Rehabilitation, Radboud University Medical Center, Nijmegen, Netherlands
Rehabilitation, Radboud University Medical Center, Nijmegen, Netherlands.
BMJ Open. 2024 Nov 2;14(11):e089083. doi: 10.1136/bmjopen-2024-089083.
Persons with COVID-19 may experience limitations in daily functioning and can be referred to occupational therapy.
To evaluate changes in daily functioning, cognitive complaints, fatigue and self-management of persons with COVID-19 who received occupational therapy in primary care.To get insights in the volume and duration of occupational therapy.
A pre-post observational cohort study from October 2020 until April 2021.
Fifty-eight occupational therapy practices in primary care throughout the Netherlands participated with 68 occupational therapists.
228 adults (≥18 years) with COVID-19, referred to occupational therapy, gave informed consent and participated in the pre-post evaluation. The mean age was 49 years (SD 13) and 79% of the patients was female. The most frequently reported complaints included fatigue and cognitive complaints.
Occupational therapy using Dutch guidelines for occupational therapy in clients with COVID-19.
Performance and satisfaction with performance using the Canadian Occupational Performance Measure (COPM); the impact of Cognitive Complaints on Participation (CoCo-P); and daily activities, self-management and perceived contribution of occupational therapy using the Patient Reported Outcome Measure for Occupational Therapy (PROM-OT).
COPM-performance score improved with a mean difference of 2.9 points (95% CI 2.7 to 3.2), and COPM-satisfaction score improved with 3.2 points (95% CI 2.9 to 3.5). CoCo-P score improved with a mean difference of 20.9 points (95% CI from 14.4 to 27.4), and PROM-OT improved with 42.8 points (95% CI from 40.2 to 45.4). Participants received a median of seven sessions of occupational therapy (IQR 5-10) with a median duration of 18 weeks (IQR 12-25). They valued the contribution of occupational therapy to their improved functioning with a mean score of 8 (SD 1.4) and recommended this to others with a mean score of 9 (SD 1.2).
Persons with COVID-19 who received occupational therapy in primary care improved significantly in daily functioning and highly valued occupational therapy.
感染 COVID-19 的人可能会在日常功能方面受限，并可能需要接受职业治疗。
评估在初级保健中接受职业治疗的 COVID-19 患者在日常功能、认知主诉、疲劳和自我管理方面的变化，以了解职业治疗的工作量和时长。
这是一项 2020 年 10 月至 2021 年 4 月的前瞻性观察队列研究。
荷兰 58 家初级保健职业治疗机构的 68 名职业治疗师参与了研究。
228 名（≥18 岁）感染 COVID-19 并接受职业治疗的成年人，他们同意参与并接受了治疗前后的评估。患者的平均年龄为 49 岁（标准差 13 岁），其中 79%为女性。最常见的主诉包括疲劳和认知主诉。
采用荷兰 COVID-19 患者职业治疗指南进行职业治疗。
加拿大职业表现量表（COPM）的表现和满意度得分提高了 2.9 分（95%置信区间 2.7 至 3.2），认知主诉对参与的影响量表（CoCo-P）得分提高了 20.9 分（95%置信区间 14.4 至 27.4），患者报告的职业治疗结果测量量表（PROM-OT）的日常生活活动、自我管理和感知职业治疗的贡献得分提高了 42.8 分（95%置信区间 40.2 至 45.4）。参与者接受了中位数为 7 次（IQR 5-10），中位数时长为 18 周（IQR 12-25）的职业治疗。他们对职业治疗对其功能改善的贡献给予了平均 8 分（标准差 1.4）的评分，并平均给予了 9 分（标准差 1.2）的推荐评分。
在初级保健中接受职业治疗的 COVID-19 患者在日常功能方面显著改善，并且高度重视职业治疗。
