Occupational Therapy Services Provided to Adults Diagnosed With Kidney Disease: A Scoping Review

IF 2 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2026-06-30 DOI:10.1111/jorc.70068

Jane Levison, Susan Brandis

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引用次数: 0

Abstract

Background

Chronic kidney disease and treatment have a severe and detrimental impact on life participation, reducing independence, autonomy, physical and cognitive function requiring a multidisciplinary approach. Occupational therapists have comprehensive skills in enabling independence and quality of life, yet the role in a kidney team is poorly understood.

Objectives

To identify occupational therapy services for adults diagnosed with kidney disease which will inform future practice, service planning and role definition.

Methods

Following Joanna Briggs Institute methodology for scoping reviews and the PRISMA-ScR guidelines, PubMed, Scopus, PsycINFO-OVID, ProQuest, and CINAHL were searched from inception to 15 December 2025. The population of interest was adults at any grade of kidney disease, the concept being occupational therapy services/models of care, and the context of any service setting. Results were transferred from Endnote to Covidence, duplicates removed and the title and abstract of articles screened. The full text of the remaining articles was assessed by two researchers, and themes were identified in alignment with the research questions.

Results

The search provided 1603 results, with 434 duplicates removed leaving 1169 articles. Following title and abstract screening, 40 papers remained for full text review, resulting in 23 studies for data extraction and analysis. Themes identified included types of occupational therapy interventions, grade of disease progression when interventions were undertaken, models of care and service location. The most reported occupational therapy roles related to activities of daily living, equipment prescription and mental health interventions.

Conclusions

While the occupational therapy role for patients with kidney disease is evolving worldwide, notably over the past 5 years, it is still underutilised. Further research is required to inform the development of clinical practice guidelines for clear role delineation.

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为诊断为肾脏疾病的成人提供的职业治疗服务：一项范围审查

慢性肾脏疾病和治疗对生活参与有严重和有害的影响，降低独立性、自主性、身体和认知功能，需要多学科的方法。职业治疗师在独立和生活质量方面有全面的技能，但在肾脏团队中的作用却知之甚少。目的确定成人肾脏疾病的职业治疗服务，为未来的实践、服务计划和角色定义提供参考。方法按照Joanna Briggs研究所的范围评价方法和PRISMA-ScR指南，检索PubMed、Scopus、psycininfo - ovid、ProQuest和CINAHL，检索时间从成立到2025年12月15日。感兴趣的人群是任何级别肾脏疾病的成年人，概念是职业治疗服务/护理模式，以及任何服务环境的背景。将结果从Endnote转移到covid，删除重复，并筛选文章的标题和摘要。其余文章的全文由两位研究人员进行评估，并根据研究问题确定主题。结果共检索结果1603条，删除重复434条，共1169篇。经过题目和摘要筛选，剩下40篇论文进行全文审查，有23篇研究进行数据提取和分析。确定的主题包括职业治疗干预的类型、进行干预时疾病进展的等级、护理模式和服务地点。报告最多的职业治疗作用与日常生活活动、设备处方和心理健康干预有关。结论：虽然职业治疗在肾病患者中的作用在世界范围内不断发展，特别是在过去的5年里，但它仍然没有得到充分利用。需要进一步的研究来为临床实践指南的发展提供明确的角色描述。

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

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.