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治疗师管理慢性疼痛:实践概况描述。

Management of Chronic Pain by Occupational Therapist: A Description of Practice Profile.

出版信息

Can J Occup Ther. 2023 Dec;90(4):384-394. doi: 10.1177/00084174231162709. Epub 2023 Mar 20.

Abstract

Current state of knowledge regarding occupational therapy's contribution to chronic pain (CP) management has evolved over the past decade. Yet, has this been transferred to clinical practice? Describe the current state of practice of CP management-specific occupational therapy. An online survey was sent to occupational therapists working with CP patients. Of the 90 respondents (11.9%), 42.2% worked in primary care and 52.2% in secondary care. They reported that their primary role aimed at enabling occupation and providing vocational rehabilitation. The Canadian Model of Occupational Performance and Engagement (CMOP-E) (87.8%), semi-structured interview (86.7%), and education on energy conservation (65.6%) and postural hygiene (60.0%) were the most frequently reported conceptual model, assessment, and intervention methods. Results illustrate the diversity of current occupational therapy practice in CP management and suggest opportunities for improvement to ensure best practices are adopted, by emphasizing an occupation-based vision of health and well-being.

摘要

过去十年间,职业治疗在慢性疼痛(CP)管理方面的贡献的相关知识现状已经发展。然而,这是否已经转化为临床实践?描述针对 CP 管理的特定职业治疗的当前实践状况。我们向从事 CP 患者治疗的职业治疗师发送了在线调查。在 90 位回复者(11.9%)中,42.2%在初级保健机构工作,52.2%在二级保健机构工作。他们报告说,他们的主要角色旨在实现职业和提供职业康复。加拿大职业表现与参与模式(CMOP-E)(87.8%)、半结构化访谈(86.7%)以及关于节能(65.6%)和姿势卫生(60.0%)的教育是最常报告的概念模型、评估和干预方法。结果说明了当前 CP 管理中职业治疗实践的多样性,并提出了改进的机会,以通过强调基于职业的健康和幸福愿景来确保采用最佳实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700b/10647916/7581b057af8b/10.1177_00084174231162709-fig1.jpg

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