%0 Journal Article
%T Interaction between Caregiving Ability and Home Discharge Using Severity Classification upon Discharge
%A Takashi Kimura
%J Open Journal of Therapy and Rehabilitation
%P 9-24
%@ 2332-1830
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojtr.2022.101002
%X <span style=\"font-family:Verdana;\"><strong>Background:</strong></span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\"> The interaction between self-care and caregiving
ability in home discharged stroke patients is unclear. </span><b><span style=\"font-family:Verdana;\">Purpose:</span></b><span style=\"font-family:Verdana;\"> This
study investigates the interaction between caregiving ability and individual
self-care activities for </span></span><span style=\"font-family:Verdana;\">post-stroke patients upon home
discharge based on their motor-Functional</span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\"> Independence Measure (m-FIM) score. </span><b><span style=\"font-family:Verdana;\">Methods:</span></b><span style=\"font-family:Verdana;\"> 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 </span><span style=\"font-family:Verdana;\">were modified as mean-centered values, a
hierarchical multiple regression</span><span style=\"font-family:Verdana;\"> analysis evaluated the change in
variance amount (ĶĪR</span><sup><span style=\"font-family:Verdana;\">2</span></sup><span style=\"font-family:Verdana;\">) using discharge destination as the dependent
variable. Model 1 used two independent variables (Rankin Scale and cognitive
FIM score), model 2 used two independent va</span><span style=\"font-family:Verdana;\">riables
(caregiving ability and individual self-care), which were added to </span><span style=\"font-family:Verdana;\">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. </span><b><span style=\"font-family:Verdana;\">Results:</span></b><span style=\"font-family:Verdana;\"> The ĶĪR</span><sup><span style=\"font-family:Verdana;\">2</span></sup><span style=\"font-family:Verdana;\"> exhibited six and five self-care
items in the moderate </span><span style=\"font-family:Verdana;\">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,</span><span style=\"font-family:Verdana;\"> and climbing
%K Interaction
%K Stroke
%K FIM
%K Discharge
%K Caregiving Ability
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=114484