老年者リハビリテーションの社会心理的考察 : 脳卒中を中心として(老年者の心身症)(第14回日本精神身体医学会総会)
スポンサーリンク
概要
- 論文の詳細を見る
In this paper emotional stress is suggested to play a major role in precipitating stroke, ranking with other well-known factors such as smoking, drinking, overwork, or lack of hypotensives. It is also claimed that appropriate management of patients' psychological reactions to the stroke in each of its stages is indispensable for motivating satisfactory, effective rehabilitation. Impaired speech and physical functions were less improved in aged patients with hemiplegia during their stay at the Nanasawa Rehabiltation Hospital than in younger ones. The YG test was indicative of increase in personality types B and E associated with a decrease in type D in stroke patients. A follow-up study revealed that the aged patients, three years after leaving the hospital, showed a lower rate of re-employment and ADL independence as well as a higher mortality and ADL retrogression than those of the younger patients. The significance of self-consciousness of worthwhile living for the social comeback of aged disabled patients is stressed.1) 15 of 129 patients with hemiplegia had an episode of critical emotional stress within 6 months prior to the stroke while 2 of 246 control subjects suffered from mental damage of the same kind within the same period before interview.2) 2250 stroke patients have had therapeutic exercise at the Nanasawa Hospital since 1966. 1979 cases (88%) among them proved to be improved during their stay. With aged patients, more than 70 years old, the improvement rate was 73% (215 of 295 cases).That is probably because the difficulties in rehabilitation due to senile manifestations such as osteoporosis, cardiovascular disorders, and mental derangement are apt to be intensified by hypokinetic symptoms such as muscle contracture, disuse atrophy decubitus, infection, and depression.
- 日本心身医学会の論文
- 1974-04-01
著者
関連論文
- 1-II-15 脳卒中における血清高比重リポタンパクビタミンEとコレステロールとの関連性 : 第34回大会研究発表要旨 : 日本ビタミン学会
- 老年者リハビリテーションの社会心理的考察 : 脳卒中を中心として(老年者の心身症)(第14回日本精神身体医学会総会)
- I-10 脳卒中発症の心理的因子について(循環器)(第13回日本精神身体医学会総会)
- 17)脳卒中後片麻痺患者における性格検査成績の考案(循環器疾患)(第8回日本精神身体医学会総会)