介護老人保健施設利用者の意欲維持に関する探索的研究

Factors related to the maintenance of motivation of residents at a geriatric health service facility

要旨：介護老人保健施設を利用開始以来，意欲を維持して生活を送る利用者8名に対し半構成的インタビューを行い，質的に分析を行うことで意欲維持に関連する要因を探索した．その結果，対象者自身が施設生活や自分自身を肯定的に捉えているということ，対象者自身のもつ前向きに生きようという姿勢が意欲維持には重要であることがわかった．これを基盤として何かをやりたいという動機づけが生まれ，次の目標へとつながっていくものと思われる．また他者との関わり方が施設利用者の意欲維持に大きな影響を及ぼしているということが示唆された．これらを介入の際に考慮することで，施設利用者の意欲維持に寄与することができると考える．

　The purpose of this study is to focus attention on residents at a geriatric health service facility who maintain their motivation, and investigate the factors related to the maintenance of their motivation.

　Eight residents who sustain motivation at a geriatric health service facility were asked about the factors related to the maintenance of their motivation. These narratives were qualitatively analyzed.

　As a result, “Affirmative perception of living in the facility”, “Affirmative perception for themselves”, “A positive way of life” and so on were important for the residents' maintaining motivation. Those were followed by “Something to do in the near future”, and “Having goals and taking action to achieve those goals”. In addition, this research suggests that “Good relationships with other people” is related to the maintenance of motivation in the facility.

　If occupational therapists take these results into account, they may be able to contribute to maintaining motivation in residents who live in a geriatric health service facility.