長期入院透析患者に対する作業療法の試み—役割獲得に焦点を当てたプログラム

A trial of occupational therapy on long-term hemodialyzed in-patients : A program focused on the aquirement of a role

要旨：透析医療の進歩により，透析患者の生存率は著しく向上し，生命維持から生活の質を問われる時代へと変化している．

　今回，視覚障害を合併した長期入院透析患者3名を対象に，ADLの改善とQOLの向上を目的とした小集団作業活動を試みた．その結果，身体機能面やADLでは量的な変化は得られなかったが，主体性や意欲の向上等，心理面での変化が得られた．そのうち1症例に焦点を当て，人間作業モデルに基づき，考察を加えたので報告する．

　The development of hemodialytic treatment helped improve the survival rate of hemodialysis patients. But new problems have come up, such as an increase of chronic hemodialysis patients who usually have many complications caused by long-term hemodialysis, original disease or by aging. We therefore made up a plan to improve the ADL and QOL of those patients. We picked up three patients with visual disturbances to improve their ADL and QOL by means of small group Occupational Therapy.

　We focused on one of them and we considered her case based on a Model of Human Occupation (MOHO). As the result, there was no remarkable change observed in her physical functions and ADL, while her psychological state, independency and motivation were improved.