Objectives: Home-visit rehabilitation is critical for cancer patients because it facilitates recovery. However, few studies have reported relevant information and practices concerning this patient support. This study investigated the factors influencing the self-efficacy of cancer survivors receiving home-visit rehabilitation compared with non-cancer home-visit rehabilitation users by matching propensity scores. Methods: The present study was a cross-sectional study involving participants from two cancer care institutions. Fifteen cancer survivors who received home-visit rehabilitation (9 men, 6 women; age=77.6±11.1 years) were matched for their propensity scores (adjusted for age, sex, and comorbidity) with 15 home-visit rehabilitation users without cancer (8 men, 7 women; age=74.7±11.7 years). Self-efficacy was measured based on the self-efficacy for activities of daily living (SEADL) scale and self-efficacy for going out among community-dwelling elderly people (SEGE) scale. Grip strength (GS), 30-second chair stand test (CS-30), Functional Independence Measure (FIM), and Life-Space Assessment (LSA) were measured based on objective evaluation items. Results: In cancer survivors, the SEADL was significantly correlated with GS, CS-30, FIM, motor-FIM (mFIM), and LSA. The CS-30 of cancer survivors was significantly correlated with SEGE. Among home-visit rehabilitation users without cancer, although the correlation between SEADL and FIM or mFIM was significant, SEGE was not significantly correlated with the other measurements. Conclusions: When compared with home-visit rehabilitation users without cancer, self-efficacy among cancer survivors was influenced not only by activities of daily living but also by physical function and life-space mobility.

目的：訪問リハビリテーション(以下，訪問リハ)利用者において，居住地域の差と ICF 概念に基づき選出した 各パラメータとの関連性を明らかにすること．方法：都市的地域(以下，都市部)と農業地域在住の訪問リハ利 用者 84 名(男性 46 人，女性 38 人，平均年齢 79.1±7.8 歳)を対象とした．収集パラメータは，基本情報(年齢， 性別，要介護度など) ，ICF 概念における健康状態(主疾患) ，心身機能(modified Gait Efficacy Scale(mGES) ) ， 身体構造(握力，30-seconds chair stand test(CS-30) ) ，活動(Functional Independence Measure(FIM) ，Life-Space Assessment(LSA) ) ，参加(Frenchay Activities Index(FAI) ) ，個人因子(生きがい意識尺度 Ikigai-9) ， 環境因子(Home and Community Environment(HACE) ，主介護者の有無，介護保険サービス利用の有無など) とした．測定は，対象者を担当する理学療法士または作業療法士が実施した．居住地域と各パラメータとの関連 性は，対象者各群で有意差を認めたパラメータに対し，交絡因子(年齢，性別，FIM 運動項目得点)で調整した ロジスティック回帰分析を用いて分析した．結果：農業地域と LSA(OR＝1.075，p＝0.028) ，下位 I「生活・感 情」 (OR＝0.698，p＝0.040) ，地域移動性得点(OR＝5.755，p＝0.001

This study investigated the factors influencing the physical activity (PA) of surgical patients with gastrointestinal cancer. [Participants and Methods] The participants were 28 patients scheduled for elective gastrointestinal cancer surgery (22 men and six women, aged 70.5 ± 8.7 years). Physical functions measured at baseline (before surgery) included body composition, isometric knee extension force, grip strength, 6-minute walking distance, respiratory function evaluation, and one-leg standing time. Baseline laboratory data, including serum albumin (Alb), C-reactive protein (CRP), and total protein levels were also collected. [Results] PA significantly decreased after surgery compared to baseline. Postoperative PA significantly correlated with the Alb level, CRP level, and body fat percentage. [Conclusion] Improvement in PA after surgery in patients with gastrointestinal cancer may be associated with the nutrition status, immune response, and body composition before surgery. Comprehensive interventions before surgery may prevent decreased PA after surgery in patients with gastrointestinal cancer.

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[Purpose] The purpose of this study was to investigate the differences in respiratory function, physical function, and Activities of Daily Living (ADL) between respiratory and non-respiratory patients using community-based home rehabilitation. [Participations and Methods] Maximum Phonation Time (MPT), upper and lower limb muscle strength, and ADL were compared in two groups: a respiratory disease group including respiratory patients and those with respiratory comorbidities, and a non-respiratory disease group. Cutoff values were determined for items that showed significant differences between groups. [Results] There were no significant differences between the two groups in assessments other than MPT. MPT was significantly lower in the respiratory disease group, with an MPT cutoff value of 10.1 sec and an area under the curve of 0.74. [Conclusion] Use of the MPT cutoff value may help to determine whether respiratory function is impaired in patients with respiratory disease.