PDF(Pubmed)
Abstract：
BACKGROUND: Increasing elderly population is a major health concern worldwide, requiring various at-home care services. The aim of home-visit rehabilitation therapy is to support at-home living of the elderly and to promote their participation in social activities. There is a paucity of data about the clinical conditions of this population that can contribute to the achievement of goals in-home visit rehabilitation therapy.
OBJECTIVE: This study aimed to clarify clinical variables that could be related to the achievement of goals in-home visit rehabilitation therapy.
METHODS: We collected retrospective clinical data of the older adults who underwent home-visit rehabilitation therapy between July 2006 and June 2021. We searched the clinical variables of home-visit rehabilitation therapy users and their frequency of utilization of home-visit rehabilitation therapy services from the clinical record. The initial and final clinical variables evaluated in this study included the abilities of daily living, degree of being bedridden, dementia rating, and levels of support or long-term care. Those variables were evaluated by rehabilitation therapists and doctors. The users were divided into three groups according to the reason for terminating rehabilitation therapy: goal achievement (achieved group), aggravation of underlying disease (aggravated group), and treatment suspension because of their own/others\' wish (suspended group). The clinical parameters concerning the rehabilitation program, care level, and activities of daily living were evaluated among the groups. The clinical parameters concerning the rehabilitation program, care level, and activities of daily living were statistically evaluated among those three groups, using the chi-square test and Kruskal-Wallis test.
RESULTS: In the achieved, aggravated, and suspended groups, 45, 190, and 38 users were respectively enrolled. The aggravated group showed significantly higher final care level (p = 0.002), degree of being bedridden (p=0.001), and dementia rating (p = 0.017) and significantly lower Barthel index scores (p < 0.001) and Frenchay Activities Index scores (p = 0.001) than the achieved group. Persons requesting the therapy were significantly older adults themselves in the achieved group (p = 0.018). The therapy was significantly performed more than once per week in the achieved group (p = 0.018).
CONCLUSIONS: Older adults undergoing self-motivated home-visit rehabilitation therapy more than once per week may contribute to the achievement of the goal.
OBJECTIVE: This study aimed to clarify clinical variables that could be related to the achievement of goals in-home visit rehabilitation therapy.
METHODS: We collected retrospective clinical data of the older adults who underwent home-visit rehabilitation therapy between July 2006 and June 2021. We searched the clinical variables of home-visit rehabilitation therapy users and their frequency of utilization of home-visit rehabilitation therapy services from the clinical record. The initial and final clinical variables evaluated in this study included the abilities of daily living, degree of being bedridden, dementia rating, and levels of support or long-term care. Those variables were evaluated by rehabilitation therapists and doctors. The users were divided into three groups according to the reason for terminating rehabilitation therapy: goal achievement (achieved group), aggravation of underlying disease (aggravated group), and treatment suspension because of their own/others\' wish (suspended group). The clinical parameters concerning the rehabilitation program, care level, and activities of daily living were evaluated among the groups. The clinical parameters concerning the rehabilitation program, care level, and activities of daily living were statistically evaluated among those three groups, using the chi-square test and Kruskal-Wallis test.
RESULTS: In the achieved, aggravated, and suspended groups, 45, 190, and 38 users were respectively enrolled. The aggravated group showed significantly higher final care level (p = 0.002), degree of being bedridden (p=0.001), and dementia rating (p = 0.017) and significantly lower Barthel index scores (p < 0.001) and Frenchay Activities Index scores (p = 0.001) than the achieved group. Persons requesting the therapy were significantly older adults themselves in the achieved group (p = 0.018). The therapy was significantly performed more than once per week in the achieved group (p = 0.018).
CONCLUSIONS: Older adults undergoing self-motivated home-visit rehabilitation therapy more than once per week may contribute to the achievement of the goal.
摘要：
背景：老年人口的增加是全球主要的健康问题，需要各种家庭护理服务。家访康复疗法的目的是支持老年人的居家生活，并促进他们参与社会活动。关于该人群的临床状况的数据很少，这些数据有助于实现家庭就诊康复治疗的目标。
目的：本研究旨在阐明可能与家庭访视康复治疗目标实现相关的临床变量。
方法：我们收集了2006年7月至2021年6月期间接受家庭访视康复治疗的老年人的回顾性临床资料。我们从临床记录中搜索了家庭访视康复治疗使用者的临床变量及其使用家庭访视康复治疗服务的频率。在这项研究中评估的初始和最终临床变量包括日常生活能力，卧床不起的程度，痴呆等级,以及支持或长期护理的水平。这些变量由康复治疗师和医生评估。根据终止康复治疗的原因，将用户分为三组：目标完成（已完成组），基础疾病加重（加重组），以及因自己/他人的意愿而暂停治疗(暂停组)。有关康复计划的临床参数，护理水平,和日常生活活动进行了评估。有关康复计划的临床参数，护理水平,对这三组的日常生活活动进行了统计评估，使用卡方检验和Kruskal-Wallis检验。
结果：在实现的，加重,和暂停的团体，分别注册了45、190和38个用户。加重组显示出明显更高的最终护理水平（p=0.002），卧床不起的程度(p=0.001)，和痴呆等级（p=0.017），并且Barthel指数得分（p<0.001）和Frenchay活动指数得分（p=0.001）显着低于达到的组。在已完成的组中，要求治疗的人本身是明显的老年人（p=0.018）。在已完成的组中，每周进行一次以上的治疗（p=0.018）。
结论：老年人每周接受一次以上的自我激励家庭随访康复治疗可能有助于实现目标。
目的：本研究旨在阐明可能与家庭访视康复治疗目标实现相关的临床变量。
方法：我们收集了2006年7月至2021年6月期间接受家庭访视康复治疗的老年人的回顾性临床资料。我们从临床记录中搜索了家庭访视康复治疗使用者的临床变量及其使用家庭访视康复治疗服务的频率。在这项研究中评估的初始和最终临床变量包括日常生活能力，卧床不起的程度，痴呆等级,以及支持或长期护理的水平。这些变量由康复治疗师和医生评估。根据终止康复治疗的原因，将用户分为三组：目标完成（已完成组），基础疾病加重（加重组），以及因自己/他人的意愿而暂停治疗(暂停组)。有关康复计划的临床参数，护理水平,和日常生活活动进行了评估。有关康复计划的临床参数，护理水平,对这三组的日常生活活动进行了统计评估，使用卡方检验和Kruskal-Wallis检验。
结果：在实现的，加重,和暂停的团体，分别注册了45、190和38个用户。加重组显示出明显更高的最终护理水平（p=0.002），卧床不起的程度(p=0.001)，和痴呆等级（p=0.017），并且Barthel指数得分（p<0.001）和Frenchay活动指数得分（p=0.001）显着低于达到的组。在已完成的组中，要求治疗的人本身是明显的老年人（p=0.018）。在已完成的组中，每周进行一次以上的治疗（p=0.018）。
结论：老年人每周接受一次以上的自我激励家庭随访康复治疗可能有助于实现目标。
