@misc{oai:phoenix.repo.nii.ac.jp:00001258,
 month = {2017-05-09, 2017-05-09},
 note = {平成28年度, This paper aimed to research the factors related to home discharge from geriatric health service facilities and develop a management tool of to assist those dependent on care and their caregivers. Management for home discharge was defined as multi-disciplinary support in home discharge, provided to those dependent on care and their caregivers, and attempted to develop management tool for home discharge.
 Firstly, a postal survey was sent to 542 care managers in geriatric health service facilities in Kyushu and Okinawa, Japan. A total of 147-150 valid responses were received. The date showed that assessment seat was not enough for home discharge and caregivers support. Furthermore, in geriatric health service facilities caregivers support was not provided sufficiently. Using exploratory factor analysis, three factors related to home discharge from geriatric health service facilities were identified. Geriatric health service facilities strengthening home discharge more enthusiastically practiced ADL support for those dependent on care and provided information more often than did the other geriatric health service facilities. When individuals are discharged home from geriatric health service facilities, ADL support is needed for those dependent on care, and educational support is necessary for family caregivers.
 Subsequently, a questionnaire survey was conducted with 37 caregivers to investigate their sense of burden. A total of 36 valid responses were received. A large proportion of caregivers worried about care and felt burden when they provided toileting assistance.
 Therefore, we identified need for support system that would promote independence during toilet use and examined the efficacy of pulling a lower garment up and down with one upper limb while leaning over a handrail. We analyzed time, sway in the center of gravity, rectangular area, ratio of gravity deviation, and moving distance of the ear lobe for sagittal plane assessment. Sway in the center of gravity, rectangular area, and moving distance of the ear lobe were significantly lower when using the handrail than when not using it. A positive correlation was found between the sway in the center of gravity and the rectangular area while pulling up short pants, and between the rectangular area and the moving distance of the ear lobe while pulling down short pants. These results suggest that pulling a lower garment up and down with one upper limb while leaning on a handrail is effective for hemiplegic patients with a standing balance disorder.
 On the basis of the above-mentioned- results, management tool was developed for home discharge from geriatric health service facilities, consisting of eight assessment sheets-:ⅰ) assessment of ADL and IADL in those dependent on care, ⅱ) assessment of elimination in those dependent on care, ⅲ) face sheet for caregivers, ⅳ) assessment of caregivers, ⅴ) assessment of local resources, ⅵ) life pattern comparison of those independent on care and caregivers, ⅶ ) judgment of possible or impossible home discharge from geriatric health service facilities, and ⅷ) planning of support for those dependent on care and caregivers.
 A fundamental characteristic of the management tool for home discharge from geriatric health service facilities is the assessment of ADL at home, placing importance on elimination, and assessment and planning for not only those dependent on care but also caregivers.
 Cutoff values of for sheet 1 (assessment of ADL and IADL in those dependent on care) and sheet 4 (assessment of caregivers) were obtained from previous research. The cutoff value for sheet 1 was 50 (perfect score: 100), that for seat 4 was 23 (perfect score: 30), and that for the total number of points was 71 (perfect score: 130). We propose the use of objective indexes of home discharge from geriatric health service facilities as a new approach to support those dependent on care. The validity and reliability of the management tool for home discharge need to be tested in futureresearch.},
 title = {介護老人保健施設における在宅復帰支援に関する研究 : 在宅復帰マネジメントツールの開発},
 year = {}
}