Showa University Academic Resource Repository / 昭和大学学術業績リポジトリ
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Role of occupational therapists in intensive care units: A mixed methods research
Patients in intensive care units (ICUs) are at a significant risk of developing complications, including ICU-acquired weakness and post intensive care syndrome (PICS), which impede recovery to pre illness functional levels. Occupational therapy (OT) is gaining recognition for its potential to alleviate PICS symptoms by addressing physical, cognitive, and psychological challenges. However, OT remains underutilized in ICU settings, necessitating further research to establish standardized practices. This study aimed to investigate current OT practices in ICUs, identify barriers, and propose strategies for improving patient outcomes. A convergent mixed methods design was employed. Quantitative data were collected through surveys of occupational therapists (OTRs) at Showa University-affiliated hospitals to evaluate their practices and perceived effectiveness. Qualitative data were gathered via focus group interviews (FGIs) to explore OTR experiences, challenges, and their integration into multidisciplinary teams. Data analysis combined descriptive statistics with inductive thematic analysis. Quantitative findings revealed widespread implementation of cognitive, physical, and functional assessments; however, psychological assessments and family education interventions were less frequent. OTRs with more ICU experience reported higher perceived effectiveness. Qualitative analysis identified themes, including understanding patient backgrounds, fostering autonomy, and challenges such as insufficient training and limited recognition of the OT role. Multidisciplinary integration of OT was limited but deemed essential. This study highlights the significance of standardized OT practices in ICUs to effectively address patients’ physical, cognitive, and psychological needs. Enhancing education, interdisciplinary collaboration, and evidence-based approaches may improve patient recovery and alleviate PICS symptoms.departmental bulletin pape
Study on Drug-Food Thickening Agents' Interactions between Warfarin and Prebiotics Used for Viscosity Adjustment
昭和大学博士(薬学)2024年度doctoral thesi
Development of a medication status check sheet to identify patients with poor understanding of their medications: A multicenter study in Japan
昭和大学博士(薬学)2024年度doctoral thesi
The right amygdala and migraine: Analyzing volume reduction and its relationship with symptom severity
昭和大学博士(医学)2024年度doctoral thesi
Dairy consumption modulates gut microbiota composition and metabolome profiles in patients with major depressive disorder: A multicenter prospective observational study
昭和大学博士(医学)2024年度doctoral thesi
Conventional-Power Conventional-Duration versus High-Power Short-Duration Radiofrequency Ablation in Same Lesion Size Index-Guided Pulmonary Vein Isolation
昭和大学博士(医学)2024年度doctoral thesi
Assessment of Uterine Contraction and Atonic Bleeding during the Third Stage of Labor Using Shear Wave Elastography
昭和大学博士(医学)2024年度doctoral thesi