信念対立解明アプローチによって治療関係が改善し身体活動量が向上した慢性閉塞性肺疾患症例  [in Japanese] A Subject with Chronic Obstructive Pulmonary Disease Who Exhibited an Improved Therapeutic Relationship and Increased Level of Physical Activity through the Dissolution Approach for Belief Conflict  [in Japanese]

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Author(s)

    • 米元 佑太 YONEMOTO Yuta
    • 医療法人孟仁会東大阪山路病院 リハビリテーション科 Department of Rehabilitation, Higashiosaka Yamaji Hospital
    • 京極 真 KYOUGOKU Makoto
    • 吉備国際大学大学院 保健科学研究科 KIBI Inter-national University Graduate School of Health Sciences

Abstract

〔目的〕呼吸リハビリテーション(呼吸リハ)において信念対立が生じた慢性閉塞性肺疾患(COPD)患者への介入に信念対立解明アプローチ(DAB)を導入した事例を報告し,その意義と課題を検討すること.〔対象〕COPD増悪による廃用症候群と診断された79歳男性であった.〔方法〕呼吸リハによって身体機能は改善したものの,身体活動量には変化が見受けられなかった.離床を促すことで信念対立が生じたためDABを導入した.〔結果〕DAB導入翌日から,対象者は自ら時間を決め離床を行うようになり,その習慣は退院まで続いた.〔結語〕呼吸リハへDABを導入することが有用である可能性がある. <br>

[Purpose] The usefulness of a dissolution approach for belief conflict (DAB) for a COPD patient receiving a respiratory rehabilitation program is reported. [Subjects] The subject was a 79-year-old man diagnosed with disuse syndrome after acute exacerbation of COPD. [Methods] Although the patient's body function had improved, his level of physical activity did not increase with respiratory rehabilitation. Because the improvement in the extent of body activities was forced, a belief conflict arose. Hence, DAB was introduced into the respiratory rehabilitation program. [Results] From the day after DAB introduction, the patient personally planned his time for ambulation. This practice continued until his discharge. [Conclusion] Introduction of DAB to the respiratory rehabilitation program may be useful for patients. <br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 30(3), 483-487, 2015

    The Society of Physical Therapy Science

Codes

  • NII Article ID (NAID)
    130005087350
  • NII NACSIS-CAT ID (NCID)
    AN10472896
  • Text Lang
    JPN
  • ISSN
    1341-1667
  • NDL Article ID
    026569073
  • NDL Call No.
    Z7-1893
  • Data Source
    NDL  J-STAGE 
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