A study of psychological characteristics of outpatient in the shoulder joint disease : Studies on the psychological characteristics of the rehabilitation patient

近年「痛み」は,5番目のバイタルサインと言われ,治療の質的向上に重要視されている.痛みにより行動の狭小化や活動の制限は対象者の精神状態と密接に関係があると考えられている.本研究は,統制感(Locus of control 以下 LOC)と健康統制感(Multidimensional health locus of control 以下 MHLC)を用いて分析することにより,「患者教育」に重点を置き考案した介入の効果が対象者の行動特性にどのような変化を与えたかを抽出するとともに,疼痛,身体機能,うつ傾向,統制の所在との関係性を明らかにすることを目的とした.また,この結果から,作業療法介入における「患者教育」が重要な役割であることを検討することを目的とした.To clear the interaction between pain, physical function, depressive tendency, and locus of control, the 13-patients who were diagnosed with scapulohumeral periarthritis, what was known as frozen shoulder, had the occupational therapy intervention that used method of the pain control program in accordance with the cognitive-behavioral therapy for 3 months. We used VAS to measure the pain, ADL subscale in JOAS to measure the life function, SDS to measure the depression, and LOC and MHLC to measure the locus of control at the first and in the end of the interventions. Significance test between the first and the final result in each of the measure-scale indicated the improvement in the pain and function category. That suggested the OT intervention were effective. As a result of the correlation in each measure category, the pain control program would be related to the pain categories among the measure-scale. The occupational therapy intervention using the skill of the cognitive-behavioral therapy may be effective to work with the patient\u27s mental health.首都大学東京, 2014-03-25, 修士（作業療法科学）首都大学東