Griffith University, Queensland, Australia.
Gold Coast Hospital and Health Services, Queensland, Australia.
Aust Occup Ther J. 2023 Jun;70(3):392-415. doi: 10.1111/1440-1630.12861. Epub 2023 Feb 1.
Chronic respiratory diseases have a clear impact on occupational performance and engagement. Although occupational therapists have long provided services to this population, evidence regarding the unique role and true impact of occupational therapy is emerging.
AIMS/OBJECTIVES: The purpose of this scoping review was to explore the range, context, and outcomes of occupational therapy services for adults with chronic respiratory conditions.
A scoping review guided by the methodological framework of Arksey and O'Malley was completed. To be included articles needed to be peer reviewed primary studies published in English between 2000 and September 2022 describing occupational therapy service delivery for people with chronic respiratory conditions.
Twenty-six articles met inclusion criteria including 12 cohort studies, seven randomised control trials, four qualitative, two case reports, and one service evaluation. Interventions were targeted at body functions and structures (n = 18), activities and participation (n = 17), and environmental factors (n = 14). Ten studies reported impacts of occupational therapy ranging from physiological responses through to quality of life.
Occupational therapy service delivery is common for this population, often occurring as part of multidisciplinary programs, and is inclusive of a range of assessments and interventions. Further details in future primary research are needed to describe the mode and unique occupational nature of service delivery.
慢性呼吸系统疾病对职业表现和参与有明显影响。尽管职业治疗师长期以来一直为这一人群提供服务，但关于职业治疗独特作用和真正影响的证据正在出现。
目的/目标：本范围综述的目的是探讨针对慢性呼吸系统疾病成人的职业治疗服务的范围、背景和结果。
采用 Arksey 和 O'Malley 的方法学框架指导的范围综述完成。纳入标准为 2000 年至 2022 年 9 月期间发表的同行评审英文原始研究，描述针对慢性呼吸系统疾病患者的职业治疗服务提供情况。
有 26 篇文章符合纳入标准，包括 12 项队列研究、7 项随机对照试验、4 项定性研究、2 项病例报告和 1 项服务评估。干预措施针对身体功能和结构（n=18）、活动和参与（n=17）以及环境因素（n=14）。有 10 项研究报告了职业治疗的影响，从生理反应到生活质量不等。
针对该人群的职业治疗服务提供很常见，通常作为多学科计划的一部分，包括一系列评估和干预措施。在未来的主要研究中需要提供更详细的信息，以描述服务提供的模式和独特的职业性质。
