Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia.
Occupational Therapy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Disabil Rehabil. 2022 May;44(10):2138-2148. doi: 10.1080/09638288.2020.1813818. Epub 2020 Sep 15.
Occupation-based practice involves the inclusion of meaningful occupations in the therapeutic process and is promoted within hospital-based general rehabilitation contexts for individual clients or within a group setting. The purpose of this paper is to summarise the current literature regarding the types of occupation-based group programs used within general inpatient rehabilitation and the reported outcomes.
A scoping review was conducted and included papers if they described an occupation-based intervention, delivered in a group setting, conducted in an inpatient rehabilitation hospital context, with an adult population. Studies were collated, summarized and key findings are presented.
Ten articles met inclusion criteria. The results indicate that occupation-based groups are used in inpatient rehabilitation across a variety of settings, the approach is valued by the occupational therapy profession and it appears to have an influence on patient satisfaction and experience. However, the impact on a patient's confidence and occupational performance outcomes post-inpatient rehabilitation remains unclear.
There is a dearth of evidence on the impact of occupation-based group service focus in the inpatient rehabilitation setting. Considering the importance of occupation to the profession, further investigation into the use of this approach in a group setting is required.Implications for rehabilitationOccupation-based groups are used in inpatient rehabilitation to achieve more therapy time but there is variability in group processes and outcomes measured.Patient centred occupation-based groups appear to have an influence on patient satisfaction and experience.For the occupation-based groups reviewed, providing explicit links between patient goals, therapeutic activity and real life was important for improving outcomes.There is a growing focus for the use of occupation-based groups in occupational therapy and more research is needed to establish effectiveness.
基于职业的实践包括将有意义的职业纳入治疗过程中，并在医院基础的综合康复环境中为个体客户或在小组环境中进行推广。本文的目的是总结目前关于在综合住院康复中使用的基于职业的小组项目的类型以及报告的结果。
进行了范围综述，如果论文描述了一种基于职业的干预措施，在小组环境中进行，在住院康复医院环境中进行，针对成人人群，则将其纳入研究。对研究进行了汇总、总结，并提出了主要发现。
符合纳入标准的有 10 篇文章。结果表明，基于职业的小组在住院康复中应用广泛，这种方法受到职业治疗专业的重视，似乎对患者满意度和体验有影响。然而，患者在住院康复后的信心和职业表现结果的影响仍不清楚。
在住院康复环境中基于职业的小组服务重点的影响方面，证据不足。考虑到职业对该专业的重要性，需要进一步研究在小组环境中使用这种方法。
基于职业的小组在住院康复中被用于实现更多的治疗时间，但小组过程和测量的结果存在差异。以患者为中心的基于职业的小组似乎对患者的满意度和体验有影响。对于所审查的基于职业的小组，为了改善结果，在患者目标、治疗活动和现实生活之间建立明确的联系很重要。职业治疗中基于职业的小组的使用越来越受到关注，需要进行更多的研究以确定其有效性。
