回復期リハビリテーション病棟運動器疾患患者における入院前の生活機能と退院時歩行自立との関連

Abstract

[Purpose] To clarify the relationship between daily life function before admission to a rehabilitation ward and walking independence at discharge. [Participants and Methods] Thirty older patients with musculoskeletal diseases who were ambulatory independent before hospitalization but were not ambulatory independent at the time of admission to the rehabilitation ward were included. The dependent variable was whether the patients could walk independently at the time of discharge from the hospital, and the independent variables were life functions (physical domain, nutrition domain, eating domain, houseboundness domain, memory domain, and multi-domain) which were assessed using the Kihon Checklist. [Results] There were 21 patients (70.0%) who were ambulatory independent at discharge. Patients with physical domain decline, housebound and impaired multi-domain prior to hospitalization were less likely to be independent in walking after discharge than those without physical domain decline, housebound and impaired multi-domain. [Conclusion] We suggest that good pre-hospital life function is associated with ambulatory independence.