Abstract
Background: A correlation has been found between self-care and caregiving ability in home discharged stroke patients. However, few studies have explored the interaction between individual self-care and caregiving ability. Purpose: This study aimed to investigate the interaction between individual self-care and caregiving ability in home discharged stroke patients. Participants and Methods: A total of 2688 stroke patients registered in the Japanese Rehabilitation Database (JRD) were retrospectively analyzed. Patients were classified into two groups based on their discharge destination (home discharge, non-home discharge), and the data were modified as mean-centered values. After a correlation analysis was performed between all the collected data, a hierarchical multiple regression analysis evaluated the interaction using discharge destination as the dependent variable. Model 1 used two independent variables (Rankin scale and cognitive functional independence measure score), model 2 used two independent variables (caregiving ability and individual self-care), and model 3 used a mean-centering value, which was added to model 2. A simple slope was used for further analysis. Results: Self-care showed an interaction with caregiving ability. The R2 changes in models 1 and 2 were significant in the following: grooming, bathing, gait, and climbing stairs (p < 0.01). Additionally, the results of the simple slope analysis were significant for all areas. Conclusion: Based on the JRD, this study suggested that a focus on improving these areas, especially climbing stairs, is effective in preparing for home discharge and should be positively considered for stroke patients.
Highlights
Stroke causes various long-term symptoms and post-stroke disabilities
This study aimed to investigate the interaction between caregiving ability and individual self-care activities for home discharge based on the motor-Functional Independence Measure (FIM) score
The data of 6875 stroke patients were registered on Japanese Rehabilitation Database (JRD)
Summary
Stroke causes various long-term symptoms and post-stroke disabilities. Stroke patients have functional disabilities, of which gait and activities of daily living (ADL) disturbances are the most common consequences [1] [2]. Previous studies have investigated reports on factors affecting home discharge and a prediction using outcomes [7] [8] These papers showed a relationship between ADL, Functional Independence Measure (FIM), and home discharge [9] [10] [11] [12]. The interaction between ADL and caregiving ability could lead to a more significant possibility of home discharge This could be beneficial for improving quality of life through ADL training during the rehabilitation of stroke patients. Purpose: This study aimed to investigate the interaction between individual self-care and caregiving ability in home discharged stroke patients. Conclusion: Based on the JRD, this study suggested that a focus on improving these areas, especially climbing stairs, is effective in preparing for home discharge and should be positively considered for stroke patients
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