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回復期リハビリテーション病棟における転倒とリハビリテーション訓練内容の実態調査


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Title: 回復期リハビリテーション病棟における転倒とリハビリテーション訓練内容の実態調査
Other Titles: INvestigation into Actual Conditions of Falls and the Content of Rehabilitation Training in a Convalescence Rehabilitation Ward
Authors: 山口, 多恵 / 松尾, 理佳子 / 勝野, 久美子 / 濱野, 香苗
Authors (alternative): Yamaguchi, Tae / Matsuo, Rikako / Katsuno, Kumiko / Hamano, Kanae
Issue Date: Dec-2009
Publisher: 長崎大学 / Nagasaki University
Citation: 保健学研究, vol.22(1), pp.17-24; 2009
Abstract: 回復期リハ病棟で発生した転倒事故70件を対象に, 転倒者の属性, Mini Mental State Examination得点, 転倒アセスメントツール得点, 転倒場所, 行動目的, 転倒直近のリハ訓練内容を調査した. その結果, 転倒者の67.5%が認知機能低下を有し, 83.7%が転倒アセスメントにより中・高リストと判定された患者であった. 転倒は深夜帯に多く, 排泄動作の際に頻繁していた. 転倒直近のリハ訓練内容で最も多かったのは, 理学療法ではADL訓練, 作業療法では認知心理機能訓練であった. これらの訓練が開始された時期には, 転倒リスクが高まるものと考え転倒予防に取り組む必要がある. / The objective of this study was to investigate the attributes of those who have a fall, their Mini-Mental State Examination scores, their Falls Risk Assessment Tool scores, their places of falls, the purposes of their behavior when they have a fall, and the content of rehabilitation training those who have a fall will take immediately before their falls. The subjects were 70 cases of falls that took place in a convalescence rehabilitation ward. The findings showed that 67.5 percent of those who fell had a decline in their cognitive functions, and that the patients judged by the Falls Risk Assessment Tool score to be at a middle or high risk accounted for 83.7 percent. Often falls took place during the middle of the night, and most frequently they occurred while the patients were toileting. The training most often they had immediately before their falls was the training in the Activities of Daily Living in physical therapy, whereas in occupational therapy it was the training in the functions of cognitive psychology. As soon as these kinds of training are begun, we should also begin to work on the prevention of falls, taking into account that the risk of falls will become much higher.
Keywords: 回復期リハビリテーション / 転倒転落 / 高齢者 / リハビリテーション訓練内容 / convalescence rehabilitaion ward / fall / the elderly / content of rehabilitation training
URI: http://hdl.handle.net/10069/23154
ISSN: 18814441
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 22, No. 1

Citable URI : http://hdl.handle.net/10069/23154

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