生きがい型介護予防支援事業利用者の移動能力，転倒恐怖と外出状況

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Background and purpose: a program that is called "Ikigai Day service" has been offered in a rural area, Japan. This program aims at preventing the dependence for daily life and house bound. "Ikigai Day service" supports going outdoor of frail community elderly so that they gather in one hall and enjoy a social exchange. The purpose of this research is to investigate the state and changing mobility and fear of falling of participants of the program and discuss about the effect and the problem of the program.Method: this longitudinal study was executed from May, 2002 to August, 2003. Objects are 68 participants of "Ikigai Day service" in 2002. There were 2 males and 66 females. Their average age was 82.0±4.5 (74-94) years old. Control group was 47community elderly from 75 to 91 years old who live in the same village. Mobility, fall prevention self-efficacy scale, frequency of going outdoors, and the destination were measured in 2002 and 2003.Result: participant of "Ikigai Day service" was older, lower mobility, lower independence of going outdoors, fewer frequencies of going outdoors and lower fall prevention self-efficacy compared with control group. The number of those who avoid going out had increased from 2002 to 2003. In addition, 10 participants (15%) had become depended in one year. More preventive care is necessary for them.
身体教育医学研究編集委員会の論文