親子に対して道具を活用することで意味のある作業を実現した在宅作業療法

Meaningful occupation for parents and children through utilizing tools

要旨：母子にとって道具を作成・活用することで意味のある作業が実現できた在宅作業療法の詳細を述べることを目的とする．症例は18トリソミー症候群の乳児である．身体所見では，手指の筋緊張亢進による手指間の圧痕や，寝返り動作が困難なため除圧できずに左臀部の発汗が確認された．症例の全身状態は変化しやすく，母親はかかわりに悩んでいた．そこで，母親とハンドクッションやマットなどの道具を作成して，それらの道具を活用することで抱っこや徒手療法を行い母子間のかかわりを促した．結果，症例の圧痕や発汗は確認されなくなり，母親は症例を安心して抱けた．道具を作成・活用する意味のある作業の実現により，母子のアタッチメントを促進した．

　This study aimed to describe home occupational therapy in which meaningful occupational relationships can be achieved by creating and utilizing tools for mothers and children. The patient was an infant with trisomy 18 syndrome. Physical examination confirmed indentations between the fingers due to hypertonia of the digits. In addition, sweating of the left buttock was confirmed without decompression due to difficulty in turning over. The general condition was easy to improve, although the mother was worried about the development of her relationship with the child. Therefore, tools were created with the mother such as hand cushions and mats, which could be used for hugging and manual therapy to promote the mother-child relationship. As a result, there was no further evidence of indentation or sweating of the child, and the mother was able to comfort her child, which improved her mental state. The attachment of mother and child was promoted by realizing meaningful occupational relationships through creating and utilizing home occupational therapy tools.