重症心身障害児施設における座位保持装置の使用状況に関する調査研究—作製目的と実際の使用状況に焦点を当てて

An observation of seating systems for children with severe motor and intellectual disabilities : Production and actual employment conditions

要旨：北海道内における2つの重症心身障害児施設において，作業療法士と病棟職員を対象に，座位保持装置の作製目的および使用状況に関するアンケート調査を実施した．結果は次のように示された．1）作業療法士が考える作製目的は，「上肢機能の向上」，「座位姿勢の獲得」が多い．2）病棟職員は，「移動機能」や「リクライニング機能」に多くの利点を感じ，「収納性」に欠点を感じている．3）病棟職員は，「上肢機能の向上」に関し利点を感じていない．今後は，座位保持装置の基本的な機能だけではなく，付加的な機能も病棟職員に指導しなくてはならないと考えられた．

　At two institutions in Hokkaido, we investigated (using the questionnaires for occupational therapists and caregivers) the purposes of production and the employment conditions of seating systems for children with severe motor and intellectual disabilities. The results were as follows : 1) many occupational therapists considered the importance of facilitating "a function of upper extremity" and "obtaining a sitting posture" as the purpose of production; 2) caregivers also considered "locomotive function" and "reclining function" as an advantage with regard to seating systems, and "to store"as a weakness in seating systems; 3) caregivers did not consider the facilitation of "a function of upper extremity " as the operative advantage of the seating system. From these results, we considered that we should instruct caregivers in not only basic functions of the seating system but also additional functions.