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Japanese Occupational Therapy Research Volume 25, Issue 2 （April 2006）

作業療法 25巻2号（2006年4月発行）

Japanese English

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◆研究論文

脳卒中後の左半側空間無視に関する障害の自己認識—ADLの患者自己評価による検討 Awareness of disabilities in stroke patients with left unilateral spatial neglect : Study of the patient's self-evaluation on their activities of daily living 川口弘子 ¹ , 遠藤てる Hiroko Kawaguchi ¹ , Teru Endo ¹埼玉医科大学総合医療センター ¹Department of Rehabilitation, Saitama Medical Center, Saitama Medical School キーワード：脳卒中 , 半側空間無視 , (障害認識) , (ADLチェックリスト) , Stroke , Unilateral spatial neglect , Awareness of disabilities , ADL checklist Keyword: 脳卒中 , 半側空間無視 , (障害認識) , (ADLチェックリスト) , Stroke , Unilateral spatial neglect , Awareness of disabilities , ADL checklist pp.156-164

発行日 2006年4月15日 Published Date 2006/4/15

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要旨：半側空間無視(USN)に関してthe Catherine Bergego Scaleに一部改変を加えたADLチェックリストを作成し，その有用性と患者の障害認識の状態を検討した．脳卒中後の左片麻痺患者21例にチェックリストとBITを実施し，担当療法士からもチェックリストに回答を得た．チェックリストとBITによるUSN評価および各評価得点間の関連を検討した．結果，チェックリストは担当者の観察評価によるUSNと患者の自己評価による障害の自己認識を捉えられる可能性が示された．USN患者の自己の障害の捉え方は活動によって異なることが確認され，障害認識の評価にはより詳細な検討が必要であると考えられた．

　The present study investigated the utility for the activities of the daily living checklist (ADL checklist), which was designed to evaluate unilateral spatial neglect (USN) easily and effectively at a clinical site by revising and reconstructing the Catherine Bergego Scale, and the awareness of disabilities in patients with USN by applying the ADL checklist. 21 left-hemiplegic patients were asked to answer the ADL checklist by the author and evaluated via the Behavioral Inattention Test (BIT). It was also done by their therapists with the same ADL checklist. The results are as follows : the assessment was based on the ADL checklist evaluated by their therapists agreed, for the most part, with the assessment by BIT. And a significant correlation was obtained between the total score of the ADL checklist evaluated by their therapists and the BIT scores. The total score of the ADL checklist evaluated by patients themselves did not significantly correlate with either the BIT scores, or the total score evaluated by their therapists. And the ratio of the number which was aware of USN in each activity of the ADL checklist evaluated by their therapists had more than that by patients themselves. As a result, the ADL checklist seems to be useful for behavioral assessment of USN by their therapists, evaluating awareness of disabilities in patients with USN by themselves. Patients with USN had differences in the awareness of disabilities in each activity of daily living, and the evaluating awareness of disabilities in patients with USN by themselves had need of more consideration.