Usefulness of Occupation Based Practice for Postoperative Glioblastoma Patients in Acute Care Hospitals

〜Its impact on Occupational dysfunction and health-related quality of life〜

Abstract

The effect on the health-related quality of life (QOL) after discharge was investigated postoperatively in patients with glioblastoma who underwent occupation-based practice (OBP) using the Aid for Decision-Making in Occupation Choice (ADOC) and the Classification and Assessment of Occupational Dysfunction to facilitate their return to important occupations. Additionally, housework-, work-, and leisure-related occupations were identified in ADOC than in ADLs. The health-related QOL and occupational dysfunction tended to improve after discharge; however, the QOL decreased in patients who could not return to important occupations because of higher brain dysfunction. Although there were no statistically significant differences in the health-related QOL or occupational dysfunction over time, the use of ADOC allowed more intensive interventions for important tasks. The OBP for patients with glioblastoma is useful because it allows for more intensive intervention in important tasks during hospitalization.