精神分裂病の作業療法受療経過

A 5-year follow-up study of patients in psychiatric occupational therapy; Course and outcomes in schizophrenia

要旨：ある1年間に精神科作業療法(以下，OT)に処方の出た精神分裂病者136人を対象に，その後5年間のOT受療経過を調査し，受療の類型化を行った．その結果，受療類型は終了群，継続群，退院群，中断群の4群に分けられた．

　終了群の割合は30.1％と最も多く，その内訳は入院OTと入退院を繰返しその後退院した者が1/3，入院OTを終了し外来OT受療に至り，その後DC・他に転出した者が2/3であった．継続群は29.4％で，長期間入院しその間OTを継続する者が多かった．退院群は24.3％で，約半年間のOT受療期間後退院し，その後OT受療がみられなかった．中断群は16.2％で，入院OTの中止を繰返す者と退院し外来OTを受療するが中止となった者に分けられた．

　The purpose of this study was to classify the course of psychiatric occupational therapy for schizophrenic patients. We gathered the information concerning 136 patients' therapy process from medical records.

　As a result, we were able to classify the following 4 groups :

　1) "interrupted group" (16.2%)

　The patients in this group had occupational therapy as inpatients/outpatients in intervals.

　2) "continued group" (29.4%)

　The patients in this group continued occupational therapy, long term. And there were few patients that continued occupational therapy while they repeated admission and discharge.

　3) "discharged group" (24.3%)

　The patients in this group did not have to continue occupational therapy for about half a year.

　4) "concluded group" (30.1%)

　The patients in this group were classified into subgroups.

　One third of the patients repeated admission and discharge and then were finally discharged completely, and two thirds of the patients received occupational therapy as outpatients after they were discharged.

　In conclusion, the patients in "the interrupted group" and "discharged group" have need of a new occupational therapy setting, and we must create a new therapeutic structure in occupational therapy.