Gaining a favorable psychosocial behavioral change of a severely demented person through Model of Human Occupation-based intervention in convalescent rehabilitation wards Shota Aoyagi 1 , Kazuya Shinohara 2 , Masataka Shikata 2 , Hiroyuki Notoh 2 1JA Shizuoka Kohseiren Enshu Hospital 2Department of Occupational Therapy, Faculty of Health and Medical Sciences, Tokoha University Keyword: 認知症 , BPSD , 人間作業モデル , 回復期リハビリテーション病棟 , 意味のある作業 , Dementia , Behavioral and psychological symptoms of dementia , Model of Human Occupation , Convalescent rehabilitation wards , Meaningful occupation pp.102-108
Published Date 2020/2/15
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 The purpose of this report was to present the change in psychosocial behavior of a person with severe dementia through utilizing the Model of Human Occupation (MOHO)-based intervention over a period of four months in convalescent rehabilitation wards. The Mini-Mental State Examination (MMSE), Short version of the Dementia Behavior Disturbance Scale (DBD13), Functional Independence Measure (FIM), and Model of Human Occupation Screening Tool (MOHOST) assessments were completed one week after the client moved from the general wards to the convalescent rehabilitation wards. The occupational therapist provided him with MOHO-based intervention involving torn-paper pictures, shaving himself, playing catch, and practicing activities of daily living for four months. The MMSE, DBD13, FIM, and MOHOST data were then collected, and the results showed that the MMSE, FIM, and MOHOST scores increased, and the DBD13 score decreased 4 months after the MOHO-based intervention compared to the initial assessments. Therefore, MOHO-based intervention effected a positive change in behavioral and psychological symptoms of dementia, activities of daily living, and occupational participation for a person with severe dementia.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会