2014 Volume 15 Issue 3 Pages 183-188
In January, 2009, Kagawa Seamless Care Study Group started the operation of the cerebral apoplexy liaison critical path by digital information using Kagawa Medical Internet eXchange (K-MIX).
This time, 580 persons discharged from the convalescence institution were classified into the home return group (407 persons) and the non-home return group (173 persons). The activities of daily living for returning home based on the “everyday life evaluation of function” in both groups were analyzed, and the following results were obtained.
1. In both groups, the degree of life independence at the time of leaving from a convalescence institution was significantly higher than that at the time of leaving from an acute stage hospital.
2. The degree of life independence of the home return group was significantly higher than that of the non-home return group at the time of leaving from both an acute stage hospital and a convalescence institution.
3. In the home return group, index of “cognitive items”, “changing sides”, “rising”, “seating position retention”, and its “dietary intake” were high at the time of leaving acute stage hospital, and “the change”, “move procedure”, and “cleaning the oral cavity” and “exchange of clothing” had improved further at the time of leaving a convalescence institution.
When the degree of independence of self-care items, such as “cognitive items”, “changing sides”, “rising”, “seating position retention”, and “dietary intake”, was maintained by this examination at the time of leaving acute stage hospital, it became clear that the further improvement in a convalescence institution could be expected. In nursing, care and rehabilitation in an acute stage hospital, it seems that the improvement in the degree of independence of daily life, such as operation on a bed and dietary intake, should be given attention.
