RESUMO
Purpose：To clarify factors associated with self-efficacy in elderly patients discharged from the hospital to their homes.Methods：The subjects comprised 88 patients who had received in-hospital rehabilitation for musculoskeletal disease and were discharged to their homes. Factors associated with self-efficacy were examined. The self-efficacy scale score was determined using the hierarchical cluster analysis, and significant differences in characteristics were examined through multiple comparisons. Multiple regression analysis was used to evaluate self-efficacy associated with the frequencies of “going out” and “physical exercise” at 1 week, 1 month, and 3 months after discharge.Results：Self-efficacy 3 months after discharge was significantly associated with female sex, age, non-social role, length of hospital stay, cognitive decline, and relative functional efficiency. In addition, higher frequencies of “physical exercise” or “going out” were more likely to result in higher self-efficacy than lower frequencies of “physical exercise” or “going out.”Conclusion：The results suggest that physical activity is associated with self-efficacy and that the difference in the contents of the physical activity relates to self-efficacy.
RESUMO
<p>Purpose：To clarify factors related to changes in activities of daily living (ADL) among elderly patients who were discharged to home.</p><p>Methods：The subjects were 88 persons who received in-hospital musculoskeletal rehabilitation and discharged to home. Factors related to changes in functional independence measure (FIM) score were examined.</p><p>Results：The factors related to restoring the FIM score to its values before hospitalization were frequency of physical exercise at 1 week (odds ratio [OR] ＝1.41) and 1 month (OR＝1.27) after hospital discharge, restoring the FIM score at hospital discharge to its value before hospitalization (OR＝3.96), and feeling of self-efficacy (OR＝1.16) at 3 months after hospital discharge. A receiver-operating characteristic analysis revealed that the factors related to restoring the FIM score to its value before hospitalization were frequency of physical exercise (cutoff value＝1.5) at 1 week after discharge, frequency of physical exercise (cutoff value＝1.0) at 1 month after discharge, and feeling of self-efficacy (cutoff value＝31.5) at 3 months after discharge. In addition, ≥ 2 days of physical exercise per week after hospital discharge was more likely to lead to high FIM score than ＜ 2 days of physical exercise per week.</p><p>Conclusion：Our results implied that regular physical exercise soon after hospital discharge would lead to better prognosis</p>