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Exploring home-visit rehabilitation for terminally ill patients with cancer : insights from Japanese care managers
Article
BACKGROUND: Care managers (CMs) play a vital role in planning, managing, providing family support, and coordinating services for individuals in need, particularly in the field of palliative care. To implement home-visit rehabilitation for terminally ill patients with cancer effectively, it is essential for the care plan created by the CM to be incorporated into the system. Collaboration with the CM is key to ensuring the successful implementation of rehabilitation. Despite this necessity, there is a lack of studies investigating the background and challenges preventing progress in this area. Therefore, this study aimed to clarify the current status of home-visit rehabilitation for terminally ill patients with cancer, focusing on CMs. By identifying associated factors, we aim to suggest guidelines for promoting the use of home-visit rehabilitation to maintain and improve the quality of life of terminally ill patients with cancer in their home settings.
METHODS: A self-administered survey was mailed or distributed directly to CMs. It collected the following 11 types of information: gender, age, years of work experience, basic job title, working form, office management system, experience with home-visit rehabilitation (including for terminally ill patients with cancer), perception and importance of this service, and reasons for not implementing it for terminally ill patients with cancer. T-tests or chi-square tests were conducted to examine the association between home-visit rehabilitation experiences and sociodemographic data, as well as the relationship between home-visit rehabilitation for terminally ill patients with cancer, sociodemographic data, and perceptions of and need for home-visit rehabilitation.
RESULTS: Out of 520 questionnaires distributed across seven regions in three prefectures, 388 were returned, resulting in a response rate of 74.6%. After excluding incomplete responses, data from 357 respondents were considered valid. Age (p = 0.004), years of work experience (p < 0.001), and working form (p < 0.001) were found to be related to home-visit rehabilitation experience. A significant association was identified between home-visit rehabilitation experience for terminally ill patients with cancer and years of work experience (p < 0.001), and the perception (p < 0.001) and necessity (p = 0.001) for home-visit rehabilitation.
CONCLUSIONS: These results suggest that promoting palliative rehabilitation for terminally ill patients with cancer in home care requires actively encouraging CMs to develop a shared understanding of the services and their role.
http://dx.doi.org/10.7759/cureus.76978
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