Hisato Fujihara, Ph, PhD, Keiya Goto, Ph, Mayumi Higashino, Ph, Shoko Nakamura, Ph, Eriko Tanaka, Ph, Tomiko Sunaga, Ph, PhD, Nobuyuki Kawate, MD, PhD, Kazuyoshi Kawazoe, Ph, PhD, Toru Watanabe, Ph, PhD, Tadanori Sasaki, Ph, PhD
Jpn J Compr Rehabil Sci 11: 21-27, 2020
Objective: To elucidate the impact of cerebrovascular
lesion location on patientsf ability to manage their own
medications, we retrospectively investigated the
differences in ability between the left hemisphere
damage group (Group L) and the right hemisphere
damage group (Group R).
Methods: In patients with cerebrovascular disease
who were discharged from the Kaifukuki rehabilitation
ward of our hospital between October 2011 and March
2013 and between January 2016 and December 2017,
Group L and Group R were compared.
Results: The study subjects were 282 patients, and
both Group L and Group R had 141 patients each. The
length of time required for achieving medication selfmanagement
was longer in Group L than in Group R
(p=0.02), showing a significant difference.
Conclusion: The delay in achieving medication selfmanagement
in Group L was considered due to
impairment of the dominant arm by right hemiplegia,
which, unlike in Group R, hindered the dexterity
required for taking medications. In order for patients
with cerebrovascular disease to become capable of
managing their own medications, it is considered
essential to assist in developing medication support
plans according to lesion location.
Key words: medication self-management, cerebrovascular disease, cerebrovascular lesion location, Kaifukuki rehabilitation ward