||訪問リハビリテーションにおける“1日の生活の振り返りプログラム”の効果 : 「作業バランス自己診断」を用いて
Effectiveness of a program aimed at reflecting on daily occupational balance for certified Long-Term Care elderly people based home-visit rehabilitation service
The purpose of this study was to deliberate the psychological effects of an intervention program to reflect on daily occupational balance for certified Long-Term Care elderly people. A mixed-method approach of quantitative and qualitative research was used to evaluate for this program. The quantitative data was gathered from psychological questionnaires and the qualitative data was gathered from semi-structured interviews. This program was consisted of self-reported occupational balance questionnaires and semi-structured interviews. Each session took between 30 minutes and 1 hour. Participants were 4 males and 3 females aged 65 to 90 years old who were using home-visit rehabilitation services. As a result, the scores of life satisfaction were increased significantly (P=0.04). However the scores of generalized self-efficacy were not changed significantly. The qualitative data was analyzed using the KJ-method, and 10 concepts were identified. These 10 concepts were made up of the following essential elements. This program gave participants “opportunity to think” and they found “things that support their life” and noticed “positive meaning of their life” and then started to think about “vision for future”. They have also “hidden feelings” which inhibit from noticing “positive meaning of their life” and thinking about “vision for future”. Our study findings suggest that this program can help certified Long-Term Care elderly people to start to think about their occupational balance and their future.