Abstract/References

Home-visit rehabilitation in a repopulated village after the Fukushima nuclear disaster

Yuta Saito, Keiichiro Sato, Tatsuya Itagaki, Fumiya Omata, Toyoaki Sawano, Yurie Kobashi, Yoshitaka Nishikawa, Masaharu Tsubokura, Wataru Hoshi

Abstract

Following the evacuation of areas affected by Japan’s 2011 Fukushima Daiichi Nuclear Power Plant (FDNPP) accident, Kawauchi Village was one of the first municipalities repopulated. Although rehabilitation resources were limited, a healthcare facility near the municipality initiated home-visit rehabilitation in 2016. To the best of our knowledge, reports of home-visit rehabilitation in repopulated villages that were evacuated following a nuclear accident are lacking.

This article describes a case study of home-visit rehabilitation in Kawauchi Village. The purpose of this study was to explore how users of home-visit rehabilitation services in Kawauchi Village perceive home-visit rehabilitation, and whether it had a positive impact on their daily life. A questionnaire survey was conducted, and their ability to perform activities of daily living was assessed, to understand the living conditions of the visiting-rehabilitation service users.

We studied 10 rehabilitation-service users, with a mean age of 86.8 years, who had used the services for an average of 591.4 days. Themes that emerged from the open-ended questionnaire were “established exercise habits and improved physical functions,” “the joy of returning to the village,” “challenges in the mountainous areas” and “changes in relationships due to the earthquake or evacuation.”

In conclusion, home-visit rehabilitation was successfully implemented in the repopulated village, and helped maintain the users’ physical functions. This may thus be a viable choice for rehabilitation care in repopulated areas after disasters.

The content of research paper

References

1. Community-based care system (in Japanese) [Internet]. Ministry of Health, Labor and Welfare: 2020 [cited 2020 Nov 7]. Available from: https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/hukushi_kaigo/kaigo_koureisha/chiiki-houkatsu.
2. Nakai T, Suzumoto S, Kawai E, Suzuki F, Sakai J, Okada F, et al. Chuu sankanbu deno houmon rehabilitation no zittai [The reality of home rehabilitation in mountainous areas]. (in Japanese) The 55th Annual Meeting of the Japanese Society of Rural Medicine. Aichi [Internet]. 10, 2006. https://doi.org/10.14879/nnigss.55.0.132.0
3. Bateman C. “One size fits all” health policies crippling rural rehab-therapists. S Afr Med J, 102:200-208, 2012. http://www.samj.org.za/index.php/samj/article/view/5806
4. Wegner L, Rhoda A. The influence of cultural beliefs on the utilisation of rehabilitation services in a rural South African context:therapist’s perspective. Afr J Disabil, 4:1-8, 2015. https://doi.org/10.4102/ajod.v4i1.128
5. Nualnetr N. Physical therapy roles in community-based rehabilitation:A case study in rural areas of north eastern Thailand. Asia Pac Disabil Rehabil J, 20:73-82, 2009.
6. Strasser R. Rural health around the world:Challenges and solutions. eFam Pract, 20:457-463, 2003. https://doi.org/10.1093/fampra/cmg422
7. Takahashi T, Eguchi N, Ishikawa M. Current status of local medical care provision systems:Data collection by municipality (related to regional comprehensive care) (April 2020, 5) (in Japanese) [Internet]. Japan Medical Association Research Institute. Available from: https://www.jmari.med.or.jp/download/WP444/WP444-07.pdf
8. Nishikawa Y, Tsubokura M, Takahashi Y, Nomura S, Ozaki A, Kimura Y, et al. Change of access to emergency care in a repopulated village after the 2011 Fukushima nuclear disaster:A retrospective observational study. BMJ Open, 9:1-8, 2019. https://doi.org/10.1136/bmjopen-2018-023836
9. Naito W, Uesaka M, Kurosawa T, Kuroda Y. Measuring and assessing individual external doses during the rehabilitation phase in Iitate village after the Fukushima Daiichi nuclear power plant accident. J Radiol Prot, 37:606-622, 2017. https://doi.org/10.1088/1361-6498/aa7359
10. Tanigawa K. Fukushima ken hamadori no genpatsu ziko go no tiiki iryou taisei no hensen to nokosareta kadai [Changes in the regional medical system in Hamadori, Fukushima Prefecture, following the nuclear accident and remaining issues]. (in Japanese) Kousyu eisei gaku [Public Health], 84:308-314, 2017. https://doi.org/10.11477/mf.1401208645
11. Nishikawa Y, Tsubokura M, Yamazaki S. Healthcare delivery to a repopulated village after the Fukushima nuclear disaster:A case of Kawauchi village, Fukushima, Japan. Japan Med Assoc J, 59:159-161, 2016. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476993/
12. Japan Ministry of Health, Labor and Welfare. Survey and research project on the way of service provision in mountainous areas. (in Japanese) [Internet]. Tokyo:Ministry of Health, Labor and Welfare (2016 Mar 30) [cited 2020 Oct 21]. Available from: https://www.mhlw.go.jp/file/05-Shingikai-12601000-Seisakutoukatsukan-Sanjikanshitsu_Shakaihoshoutantou/0000119059.pdf
13. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol, 3:77-101, 2006. https://doi.org/10.1191/1478088706qp063oa
14. Moriyama N, Urabe Y, Onoda S, Maeda N, Oikawa T. Effect of residence in temporary housing after the Great East Japan Earthquake on the physical activity and quality of life of older survivors. Disaster Med Public Health Prep, 11:701-710, 2017. https://doi.org/10.1017/dmp.2017.19
15. Yabuki S, Ouchi K, Kikuchi S, Konno S. Pain, quality of life and activity in aged evacuees living in temporary housing after the Great East Japan earthquake of 11 March 2011:A cross-sectional study in Minamisoma City, Fukushima prefecture. BMC Musculoskelet Disord, 16:1-6, 2015. https://doi.org/10.1186/s12891-015-0711-2
16. Vogelsang EM. Older adult social participation and its relationship with health:Rural-urban differences. Health Place, 42:111-119, 2016. https://pubmed.ncbi.nlm.nih.gov/27755999
17. Hirabayashi I, Murayama Y, Shitakura H. A case of rehabilitation focusing on activities of daily living improves the sense of motivation and increases the range of activities. Medical Journal of Aizawa Hospital, 14:67-71, 2016.

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