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Determination of the reasons causing elderly adults in the community to be housebound: Establishment of an intervention program

Research Project

Project/Area Number 16592201
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionYamaguchi University

Principal Investigator

AZUMA Reiko  Yamaguchi University, Graduate School of Medicine, Professor, 大学院医学系研究科, 教授 (60184173)

Co-Investigator(Kenkyū-buntansha) YAMANE Toshie  Yamaguchi University, Graduate School of Medicine, Assistant Professor, 大学院医学系研究科, 講師 (40403662)
SAITA Nahoko  Yamaguchi University, Graduate School of Medicine, Assistant Professor, 大学院医学系研究科, 講師 (00279233)
NAKAO Fujiko  Yamaguchi University, Graduate School of Medicine, Research Associate, 大学院医学系研究科, 助手 (40363113)
ETO Ayako  Yamaguchi University, Graduate School of Medicine, Research Associate, 大学院医学系研究科, 助手 (80403666)
阿部 芳江  山口大学, 医学部, 教授 (60293578)
Project Period (FY) 2004 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 2006: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2005: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 2004: ¥1,200,000 (Direct Cost: ¥1,200,000)
Keywordselderly / housebound / factor / intervention program / coaching / 介入方法 / QOL
Research Abstract

This Study was conducted on 311 senior citizens who did not have the certification of long-term need. The survey showed that 77 subjects (24.8%) were housebound due to the following 8 factors : daily life with less independence ; inconvenient transportation facilities ; assistance required for outings ; great age ; high rate of SDS ; low subjective health performance ; and tiredness from going out.
The univariate analysis showed that the housebound adults had a high propensity to have problems such as pain in the knee or hip; anxiety about urinary incontinence or frequency of micturition ; decreased vision; deafness ; tiredness from outings ; sense of shame ; fear of falling; having no taste ; having few friends ; and having a meal alone.
Current community health services are not enough to deal with loss of elderly confidence because of role changes or feelings of alienation as they decrease physically leading to being housebound. It is clear we need interventions for the elderly so that they realize again they are the important members of the society, able to participate in social activities with confidence.
This study created and conducted an intervention coaching program for enhancing the self-efficacy of the elderly. Consent to cooperate in the intervention program was gained from 14 subjects, who participated in 2 groups (7 subjects each) 5 times (2 hours each time) over 2 months.
Self-esteem and depression scale was utilized before and after the program to obtain feedback from the subjects. However data was collected from only from 7 subjects, which was not sufficient for statistical analysis. However, the depression scale of all 7 subjects had improved, and self esteem improved in 4 but decreased in 3.
Major comments from subjects after the program included^* "It was fun.", "It was uplifting." and "I feel confident." There were no negative comments.

Report

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

    (5 results)

All 2006

All Journal Article (5 results)

  • [Journal Article] 地域在住高齢者に閉じこもり状態をもたらす要因の究明2006

    • Author(s)
      山根俊恵
    • Journal Title

      日本看護研究学会雑誌 29(3)

      Pages: 194-194

    • 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
  • [Journal Article] 地域在住高齢者の「閉じこもり」状態の現状と要因2006

    • Author(s)
      斉田菜穂子
    • Journal Title

      山口医学 55(2)

      Pages: 93-93

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Clarification of the reasons causing elderly in the community to be housebound.2006

    • Author(s)
      Toshie Yamane
    • Journal Title

      Journal of Japanese Society of Nursing Research 29(3)

      Pages: 194-194

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] A study of the factors and the reality. which turn elderly of community into housebound.2006

    • Author(s)
      Nahoko Saita
    • Journal Title

      Yamaguchi Medical Journal 55(2)

      Pages: 93-93

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 地域在住高齢者の「閉じこもり」状態の現状と要因2006

    • Author(s)
      齊田菜穂子
    • Journal Title

      山口医字93 55(2)

      Pages: 93-93

    • Related Report
      2006 Annual Research Report

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

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