Physical Therapy Japan
Online ISSN : 2189-602X
Print ISSN : 0289-3770
ISSN-L : 0289-3770
Brief Report
Chang of Long-term Care Levels and Related Factors in Home-visit Rehabilitation Users
Takeshi OHNUMATsutomu ABEShinobu FUKUYAMAHiroyuki ABEMiki KOYAMA
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2016 Volume 43 Issue 6 Pages 501-507

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Abstract

Purpose: The purpose of this retrospective study was to follow the change in long-term care levels in users of home-visit rehabilitation service.

Methods: Home-visit rehabilitation service users were evaluated (n=510, mean age ± SD, 76.4 ± 11.5) who had used the service for more than 1 year. We investigated the frequency of home-visit rehabilitation each week, participation in other rehabilitation services, and the presence of early intervention home-visit rehabilitation. The change in long-term care levels between the start of home-visit rehabilitation to the timing of this initial investigation were compared. A logistic regression analysis was conducted to investigate the factors associated with care levels changes.

Results: Long-term care levels were significantly improved at the timing of investigation compared with levels at the start of the home-visits. Factors that were associated with improvement for long-term care levels were age (odds ratio [OR] = 0.967, 95%confidence intervals [CI]: 0.950–0.983, p < 0.001), and the early intervention of home-visit rehabilitation (OR = 1.950, 95%CI: 1.076–3.533, p < 0.05). Factors that deteriorated long-term care levels were age (OR = 1.049, 95%CI: 1.027–1.070, p < 0.001).

Conclusion: Early intervention of home-visit rehabilitation may promote improvement for levels of long-term care. For people requiring long-term care, starting home-visit rehabilitation as soon as possible is helpful for supporting and continuing a stable home life.

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© 2016 Japanese Society of Physical Therapy
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