生活行為向上マネジメントを用いた訪問リハビリテーションが地域在住の要介護高齢者の心身機能，生活機能および生活の質に及ぼす影響

Effects of home-visit rehabilitation on physical and mental functions, life function, and quality of life of dependent community-dwelling older adults assessed by the Management Tool for Daily Life Performance

要旨：生活行為向上マネジメント（以下，MTDLP）を用いて「その人らしい生活」を目標に設定し介入を実施した訪問リハビリテーションが，要介護高齢者の心身機能，生活機能，および生活の質に影響を及ぼすかを検証した．6ヵ月間の介入の結果3ヵ月後，6ヵ月後において身体機能，生活機能，および生活の質に有意な改善を認めた．また，生活機能についてMTDLP群とヒストリカルデータによる対照群とを傾向スコアマッチングにて比較した結果，3ヵ月後，6ヵ月後ともに，MTDLP群は手段的日常生活活動に有意な改善を認めた．MTDLPを用いた訪問リハビリテーションは地域在住の要介護高齢者の「活動」と「参加」を促進させる可能性が示された．

　We examined whether home-visit rehabilitation, in which the goal of “Living like that person” was set using Management tool for daily life performance (MTDLP), had an effect on the physical and mental functions, life functions, and quality of life of community-dwelling older adults certified as long-term care residents. The results of the 6-month intervention showed significant improvements in physical function, life function, and quality of life at 3 and 6 months after the start of the intervention. The results of propensity score matching between the MTDLP group and the control group using historical data showed that the MTDLP group exhibited significant improvement in instrumental activities of daily living at both 3 and 6 months after the start of the intervention. The results indicate that home-visit rehabilitation using MTDLP could promote “activity” and “participation” of older adults in need of long-term care who live in the community.