Original Article

Influence of concomitant dementia on FIM gain in convalescent rehabilitation: Strategies to provide effective rehabilitation for patients with concomitant dementia

Tetsuya Yamagami, RPT, PhD, Mitsutaka Oka, ROT, Naomi Sunagawa, ROT, Yumiko Onozuka, RN, Yukiko Tanaka, MD, PhD, Haruyasu Yamaguchi, MD, PhD, Masami Saito, MD
Jpn J Compr Rehabil Sci 9: 52-58, 2018

Objective: The influence of the presence and severity of concomitant dementia on Functional Independence Measure (FIM) gain and strategies for rehabilitation were investigated in Kaifukuki rehabilitation wards.
Methods: The presence of dementia, and FIM gain and efficiency on admission and discharge as well as outcomes were compared among 232 patients in Kaifukuki rehabilitation wards. In addition, factors considered to be associated with a significant increase (positive) or decrease (negative) in FIM gain were investigated.
Results: Changes in FIM by the presence or absence of dementia showed a significant main effect (F=352.4, p<0.001) and interaction (F=5.382, p=0.021). FIM gain and efficiency were significantly lower in the group with dementia, but no significant difference in severity was noted between the group without dementia and the group of mildly demented elderly subjects with level II dependence in activities of daily living. Factors associated with positive FIM gain were medical and life management as well as approaches to involvement, whereas aggravation of the main disease and complications were considered negative factors.
Conclusion: FIM improved even in the presence of dementia through convalescent rehabilitation and care in consideration of dementia, suggesting that effects comparable with those for patients without dementia are possible when dementia is mild.

Key words: convalescent rehabilitation, dementia, Functional Independence Measure (FIM), Activities of Daily Living (ADL)

Contents (volume 9)