Open Journal of Occupational Therapy最新文献

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Comprehensive Breast Cancer-Related Lymphedema Management Programs Addressing both Psychosocial and Physical Needs: A Scoping Review. 综合乳腺癌相关淋巴水肿管理方案解决社会心理和生理需求：范围审查。

Open Journal of Occupational Therapy

Pub Date : 2025-01-01 DOI: 10.15453/2168-6408.2279

Amanda Wheeler, Claudine Campbell, Chenchen Cui

Background: Breast cancer is the leading cause of female cancer worldwide, which can lead to many negative sequelae, with up to a third of women developing breast cancer-related lymphedema. Breast cancer-related lymphedema requires chronic maintenance and is associated with worse physical and mental health outcomes compared to women without lymphedema. Occupational therapists are well-positioned to address the complex needs of women with breast cancer-related lymphedema. This review aimed to identify existing research that reports outcomes of lymphedema management programs addressing both physical and mental health needs of women with breast cancer-related lymphedema.

Method: A scoping review was conducted to determine the existing evidence on lymphedema management models that address physical and psychological issues in women following breast cancer treatment. This scoping review was structured based on Joanna Briggs Institute guidelines.

Results: Four articles met inclusion criteria. The Lymphedema management programs identified used adjuvant interventions, including behavior management education, progressive muscle relaxation, and yoga to address psychosocial needs in addition to traditional lymphedema management strategies.

Conclusion: In the few studies identified, lymphedema management programs that address the physical and psychosocial impact of breast cancer-related lymphedema demonstrate effectiveness in improving quality of life outcomes. Findings support future research.

背景：乳腺癌是世界范围内女性癌症的主要原因，可导致许多阴性后遗症，多达三分之一的女性患有乳腺癌相关淋巴水肿。乳腺癌相关淋巴水肿需要长期维持，与没有淋巴水肿的妇女相比，其生理和心理健康状况更差。职业治疗师很好地定位于解决与乳腺癌相关的淋巴水肿妇女的复杂需求。本综述旨在确定现有的研究，这些研究报告了淋巴水肿管理方案的结果，这些方案解决了患有乳腺癌相关淋巴水肿的妇女的生理和心理健康需求。方法：进行了一项范围审查，以确定淋巴水肿管理模型的现有证据，以解决乳腺癌治疗后妇女的生理和心理问题。这个范围审查是基于乔安娜布里格斯研究所的指导方针。结果：4篇文章符合纳入标准。淋巴水肿管理项目确定了辅助干预措施，包括行为管理教育、渐进式肌肉放松和瑜伽，以解决心理社会需求，以及传统的淋巴水肿管理策略。结论：在少数已确定的研究中，针对乳腺癌相关淋巴水肿的生理和心理影响的淋巴水肿管理方案在改善生活质量方面表现出有效性。研究结果支持未来的研究。

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引用次数: 0

Examining the Delivery Mode of Mental Practice in Reducing Hemiparesis: A Randomized Controlled Trial 心理练习在减轻偏瘫中的传递方式:一项随机对照试验

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2149

Teresa M Green, Nicole M Fromm, Farida Sita Gayle, Jinna Lee, Wanyi Wang, Asha K. Vas

Background: Mental Practice (MP) is an effective intervention to address upper extremity (UE) hemiparesis post-stroke. However, parameters for the delivery mode of MP have not been defined. Therefore, this study's purpose was to define delivery mode parameters by comparing the effectiveness of audio-guided and video-guided MP.

背景:心理练习(MP)是解决脑卒中后上肢偏瘫的有效干预措施。然而，MP交付模式的参数尚未定义。因此，本研究的目的是通过比较音频引导和视频引导MP的有效性来确定传递模式参数。

引用次数: 0

Occupational Therapist and Occupational Therapy Assistant: We are Proud of These Titles 职业治疗师和职业治疗助理:我们为这些头衔感到自豪

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2260

Diane Powers Dirette

引用次数: 0

Destigmatizing Complex Regional Pain Syndrome through Art and Research 通过艺术和研究去污名化复杂的区域性疼痛综合征

