介護支援専門員と訪問介護員における訪問リハビリテーション効果への期待―量的・質的検討─

Expectations of home-visit rehabilitation services among care managers and home helpers: A quantitative and qualitative analysis

要旨：介護支援専門員と訪問介護員が期待する訪問リハビリテーション（以下，訪問リハ）の効果を明らかにするために，質問紙調査を実施した．得られた回答の半数以上が期待していた訪問リハ効果の項目は，「身体機能の回復」，「動きやすさ（起居動作）の改善」，「現状の維持」，「身のまわり動作（セルフケア）の改善」だった．介護支援専門員の8割以上が訪問リハの効果を「期待通り」としたが，訪問介護員では6割に満たなかった．一方，訪問リハへの要望は，【療法士の対応と提供内容】，【リハ効果と進捗状況の理解】，【連携・指導・相談】，【制度と人的資源】，【その他】のテーマに集約された．

　To clarify the effects of home-visit rehabilitation services expected by long-term care-support specialists (i.e. care managers) and home helpers, we conducted a survey. At least half of the respondents expected the following from home-visit rehabilitation services: ‘recovery of physical functions', ‘improved ease of movement (daily routine activities)', ‘maintenance of current condition', and ‘improvement in everyday actions (self-care)'. Although more than 80 percent of care managers stated that these expectations were being met, less than 60 percent of caregivers answered likewise. Requests regarding home-visit rehabilitation services were focused on the following themes: ‘therapists' assistance and content of services';‘understanding of rehabilitation content and progress status';‘collaboration, instruction, and consultation';‘system and human resources'; and ‘others'.