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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.

DOI:10.1080/07380577.2021.1879410
PMID:33546567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8192430/
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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本文引用的文献

1
Occupational Therapy Practice Framework: Domain and Process-Fourth Edition.《作业治疗实践框架:领域与过程》第四版。
Am J Occup Ther. 2020 Aug 1;74(Supplement_2):7412410010p1-7412410010p87. doi: 10.5014/ajot.2020.74S2001.
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A model for occupation-based palliative care.基于职业的姑息治疗模式。
Occup Ther Health Care. 2019 Jan;33(1):108-123. doi: 10.1080/07380577.2018.1544428. Epub 2019 Jan 7.
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Preference for Palliative Care in Cancer Patients: Are Men and Women Alike?癌症患者对姑息治疗的偏好:男性和女性是否相同?
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What is important to patients in palliative care? A scoping review of the patient's perspective.姑息治疗中对患者而言重要的是什么?对患者观点的范围综述。
Scand J Occup Ther. 2019 Jan;26(1):1-8. doi: 10.1080/11038128.2017.1378715. Epub 2017 Sep 22.
5
Generating Rasch-based activity of daily living measures from the Spinal Cord Injury Longitudinal Aging Study.从脊髓损伤纵向老化研究中生成基于 Rasch 的日常生活活动测量。
Spinal Cord. 2018 Jan;56(1):14-21. doi: 10.1038/sc.2017.99. Epub 2017 Sep 12.
6
Linking Existing Instruments to Develop an Activity of Daily Living Item Bank.关联现有工具以开发日常生活活动项目库。
Eval Health Prof. 2018 Mar;41(1):25-43. doi: 10.1177/0163278716676873. Epub 2016 Nov 16.
7
The benefits of rehabilitation for palliative care patients.姑息治疗患者康复的益处。
Am J Hosp Palliat Care. 2015 Feb;32(1):34-43. doi: 10.1177/1049909113514474. Epub 2013 Dec 2.
8
Rehabilitation of the hospice and palliative care patient. Hospice 和姑息治疗患者的康复。
J Palliat Med. 2011 May;14(5):638-48. doi: 10.1089/jpm.2010.0125.
9
Redesign and operation of the National Home And Hospice Care Survey, 2007.2007年国家家庭与临终关怀护理调查的重新设计与运作
Vital Health Stat 1. 2010 Jul(53):1-192.
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Occupational therapy and hospice.
Am J Occup Ther. 2005 Nov-Dec;59(6):671-5. doi: 10.5014/ajot.59.6.671.