Interaction between Self-Care and Caregiving Ability on Home Discharged Stroke Patients Based on Motor Functional Independence Measure Score in Recovery Ward  

作　　者：Takashi Kimura Takashi Kimura(Department of Physical Therapy, ASO Rehabilitation College, Fukuoka, Japan;Department of Rehabilitation Medicine, Saga University Hospital, Saga, Japan)

机构地区：[1]Department of Physical Therapy, ASO Rehabilitation College, Fukuoka, Japan [2]Department of Rehabilitation Medicine, Saga University Hospital, Saga, Japan

出　　处：《Open Journal of Therapy and Rehabilitation》2021年第2期42-56,共15页康复医学（英文）

摘　　要：<span style="font-family:Verdana;">Background: A correlation has been found between self-care and caregiving ability in home discharged stroke patients. However, few studies have explored the interaction between individual self-care and caregiving ability. Purpose: </span><span style="font-family:Verdana;">This study aimed to investigate the interaction between individual self-care and caregiving ability in home discharged stroke patients. Participants and Methods: A total of 2688 stroke patients registered in the Japanese Rehabilitation Database (JRD) were retrospectively analyzed. </span><span style="font-family:Verdana;">Patients were classified into two groups based on their discharge destination (home discharge, non-home discharge), and the data were modified as mean-centered values. After a correlation analysis was performed between all the collected data, a hierarchical multiple regression analysis evaluated the interaction using discharge destination as the dependent variable. Model 1 used two independent variables (Rankin scale and cognitive functional independence measure score), model 2 used two independent variables (caregiving ability and individual self-care), and model 3 used a mean-centering value, which was added to model 2. A simple slope was used for further analysis. Results: Self-care showed an interaction with caregiving ability. The R</span>^{<span style="font-family:Verdana;">2</span>}<span style="font-family:Verdana;"> changes in models 1 and 2 were significant in the following: grooming, bathing, gait, and climbing stairs (p < 0.01). Additionally, the results of the simple slope analysis were significant for all areas. Conclusion: Based on the JRD, this study suggested that a focus on improving these areas, especially climbing stairs, is effective in preparing for home discharge and should be positively considered for stroke patients.</span><span style="font-family:Verdana;">Background: A correlation has been found between self-care and caregiving ability in home discharged stroke patients. However, few studies have explored the interaction between individual self-care and caregiving ability. Purpose: </span><span style="font-family:Verdana;">This study aimed to investigate the interaction between individual self-care and caregiving ability in home discharged stroke patients. Participants and Methods: A total of 2688 stroke patients registered in the Japanese Rehabilitation Database (JRD) were retrospectively analyzed. </span><span style="font-family:Verdana;">Patients were classified into two groups based on their discharge destination (home discharge, non-home discharge), and the data were modified as mean-centered values. After a correlation analysis was performed between all the collected data, a hierarchical multiple regression analysis evaluated the interaction using discharge destination as the dependent variable. Model 1 used two independent variables (Rankin scale and cognitive functional independence measure score), model 2 used two independent variables (caregiving ability and individual self-care), and model 3 used a mean-centering value, which was added to model 2. A simple slope was used for further analysis. Results: Self-care showed an interaction with caregiving ability. The R</span>^{<span style="font-family:Verdana;">2</span>}<span style="font-family:Verdana;"> changes in models 1 and 2 were significant in the following: grooming, bathing, gait, and climbing stairs (p < 0.01). Additionally, the results of the simple slope analysis were significant for all areas. Conclusion: Based on the JRD, this study suggested that a focus on improving these areas, especially climbing stairs, is effective in preparing for home discharge and should be positively considered for stroke patients.</span>

关 键 词：INTERACTION Stroke ADL FIM Recovery Ward 

分 类 号：R74[医药卫生—神经病学与精神病学]