リハビリテーション病院における ... - ipu.ac.jp

1 2014 3 i 1 1 01 1 01 02 Shared Decision Making 02 03 2 04 10 14 18 2 20 3 20 4 21 1 21 2 21 2 1 QOL 1 22 2 22 1 22 2 22 22 23 QOL 25 3 25 QOL 25 QOL 27 ii 3 31 1

2 QOL 31 31 QOL 32 QOL 34 2 QOL 35 35 35 QOL 36 4 40 1 QOL 40 40 QOL 40 QOL 41 2 QOL 41 41 42 QOL 42 5 43 3 2 1 44 2 44 1 44 2 45 3 47 4 47 3 48 4 50 1 50 2 51 5 52 iii 53 57

3 58 67 1 68 2 70 3 74 4 82 5 1 3 84 1 1 1 1 24 1,2) Well-Being 3) 4) 5,6) Well-Being Well-Being 7)

4 TH 1 Shared Decision Making SDM interprofessional work IPW 7) IPW 2 SDM 8-10) 10) SDM SDM Quality of Life HR-QOL 11-14) HR-QOL 15) OT PT TH 16)

5 IPW 17) TH TH HR-QOL 3 18) ADL 6 19) 20) Shared Decision Making Shared Decision Making SDM 20) SDM 8-10) QOL 3 9) 5 10) 1 2 3 4 5 SDM 21,22) SDM 23) 24)

6 SDM QOL SDM SDM 25) SDM 19) 26) OT 27) 28) PT 29,30) 31) 32) TH HR-QOL TH Well-Being 4 2 1,2)

7 Well-Being TH TH TH 2013 2013 7 26 13 Web PubMed DB DB 5 1) 2) SDM 3) 1) 2) SDM 1 PubMed AND ( OR OR OR OR OR ) rehabilitation AND (occupational therapy OR physical therapy OR speech therapy OR nursing OR health services)

8 2 OR OR OR OR OR OR OR patient* OR inpatient* OR disabled OR person* OR client* OR consumer* 3 OR OR OR OR OR OR OR therapist* OR occupational therapist* OR physical therapist* OR speech therapist* OR nurse* OR doctor* OR physician* OR professional* OR paramedic OR provider 4 AND ( OR Shared Decision Making OR OR (( OR OR ) AND )) shared goal setting OR shared goal OR shared goals OR goal sharing OR common goal OR common goals OR (goal AND (shared decision making OR shared decision OR decision sharing OR person centered OR 5 client centered OR patient centered)) 5 ADL QOL ( OR OR OR ADL OR OR FIM OR OR Barthel Index OR OR OR ) OR ( OR QOL OR OR QOL OR OR Well-Being OR OR OR )

9 (functional health OR health status indicators OR activities of daily living OR functional independence OR barthel index OR physical function OR dependent living) OR (quality of life OR attitude to health OR health related OR Well-Being OR satisfaction OR happiness OR participation) AND Minds 33) 34) systematic