訪問型・短期集中予防サービス（サービスC）により作業遂行能力と健康関連QOLが向上した事例

The effect of visiting-type/short-term intensive prevention service (service C) to improve occupational performance capability and health related quality: A case report

要旨：訪問型サービスC（以下，訪問C）は，介護予防・日常生活支援総合事業の介護予防・生活支援サービス事業の1つであり，ADL/IADL課題の改善を主目標に，3ヵ月程度の短期間で支援を終結させる点が特徴である．要支援2認定のA氏は，作業工程の多さや洗濯かごの運搬距離の長さから，洗濯物を干す動作に努力の増大と効率性の低下を認めた．A氏が少ない疲労で効率よく干すことを目的に，洗濯物干しハンガーの位置変更など，作業遂行に焦点を当てて環境設定や動作方法を中心に助言した．その結果，3回の助言でA氏の作業遂行能力や健康関連QOLが向上した．作業療法士が訪問Cを担うことにより，短期間でADL/IADLの改善につなげることができると示唆された．

　The life support comprehensive service C including visited-type service C (hereinafter referred to as visit C) is a long-term care prevention and living support service project for nursing care prevention and living support comprehensive projects. Its focus is to improve ADL/IADL through comprehensive preventative care and daily living support over a period of 3 months. Mr. A, who was certified as Support 2, was struggling to hang up the laundry because of the large number of occupational processes and the laundry basket's carrying distance. We advised Mr. A to move the clothes hanger to more comfortably hang the laundry. We focused on the occupational performance and conducted environmental setting and practice exercises. As a result, three months after the initial assessment, he was able to dry the laundry comfortably, indicating a significant increase in motor and process skills of the AMPS and in Health Related Quality of Life. Thus, occupational therapy may be able to improve ADL/IADL in a short period of time by taking care of visit C.