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要旨:関節リウマチと診断され約2年が経過し,主婦として在宅生活を送ってきた事例に,カナダ作業遂行測定及び生活時間調査を実施した.事例は日中生活時間の約7割を家事活動に費やしていた.作業療法士は生活様式の改善を図るため,具体的な家事時間の短縮を提示し,家庭内での生活を指導した.その結果,家事活動に費やす時間は約7.5時間短縮され,1日のエネルギー消費量も約1,000kcal減少することができた.家庭内で主婦としての役割を担いながらゆとりある生活が再び獲得できるようになり,外来通院においても効果的な介入方法を明示することができた.
We performed the Canadian Occupational Performance Measure (COPM) and a time use survey in a patient living at home for about 2 years after being diagnosed as having rheumatoid arthritis. She spent about 70% of her time on housekeeping. An occupational therapist devised a plan and gave instructions on shortening the housekeeping time. As a result, housekeeping time was reduced by 7.5 hours, and the daily energy consumption was also reduced by about 1,000kcal. She achieved a comfortable life while performing housekeeping tasks. Effective intervention methods could also be achieved by outpatient training.
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