高次脳機能障害者のSelf-awarenessに対する日本語版SRSI（Self-Regulation Skills Interview）の実践活用

Practical utilization of the Japanese edition of the “Self-Regulation Skills Interview” in measuring the self-awareness of patients with higher brain dysfunction

要旨：高次脳機能障害に対する介入として，Self-awareness（自己の気づき）に焦点をあてることは重要である．今回，高次脳機能障害者の社会復帰支援に際して，日本語版SRSIを活用した．その評価結果から，Self-awarenessの程度を把握して介入指針を決定した．Self-awarenessの程度に合わせた有効な補填手段と，実際に用いる補填手段との整合性が合うことで，各ストラテジーが定着し，社会復帰へつながる一因になると考えられた．日本語版SRSIは，Self-awarenessの程度とその変化に対する評価や，高次脳機能障害者支援における的確な介入指針を見出す一助になる可能性が示唆された．

　Self-awareness is important for successful intervention for higher brain dysfunction. This study utilized the Japanese edition of the “Self-Regulation Skills Interview (SRSI)” to support the social rehabilitation of patients with higher brain dysfunction. From the results of the SRSI, we determined the degree of self-awareness and developed intervention guidelines. Each strategy can be established and contribute to the social rehabilitation if the effective compensation means based on the degree of self-awareness of the patients matches the compensation means that is actually used. We suggest that the SRSI Japanese edition may assist in evaluating the degree of self-awareness and its changes and composing a proper intervention guideline for supporting patients with higher brain dysfunction.