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Changes and issues in patients undergoing speech-language-hearing therapy in intensive rehabilitation wards Minoru Toyama 1 , Junichi Mori 1 , Koji Sato 1 1Department of Rehabilitation, Yufuin Kohseinenkin Hospital Keyword: 回復期リハビリテーション病棟 , 言語聴覚療法 , 摂食機能療法 , 診療報酬改定 , intensive rehabilitation ward , speech-language-hearing therapy , dysphagia rehabilitation , revision of medical service fee pp.38-47
Published Date 2012/3/15
DOI https://doi.org/10.11477/mf.6001100313
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 In order to find the changing trends in the characteristics of patients undergoing speech-language-hearing therapy in intensive rehabilitation wards, we examined the records of 2,061 patients who were hospitalized at our hospital and who had received speech-language-hearing therapy during the 7-year period from 2003 to 2009. Specifically, we looked at the speech-language-hearing therapy prescriptions, rates of multiple disorders, severity of aphasia, levels of activities of daily living, and patients' destination at discharge. Over the time, there was an increase in the number of patients who underwent rehabilitation for motor speech disorders, and/or eating/swallowing disorders(dysphagia) and those with multiple disorders. This indicated that the patients' speech-language-hearing disorders have become more complicated following the revision of the medical service fee. The severity of aphasia seems to be polarizing into two categories(mild to moderate, and the most severe), and regular testing was difficult in approximately 30% of patients with aphasia in 2009. At discharge, 50 to 60% of patients receiving speech-langauge-hearing therapy go home while 20 to 30% are referred to a medical center, which indicates that the severity of the patients has increased. Creating guidelines for speech-language-hearing therapy according to the current state of patients as well as large-scale investigations in intensive rehabilitation wards of multiple centers are now needed.


Copyright © 2012, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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