Departmental Bulletin Paper 精神科デイケア通所者に対する作業療法を基盤とした健康増進プログラムの効果
The effect of a health promotion programme based on occupational therapy for outpatients with mental illness

久米, 裕  ,  鈴木, 新吾  ,  伊藤, 由美子  ,  KUME, Yu  ,  SUZUKI, Shingo  ,  ITO, Yumiko

24 ( 1 )  , pp.95 - 102 , 2016-03-31 , 秋田大学大学院医学系研究科保健学専攻
精神障害者における身体機能や生活習慣に対する作業療法の実践理論を基盤とした健康増進プログラムの効果を検討した. 精神科デイケア通所者を対象に, 作業療法を組み合わせた健康増進プログラム(介入群) と栄養指導を組み合わせた健康増進プログラム(対照群) に任意に割りつけ, 介入後の効果を身体機能評価, 概日リズム評価, 作業質問紙で評価した. 10名が対象となり, 介入群は5名, 対照群は5名であった. 介入後, 介入群では身体機能評価における片足立ち, Timed Up & Go test, 概日リズム評価における日内安定性が有意に改善した. したがって, 本研究は精神科デイケアに通所する精神障害者に対する作業療法を組み合わせた健康増進プログラムが身体機能と概日リズムの改善に有効であることを示唆した.
The aim of the present study was to examine the effects of a health promotion programme based onoccupational therapy for patients with mental illness. The subjects of this study were recruited from outpatientswith mental illness, who were treated at a single psychiatric day-care facility. They were assignedto a health promotion programme based on occupational therapy (invention group) or a health promotionprogramme based on nutritional administration by any selection. The effects were assessed according tothe patient's physical functions, including their body mass index, blood pressure, and timed up and go testresults, their circadian rhythm parameters and their responses to an occupational questionnaire before andafter the intervention. Ten subjects were divided into the intervention group (n=5) and the control group(n=5). After the intervention, the subjects in the intervention group showed significant improvements insingle foothold and timed up and go test results, and interdaily stability in their circadian rhythm parameters.This study therefore suggests that a health promotion programme based on occupational therapywill enhance the physical function and improve the circadian rhythm of outpatients with mentalillness.

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