Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
- 参考文献 Reference
2004年に医療保険，2006年には介護保険において訪問リハに言語聴覚士(以下ST)が位置づけられ，STを取り巻く制度的枠組みが変化してきている．その中でSTとして，高齢者の在宅生活をどのように支援することができるかについて40名の利用者の実態調査および症例を通じて検討した．
調査では，訪問対象者は平均年齢72歳と高齢で，発症から長期の経過を経てから訪問リハが開始された利用者が多かった．また外出が難しい状態にある状況の障害が重複している利用者が多く，高齢に伴い障害構造が複雑化していることが明らかとなった．症例を通じて，在宅での「生活」をみる視点をもち，支援していくことが訪問において重要と考えられた．
今後の課題として，データを蓄積・分析し効果的，効率的な実践ができるように知見を蓄積する必要がある．
In recent years, the regulatory framework surrounding speech-language-hearing therapists (ST) has been changing. In particular, home-visit speech therapy has been covered by the medical insurance since 2004, and by long-term care insurance since 2006. Given these changes, this research was conducted in order to examine how to support patients while still living at home, by reviewing 40 cases receiving home-visit speech therapy. The average age of the patients receiving therapies at home was 72, which is high, and many of them started receiving therapies a long time after the onset of the first symptoms. Also, many patients were found to suffer from multiple impediments that made it difficult for them to go out of their home, and the older they got, the more complicated the structure of their impediments became.
Through studying these cases, it was concluded that supporting patients with their "lifestyle" in mind is important in home-visit therapies. In the future, it will be necessary to accumulate and analyze data, in order to gain more knowledge to provide effective and efficient therapy.
Copyright © 2007, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.
