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Process of stroke survivors' completion of day care center programs in Japan Sosuke Nagao 1,2 , Ryuji Kobayashi 3 1Long-Term Care Health Facility, Kunitachi Aoyagien 2Visiting Researcher, Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University 3Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University Keyword: 通所リハビリテーション , 質的研究 , 介護保険 , 脳卒中 , Day care , Qualitative research , Long-term care insurance , Stroke pp.637-645
Published Date 2018/12/15
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 Day care centers that operate under long-term care insurance in Japan are expected to have more clients transfer from day care centers to other social activity venues. The purpose of this study was to elucidate the process of clients' completion of the day care center program (and subsequent transfer thereof). Four stroke survivors who had used day care centers were interviewed on their experiences there. Trajectory Equifinality Approach (TEA) was used to analyze the results in which the clients reported recovering their physical functions and qualitative improvement of activities of daily living due to the day care programs. Thereafter, they gained confidence to carry out daily activities and expanded the scopes of their activities and participation. The day care members (staff or other users) gave them direct or indirect opportunities to reconsider how they wanted to manage their lives without the day care. The clients also believed that the rehabilitation process would continue to be a part of their lives. Therefore, they voluntarily considered utilizing other social supports for their rehabilitation after completing the day care program. These findings suggest that day care centers promote community-dwelling stroke survivors' autonomous attitudes for rehabilitation and self-management.


Copyright © 2018, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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