Social rehabilitation is required in community-based rehabilitation

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  • 地域リハビリテーションに求められていること
  • 地域リハビリテーションに求められていること : Life-Space Assessmentおよび要介護度認定を用いた検証
  • チイキ リハビリテーション ニ モトメラレテ イル コト : Life-Space Assessment オヨビ ヨウカイゴド ニンテイ オ モチイタ ケンショウ
  • Verification by Life-Space Assessment and need of care degree
  • Life-Space Assessmentおよび要介護度認定を用いた検証

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Abstract

<p>This study evaluated the effects of social rehabilitation through community participation of elderly and disabled individuals who use a rehabilitation facility. We followed 40 individuals from rehabilitation facility users for one year. Intervention group consisted of 20 individuals who requested community participation activities. Control group consisted of 20 individuals with no significant difference in variables of：age-, need of care-, gender-, living with family member-, and degrees of the facility use. Both groups were provided individual rehabilitation and group rehabilitation, but the intervention group was also given community participation activities. We then examined LSA score and need of care degree at the baseline and at the end of the intervention in both groups. We performed within- and between-group comparisons in LSA score and need of care degree.</p><p>For intervention group, the average LSA score was 36.2±21.5 points at the baseline, 49.7±20.8 points at the end of the intervention and ratio of improving LSA score was 1.70±0.98. For control group, the average LSA score was 36.9±26.4 points at the baseline, 38.6±25.8 points at the end of the intervention and ratio of improving LSA score was 1.15±0.44. Within-group comparisons for intervention group, the LSA score at the end of the intervention was significantly greater than that of at the baseline. However, no significant difference was found in control group. Moreover, for between-group comparisons, the ratio of improving LSA score of intervention group was significantly greater than control group, whereas need of care degree was not significantly different between both groups. </p><p>Social rehabilitation to enhance community participation is a valid approach for housebound elderly persons. To improve QOL issues in elderly persons, prevalence of social rehabilitation is required in community-based rehabilitation.</p>

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