Intervenções terapêuticas ocupacionais para as Atividades de Vida Diária em Cuidados Paliativos oncológicos: revisão integrativa
DOI:
https://doi.org/10.33448/rsd-v12i1.39497Palavras-chave:
Atividades Cotidianas; Cuidados Paliativos; Terapia ocupacional.Resumo
Objetivo: analisar as intervenções de Terapia Ocupacional para melhorar a participação nas Atividades de Vida Diária de pacientes em Cuidados Paliativos oncológicos. Metodologia: revisão integrativa, com análise por estatística descritiva. Os resultados foram discutidos nas categorias: “aspectos avaliados”, “problemas identificados” e “intervenções propostas”, a partir da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Resultados: os aspectos avaliados incluíram habilidades requeridas e qualidade de participação. Os problemas mais frequentes foram as restrições na participação, além de deficiências do corpo e barreiras ambientais. As intervenções de Terapia Ocupacional foram de recuperação e compensação de funções físicas e cognitivas, e controle de sintomas; promoção da participação, mudança de rotina, hábitos, e adaptação ambiental. Conclusão: as intervenções focaram na participação nas atividades de vida diária durante todas as fases da doença, por meio da recuperação das funções do corpo, ou adaptação da estrutura da atividade e de fatores contextuais. Considerações finais: esta revisão acrescenta à produção em Cuidados Paliativos um perfil de intervenções para manutenção da participação e autonomia dos pacientes, o principal objetivo dessa abordagem, além de fortalecer a relevância da Terapia Ocupacional nas equipes de saúde.
Referências
Akezaki, Y., Nakata, E., Kikuuchi, M., Sugihara, S., Katayama, Y., Katayama, H., Hamada, M., & Ozaki, T. (2022). Association between Overall Survival and Activities of Daily Living in Patients with Spinal Bone Metastases. Healthcare, 10(2), 350. https://doi.org/10.3390/healthcare10020350
Alotaibi, N. M., Manee, F. S., Murphy, L. J., & Rassafiani, M. (2019). Knowledge about and Attitudes of Interdisciplinary Team Members toward Occupational Therapy Practice: Implications and Future Directions. Medical Principles and Practice, 28(2), 158–166. https://doi.org/10.1159/000495915
American Association of Occupational Therapy. Occupational Therapy Practice Framework: Domain and Process—Fourth Edition (2020). American Journal of Occupational Therapy, 74(Supplement 2), 74-87. https://doi.org/10.5014/ajot.2020.74S2001
Bentley, R., Hussain, A., Maddocks, M., & Wilcock, A. (2013). Occupational therapy needs of patients with thoracic cancer at the time of diagnosis: Findings of a dedicated rehabilitation service. Supportive Care in Cancer, 21(6), 1519–1524. https://doi.org/10.1007/s00520-012-1687-1
Boland, J. W., Allgar, V., Boland, E. G., Kaasa, S., Hjermstad, M. J., & Johnson, M. J. (2019). Predictors and trajectory of performance status in patients with advanced cancer: A secondary data analysis of the international European Palliative Care Cancer Symptom study. Palliative Medicine, 33(2), 206–212. https://doi.org/10.1177/0269216318811011
Brandt, M. S. P., L. G. Oestergaard, L. L.-J., & J. Sørensen, A. T. J. and K. la C. (2016). Effectiveness of the “Cancer Home-Life Intervention” on everyday activities and quality of life in people with advanced cancer living at home: A randomised controlled trial and an economic evaluation. BMC Palliative Care, 15(10). https://doi.org/10.1186/s12904-016-0084-9
Braveman, B., Hunter, E. G., Nicholson, J., Arbesman, M., & Lieberman, D. (2017). Occupational Therapy Interventions for Adults With Cancer. The American Journal of Occupational, 71(5), 1-5. https://doi.org/10.5014/ajot.2017.715003
Brekke, M. F., la Cour, K., Brandt, Å., Peoples, H., & Wæhrens, E. E. (2019). The Association between ADL Ability and Quality of Life among People with Advanced Cancer. Occupational Therapy International, 2629673, 1–10. https://doi.org/10.1155/2019/2629673
