Carlneshia M. Hunnicutt, OTD, OTR/L, is Occupational Therapist, Deltona, FL. At the time of the study, she was Student, Doctor of Occupational Therapy Program, Nova Southeastern University, Tampa, FL;
Sheila M. Longpré, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy, Gannon University, Ruskin, FL. At the time of the study, she was Associate Professor, Department of Occupational Therapy, Nova Southeastern University, Tampa, FL.
Am J Occup Ther. 2020 Jul/Aug;74(4):7404205020p1-7404205020p15. doi: 10.5014/ajot.2020.038539.
Cannabinoids are at the center of much interest and controversy within health care and society. However, minimal research has investigated the impact of cannabinoids on quality of life (QoL) and occupation.
The literature suggests that cannabinoids may have therapeutic potential, although the available research is limited. A scoping review was conducted to address the gap in the literature regarding the impact of recreational and medicinal cannabinoids on QoL and occupational engagement.
Databases searched included Ovid and CINAHL; sources derived from a manual search of reference lists were also used. Of the 691 articles that were identified, 22 articles met the inclusion and exclusion criteria.
This scoping review was conducted in accordance with Arksey and O'Malley's five stages. Inclusion criteria included English language, clear focus or description on the impact of nonsynthetic cannabinoids on QoL and occupation, and published between January 2011 and May 2019. Exclusion criteria included minors, single case studies, animal studies, antineoplastic articles, and articles that only discussed or investigated effects of synthetic cannabinoids.
The findings were inconclusive, and the primary research that emerged from the literature investigated the effects of cannabinoids on pain management, sleep, appetite, and other physiological functions in both recreational and medicinal users.
The findings derived from the literature raised more questions, and further research is warranted. Occupational therapy practitioners have an opportunity to use their knowledge and skills to address the impact of cannabinoids on occupational engagement and QoL.
Practitioners have the opportunity to provide education regarding cannabis use and monitor how it affects occupational engagement and QoL for both recreational and medicinal users.
大麻素在医疗保健和社会中备受关注和争议的中心。然而,很少有研究调查大麻素对生活质量(QoL)和职业的影响。
文献表明大麻素可能具有治疗潜力,尽管可用的研究有限。进行了范围界定审查,以解决关于娱乐和药用大麻素对生活质量和职业参与影响的文献中的空白。
搜索的数据库包括 Ovid 和 CINAHL;还使用了从手动搜索参考文献中获得的来源。在确定的 691 篇文章中,有 22 篇符合纳入和排除标准。
本范围界定审查按照 Arksey 和 O'Malley 的五个阶段进行。纳入标准包括英语语言、明确关注或描述非合成大麻素对生活质量和职业的影响,以及发表于 2011 年 1 月至 2019 年 5 月之间的文章。排除标准包括未成年人、单一案例研究、动物研究、抗肿瘤文章以及仅讨论或调查合成大麻素影响的文章。
结果尚无定论,从文献中出现的主要研究调查了大麻素在娱乐和药用使用者中对疼痛管理、睡眠、食欲和其他生理功能的影响。
文献得出的结论提出了更多的问题,需要进一步研究。职业治疗师有机会利用他们的知识和技能来解决大麻素对职业参与和生活质量的影响。
从业者有机会提供有关大麻使用的教育,并监测其对娱乐和药用使用者的职业参与和生活质量的影响。