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Japanese Occupational Therapy Research Volume 33, Issue 6 （December 2014）

作業療法 33巻6号（2014年12月発行）

Japanese English

◆研究論文

訪問リハビリテーション利用のきっかけと生活目標─利用者による自由記述内容の質的分析 Reasons for starting home-visit rehabilitation services and daily life goals of users : Qualitative analysis of users' self-recorded content 大浦智子 ¹ , 津山努 ² Tomoko Ohura ¹ , Tsutomu Tsuyama ² ¹星城大学リハビリテーション学部作業療法学専攻 ²くまのクリニック ¹Division of Occupational Therapy, Faculty of Care and Rehabilitation, Seijoh University ²Kumano Clinic キーワード：訪問リハビリテーション , 生活 , （利用者の視点） , （きっかけ） , （目標） , Home-visit rehabilitation , Daily life , Users' view , Reasons , Goals Keyword: 訪問リハビリテーション , 生活 , （利用者の視点） , （きっかけ） , （目標） , Home-visit rehabilitation , Daily life , Users' view , Reasons , Goals pp.517-525

発行日 2014年12月15日 Published Date 2014/12/15

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要旨：訪問リハビリテーション（以下，訪問リハ）利用者の訪問リハ利用のきっかけと日々の生活目標を知るために，自記式質問紙調査によって34名の訪問リハ利用者の自由記述内容を質的に分析した．利用のきっかけは［訪問リハへの期待］，［身体の不調と制限］，［他者からの勧め］，［外出への制限］などを含む7個の二次テーマ，生活目標は［自分らしい活動］，［歩行や移動能力の改善］，［外出］，［自立的な生活］，［生活の維持とよりよい生活への希望］などを含む8個の二次テーマに集約され両者の内容は異なっていた．訪問リハ提供者は，利用開始のきっかけのみならず，生活目標を十分に理解し［自分らしい生活］に焦点をあてた支援の実践が求められる．

　Home-visit rehabilitation (HVR) offers several programs to improve the user's life function. The objective of this study was to clarify the reasons for beginning HVR and the daily life goals of HVR users. In order to reveal the expected effects of HVR and the programs offered, we administered open-ended questionnaires to users, which included questions on reasons for beginning HVR (hereafter ‘reasons’) and their daily life goals. Qualitative analysis was performed using data from the responses. 34 users' comments were analyzed, and fulfilled the inclusion criteria for this study. Reasons were comprised of 40 codes and grouped into 7 major categories as follows : [expectations for HVR] (15 codes);[poor physical condition and restrictions] (8);[advice from others] (5);[continuation of rehabilitation after discharge] (3);[motivated by the actual feeling of rehabilitation effects] (3);[restrictions on going out] (3);and [for self] (3). Users' daily life goals comprised 28 codes grouped into the following 8 major categories : [personally meaningful activities] (8);[improvements in mobility and walking] (7);[going out] (4);[independent life] (3);[hope for improvements or maintenance of daily life] (3);[belief in the effects of continued rehabilitation] (1);[cure and recovery of physical abilities] (1);and [hopes for life without pain] (1). The differences between reasons for using services and daily life goals were revealed. In terms of daily life goals, HVR providers should confirm that services are based on [personally meaningful activities], and focus on the [personally meaningful activities].