Bylund-Grenklo, T., Werkander-Harstäde, C., Sandgren, A., Benzein, E., & Östlund, U. (2019). Dignity in life and care: The perspectives of Swedish patients in a palliative care context. International Journal of Palliative Nursing, 25(4), 193–201. https://doi.org/10.12968/ijpn.2019.25.4.193
Caire, J.-M., Maurel-Techene, S., Letellier, T., Heiske, M., Warren, S., Schabaille, A., & Destruhaut, F. (2022). Canadian Occupational Performance Measure: Benefits and Limitations Highlighted Using the Delphi Method and Principal Component Analysis. Occupational Therapy International, 1(1),1–14. https://doi.org/10.1155/2022/9963030
Chow, J. K., & Pickens, N. D. (2020). Measuring the Efficacy of Occupational Therapy in End-of-Life Care: A Scoping Review. The American Journal of Occupational Therapy, 74(1), 1-14. https://doi.org/10.5014/ajot.2020.033340
Chu, C., White, N., & Stone, P. (2019). Prognostication in palliative care. Clinical Medicine, 19(4), 306–310. https://doi.org/10.7861/clinmedicine.19-4-306
Conselho Federal de Fisioterapia e Terapia Ocupacional (2006 Resolução no. 316/2006. Diário Oficial da União, 158 (agosto): 79. https://www.coffito.gov.br/nsite/?p=3074
Cronin, M. A., & George, E. (2020). The Why and How of the Integrative Review. Organizational Research Methods, 1(1). https://doi.org/10.1177/1094428120935507
Fettes, L., Neo, J., Ashford, S., Higginson, I. J., & Maddocks, M. (2020). Trajectories of disability in activities of daily living in advanced cancer or respiratory disease: A systematic review. Disability and Rehabilitation, 1–12. https://doi.org/10.1080/09638288.2020.1820587
Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-Based Practice, Step by Step: Critical Appraisal of the Evidence Part III. AJN, American Journal of Nursing, 110(11), 43–51. https://doi.org/10.1097/01.NAJ.0000390523.99066.b5
Gayoso, M. V., Avila, M. A. G. de, Silva, T. A. da, & Alencar, R. A. (2018). Comfort level of caregivers of cancer patients receiving palliative care. Revista Latino-Americana de Enfermagem, 26(0). https://doi.org/10.1590/1518-8345.2521.3029
Harstäde, C. W., Blomberg, K., Benzein, E., & Östlund, U. (2017). Dignity-conserving care actions in palliative care: An integrative review of Swedish research. 32(1), 8-23. https://doi.org/10.1111/scs.12433
Hasson, F., Nicholson, E., Muldrew, D., Bamidele, O., Payne, S., & McIlfatrick, S. (2020). International palliative care research priorities: A systematic review. BMC Palliative Care, 19(1), 16. https://doi.org/10.1186/s12904-020-0520-8
Hunter, E. G., Gibson, R. W., Arbesman, M., & D’Amico, M. (2017). Systematic Review of Occupational Therapy and Adult Cancer Rehabilitation: Part 2. Impact of Multidisciplinary Rehabilitation and Psychosocial, Sexuality, and Return-to-Work Interventions. American Journal of Occupational Therapy, 71(2), 1-8. https://doi.org/10.5014/ajot.2017.023572
Huri, M., Huri, E., Kayihan, H., & Altuntas, O. (2015). Effects of occupational therapy on quality of life of patients with metastatic prostate cancer. A randomized controlled study. Saudi Medical Journal, 36(8), 954–961. https://doi.org/10.15537/smj.2015.8.11461
Jansa, J., Ferdinand, S., Milo, M., Løyning, I. G., Huilla, T., Kallmayer, L., Ilsbroukx, S., Filló, N., Raats, J., Jakobson, J., & Kos, D. (2022). Performance of Activities of daily living in people with multiple sclerosis. Multiple Sclerosis and Related Disorders, 57, 103342. https://doi.org/10.1016/j.msard.2021.103342
Knecht-Sabres, L. J., Weppner, A., Powers, C., & Siesel, B. (2019). Do Health-Care Professionals Really Understand the Role of Occupational Therapy in Hospice Care? American Journal of Hospice and Palliative Medicine, 36(5), 379–386. https://doi.org/10.1177/1049909118812858
