Introduction: Occupational therapy can improve occupational outcomes in adults with chronic diseases such as chronic obstructive pulmonary disease (COPD).
Objective: To evaluate the effectiveness of an occupational therapy intervention after discharge from hospital due to an acute exacerbation (AE) of COPD
Methods: Randomized controlled trial. Severe AECOPD patients were included in this study. Patients were asked to identify the activities that were difficult to perform with the Canadian Occupational Performance Measure (COPM). The intervention consisted on three sessions of individualized treatment where the occupational therapist focused the treatment in the identified problems. Patients were assessed at discharge from hospital and at one month of discharge. Additionally to COPM, London Chest Activity of Daily Living (LCADL) scale was used to assess dyspnea during ADL in patients with COPD.
Results: 26 severe COPD patients were included in the study, the clinical profile of the patients at baseline is shown in table 1.
Clinical profile of patients at baseline.
|OT group (n=14)||Control group (n=12)||p-value|
|FVC % predicted||0.102|
|FEV1 % predicted||0.576|
|SGRQ total score||0.987|
OT: occupational therapy; BMI: Body Mass Index; FVC: Forced Vital Capacity; FEV1: Forced Expiratory Volume; SGRQ: Saint George Respiratory Questionnaire
Mean change values in COPM performance subscale was of 2.66±1.15 p≤0.001 and satisfaction was of 1.66±1.66 p=0.005 . LCADL self-care subscale showed a mean change of 1±2 p=0.111.
Conclusions: The results revealed that an occupational therapy program after hospitalization due to AECOPD can improves significantly the occupational performance of the patients.