 全球生理健康（GPH）和全球心理健康（GMH）量表以及活动量表-女性（PActS-W）。NCCN 痛苦评分的平均值为 6.0（标准差[SD] = 3.1，前三个关注点是疼痛（80%）、担忧（80%）和疲劳（78%）。平均 GPH 和 GMH T 评分分别为 38.0（SD = 8.8）和 48.2（SD = 8.4）。女性在 PActS-W 上的平均得分为 39.2（SD = 11.2，范围为 26-58）。主题分析发现，女性对潜在的功能限制感到不确定，并感到非常痛苦。
卵巢癌女性在手术后经历了高度的不确定性和痛苦。将家庭或社区内的职业治疗纳入常规护理中，可以减少功能障碍和不确定性，帮助女性处理与疼痛、担忧和疲劳相关的问题。
这项研究表明，卵巢癌手术后女性需要进行职业治疗评估和干预，以减少痛苦并提高生活质量。
