地域参加を促す介護老人保健施設における作業療法の役割—作業活動を手段とした入所者主体の参加

The role of occupational therapy in geriatric health services facilities that encourage participation in the community : Participation of residents subject using creative activities

要旨：我々は，「地域に根ざした介護老人保健施設(以下，老健)」を目標に，入所者主体の作業活動を手段とした一連の地域参加活動を2年間に渡り実施した．1年目は車社会という地域特性に着目して「交通安全キーホルダー」を製作し，地元警察署へ贈呈した．2年目は，特にうつ傾向を示した5人を対象として，交通安全キーホルダーの製作に加え入所者自身でドライバーへの配布活動にも参加した．さらにコースター等を製作しチャリティーバザーへ出店した．その結果，対象者自身は有能感や満足感を得て作業への意欲が増した．また，マスメディア等から情報を知った家族や地域住民は対象者の残存能力を新たに知り，老健の役割に対する意識の変化が伺えた．

　Over a two-year period, we set up a series of creative activities to involve geriatric health services facility residents in the community, targeting "geriatric health services facilities that have taken root in the community". In the first year, residents produced traffic safety key chains and presented them to the local police department. In the second year, in addition to the production of traffic safety key chains, five residents who had shown symptoms of depression participated in the distribution of the key chains to drivers. Residents also produced coasters and opened a booth in a charity bazaar. As a result, participants gained a sense of their own competency, a sense of satisfaction, and their desire to participate in activities increased. In addition, the families and residents of the community, who learned of their activities through the mass media, came to have a new understanding of the remaining abilities of the residents, leading to a change in their sense of the role of occupational therapy in geriatric health services facility.