回復期リハビリテーション病院におけるFIMを用いた自宅復帰因子の検討 Analysis of FIM Factors Affecting Discharge to Home from a Recovery Rehabilitation Hospital

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著者

    • 岡本 伸弘 OKAMOTO NOBUHIRO
    • 香椎丘リハビリテーション病院 リハビリテーション科 Department of Rehabilitation, Kashiioka Rehabilitation Hospital
    • 増見 伸 MASUMI SHIN
    • 福岡和白病院 リハビリテーション科 Department of Rehabilitation, Fukuokawajiro Hospital
    • 山田 学 [他] YAMADA MANABU
    • 蒲田リハビリテーション病院 リハビリテーション科 Department of Rehabilitation, Kamata Rehabilitation Hospital
    • 有久 恵美子 ARIHISA EMIKO
    • 香椎丘リハビリテーション病院 リハビリテーション科 Department of Rehabilitation, Kashiioka Rehabilitation Hospital
    • 兒玉 隆之 KODAMA TAKAYUKI
    • 福岡和白リハビリテーション学院 理学療法学科 Department of Physical Therapy, Fukuoka Wajiro Rehabilitation College

抄録

〔目的〕当回復期リハビリテーション病院における自宅復帰に必要な因子を「FIM」を用いて検討した．〔対象〕当院に入院した患者226名とした．〔方法〕対象者の退院先を自宅（自宅群）と施設（施設群）の2群に分け，入院時および退院時FIM各項目得点を比較した．さらに，自宅群および施設群を目的変数としたロジスティック回帰分析を行った．〔結果〕自宅群では，食事を除く運動11項目で退院時に有意な増加が認められた．一方，施設群では，有意差が認められた項目はなかった．退院時FIM得点の比較では，食事を除く運動11項目および問題解決・記憶の認知2項目において自宅群が有意に高値であった．ロジスティック回帰分析の結果では，トイレ移乗・更衣下に有意なオッズ比が認められた．〔結語〕トイレ移乗および更衣下が重要な自宅復帰因子の可能性が示唆された．

[Purpose] The purpose of this study was to investigate the factors affecting the discharge destination using FIM at a Recovery Rehabilitation Hospital. [Subjects] Two hundred twenty-six inpatients at our hospital were recruited. [Method] The subjects were assigned to a home group and a facility group according to their discharge destination. The scores of FIM items of both groups on hospitalization and on discharge were analyzed by logistic regression analysis, setting the home group and the facility group as the objective (criterion, response) variables. [Result] In the home group, the scores of items of physical motion, except eating, were significantly higher at discharge than on admission. On the other hand, no significant difference (in the items) was observed in the facility group. In comparison with the scores of FIM at discharge, eleven items in the category of physical motions, except eating, and problem solving and memory, in the category of cognition, were significantly higher in the home group than in the facility group. Furthermore, significant odds ratios were observed in the items of transfer to toilet and dressing lower extremity. [Conclusion] These findings suggest that transfer to toilet and dressing lower extremity are important factors affecting patients' discharge destination.

収録刊行物

  • 理学療法科学

    理学療法科学 27(2), 103-107, 2012-04-20

    The Society of Physical Therapy Science

参考文献:  18件中 1-18件 を表示

各種コード

  • NII論文ID(NAID)
    10030767042
  • NII書誌ID(NCID)
    AN10472896
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    13411667
  • NDL 記事登録ID
    023781943
  • NDL 請求記号
    Z7-1893
  • DOI
    10.1589/rika.27.103
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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