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弥补差距:临终关怀中的职业治疗。

Addressing the Gap: Occupational Therapy in Hospice Care.

机构信息

Department of Occupational Therapy, University of Texas Medical Branch, Galveston, TX, USA.

Department of Occupational Therapy, St. Catherine University, St. Paul, MN, USA.

出版信息

Occup Ther Health Care. 2021 Apr;35(2):125-137. doi: 10.1080/07380577.2021.1879410. Epub 2021 Feb 5.

Abstract

Patients receiving hospice care have a host of occupational challenges, though few are being seen in occupational therapy for treatment. Occupational therapy can help those receiving hospice care live with dignity before death. Data retrieved from the National Home and Hospice Care Survey were analyzed using independent t-tests, Wilcoxon rank-sum tests, Chi-square tests and logistic regressions. Only 10.6% of the participants received occupational therapy. Patients who received occupational therapy were significantly older and had shorter lengths of hospice care service compared to their counterparts. Over 85% of the patients needed assistance with at least one task of activity of daily living (ADL). Findings suggested a need to increase occupational therapy workforce in hospice care and advocate the value of occupational therapy services in hospice settings.

摘要

接受临终关怀的患者面临着许多职业挑战,但很少有人接受职业治疗来进行治疗。职业治疗可以帮助那些接受临终关怀的人在死亡前有尊严地生活。使用独立 t 检验、Wilcoxon 秩和检验、卡方检验和逻辑回归分析了从全国家庭和临终关怀调查中检索到的数据。只有 10.6%的参与者接受了职业治疗。与对照组相比,接受职业治疗的患者年龄明显更大,临终关怀服务的时间也更短。超过 85%的患者至少需要帮助完成一项日常生活活动(ADL)任务。研究结果表明,临终关怀服务中需要增加职业治疗人员,并倡导在临终关怀环境中提供职业治疗服务的价值。

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