Original Article

Effect of adaptations to the living environment on ADL abilities and self-perception of performance/satisfaction\Based on experience from post-discharge home visits\

Yoshie Omiya, RPT, Shota Suzumura, OTR, MA, Naoki Itoh, RPT, PhD, Aiko Osawa, MD, PhD, Rie Tateno, OTR, Aki Mizuno, OTR, Izumi Kondo, MD, PhD
Jpn J Compr Rehabil Sci 7: 95-101, 2016

Objective: We evaluated the change in post-discharge ability in activities of daily living (ADL) and selfperception of performance/satisfaction in patients who were hospitalized at the restoration phase rehabilitation ward and for whom pre-discharge home visits were conducted.
Methods: The study included 10 patients, for whom post-discharge home visits were conducted approximately 3 months after discharge. In the postdischarge home visit, we ascertained the places where adaptations to the living environment were made before patients were discharged. ADL abilities were assessed by the Functional Independence Measure (FIM) while occupational performance and satisfaction with performance were evaluated by the Canadian Occupational Performance Measure (COPM).
Results: The patients tended to perceive ADL that were carried out in a well-adapted living environment as important occupations. A comparison made between pre- and post-discharge home visits showed improvement in mean score from 5.5 to 7.3 for performance and from 5.3 to 7.4 for satisfaction, both presenting significant differences, maintaining ADL by and large.
Conclusion: It was suggested that when implementing hospital-to-home discharge, it is vital to focus on the in-home flow of activity, means for going out, and toilet and bathroom environment, and that adaptations to the living environment have a beneficial effect on self-perception of performance/satisfaction for the occupations selected by patients.

Key words: adaptations to the living environment, pre-discharge home visits, post-discharge home visits, FIM, COPM

Contents (volume 7)