生活行為向上マネジメントを用いた訪問支援を利用した統合失調症圏・気分障害圏の人々の生活行為と時間使用の変化

Changes in daily living activities and time-use in people with schizophrenia and mood disorders from outreach service using a management tool for daily life performance

要旨：本研究の目的は，対象者の希望する生活行為の遂行を支援する『生活行為向上マネジメントを用いた訪問支援』利用者の生活行為と時間使用の変化を調査することである．地域在住の統合失調症圏（F2）・気分障害圏（F3）（ICD-10）の診断を有する25人に作業質問紙を実施した．介入前は1日の約50％が『睡眠』と『動画視聴』に使用された．4ヵ月間の介入後には主観評価による『価値の低い生活行為』の遂行時間が減少した．希望する生活行為の遂行はネガティブに意味づけられた生活行為の遂行時間を減らす可能性がある．

　This study investigated the performance of daily activities and changes in time-use before and after a psychiatric outreach service using a management tool for daily life performance (MTDLP). A total of 25 people with schizophrenia and related disorders (F2) or affective disorders (F3)(ICD-10)living in the community participated in the study; the occupational questionnaire was administered before and after the intervention. Before the intervention, about 50% of the day was used for “sleeping” and “watching TV.” After the four-month intervention, time-use of “daily activities with low value” decreased. These results suggest that the people with psychiatric disorders may come to spend the meaningful time through the “psychiatric outreach service using MTDLP.”