Rehabilitation of Poststroke Patients under Long-term Care Insurance

Yamanaga, Hiroaki; Nojiri, Shin’ichi; Nakanishi, Ryo; Katsura, Kenichi; Watanabe, Susumu; Yonemitsu, Hiroyuki

doi:10.2490/jjrm1963.42.58

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Rehabilitation therapy for orthopedic patients who are discharged to long-term care facilities probably works well because patients have no paralysis due to central nervous system damage. Additionally, currently, there is no transitionsupport program for rehabilitation patients who are discharged to their homes in Japan [25][26][27]. These might be reasons why the increase in FIM scores was larger when the discharge destination was facilities other than home than when the discharge destination was home.…”

Section: Discussionmentioning

confidence: 99%

Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities

et al. 2013

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Abstract-A patient's functional ability after hospital discharge may be influenced by in-hospital rehabilitation and discharge destination. However, we know very little about how in-hospital rehabilitation intervention interacts with the type of discharge destination or how this interaction influences patients' functional abilities. Thus, how an interaction between in-hospital rehabilitation and discharge destination influences a patient's subsequent functional ability was examined. This was a cross-sectional study whose participants were inpatients who underwent rehabilitation between February 2008 and December 2010 at a hospital in Japan (n = 835). Participants were categorized into three condition groups (i.e., stroke, orthopedic, disuse syndrome). Then, interaction effects between the rehabilitation therapy and the type of discharge destination on a patient's subsequent functional ability were estimated by hierarchical linear regression analysis in each of the three subgroups. In models where the dependent variable was Functional Independence Measure (FIM) score at 3 mo after hospital discharge, a significant interaction between rehabilitation potential (a measure based on the FIM effectiveness measure) and discharge destination (home or other) was observed in the stroke and orthopedic patients (both p < 0.001). These findings may be useful in deciding on discharge destinations for patients.

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Section: Discussionmentioning

confidence: 99%

Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities

et al. 2013

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“…Although Japanese patients discharged home have been reported to show a gradual decline in daily living activities over time (30), factors that support the maintenance of the functional ability of such patients have not been reported. Currently, there is no transition-support programme for rehabilitation patients who are discharged home in which a patient would be allowed to go back and forth between home and a facility to gradually adjust to the home environment without full recovery (31)(32)(33). Patients discharged home tend to seek healthcare services based on price and convenience (e.g., distance and driving time), rather than with regard to necessity (34).…”

Section: Practical Implicationsmentioning

confidence: 99%

Interaction effects of in-hospital rehabilitation and the use of community-based services after hospital discharge on patientsâ€™ subsequent functional abilities

Shibuta¹,

Abe²,

Miyamoto³

et al. 2016

J Rehabil Med

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Factors influencing the planning of home-based rehabilitation services by care managers

Itsukaichi

Suzukamo

Izumi

2013

Jpn J Compr Rehabil Sci

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Itsukaichi T, Suzukamo Y, Izumi S. Factors influencing the planning of home-based rehabilitation services by care managers. Jpn J Compr Rehabil Sci 2013; 4: 39-46. Purpose: To describe the planning of home-based rehabilitation (HBR) by care managers and to show the relationship between the knowledge/understanding of the care managers regarding HBR and their planning experience regarding these services. Methods: Five hundred certified care managers in the Miyagi Care Manager Association completed a questionnaire that included queries on the participants' knowledge/understanding of HBR and on their experiences in selecting HBR in their care plans. Factors affecting selection of HBR were explored with the chi-square test, followed by logistic regression analysis. Results: Among 113 care managers who are currently engaged in home-based care, 78 (69%) have experience with HBR. The planning of HBR was affected by the availability of facilities that offer HBR and the knowledge/understanding of care managers. Conclusion:The knowledge/understanding of HBR by the care manager is important to provide the HBR service.

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Rehabilitation of Poststroke Patients under Long-term Care Insurance

Cited by 4 publications

References 15 publications

Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities

Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities

Interaction effects of in-hospital rehabilitation and the use of community-based services after hospital discharge on patientsâ€™ subsequent functional abilities

Factors influencing the planning of home-based rehabilitation services by care managers

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