脳卒中右片麻痺者の非利き手による書字練習初期の習熟に対する主観的評価の様相

Aspects of subjective evaluation of proficiency in the initial stage of writing practice using the non-dominant hand among people with right hemiplegic stroke

要旨：脳卒中右片麻痺者の左手書字練習初期の習熟に対する主観的評価の様相を明らかにするため，半構造化インタビューを実施した．15名（男性6名，女性9名，平均年齢69.7（SD9.3）歳）の内容分析の結果，【文字イメージの復活・文字を整斉する能力の向上・文字を整列する能力の向上・筆記具の操作性の向上・書字の実用性の向上・左手特有の書きにくさへの対処・筆記具の持ち方の工夫・紙の固定方法の工夫・書字に対する肯定的な気持ちへの変化】の9カテゴリ，《認知機能の改善・能力の向上・対処方略の獲得・気持ちの変化》の4分類に集約された．本結果は当該書字練習における支援方法や評価指標の開発に有益な示唆を与えると考える．

　We conducted a semi-structured interview to clarify the aspects of subjective evaluation of writing proficiency in the initial stage using the left hand in people with a right hemiplegic stroke. The results of content analysis of 15 people (6 males, 9 females, 69.7 years old, SD 9.3) are summarized into nine categories: restoration of character images, improvement of the ability to symmetrize characters, improvement of ability to align characters, improvement of operability of writing tools, improvement of practicality of writing, countermeasures against difficulty in writing peculiar to the left hand, ingenuity of how to hold writing tools, ingenuity of paper fixing ways, and change to positive attitude for writing. The results were also summarized into four classifications: improvement of cognitive functions, improvement of ability, acquisition of coping strategies, and change of feelings. The results suggest the benefits of development of support methods and evaluation indexes in writing practice.