The Model of Human Occupation-Based Intervention for Patients with Stroke: A Randomised Trial

IF 0.8 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy Pub Date : 2012-12-01 DOI:10.1016/j.hkjot.2012.09.001

Kazuya Shinohara , Takashi Yamada , Norikazu Kobayashi , Kirsty Forsyth

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引用次数: 24

Abstract

Objective/Background

This study examined a group of people with cerebrovascular accidents who were in a chronic phase in a Health Care Facility for the Elderly in Japan. The model of human occupation (MOHO)-driven occupational therapy (OT) intervention was compared with interventions that were based on other theories, for example, biomechanical and neurodevelopmental frames of reference.

Methods

A total of 36 service users were randomly assigned to either an experimental group (who received MOHO-based OT) or a control group (who received “usual OT”). All the service users were assessed using the Activities of Daily Living (ADL), WHO Quality of Life 26 (QOL-26), MOS-36-Item Short Form Health (SF-36) before and after a 12-week OT intervention.

Results

Based on the results of our study, we found that the experimental group significantly improved in ADL and QOL scores following the MOHO-based OT intervention; in fact, these scores were higher (p < .05) than before the practice. The control group, however, only improved on ADL scores following OT intervention. In addition, when compared with the control group after the interventions, the experimental group had significantly improved (p < .05) scores in the following: ADL, all five domains of QOL-26, and physical functioning, role physical, bodily pain, general health perception, social functioning of SF-36.

Conclusion

The MOHO-based intervention was more effective in the improvement of ADL and QOL than non-MOHO-based intervention.

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基于人类职业的卒中患者干预模型:一项随机试验

目的/背景本研究调查了一组在日本老年人卫生保健机构中处于慢性期的脑血管事故患者。将人类职业(MOHO)驱动的职业治疗(OT)干预模型与基于生物力学和神经发育参考框架等其他理论的干预进行比较。方法将36名服务用户随机分为实验组(MOHO-based OT)和对照组(“常规OT”)。采用日常生活活动(ADL)、世卫组织生活质量26 (QOL-26)、mos -36单项健康短表(SF-36)对所有服务使用者进行12周OT干预前后的评估。结果经moho干预后，实验组患者的ADL和QOL评分均有显著提高;事实上，这些分数更高(p <.05)。然而，对照组在OT干预后仅改善了ADL评分。此外，干预后实验组与对照组比较，有显著改善(p <.05)在以下方面的得分:ADL, QOL-26的所有五个领域，以及SF-36的身体功能，角色身体，身体疼痛，一般健康感知，社会功能。结论moho干预对患者ADL和QOL的改善效果优于非moho干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hong Kong Journal of Occupational Therapy 医学-康复医学

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Hong Kong Journal of Occupational Therapy is the official peer-reviewed open access publication of the Hong Kong Occupational Therapy Association. The Journal aims to promote the development of theory and practice in occupational therapy (OT), and facilitate documentation and communication among educators, researchers and practitioners. It also works to advance availability, use, support and excellence of OT and maintain professional standards to promote better understanding of OT.