介護保険の居宅サービス利用者の生活満足感とその関連要因  [in Japanese] Factors related to life satisfaction for the elderly who use home care services in long-term care insurance system  [in Japanese]

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Abstract

介護保険の居宅サービス利用者の生活満足感とその関連要因を明らかにすることを目的に,要支援・要介護に認定されている居宅サービス利用者を対象に調査を行った.人口約2万人のA町において,担当ケアマネージャーによる介護保険記録からの基本属性,認定程度,サービス利用等の転記と,ケアマネージャーによる訪問面接調査により生活満足感,家族形態,既往,受診,日常生活機能,健康度自己評価等が把握された.居宅サービス利用の全333人のうち,入院等を除く計238人のデータが得られた.分析は,満足群,非満足群別にχ^2検定,t検定を行い,有意差のみられた項目についてロジスティック回帰分析を行った.その結果,満足群と非満足群では,介護度やサービス利用の種類や量に違いはみられなかった.満足群の割合が高かったのは,女性,80歳以上,子(世帯)との同居,健康度自己評価が高い者であった(p<0.05).非満足群の割合が高かったのは,介護認定時期が平成12年の者,糖尿病を持つ者であった(p<0.05).ロジスティック回帰分析の結果,健康度自己評価の高い者ほど生活満足感が高いことが明らかとなった.

Purpose : The purpose of the study was to clarify life satisfaction and related factors among the elderly who use home care services in long-term care insurance system. Methods : Care managers transfered data about demographic characteristic and home care services from records of care insurance system. Care managers carried out an interview survey using questionnaire asking about life satisfaction, self-rated health, living arrangement, IADL, frequency of going out and conversation with friends and others. Analysis was performed on valid responses obtained from 238 elderly. From the analysis of correlations between level of life satisfaction, self-rated health, living arrangement,IADL,frequency of going out and conversation with friends and others, the following results were obtained. Results : Higher life satisfaction group were 88%. There were no differences in degree of difficulties in ADL and recognition,frequency and kinds of home care services between higher life satisfaction group and lowers. There were differences in sex, age, time of acknowledgement of long-term care insurance system, living arrangement, self-rated health between 2 groups. Results of multivariate logistic analysis showed that the factors correlated with degree of life satisfaction were self-rated health.

Journal

  • Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido

    Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido 2(1), 29-33, 2006

    Nursing Welfare Department Society, Health Sciences University of Hokkaido

Codes

  • NII Article ID (NAID)
    110009570389
  • NII NACSIS-CAT ID (NCID)
    AA12025864
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    13498967
  • NDL Article ID
    8631179
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学) // ZE5(社会・労働--社会問題・社会保障)
  • NDL Call No.
    Z74-E503
  • Data Source
    NDL  NII-ELS  IR 
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