Combining goal setting and achievement with occupational therapy to improve pain, psychological factors and physical activity in patients after high tibial osteotomy: A non-randomized controlled study.

Combining goal setting and achievement with occupational therapy to improve pain, psychological factors and physical activity in patients after high tibial osteotomy: A non-randomized controlled study.
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DOI:
10.1177/1569186120985296
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发表时间:
2021-06
期刊:
Hong Kong journal of occupational therapy : HKJOT
影响因子:
--
通讯作者:
Hida K
Hida K
中科院分区:
其他
文献类型:
--
作者:
Hiraga Y;Hisano S;Hara R;Nomiyama K;Hirakawa Y;Hida K

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心理因素会导致慢性疼痛,并可能导致身体缺乏活动和功能不良。我们进行了一项非随机对照研究,以评估职业治疗(OT)干预后目标设定和成就的有效性,以改善胫骨高位截骨术(HTO)后患者的疼痛、心理因素和身体活动。我们分析了 31 名接受 HTO 的患者的数据,并将其分为 OT 干预组和对照组。干预组通过加班鼓励实现目标;对照组不接受OT干预。结果测量包括加拿大职业绩效测量 (COPM) 评分(OT 干预前后)、行走疼痛、疼痛灾难化、焦虑、抑郁、疼痛自我效能和体力活动水平。 OT 显着改善了 COPM 评分、抑郁症和体力活动。最终评估时,干预组的抑郁评分较低,而步数和体力活动时间显着高于对照组(p<0.05)。将目标设定和实现作为 OT 干预的一部分改善了 HTO 后的结果。
Psychological factors contribute to chronic pain and may lead to physical inactivity and poor functional outcomes. We conducted a non-randomized controlled study to evaluate the effectiveness of goal setting and achievement following occupational therapy (OT) intervention to improve pain, psychological factors, and physical activity among patients after high tibial osteotomy (HTO). We analyzed the data of 31 patients who underwent HTO, allocated into OT intervention and control groups. Goal achievement was encouraged through OT in the intervention groups; the control groups did not receive OT intervention. Outcome measures included the Canadian Occupational Performance Measure (COPM) score (before and after the OT intervention), walking pain, pain catastrophizing, anxiety, depression, pain self-efficacy, and physical activity level. OT significantly improved the COPM score, depression, and physical activity. At the final assessment, the depression score was lower while the step count and physical activity time were significantly higher in the intervention group than in the control group (p < 0.05). Embedding goal setting and achievement as part of an OT intervention improved the outcomes after HTO.
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