幼稚園における作業を基盤とした作業療法実践により作業遂行が変化した事例

Changes in occupational performance following occupation-based intervention in a kindergarten: A case study

要旨：本報告は幼稚園に在籍する子ども（以下，児）に対し，標準化されていない作業遂行分析を用いて介入した作業を基盤とした実践報告である．今回，COPMで挙げられた作業を，標準化されていない作業遂行分析を用いて分析し，児の作業遂行を評価した．また，GASを併用し，目標を幼稚園教諭らと共有した．このように，児の作業遂行の問題を明らかにし，〈人〉〈環境〉〈作業〉の視点から対応策を実施した結果，児の作業遂行やCOPM，GASのスコアに改善がみられた．よって，標準化されていない作業遂行分析を用いた作業を基盤とした介入は，幼稚園の現場のニーズに即した支援に繋がる可能性が示唆された．

　This is a report of an occupation-based intervention using non-standardized occupational performance analysis with children enrolled in a kindergarten. In this study, the children's occupational performance on the “Occupation” identified in the COPM was assessed using a non-standardized occupational performance analysis. In addition, the GAS was used in combination with the kindergarten teachers and others to share goals. As a result of identifying problems in the children's occupational performance and implementing measures from the perspectives of ‘person,’ ‘environment,’ and ‘occupation,’ improvements were found in the children's occupational performance, COPM, and GAS scores. Therefore, occupation-based interventions using non-standardized occupational performance analysis could lead to support which is tailored to the needs of kindergartens.