重症COVID-19患者に対して作業参加に焦点を当てた作業療法により不安や抑うつの軽減が認められた事例

Reducing anxiety and depression in a patient with severe COVID-19 pneumonia through occupational participation: A case study

要旨：COVID-19感染により重度の呼吸不全に陥り，人工呼吸器離脱後に不安や抑うつ状態を認めたA氏を担当した．作業療法ではA氏にとって価値ある作業に焦点を当て,さらに作業参加に影響する要因をMOHOの視点を参考に分析し介入した．経過中，A氏は再び人工呼吸器管理となったが，床上でのメールや読書など，本人にとって価値ある作業を提供していく中で笑顔が見られ，不安や抑うつの軽減を認めた．重症COVID-19患者に対して，急性期から作業に焦点を当てた介入をすることは作業療法士の重要な役割として示唆された．

　The purpose of this report is occupation-based practice for a patient with severe respiratory failure due to advanced COVID-19 pneumonia, who presented with anxiety and depression after coming off the ventilator. Occupational therapy focused on occupations that were valuable to him, analyzed the factors that affected his participation in occupations with reference to the MOHO perspective, and intervened. During hospitalization, his respiratory condition deteriorated, and he was once again put on a ventilator. However, he began to smile as we provided him with valuable tasks such as emailing and reading in bed; his anxiety and depression decreased. The results suggest that occupational therapists have an important role to play in the acute phase of occupation-focused occupational therapy for patients with severe COVID-19 pneumonia.