Relationship between whether the planned discharge destination is decided and locomotive syndrome for admitted patients in psychiatric long-term care wards.
Length of stay
Locomotive syndrome
Psychiatric long-term care wards
Journal
Physical therapy research
ISSN: 2189-8448
Titre abrégé: Phys Ther Res
Pays: Japan
ID NLM: 101700769
Informations de publication
Date de publication:
2020
2020
Historique:
received:
25
11
2019
accepted:
16
05
2020
entrez:
25
1
2021
pubmed:
26
1
2021
medline:
26
1
2021
Statut:
epublish
Résumé
We focused on locomotive syndrome as a low physical function factor that may prevent patients with psychiatric disease from being discharged. The purpose of this study is to clarify the factors, including locomotive syndrome, that prevent discharge from psychiatric long-term care wards. We enrolled 74 patients who were admitted to psychiatric long-term care wards at three different hospitals in Japan. Nurses or medical social workers in the ward were asked whether the planned discharge destination had been decided, and patients were categorized into a decided group and an undecided group. Outcome measures were age, sex, F code in the ICD-10 Classification of Mental and Behavioral Disorders, length of stay, chlorpromazine equivalent dose of antipsychotics, locomotive syndrome test scores (25-question GLFS, two-step test, stand-up test), and Barthel Index. Based on the multivariate logistic regression analysis results, the length of stay and the two-step test score significantly explained the difference between the two groups. The odds ratio of a length of stay greater than 10 years was 8.42 times that of a length of stay less than 2 years (P=0.012, 95% CI=1.59, 44.53). Regarding the twostep test, the odds ratio for obtaining stage 2 was 10.62 times that for obtaining stage 0 (P=0.013, 95% CI=1.65, 68.23). Those who with longer length of stays and lower two-step test scores tended not to be decided the planned discharge destination.
Identifiants
pubmed: 33489657
doi: 10.1298/ptr.E10016
pmc: PMC7814226
doi:
Types de publication
Journal Article
Langues
eng
Pagination
180-187Informations de copyright
2020, JAPANESE PHYSICAL THERAPY ASSOCIATION.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest associated with this manuscript.
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