感覚統合療法を用いた風船運動プログラムをきっかけとして作業への主体性と生きる意欲が回復した重度認知症高齢者の一例

Restoring initiative in occupations and will to live of dementia patients in the wake of a balloon exercise program using sensory integrative therapy: A case report

要旨：本報告の目的は，重度認知症患者の作業の主体性と生きることへの意欲の回復に関して感覚統合療法理論を用いた風船運動プログラムが有効であったかを検討することである．書道や絵を描く作業への主体性が低下し，生きることに意欲を失った事例に対し，風船運動プログラムを活用して主体性を段階的に導く試みを行った結果，最終的に主体的に書道や絵を描くことに取り組み，生きることへの意欲が回復した．本報告では，この事例を通して得られた成果の理由を考察し，感覚統合療法の基本原理に基づいて試行した風船運動プログラムがどのような要素に効果的であったのを述べる．

　The purpose of this case report was to report the effectiveness of a balloon exercise program using sensory integrative therapy theory for a patient with severe dementia to restore initiative to her occupations and will to live. The patient had decreased initiative in her occupations, such as calligraphy and painting, and had lost her motivation to live. We attempted to guide this patient using an occupational therapy step-by-step balloon exercise program. As a result, she eventually resumed calligraphy and painting on her own initiative, and her motivation to live was also restored. This case study discusses some reasons for the results. Moreover, we describe what factors in particular were effective in the balloon exercise program based on the principles of sensory integration therapy.