アブストラクト
Japanese
| Title | 脳卒中患者のリハビリテーションへのモチベーションに関するシステマティックレビュー |
|---|---|
| Subtitle | 原著論文 |
| Authors | 吉田太樹*1,*2,*3, 伊藤大将*1, 渡邉翔太*1, 大須理英子*4, 大高洋平*1,*5 |
| Authors (kana) | |
| Organization | *1東京湾岸リハビリテーション病院, *2藤田医科大学保健衛生学部リハビリテーション学科, *3早稲田大学大学院人間科学研究科博士後期課程, *4早稲田大学人間科学学術院, *5藤田医科大学医学部リハビリテーション医学I講座 |
| Journal | 作業療法 |
| Volume | 39 |
| Number | 4 |
| Page | 468-477 |
| Year/Month | 2020 / 8 |
| Article | 原著 |
| Publisher | 日本作業療法士協会 |
| Abstract | 「要旨」 : 脳卒中患者におけるリハビリテーション (以下, リハ) のモチベーションに関する知見をシステマティックレビューを用いて整理した. PubMed, CENTRAL, 医中誌Webのデータベースから1,930文献が検索され, 適格基準・除外基準を満たした13論文が抽出された. 脳卒中患者のモチベーション評価には, リハのモチベーションに特化していない尺度や医療者による観察評価が用いられていた. モチベーションとリハの相互作用については, モチベーションに影響を与える要因, モチベーションが機能や活動に及ぼす影響について報告されていたが, 報告の質・量共に不十分であった. 今後は脳卒中患者のリハに対するモチベーションの概念形成や評価尺度開発が必要である. |
| Practice | 医療技術 |
| Keywords | 脳卒中, (モチベーション), リハビリテーション, (システマティックレビュー), Stroke, Motivation, Rehabilitation, Systematic review |
English
| Title | A systematic review of motivation for rehabilitation of stroke patients |
|---|---|
| Subtitle | ORIGINAL ARTICLES |
| Authors | Taiki Yoshida*1,*2,*3, Daisuke Ito*1, Shota Watanabe*1, Rieko Osu*4, Yohei Otaka*1,*5 |
| Authors (kana) | |
| Organization | *1Tokyo Bay Rehabilitation Hospital, *2Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, *3Graduate School of Human Sciences, Waseda University, *4Faculty of Human Sciences, Waseda University, *5Department of Rehabilitation Medicine I, Fujita Health University School of Medicine |
| Journal | JAPANESE OCCUPATIONAL THERAPY RESEARCH |
| Volume | 39 |
| Number | 4 |
| Page | 468-477 |
| Year/Month | 2020 / 8 |
| Article | Original article |
| Publisher | JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS |
| Abstract | The purpose of this systematic review was to explore the current state of research in motivation for rehabilitation. A total of 1,930 articles were identified through a search of databases including PubMed, CENTRAL, and ICHUSHI web ; 13 articles were retrieved with the inclusion/exclusion criteria and included for the review. Regarding the evaluation scale for motivation, the non-specific scales for motivation and the observational evaluation by medical staff were used. These studies reported that the interaction between motivation and rehabilitation, such as the effects of motivation on function and activities, and the factors influencing motivation for rehabilitation. This review, however, reveals a lack of both quality and quantity of research regarding motivation for rehabilitation. Further studies are required to develop a specific evaluation scale of motivation for rehabilitation, and to establish the concept of motivation for rehabilitation. |
| Practice | Medical technology |
| Keywords | Stroke, Motivation, Rehabilitation, Systematic review |
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参考文献
- 1) 山口明穂, 和田利政, 池田和臣・編 : 国語辞典 11版. 旺文社, 2013, p.1468.
- 2) Colman AM (藤永 保, 仲真紀子・監訳): 心理学辞典 普及版. 丸善出版, 2005, p.499.
- 3) Maslow AH: A theory of human motivation. Psychol Rev 50(4): 370-396, 1943.
- 4) Nishimura Y, Onoe H, Onoe K, Morichika Y, Tsuka-da H, et al: Neural substrates for the motivational regulation of motor recovery after spinal-cord inju-ry. PLoS One 6(9): e24854, 2011.
- 5) Deplanque D, Masse I, Lefebvre C, Libersa C, Leys D, et al: Prior TIA, lipid-lowering drug use, and physical activity decrease ischemic stroke severity. Neurology 67(8): 1403-1410, 2006.
