著者

滝川 栄二 江戸 晶子 山本 千穂 難波 和広 松浦 育代 鴨居 弘斉 大森 美季 片岡 睦子 三船 和史 大坂 京子 安原 由子 谷岡 哲也

出版者

徳島医学会

雑誌

四国医学雑誌 = Shikoku acta medica (ISSN:00373699)

巻号頁・発行日

vol.76, no.1, pp.99-106, 2020-04-25

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Patients with mental health problems in long-term hospitalization have severe impairments and disabilities in their daily social life, thereby needing constant assistance. The purpose of this study was to clarify the relationships between the status of the improved duration of participation in occupational therapy activities through active motivation and interdisciplinary collaboration in enhancing mental health and severe physical functional level as evaluated by the Global Assessment of Function(GAF)score. Subjects were175hospitalized patients in psychiatric units at a Psychiatric hospital in Kagawa Prefecture. The duration of participation in the occupational therapy group activities was divided into Groups A-0‐5, B-6‐10, C-11‐15, and D-16‐20times per month. The number of the occupational therapy group activities per month was 20 times in August 2017 and 21 times in March2018, respectively. The number of classified four group participants before and after were calculated by the chi-square test with adjusted residuals. Comparing the number of participants in the four groups before and after 7 months by the active motivation, the number of participants was significantly decreased in group C but was increased in group D(χ2 = 6.82, p <.05). Findings show the number of participants was increased because of the active motivation by interdisciplinary collaboration and enhanced relations. However, the degree of GAF was not related to the duration of participation times. Moreover, it was clearly found that respect for individuality and patient's will were critical motivational factors in effective patient participation.