Can J Occup Ther. 2021 Mar;88(1):26-37. doi: 10.1177/0008417420971124. Epub 2020 Dec 23.
BACKGROUND.: Occupational therapy (OT) may be an important intervention in patients with COPD, but studies show conflicting results.
PURPOSE.: To evaluate the effectiveness of home-based monodisciplinary OT in COPD patients.
METHOD.: We conducted an observational clinical study. Main outcomes were the mean differences in the Canadian Occupational Performance Measure (COPM) performance and satisfaction scores, pre and post intervention.
FINDINGS.: Pre- and postintervention data were obtained from 41 patients. Statistically significant increases were observed in COPM performance (5.0 ± 1.1 versus 6.9 ± 0.9; P<0.001) and satisfaction (4.6 ± 1.3 versus 6.9 ± 1.0; P<0.001). The most frequently reported occupational performance problems were found in the domains of productivity (47%) and mobility (40%), fewer in self-care (10%) and the least in leisure (3%).
IMPLICATIONS.: Home-based monodisciplinary OT can contribute significantly to the improvement of daily functioning of patients with COPD. OT should therefore be considered more often as part of the integrated management of these patients.
职业疗法（OT）可能是 COPD 患者的重要干预措施，但研究结果存在矛盾。
评估家庭为基础的单一学科职业疗法对 COPD 患者的疗效。
我们进行了一项观察性临床研究。主要结局是干预前后加拿大职业表现测量（COPM）表现和满意度评分的均值差异。
从 41 名患者中获得了干预前后的数据。COPM 表现（5.0±1.1 对 6.9±0.9；P<0.001）和满意度（4.6±1.3 对 6.9±1.0；P<0.001）均有统计学显著提高。最常报告的职业表现问题出现在生产力（47%）和移动性（40%）领域，自我护理（10%）较少，休闲（3%）最少。
家庭为基础的单一学科职业疗法可以显著改善 COPD 患者的日常功能。因此，OT 应该更频繁地被视为这些患者综合管理的一部分。
