回復期病棟における排尿ケアチーム介入による改善効果―機能的自立度評価法（FIM）を用いて

The Functional Independence Measure (FIM) improvement effects by the urination care team intervention in recovery phase rehabilitation ward

　排尿自立指導において，多職種連携である排尿ケアチーム介入の具体的成果について機能的自立度評価法FIMを用い検討した．対象は脳卒中で回復期病棟に入院し，尿道カテーテルを抜去した65症例である．これらを従来方式の非介入群（31名）と排尿ケアチームの介入群（34名）で比較した．両群は，年齢，入院時，抜去時，退院時のFIMにて差を認めなかった．一方で，留置中認知FIM効率（非介入群0.10±0.23点，介入群0.24±0.54点）および総合認知FIM効率（非介入群0.02±0.07点，介入群0.06±0.06点）で介入群は有意に改善を認めた．よって，多職種連携の排尿ケアチーム介入は，より効率的に患者に利益をもたらすといえる．

Abstract

In an independence tutorship for the patients with urinary trouble, Authors examined the results of the urination care team intervention which is multi-occupational using Functional Independence Measure (FIM). 65 patients in recovery phase rehabilitation ward, after apoplexy and who leaved the urethral catheter free. The non-intervention group (31 patients) of the conventional system was compared with the intervention group (34 patients) of the urination care team. The differences were not observed in two groups in FIM at the points of discharge, catheter removal, and hospitalization. On the other hand, the intervention group showed the improvement statistically in two points. These two points are the cognition FIM efficiency under detainment (0.10±0.23 non-intervention groups, 0.24±0.54 intervention groups), and the comprehensive cognition FIM efficiency (0.02±0.07 non-intervention groups, 0.06±0.06 intervention groups). Therefore, urination care team intervention of multi-occupational description cooperation brought a patient profits more efficiently (Rinsho Hinyokika 74 : 175-179, 2020).