高齢者版興味チェックリストと高齢者版・余暇活動の楽しさ評価法の使用により，BPSDやQOLが改善した認知症の事例

Improvement in behavioral and psychological symptoms of dementia and quality of life in an elderly patient with hip prosthesis dislocation: Japanese Interest Checklist for the Elderly and Elderly version of Leisure Activity Enjoyment Scale

要旨：認知症があり，人工股関節の脱臼を繰り返し，帰宅願望などのBPSDが見られたAさんに，高齢者版興味チェックリストと高齢者版・余暇活動の楽しさ評価法を実施した．評価から一番楽しみな作業が畑仕事であることを確認し，畑仕事での身体の使用や，楽しさ評価で得た情報を話題に取り入れて機能訓練を実施した．その結果，Aさんの起居・移動動作が改善し，BPSDや主観的幸福感に関するQOLが改善した．これらが改善した要因は，興味と楽しさの詳細な評価によりAさんのやりたい畑仕事を実施できたこと，過去の畑仕事を語りながら機能訓練が楽しく実施できたこと，過去の畑仕事の楽しさが現在の畑仕事の楽しみへと広がり，楽しみが継続したことであった．

　An elderly patient with Behavioral and Psychological Symptoms of Dementia (BPSD) who underwent surgery for hip prosthesis dislocation wished to be discharged. She was asked to complete the Japanese Interest Checklist for the Elderly and Elderly version of Leisure Activity Enjoyment Scale (LAES) which revealed that the most pleasurable activity was farm work. Therefore, agricultural activities were introduced as a part of her occupational therapy regimen, and LAES was used to monitor her subjective well-being during the functional training. As a result, the patient's bed, transfer activities and locomotion improved, along with BPSD, quality of life (QOL), and her subjective well-being. The factors resulting in improvements in BPSD and subjective QOL were participating in agricultural occupations and assessing the patient's interest and enjoyment; the patient's joy in talking about past farm work at the time of functional training; and enjoyment of the past farm work, which positively affected the current farm work, leading to continued enjoyment for the patient.