Relationship between Activities of Daily Living and Psychological Aspects at Discharge from a Convalescent Rehabilitation Ward

抄録

Discharge support currently focuses on the independence of activities of daily living (ADL) in the convalescent rehabilitation ward. However, understanding the psychological aspects is important for suitable discharge interventions. The objective of this study was to clarify the relationship between ADL independence level and psychological aspects when patients' discharge from convalescent wards was confirmed. A cross-sectional survey was conducted with 80 patients in convalescent wards to examine the relationship between ADL independence level using functional independence measure (FIM) values and responses to eight questions about psychological aspects. The results revealed that the ADL independence level is correlated with “mental preparation for discharge” and “consultation during hospitalization.” The details correlated with “mental preparation for discharge” differed depending on the disease. “Awareness of ADL independence” was correlated in cerebrovascular diseases and “awareness of physical recovery” in motor diseases. The results suggest the importance of comprehending patients' concerns during hospitalization and changing the perspective to providing psychological support according to disease.