Saito Yuta, Sato Sora, Nishikawa Yoshitaka, Oguro Fumiya, Moriyama Nobuaki, Sato Keiichiro, Kobashi Yurie, Sawano Toyoaki, Ozaki Akihiko, Nakayama Takeo, Tsubokura Masaharu, Yasumura Seiji, Sakai Shohei
Department of Rehabilitation, Hirata Central Hospital.
Hirata Rehabilitation Care Center.
Fukushima J Med Sci. 2024 Jan 27;70(1):49-54. doi: 10.5387/fms.2023-01. Epub 2023 Nov 11.
BackgroundLittle information is available on the role of community-based rehabilitation after a nuclear disaster. Here, we report the case of an older couple living in an area repopulated after the Fukushima nuclear disaster of 2011 who received outpatient rehabilitation.Case presentationAn 84-year-old woman underwent total hip arthroplasty (THA) after she fell and sustained a trochanteric fracture while caring for her husband with Alzheimer's disease. The 85-year-old husband experienced worsening behavioral and psychological symptoms of dementia (BPSD) following his wife's hospitalization. The couple received rehabilitation at an outpatient facility in a nearby village using a shuttle service. The woman's postoperative anxiety was relieved and her physical function improved. Moreover, the husband's BPSD symptoms decreased.ConclusionA wife and husband showed improvement in physical function after THA and alleviation of BPSD, respectively, following rehabilitation. In post-disaster, resource-scarce areas, older adults may benefit from utilizing the outpatient rehabilitation services available in the surrounding area.
背景
关于核灾难后社区康复的作用，目前可获取的信息较少。在此，我们报告一对老年夫妇的案例，他们居住在2011年福岛核灾难后重新有人居住的地区，接受了门诊康复治疗。
病例介绍
一名84岁女性在照顾患有阿尔茨海默病的丈夫时摔倒，导致转子骨折，随后接受了全髋关节置换术（THA）。85岁的丈夫在妻子住院后，痴呆的行为和心理症状（BPSD）恶化。这对夫妇使用班车服务，在附近村庄的门诊设施接受康复治疗。该女性术后焦虑得到缓解，身体功能得到改善。此外丈夫的BPSD症状也有所减轻。
结论
一对夫妇在接受康复治疗后，分别在全髋关节置换术后身体功能得到改善，以及BPSD症状得到缓解。在灾后资源匮乏地区，老年人可能受益于利用周边地区现有的门诊康复服务。
