デイケアおよび入院作業療法を継続している精神障害者の主観的QOLの特徴―～1年後の主観的QOLの変化と作業療法プログラムとの関連～

Subjective aspects of the quality of life of patients with mental illness who underwent occupational therapy: The relationship between occupational therapy and changes in subjective QOL one year later

要旨：デイケアに通所している者および入院作業療法に参加している者43名の精神障害者を対象として，主観的quality of life（以下，QOL）の1年後の変化とそれに関連する作業療法プログラム，社会的・臨床的因子について調査を行った．身体機能，環境領域への満足をもち続けている者が多かった一方，障害受容に対する満足を有する者は少なかった．健康教室参加者は収入，スポーツ参加者は対人交流，書道・ペン習字参加者は愛情欲求，野外交流活動参加者は家族関係と対人交流の満足を有する者の割合が有意に高かった．また退院希望を継続して有する群では退院希望を有していない群に比し，愛情欲求の満足が改善した者の割合が有意に高かった．

　We investigated subjective QOL and the social and clinical factors of patients with mental illness who underwent occupational therapy. The present study included 43 patients (31 outpatients and 12 inpatients). In both the outpatient group (day-care group) and the inpatient group, the proportion of patients who were satisfied with their environment and physical functions was high. On the other hand, the proportion of patients who were satisfied with their acceptance of disability was low.

　There was a close correlation between the participation in an occupational therapy program and the feeling of satisfaction about the social or psychological factors, such as income, personal relationships, desire for affection and family relationships.

　In addition, a close relationship existed between hope for being discharged from the hospital and satisfying a desire for affection. These results suggest that occupational therapy had a positive influence on the subjective QOL of the patients with mental illness.