Interaction between Caregiving Ability and Home Discharge Using Severity Classification upon Discharge ()
ABSTRACT
Background: The interaction between self-care and caregiving
ability in home discharged stroke patients is unclear. Purpose: This
study investigates the interaction between caregiving ability and individual
self-care activities for post-stroke patients upon home
discharge based on their motor-Functional Independence Measure (m-FIM) score. Methods: A total of 2626 stroke
patients registered in the Japanese Rehabilitation Database were
retrospectively analyzed. Extracted data were divided into three groups based
on the m-FIM score at discharge and classified into two groups based on their
discharge destination (home discharge, non-home discharge). After the data were modified as mean-centered values, a
hierarchical multiple regression analysis evaluated the change in
variance amount (ΔR2) using discharge destination as the dependent
variable. Model 1 used two independent variables (Rankin Scale and cognitive
FIM score), model 2 used two independent variables
(caregiving ability and individual self-care), which were added to model
1, and model 3 used an interaction term value, which was added to model 2.
Furthermore, a simple slope analysis was performed for these interaction
effects. Results: The ΔR2 exhibited six and five self-care
items in the moderate and mild groups,
respectively. The interaction was significant on simple slope analysis in the
moderate group for six self-care items (except dressing upper body, toileting,
and bowel management) and in the mild group for three self-care items,
including dressing upper body, bladder management, and climbing stairs). Conclusion: This study suggests the need for intervention, especially
bladder management and single-foot standing ability during step climbing, in
stroke patients discharged to home. In addition, caregiving ability is one of the factors that should be
considered in mild group.
Share and Cite:
Kimura, T. (2022) Interaction between Caregiving Ability and Home Discharge Using Severity Classification upon Discharge.
Open Journal of Therapy and Rehabilitation,
10, 9-24. doi:
10.4236/ojtr.2022.101002.
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