Chinese Journal of Rehabilitation Theory and Practice ›› 2023, Vol. 29 ›› Issue (1): 88-92.doi: 10.3969/j.issn.1006-9771.2023.01.013

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Application of Canadian Occupational Performance Measure combined with activity analysis in clients with hand injuries

YI Wenchao1, GAO Qiuye1, FAN Yabei1, DING Wei2, CHEN Xin2, ZHAO Xiaolong3, CAO Rong1()   

  1. 1. Rehabilitation Center of the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China
    2. Nanjing Medical University, Nanjing, Jiangsu 210029, China
    3. Binzhou Medical University, Yantai, Shandong 264003, China
  • Received:2022-09-24 Revised:2022-11-07 Online:2023-01-25 Published:2023-02-17
  • Contact: CAO Rong, E-mail: houpu0000@163.com

Abstract:

Objective To explore the occupational needs of hand injury patients and the effects of activity-based analysis and occupation-based interventions.

Methods From 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.

Results A 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).

Conclusion The 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.

Key words: hand injury, Canadian Occupational Performance Measure, functional assessment, occupational needs

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