高齢者に対する要介護認定の問題点

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In the present study, the validity of the certification of care need for the elderly was examined by physical performance and daily activities. Subjects in Study 1 were 100 persons (average age 85.2±6.9 years, 20 male, 80 female) who were institutionalized or utilizing a geriatric health services facilitiy. There was a significantly negative correlation between Care Need Degree from 1 to 5 and ADL scores. These results suggest that validity of the certification of care need for the elderly institutionalized. In Study 2, subjects were 38 persons who are certified to need assistance (average age 81.3±5.8 years, 6 male, 32 female) and 37 persons who are certified as Care Need Degree 1 (average age 82.2±6.5 years, 7 male, 30 female). Between the two groups, there was a significant difference in activity performance index, but there were no differences in grip strength, strength of quadriceps muscle, maintaining time of single-limb standing, body sway, gait rate and ADL scores. The Logistic regression analysis with object variables of "Need Assistance" and "Care Need Degree 1" revealed that only activity performance index was sampled as a factor relating to the certification of care need. It was speculated that the elderly who showed higher activity performance index tended to be certified to need assistance. These results suggest that the certification of "Need Assistance" and "Care Need Degree 1" is possibly based on the activity performance of the elderly, not on physical performance.

高齢者に対する要介護認定の問題点

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