著者

太田 健一 綿 祐二

出版者

日本福祉大学健康科学部, 日本福祉大学健康科学研究所

雑誌

日本福祉大学健康科学論集 = The Journal of Health Sciences, Nihon Fukushi University

巻号頁・発行日

no.24, pp.1-10, 2021-03-30

---

Participation of International Classification of Functioing, Disability and Health(ICF)is considered an important achievement in the field of rehabilitation. But there are few reports about the effect of participation. As a factor, in this study, we focused "involvement in social roles" in participation and investigated the recognition of participation by therapists. The method was to conduct an interview survey and content analyze of 25 therapists who are engaged in rehabilitation services in the long-term care insurance law in prefecture A. As a result, the therapists recognized in the participation of the ICF that execution of some action, such as Hobby activity, Involvement with others, Go to a place of participation, etc. rather than "involvement in social roles" and many of them were supposed to go out. Therefore, the participation was regarded as difficult, and the importance was lowered compared to the activities of the ICF. Since the therapists have little awareness of "involvement in social roles" in ICF participation, we would like to raise their awareness by creating evaluation indicators for future participation, and would like to lead to intervention in participation. 国際生活機能分類(International Classification of Functioning, Disability and Health:以下,ICF)における参加は,リハビリテーション領域の重要な成果とされているが,現状,参加に踏み込むことが出来ていない.その要因として本研究では,参加において「社会的役割への関与」に重きを置き,理学療法士・作業療法士・言語聴覚士(以下,セラピスト)の参加の認識を調査した.方法は,A 県内で介護保険法の訪問・通所リハビリテーションサービスに従事するセラピスト 25 名に対し,インタビュー調査を行い,内容分析を行った.結果,セラピストは ICF の参加において,「社会的役割への関与」ではなく,【趣味活動を行う】,【個人以外と関わりを持つ】,【参加の場に出向く】等,何らかの行為の遂行と認識し,これらには外出を想定されるものが多かった.これにより参加を難度の高いものと捉え,ICF の活動に比して重要度を下げていた.よって,セラピストは ICF の参加において,「社会的役割への関与」の認識が薄く,今後参加の評価指標作成を通して認識を促し,参加への介入に繋げていきたい.