@article{oai:iuhw.repo.nii.ac.jp:00001261, author = {小野瀬, 剛広 and ONOSE, Takahiro and 小賀野, 操 and OGANO, Misao and 杉原, 素子 and SUGIHARA, Motoko}, issue = {1}, journal = {国際医療福祉大学学会誌, Journal of the International University of Health and Welfare}, month = {Feb}, note = {目的:運転を再開した脳損傷者の運転調整行動の実態を明らかにするとともに運転調整行動を取り入れている患者の特徴を捉え,運転の安全性を高めるためのドライバー教育について示唆を得ること. 方法:運転を再開した 36 名の脳損傷者を対象とし横断的に調査した.対象者を運転調整行動の有無で群分けし,運動麻痺,神経心理学的検査とドライビングシミュレータ(DS)の結果に加えて,運転の危険経験,運転再開への不安,家族の支援との関連を検討した. 結果:対象者の運動麻痺は軽度で注意機能は正常から軽度障害であった.全員が人身や物損の事故なく運転しており,36 名中 26 名は「夜間や悪天候の運転を避ける」,「運転範囲を制限する」などの運転調整行動を自身の判断で取り入れていた.運転調整行動あり群の DS の誤反応,運転再開への不安が有意に多かった. 考察:自身の判断で運転調整行動を取り入れており,DS の誤反応と運転再開への不安が関連していた.運転調整行動を促すには,運転の不安や自己評価への働きかけが有用となる可能性がある., Purpose: To clarify the actual driving self-regulation of brain-injured patients who have resumed driving, to understand the characteristics of patients who have adopted driving self-regulation, and to obtain suggestions on driver education to enhance driving safety. Methods: A cross-sectional survey was administered to 36 brain-injured subjects who had resumed driving. Subjects were divided into groups according to whether or not they engaged in driving self-regulation. In addition to motor paralysis, neuropsychological tests and driving simulator (DS) results, the relationships between hazardous driving experiences, anxiety about resuming driving, and family support were examined. Results: Subjects had mild motor paralysis and normal to mildly impaired attention. All subjects drove without injury or property damage, and 26 of the 36 subjects adopted driving self-regulation such as “avoid driving at night or in bad weather,” and “limit driving range,” at their own discretion. The group exhibiting driving self-regulation made significantly more DS mistakes and had significantly more anxiety about resuming driving. Conclusion: Subjects adopted driving self-regulation based on their own judgment. DS mistakes and anxiety about resuming driving were associated with driving self-regulation. It may be useful to encourage driving self-regulation by addressing driving anxiety and self-evaluation.}, pages = {12--22}, title = {運転を再開した脳損傷者の運転調整行動の実態とその特徴について:横断的調査}, volume = {28}, year = {2023}, yomi = {オノセ, タカヒロ and オガノ, ミサオ and スギハラ, モトコ} }