回復期リハビリテーション病棟退院後の患者における公共交通機関利用の予測因子

Predicting the use of public transportation of patients discharged from a recovery rehabilitation unit

要旨：本研究の目的は回復期リハビリテーション病棟入院中の患者の能力から退院後の公共交通機関利用の可否を予測することにある．退院後の電車およびバス利用の有無を調べ，その有無で分けた2群間で入退院時の能力を比較した．ロジスティック回帰分析の結果，電車利用の予測に選択された入院時の因子は年齢とFIMの運動項目の合計スコアであった．バス利用の予測に選択された入院時の因子は年齢とFunctional Balance Scale（以下，FBS）であった．退院時の能力は電車およびバス両方でFBSのみが選択された．この知見を利用し公共交通機関の利用可能性がある対象者を早期より見定め，適切な外出手段が獲得されるようにアプローチする必要がある．

　The objective of this research was to prognosticate whether or not patients discharged from recovery rehabilitation units could use public transportation based on their abilities in the hospital. Follow-up investigations after discharge from a recovery rehabilitation unit were performed by telephone to determine if participants could use a train and bus. Retrospective investigations retrieved activities of daily living, physical function, and cognitive function from the hospital database at the time of their hospital admission and discharge. Eighty-three patients participated in the study, and the variables for the prognostication of using a train were age and motor items of functional independence at admission. Variables for using the bus were age and functional balance at admission. At discharge, those for using bus and train were only functional balance scale. These results can be used to identify patients who require early practice using public transportation, which will lead to rationalization of the practice.