| Research Abstract |
Objective : Also in present, compared with many foreign countries, there are many numbers of mental disease-floors, and mean-hospitalization days are long in Japan. The promotion of discharge of the long-term hospitalization patients has been the important subject. This study aimed at presuming what social resources are needed most based on the grade of the disabilities of social functions, when promoting discharge of the long-term hospitalization patients.
Methods : It investigated for 1124 inpatients (from 16 hospitals, hospitalization term 1 year (more than)) about the disabilities of social functions and leaving-hospital possibility. Social functions were assessed by REHAB (rehabilitation evaluation Hall and Baker), and leaving-hospital possibility was judged by their doctor in charge. Moreover, the users of day care units (413 persons), living skills training institutions (106 persons) and living accommodations (51 persons) were also assessed and compared with the results of inpati
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ents.
Results; About the inpatients discharge possibility, 115 patients (GroupA, 10.2%) would be left from hospitals near future (less than 1 year) with the improvement of the condition of illness, 453 patients (GroupB, 40.3%) would be left from hospitals near future (less than 1 year) if social resources had been available, and 556 patients (GroupC, 49.5%) would continue hospitalization because of the condition of illness. About total devient behavior score (TDB), the difference between GroupB and day care units, living accommodations, GroupA, GroupC is significant (p<0.01). And the difference between GroupB and living skills training institutions is significant (p<0.05). About total general behavior score (TGB), the difference between GroupB and day care units, living accommodations, GroupA, GroupC is significant (p<0.01). But the difference between GroupB and living skills training institutions is not significant.
Discussion : GroupB occupies 40.3%. It becomes clear that discharge of long-term inpatients is not promoted, since social resources are insufficient. Inpatients of GroupB need the more living support than users of day care units. According to the results of this Study, discharge of GroupB will be promoted, if living support system almost equivalent to the users of living skills training institutions is prepared.
Conclusions : For promoting the discharge of long-term inpatients, increase the number of living skills training institutions and expansion of use are needed. Moreover community living support centers and home-help services, etc. have to be fixed, and establishment of the community living support system which can be equivalent to living skills training institutions is required. Less
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