The Interrelationship among Achievement Patterns of Activities of Daily Living for Institutionalized Dependent Elderly

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概要

• 論文の詳細を見る

• The purpose of the present study was to examine the interrelationship of achievement patterns between 74 activities by selecting nine ADL domains, including 27 items used in existing ADL index for the institutionalized disabled elderly (Disabled-ADL). For these 74 ADL items, 706 institutionalized dependent elderly were assessed using a dichotomous scale of "possible" or "impossible" by staff working at the subjects' institutions. The difficulty of each item was examined by calculating the proportion of "possible" responses. The interrelationships among activities were determined by calculating φ coefficients. Furthermore, the degree of agreement assessed between ADL items was calculated by dividing the total response by the number of "possible-possible" and "impossible-impossible" responses, in order to examine the similarity of the achievement pattern of ADL. The φ, coefficient values were high among ADL items with comparable difficulty where the item proportions were within about 10%. Even if belonging to a different ADL domain, the relationship was high among ADL items with similar difficulty and kinds of activity. All of the 27 activities used in Disabled-ADL indicated high agreement of over 80% with one or more activities among the other 47 activities used in this study. Especially, three lower extremity activities of "putting on trousers while standing", "going up and down stairs" and "squatting down from a standing posture" agreed more than 90% with many other lower extremity activities. The possibility is suggested in determining lower extremity functional levels by assessing these three activities. The selection of ADL items considering these influences is necessary to comprehensively assess ADL ability of disabled elderly.

• 日本生理人類学会の論文

著者

• Demura Shinichi

  Faculty Of Education Kanazawa University

• Demura Shinichi

  Kanazawa Univ. Graduate School Of Natural Sci. & Technol.

• Demura S

  Graduate School Of Natural Science & Technology Kanazawa University

• Demura Shin-ichi

  Department Of Physical Education Kanazawa University

• Sato Susumu

  Life-long Sports Core, Kanazawa Institute of Technology

• KASUGA Kohsho

  Gifu Shotoku Gakuen University

• Sato S

  Life-long Sports Core Kanazawa Institute Of Technology

• Sato Susumu

  Department Of Precision Mechanics Faculty Of Engineering Kyoto University

• Sato Susumu

  Life-long Sports Core Kanazawa Institute Of Technology

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