回復期リハビリテーション病棟における脳卒中片麻痺患者の主観的経験が作業に及ぼす影響

The influence of subjective experience of stroke hemiplegic patients on occupation in a recovery rehabilitation ward

要旨：本研究の目的は，回復期リハビリテーション病棟に入院中の片麻痺患者が，再び作業を獲得していく過程を主観的経験から明らかにすることである．片麻痺患者5名に対し日々の作業遂行について半構造化面接を行い，修正版グラウンデッド・セオリー・アプローチを用いて分析した．結果，【作業の状態を把握する】，【実生活での作業遂行に階層性が生じる】，【作業を通して自分の可能性を試す】，【作業を通して学習する】，【作業に挑戦する】，【作業を回避する】，【新たな作業を選択する】の7つのカテゴリーが生成された．対象者は，作業を通して自身の可能性を試し，経験に根ざした学習を基に新たな作業を選択する過程を経ていたことが明らかとなった．

　This study attempted to clarify the process of re-acquiring occupation by hemiplegic patients hospitalized in the recovery rehabilitation ward based on subjective experience. Semi-structured interviews were conducted on the daily work performance of five hemiplegic patients and were analyzed using a modified grounded theory approach. As a result, seven categories were generated:“Understanding the status of occupation”, “Hierarchy occurring in the performance of occupation in real life”, “Testing own potential through occupation”, “Learning through occupation”, “Challenging occupation”, “Avoiding occupation”, and “Choosing new occupation”. Results indicate that the subjects were going through a process of testing their potential through their work and selecting new work based on experiential learning.