回復期リハビリテーション病棟における脳卒中患者の早期在宅復帰を促進するための課題と対策  [in Japanese] Issues and Measures in Facilitating Early Discharge to Home for Stroke Patients in a Convalescence Rehabilitation Ward  [in Japanese]

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Author(s)

    • 前島 伸一郎 MAESHIMA SHINICHIRO
    • 埼玉医科大学国際医療センター リハビリテーション科 Department of Rehabilitation Medicine, Saitama Medical University International Medical Center
    • 大沢 愛子 [他] OSAWA AIKO
    • 埼玉医科大学国際医療センター リハビリテーション科 Department of Rehabilitation Medicine, Saitama Medical University International Medical Center
    • 丸山 仁司 MARUYAMA HITOSHI
    • 国際医療福祉大学大学院 医療福祉学研究科保健医療学専攻理学療法学分野 Physical Therapy Section, Health Sciences Program, Health and Welfare Sciences Course, Graduate School of International University of Health and Welfare

Abstract

〔目的〕早期在宅復帰に向けた回復期リハビリテーション(リハ)病棟への転院に適した脳卒中患者の条件を明らかにすることを目的とした.〔対象〕回復期リハ病棟に入院した脳卒中患者118名とした.〔方法〕背景,退院計画の内容,入院経過,神経症候,日常生活活動(ADL)を評価し,その値を在宅復帰群と施設・転院群の2群間で比較した.〔結果〕年齢,性別,同居家族数,発症から転院までの日数は両群間で差を認めなかったが,在院日数,入・退院時の神経症候・ADL,ADLの改善度は両群間で差を認めた.また,在宅復帰群は施設・転院群に比べて,同居家族によるADL介助を前提とした在宅復帰の希望が多かった.〔結語〕同居家族が患者の病状を認識してADL介助に協力的であることが,回復期リハ病棟への転院において重要である.<br>

[Purpose] This study was performed to clarify conditions of stroke patients suitable for a convalescent rehabilitation ward for discharging to home early. [Methods] The subjects were 118 stroke patients who were hospitalized in our convalescence rehabilitation ward. They were divided into “home discharge group” and “hospitalization/transfer group”. The two groups were compared using patient background, contents of discharge planning, course of hospitalization, neurological symptoms and activities of daily living (ADL). [Results] There were no differences in patient background and duration from the onset to admission between the two groups. There were differences in duration of hospitalization, neurological symptom and ADL at admission and discharge and improvement factor of ADL between the two groups. Hope of home discharge based on family care in the home discharge group was higher than that in the hospitalization/transfer group. [Conclusion] It is important that the family understands the condition of the patient and cooperates with care for the patient.<br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 27(3), 297-301, 2012-06-20

    The Society of Physical Therapy Science

References:  19

Codes

  • NII Article ID (NAID)
    10030836444
  • NII NACSIS-CAT ID (NCID)
    AN10472896
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    13411667
  • NDL Article ID
    023880845
  • NDL Call No.
    Z7-1893
  • Data Source
    CJP  NDL  J-STAGE 
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