Can J Occup Ther. 2023 Dec;90(4):353-362. doi: 10.1177/00084174221148037. Epub 2022 Dec 27.
Chronic obstructive pulmonary disease (COPD) is a multisystemic chronic condition which may induce significant consequences in daily life activities. Preserving activities of daily living in COPD is therefore a common treatment goal among people living with COPD, which leaves ample opportunity for occupational therapy interventions to comprise part of their rehabilitation. However, the question of how exactly occupational therapists can and do contribute to pulmonary rehabilitation remains underexplored. To reveal the contribution of occupational therapy intervention in the pulmonary rehabilitation on improving the occupational performance of patients with COPD. A scoping review was performed by selecting articles focusing on occupational therapy in pulmonary rehabilitation for patients with COPD. A total of four databases were surveyed for article selection. Among nine studies selected, seven studies reported a significant improvement in the occupational performance of patients with occupational therapy. However, two studies did not observe differences between the groups regarding occupational performance. Occupational therapy in pulmonary rehabilitation seems to contribute to the improvement of occupational performances of patients with COPD. Nevertheless, research focused on this field needs to be further developed to support the positive impact of occupational therapy in COPD management.
慢性阻塞性肺疾病（COPD）是一种多系统的慢性疾病，可能会对日常生活活动产生重大影响。因此，维持 COPD 患者的日常生活活动能力是 COPD 患者的常见治疗目标之一，这为职业治疗干预措施提供了充分的机会，使其成为康复治疗的一部分。然而，职业治疗师如何以及如何为肺康复做出贡献的问题仍未得到充分探索。为了揭示职业治疗干预在改善 COPD 患者职业表现方面的贡献，对专注于 COPD 患者肺康复中的职业治疗的文章进行了范围综述。通过选择关注 COPD 患者肺康复中的职业治疗的文章，对四个数据库进行了调查。在选择的九项研究中，有七项研究报告了职业治疗对患者职业表现的显著改善。然而，有两项研究没有观察到两组在职业表现方面的差异。肺康复中的职业治疗似乎有助于改善 COPD 患者的职业表现。然而，需要进一步开展该领域的研究，以支持职业治疗在 COPD 管理中的积极影响。
