Department of Physiotherapy (Occupational Therapy), University of Málaga, Málaga, Spain.
Faculty of Health Sciences, University of Málaga, Málaga, Spain.
Scand J Occup Ther. 2022 Feb;29(2):89-103. doi: 10.1080/11038128.2020.1856181. Epub 2020 Dec 22.
Client-centred practice aims to involve the person in making decisions during the therapeutic intervention process, giving him or her a central and active role. To analyze the effects of client-centred practice in occupational therapy on issues related to occupational performance and participation among people with stroke and traumatic brain injury. A systematic review of randomized clinical trials examining the effects of a client-centred practice carried out by occupational therapists in patients with stroke or traumatic brain injury aged over 18 years was conducted. PubMed, Web of Science, Scopus, OT Seeker, PsycINFO and EBSCO were used to retrieve potentially eligible publications. Eight studies, from 294 identified, were included. The extracted data showed that the application of client-centred practice in occupational therapy improved satisfaction with occupational performance compared to conventional interventions. However, client-centred practice and conventional intervention had similar effects on functionality (Activities of Daily Living), life satisfaction and burden on caregivers. Client-centred practice has the effect of achieving greater satisfaction with occupational performance. This suggests that client-centred practice in occupational therapy helps patients to accept the new limitations on their occupational performance. Further studies are needed to determine the effects of client-centred practice on other aspects.
以患者为中心的实践旨在使患者在治疗干预过程中参与决策，让他/她扮演中心和积极的角色。分析职业治疗中以患者为中心的实践对中风和创伤性脑损伤患者的职业表现和参与相关问题的影响。对由职业治疗师对年龄超过 18 岁的中风或创伤性脑损伤患者实施的以患者为中心的实践的效果进行了系统的随机临床试验的综述。使用 PubMed、Web of Science、Scopus、OT Seeker、PsycINFO 和 EBSCO 检索潜在的合格文献。从 294 篇中确定了 8 项研究。提取的数据显示，与常规干预相比，职业治疗中的以患者为中心的实践应用提高了对职业表现的满意度。然而，以患者为中心的实践和常规干预对功能（日常生活活动）、生活满意度和照顾者负担的影响相似。以患者为中心的实践具有实现更高职业表现满意度的效果。这表明职业治疗中的以患者为中心的实践有助于患者接受职业表现方面的新限制。需要进一步的研究来确定以患者为中心的实践对其他方面的影响。
