2020 年 11 巻 p. 21-27
Fujihara H, Goto K, Higashino M, Nakamura S, Tanaka E, Sunaga T, Kawate N, Kawazoe K, Watanabe T, Sasaki T. The impact of lesion location on medication self-management ability in patients with cerebrovascular disease. Jpn J Compr Rehabil Sci 2020; 11: 21-27.
Objective: To elucidate the impact of cerebrovascular lesion location on patients' ability to manage their own medications, we retrospectively investigated the differences in ability between the left hemisphere damage group (Group L) and the right hemisphere damage group (Group R).
Methods: In patients with cerebrovascular disease who were discharged from the Kaifukuki rehabilitation ward of our hospital between October 2011 and March 2013 and between January 2016 and December 2017, Group L and Group R were compared.
Results: The study subjects were 282 patients, and both Group L and Group R had 141 patients each. The length of time required for achieving medication self-management was longer in Group L than in Group R (p=0.02), showing a significant difference.
Conclusion: The delay in achieving medication self-management in Group L was considered due to impairment of the dominant arm by right hemiplegia, which, unlike in Group R, hindered the dexterity required for taking medications. In order for patients with cerebrovascular disease to become capable of managing their own medications, it is considered essential to assist in developing medication support plans according to lesion location.