Construction of a simulation education program for general condition management in visiting rehabilitation

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K18859
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: Tohto University
• Principal Investigator: Hirano Yasuyuki 東都大学, 幕張ヒューマンケア学部, 教授 (90583211)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: シミュレーション教育 / 訪問リハビリテーション / 全身状態管理 / 病状変化の気づき / 緊急対応 / フィジカルアセスメント / 卒後教育

Outline of Final Research Achievements

We examined the effectiveness of a simulation education program that enables rehabilitation workers to recognize changes in the condition of users or signs of sudden deterioration and take appropriate action. Rehabilitation workers were recruited from the public and randomly assigned to two groups: classroom learning only (SM-: 8) and classroom learning + simulation (SM+: 8), and training was conducted in each group, and the effects were examined. As a short-term effect, the scores for the written test and self-efficacy improved in both groups. In addition, compared to SM-, SM+ had a significantly improved image of abnormal findings from auscultation and palpation. As a long-term effect, 6 months after the training, SM+ had a significantly improved knowledge of listening to heart sounds compared to SM-. However, one year after the training, no significant difference was observed between the two groups.

Free Research Field

地域理学療法

Academic Significance and Societal Importance of the Research Achievements

本研究の成果として、シミュレーターを活用した研修はリハ従事者の医学的側面の質向上に寄与できる可能性が示唆された。これは、受給者の再入院予防や住み慣れた環境での生活の維持などに繋がり、ひいては社会保障費の抑制に貢献できる可能性がある。また、より臨床現場に近い実践的な教育を進めるためのシミュレーター開発にも着手でき、場所を限定せずに質の高い教育環境の整備につながる可能性がある。
以上より、本研究はリハ従事者の医学的側面の質向上に寄与する学術的意義を有し、社会保障費の抑制に向けた課題解決の一助となる可能性があることから社会的意義を有する研究であると考える。