回復期リハビリテーション病棟に従事する作業療法士が脳卒中者のトイレ動作を自立と判断する要因

Factors that lead occupational therapists working in convalescent rehabilitation wards to judge toileting as an independent activity in stroke patients

要旨：本研究は回復期リハビリテーション病棟（以下，回復期病棟）の作業療法士（以下，OTR）が，どのような要因で脳卒中者のトイレ動作の自立度を判断しているかを明らかにすることを目的とした．回復期病棟での勤務経験が5年以上のOTR 7名に個別インタビューを実施し，Reflexive Thematic Analysisにて分析した．結果，97のコードから，8つのテーマ，13のサブテーマが生成された．OTRは8つのテーマによる要因から，脳卒中者のトイレ動作の自立度を判断していると考えられた．今後は，研究参加者や施設数を増やし，さらにテーマを発展させていく必要がある．

　The purpose of this study was to identify the factors that occupational therapists (OTRs) working in convalescent rehabilitation wards use to judge the independent toileting ability of stroke patients. Seven OTRs with more than five years of experience working in rehabilitation wards were individually interviewed, and Reflexive Thematic Analysis (RTA) was used to analyze the data. From 97 codes, eight themes and 13 sub-themes were generated. OTRs were found to assess stroke patients' independent toileting ability based on these eight themes. In the future, the number of research participants and facilities should be increased, and the themes further developed.