| Co-Investigator(Kenkyū-buntansha) |
UENO Kimiko Niigata University, School of Health Sciences, Department of Nursing, Assistant professor, 医学部, 助教授 (80310275)
NAKAMURA Kazutoshi Niigata University, Graduate School of Medical and Dental Sciences, Department Community Preventive Medicine, Assistant professor, 大学院・医歯学総合研究科, 助教授 (70207869)
HUJINO Kunio Niigata University, School of Health Sciences, Department of Nursing, Professor, 医学部, 教授 (40293237)
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| Budget Amount *help |
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2005: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2004: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 2003: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2002: ¥1,600,000 (Direct Cost: ¥1,600,000)
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| Research Abstract |
The influence of day-service among services for home-cared elderly people was evaluated. The subjects were 205 elderly people living at home who were using long-term care insurance and consented to the study. The items surveyed were basic attributes, Barthel index, MMSE, GDS-15, EuroQol in Japanese, height, body weight, grip strength, muscle volume, serum albumin, and hemoglobin. In a survey performed from January to March, 2003, 70% or more of the subjects stayed in doors. The factors predictive of overall dependence for the ADL were male sex, decline of the grip strength, high GDS-15 score, and decreased thigh muscle volume. The need-of-care level and frailness were higher in the group receiving day-service. According to the results of a survey performed in summer, 2003, the frequency of going out during summer increased, and perceived improvements in body movements were observed, in the group at lower need-of-care levels, but no seasonal difference was noted in the group at higher n
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eed-of-care levels. The physical function and nutritional state tended to decrease with subjects needing higher need-of-care. No seasonal difference was noted in the blood 25-OH-D level. A follow-up survey was performed in January to March, 2005 in 118 subjects. While the influence of day-service could not be demonstrated by comparison between day-service users and non- day-service users, a significant difference or a tendency toward significant difference was noted in the hemoglobin and serum albumin levels according to the frequency of the use of day-service, indicating that the nutritional state is affected by the frequency of the use of day-service. Individualized walking and transfer training programs, which were performed in day-service users, were effective for the prevention of progression of the need-of-care level and physical dysfunction. The stress score due to snowfall exceeded 90 at a majority of the facilities providing home care support services.
Further studies for local characteristics are necessary. Less
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