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

本研究的目的是从关注生活在社区中的老年人的“生活质量（QOL）指数”出发，开发社区健康护理干预的评价方法。研究对象是居住在日本静冈“Y镇”的2,700名65岁或65岁以上的老年人，其中身体健康者2,500人，体弱和受损老年人220人，护理人员为160人。采用Lawton提出的生活质量指标，对生活质量的主观维度进行测量，项目包括（1）行为能力、（2）知觉生活质量、（3）客观环境、（4）心理健康。“家庭关系满意度”、"健康满意度“、”角色认同度“、”生活兴趣“和”心理稳定度“。体弱和残疾老人有四个领域：“健康满意度”、“目标感”、“人际关系满意度”和“家庭关系满意度”。照顾者有“健康满意度”、“现状满意度”、“心理稳定度”和“现状生活满意度”四个维度，本研究结果为社区老年人生活质量评价指标和社区健康护理干预方法提供了依据。本问卷的有效性有待进一步的研究验证。

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.