The Effect of Increased Training Time for Patients with Feeding Tubes in a Kaifukuki Rehabilitation Ward
10.2490/jjrmc.47.224
- VernacularTitle:入院時経管栄養患者に対する訓練時間増加の効果
- Author:
Yasunori IKENAGA
;
Tomoya TAKAHASHI
;
Shinsuke GOTO
;
Hitoshi NISHIMURA
- Publication Type:Journal Article
- Keywords:
kaifukuki rehabilitation ward;
training time;
cerebrovascular disorder;
feeding tube
- From:The Japanese Journal of Rehabilitation Medicine
2010;47(4):224-231
- CountryJapan
- Language:Japanese
-
Abstract:
After April 2006, the Japanese Ministry of Health and Labor raised the permitted training time from 6 to 9 units (1 unit of training time corresponds to 20 minutes of exercise with a therapist) for patients in a kaifukuki (convalescent) rehabilitation ward. We examined the effect of the increased rehabilitative training time on patients using feeding tubes in a kaifukuki rehabilitation ward after an initial cerebrovascular disorder, with a particular focus on improving swallowing disorders. Our study was comprised of post-stroke patients with feeding tubes who underwent rehabilitation from April 2001 to March 2006 (N=14, 6-unit group) and from April 2006 to March 2009 (N=16, 9-unit group). All patients went to the ward within two months after suffering a stroke. There was no significant difference in the Functional Independence Measure(FIM) efficiency or length of hospital stay between the two groups. Feeding tube removal was more common in the 9-unit group compared to the 6-unit group (81.3% vs. 35.7%, p<0.05), and the 9-unit group also had more training time per day. Logistic regression analysis showed that the increased training time per day spent with a speech therapist contributed to improving swallowing disorders (p<0.01).
