訪問リハビリテーションの利用頻度を減らす際に重要視する要因—介護支援専門員と訪問リハビリテーション職の意識調査から

Important factors in reducing the frequency of home-visit rehabilitation: Attitude survey of care managers and home-visit rehabilitation professionals

要旨：訪問リハビリテーション（以下，訪問リハ）の利用頻度を減らす際に重要視する要因に関して，介護支援専門員（以下，ケアマネ）と訪問リハ職に対して意識調査を実施した．因子分析を行い，訪問リハを減らす際に重要視する因子として，「介護力と他者との交流」，「ADL動作の自立」，「個々のQOL」，「移動能力の自立と身体機能の維持向上」，「IADL動作の実施」の5因子を得た．因子平均の比較から，訪問リハを減らす際に，ケアマネは「ADL動作の自立」を重視し，訪問リハ職は「個々のQOL」を重視していることが分かった．このような違いから，訪問リハの利用頻度を減らす際には，職種間で意見の相違が生じる可能性がある．

　We conducted a survey to clarify the factors that long-term care-support specialists (i.e. care managers) and home-visit rehabilitation professionals (physical, occupational, and speech language-hearing therapists) consider important in reducing home-visit rehabilitation service. The exploratory factor analysis derived five factors: “Caring ability and interaction with others”, “Independence in ADL”, “Individual QOL”, “Independent mobility, maintaining and improving physical function”, and “Implementation of IADL”. Furthermore, comparison of the factors revealed that care managers tend to focus on the “Independence in ADL” factor and home-visit rehabilitation professionals tend to focus on the “Individual QOL” factor. As a result, care managers and home visit rehabilitation professionals may have different opinions when reducing the frequency of home-visit rehabilitation services.