訪問作業療法における共作業に求められる身体性・情緒性・志向性に関する調査研究

Research on physicality, emotionality, and intentionality aspects for co-occupation in home-visit occupational therapy

要旨：【目的】訪問作業療法における共作業に求められる身体性・情緒性・志向性を確認する．【方法】訪問作業療法に従事し，家族介護者支援の経験がある作業療法士に対し，訪問作業療法において共作業の支援に求められる身体性・情緒性・志向性領域の項目を，要介護者・家族介護者への必要度と訪問作業療法における必要度の観点で回答を求めた．結果はデルファイ法にて分析した．【結果】要介護者では身体性領域12項目，情緒性領域15項目，志向性領域28項目，家族介護者では身体性領域7項目，情緒性領域14項目，志向性領域32項目を確認できた．【結論】今回明らかになった共作業の要素をふまえ，家族介護者を含めた生活支援を行う必要がある．

　[Purpose] To confirm the physicality, emotionality, and intentionality aspects required for co-occupation in home-visit occupational therapy. [Method] Occupational therapists engaged in home-visit occupational therapy and with experience supporting family caregivers answered questions about the necessity of physicality, emotionality, and intentionality aspects for supporting co-occupation focusing on care recipients and family caregivers, as well as the necessity of these items in home-visit occupational therapy. [Results] We identified 12 physical, 15 emotional, and 28 intentional items as necessary for care recipients, and 7 physical, 14 emotional, and 32 intentional items as necessary for family caregivers in home-visit occupational therapy focused on co-occupation. [Conclusion] Based on the elements of co-occupation that have been identified, it is necessary to provide lifestyle support that includes family caregivers.