A Study on Regeneration and Evaluation of Recreation Therapy as Psychiatric Rehabilitation

  • Kohno Ayumi
    Graduate School of Nursing, Osaka Prefecture University
  • Matsuda Mitsunobu
    Department of Nursing, Faculty of Health Sciences, Kobe Tokiwa University

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  • 精神科リハビリテーションとしてのレクリエーション療法の再生と評価に関する研究
  • セイシンカ リハビリテーション ト シテノ レクリエーション リョウホウ ノ サイセイ ト ヒョウカ ニ カンスル ケンキュウ

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Abstract

The purpose of this study is to program and practice the recreation therapy that can be applicable for various groups of the patients with psychiatric disorders who are hospitalized in psychiatric wards and contains therapeutic factors which are practicable by nurse, and to evaluate it from the view point of the patients. The data was collected by conducting the semi-structured interviews with 9 groups of 43 patients who participated in this program and the content analysis was carried out. As a result, 97 items were extracted from 762 codes related to the evaluation of recreation. The categories of <Attitude of administrator>, <Planning> and <Effect> were further extracted from them and each of them was classified into the negative items or positive items. The categories of <Effect> were further classified into the subcategories of <<Physiological effect>>, <<Psychological effect>> or <<Social effect>>. Since the patients responded to <Attitude of administrator> sensitively, <Attitude of administrator> must be improved and evaluated. It was revealed that the patients sometimes hesitated to participate in recreation. Therefore it is necessary to pay attention to alleviation measures for the resistance. The subcategories of <<Physiological effect>> and <<Psychological effect>> were factors necessary for social rehabilitation. The item of <<Social effect>> was the strongest rehabilitation that promotes the interactions with others. It was indicated there are the needs to develop a program with more therapeutic effect and to sophisticate the evaluation items based on the items that were clarified by this study.

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