Occupational Therapy for Patients With Cardiovascular Disease - A Systematic Review.

Circulation reports Pub Date : 2025-05-21 eCollection Date: 2025-06-10 DOI:10.1253/circrep.CR-24-0162
Tomonori Takeda, Daichi Tsukakoshi, Atsuhiro Tsubaki, Shuhei Yamamoto
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Abstract

Background: The prevalence of cardiovascular diseases (CVD) is high worldwide. Occupational therapy (OT) allows individuals to participate in activities of daily living (ADLs) and improves their quality of life. However, whether OT improves health-related quality of life (HRQOL), ADLs, fatigue, occupational performance, rehospitalization, and mortality in patients with CVD remains unclear. This study aimed to determine whether OT improves HRQOL, ADLs, fatigue, occupational performance, rehospitalization, and mortality in patients with CVD using a systematic review and meta-analysis.

Methods and results: A literature search of 3 databases in October 2024 yielded 4 RCTs on OT in CVD patients. Two trials (n=208) assessed HRQOL, while 2 others (n=220) examined ADLs. One trial (n=23) evaluated fatigue and occupational performance, and another (n=93) assessed rehospitalization and mortality. Due to insufficient data on HRQOL and ADL improvement in 1 trial, a meta-analysis was not feasible. Similarly, a meta-analysis of fatigue, occupational performance, rehospitalization, and mortality could not be performed due to the limited number of studies.

Conclusions: The results showed no clear evidence that OT improves HRQOL or ADLs in patients with CVD.

心血管疾病患者的职业治疗-系统综述。
背景:心血管疾病(CVD)在世界范围内的患病率很高。职业治疗(OT)允许个体参与日常生活活动(adl)并提高他们的生活质量。然而,OT是否能改善CVD患者的健康相关生活质量(HRQOL)、adl、疲劳、职业表现、再住院和死亡率仍不清楚。本研究旨在通过系统回顾和荟萃分析确定OT是否能改善心血管疾病患者的HRQOL、ADLs、疲劳、职业表现、再住院和死亡率。方法与结果:2024年10月对3个数据库进行文献检索,获得4项关于心血管疾病患者OT的随机对照试验。两项试验(n=208)评估HRQOL,另外两项试验(n=220)检查adl。一项试验(n=23)评估疲劳和职业表现,另一项试验(n=93)评估再住院和死亡率。由于1项试验中HRQOL和ADL改善的数据不足,因此荟萃分析不可行。同样,由于研究数量有限,无法对疲劳、职业表现、再住院和死亡率进行meta分析。结论:没有明确的证据表明OT可以改善CVD患者的HRQOL或adl。
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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