地域在住虚弱高齢者における閉じこもりの発生と関連する要因 ―首尾一貫感覚(SOC)に注目して―  [in Japanese] Factors Related to the Occurrence of Homeboundness Among Community-dwelling Frail Elderly Individuals  [in Japanese]

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<p><b>目的:</b>地域在住高齢者の閉じこもりの発生とSOCを含めた関連要因の変化を縦断的に検討し,関連を明らかにする.</p><p><b>方法:</b>地域在住高齢者を対象に郵送調査を行い,閉じこもり状態,基本チェックリスト(CL),SOCを評価した.そのうち,非閉じこもり状態の虚弱高齢者を抽出して,1年後に追跡調査を実施した.1年後に非閉じこもり状態を維持した者を維持群,1年後に閉じこもりに移行した者を移行群に分類した.1年後の閉じこもり状態を予測する因子を多重ロジスティック回帰分析にて行った.また,移行群と維持群との間のCLおよびSOCの変化量を比較した.</p><p><b>結果:</b>移行群は,維持群より初回調査時の運動機能,認知機能,処理可能感が有意に低かった.閉じこもり移行群は,金銭管理をしていない(OR:3.04,95%CI:1.19-7.82),処理可能感の低下[点](OR:0.82,95%CI:0.69-0.99)と有意な関連を認めた.また,移行群は維持群よりも1年後にうつ,処理可能感が有意に悪化していた.</p><p><b>結論:</b>閉じこもりへ移行する者は,SOCの処理可能感がわずかに低いことが示唆された.</p>

<p><b>Purpose: </b>In this study, we performed a longitudinal examination of the occurrence of homeboundness among community-dwelling elderly individuals and changes in associated factors, including the sense of coherence (SOC).</p><p><b>Methods: </b>A questionnaire survey was conducted targeting community-dwelling elderly individuals to evaluate homebound status, a basic checklist (CL), and SOC. Among these individuals, frail elderly people who maintained a non-homebound state were extracted and a follow-up survey was carried out one year later. Those who maintained the non-homebound state one year later were classified into the maintenance group and those who became socially withdrawn were classified into the transition group. Factors predicting the homebound state one year later were examined using multiple logistic regression analysis. Furthermore, the changes in CL and SOC between the transition and maintenance groups were compared.</p><p><b>Results: </b>In the transition group, motor function, cognitive function, and sense of manageability on the initial survey were significantly lower than those in the maintenance group. Significant correlations were noted in the homebound transition group with lack of money management (OR: 3.04, 95% CI: 1.19-7.82) and a declined sense of manageability (OR: 0.82, 95% CI: 0.69-0.99). Depression and the sense of manageability had also significantly deteriorated one year later compared with those in the maintenance group.</p><p><b>Conclusion: </b>This study suggests that individuals who transition to a state of homeboundness have a slightly lower SOC than those who maintain their non-homebound status.</p>

Journal

  • An Official Journal of the Japan Primary Care Association

    An Official Journal of the Japan Primary Care Association 41(4), 155-162, 2018

    JAPAN PRIMARY CARE ASSOCIATION

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