Factors Related to Improving Activities of Daily Living and Life-Space Mobility through Visiting Rehabilitation Services : A Multi-Institutional Study in Ibaraki Prefecture, Japan
10.2490/jjrmc.50.831
- VernacularTitle:訪問リハビリテーションにおける日常生活活動と生活空間の向上に関連する要因の検討―茨城県内多施設共同調査より―
- Author:
Yumiko KAMIOKA
;
Hideyuki SAITO
;
Yayoi IIJIMA
;
Tadahiro HOSOTA
;
Tomoyuki MATSUDA
;
Yuuji MIURA
;
Motohide ARITA
;
Takashi ISAJI
;
Susumu KOSEKI
- Publication Type:Journal Article
- Keywords:
home visit rehabilitation;
multi-institutional study;
activities of daily living;
life-space;
multiple regression analysis
- From:The Japanese Journal of Rehabilitation Medicine
2013;50(10):831-839
- CountryJapan
- Language:Japanese
-
Abstract:
Objective : This study aimed to investigate the changes in the functioning of users of visiting rehabilitation services and related factors. Methods: Among 107 users in 22 visiting rehabilitation centers, we analyzed the data of 80 who completed the 6-month study. Their Functional Independence Measure (FIM), Life-Space Assessment (LSA), and level of caregiver burden (J-ZBI_8) were compared at the commencement of this study, and at 3 and 6 months afterwards. A multiple linear regression analysis was performed to examine the factors related to the variables, which changed over 6 months. Results : Over a period of 6 months from the commencement of the study, we found that FIM and LSA scores significantly improved from 82.4 to 87.3 (p=0.016) and from 9.9 to 12.3 (p=0.05), respectively, in the group who were still within 1 year from the time since onset/injury. A multiple regression analysis revealed that the period of time since onset/injury, independence degree of daily living for the demented elderly, and presence of goal setting for activities of daily living/domestic work significantly influenced changes in total FIM scores (p=0.001, R2=0.32). Furthermore, the change in LSA scores was significantly influenced by gender, presence of cerebrovascular diseases, period of time since onset/injury, number of occupations involved in visiting rehabilitation services, and J-ZBI_8 scores (p=0.0001, R2=0.36). Conclusion : Effective visiting rehabilitation requires having appropriate goals set for daily living activities and the establishment of interprofessional collaboration within visiting rehabilitation centers.
