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Assessment of needs of long-term care for frail elderly persons in a community and factors related to types of institutinal care

社区体弱老人长期护理需求评估及机构护理类型相关因素

基本信息

批准号：
02670238
负责人：
KURODA Kenji
金额：
$ 1.41万
依托单位：
Osaka University
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (C)
财政年份：
1990
资助国家：
日本
起止时间：
1990 至 1991
项目状态：
已结题

项目摘要

1. Three studies were carried out in Mino City, Osaka Prefecture, on 188 frail and elderly persons living at home (the home group), 61 elderly patients who had been hospitalized for more than six months (the inpatient group), and 72 residents of welfare homes for the frail elderly (the resident group). The characteristics and social backgrounds of the three groups were compared.2. About 30% of each group had suffered a stroke. As for ADL score, moderate disability was dominant in the home group, severe disability in the inpatient group, and slight disability in the resident group. The proportions of those who had been living alone and those who had no spouse were significantly higher in the inpatient group and in the resident group than in the home group. Significantly fewer subjects in the resident group had been living with their offspring than in the home group or in the inpatient group. The percentage of those who did not have their own home was the highest for the resident group.3. Multivariate analysis using Hayashi's quantification method II were conducted for a comparison between cases belonging to the home group and the inpatient group. Differences between these two groups were related to such variables as ADL, sex, living or not living alone, living or not living with offspring, and having or not having a spouse.4. Multivariate analysis between the home group and the resident group showed that the latter group was dominated by those living alone, and not having their own home. Difference was observed in the condition of the dwelling and constitution of the family.5. It was found that in order to create a health and welfare plan for the elderly, each municipality should assess overall social needs in the community, including the needs of long-stay hospital patients and residents of welfare homes as well as the needs of those living at home.

1.在大坂府美浓市对188名在家生活的体弱老人（家庭组）、61名住院6个月以上的老年患者（住院组）和72名体弱老人福利院的居民（居民组）进行了3项研究。比较三个群体的特征和社会背景.每组中约有30%的人患过中风。家庭组以中度残疾为主，住院组以重度残疾为主，住院组以轻度残疾为主。住院组和住院组的独居者和无配偶者的比例显著高于家庭组。与家庭组或住院组相比，居民组中与子女生活在一起的受试者明显较少。居民组中没有自己住房的比例最高。采用Hayashi定量方法II进行多变量分析，比较家庭组和住院组的病例。两组的差异与日常生活能力、性别、是否独居、是否与子女同住、是否有配偶等变量有关.家庭组和居民组之间的多变量分析表明，后者是由那些独居，没有自己的家为主。在居住条件和家庭构成上存在差异.结果发现，为了制定老年人健康和福利计划，每个市政府都应该评估社区的整体社会需求，包括长期住院患者和福利院居民的需求以及住在家里的人的需求。