残りの40件を表示する
- 6) Deplanque D, Masse I, Lefebvre C, Libersa C, Leys D, et al: Previous leisure-time physical activity dose dependently decreases ischemic stroke severity. Stroke Res Treat 2012: 614925, 2011.
- 7) Krarup LH, Truelsen T, Gluud C, Andersen G, Zeng X, et al: Prestroke physical activity is associated with severity and long-term outcome from first-ev-er stroke. Neurology 71(17): 1313-1318, 2008.
- 8) Stroud N, Mazwi TM, Case LD, Brown RD Jr, Brott TG, et al: Prestroke physical activity and early functional status after stroke. J Neurol Neurosurg Psychiatry 80(9): 1019-1022, 2009.
- 9) Boyle PA, Malloy PF : Treating apathy in Alzheimer's disease. Dement Geriatr Cogn Disord 17(1-2): 91-99, 2004.
- 10) Hackett ML, Yapa C, Parag V, Anderson CS : Fre-quency of depression after stroke: A systematic review of observational studies. Stroke 36(6): 1330-1340, 2005.
- 11) Caeiro L, Ferro JM, Costa J : Apathy secondary to stroke: A systematic review and meta-analysis. Cerebrovasc Dis 35(1): 23-39, 2013.
- 12) Hama S, Yamashita H, Shigenobu M, Watanabe A, Kurisu K, et al: Post-stroke affective or apathetic depression and lesion location: Left frontal lobe and bilateral basal ganglia. Eur Arch Psychiatry Clin Neurosci 257(3): 149-152, 2007.
- 13) Hama S, Yamashita H, Shigenobu M, Watanabe A, Hiramoto K, et al: Depression or apathy and func-tional recovery after stroke. Int J Geriatr Psychiatry 22(10): 1046-1051, 2007.
- 14) 北地 雄, 鈴木淳志, 原島宏明, 宮野佐年 : 脳卒中後の回復期病棟入院時の身体機能面, 心理・精神的側面, 社会的側面, およびQuality of Lifeの関係 1. 抑うつ症状とアパシー. 理学療法科学 29(6): 995-1000, 2014.
- 15) Matsuzaki S, Hashimoto M, Yuki S, Koyama A, Hi-rata Y, et al: The relationship between post-stroke depression and physical recovery. J Affect Disord 176 : 56-60, 2015.
- 16) 大峯三郎, 木村美子, 蜂須賀研二 : 在宅脳卒中後片麻痺患者に対する理学療法の効果判定-脳卒中後片麻痺患者の外来通院での理学療法の効果-. 理学療法学 27(8): 306-310, 2000.
- 17) Mikami K, Jorge RE, Moser DJ, Jang M, Robinson RG : Incident apathy during the first year after stroke and its effect on physical and cognitive recov-ery. Am J Geriatr Psychiatry 21(9): 848-854, 2013.
- 18) Santa N, Sugimori H, Kusuda K, Yamashita Y, Ibayashi S, et al: Apathy and functional recovery following first-ever stroke. Int J Rehabil Res 31(4): 321-326, 2008.
- 19) Goldfine AM, Dehbandi B, Kennedy JM, Sabot B, Semper C, et al: Quantifying poststroke apathy with actimeters. J Neuropsychiatry Clin Neurosci 28(3): 199-204, 2016.
- 20) Kennedy JM, Granato DA, Goldfine AM : Natural history of poststroke apathy during acute rehabili-tation. J Neuropsychiatry Clin Neurosci 27(4): 333-338, 2015.
- 21) 岡田和悟, 小林祥泰, 青木 耕, 須山信夫, 山口修平 : やる気スコアを用いた脳卒中後の意欲低下の評価. 脳卒中 20(3): 318-323, 1998.
- 22) 菊池良太, 臼田 滋, 山口晴保 : 脳卒中者の参加に影響を与える要因. 理学療法群馬 18 : 10-15, 2007.
- 23) 上淵 寿 : 動機づけ研究の最前線. 北大路書房, 2004, pp.1-28.
- 24) King P, Barrowclough C : Rating the motivation of elderly patients on a rehabilitation ward. Clin Reha-bil 3(4): 289-291, 1989.
- 25) Nicholson S, Sniehotta FF, van Wijck F, Greig CA, Johnston M, et al: A systematic review of perceived barriers and motivators to physical activity after stroke. Int J Stroke 8(5): 357-364, 2013.
