高齢期障害領域の医療機関で働く看護師・理学療法士の作業療法に対する意識調査

Clarifying the requirements of occupational therapy evaluations and interventions from nurses and physical therapists in hospitals for the elderly

要旨：高齢期障害領域の医療機関に所属する看護師と理学療法士は，作業療法にどのような情報提供と介入を求めており，その専門性と役割をどのようにとらえているのかを明らかにするために質問紙調査を行った．その結果，クライアントの生活全般への介入は，作業療法の専門性として両職種に知られていることが示された．作業療法が行う，クライアントの自己知識，価値観，社会的役割，心身機能を結びつけた評価と介入の具体的な方法論は十分に理解されていない傾向がうかがわれた．職種間の連携を行う上で，作業療法の方法論を明らかにしながら，他職種が理解できる用語で情報交換を行う必要性が示唆された．

　The aim of this study was to clarify what evaluations and interventions of occupational therapy were required from nurses and physical therapists in a hospital for the elderly. 25 nurses and 25 physical therapists responded to a questionnaire which included open-ended questions, and the responses were analyzed using the Model of Human Occupation. The results indicated that both professionals were seeking to provide information and intervention in activities of daily living. However, they lacked understanding in areas of professional identity of occupational therapy, namely evaluating and intervening in the meaning of life, values, and social roles of clients. The roll of occupational therapy in the rehabilitation team approach was investigated from the responses to open-ended questions using the KJ method. The results point to the importance of collaborating with a rehabilitation team centering on clients' needs, and it was considered to be related to service satisfaction. It is necessary for occupational therapists to exchange information with other rehabilitation professionals in comprehensible terms.