Ikenaga Yasunori, Sakai Ikuko, Sakurai Yui, Takayanagi Tomoko
Department of Rehabilitation Medicine, Yawata Medical Center, Ishikawa, Japan.
Graduate School of Nursing, Chiba University, Japan.
Prog Rehabil Med. 2019 Jan 1;4:20190001. doi: 10.2490/prm.20190001. eCollection 2019.
We report the changes in the health condition after using a service dog of a person with a complete C5 spinal cord injury (SCI).
A 48-year-old married man began using a service dog after suffering a complete C5 SCI. We conducted a semi-structured interview based on the International Classification of Functioning, Disability, and Health (ICF) rehabilitation sets to describe the change in the participant's experience after using a service dog. The interview was converted into written form, and information regarding the changes in the participant's health condition was extracted. These data were categorized by similarity and then classified by the ICF conceptual framework.
The participant experienced multiple changes in his health condition after using a service dog. These included the following factors from the ICF - "Body Function" category: "increased vitality and motivation," "emergence of self-affirmation," and "physical improvement." Health changes form the "Activities and Participation" category included: "emergence of new roles," "increased resilience," "expansion of moving area," "acquisition of activities incorporated with a service dog assist," "emergence of autonomous health management," "expansion of relation with other people," and "expansion of social activity." The participant experienced "reduction of psychological barriers," categorized under "Personal Factor," and "expansion of support environment," categorized under "Environmental Factor."
我们报告了一名C5完全性脊髓损伤（SCI）患者使用服务犬后健康状况的变化。
一名48岁的已婚男性在遭受C5完全性脊髓损伤后开始使用服务犬。我们基于国际功能、残疾和健康分类（ICF）康复集进行了半结构化访谈，以描述参与者使用服务犬后的体验变化。访谈转化为书面形式，并提取了有关参与者健康状况变化的信息。这些数据按相似性分类，然后根据ICF概念框架进行归类。
参与者在使用服务犬后健康状况经历了多种变化。这些变化包括来自ICF“身体功能”类别的以下因素：“活力和动力增加”、“自我肯定的出现”和“身体改善”。“活动与参与”类别的健康变化包括：“新角色的出现”、“恢复力增强”、“活动范围扩大”、“获得与服务犬协助相关的活动”、“自主健康管理的出现”、“与他人关系的扩展”以及“社交活动的扩展”。参与者经历了“心理障碍减少”（归类于“个人因素”）和“支持环境扩展”（归类于“环境因素”）。
