精神科急性期治療病棟に入院中の統合失調症患者の回復状況—作業療法参加状況との関連

The relationship between participation and recovery in occupational therapy programs among patients with schizophrenia in an acute psychiatric ward

要旨：精神科急性期治療病棟に入院中の統合失調症患者30名を対象に，入退院時における精神症状，日常生活能力，主観的回復感と作業療法参加状況について調査を行った．その結果，入院時よりも退院時の方が作業療法参加頻度が高く，活動時間が長く，集団作業療法へ参加する者が多くなり，同時に精神症状，日常生活能力，平均睡眠時間に加え，主観的回復感が有意に改善した．そして作業療法参加頻度が高い者は精神機能およびIADL能力が高く，集団作業療法への参加頻度が高い者はIADL能力が高い傾向があった．以上より，急性期統合失調症患者の作業療法への参加状況は，精神症状や日常生活能力の回復と関連するものと考えられた．

　This study investigated the recovery of patients with schizophrenia in an acute stage psychiatric ward. The study involved 30 patients. We analyzed the relationship between participation in occupational therapy and the scores of Global Assessment of Functioning (GAF), Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), and recovery. The status at discharge improved more than that at admission in the GAF, IADL, ADL scores, and with regards to duration of sleep and recovery, high frequency participants in the occupational therapy program had better GAF and IADL scores, and high frequency participants in the group occupational therapy program had better IADL scores. These results suggest that participation in an occupational therapy program is linked to recovery and improvement in schizophrenic patient's daily living skills.