Development of Evaluation Method for Community Health Nursing Interventions from Focusing QOL Index for the Elderly

本研究以日本静冈市Y镇的2700名65岁以上老年人为研究对象，以2500名身体健康的老年人、220名体弱多病的老年人、160名照顾者为研究对象，以社区老年人的“生活质量指数”为研究重点，探讨社区卫生护理干预的评价方法。采用Lawton的生活质量指数作为主观维度的测量指标，分别为(1)行为能力、(2)知觉生活质量、(3)客观环境、(4)心理健康状况，对3组进行单独的因素分析。年老体弱的老年人有四个方面：“健康满意度”、“目的感”、“人际关系满意度”和“家庭关系满意度”。护理者的生活质量有四个指标：健康满意度、在场满意度、心理稳定性和目前生活满意度。研究结果提示，本研究为社区老年人生活质量指数的评价和社区卫生护理干预提供了依据和方法。需要进一步的研究来检验这份问卷的有效性，并对问题进行更正。

The purpose of this study was to develop of evaluation method for community health nursing interventions from Focusing a "quality of life (QOL) index" for elderly subject living in a community.The subjects were 2,700 individuals of 65 years or older living in "town Y" in Shizuoka, Japan.The physically healthy subjects were 2,500, the frail and impaired elderly were 220, caregivers people were 160. The items for the QOL index by Lawton, used for subjective measures of dimension, were (1)Behavioral competence, (2)Perceived Quality of Life, (3)Objective environment, (4)Psychological well-being.A separate factor analysis was carried out for 3 group.The physically healthy elderly had five domeins: 'satisfaction with family relation', 'satisfaction with health', 'recognition of role', 'interests of life' and 'sychological stability'. The frail and impaired elderly had four domeins: 'satisfaction with health', 'sense of purpose', 'satisfaction with human relation' and 'satisfaction with family relation'. Caregivers people had four domeins: 'satisfaction with health', 'satisfaction with presence', 'psychological stability' and 'present life satisfaction'.The results suggest that the present domeins for evaluation of QOL index for elderly subject living in a community and method for community health nursing interventions. Further research is required to examine the validity of this questionnaire with correction of question.