ASO Youko Osaka University, Graduate School of Medicine, professor, 大学院・医学系研究科・保健学専攻, 教授 (80127175)
UEHARA Masuko Sinsyu University, School of Medicine, professor, 医学部・保健学科, 教授 (10203473)
小林 孝子 大阪府立看護大学, 講師 (70305671)
OOTAKI Takako Osaka Prefectural College of Nursing, assistant, 看護学部, 助手 (40382238)
YOSIHARA Aya Osaka Prefectural College of Nursing, assistant, 看護学部, 助手 (50382239)
|Budget Amount *help
¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 2004: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 2003: ¥1,500,000 (Direct Cost: ¥1,500,000)
(1)Method of research : This research performed one follow-up survey per year to aged people requiring care for five years from the 2000 fiscal year in Y city in the Osaka Prefecture. Examination methods were collected by mail using the questionnaire. The candidate was taken as the person in the status requiring care in the member of Y city advanced age club. Survey content : An investigation item is in aged people's requiring care medical-treatment situation, ADL, cognitive disorder, QOL, the use situation of elderly care insurance, and a caregiver's situation.
(2)Result : The follow-up survey was performed to 442 persons. An analytic object is 393 persons who were able to do the follow-up survey for one year or more.
As for aged people's requiring care QOL, a significant difference was not seen in the time of an investigation start and an end. The factor related about 177 persons who have measured QOL at the time of the end of investigation was examined. As for change of QOL, QOL was low by change of sex (man), a medical-treatment place (hospital), a caregiver (a spouse and a child), walk status (impossible), and meal status (care necessity), and change (aggravation) of bathing status.
The factor relevant to survival was analyzed from survival analysis of aged people requiring care. As a factor which was short, lifetimes were sex (man), age (aged 80 and over), a medical-treatment place (hospital), the main diseases (senile), excretion (care necessity) of ADL, a meal (care necessity), dressing status (care necessity), communication (impossible), and QOL change (aggravation). Moreover, the factor to which the lifetime was long was that there are visit care [with the independence volition of the person himself/herself / with an exercise habitulation / with the activity of a life] with many important matters of care with conversation or exchange, day care, and use of a short stay.