The effects of group approach on the factors influence dietary behavior and satisfaction in dietary life among the elderly people living in rural areas.

本研究采用定量（调查1）和定性（调查2）分析北海道农村地区在世老年人饮食行为、饮食生活满意度和生活满意度之间的关系。结果表明，老年人饮食生活满意度对生活满意度的影响是通过对老年人饮食生活提供有针对性的健康福利服务，对提高老年人生活质量至关重要。主要研究结果如下：调查1的通径分析显示，年龄因素和膳食质量、与人共食这两个饮食行为因素对饮食生活满意度有直接影响同时分析了经济状况、饮食生活满意度等直接因素对生活满意度的影响调查2中的案例研究显示，影响饮食生活满意度的因素分别为身体原因、与家人的关系、家人的积极作用和由他人做饭4类。(1)身体原因；要么是购物和烹饪受到限制，要么是由于身体问题限制了摄入量。（二）家庭成员关系；与儿媳或配偶关系不佳的情况下，做饭的负担、做饭的家人的忧虑、与家人一起生活却独自吃饭等，降低了饮食生活的满意度。（三）在家庭成员中的角色；通过自己的思考和为家庭成员准备饭菜，提高了饮食生活的满意度。(4)因被人烹煮；得到别人准备的一顿饭所带来的预期的满足感会影响饮食生活的满意度。

This study was carried out by quantitative (survey 1) and qualitative (survey 2) analysis to identify the relationship between dietary behavior, satisfaction in dietary life, and the satisfaction in life among the living elderly people in rural areas of Hokkaido. The results concluded the satisfaction in dietary life influenced the satisfaction in life by providing the focused health and welfare services on the elderly people's dietary life, which is essential to improve their QOL.The main results were as follows;1 The path analysis in survey 1 revealed the factor 'age' and two other dietary behavior factors, the quality of meal and eating with someone, influenced the satisfaction in dietary life directly.2 The same analysis explained the direct factors such as economic status and the satisfaction in dietary life were effected the satisfaction in life.3 The case study in survey 2 showed the factors that influenced the satisfaction in dietary life were classified into 4 categories under, physical reasons, relationship with the family members, the active role among them, and getting the meals cooked by someone else, respectively.(1) Physical reasons;Either the shopping and cooking were restricted or the amount of intake was limited due to physical problems.(2) The relationship with family members;The burden of preparing meals under the poor relationship with a daughter-in-law or with the spouse, worrying the family member who prepared it, and eating alone even though living with them decreased the degree on the satisfaction of dietary life.(3) The role among family members;The own contribution by thinking and preparing meals for the family members improved the satisfaction of dietary life.(4) Because of being cooked by someone;Having the expected satisfaction of a meal prepared by someone else effected the satisfaction of dietary life.