Occupational Therapy for Adults With Acute Hand Conditions: A Mixed-Methods Feasibility Study.

IF 1.5 4区医学 Q3 REHABILITATION

Otjr-Occupation Participation and Health Pub Date : 2024-09-19 DOI:10.1177/15394492241278668

Margo Sheerin,Rose Galvin,Damien Ryan,Leonora Carey,Aoife Whiston,Aoibheann Coughlan,Ann-Marie Morrissey

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Abstract

Hand injuries account for up to one third of acute hospital presentations. Current guidelines and standards of care recommend patients with hand trauma are seen by hand therapists, typically occupational therapists. This study explored the feasibility of implementing an occupational therapy-led hand therapy service for adults presenting acutely with a hand condition, using the RE-AIM framework. Purposeful sampling was used to recruit adult participants (n = 13). Outcome measures assessing function, health-related quality of life, pain, and occupational value and competence were completed. Focus groups were completed with patients and health care professionals. Data analysis revealed improvements in outcome measures post intervention and at 6-month follow-up. Participants were receptive of therapy-led services, and barriers and facilitators to service integration were identified using the RE-AIM framework. Occupational therapy-led hand therapy clinics show potential in treating people with acute hand conditions at emergency department settings, based on RE-AIM evaluation.

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为患有急性手部疾病的成人提供职业疗法：混合方法可行性研究

手部创伤占医院急诊病人的三分之一。现行指南和护理标准建议手部创伤患者由手部治疗师（通常是职业治疗师）进行诊治。本研究采用 RE-AIM 框架，探讨了针对急性手部疾病成人实施以职业治疗为主导的手部治疗服务的可行性。研究采用有目的的抽样方法招募成人参与者（n = 13）。完成了评估功能、与健康相关的生活质量、疼痛、职业价值和能力的结果测量。与患者和医护人员共同完成了焦点小组讨论。数据分析显示，干预后和 6 个月随访期间的结果指标均有所改善。参与者乐于接受以治疗为主导的服务，并利用 RE-AIM 框架确定了服务整合的障碍和促进因素。根据RE-AIM评估结果，以职业治疗为主导的手部治疗诊所在治疗急诊科急性手部疾病患者方面显示出潜力。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.