身体障害領域のリハビリテーション職種における業務内容の実態調査および適正単位予測式の作成

• Published in: 作業療法 Vol. 43; no. 4; pp. 521 - 531
• Main Authors: 江田 昌幸, 澤田 辰徳, 友利 幸之介, 大野 勘太
• Format: Journal Article
• Language: Japanese
• Published: 日本作業療法士協会 15.08.2024; 一般社団法人 日本作業療法士協会
• Subjects: Individual rehabilitation; Management; Rehabilitation session; 個別リハビリテーション; 単位数; 管理運営
• ISSN: 0289-4920; 2434-4419
• DOI: 10.32178/jotr.43.4_521

要旨：本研究の目的は身体障害領域の病院のセラピストの業務実態を示すとともに勤務時間内に遂行可能な単位数の参考値を算出し，労務管理の改善に寄与することである．理学療法士（以下，PT），作業療法士（以下，OT），言語聴覚士（以下，ST）349名が研究に参加した．結果から1日の平均実施単位数は17.5±2.9単位であった．職種の比較では単位数でPTはSTより，書類業務ではOTがPTより，保守・点検ではOTがSTより，超過勤務ではSTが最も有意に多かった（p＜0.05）．重回帰分析で得られた各職種の予測式は有意であり，教育や書類作成業務が単位数に影響を与えており，単位取得数の向上には管理の工夫が必要になることが示唆された． 　The aim of this study was to unveil the work reality of therapists in the field of physical disabilities within hospital settings, calculate reference values for the number of units that can be feasibly completed within working hours, and contribute to the enhancement of labor management. A total of 349 participants comprising physical therapists (RPT）, occupational therapists (OTR）, and speech-language therapists (ST) were involved in this study. The results showed that the average number of units executed per day was 17.5±2.9 units. In terms of professional comparisons, PTs had significantly more units than STs, while OTs had significantly more paperwork tasks than PTs. Moreover, OTs exceeded STs in maintenance and inspection tasks, with STs having the highest significance for overtime work (p＜0.05）. Significant predictive equations for each profession were obtained through multiple regression analysis, where education and paperwork tasks were found to influence the number of units. This suggests that innovative management approaches are essential to enhance the acquisition of units. In conclusion, this study provides valuable insights into the daily work experiences of therapists specializing in physical disabilities. It presents a foundation for assessing the number of units that can be reasonably accomplished within designated working hours, and offers guidance for more effective labor management.