入院または施設入所中の長期療養高齢者における日常生活動作の特性について  [in Japanese] Characteristics of Activities of Daily Living (ADL) in Older Adults in Long-term Care Facilities Who Required Physical Care  [in Japanese]

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Abstract

〔目的〕日常生活動作(ADL)に介助を要する入院・入所高齢者において,下位項目の難易度からADLの特性を明らかにすることとした.〔対象と方法〕入院もしくは入所中の高齢者111名とした.食事,排泄,移乗,移動の4動作を,各動作を分解してできる全141の下位項目から成る評価表で評価した.項目毎に3件法で難易度を求め,動作間で比較した.また,難易度の階層に沿って下位項目を並べ,難易度の特性を検討した.〔結果〕食事の動作は他の3動作よりも有意に難易度が低かった.高い立位バランス能力が必要な下位項目において,そうでない項目と比べ難易度が高かった.〔結語〕基本的ADLに介助を要する入院・入所高齢者のADLは動作によって難易度が異なる.同じ動作の要素間でも難易度が異なることにも留意すべきである.

[Purpose] This study examined the characteristics of activities of daily living (ADL) according to the difficulty of individual component movements of older adults in long-term care facilities who required physical care. [Subjects and Methods] In total, 111 older adults requiring long-term care in hospitals or nursing home were enrolled in this study. Four activities, namely eating, toileting, transfers, and locomotion, were assessed using a previously developed assessment instrument. The instrument assesses 141 individual component movements, which are subdivisions of the four activities. The difficulty of each component was determined using a three-point scale, and the difficulties among the four activities were compared. In addition, the component movements were categorized hierarchically according to their difficulty levels in order to evaluate their characteristics. [Results] Eating was significantly easier than the other activities. Movements categorized in the “high difficulty” category required antigravity functions and standing balance. [Conclusion] Differences in the difficulties in ADL in older adults in long-term care facilities existed not only among the four activities but also within each activity.

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 31(6), 897-905, 2016

    The Society of Physical Therapy Science

Codes

  • NII Article ID (NAID)
    130005252631
  • NII NACSIS-CAT ID (NCID)
    AN10472896
  • Text Lang
    JPN
  • ISSN
    1341-1667
  • NDL Article ID
    027813557
  • NDL Call No.
    Z7-1893
  • Data Source
    NDL  J-STAGE 
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