都市部における高齢者の転居後の適応と関連要因  [in Japanese] Factors Related to Adaptation among Elderly Who Relocated to an Urban Area  [in Japanese]

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Author(s)

    • 工藤 禎子 Kudo Yoshiko
    • 北海道医療大学看護福祉学部 School of Nursing and Social Services, Health Sciences University of Hokkaido
    • 三国 久美 Mikuni Kumi
    • 北海道医療大学看護福祉学部 School of Nursing and Social Services, Health Sciences University of Hokkaido
    • 桑原 ゆみ Kuwabara Yumi
    • 北海道医療大学看護福祉学部 School of Nursing and Social Services, Health Sciences University of Hokkaido
    • 森田 智子 Morita Tomoko
    • 北海道医療大学看護福祉学部 School of Nursing and Social Services, Health Sciences University of Hokkaido
    • 保田 玲子 Yasuda Reiko
    • 北海道大学大学院医学研究科老年保健医学分野 Department of Health for Senior Citizens, Hokkaido University Graduate School of Medicine

Abstract

目的:転居高齢者の適応の状況と,適応の関連要因を明らかにすることを目的とした.方法:一都市部の1年間の転入者全731人に質問紙を郵送し,回収した310通中299通を分析対象とした.分析は,適応群と非適応群に分け,生活変化・健康状態・ソーシャルサポート等の変数との関連についてχ<sup>2</sup>検定,t検定,多重ロジスティック回帰分析を行った.結果:1)適応群は230人(76.9%),非適応群は69人(23.1%)であった.2)非適応群は,年齢が高く(p<0.05),要介護認定を受け,転居の意志決定は非自発的,また転居先について「知らない場所だった」者が多かった(p<0.01).非適応群は,困ったこととして,経済的負担感,外出困難,家族への気兼ねをあげた者が多く,健康度自己評価,生活機能が低い者が多かった(p<0.01).3)適応群は,高齢者向けマンションへの転居者,住環境がよくなったと感じている者が多く,同居家族以外からのソーシャルサポートをもち,友人等との交流頻度が高い者が多かった(p<0.01).4)多重ロジスティック回帰分析により,転居先を知っていた者,同居家族以外のソーシャルサポートがある者,転居を自発的に決めた者,経済的負担感が少ない者,高齢者向けマンションへ転居した者ほど,適応が良好であることが明らかとなった.考察:高齢者の転居においては,転居先の情報を得たり,心理的な準備が重要であることが示唆された.

The purpose of the present study was to clarify the level of adaptation and factors related to adaptation among relocated elderly community residents. Questionnaires were delivered by mail to 731 elderly who relocated to a northern urban area during summer of 2003 to summer of 2004. Analysis was performed on valid responses obtained from 299 individuals who indicated feeling either "adapted" or "not adapted". From the analysis of correlations between residents' level of adaptation and changing of living arrangement, health status, and social support, the following results were obtained. 1) Seventy seven % of respondents indicated they felt "adapted" to the new environment while 23.1% felt "not adapted". 2) Mean age and the percentage of residents requiring nursing care were higher among the "not adapted" group. Relocation was more often involuntary in the "not adapted" group. They had less knowledge of the new area, had more negative feelings about the new environment, and were in poorer health than the "adapted" group. 3) The "adapted" group had more positive feelings about the new environment, had more social support from relatives, and a larger social network of friends than the "not adapted" group. 4) Results of multivariate logistic analysis showed that the factors correlated with feeling "adapted" or "not adapted" were knowledge of the new area, social support, voluntarily relocating, financial difficulties. It is important for elderly to know new environment and preparation before relocation.

Journal

  • Journal of Japan Academy of Community Health Nursing

    Journal of Japan Academy of Community Health Nursing 8(2), 14-20, 2006

    Japan Academy of Community Health Nursing

Codes

  • NII Article ID (NAID)
    110009864600
  • Text Lang
    JPN
  • ISSN
    1346-9657
  • Data Source
    NII-ELS  J-STAGE 
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