Key result
Occupational therapy during acute care recovery from cardiothoracic surgery was associated with statistically significant improvements in activities of daily living participation among 37 patients.
Why the study?
Patients recovering from cardiothoracic surgery in acute care face challenges affecting activities of daily living, but there is little evidence exploring the role of occupational therapy in this area.
Does occupational therapy improve participation in activities of daily living in adult patients recovering from cardiothoracic surgery in acute care?
Observational (n=37)
Does occupational therapy improve participation in activities of daily living in adult patients recovering from cardiothoracic surgery in acute care?
Occupational therapy during acute care recovery from cardiothoracic surgery is associated with significant improvements in activities of daily living.
Occupational therapy was associated with ADL gains after cardiothoracic surgery; hypothesis-generating and requires RCTs before practice change.
Introduction: Patients recovering from cardiothoracic surgery in acute care experience physical and psychosocial challenges impacting participation in activities of daily living. Occupational therapists are well positioned to address these needs; however, there is little evidence exploring occupational therapy’s role in this area. Method: This retrospective study of electronic medical records examined changes in activities of daily living participation for adult patients ( n = 37) who received occupational therapy in acute care while recovering from cardiothoracic surgery via median sternotomy. Wilcoxon signed-rank tests and paired t -tests compared patients’ scores on the Functional Independence Measure (FIM) and Activity Measure for Post-Acute Care “6-Clicks” Daily Activity Inpatient Short Form at occupational therapy evaluation and discharge from their inpatient stay. Results: Patients showed statistically significant improvements on both assessments in activities of daily living participation while receiving occupational therapy services following cardiothoracic surgery. Lower body dressing, toileting, and bed mobility showed the greatest increases in the FIM categories. Conclusion: Occupational therapists are valuable in addressing the complex needs of patients recovering from cardiothoracic surgery in acute care. Continued research is needed to provide further evidence supporting occupational therapy’s unique role in this setting.
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Tsai et al. (2023) conducted an observational in recovering from cardiothoracic surgery (n=37). Occupational therapy was evaluated on Changes in activities of daily living participation (FIM and 6-Clicks scores). Occupational therapy during acute care recovery from cardiothoracic surgery was associated with statistically significant improvements in activities of daily living participation among 37 patients.
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