病後の脳後遺症を抱え心理・社会的適応に困難が生じている男性のQOL向上を目指した心理学的支援 : 心理リハビリテイションキャンプにおける関わりを通して

Psychological Support for Improving the Quality of Life of a Person with Difficulty in Psychosocial Adaptation due to After Effect of Disease: Through Involvement in Psychological Rehabilitation Camp

古長 治基

船橋 篤彦

広島大学大学院人間社会科学研究科附属特別支援教育実践センター研究紀要

The Bulletin of the Center for Special Needs Education Research and Practice, Graduate School of Humanities and Social Sciences, Hiroshima University

[ISSN] 2435-9378

[NCID] AA12914687

本研究では、病後の脳後遺症を抱える人のQOLを高める心理学的支援として、心理リハビリテイションキャンプ（以下、PRC）を取り上げ、PRCにおける支援者の関わり方の工夫や、PRCの構造が持つ意義について、ICFの観点から検討を行った。対象者（以下、A）は、後遺症にともなう知的能力や身体機能の制限があり、日常生活においても、これまでの動作法場面においても、気持ちを切り替えて行動することが出来ないという心理・社会的適応上の困難を有していた。PR を通して、トレーナーがAのプラスの側面に着目した関わりを続けたことで、Aは動作法に取り組むまでの時間を徐々に減らし、トレーナーと関わる「参加」の時間を増やし、「心身機能・身体構造」や「活動」水準における改善が見られた。また、PRCにおける個人レベルと集団レベルの関わりを通して、肯定的な「参加」体験を積み重ねることが可能となった。病後の後遺症にともなう「心身機能・身体構造」上の制限やそれに伴う困難が生じているとしても、PRCにおいて「参加」の機会を増やし、質を高めることで、QOLの向上に結び付くと考えられた。

This study considered the efficacy of psychological rehabilitation camp (PRC) as source of psychological support that can enhance functions in daily life among people with cerebral sequelae following illness, thereby examining solutions for supporter involvement with PRCs and significance of the structure of PRC based on the International Classification of Functioning, Disability and Health.
The research participant (referred to as “Person A”) had limited intellectual ability and physical function because of sequelae and had been experiencing difficulty in psychosocial and social adaptations, such as being unable to change their mood state and act accordingly in daily life and support settings. At the PRC attended by Person A, supporters provided constant encouragement focusing on Person A’s good points. Therefore, Person A completed tasks faster and gained more time to engage with supporters. Attending the PRC resulted in improvements in the levels of Person A’s “mental function and physical structure” and “activities.” These findings signify that Person A was able to accumulate positive “engagement” experiences through their involvement with individuals and groups at the PRC.
As the conclusion of this report, finally, we mentioned that even if an individual is restricted in terms of their “mental function and physical structure” because of sequelae after illness and associated difficulties, thereby increasing the opportunities for “engagement” and improving the quality of PRCs will contribute to improving the said individual’s ability to function in daily life.

病後の後遺症

心理リハビリテイションキャンプ

動作法

ICF

QOL

After effect of disease

Psychological Rehabilitation Camp

Dohsa-hou

日本語

広島大学大学院人間社会科学研究科附属特別支援教育実践センター

[ISSN] 2435-9378

[NCID] AA12914687