地域リハビリテーションチーム医療の連携

Abstract

To perform successful physical rehabilitation, it is usual that home training outside the care and rehabilitation facility is also needed. However, when a therapist only contributes to teaching the users of the care and rehabilitation facility to perform home training without support by staffs of comprehensive medical care and caregivers, the users are passive, resulting in less success in physical amelioration. Effects of a team approach by staffs of comprehensive medical care and caregivers on rehabilitation performance in the care and rehabilitation facility were explored. Aim: The subiects of this study were 40 rehabilitation vsers using a daycare center for 3 months. Methods: Using Functional Independence Measure (FIM), the difference in the scores between before and 3 months after the team approach was evaluated. Results: The overall score in January was 3594 points and that in April was 4396 points; and the difference was 802 points, indicating the increase of the score. Mean score per user in January was 89.9 points and that in April was 109.9 points, with a difference of 20.1 points, indicating the increase of the score per user. Discussion: The present results indicate that the team approach improved physical amelioration. Thus, a therapist should organize the team approach with staffs of comprehensive medical care and caregivers around the user. As a resvit, the users of the care and rehabilitation facility will be able to actively perform home training in their homes with support by staffs of comprehensive medical care and caregivers, leading to progress in the quality of life of the users and their families.