Occupational therapy and participation in activities of daily living following cardiothoracic surgery in acute care: A retrospective study

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy Pub Date : 2023-11-25 DOI:10.1177/03080226231212984

Stephanie Tsai, Gwenn Petrillo, Elyse Peterson

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引用次数: 0

Abstract

Patients recovering from cardiothoracic surgery in acute care experience physical and psychosocial challenges impacting participation in activities of daily living. Occupational therapists are well positioned to address these needs; however, there is little evidence exploring occupational therapy’s role in this area. This retrospective study of electronic medical records examined changes in activities of daily living participation for adult patients ( n = 37) who received occupational therapy in acute care while recovering from cardiothoracic surgery via median sternotomy. Wilcoxon signed-rank tests and paired t-tests compared patients’ scores on the Functional Independence Measure (FIM) and Activity Measure for Post-Acute Care “6-Clicks” Daily Activity Inpatient Short Form at occupational therapy evaluation and discharge from their inpatient stay. Patients showed statistically significant improvements on both assessments in activities of daily living participation while receiving occupational therapy services following cardiothoracic surgery. Lower body dressing, toileting, and bed mobility showed the greatest increases in the FIM categories. Occupational therapists are valuable in addressing the complex needs of patients recovering from cardiothoracic surgery in acute care. Continued research is needed to provide further evidence supporting occupational therapy’s unique role in this setting.

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急诊心胸手术后的职业治疗和日常生活活动参与：回顾性研究

在急症护理中从心胸手术中恢复过来的患者会遇到生理和心理上的挑战，影响他们参与日常生活活动。职业治疗师能够很好地解决这些需求；然而，很少有证据表明职业治疗师在这一领域发挥了作用。这项对电子病历的回顾性研究考察了通过胸骨正中切开术进行心胸手术后恢复期间在急症护理中接受职业治疗的成年患者（37 人）在参与日常生活活动方面的变化。Wilcoxon 符号秩检验和配对 t 检验比较了患者在接受职业治疗评估和出院时在功能独立性测量（FIM）和急性期后护理 "6-Clicks "日常活动住院病人简表上的得分。在心胸手术后接受职业疗法服务期间，患者在参与日常生活活动方面的两项评估结果均显示出明显的统计学改善。在 FIM 类别中，下半身穿衣、如厕和床上活动能力的提高幅度最大。职业治疗师在满足急症护理中心胸外科术后康复患者的复杂需求方面具有重要价值。需要继续开展研究，为职业治疗在这种情况下的独特作用提供进一步的证据支持。

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

British Journal of Occupational Therapy REHABILITATION-

CiteScore

2.20

自引率

15.40%

发文量

审稿时长

6-12 weeks

期刊介绍： British Journal of Occupational Therapy (BJOT) is the official journal of the Royal College of Occupational Therapists. Its purpose is to publish articles with international relevance that advance knowledge in research, practice, education, and management in occupational therapy. It is a monthly peer reviewed publication that disseminates evidence on the effectiveness, benefit, and value of occupational therapy so that occupational therapists, service users, and key stakeholders can make informed decisions. BJOT publishes research articles, reviews, practice analyses, opinion pieces, editorials, letters to the editor and book reviews. It also regularly publishes special issues on topics relevant to occupational therapy.