通所リハビリテーション利用者の作業療法における生活行為申し送り表の効果—ランダム化比較試験による検討

Effects of a daily life performance report on day-care rehabilitation services: The results of a randomized controlled trial

要旨：作業療法士が生活行為申し送り表を使用して，介護支援専門員へ情報提供することが，通所リハビリテーション（以下，通所リハ）利用者63名のQOLやADL・IADLへ及ぼす効果を，ランダム化比較試験（RCT）によって検討した．介入群では対照群に比べると，日常生活動作の自立度（BI），健康状態の自己評価（EQ VAS），開始時より3ヵ月後では生活目標の満足度，6ヵ月後では生活目標の実行度・満足度が，有意に高い値を示した．生活行為申し送り表による情報提供は，通所リハ利用者の生活行為向上に貢献できることが示唆された．

　This paper provides the result of randomized controlled trial (RCT) conducted to verify the effects of daily life performance reports. The reports were prepared by an occupational therapist (OT) to share information with a care manager about 63 day-care rehabilitation service users on the QOL, ADL and IADL of the service user. The RCT revealed that the activities of daily living on method (BI) and health evaluation method (EQ VAS) of the intervention group were considerably higher than those of the control group; the degree of satisfaction of the living objective was significantly higher after three months and the degree of adherence and satisfaction of the living objective was significantly higher after six months. The results indicate that the use of the daily life performance report to inform about the service user contributes to the improvement of the service user's living behavior.