呼吸器疾患のクライエントにおけるセルフマネジメントスキル習得を目的としたCognitive Orientation to daily Occupational Performance（CO-OP）による実践

Cognitive Orientation to daily Occupational Performance (CO-OP) practices for the acquisition of self-management skills in a client with respiratory disease

要旨：呼吸器疾患のクライエントに対して，酸素デバイスの取り扱いや，トイレ使用時の呼吸困難を軽減させるセルフマネジメントスキルを習得するために，Cognitive Orientation to daily Occupational Performance（以下，CO-OP）を使用した（5日，40分／日）．結果，Canadian Occupational Performance Measure，Performance Quality Rating Scaleは向上した．今回の報告でCO-OPは，呼吸器疾患のクライエントのセルフマネジメントスキルの習得に有用である可能性が示唆された．

　Cognitive Orientation to daily Occupational Performance (CO-OP) was used with a client suffering from respiratory disease to enable self-management of oxygen devices used in home oxygen therapy and to reduce dyspnea when using the toilet (5 days and 40 minutes/day). As a result, scores of Canadian Occupational Performance Measure (COPM) and Performance Quality Rating Scale (PQRS) were improved. Moreover, the client was able to use a portable oxygen cylinder and an oxygen tuner, and thus acquired self-management skills to use the toilet sagely. These results indicate that the CO-OP can improve acquisition of self-management skills in clients with respiratory diseases.