精神科長期入院患者に対する起立訓練の効果

Efficacy of “stand up training” for long-term hospitalized psychiatric patients

要旨：精神科病院長期入院患者32名を対象に，1ヵ月間の椅子からの立ち上がり動作の反復訓練（以下，起立訓練）による身体機能への効果を検討することを目的とし，起立訓練前後に体力測定とアンケートを実施した．1回の起立訓練時の立ち上がり平均回数は97.1±45.0回であった．体力測定の結果，ファンクショナルリーチが有意に向上した．またアンケート結果より，「疲れている」と感じている患者が有意に減少した．そして，起立訓練実施にあたり快適な訓練環境およびスタッフの患者に対する肯定的態度により，患者の訓練に対する動機付けが高められたことが示唆された．

　Purpose: To examine the effect of exercise on physical function.

　Method: This study involved thirty two psychiatric patients hospitalized in a long-term care program. Participants attended a one-month session involving repetitive movement exercise consisting of standing up and sitting down in a chair (“stand-up training”). A fitness test (Functional Reach Test) and questionnaires were given and evaluated before and after each stand-up training session.

　Results: The overall average of all participants' performance was 97.1±45.0 times per session. In addition, the Functional Reach Test showed significant improvement. The questionnaire results suggested a positive effect while the number of people who commented “feeling tired” was greatly reduced.

　A comfortable environment and emotional support from staff members raised patients' motivation and facilitated the training.