Implementation of rehabilitation Service in the Outpatient Facility

Abstract

This facility is the only one which is the institution introduced the Takizawa method rehabilitation service in Japan as the integrative one now 1) . A functional sustentation is the most important problem for the chronic phase patients living at home who are using the nursing-care-insurance 2) when continuing a home life. According to aging and house environment of a person requiring care or a care giver, a pejoration of the degree of care of the insurance will be a shift factor to institution use service irrespective of their intention. It would appear that the program 3) easily implements would be indispensable in order to maintain activity and home life and to prevent a pejoration of the degree of care.In charge of rehabilitation service implementation especially for a short time, it would appear that the Takizawa method is useful because it can be equivalent to various utilizes at a low risk even little arrangement staff. And it is easy to introduce into the chronic phase patients, whose active tends to fall. As a result, their activities sustained.There have been 74 outpatients total number in 2010 since 2003 opening, who used and continued for one year or more, and got evaluation one year after were 43 persons, and who did for 2 years or more, and evaluated annually were 20 persons, for 3 years were 7 persons and for 4 years was 1 person. We assayed change of 67 persons' degree of care, and change of 414 persons' the degree of care of a University bulletin.Hypothetical: --the method and improvement factor of the rehabilitation medical treatment and improvement factor are independent (there is no difference in an improvement factor during two methods) The result of the chi-square test; The hypothesis was rejected by 1% of the significance level as a result of official approval.We authorized there is no difference in an "improvement" by the numerical value, and there is the difference in "maintain the degree of care" and "pejoration" 4)