Application of Canadian Occupational Performance Measure combined with activity analysis in clients with hand injuries / 中国康复理论与实践

ObjectiveTo explore the occupational needs of hand injury patients and the effects of activity-based analysis and occupation-based interventions. MethodsFrom January, 2021 to June, 2022, 212 patients who accepted occupational therapy for wrist-hand injury in Rehabilitation Center of the First Affiliated Hospital of Nanjing Medical University were interviewed using Canadian Occupational Performance Measure (COPM) to collect the activities that they wanted to do, needed to do, were expected to do, but unable to do. Two senior occupational therapists conducted the activity analysis of the summarized needs, identified occupational components, designed a purposeful occupation-based intervention program, and evaluated the performance and satisfaction using COPM. ResultsA cumulative total of 84 occupational needs were proposed, covering five major domains: work, basic activities of daily living, instrumental activities of daily living, leisure and sleep. The activities mostly impaired involved using computer (8.28%), using chopsticks (6.42%), wringing towels (6.25%), travelling on transport (4.90%) and lifting heavy objects (4.73%). The performance and satisfaction improved after treatment (t > 16.572, P < 0.001). ConclusionThe occupational needs are culturally specific for local hand injury patients; the use of an activity-based analysis and occupation-based intervention is effective on meeting the occupational needs.

Explorando necesidades ocupacionales: un estudio de caso / Exploring occupational needs: a study of case

Este trabajo, da conocer la definición operacional de Necesidad Ocupacional aplicada en la investigación de Seminario de Título: Necesidades Ocupacionales de una madre cuidadora de una NANEAS (Niño o Adolescente con Necesidades Especiales de Atención en Salud) durante la hospitalización. La muestra utilizada correspondió a la madre de una NANEAS hospitalizada en el Hospital Clínico de la Universidad de Chile, durante el año 2007-2008.Los datos obtenidos del estudio de caso fueron revaluados, por ende difieren del estudio anterior. Tras el análisis pudimos constatar que las áreas del desempeño mayormente vulneradas en esta madre, durante los periodos de hospitalización fueron: las AVD instrumentales, Trabajo y Tiempo Libre. La relevancia de este artículo se basa en la entrega de conocimiento y técnicas (Cuestionario de Necesidad Ocupacional) que contribuyen al desarrollo de la Ciencia de la Ocupación, y su práctica, la Terapia Ocupacional. El proceso de identificación de las Necesidades Ocupacionales (de ahora en adelante NN.OO), es una herramienta de diagnóstico, planificación, ejecución, evaluación y sistematización en salud que permite crear líneas de acción, convirtiéndose en un medio terapéutico de inclusión.

The purpose of this article is to explain the meaning of Occupational Need after it’s appliance during the seminaries’ investigation: “Occupational Needs of a Caregiver Mother during a Child with Special Health Care Need’s hospitalization.” For the investigation, there was observed the Child with Special Health Care Need’s mother hospitalized in the Universidad de Chile’s University along the period 2007 – 2008. The data of the case study has been reevaluated, that is why it varies from the previous study. After the analysis, it has been detected that the performance areas that were mostly injured during the hospitalization period were: the instrumental activities of daily living, work and leisure. The relevancy of this study is based on the acknowledgement and techniques (Occupational Needs Questionnaire) contribution to the development of the Occupational Science and it’s practice: the Occupational Therapy. The identification process of the occupational Needs, is a tool for diagnosis, planning, execution, evaluation and systematization for health that allows to create action lines, turning itself into an inclusive therapeutic mean.