回復期リハビリテーション病棟における単位配分パスの導入による病棟ADL訓練向上への取り組み

Efforts to improve the quality of patient's ADL skills at convalescent care units introducing the original pass way

要旨：患者の退院後の実用的なADL能力の獲得に向けたリハビリテーションを充実させる目的で，当院独自に回復期リハビリテーション単位配分パスを作成し導入した．その成果を測るため，我々セラピストの訓練が生活の場である病棟で行えているか，看護師との情報交換が密に図れているか否かを調査した．その結果パス導入により，訓練の実施場所は訓練室中心から病棟中心へと変化し，看護師との情報交換も密に行えるようになったことが明らかになった．今回は，当院のパスを作成した経緯および内容を中心に報告する．

　In order to improve the quality of rehabilitation that is useful for patients to acquire the practical activities of daily living (ADL) skills, we developed and introduced the original pass way for convalescent care units. To judge the effectiveness of our trial, we surveyed whether or not therapists could use convalescent care units as the place of ADL exercise and where they could always exchange the patient's information with nurses via ADL exercises at convalescent care units. Results of the survey suggest that therapists changed, with regard to care units as the place of ADL exercise, to places where there were more opportunities to exchange patients' information with nurses. This time, we report on details and the content that makes the original pass way.