The lived experience and occupational impact of individuals with Dupuytren's disease: a scoping review

R. Cox, A. McCann, Stacey M. Cross, M. Molineux
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Abstract

Understanding an individual's experience of living with Dupuytren's disease is important to support rehabilitation. The aim of this review was to explore the extent to which the literature provides an understanding of the lived experience of individuals with Dupuytren's disease, including the occupational impact. A scoping review was completed. Three electronic databases were searched, using the terms Dupuytren* and experience. The search yielded 257 articles, and 60 were included in the final review. Most articles (43; 79.62%) made non-specific statements regarding occupational impacts. All articles (100%) included physical factors; 13 (24.07%) affective; five (9.45%) cognitive; and none discussed spirituality. Thematic analysis yielded an overarching theme of the prioritisation of professionals' perspectives. Sub-themes highlighted that most literature focused on a narrow biomedical aspects of the disease and included: a physical or reductionist approach to viewing the condition; glimpses of life with Dupuytren's disease; and a limited focus on the journey. Consultation with occupational therapists confirmed these themes and added discussion points. There is a need for research regarding patient perspectives, including psychosocial factors, so that these are elucidated and prioritised. Further research should also explore how the impact of the condition changes over time, and how individuals cope and adapt.
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Dupuytren病患者的生活经历和职业影响:范围综述
了解患有Dupuytren病的个人经历对支持康复非常重要。本综述的目的是探讨文献在多大程度上提供了对Dupuytren病患者生活经历的理解,包括职业影响。范围审查已经完成。检索了三个电子数据库,检索词为Dupuytren*和experience。检索出257篇文章,其中60篇被纳入最终审稿。大多数文章(43篇;79.62%)对职业影响作出非具体陈述。所有文章(100%)均包含物理因素;情感型13例(24.07%);5个(9.45%)认知;也没有人讨论灵性。专题分析产生了优先考虑专业人士观点的总体主题。次主题强调,大多数文献集中在疾病的狭窄的生物医学方面,包括:观察病情的物理或还原方法;Dupuytren病患者的生活;以及对旅程的有限关注。咨询职业治疗师确认了这些主题,并增加了讨论点。有必要对患者的观点进行研究,包括社会心理因素,以便阐明和优先考虑这些因素。进一步的研究还应该探索这种情况的影响如何随着时间的推移而变化,以及个体如何应对和适应。
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来源期刊
CiteScore
0.80
自引率
40.00%
发文量
56
期刊介绍: International Journal of Therapy and Rehabilitation (IJTR) publishes original research, providing a platform for the latest key research findings in therapy and rehabilitation. Review and analysis articles are invited internationally to enable the sharing of practices and developments worldwide, and to raise awareness of different cultural influences in health care. IJTR provides an interdisciplinary approach to therapy and rehabilitation by: -Providing a well-referenced source of information to all professionals involved in therapy and rehabilitation worldwide, including occupational therapists, physiotherapists, chiropodists and podiatrists, radiographers, speech and language therapists and orthoptists -Providing a peer-reviewed source of original research and information presented in an accessible, informative and professional medium -Providing a forum for the discussion of new ideas, information and issues relating to therapy and rehabilitation -Creating an awareness of the national and international issues affecting professionals involved in therapy and rehabilitation -Encouraging collaboration and sharing of new ideas between professions worldwide
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