2025 年 21 巻 1 号 p. 167-175
Objective: In the convalescent rehabilitation wards, the perceptions of clients and occupational therapists of post-discharge occupational performance are crucial. However, the association between predicted and actual occupational performance in patients with stroke remains unclear. This study aimed to examine the association between predicted and actual occupational performance in patients with stroke in a convalescent rehabilitation ward.
Methods: Twenty patients with stroke were included in the discharge survey, whereas 16 patients participated in the post-discharge survey. All participants, who exhibited no significant cognitive impairments, were scheduled for home discharge in a convalescent rehabilitation ward. The discharge survey collected data on basic demographics, physical and mental function, experience with application or social adjustment practices, occupational typology, Canadian Occupational Performance Measure (COPM) scores, and Assessment of Client's Enablement (ACE) results. In the post-discharge survey, COPM scores for the occupations identified at discharge and the utilization of long-term care insurance were assessed.
Results: A total of 93 and 74 occupations were recorded in the discharge and post-discharge surveys, respectively. ACE client scores were significantly correlated with post-discharge COPM performance (r = 0.47) and satisfaction scores (r = 0.36). Post-discharge COPM-P (p < 0.001) and COPM-S (p = 0.047) scores were significantly higher in occupations with practice experiences during their stay in the convalescent rehabilitation ward.
Conclusions: Clients' perception of “engaging in meaningful occupations after discharge” may facilitate the resumption and continuation of occupations. Furthermore, the provision of practice experiences during hospitalization is recommended to enhance post-discharge occupational performance.
