脳卒中患者のSelf-awarenessの障害に対する作業療法に関するスコーピングレビュー

A scoping review of occupational therapy for stroke patients with impaired Self-awareness

要旨：Self-awarenessの障害は脳卒中患者の7割に生じ，作業療法効果への影響が知られている．本研究では，脳卒中患者におけるSelf-awarenessの障害に対する作業療法の支援と研究の現状を明らかにすることを目的に，スコーピングレビューを行った．日本語と英語論文を対象にデータベース検索を行い，Self-awarenessによる問題，評価，介入方法と影響などのデータを抽出した．結果，日本語論文17件，英語論文13件が抽出された．国内外を問わず，環境・個人因子，心理的側面，時間的変化に関する報告は少なかった．本邦では，研究と評価の手法に偏りがあるため，縦断研究や適切な評価の使用が必要である．

　Impaired Self-awareness occurs in 70% of stroke patients and is known to affect occupational therapy. We conducted a scoping review of occupational therapy for stroke patients with impaired Self-awareness to synthesize current research findings and identify knowledge gaps. The review included 17 Japanese articles and 13 English articles. Both Japanese and English articles inadequately addressed the relationships between Self-awareness and environmental or personal factors and psychological aspects. The change of Self-awareness issues over time also remains unclear. In Japan, evaluations of Self-awareness are not widely used, and research is in its infancy. Longitudinal studies and the use of appropriate assessments are needed in the field of occupational therapy in Japan.