理学療法ジャーナル58巻11号

2024年11月発行

特集 Multimorbidity and Multiple Disabilities（MMD）—多疾患重複時代がやってきた！

急性期加療における新たなMMD発生予防対策

著者： 篠原史都¹ 河野裕治¹³ 水谷公司¹ 西田修² 大高洋平³

所属機関： ¹藤田医科大学病院リハビリテーション部 ²藤田医科大学医学部麻酔・侵襲制御医学講座 ³藤田医科大学医学部リハビリテーション医学講座

ページ範囲：P.1240 - P.1245

Point

●患者の救命率が飛躍的に改善した現代において，新たなMMDとして，入院関連能力障害（hospital acquired disability）／入院関連身体機能低下（hospital acquired functional decline：HAFD），集中治療後症候群（post intensive care syndrome：PICS）が顕在化した

●HAD/HAFD，PICSいずれも，発生すると時に長期化し，日常生活や社会生活への復帰に重大な支障を来すこともあるため，予防的理学療法がきわめて重要である

●HAD/HAFD，PICSを呈する患者やその家族が住み慣れた地域で療養し，社会復帰していくためには地域医療と綿密に連携してく必要がある

参考文献

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