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Japanese

Title 糖尿病性壊疽による下肢切断患者に対してTranstheoretical Modelを用いた作業療法の実践
Subtitle 実践報告
Authors 松本翔太*1, 今岡泰憲*1, 池村重人*2
Authors (kana)
Organization *1松阪市民病院リハビリテーション室, *2松阪市民病院整形外科
Journal 作業療法
Volume 44
Number 2
Page 227-232
Year/Month 2025 / 4
Article 報告
Publisher 日本作業療法士協会
Abstract 「要旨」: 糖尿病性壊疽による下肢切断患者の心理的症状に対してTranstheoretical Model(以下, TTM)を用いた作業療法を実施した(週5日, 40分から60分/日). 結果, Canadian Occupational Performance Measure(COPM)の遂行度スコアが4.7点から9.7点, 満足度スコアが3.3点から9.7点に改善した. また, 悲観的な発言が聞かれなくなり, 生じている問題に対してポジティブな行動を起こせるようになった. 今回の報告でTTMは, 糖尿病性壊疽による下肢切断患者に対する心理的症状への対応として有用である可能性が示唆された.
Practice 医療技術
Keywords 下肢切断, 不安, 行動変容, Lower limb amputation, Anxiety, Behavior modification

English

Title Practice of occupational therapy using the Transtheoretical Model for patients with lower limb amputation due to diabetic gangrene
Subtitle PRACTICAL REPORTS
Authors Syota Matsumoto*1, Yasunori Imaoka*1, Shigeto Ikemura*2
Authors (kana)
Organization *1Department of Rehabilitation, Matsusaka Municipal Hospital, *2Department of Orthopedics, Matsusaka Municipal Hospital
Journal JAPANESE OCCUPATIONAL THERAPY RESEARCH
Volume 44
Number 2
Page 227-232
Year/Month 2025 / 4
Article Report
Publisher JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS
Abstract Occupational therapy using the Transtheoretical Model (TTM) was conducted for psychological symptoms in patients with lower limb amputation due to diabetic gangrene (5 days a week, 40 to 60 minutes/day). As a result, the performance score of the Canadian Occupational Performance Measure (COPM) improved from 4.7 to 9.7 points, and the satisfaction score from 3.3 to 9.7 points. Furthermore, pessimistic remarks were no longer heard, and patients became able to take positive actions towards the problems that were occurring. This report suggests that TTM may be useful in dealing with psychological symptoms in patients with lower limb amputation due to diabetic gangrene.
Practice Medical technology
Keywords Lower limb amputation, Anxiety, Behavior modification
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