Scott Hayley M, Neale Sharon, Harrington Elizabeth, Hodgson Hayley, Hitch Danielle
Occupational Therapy Lecturer, Institute of Health and Well-Being, Federation University, Melbourne, Australia.
Occupational Therapy Department, Western Health, Melbourne, Australia.
Aust Occup Ther J. 2024 Dec;71(6):940-955. doi: 10.1111/1440-1630.12976. Epub 2024 Jun 14.
COVID-19 caused significant occupational disruption to people's life roles, with some people requiring an inpatient rehabilitation admission. Occupational therapists assessed and treated these patients using previous knowledge of similar conditions due to limited specificity in available guidelines to inform practice. The aim of this study was to investigate current practice with post-acute COVID-19 (PAC) patients within an inpatient rehabilitation setting in Australia, to better understand the role and impact of occupational therapy.
A mixed-method study was conducted, including electronic medical record audits (October 2021 October 2022) and descriptive patient interviews at a large metropolitan subacute service. Descriptive statistics and qualitative analysis were used to summarise and interpret data.
No involvement.
A total of 24 patient electronic medical records were audited, and 10 patient interviews were completed. Three overarching categories were identified within the 685 occasions of occupational therapy service audited-occupational engagement, education provision and discharge planning. Patients identified the value of occupational therapy by reflecting on their lived experiences of engaging with occupational therapists and associated changes in occupational performance between COVID-19 diagnoses and discharge home.
Occupational therapists possess a unique skill set that directly addresses the occupational needs and priorities of PAC patients. This study adds to the growing body of evidence supporting the contribution of occupational therapy to the management of COVID-19; however, further research is needed to develop evidence-based practice resources and advocate for system changes that improve quality of life for COVID-19 patients.
During the COVID-19 pandemic, a lot of people got very sick. Some of these people needed more time and support to get better. Occupational therapists were important during this time because they helped these people to do their daily activities again. Because there were not many resources on how to do this, we looked into what occupational therapists were doing to help these people. We looked at patient hospital files and also talked to them to understand this better. We found that occupational therapists focused on three main areas: helping patients do activities that were important to them, teaching them about COVID-19 and helping them plan to leave the hospital. This study shows that occupational therapists are skilled at helping people with COVID-19. But more research is needed to make resources and also help with changing the healthcare system to further help people get better from COVID-19.
新冠疫情对人们的生活角色造成了重大职业干扰，一些人需要住院康复治疗。由于现有指南的针对性有限，职业治疗师利用以往对类似病症的了解来评估和治疗这些患者。本研究的目的是调查澳大利亚住院康复环境中对新冠后急性病（PAC）患者的当前治疗实践，以更好地了解职业治疗的作用和影响。
开展了一项混合方法研究，包括电子病历审核（2021年10月至2022年10月）以及在一家大型都市亚急性病服务机构进行的描述性患者访谈。使用描述性统计和定性分析来总结和解释数据。
未参与。
共审核了24份患者电子病历，完成了10次患者访谈。在审核的685次职业治疗服务中确定了三个总体类别——职业参与、教育提供和出院计划。患者通过反思他们与职业治疗师接触的实际经历以及新冠诊断至出院回家期间职业表现的相关变化，认识到了职业治疗的价值。
职业治疗师拥有一套独特的技能，可直接满足PAC患者的职业需求和优先事项。本研究为支持职业治疗对新冠疫情管理贡献的证据库增添了内容；然而，需要进一步研究以开发基于证据的实践资源，并倡导进行系统变革，以改善新冠患者的生活质量。
在新冠疫情期间，很多人生病很重。其中一些人需要更多时间和支持才能康复。在此期间，职业治疗师很重要，因为他们帮助这些人重新开展日常活动。由于关于如何做这件事的资源不多，我们调查了职业治疗师为帮助这些人所做的工作。我们查看了患者的医院档案，并与他们交谈以更好地了解情况。我们发现职业治疗师主要关注三个领域：帮助患者开展对他们重要的活动、向他们传授有关新冠的知识以及帮助他们规划出院。这项研究表明，职业治疗师擅长帮助新冠患者。但需要更多研究来提供资源，并帮助改变医疗系统，以进一步帮助人们从新冠中康复。
