長期入院精神障害者に対する多職種連携による作業療法活動への積極的動機付け

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.