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Factors that influence home return from health care facilities for the elderly

Research Project

Project/Area Number 16500470
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field General human life sciences
Research InstitutionUniversity of Tsukuba

Principal Investigator

TOMURA Shigeo  University of Tsukuba, Graduate School of Comprehensive Human Sciences, Professor, 大学院人間総合科学研究科, 教授 (60100955)

Co-Investigator(Kenkyū-buntansha) OKUNO Junko  University of Tsukuba, Graduate School of Comprehensive Human Sciences, Assistant Professor, 大学院人間総合科学研究科, 講師 (50360342)
Project Period (FY) 2004 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2006: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2005: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2004: ¥2,000,000 (Direct Cost: ¥2,000,000)
KeywordsHome return from a long-term insurance facility / Health care facility for the elderly / Independence of excretory / A level of care need at the first time / Longitudinal study / 住宅復帰 / 問題行動 / 認知症高齢者 / 入所者の在宅復帰への意向 / 家族の在宅への受け入れ意向 / 施設内身体活動
Research Abstract

Many of the elderly wanted to live in the community. The basic philosophy of long-term care insurance is independence support and self-decision. A health care facility for the elderly is for supporting the elderly living at home as long as possible. However, nowadays, a health care facility for the elderly has two aspects that one is giving rehabilitation for returning home and that another is a waiting facility for the nursing home. By the survey for care facilities by the Ministry of Health, Labor and Welfare in 2003, the rate of elderly returning home from health care facilities was 39.2% that is decreasing year by year.
We investigated the factors affecting the returning home from a facility by a cross sectional study and a longitudinal study.
From a cross sectional study, the caregivers of 34.6% of the elderly who hoped to return home intended to accept them home. The conditions for accepting elderly home are self-toileting, bathing, and dressing. As the risk factors to make the intension of the caregivers to accept the institutionalized elderly home difficult were time spending in bed of a day and dementia behavior disturbances, rehabilitations for improving ADL and establishing regional caring system are important.
During the follow-up study of 2.5 years, only 10 (10.5%) out of 95 elderly returned home. About 40% are still in the facility and the rest were hospitalized or facilitated into other nursing homes. By Cox proportional hazard model, the factors affecting return home from the facility were independence of urination (HR:4.77,95%CI:1.14-20.00), independence of bathing (HR:7.19,95%CI:1.62-31.95), and the level of care need at the first time institutionalized (HR:0.45,95%CI:0.22-0.94).
It has been suggested that more training for improving ADL are necessary for return home.

Report

(4 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • 2004 Annual Research Report
  • Research Products

    (5 results)

All 2007 2006 Other

All Journal Article (5 results)

  • [Journal Article] 認知症により在宅生活継続が困難になり、老人保健施設に入所した高齢者の身体特性と介護状況2007

    • Author(s)
      奥野純子, 戸村成男, 柳 久子
    • Journal Title

      日本プライマリ・ケア学会誌 第30巻第2号(In press)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 認知症により在宅生活継続が困難になり、老人保健施設に入所した高齢者の身体特性と介護状況2007

    • Author(s)
      奥野純子, 戸村成男, 柳 久子
    • Journal Title

      日本プライマリ・ケア学会誌 In press

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 介護老人保健施設在所者の在宅復帰へ影響する要因-介護者の在宅受け入れへの意向に影響する要因より-2006

    • Author(s)
      奥野純子, 戸村成男, 柳 久子
    • Journal Title

      日本老年医学会雑誌 第43巻1号

      Pages: 108-116

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary 2005 Annual Research Report
  • [Journal Article] Factors that influence home return from health care facilities for the elderly-related to the attitude of family caregivers-2006

    • Author(s)
      Junko Okuno, Shigeo Tomura, Hisako Yanagi.
    • Journal Title

      Jpn J Geriat 43

      Pages: 108-116

    • NAID

      10020554724

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] The characteristics of elderly with dementia who had difficulties living at home and decided to live in a health service facility for the elderly

    • Author(s)
      Junko OKUNO, Shigeo TOMURA, Hisako YANAGI.
    • Journal Title

      Jpn J Prim Care 30(2)(in press)

      Pages: 2007-2007

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary

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Published: 2004-04-01   Modified: 2016-04-21  

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