Research on the nursing assistance seen from aged people's requiring care QOL and Survival analysis

（1）研究方法：在大坂府Y市，从2000年度开始，对需要护理的老年人进行了5年的追踪调查，每年进行1次。检查方法采用邮寄问卷的方式收集。候选人被视为Y市老年俱乐部会员中需要照顾的人。调查内容：调查项目为老年人需要照护医疗情形、日常生活能力、认知障碍、生活质量、老人照护保险使用情形、照顾者情形。（2）结果：共对442人进行了跟踪调查。分析对象为393名能够进行一年以上随访调查的老年人，在老年人需要护理的生活质量方面，调查开始和结束的时间差异不显著。在调查结束时，对177名已测量生活质量的人进行了相关因素的检查。在生活质量的变化方面，性别（男性）、医疗场所（医院）、照顾者（配偶和子女）、行走状态（不可能）、饮食状态（需要照顾）、洗澡状态的变化（恶化）等的变化，生活质量降低。寿命较短的因素有性别（男性）、年龄（80岁以上）、医疗场所（医院）、主要疾病（老年）、ADL的排泄（护理需要）、膳食（护理需要）、穿衣状况（护理需要）、沟通（不可能）和QOL变化（恶化）。此外，寿命很长的因素是，有访问护理[与人自己的独立意志/与锻炼居住/与生活的活动]，有许多重要的护理事项与谈话或交流，日托，并使用短期停留。

(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.