脳卒中患者の退院後のADL自立度改善とその関連要因

Factors Related to ADL in Stroke Patients after Discharge

　この研究の目的は，退院後のADL自立度の変化状況とADL自立度の改善にかかわる要因を明らかにすることであり，富山県脳卒中患者登録者を対象に検討を行った．登録患者のうち，平成7年3月時点で生存し，50歳以上の933人から704人を対象とし，郵送によるアンケート調査を実施した．回答数は504人（71.6％）であった．

　結果は以下のとおりである．

　退院後各ADL自立度の改善にかかわる要因は，移動自立度では69歳以下群，痴呆無群，介護説明有群，自宅外退院群，食事自立度では痴呆無群，入院回数2回以下群，入浴自立度では69歳以下群，痴呆無群，自宅外退院群，入院回数2回以下群，排泄自立度では痴呆無群，介護者有群，自宅外退院群，入院回数2回以下群であった．

　The purpose of this study was to make clear the improvement in ADL at stroke patients after dischage, and the factors that contributed the improvement. The registrants of stroke patients in Toyama prefecture were investigated. The subjects were 704 people aged 50 years and over randomly sampled out of 933 people who were alive at March 1995. The questionnaire was send and 504 (71.6%) were withdrawn.

　The results were as follow. From multiple logistic regression analysis, significant factors affecting the improvement after discharge were ; "69 years and younger", "no dementia", "the patients who had been explained how to take care at home" and "discharged to other hospital or facility "in moving ability, "no dementia" and "admission less than 3 times" in feeding ability, "69 years and younger", "no dementia", "discharged to other hospital or facility" and "admission less than 3 times" in bathing ability, and "no dementia", "the patients who had caregiver", "discharged to other hospital or facility" and "admission less than 3 times" in excretion ability.