精神科長期入院患者と合意される作業療法目標の特徴

Characteristics of agreement on occupational therapy aims shared with long-term hospitalized psychiatric patients

要旨：本研究の目的は，長期入院患者と合意される作業療法目標の特徴を明らかにすることである．合意面接に同意した72名の入院患者を対象に「合意内容調査票」を用いて調査した結果，「身体・健康管理」，「楽しみ・趣味」，「気分転換」に関することが対象者と合意されやすい目標であり，面接を2回行った37名の結果からは，合意内容が作業療法経過に沿って発展していくことが確認された．これらの結果は，長期入院患者と理解しやすいことばで目標を合意することの重要性を示しており，対象者と作業療法目標を分かち合う過程は日常生活に意味や価値をもたらし，長期入院による二次的な機能低下を防ぐための基本的な援助過程と思われた．

　The purpose of this study was to find out general characteristics of therapeutic aims shared with long-term hospitalized patients in a psychiatric occupational therapy setting. The Inventory Questionnaire on Occupational Therapy Aims Agreed with a Patient was used to analyze the responses of 72 psychiatric patients who agreed to have consensual interviews in the process of occupational therapy. The results showed the therapeutic aims most frequently agreed were related to the issues of physical health and wellness, pleasant and interesting experiences, and diversion and relaxations. The results of 37 patients, who had consensual interviews, twice showed the contents of agreement changed along with the progress of occupational therapy. These results suggest the importance of formalized consensual interviews using easy-to-understand wording with long-term hospitalized patients; i.e., the process of sharing occupational therapy aims is a basic ongoing helping process meant to increase awareness of meaning and value of daily living to avoid secondary dysfunction from long-term hospital care.