2014 Volume 51 Issue 1 Pages 9-20
To study the influence of rehabilitation, the effect of provision of home-visit rehabilitation or day rehabilitation service or combine home-visit rehabilitation with day rehabilitation service was examined by analyzing the changes in the activities of daily living (ADL) and quality of life (QOL) in the users receiving these types of rehabilitation.
The Functional Independence Measure (FIM) scores for self-care, transfer and locomotion improved after 6 months in all the 3 groups (home-visit rehabilitation, day rehabilitation service, or a combination of the two); in particular, the combine home-visit rehabilitation with day rehabilitation service resulted in a greater degree of improvement in the scores for self-care and locomotion.
In addition, assessment using SF-36 suggested that all types of rehabilitation are highly likely to contribute to maintaining and preventing a reduction in the QOL, and that the functional characteristics of day rehabilitation service affect the improvement of the domain of RP (role physical). On the other hand, home-visit rehabilitation did not change the domain of RP (role physical) and reduced the domain of SF (social function). However, increased the domain of BP (body pain) and GH (general health) and improvement was observed in the largest number of domains at the home-visit rehabilitation.
Provision of services specialized to home-visit rehabilitation is highly likely to be effective for maintaining and preventing a reduction of the QOL, while the combine home- visit rehabilitation with day rehabilitation service may more effectively increase functional independence. Accordingly, a system is required that can provide rehabilitation via a variety of programs in homecare services
