Toward understanding the structure of acquiring independence of toileting in stroke patients and establishment of structured practice.

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K11179
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 59010:Rehabilitation science-related
• Research Institution: Fujita Health University
• Principal Investigator: Kitamura Shin 藤田医科大学, 保健衛生学部, 講師 (80866963)
• Co-Investigator(Kenkyū-buntansha): 大高 洋平 藤田医科大学, 医学部, 教授 (00317257)
• Project Period (FY): 2021-04-01 – 2024-03-31
• Keywords: リハビリテーション / 脳卒中 / ADL

Outline of Final Research Achievements

For patients after stroke, acquiring independence in toileting is one of the main goals of rehabilitation. Toileting is a skill comprised of multiple subtasks, and knowledge of the difficulty level of independence of subtasks and the changes in the independence level over time will contribute to the development of specific practice strategies. In the present study, the toileting-related subtasks were longitudinally assessed using the Toileting Tasks Assessment Form in patients after stroke admitted to rehabilitation wards. The most difficult subtask upon admission was "Lock the wheelchair brakes," and the most difficult task to learn was "Dispose of incontinence pad/sanitary items". Patients were classified into three groups based on changes in their level of independence in the subtasks, suggesting the need for practice strategies tailored to the characteristics of each group.

Free Research Field

リハビリテーション

Academic Significance and Societal Importance of the Research Achievements

脳卒中患者にとってトイレ動作の自立獲得は日常生活を再建するうえで重要な課題である。トイレ動作は、トイレへの出入りや、便座への乗り移り、衣服の操作など、複数の細かい工程から構成される。本研究ではリハビリテーション病棟に入院する脳卒中患者を対象に、各工程の自立度の変化を調査し、各工程の入院時における自立の難易度や、入院期間中における動作獲得の難易度を明らかにした。また、脳卒中患者は各工程の自立の過程から3群に分けられ、各過程に対応した練習戦略が必要であることを明らかにした。本研究の結果は、脳卒中患者がトイレ動作獲得を目標に練習を行ううえで、どの工程からどのような順序で練習するべきかの示唆となる。