@article{oai:air.repo.nii.ac.jp:00002636,
 author = {佐々木, 千波 and 金城, 正治 and SASAKI, Chinami and KINJO, Masaji},
 issue = {2},
 journal = {秋田大学大学院医学系研究科保健学専攻紀要},
 month = {Oct},
 note = {入院している神経難病患者に生活行為向上マネジメントを用いて, 作業療法を実施した. 本研究ではその手法の導
入効果を検証した. 対象者は15名とした. 検証に使った評価項目は, 身体機能, 認知, ADL, 健康関連QOL, 意欲,
実行度, 満足度とした. この手法で選択された活動には, ｢パソコンがしたい｣や｢ADL の自立｣などがあった. 作
業療法の実施期間は３カ月とした. 結果として, 神経難病の特性として進行性があるので, 上肢機能やADL の低下
はあったが, 健康関連QOL (SF36) の向上が見られた. また, 他職員との連携や役割も明確になった. 対象者で症
状の進行が早い場合は, 身体機能や健康関連QOL も低下することがあり, 進行に応じた対応も求められた. 生活行
為向上マネジメントは, 作業活動の選択, 明確化, 職種の連携などプロセスが可視化でき, 難病疾患への導入の有効
性が明確になった., An occupational therapy program using tools to manage daily life was implemented among hospitalized
patients with intractable neurological diseases. This study verified the effects of the intervention on
the physical functions, cognition, activities of daily living (ADL), quality of life (QOL ; with regard to
health), willingness to participate, degree of practice and degree of satisfaction among 15 patients. The
activities that were evaluated in the study included the patients willingness to use their personal
computers and their ability to independently perform their ADLs. The patients underwent occupational
therapy for a period of three months. As a result, although there were declines in their upper limb
functions and ADLs due to the progressive characteristics of their intractable neurological diseases, their
responses, with regard to their QOL (concerning health ; SF36) were observed to improve. Occupational
therapist and the other staff could collaborated, and the role of other staff became clear. In cases where
patients symptoms showed rapid progression, their physical functions and the QOL (concerning health)
sometimes declined ; thus, it was necessary for the patients to respond in accordance with the progression
of their disease. The tools for managing daily life allowed for the processes of selection, clarifying of work
activities and coordination among jobs to be visualized ; thereby clarifying the effectiveness method of the
introduction of this program for patients with intractable diseases.},
 pages = {177--183},
 title = {｢生活行為向上マネジメント｣を利用した難病入院患者の作業療法の効果},
 volume = {23},
 year = {2015}
}