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要旨:上腕骨頸部骨折と心不全により入院していた中途失聴の高齢女性に対し,機能改善を目的とした介入を約3ヵ月間行った.日常生活活動は向上したが,何事にも「自信がない」と語り,自己効力感は低下していた.そこで,人間作業モデルによるリーズニングにより,友人とのメールによる交流の再開に着目し,携帯電話のメール送受信が可能となるよう段階的に支援した.その結果,女性はメールの送受信が自立し,友人との関わりを再開させた.価値をおく友人との交流が再開したことで,自己効力感が高まり,生活範囲や対人交流も広がった.本事例から,高齢者における友人との関わりの重要性とコミュニケーション手段としてのメールの意義が示された.
An occupational therapist intervened for three months in an elderly woman with post-lingual deafness who was in the hospital for humeral neck fracture and heart failure primarily to improve her dysfunctions. She remained unconfident in spite of improved ADL. Therefore, based on the Model of Human Occupation, the occupational therapist aimed to resume the woman's contact with her friends by e-mail and provided her with gradual supports to be able to send and check e-mail using a mobile phone. As a result, she could send and check e-mail herself and resume contact with her friends. She also developed a stronger sense of self-efficacy and was able to maintain relationships more widely during hospitalization than before. Therefore, this case suggests the importance of contact with friends, as well as the significance of e-mail as an instrument of communication.
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