Assistance methods for activities of daily living according to basic movements among patients with cerebrovascular disorders

脑血管病患者基本动作的日常生活活动辅助方法

• 批准号: 20500652
• 负责人: USUKURA Kyoko
• 金额: $ 3.24万
• 依托单位: Saitama Prefectural University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2008
• 资助国家: 日本
• 起止时间: 2008 至 2011
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-20500652/
• 关键词: 脳血管障害; 基本動作能力; 日常生活活動; 介助; 脳血管障害者

The purpose of this study was to examine the relationship between basic movements and the degree of independence in activities of daily living(ADL) in order to clarify the characteristics of ADL assistance methods according to basic movements.The first study involved 42 institutionalized patients with cerebrovascular disorders in a recovery rehabilitation unit. Ten occupational therapists participated in this study. Survey items included 1) impairments, 2) basic movements, and 3) degree of independence in ADL. Multiplex logistic analysis revealed basic movements as a variable that influenced the degree of independence in ADL. Nine variables related to other motor dysfunctions, sensory dysfunction, and higher brain dysfunction were excluded. A significant difference according to basic movements was found in the degree of independence for 11 of 13 ADL items. These results suggest that basic movements can serve as an ADL index.The second study involved a mail-based questionnaire survey and a case study. For the mail-based survey, a questionnaire on ADL assistance methods according to basic movements was sent to 2,012 occupational therapists working at recovery rehabilitation units nationwide. A total of 587 occupational therapists responded(response rate, 29. 2%). Subjects in the case study were 149 institutionalized patients with cerebrovascular disorders in 12 recovery rehabilitation units. A total of 92 occupational therapists participated. Survey items included 1) basic information, 2) basic movements, and 3) ADL assistance methods. The survey provided a clear picture of the types of ADL assistance methods carried out according to basic movements.We also classified ADL assistance methods according to basic movements, and hope to address the efficacy of ADL assistance methods according to basic movements in the care setting with the goal of achieving independence in ADL.

本研究旨在探讨基本动作与日常生活活动（ADL）独立程度的关系，以厘清基于基本动作的ADL辅助方法的特点。第一项研究涉及42名在康复康复单位住院的脑血管疾病患者。10名职业治疗师参与了这项研究。调查项目包括：1)损伤，2)基本运动，3)ADL的独立程度。多重逻辑分析显示，基本运动是影响ADL独立程度的一个变量。排除了与其他运动功能障碍、感觉功能障碍和高级脑功能障碍相关的9个变量。在13个ADL项目中，根据基本动作的不同，有11个项目的独立程度存在显著差异。这些结果表明，基本动作可以作为ADL指标。第二项研究包括以邮件为基础的问卷调查和案例研究。通过邮寄方式，向全国康复康复单位的2012名职业治疗师发送了一份基于基本动作的ADL辅助方法问卷。共有587名职业治疗师回应（回应率，29.7%）。2%)。病例研究的对象是149名在12个康复康复单位住院的脑血管疾病患者。共有92名职业治疗师参与。调查项目包括：1)基本信息；2)基本动作；3)ADL辅助方式。这项调查清楚地说明了根据基本动作所采取的辅助生活方式的类型。我们还根据基本动作对ADL辅助方法进行了分类，并希望在护理环境中解决基于基本动作的ADL辅助方法的疗效，以实现ADL的独立性。

项目成果

脳血管障害者における基本動作能力とADL自立度との関係-基本動作能力はADLの指標となり得るか-

脑血管病患者基本运动能力与ADL独立性的关系——基本运动能力能否作为ADL的指标？

• 发表时间: 2012
• 期刊: 日本作業療法研究学会誌
• 作者: 臼倉京子;川間健之介;佐藤章;押野修司
• 通讯作者: 押野修司