脳卒中後のうつ状態の介入に対するリハビリテーションの現状における職種間の相違―～職種間における認知度の違いと教育に焦点化して～

Post-stroke depression and rehabilitation professionals: Focus on recognition and education of occupational, physical and speech therapists

要旨：脳卒中後のうつ状態（post-stroke depression；以下，PSD）は，脳卒中患者の30～70％と高率に発症する．PSDの合併は日常生活動作や生活の質の回復の阻害因子となり，リハビリテーションの進行に影響すると言われている．そのため，身体機能のみならず，心理・社会機能への取り組みが重要である．本研究では，脳卒中のリハビリテーションに関わる各専門職を対象にPSDの知識の有無や介入の実態について調査した．その結果，PSDに対する知識，学校教育，取り組みへの意識の各項目で職種間の相違が見られた．また，卒前・卒後の教育を受けている人ほどPSDに接した際に精神機能への対処を実施している頻度が高く教育の重要性が示唆された．

　Post-Stroke Depression (PSD) is one of the most frequent psychiatric complications of stroke. Its pathophysiology is associated with the physical and neuronal dysfunctions in stroke patients, and its high prevalence is estimated to be around 30-70%. This investigation analyzed the current situation of rehabilitation professionals (occupational, physical and speech therapists) concerning their recognition and education about mental function, including PSD. The results demonstrated that the differences among the three professionals were characteristically exhibited in their knowledge about PSD, and curriculum at technical schools and medical colleges. Moreover, the more pre- and post-education performance was conducted, the more frequently intervention in PSD was carried out in clinical settings. This study highlights the importance of rehabilitation education of knowledge and skills.