終末期がん患者に対する作業療法の実践自己評価尺度開発の予備調査

Preliminary investigation for development of Self Rating scale of Occupational Therapy for Terminal Cancer patients (SROT-TC)

要旨：終末期がん患者に関わる作業療法士は，自らの役割が不明瞭であり自信がない．本研究の目的は，当該領域の作業療法士の役割を明確にし，実践自己評価尺度の内容的妥当性を検討することである．文献検索と専門家会議にて項目を抽出し，当該領域の作業療法士にアンケートを実施した．その後，天井効果・フロア効果，最頻値，度数分布，非該当数を検討した．結果，グリーフケアの設問にフロア効果を認め，復職・セクシャリティは非該当が多かった．予後未告知の患者と，死に関して話さないとの意見があった．最終的に77項目が採用され，本尺度の内容的妥当性が確保されたが，今後さらに，項目相関係数やCronbach α係数等の内容的妥当性の検討が必要である．

　Registered Occupational Therapists (OTR) specializing in terminal cancer patients are not confident in their interventions because of their unclear role. The purpose of this study was to clarify the role of OTR and to examine the content validity of a Self Rating scale of occupational therapy for terminal cancer patients. We extracted items from literature searches and expert meetings and conducted a survey. The questionnaire examined the ceiling and floor effects, mode, frequency distribution, non-applicable number, and the opinions of the subjects. As a result, the floor effect was recognized in the grief care item. Items related to reinstatement and sexuality were not applicable. There were indications that OTR would not discuss death with patients who were unaware of their prognosis. Although 77 items were adopted and the content validity of this scale was secured, it is necessary to further examine the content validity of the item correlation coefficient and Cronbach's α coefficient.