Gaining a favorable psychosocial behavioral change of a severely demented person through Model of Human Occupation-based intervention in convalescent rehabilitation wards

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  • Aoyagi Shota
    JA Shizuoka Kohseiren Enshu Hospital
  • Shinohara Kazuya
    Department of Occupational Therapy, Faculty of Health and Medical Sciences, Tokoha University
  • Shikata Masataka
    Department of Occupational Therapy, Faculty of Health and Medical Sciences, Tokoha University
  • Notoh Hiroyuki
    Department of Occupational Therapy, Faculty of Health and Medical Sciences, Tokoha University

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Other Title
  • 回復期リハビリテーション病棟における人間作業モデルに基づく介入がもたらした重度認知症者の行動・心理症状の変化
  • カイフクキ リハビリテーション ビョウトウ ニ オケル ニンゲン サギョウ モデル ニ モトズク カイニュウ ガ モタラシタ ジュウド ニンチショウシャ ノ コウドウ ・ シンリ ショウジョウ ノ ヘンカ

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Abstract

The purpose of this report was to present the change in psychosocial behavior of a person with severe dementia through utilizing the Model of Human Occupation (MOHO)-based intervention over a period of four months in convalescent rehabilitation wards. The Mini-Mental State Examination (MMSE), Short version of the Dementia Behavior Disturbance Scale (DBD13), Functional Independence Measure (FIM), and Model of Human Occupation Screening Tool (MOHOST) assessments were completed one week after the client moved from the general wards to the convalescent rehabilitation wards. The occupational therapist provided him with MOHO-based intervention involving torn-paper pictures, shaving himself, playing catch, and practicing activities of daily living for four months. The MMSE, DBD13, FIM, and MOHOST data were then collected, and the results showed that the MMSE, FIM, and MOHOST scores increased, and the DBD13 score decreased 4 months after the MOHO-based intervention compared to the initial assessments. Therefore, MOHO-based intervention effected a positive change in behavioral and psychological symptoms of dementia, activities of daily living, and occupational participation for a person with severe dementia.

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