Lindahl-Jacobsen, L. E., la Cour, K., Gregersen Oestergaard, L., Sampedro Pilegaard, M., Peoples, H., & Brandt, Å. (2021). The development of the “Cancer Home-Life Intervention”: An occupational therapy-based intervention programme for people with advanced cancer living at home. Scandinavian Journal of Occupational Therapy, 28(7), 542–552. https://doi.org/10.1080/11038128.2020.1735514
Lindahl-Jacobsen, L., Hansen, D. G., la Cour, K., & Søndergaard, J. (2014). Evaluation of a complex intervention to improve activities of daily living of disabled cancer patients: Protocol for a randomised controlled study and feasibility of recruitment and intervention. BMC Health Services Research, 14(194). Medline. https://doi.org/10.1186/1472-6963-14-194
Lu, Y.A., Luo, Y.H., Tsay, P.K., & Liu, H.E. (2020). A Preliminary Study to Investigate Frailty in Advanced Lung Cancer Patients Before Receiving Immunotherapy. Hu Li Za Zhi The Journal of Nursing, 67(6), 51–60. https://doi.org/10.6224/JN.202012_67(6).08
Maresova, P., Hruska, J., Klimova, B., Barakovic, S., & Krejcar, O. (2020). Activities of Daily Living and Associated Costs in the Most Widespread Neurodegenerative Diseases: A Systematic Review. Clinical Interventions in Aging, 15, 1841–1862. https://doi.org/10.2147/CIA.S264688
Maritz, R., Baptiste, S., Darzins, S. W., Magasi, S., Weleschuk, C., & Prodinger, B. (2018). Linking occupational therapy models and assessments to the ICF to enable standardized documentation of functioning. Canadian Journal of Occupational Therapy, 85(4), 330–341. https://doi.org/10.1177/0008417418797146
Morishima, T., Sato, A., Nakata, K., Matsumoto, Y., Koeda, N., Shimada, H., Maruhama, T., Matsuki, D., & Miyashiro, I. (2021). Barthel Index-based functional status as a prognostic factor in young and middle-aged adults with newly diagnosed gastric, colorectal and lung cancer: A multicentre retrospective cohort study. BMJ Open, 11(4), e046681. https://doi.org/10.1136/bmjopen-2020-046681
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, (72)71. https://doi.org/10.1136/bmj.n71
Pergolotti M., A. M. D., G. R. Williams, A. L. B., & B. B. Reeve and H. B. Muss. (2015). A randomized controlled trial of outpatient CAncer REhabilitation for older adults: The CARE Program. Contemporary Clinical Trials, 44, 89–94. https://doi.org/10.1016/j.cct.2015.07.021
Pergolotti, M., Deal, A. M., Williams, G. R., Bryant, A. L., McCarthy, L., Nyrop, K. A., Covington, K. R., Reeve, B. B., Basch, E., & Muss, H. B. (2019). Older Adults with Cancer: A Randomized Controlled Trial of Occupational and Physical Therapy. Journal of the American Geriatrics Society, 67(5), 953–960. https://doi.org/10.1111/jgs.15930
Pergolotti, M., Williams, G. R., Campbell, C., Munoz, L. A., & Muss, H. B. (2016). Occupational Therapy for Adults With Cancer: Why It Matters. The Oncologist, 21(3), 314–319. https://doi.org/10.1634/theoncologist.2015-0335
Pilegaard, M. S., la Cour, K., Oestergaard, L. G., Johnsen, A. T., Lindahl-Jacobsen, L., Højris, I., & Brandt, Å. (2018). The ‘Cancer Home-Life Intervention’: A randomised controlled trial evaluating the efficacy of an occupational therapy–based intervention in people with advanced cancer. Palliative Medicine, 32(4), 744–756. https://doi.org/10.1177/0269216317747199
Pilegaard, M. S., Oestergaard, L. G., la Cour, K., Thit Johnsen, A., & Brandt, Å. (2020). Subgroup effects of occupational therapy-based intervention for people with advanced cancer. Scandinavian Journal of Occupational Therapy, 27(7), 517–523. https://doi.org/10.1080/11038128.2018.1455897
Polo, K. M., Moore, E. S., & Sommers, S. H. (2022). Exploring the Impact of the Occupational Therapy Health and Wellness Program (OT-HAWP) on Performance and the Health-Related Quality of Life of Cancer Survivors. Occupational Therapy In Health Care, 36(2), 168–183. https://doi.org/10.1080/07380577.2021.1943595
Ramanjulu, R. (2020). Palliative rehabilitation: The essence of personalized care. Indian Journal of Palliative Care, 26(4), 399. https://doi.org/10.4103/0973-1075.300816
