通所リハビリテーションにおける作業の楽しさ―作業の楽しさと楽しさに関係する想いとFIMとの関係について─

Enjoyment through activities at ambulatory rehabilitation: The relationship of activity enjoyment to the degree of joy and FIM

要旨：本研究の目的は，通所リハビリテーションでの作業の楽しさが，「熱中」，「頑張り」，「難しさ」，「体の不自由さ」，「人より劣る」，「またやりたい」などの想いや，「機能的自立度評価法（以下，FIM）」と関係しているかどうかを検討することである．調査対象者は29名で，調査作業数は77であった．その結果，作業の楽しさは「熱中」，「頑張り」，「またやりたい」，「FIM」と正の相関が見られた．この結果から楽しさは，①注意力や集中力，②頑張るという想い，③作業継続の動機づけと関係しており，さらに通所リハビリテーションでの楽しさを高めるためには，在宅での介助量を軽減することと関係があると考えられた．

　Objectives

　The purpose of this study is to determine whether or not the enjoyment of activities by ambulatory rehabilitation is related to the Functional Independence Measure (FIM). Enjoyment was assessed through the following impressions: “was absorbed”, “tried hard”, “difficult”, “physically challenged”, “felt inferior” and “want to do it again”.

　Method

　29 people participated in the study, and their average age was 83.2 (SD=7.18). The subjects participated in 77 activities, and each participant was interviewed immediately after the activity. There were seven categories in the questionnaire: “fun”, “was absorbed”, “tried hard”, “difficult”, “physically challenged”, “felt inferior”, and “want to do it again”. Each section had a 4-point scale to choose from: “very ～”, “moderately ～”, “not so ～”, and “not at all”. Spearman's rank correlation coefficients were determined for the seven categories above and FIM scores, and the significance of these eight areas was examined.

　Results

　A positive correlation was found between “Enjoyment through activities” and each of these areas:was absorbed, tried hard, want to do it again, and FIM.

　Conclusion

　These results indicate that enjoyment is related to powers of attention and concentration, a feeling of having tried hard and the motivation for continuing an activity.

　There seems to be a relationship between enhancing enjoyment and decreasing the amount of help at home.