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2275

Jennifer K Fortuna

Bill Dambrova, an artist based in Phoenix, AZ, provided the cover art for the Fall 2023 issue of the Open Journal of Occupational Therapy (OJOT). Bill’s paintings explore the intrinsic and extrinsic relationships between living things. Through the Artists + Researchers (ARx) program, Bill was teamed with Dr. Gretchen Bachman, OTD, OTR/L, MBA, CEAS, CHT, and Dr. Cindy Ivy, OTD, OTR/L, MEd, CHT, occupational therapy professors and researchers from Northern Arizona University. Their goal was to create a work of art that could disseminate research on complex regional pain syndrome (CRPS). The partnership led to the creation of “Invisible War,” a 74” x 74” mixed media painting on canvas. The piece illustrates the visible and invisible challenges of people experiencing this debilitating condition. Through art and research, the team hopes to inform future studies and destigmatize CRPS.

比尔·丹布罗瓦是亚利桑那州凤凰城的一位艺术家，他为《开放职业治疗杂志》(OJOT) 2023年秋季刊提供了封面。比尔的绘画探索生物之间内在和外在的关系。通过艺术家+研究人员(ARx)计划，比尔与Gretchen Bachman博士(OTD, OTR/L, MBA, CEAS, CHT)和Cindy Ivy博士(OTD, OTR/L, MEd, CHT)以及北亚利桑那大学的职业治疗教授和研究人员合作。他们的目标是创造一件艺术品，可以传播对复杂局部疼痛综合征(CRPS)的研究。这次合作促成了《看不见的战争》(Invisible War)的创作，这是一幅74英寸× 74英寸的油画。这件作品展示了经历这种衰弱状态的人们所面临的有形和无形的挑战。通过艺术和研究，该团队希望为未来的研究提供信息，并消除CRPS的污名。

引用次数: 0

Thermoplastic Material Selection and Barriers to Custom Orthotic Fabrication: A Survey of Occupational and Physical Therapists 热塑性材料的选择和定制矫形器制造的障碍:职业和物理治疗师的调查

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2143

Priya Bakshi, Daisy Castillo, Heidi Mitchener, Zoee Lagerhausen, Lauren Paisley, Amanda Quinlivan, Brandi Andreae

Background: There is limited literature regarding therapists’ selection of thermoplastic material since the 1990s and less is known about the challenges of custom orthotic fabrication.

背景:自20世纪90年代以来，关于治疗师选择热塑性材料的文献有限，对定制矫形器制造的挑战知之甚少。

引用次数: 0

Application of a Model of Family-Centered Harm Reduction in Community-Based Programming 以家庭为中心的减少危害模式在社区规划中的应用

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2152

Johnna Belkiewitz, Victoria G. Wilburn, Sydney Larson, Kate Schrader

Coupling high substance use disorder rates with the effects of the COVID-19 pandemic, our nation faces a growing mental health crisis and a shortage of adequately trained mental and behavioral health providers. As occupational therapists work toward recognition as qualified providers in this practice area, we must ensure that future therapists can meet client needs. Traditional mental and behavioral health educational practices in occupational therapy use a model of harm reduction that minimizes negative outcomes for a select subset of the population engaging in specific “high-risk” behaviors, such as individuals engaging in substance use and sexual activity. Expanding our understanding of the harm reduction model and incorporating a more holistic trauma-informed care lens can better ensure beneficence for all clients. To do this, educational institutions must train students to identify harm in all of its contexts, such as the household dysfunction of cohabitating with a family member with substance use disorder, and apply practical treatments for addressing the impacts of dynamic family systems through occupation-based interventions. This paper illustrates a family-centered harm reduction model and offers a community-based educational intervention that allows occupational therapy students to gain valuable trauma-informed care practice skills through hands-on experiences.

高物质使用障碍率与COVID-19大流行的影响相结合，我们的国家面临着日益严重的心理健康危机，以及训练有素的心理和行为健康提供者的短缺。当职业治疗师在这个实践领域努力成为合格的提供者时，我们必须确保未来的治疗师能够满足客户的需求。职业治疗中传统的心理和行为健康教育实践使用一种减少伤害的模式，对从事特定"高风险"行为的特定人群，如从事药物使用和性活动的个人，尽量减少负面后果。扩大我们对减少伤害模式的理解，并结合更全面的创伤知情护理镜头，可以更好地确保所有客户受益。要做到这一点，教育机构必须训练学生识别所有环境中的危害，例如与患有物质使用障碍的家庭成员同居的家庭功能障碍，并通过基于职业的干预措施应用实际治疗来解决动态家庭系统的影响。本文阐述了一个以家庭为中心的减少伤害模式，并提供了一个以社区为基础的教育干预，使职业治疗的学生能够通过实践经验获得宝贵的创伤知情护理实践技能。

