後天性脳損傷後に自動車運転を中断した当事者と家族の経験—質的研究Meta-studyを用いて

Experiences of patients and families who ceased driving after acquired brain injuries: A meta-study of qualitative research

要旨：後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが，支援体制は確立されていない．本研究は，Meta-studyにより運転中断後の当事者や家族の経験を整理し，介入の枠組みを構築することを目的とした．対象論文は2020年までに発表された質的研究であり，海外論文9件が抽出された．対象研究の引用文をコード化し，人-環境-作業の理論で整理した．結果，39件のサブカテゴリに分類され，人は当事者5テーマ，家族3テーマ，環境3テーマ，作業4テーマに分類された．研究結果は後天性脳損傷者の運転中断の介入に活用されることが期待されるが，抽出論文は海外論文のみであり国内での使用には研究の発展が望まれる．

　Families and patients of acquired brain injury have difficulty participating in society when driving is interrupted due to an insufficient support system. The purpose of this Meta-study was to develop an intervention framework by organizing the experiences of the patients and their families after cessation of driving. The research included in the meta-study were qualitative studies published up to 2020, and nine foreign papers were selected. We then coded the quotes from the target studies and organized them into three categories: Person, Environment, and Occupation. The results were classified into 39 subcategories. The person category was organized into five themes for clients, three themes for family members, three themes for the environment, and four themes for Occupation. The results can be utilized for the intervention of acquired brain injury persons who experienced driving interruption. Since the selected papers were published abroad, further research is desirable for their use in Japan.