地域高齢者における閉じこもりと心理・社会環境的要因に関する研究:─SOC (首尾一貫感覚) に注目して─  [in Japanese] Sense of coherence (SOC) : social and psychological factors in the homebound elderly in a community  [in Japanese]

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Abstract

<br><b>目的</b> : 高齢者の閉じこもりは, 現行の介護予防施策において重要視されているが, 未だ有効な介入手段は確立されていない. そのため, 現在明らかになっていない閉じこもりの関連要因を解明することが必要と考える. とくに, 閉じこもりの身体的要因に比べて心理・社会環境的要因に関する知見は少なく, 本研究では, 閉じこもりの新たな心理・社会環境的要因と予測したSOCに注目し, 閉じこもりとSOCの関連を検討した.<br><b>方法</b> : 地域在住の要介護認定を受けていない高齢者1,895名を対象に郵送による調査を実施した. 調査項目は, 基本属性, 閉じこもり状態, 身体的特性, 心理・社会環境的特性とした. なお, 心理・社会環境的特性の評価の一つとしてSOCを調査した. 解析対象となった853名を閉じこもり状態に応じて3群に分類し, 閉じこもり状態を従属変数とした順序ロジスティック解析を実施した.<br><b>結果</b> : 閉じこもりと有意な関連が認められた項目は, 年齢, 性別, 運動機能が低い, うつ傾向, SOCが低い, 老研式活動能力指標が低いことであった.<br><b>考察</b> : 本研究では, 閉じこもりとSOCとの関連が認められた. 閉じこもり予防支援において, 運動機能やうつに対する介入に加え, 新たにSOCに着目した支援の必要性が考えられた.

<b>Objective</b> : Although current preventative care policies consider the issue of the homebound elderly to be important, effective means of intervention have not been established. Therefore, it is necessary to elucidate the relevant causes of the poorly understood “homebound” problem. As little expertise exists on the social and psychological factors of those who are homebound, this study focuses on the sense of coherence (SOC) —a new estimate of the psychosocial factors involved in being homebound—and examines the connection between being homebound and SOC.<br><b>Methods</b> : A mail survey was conducted among 1,895 elderly adults, none of whom had been issued a Certification of Long-Term Care Need. Survey items included basic attributes, physical characteristics, psychological and socioenvironmental characteristics, and the condition of being homebound. Furthermore, SOC was investigated as part of the psychosocial and environmental evaluation. The 853 respondents chosen for the analysis were divided into three groups depending on their level of homeboundedness, and an ordered logistic regression analysis was conducted using homeboundedness as the dependent variable.<br><b>Results</b> : The following items were found to have a significant association with homeboundedness : age, sex, low motor function, depressive tendencies, low SOC, and the low TMIG Index of Competence.<br><b>Discussion</b> : This study identified a relation between being homebound and SOC, suggesting that in addition to interventions for depression and motor function, new SOC focused aid must be considered in the prevention of homeboundedness.

Journal

  • An Official Journal of the Japan Primary Care Association

    An Official Journal of the Japan Primary Care Association 39(2), 98-105, 2016

    JAPAN PRIMARY CARE ASSOCIATION

Codes

  • NII Article ID (NAID)
    130005159071
  • NII NACSIS-CAT ID (NCID)
    AA12479442
  • Text Lang
    JPN
  • ISSN
    2185-2928
  • NDL Article ID
    027545980
  • NDL Call No.
    Z19-983
  • Data Source
    NDL  J-STAGE 
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