訪問型・短期集中予防サービス（サービスC）が有効であった事例

The effect of visiting-type/short-term intensive prevention services (service C) to support the elderly: A case study

要旨：訪問型サービスC（以下，訪問C）は，介護予防・日常生活支援総合事業の介護予防・生活支援サービス事業の一つであり，ADLの改善が主たる目標となる点，3ヵ月程度の短期間で支援を終結させる点が特徴である．要支援2の認定を受けたA氏は，脳血管障害後にガスコンロの使用を住まいの管理人に制限されていたため，火を使用しない調理法を習得することを目的に，電子レンジで温野菜のような簡単な食事が準備できるよう訪問Cで助言した．助言の際は，運動機能や認知機能に関する評価や支援は可能な限り省略した結果，合計3回の助言で課題は解決し，初回から3ヵ月後に事例の作業遂行能力や健康関連QOLが向上し，IADLの実施状況も改善した．

　The life support comprehensive service C including visiting-type service C (hereinafter referred to as visit C) is a nursing long-term care prevention and living support service project. Its focus is to improve ADL through comprehensive preventative care and daily living support over the short term of 3 months. Mr. A suffered from cerebrovascular disease, and received certification of Needed Support Level 2. Thus, he was restricted from using the stove by the residence manager. Occupational intervention was limited to assisting Mr. A in preparing warm meals, including vegetables in the microwave instead of the stove. As a result, 3 months after the initial assessment, Mr. A experienced a significant increase in both motor and process skills of the Assessment of Motor and Process Skills (AMPS), but a decrease in Health Related Quality of Life (HRQOL). Thus, visit C may have a more positive effect on occupational performance than on HRQOL.