著者

Inadomi Hiroyuki Tanaka Goro Sugasaki Hiroyuki Ohta Yasuyuki

雑誌

長崎大学医療技術短期大学部紀要 (ISSN:09160841)

巻号頁・発行日

vol.12, pp.19-24, 1999-03-02

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精神分裂病患者の行動特性を分析して,精神科デイ・ケア(DC)における精神分裂病患者への関わり方を検討した.対象はDCに通所中の精神分裂病患者15名で,DC通所期間が2年未満の短期通所群と2年以上の長期通所群に区分して検討した.行動特性の指標は,座席占有度と作業療法士(OTR)からの距離を用いた.そして,社会生活能力は精神障害者社会生活評価尺度を用い評価した.その結果,DC長期通所群は短期通所群に比べ,ナワバリは広いが生活能力は劣り,OTRへの対人的な親和性も弱いことが示唆された.このことから,DCの活動は対人関係技能の訓練に焦点をおくだけでなく,治療構造,及び治療契約の定期的な見直しも必要であると考えられた.We examined how to deal with schizophrenic patients in a psychiatric day care program (DO) by analyzing some features of their behavior. The subjects of the study were 15 schizophrenic patients who were attending the DC, and we divided the subjects into two groups: patients who had been attending the DC for less than two years (a short-term attending group) and those attending for more than two years (a long-term attending group). As indexes of behavioral features, we used seat occupation assessment and distance from occupational therapists. Social life ability was evaluated according to the Life Assessment Scale for the Mentally III. The results were that the patients in the long-term attending group had larger territoriality, but lower social life ability and weaker affinity to the occupational therapist compared to those in the shortterm attending group. These findings suggested that in DC activities we should not only focus on interpersonal skills training, but also review the treatment structure and treatment contract regularly.