Ribeiro, D. K. de M. N., Lenardt, M. H., Lourenço, T. M., Betiolli, S. E., Seima, M. D., & Guimarães, C. A. (2018). O emprego da medida de independência funcional em idosos. Revista Gaúcha de Enfermagem, 38(4), e66496. https://doi.org/10.1590/1983-1447.2017.04.66496
Rijpkema, C., Duijts, S. F. A., & Stuiver, M. M. (2020). Reasons for and outcome of occupational therapy consultation and treatment in the context of multidisciplinary cancer rehabilitation; a historical cohort study. Australian Occupational Therapy Journal, 67(3), 260–268. https://doi.org/10.1111/1440-1630.12649
Santos Barros, V., Bassi-Dibai, D., Guedes, C. L. R., Morais, D. N., Coutinho, S. M., de Oliveira Simões, G., Mendes, L. P., da Cunha Leal, P., & Dibai-Filho, A. V. (2022). Barthel Index is a valid and reliable tool to measure the functional independence of cancer patients in palliative care. BMC Palliative Care, 21(1), 124, 1-7. https://doi.org/10.1186/s12904-022-01017-z
Sekine, R., Ogata, M., Uchiyama, I., Miyakoshi, K., Uruma, M., Miyashita, M., & Morita, T. (2015). Changes in and Associations Among Functional Status and Perceived Quality of Life of Patients With Metastatic/Locally Advanced Cancer Receiving Rehabilitation for General Disability. American Journal of Hospice & Palliative Medicine, 32(7), 695–702. https://doi.org/10.1177/1049909114537871
Shimoda K., Imai H., Tsuji T., Tsuchiya K., Tajima H., Kanemaki H., et al (2019). Factors affecting the performance of activities of daily living in patients with advanced cancer undergoing inpatient rehabilitation: results from a retrospective observational study. Journal of Physical Therapy Science, 31(10):795–801. https://doi.org/10.1589/jpts.31.795
Stehle, L., Hoosain, M., & van Niekerk, L. (2022). A systematic review of work-related interventions for breast cancer survivors: Potential contribution of occupational therapists. Work, 72(1), 59–73. https://doi.org/10.3233/WOR-210053
Talbot-Coulombe, C., Bravo, G., & Carrier, A. (2022). Occupational Therapy Practice in Palliative and End-of-Life Care in Québec. Canadian Journal of Occupational Therapy, 89(2), 201–211. https://doi.org/10.1177/00084174221084466
Tavemark, S., Hermansson, L. N., & Blomberg, K. (2019). Enabling activity in palliative care: Focus groups among occupational therapists. BMC Palliative Care, 18(1), 17. https://doi.org/10.1186/s12904-019-0394-9
World Health Organization. (2008). International classification of functioning, disability and health: ICF. World
Health Organization. https://apps.who.int/iris/handle/10665/43833
Xu, Y., See, M. T. A., Aloweni, F., Rahim, M. N. B. A., & Ang, S. Y. (2020). Risk factors for unplanned hospital readmissions within 30 days of discharge among medical oncology patients: A retrospective medical record review. European Journal of Oncology Nursing, 48, 101801. https://doi.org/10.1016/j.ejon.2020.101801
Yamaga, T., Asano, K., Ikeya, M., & Nakanishi, K. (2021). Successful occupational therapy at end of life for a patient with prostate sarcoma. BMJ Case Reports, 14(6), e242056. https://doi.org/10.1136/bcr-2021-242056
Yoon, J., Chun, M. H., Lee, S. J., & Kim, B. R. (2015). Effect of Virtual Reality–Based Rehabilitation on Upper-Extremity Function in Patients with Brain Tumor: Controlled Trial. American Journal of Physical Medicine & Rehabilitation, 94(6), 449–459. https://doi.org/10.1097/PHM.0000000000000192
Zilli, F., & Vargas, M. A. de O. (2022). A intervenção da terapia ocupacional junto a pacientes oncológicos em cuidados paliativos: Revisão integrativa. Research, Society and Development, 11(4), e31611427386. https://doi.org/10.33448/rsd-v11i4.27386
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 Ana Paula Correa Ferreira; Patrícia dos Santos Claro Fuly; Janaína Santos Nascimento
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
1) Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
2) Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
3) Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.