当院の精神科療養病棟において，病棟スタッフが患者に対して声かけを行い，作業療法棟での集団活動への参加を促す取り組みを行った。声かけは日々の病棟業務の1 つとして患者に声をかけて回る誘導係と参加が困難な患者の担当看護師や介護職員によって行われた。結果的に作業療法棟での集団活動に参加する患者が有意に増加した。事例を通してその背景には，心配してくれる身近な存在の者への期待に応えようとする患者の思い，病棟スタッフの愛のある厳しい言葉，作業療法士の患者の能力を見極め安心して活動に取り組むための援助，作業療法士と病棟スタッフとの連携が存在していると考えられた。

We implemented a trial at a long-term care ward of a psychiatric hospital where the ward staff asked the patients to participate in group activities at an occupational therapy ward. We set a person in charge of asking patients to participate as a staff member’s daily work every weekday. The trial was offered by the ward staff in charge of each day. In addition, each nursing and care staff member offered the activity to their own patients if they had diffi culty participating in group activities. As a result, the number of patients who participated in group activities at the occupational therapy ward significantly increased. Through some cases, we considered that there were some background factors: 1) patients’ attitude that they try to live up to the expectations of their own staff who worry about them, 2) ward staff’s strict words with love, 3) assessment and support of occupational therapists in order that patients engage in activities at their ease, 4) cooperation with occupational therapists and ward staff.

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