精神分裂病入院患者の作業活動に対するイメージ調査

Survey of hospitalized schizophrenia patients regarding their images toward occupational activity

要旨：入院中の精神分裂病患者の88名を対象にSD法を用いて，作業活動のイメージ調査を行った．手工芸・料理・体操・室内作業・園芸の5種目の作業活動に対する患者のイメージは，「楽しい，充実した，いきいきした」等の好感を示すイメージが共通して得られた．さらに，これらのデータについて因子分析をした結果，6つの因子を抽出できた．そのうち「情緒の安定」や「満足感」は，どの活動種目においても尺度得点に差が見られなかった．一方，「活動の質」，「緊張」，「仕事的」，にぎやか因子に関しては活動種目によっては差が見られた．

　A survey was conducted on 88 schizophrenic inpatients of Mihara Hospital; these patients were interviewed about their image of occupational therapy. The mean age of the subjects was 47.7 years (SD = 10.7). The occupational activities to be surveyed were limited to handicraft, cooking, physical exercise, paid indoor work, and horticulture. The subjects were requested to give the images they had toward the activities in which they had been engaged. The survey was conducted in January 1997 by using the SD method.

　The results were:

　1) The common images toward the occupational activities were "fun, fulfilling, and refreshing".

　2) Analysis of the survey data extracted six factors of the emotion factor, health and satisfaction factor, activity quality factor, tension factor, work-like factor, and merriment factor.

　3) Comparison of the six factors between the five occupational activity types revealed interesting results; that is, many of the images were common among types despite the differences in the activities. The emotional stability and satisfaction, in particular, were acquired commonly in all activity types as the effect of the occupational therapy. A few of the images, however, showed a difference depending on the kind of activity.

　Based on the results, various elements from the occupational activity images were discussed in this report.