Comparison of Functional and psychosocial characteristics between ambulatory frail elders living at home who utilize long-term care service and those do not utilize service

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  • 要支援高齢者における介護保険サービス利用者と未利用者の身体心理社会的特性の比較
  • ヨウシエン コウレイシャ ニ オケル カイゴ ホケン サービス リヨウシャ ト ミリヨウシャ ノ シンタイ シンリ シャカイテキ トクセイ ノ ヒカク

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Abstract

<p>  The purpose of the present study is to compare functional and psychosocial characteristics between ambulatory frail elders certified in the two lowest levels of care needs under the Long-Term Care System who utilize long-term care service and those who do not utilize the service. From all of 527 possible subjects in a city with a population of 66,092, a total of 293 people utilizing long-term care services over the past three months and 187 people not utilizing services over the past three months were selected as subjects of the study. Activities of daily living (ADLs), instrumental activities of daily living (IADLs), depression, emotional or instrumental social support, and level of going outdoors or communication were collected via mail-questionnaire. Subjects for analysis were 163 people utilizing services, and 114 people not utilizing them. Ambulatory frail elders utilizing long-term care services, compared to those not utilizing the services, are more likely to live alone (p=.0006), and less likely to go outdoors (p=.044) by using public transportation. These results suggest that utilizing long-term care services in ambulatory frail elders certified in the two lowest levels of care needs are characterized as having social frailty including living alone and not going outdoors by using public transportation.</p>

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