认知取向对多发性硬化症患者日常职业表现的影响:一项初步研究。

IF 1.6 4区医学 Q2 REHABILITATION

Australian Occupational Therapy Journal Pub Date : 2023-09-07 DOI:10.1111/1440-1630.12900

Mehrdad Saeidi Borujeni, Nazila Akbarfahimi, Seyed Ali Hosseni, Ashraf Karbalaei Nouri, Mohsen Vahedi, Elaheh Ebrahimi

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引用次数: 0

摘要

背景:多发性硬化症是年轻人非损伤性残疾的最重要原因。这种疾病病因不明，使人痛苦，并影响日常活动。治疗性干预主要关注身体功能和结构以减少损伤，而日常职业表现认知取向(CO-OP)是一种认知方法，在活动和参与水平上提供干预。目的:我们旨在研究CO-OP方法对多发性硬化症患者的疲劳、生活质量、职业表现和满意度的影响;并检查他们是否可以将在CO-OP期间学到的策略和技能转移到未经培训的目标上。方法:采用前后设计。评估工具包括蒙特利尔认知评估、多发性硬化症影响量表、疲劳影响量表和加拿大职业绩效量表。6名多发性硬化症患者参加了10次CO-OP课程，每周两次。会议在参与者选择的环境中举行，同时增加了一个额外的会议来确定目标。本研究已在社会福利与康复科学大学伦理委员会注册(IR.USWR.REC.1399.089)。结果:18个训练目标中的12个和6个非训练目标中的3个(自我报告)的表现均有改善(2点正变化)。改善在3个月的随访评估中保持。加拿大职业绩效量表得分(χ2 = 11.565, p = 0.003)、疲劳影响量表得分(χ2 = 7.000, p = 0.030)、多发性硬化症影响量表得分随时间的差异有统计学意义(χ2 = 9.478, p = 0.009)。结论:CO-OP方法具有改善多发性硬化症患者日常活动能力、减轻疼痛和改善生活质量的潜力。需要一个明确的随机对照试验。

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Cognitive orientation to daily occupational performance approach in people with multiple sclerosis: A pilot study

Background

Multiple sclerosis is the most important cause of non-injury-related disability in young adults. The disease has unknown causes and distresses and affects daily activities. While therapeutic interventions mainly focus on body function and structure to reduce impairment, Cognitive Orientation to Daily Occupational Performance (CO-OP) is a cognitive approach that provides intervention at the level of activity and participation.

Purpose

We aim to examine the effects of CO-OP approach on fatigue, quality of life, occupational performance, and satisfaction in people living with multiple sclerosis; and to examine whether they could transfer strategies and skills learned during CO-OP to untrained goals.

Methods

A pre-post design was used. Assessment tools included Montreal Cognitive Assessment, Multiple Sclerosis Impact Scale, Fatigue Impact Scale and the Canadian Occupational Performance Measure. Six individuals living with multiple sclerosis participated in 10 CO-OP sessions twice a week. The sessions were held in an environment of the participants' choice, along with an extra session added to determine the goals. The study was registered in the ethics committee of University of Social Welfare and Rehabilitation Sciences (IR.USWR.REC.1399.089).

Results

The performance improved (2-point positive change) in 12 out of 18 trained goals and in three out of six untrained goals (self-report). The improvement was maintained at a 3-month follow-up assessment. There was a statistically significant difference in Canadian Occupational Performance Measure (χ² = 11.565, p = 0.003 same for performance and satisfaction scores), Fatigue Impact Scale (χ² = 7.000, p = 0.030), and Multiple Sclerosis Impact Scale scores over time (χ² = 9.478, p = 0.009) respectively.

Conclusion

The CO-OP approach has the potential to improve daily activity performance, reduce pain, and improve the quality of life for people living with multiple sclerosis. A definitive randomised controlled trial is required.

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.