回復期リハビリテーション病棟患者における入院前と退院後のIADL実施頻度と退院時に予測したIADL実施頻度の比較

Comparing of performed IADL of patients at hospital pre-admission and post-discharge with the predictive IADL upon discharge in recovery phase rehabilitation wards

要旨：本研究の目的は，入院前と退院後のIADLの実施頻度と，退院時に予測した退院後のIADLの実施頻度を，縦断的に調査することである．回復期リハビリテーション病棟入院患者104名を対象とし，入院前，退院時，退院後のFrenchay Activities Index（FAI）でIADL実施頻度を測定した．結果，入院前と退院後では，ADLに大きな変化は見られなかったが，IADLの実施頻度は低くなることが判明した．また，対象者は退院時に「屋内家事」のみ入院前と同様の頻度で実施できると予測していたが，FAIの全項目で退院時の予測と比べて退院後のIADLの実施頻度は低かった．ADLが自立している対象者に対しても，入院中からIADLを支援する必要性が示唆された．

　The purpose of the study was to examine the performed IADL level at hospital pre-admission and after discharge of 104 patients at recovery phase rehabilitation wards and compare it with their predicted level of IADL one month after discharge. The frequency of IADL was measured by FAI. Results showed that the frequencies of their IADL performance after discharge were significantly lower in comparison with their IADL before admission. Although the patients expected that the “House Chore IADL” would be the only activity they could perform well, that was not the case, nor could they perform any other IADL. It is imperative to habituate all aspects of the IADL at the recovery phase rehabilitation wards and provide continuous support to raise their IADL performance after discharge, even though the patients may seem be sufficiently independent in terms of ADL.