- 26) Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA): PRISMA statement. http://www.prisma-statement.org/
- 27) Stang A : Critical evaluation of the Newcastle-Ottawa Scale for the assessment of the quality of nonran-domized studies in meta-analyses. Eur J Epidemiol 25(9): 603-605, 2010.
- 28) Rapoliene J, Endzelyte E, Jaseviciene I, Savickas R : Stroke patients motivation ineuence on the effec-tiveness of occupational therapy. Rehabil Res Pract 2018 : 9367942, 2018.
- 29) Fujita T, Sato A, Tsuchiya K, Ohashi T, Yamane K, et al: Relationship between grooming performance and motor and cognitive functions in stroke patients with receiver operating characteristic analysis.J Stroke Cerebrovasc Dis 26(12): 2828-2833, 2017.
- 30) Wang YH, Yang YR, Pan PJ, Wang RY : Modeling factors predictive of functional improvement follow-ing acute stroke. J Chin Med Assoc 77(9): 469-476, 2014.
- 31) 石川りみ子, 崎原盛造, 當銘貴世美, 仲里幸子 : 脳卒中後遺症をもつ患者の退院・転院後3ヵ月時点のADL改善とその関連要因. 日本公衛誌 43(5): 354-363, 1996.
- 32) Maclean N, Pound P, Wolfe C, Rudd A : Qualitative analysis of stroke patients'motivation for rehabili-tation. BMJ 321(7268): 1051-1054, 2000.
- 33) Morris JH, Oliver T, Kroll T, Joice S, Williams B : Physical activity participation in community dwell-ing stroke survivors: Synergy and dissonance be-tween motivation and capability. A qualitative study. Physiotherapy 103(3): 311-321, 2017.
- 34) Poltawski L, Boddy K, Forster A, Goodwin VA, Pavey AC, et al: Motivators for uptake and maintenance of exercise:Perceptions of long-term stroke survi-vors and implications for design of exercise pro-grammes. Disabil Rehabil 37(9): 795-801, 2015.
- 35) Eng XW, Brauer SG, Kuys SS, Lord M, Hayward KS : Factors affecting the ability of the stroke survi-vor to drive their own recovery outside of therapy during inpatient stroke rehabilitation. Stroke Res Treat 2014 : 626538,2014.
- 36) Resnick B, Michael K, Shaughnessy M, Kopunek S, Nahm ES, et al: Motivators for treadmill exercise after stroke. Top Stroke Rehabil 15(5): 494-502, 2008.
- 37) Signal N, McPherson K, Lewis G, Kayes N, Saywell N, et al: What influences acceptability and engage-ment with a high intensity exercise programme for people with stroke? A qualitative descriptive study. NeuroRehabilitation 39(4): 507-517, 2016.
- 38) Tornbom K, Sunnerhagen KS, Danielsson A : Percep-tions of physical activity and walking in an early stage after stroke or acquired brain injury. PLoS One 12(3): e0173463, 2017.
- 39) Maclean N, Pound P, Wolfe C, Rudd A : The concept of patient motivation: A qualitative analysis of stroke professionals' attitudes. Stroke 33(2): 444-448, 2002.
- 40) Wallston KA, Wallston BS, DeVellis R : Development of the Multidimensional Health Locus of Control (MHLC) scales. Health Educ Monogr 6(2): 160-170, 1978.
- 41) Toba K, Nakai R, Akishita M, Iijima S, Nishinaga M, et al: Vitality Index as a useful tool to assess elderly with dementia. Geriatr Gerontol Int 2(1): 23-29, 2002.
- 42) Boysen G, Krarup LH, Zeng X, Oskedra A, Korv J, et al: ExStroke pilot trial of the effect of repeated instructions to improve physical activity after isch-aemic stroke: A multinational randomized controlled clinical trial. BMJ 339: b2810, 2009.
- 43) Dobkin BH, Plummer-D'Amato P, Elachoff R, Lee J : International randomized clinical trial, Stroke Inpatient Rehabilitation with Reinforcement of Walking Speed (SIRROWS), improves outcomes. Neurorehabil Neural Repair 24(3): 235-242, 2010.
- 44) Scelza WM, Kalpakjian CZ, Zemper ED, Tate DG : Perceived barriers to exercise in people with spinal cord injury. Am J Phys Med Rehabil 84(8): 576-583, 2005.
- 45) Evenson KR, Fleury J : Barriers to outpatient cardi-ac rehabilitation participation and adherence. J Cardiopulm Rehabil 20(4): 241-246, 2000.
