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