Objective : The aims of this study were to evaluate the relationship between Nichijo-seikastu-kino-hyoka (NSKH) scores, factors that influenced these scores, and discharge destinations of the patients with motor system disorders who were treated at a Kaifukuki rehabilitation ward.
Methods : The NSKH scores of 184 patients with motor system disorders who were treated in a Kaifukuki rehabilitation ward were evaluated on admission and at the time of discharge.
Results : The subjects whose NSKH scores on admission were three or less were all discharged to their homes. The scores at discharge improved to 0 in more than 50% of the subjects, but the difference in their discharge destinations, depending on their score, was not clear. Multiple logistic regressions were performed to evaluate factors that influenced the scores when the discharge destination was not to their home, which revealed that the number of family members (OR=0.428, 95% CI 0.229-0.797), and NSKH scores at discharge (OR=1.340, 95% CI 1.046-1.716) were influencing factors.
Conclusion : The results of this study suggest that the subjects whose NSKH score on admission was three or less were more likely to be discharged to their homes thereby indicating that their discharge destinations were predictable. The factors influencing their discharge destinations were the NSKH scores at the time of discharge and the number of family members.

Purposes
The purposes of this study were to analyze the relationship between the discharge destinations of patients with cerebrovascular diseases (CVD) in our convalescent rehabilitation ward and their levels of activities of daily living (ADL), and also to consider the factors causing those patients difficulties upon discharge.
Methods
The subjects were 114 CVD patients in our Convalescent Rehabilitation Ward.
The investigation was conducted to examine their ADL score, both at hospitalization and at discharge, and to analyze the relationship between changes in their ADL scores and their discharge destinations.
Discussion
It was suggested that reduction of the ADL score from above 8 points at hospitalization, to less than 4 at discharge, contributed to improvement of the rate of discharge to the patients' own homes, and that four items in the ADL assessment scale, such as ‘transfer’, ‘ability to communicate’, ‘locomotion’ and ‘oral care’, had an effect on their discharge destinations.

Objective To investigate the application of systematic rehabilitation nursing procedure on improving the life quality of patients with long-term conscious disturbance. Methods A total of 7 patients with long-term conscious disturbance had been chosen as sampling and applied warm bath to stimulate, back slight vibration, sports training and other rehabilitation nursing program. The mild disturbance of consciousness re-scoring( NASVA ) was used to evaluate the quality of life improving in patients. Results The 7 patients received four stages rehabilitation nursing care ( average 6 months) as its procedure, in which two patients got rid of decerebrate rigidity completely while five patients minimized the upper and lower extremity contractures of joint. Compared with the implementation of rehabilitation care before, the 7 cases of patients with long-term conscious disturbance improved their exercise, feeding, excretion, cognition, language expression, verbal commands and other aspects of NASVA score after rehabilitation care with statistically differences (P<0. 01). Quality of life of 7 patients were significantly improved, of which one patients return to school to continue study, and four patients′contractures of lower and upper extremity joint improved and they could go back home,and live with their family and eat by mouth. Conclusions Implementation of systematic rehabilitation nursing procedure can improve the rehabilitation effects for patients with long-term conscious disturbance and contributes to those patients′quality of life.