日本におけるAYA世代（Adolescent and Young Adult）がん患者の作業療法に対する実態調査

A nationwide survey on occupational therapy practices for Adolescents and Young Adults (AYA) with cancer in Japan

要旨：本研究の目的は，本邦におけるAYA世代がん患者に対する作業療法の実態と作業療法士の認識を明らかにすることである．都道府県がん診療拠点病院等に勤務する作業療法士を対象に質問紙調査を実施した．がん診療に携わる作業療法士は，入院中に身体機能中心の訓練を実施していた．一方，多くの作業療法士はIADL訓練や就学・就労支援など，退院後の生活に影響する内容の介入が望ましいと認識しており，実態との乖離がみられた．AYA世代にとってこれらは自己実現や生活の意味・目的と深く関わる作業であり，今後は地域や産業等と連携した継続的な支援体制の構築が求められる．

　Objective: This study aimed to clarify the current practices of occupational therapy (OT) and occupational therapists' perceptions regarding Adolescents and Young Adults (AYA) with cancer in Japan. Methods: A nationwide survey was conducted targeting occupational therapists working at designated cancer care hospitals, regional cancer care hospitals, pediatric cancer centers, and national pediatric cancer centers in Japan. Results: Occupational therapists engaged in cancer care primarily provided inpatient interventions focusing on physical function. However, many therapists recognized the need to address areas that directly impact post-discharge life, such as instrumental activities of daily living (IADL), educational support, and vocational rehabilitation. A gap was observed between current practices and therapists'perceptions. Conclusion: Since IADL, education, and employment are often meaningful occupations for AYA cancer patients, the development of continuous support systems in collaboration with community and industry sectors is warranted.