脳卒中患者が回復期病棟入院中に抱く退院後生活の認識の変容プロセス—複線径路等至性アプローチの分析から

Transformation of life cognition of stroke patients after discharge during admission to the convalescent ward: An analysis of the Trajectory Equifinality Approach

要旨：本研究の目的は，脳卒中患者が回復期リハビリテーション病棟（以下，回復期リハ）入院中に抱く退院後生活の認識の変容プロセスを明らかにすることである．回復期リハ入院中の脳卒中患者3名に，発症時からの経験と退院後生活の認識についてインタビューを行い，その内容を，複線径路等至性アプローチを用いて分析した．3名は，自身が望む生活と現状に乖離を感じるが，回復の実感に即した助言とプログラムを作業療法士から提供されることにより，社会復帰への自信を取り戻しながら新たに生活を構築するプロセスを示した．以上より，回復期リハ入院早期から，社会的役割が維持できるような目標を脳卒中患者と共有することが必要と考える．

　The purpose of this study is to clarify process of transformation of cognition of life after discharge of stroke patients during admission to a convalescent rehabilitation ward. The experiences of three stroke patients in a convalescent rehabilitation ward were interviewed from the time of onset of stroke and their cognition of life after discharge, and their interview data were analyzed using the Trajectory Equifinality Approach. Although the three patients experienced a gap between their desired life and the current situation, they regained confidence in rehabilitation and building a new life due to being provided with advice and facilitated programs by the Occupational therapists that matched the feeling of recovery. Therefore, it is necessary to share the goal of maintaining the social role of stroke patients from the early stages of hospitalization in convalescent rehabilitation.