2022 Fiscal Year Final Research Report
Establishment of ICF-based model for disability of daily life performance and in elderly with heart failure and verification of new intervention methods of caldiac rehabilitation
| Project/Area Number |
20K19378
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| Research Category |
Grant-in-Aid for Early-Career Scientists
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| Allocation Type | Multi-year Fund |
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| Review Section |
Basic Section 59010:Rehabilitation science-related
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| Research Institution | Hiroshima University |
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Principal Investigator |
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| Project Period (FY) |
2020-04-01 – 2023-03-31
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| Keywords | 生活行為 / 質的研究 / ADL / IADL / ICF / 障害モデル / 心不全 / 高齢者 |
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| Outline of Final Research Achievements |
The purpose of this study was to establish a model of impaired activities of daily living using ICF in elderly patients with heart failure, and to develop a new rehabilitation method focusing on activities of daily living. We interviewed four patients with chronic heart failure and conducted a qualitative analysis using SCAT (Otani 2007). We found that patients with chronic heart failure are impaired in activities of daily living such as shopping, cleaning, changing clothes, caring for others, and washing clothes, and that they cope with these impairments through the use of tools and methods, family support, and health services. Furthermore, we have developed a "Guidebook for Reducing Shortness of Breath in Heart Failure Patients" and found that ADL adjustments based on this guidebook reduced cardiac output during activities of daily living.
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| Free Research Field |
作業療法学
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| Academic Significance and Societal Importance of the Research Achievements |
本研究は心不全患者の生活行為障害に焦点を当て，質的研究を用いて障害構造をICFコードで解明した点が新規的である．本研究で作成したガイドブックを用いることにより，心不全患者の指摘範囲での身体活動量の維持とQOL向上に繋がる可能性がある．また，過活動や低活動の予防により，再入院やフレイル・要介護状態といった健康状態の悪化を防ぐことに繋がるため，医療費・介護費の抑制に繋がることが期待できる．
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