「挑戦感」と「技術」に基づくデイケア活動中の利用者の経験―フローモデルに基づく検討─

The challenge skill ratio of users' experiences at an adult daycare center: Emotional states based on the Flow model

要旨：デイケア参加者が活動中に感じる楽しさや不安といった感情を知るために，45名の対象者にフローモデルに基づく調査，分析を行った結果，①デイケアでの活動は様々な経験領域として利用者に経験されていた．②経験領域は『リラックス』と『不安』が多く，③『リラックス』は昼食などの日常的な活動に多くみられた，④経験しやすい経験領域は性別や年齢，介護度により異なった，⑤QOLとポジティブな経験領域の『喚起』との間に正の相関，ネガティブな経験領域の『不安』との間に負の相関が認められた．ポジティブな経験領域を増やしネガティブな経験領域を減らすためには活動内容や環境を利用者の「技術」に合わせて調整する必要があると考えられた．

　To clarify user's affections upon activities of the adult daycare centers, i.e. experiences of them at the daycare center, affections of “challenge” and “skill” in the daycare activities were evaluated. Affections of 45 users were classified into 8 states based on the Flow model. Major results obtained were as follows: 1) in general states of affections upon the usual activities, “relaxation” was most often, and “anxiety” were highly dominant, “relaxation” was seen by daily activities, e.g. at the lunchtime, and 2) affections were differently affected by gender, age and care level. 3) Results also indicate the level of QOL appeared to be positively correlated to that of “arousal”, an positive affection, and negatively correlated to that of “anxiety”, an negative affection. These results suggest that elevation of the positive affections and reduction of the negative affections in users by devising the personalized rehabilitation program lead to the increase in the quality of daycare services.