在宅障害後期高齢者の家庭内役割とQOLとの関連  [in Japanese] Relationship between Household Roles and QOL of the Old-Old Disabled at Home  [in Japanese]

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Author(s)

    • 村田 伸 MURATA Shin
    • 第一福祉大学人間社会福祉学部|久留米大学大学院心理学研究科|現所属:姫路獨協大学医療保健学部理学療法科 Faculty of Social Welfare and Human Services, Daiichi Welfare University |Graduate School of Psychology, Kurume University|Department of Physical Therapy, Faculty of Health Care Science, Himeji Dokkyo University

Abstract

本研究は、在宅障害後期高齢者女性58名(平均年齢83.3歳)を対象に、家庭での役割の有無とQuality of Life(QOL)を評価し、その関連性について検討した。家庭内役割有り群35名と無し群23名の比較において、Barthel Index(BI)得点、老研式活動能力指標、主観的健康感の3項目に有意差が認められ、いずれも家庭内役割有り群が無し群より有意に高かった。一方、生活満足度と生きがい感については有意差は認められなかった。また、家庭内役割の有無を目的変数としたロジスティック回帰分析の結果、老研式活動能力指標と主観的健康感のオッズ比に有意差を認めた。すなわち、在宅障害後期高齢者の家庭内役割と関連するQOLの因子として、生活行動とくに老研式活動能力指標の高さと主観的健康感の自覚が明らかとなった。これらの知見は、後期高齢者が身体障害を有したとしても、可能な限り家庭内役割を持つことの重要性を示し、障害高齢者本人のみならず家族を含めた生活指導の必要性が示唆された。

The presence or absence of roles in the family and QOL were studied, and their relationship was evaluated, in 58 old-old disabled (average age: 83.3 years) living at home. The subjects were divided into 35 subjects who had roles in the family (role present group) and 23 who had no particular role in the family (role absent group). BI score, TMIG index of competence and subjective health were significantly better in the role present group than in the role absent group. However, no significant difference was global life satisfaction or the sense of fulfillment. As a result of logistic regression analysis using the presence or absence of a household role as the dependent variable, a significant difference was observed in the odds ratio between the TMIG index of competence and subjective health. Therefore, TMIG index of competence and subjective health were found to be factors of the QOL related to household roles of old-old disabled at home. These observations suggest the importance for old-old to have household roles as much as possible even if they have disabilities, and the necessity of guidance for the entire family including the disabled elderly.

Journal

  • Japanese Journal of Behavioral Medicine

    Japanese Journal of Behavioral Medicine 12(1), 8-14, 2006

    The Japanese Society of Behavioral Medicine

Codes

  • NII Article ID (NAID)
    130004623055
  • Text Lang
    JPN
  • ISSN
    1341-6790
  • Data Source
    J-STAGE 
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