{"created":"2023-07-25T10:24:41.885094+00:00","id":4756,"links":{},"metadata":{"_buckets":{"deposit":"7b8b780d-8024-4ca4-8292-359b1b229622"},"_deposit":{"created_by":18,"id":"4756","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"4756"},"status":"published"},"_oai":{"id":"oai:air.repo.nii.ac.jp:00004756","sets":["611:612:874:1365"]},"author_link":["14089","1744","14097","14096","1751","1822"],"item_10002_biblio_info_36":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"47","bibliographicPageStart":"37","bibliographicVolumeNumber":"27","bibliographic_titles":[{"bibliographic_title":"秋田大学大学院医学系研究科保健学専攻紀要"},{"bibliographic_title":"Health Sciences Bulletin Akita University","bibliographic_titleLang":"en"}]}]},"item_10002_description_29":{"attribute_name":"内容記述（抄録）","attribute_value_mlt":[{"subitem_description":"本研究は，回復期リハビリテーション病棟入院中の家族参加型リハビリテーションが退院前後の患者の ADL 能力と退院後の家族の介護負担感に与える影響について検証した．対象は，初発脳卒中患者とその同居する主介護者とし，調査内容に基づいて面接を行い，後方視的および現状の評価をした．調査内容は，患者と主介護者の背景，退院前後の患者の麻痺側の運動機能と ADL 能力（Functional\bIndependence\bMeasure とフローチャート式 FIM 質問紙で評価），家族の介護負担感（家族介護負担感尺度で評価）である．分析方法は対象者を参加型リハの実施の有無から実施群と非実施群の2群に分け，各測定値を比較した．さらに参加型リハが退院前後の患者の ADL 能力の変化及び退院後の家族の介護負担感に影響する因子であるか検討するために，FIM の運動項目と認知項目の変化量（退院後 Flow-FIM－退院前 FIM），介護家族負担感尺度を目的変数とした重回帰分析を行った．\nその結果，実施群の ADL 能力が退院後に有意に向上していることが示された．さらに重回帰分析によって，参加型リハの有無が退院後の ADL の運動機能（p ＝0.044，β＝0.379）と認知機能（p ＝0.006，β＝0.242）に影響を与える因子に抽出された．また，介護負担感は2群で明らかな差を認められず，退院後の介護負担感に影響する因子に退院後の記憶（p ＝0.013，β＝－0.465）が抽出された．\n以上より，参加型リハの実施が退院後の患者の運動と認知を含めた ADL 能力の向上に寄与することが示された．\nThis study examined the effects of voluntary training with family participation for ADL capability of stroke patients and the burden of caregivers, after discharge. The subjects were first-episode stroke patients and their primary caregivers.They were divided into two groups based on the presence of their families’ participation implementation:“the implementation group” and “the not implementation group.”The groups were compared by patient background, mobility and ADL capability (Functional Independence Measure and Flow-FIM). Moreover, the groups’ families were compared by family’s background and the burden of caregivers (Family Caregiver Burden Scale). To elucidate the factors that influenced ADL capability and the burden of caregivers after discharge, we analyzed multiple regression analyses that response variable was change amount of FIM (after discharge Flow-FIM － at discharge FIM)and Family Caregiver Burden Scale.\nThe subjects were twenty-eight patients and their primary caregivers. ADL capability after discharge was higher than at discharge in the implementation group. Using multiple regression analyses, the presence of their families’participate implementation was the main factor of ADL capability after discharge. There were no significant differences in the burden of caregivers in two groups. Using multivariate regression analyses, memory after discharge was the main factor of the burden of caregivers after discharge.\nIn conclusion, voluntary training with family participation was contributing to the improvement of ADL capability after discharge.","subitem_description_type":"Other"}]},"item_10002_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.20569/00005100","subitem_identifier_reg_type":"JaLC"}]},"item_10002_publisher_30":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"秋田大学大学院医学系研究科保健学専攻"}]},"item_10002_source_id_27":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"18840167","subitem_source_identifier_type":"ISSN"}]},"item_10002_source_id_35":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA12447617","subitem_source_identifier_type":"NCID"}]},"item_10002_version_type_37":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"丹羽, 歩"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"髙橋, 恵一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石川, 隆志"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NIWA, Ayumi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKAHASHI, Keiichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ISHIKAWA, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-08-13"}],"displaytype":"detail","filename":"hoken27-1(37)[1].pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"hoken27-1(37)[1]","url":"https://air.repo.nii.ac.jp/record/4756/files/hoken27-1(37)[1].pdf"},"version_id":"9f017ea7-5810-4205-8b8a-77dc2d9e755d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"脳卒中","subitem_subject_scheme":"Other"},{"subitem_subject":"回復期リハビリテーション","subitem_subject_scheme":"Other"},{"subitem_subject":"ADL","subitem_subject_scheme":"Other"},{"subitem_subject":"家族","subitem_subject_scheme":"Other"},{"subitem_subject":"介護負担感","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"家族参加型リハビリテーションが退院前後の脳卒中患者のADL 能力と退院後の家族の介護負担感に与える影響","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"家族参加型リハビリテーションが退院前後の脳卒中患者のADL 能力と退院後の家族の介護負担感に与える影響"},{"subitem_title":"Effects of voluntary training with family participation for ADL of stroke patients and the burden of caregivers after discharge","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"18","path":["1365"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-08-13"},"publish_date":"2020-08-13","publish_status":"0","recid":"4756","relation_version_is_last":true,"title":["家族参加型リハビリテーションが退院前後の脳卒中患者のADL 能力と退院後の家族の介護負担感に与える影響"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-25T11:02:03.865592+00:00"}