慢性炎症性脱髄性神経炎およびフレイルを呈する高齢者への介入—疲労に配慮した家事役割移譲と身体的負担の軽減を通じた取り組み

Fatigue-conscious transfer of household roles and reduction of physical burden in an elderly patient with Chronic Inflammatory Demyelinating Polyneuropathy and frailty: A case study

要旨：本研究は，慢性炎症性脱髄性神経炎（CIDP）およびフレイルを呈する高齢者（A氏）に対し，疲労に配慮した家事役割の調整を含む作業療法介入を行い，その効果を検討した．A氏は「自分がやらなければならない」という意識が強く，疲労を自覚しながらも無理をして家事を継続していた．12週間の介入により，歩行速度や基本チェックリストの得点が改善し，心理的負担の軽減がみられた．さらに，老年期うつ尺度のスコアが低下した．本研究はCIDPの高齢者において，運動療法と並行して日常生活の作業調整や役割の再構築を支援することが，身体的・心理的側面の双方に有効である可能性を示唆する．

　This study examined the effects of an occupational therapy intervention, including adjustments to household roles with consideration of fatigue, in an elderly individual (A) with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) and frailty. A had a strong sense of responsibility and continued performing household tasks despite experiencing fatigue. After 12 weeks of intervention, improvements were observed in gait speed and the Basic Checklist score, along with a reduction in psychological burden. Additionally, the Geriatric Depression Scale score decreased. These findings suggest that for elderly individuals with CIDP, supporting task adjustments and role reorganization in daily life alongside exercise therapy may be beneficial for both physical and psychological aspects.