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引用次数: 0

Gender as Occupation: The "Doing" of Authentic Expression and Reciprocally Affirming Care for Transgender Individuals 性别作为职业:对跨性别个体的真实表达和相互肯定关怀的“做”

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2116

Annie DeRolf, Johnna Belkiewitz, Sally Wasmuth

The current predominant view of gender as binary, alongside limited training of affirmative care practices, is severely and negatively impacting transgender and gender diverse (TGD) people. This paper urges the re-conceptualization of gender as an occupation, suggesting that gender is a doing that allows for positive identity development, roles, habits, and routines. Doing gender facilitates meaning-making and the ability to engage in other occupations. However, occupational injustices rooted in discrimination, stigma, and/or implicit biases impede TGD people’s ability to engage in the doing of gender and other occupations. Articulation of conceptual guidelines and interventions to support TGD people’s ability to do gender and other occupations is a critical area of need in occupational therapy literature and practice. In accordance with the profession’s ethical mandate to promote occupational justice, it is critical that occupational therapists become educated and involved in providing affirmative services to support occupational participation for this population.

目前的主流性别二元观，加上有限的平权护理实践培训，对跨性别者和性别多样化者(TGD)产生了严重的负面影响。本文敦促将性别重新概念化为一种职业，表明性别是一种行为，它允许积极的身份发展、角色、习惯和惯例。做性别有助于意义的创造和从事其他职业的能力。然而，基于歧视、污名和/或隐性偏见的职业不公正阻碍了TGD人从事性别和其他职业的能力。在职业治疗文献和实践中，明确概念指南和干预措施以支持TGD患者从事性别和其他职业的能力是一个关键领域。根据职业治疗师促进职业公正的道德使命，职业治疗师接受教育并参与提供积极服务以支持这一人群的职业参与是至关重要的。

引用次数: 0

Intraprofessional Conversations Begin in the Classroom: An Exploratory Study of an Occupational Therapist and Occupational Therapy Assistant Joint Class 职业内对话始于课堂:职业治疗师与职业治疗助理联合课堂的探索性研究

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2103

Patricia Gentile, Michele Mills, Tsu-Hsin Howe

Effective occupational therapist and occupational therapy assistant partnerships are essential for the provision of quality patient care and satisfactory intraprofessional working relationships. Providing OT and OTA students with collaborative educational experiences can enhance students’ understanding and appreciation of each other’s roles, as well as set the groundwork for successful future work experiences.

有效的职业治疗师和职业治疗助理的伙伴关系是必不可少的提供高质量的病人护理和满意的专业内的工作关系。为OT和OTA的学生提供合作的教育体验，可以增强学生对彼此角色的理解和欣赏，也为未来成功的工作经验奠定基础。

引用次数: 0

Aging in Place: Key Occupational Therapy Collaborators 老化在地方:关键的职业治疗合作者

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2174

Shivani B. Vij

引用次数: 0

Providing Personalized Interest-Based Activities to Prevent Delirium: A Multicomponent Quality Improvement Initiative in an Acute Care Setting 提供个性化的兴趣为基础的活动，以防止谵妄:一个多成分的质量改进倡议在急性护理设置

Open Journal of Occupational Therapy

Pub Date : 2023-10-15 DOI: 10.15453/2168-6408.2110

Qianwen Liu, Elena V. Donoso Brown, Shauni Johnson, Autumn Moss-Corcoran

Background: Hospital-induced delirium is a prevalent condition across inpatient settings, frequently impacting older adults’ recovery. A 10-week multi-component quality improvement (QI) project was designed for an existing delirium prevention program in four acute care units, aiming to support patient and caregiver engagement in delirium prevention activities.

背景:医院诱发性谵妄是住院患者普遍存在的一种疾病，经常影响老年人的康复。一个为期10周的多成分质量改进(QI)项目是为四个急症护理单位现有的谵妄预防项目设计的，旨在支持患者和护理人员参与谵妄预防活动。

引用次数: 0

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