Occupational therapy intervention for cancer patients following hospital discharge: How and when should we intervene? A systematic review.


Journal

Australian occupational therapy journal
ISSN: 1440-1630
Titre abrégé: Aust Occup Ther J
Pays: Australia
ID NLM: 15420200R

Informations de publication

Date de publication:
12 2021
Historique:
revised: 24 05 2021
received: 05 02 2021
accepted: 05 06 2021
pubmed: 18 9 2021
medline: 25 11 2021
entrez: 17 9 2021
Statut: ppublish

Résumé

Advances in cancer treatment over the last decade have led to increased survival rates. As a result, survivors are living longer with and beyond cancer, often with greater levels of morbidity. Occupational therapists, with their focus on remedial and compensatory strategies to improve function and participation, are well suited to assess and intervene with this population. Despite this, little research exists to demonstrate the efficacy of interventions and value of the occupational therapy role. This systematic review aimed to review how and when occupational therapists provide services for adult patients with cancer and identify where they add the most value. A systematic search was conducted of six electronic databases. Eligible studies reported on occupational therapy interventions targeting management of cancer symptoms, rehabilitation or environmental modifications for adult cancer patients discharged from acute hospital services. Data extraction and quality assessment were undertaken by two reviewers. Narrative synthesis summarised the attributes and treatment outcomes of each intervention. Nine articles were included from a total of 309 articles retrieved. Eight different interventions were reported for people with cancer (n = 531). Small sample sizes and methodological quality precluded any formal analysis; however, intervention components that showed positive results were person-centred, individualised and included regular monitoring and flexibility in care, with input from multidisciplinary health professionals. Therapists also need to reflect upon the optimal duration of interventions and selection of outcome measures that specifically match intervention components. Despite inconclusive support of any particular type of intervention, this systematic review identified several successful intervention components for occupational therapists working with people with or beyond cancer. Overall, findings suggest that monitored tailored programmes compensating for fluctuations in a patient's condition have efficacy to improve patient outcomes and should be considered when delivering intervention with patients post hospital discharge.

Identifiants

pubmed: 34533212
doi: 10.1111/1440-1630.12750
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

546-562

Subventions

Organisme : Edith Cowan University
Organisme : Curtin University

Informations de copyright

© 2021 Occupational Therapy Australia.

Références

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Auteurs

Susan Taylor (S)

School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Occupational Therapy Department, Perth Children's Hospital, Child and Adolescent Health Service, Perth, Western Australia, Australia.
Occupational Therapy Department, Sir Charles Gairdner Hospital, North Metropolitan Health Service, Perth, Western Australia, Australia.

Sharon Keesing (S)

School of Allied Health, Curtin University, Perth, Western Australia, Australia.

Amy Wallis (A)

School of Occupational Therapy, Edith Cowan University, Perth, Western Australia, Australia.

Brooke Russell (B)

Occupational Therapy Department, Sir Charles Gairdner Hospital, North Metropolitan Health Service, Perth, Western Australia, Australia.

Andrew Smith (A)

Leukaemia Foundation, Melbourne, Victoria, Australia.

Rebecca Grant (R)

Occupational Therapy Department, Sir Charles Gairdner Hospital, North Metropolitan Health Service, Perth, Western Australia, Australia.

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