雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

Japanese Occupational Therapy Research Volume 37, Issue 3 （June 2018）

作業療法 37巻3号（2018年6月発行）

Japanese English

◆実践報告

精神科救急病棟入院患者に対するIADLに焦点を当てた作業療法の効果 The effectiveness of occupational therapy-focused IADL on patients in psychiatric emergency wards 塩田繁人 ¹ , 杉本優輝 ² , 村井千賀 ² , 北村立 ³ , 柴田克之 ⁴ Shigehito Shiota ¹ , Yuki Sugimoto ² , Chiga Murai ² , Tatsuru Kitamura ³ , Katsuyuki Shibata ⁴ ¹広島大学病院診療支援部リハビリテーション部門（前所属；石川県立高松病院作業療法科） ²石川県立高松病院作業療法科 ³石川県立高松病院診療部精神科 ⁴金沢大学医薬保健学類保健学系作業療法学講座 ¹Department of Rehabilitation, Division of Clinical Support, Hiroshima University Hospital (Former affiliation; Department of Occupational Therapy, Ishikawa Prefectural Takamatsu Hospital) ²Department of Occupational Therapy, Ishikawa Prefectural Takamatsu Hospital ³Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital ⁴Division of Health Sciences, Graduate School of Medical Science, Kanazawa University キーワード：生活技能 , IADL , 作業療法 , （精神科救急） , Social skills , Instructive Activities of Daily Living , Occupational therapy , Psychiatric emergency Keyword: 生活技能 , IADL , 作業療法 , （精神科救急） , Social skills , Instructive Activities of Daily Living , Occupational therapy , Psychiatric emergency pp.339-344

発行日 2018年6月15日 Published Date 2018/6/15

PDF(1152KB)

販売していません

Abstract 文献概要
1ページ目 Look Inside
参考文献 Reference
サイト内被引用 Cited by

要旨：精神科救急病棟に入院した精神疾患患者55例を対象に，IADLに焦点を当てた作業療法が再入院の予防に有効かを，後方視的に検証した．入院中にIADLプログラムを実施していた20例をIADL群，実施していなかった35例を非IADL群とし，基本属性と在院日数，再入院率，退院3ヵ月後の転帰先を比較した．IADL群は非IADL群と比較して，平均年齢が高く，在院日数は長く，再入院率は低かった．転帰先に関しては両群間に有意差を認めなかった．今回の結果より，精神科救急病棟における精神疾患患者に対するIADLに焦点を当てた作業療法は，再入院の予防に有効と考えられた．今後は前向き研究により，効果検証を行う必要があると考える．

　The purpose of this study was to verify the effect of occupational therapy which focuses on Instrumental Activities of Daily Living (IADL) in psychiatric emergency wards. A retrospective cross sectional study was performed to analyze data from 55 patients with psychiatric diseases who were admitted to a psychiatric emergency ward at Ishikawa Prefectural Takamatsu Hospital for treatment for manifestations of neurologic diseases between September 2014 and June 2015. Patients were classified into the IADL group (n=20) and the non-IADL group (n=35) based on the occupational therapy programs. Demographic characteristics, length of stay in hospital, the rate of re-hospitalization in a year, and social outcome at 3-months post discharge between the two groups were compared. The IADL group was older, had longer periods of hospitalization, and lower rates of readmission than the non-IADL group. There were no significant differences in the social outcomes between both groups. The results suggest that the occupational therapy which focuses on IADL is more effective in preventing re-hospitalization in psychiatry emergency wards.