职业治疗服务对急性护理机构癌症患者的功能移动性的影响
Christine C McNichols1, Alicia K Peterson2, Stacey Reynolds1
1Department of Occupational Therapy, Virginia Commonwealth University, Richmond, Virginia.
概括
职业治疗 (OT) 服务显著改善了癌症患者的功能移动性. 虽然未经调整的分析显示出明显的好处,但调整后的分析显示出非显著的趋势,表明OT在增强流动性方面的潜在作用.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症患者在急性护理期间经常经历功能性移动性缺陷.
- 职业治疗 (OT) 是一个关键的服务,旨在改善患者的功能.
- 了解OT对癌症护理流动性的影响,对于优化治疗至关重要.
研究的目的:
- 研究职业治疗 (OT) 服务对急性护理环境中癌症患者的功能移动状态的影响.
- 分析OT服务的强度与功能移动性的变化之间的关系.
主要方法:
- 这是一项回顾性观察性研究,使用来自国家癌症研究所 (NCI) 医院的二次数据.
- 包括1949名癌症患者 (乳腺癌,血液癌,结肠直肠癌,妇科癌,肺癌,前列腺癌),年龄在18-93岁之间.
- 分析后急性护理活动量 (AM-PAC) 6-点击基本移动性得分在OT干预之前和之后使用对联t测试和调整后线性回归.
主要成果:
- 与初始得分相比,最终的AM-PAC6点击基本移动性得分在统计学上显著增加 (配对t测试).
- 未经调整的分析显示,接受OT服务的癌症患者的功能移动独立性显著增加.
- 调整后的线性回归显示,对于提供每项额外的OT服务,功能移动性增加不大.
结论:
- 职业治疗服务在急性护理期间对癌症患者的功能移动性产生了统计学上显著的积极影响.
- 结果表明,OT干预可能在增强癌症患者的功能性移动性独立性方面发挥有益作用.
- 用调整的分析进行进一步的研究是有必要的,以充分阐明OT强度和移动性结果之间的剂量反应关系.
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