뇌졸중 환자를 대상으로 인지기반 작업수행(Cognitive Orientation to Daily Occupational Performance) 중재 조건, 형태 및 효과: 체계적 고찰

Abstract

Objective: This paper systematically reviewed the conditions, forms, and efficacy of CO-OP interventions in patients with stroke. Methods: Relevant research papers published between 2014 and 2023 were obtained via searches in PubMed, CINAHL, EMBASE, SCOPUS, Web of Science, and Korea Citation Index. Among the 164 articles initially found, nine research papers that implemented Cognitive Orientation to daily Occupational Performance (CO-OP) interventions for stroke patients were included in our analyses. Results: Six of the nine papers described randomized controlled trials of relatively high quality. Most participants were enrolled 1~6 months post-stroke. Cognition and communication were confirmed to be important selection criteria. Most of the selected intervention activity areas were Basic Activities of Daily Living and Instrumental Activities of Daily Living. Most periods were 4 or 7 weeks, with 10 sessions performed at a pace of fewer than three sessions per week. All studies focused on occupational performance, but recorded potential effects in other areas, including upper extremity function. Assessment tools focused primarily on occupational performance. Among these, Canadian Occupational Performance Measure and Performance Quality Rating Scale assessment surveys were the most commonly used. Conclusion: These findings can be used as basic data for research and education on CO-OP interventions for patients with stroke.