回復期リハビリテーション病院における退院支援—寿地区の簡易宿泊所で独居生活となる事例

Support for people discharged from a rehabilitation hospital and living alone at flophouses in the Kotobuki area

要旨：寿地区簡易宿泊所で独居生活となる事例への退院支援のため，事例らが生活の中で何を重視しているか理解することを目的として簡易宿泊所で独居生活の事例にインタビューし，Steps for Coding and Theorizationを用い質的分析を行った．その結果，人間関係，金銭管理，身体機能，日中の活動，住環境の5つのテーマが抽出された．特に，人間関係と金銭管理についての発言が多く聞かれた．退院後に関わる支援者との良好な人間関係構築に資する情報提供，利用サービスの費用面において本人の納得が得られる十分な対応，簡易宿泊所環境に合わせたADL・IADL自立度向上のための柔軟な対処という視点が重要であると考えられた．

　Aim: To understand the clients' needs upon being discharged from rehabilitation hospitals and living alone in flophouses in the Kotobuki area. Target and Methods: We interviewed and quantitatively analyzed three clients who were discharged from a rehabilitation hospital to flophouses using Steps for Coding and Theorization (Following, SCAT). Results: We found five factors influencing the clients' needs: association with their neighbors, money management, physical and motor function, daily activities, and living environment. Conclusion: The following three points are important for clients who are discharged from a rehabilitation hospital and live alone in flophouses in Kotobuki area. The first is to provide information for rapport building with the clients and support providers. The second is to get their understanding and agreement about health insurance expenses. The third is to provide flexible ideas to adapt their abilities of ADL and IADL to the living environment in the flophouse.