地域在住要介護者等の外出頻度に関連する環境因子

• Published in: 理学療法学 Vol. 38; no. 1; pp. 17 - 26
• Main Authors: KATO Gohei, 田宮 菜奈子, 柏木 聖代, 赤坂 清和
• Format: Journal Article
• Language: Japanese
• Published: 日本理学療法士学会 20.02.2011; Japanese Society of Physical Therapy
• Subjects: Home And Community Environment 日本語版; 外出頻度; 環境因子
• ISSN: 0289-3770; 2189-602X
• DOI: 10.15063/rigaku.kj00007112488

Purpose: The aim of this cross sectional study is to explore the environment factors associating with the frequency of going outdoors among Japanese community-dwelling dependent older people. Method: The subjects were 77 day-rehabilitation services users. The multiple logistic regression analysis was conducted to identify the basic attributes and the environmental factors associating with the condition of lower frequency of going outdoors. The frequency of going outdoors in a week was set as the dependent variable. The subjects' environmental factors, sex, age, comorbidity, the level of activity of daily living, the location of the day-rehabilitation services providers, the weekly frequency of day-rehabilitation service use were used as the independent variables. Japanese version of Home And Community Environment (HACE) was used to scale the environmental factors. Result: More than 3 points of the community mobility score in Japanese version of HACE, indicating higher existence of the community barriers, was associated with the condition of never going outdoors in a week excluding day rehabilitation service use (Adjusted Odds Ratio [95% Confidence Interval]: 8.84 [1.80-67.02]). Moreover, the similar result was shown in the secondary analysis, counting day rehabilitation service use as going outdoors in a week. Conclusion: Our findings suggest that community barriers were identified as important environmental factors which associate with the low frequency of going outdoors among Japanese community-dwelling dependent older people. 【目的】地域在住要介護者等の外出頻度に関連する環境因子を横断研究により検討する。【方法】通所リハビリテーション利用者（77名）を対象にした。多重ロジスティック回帰分析を用いて，外出頻度が低い状態に関連する利用者の基本属性および環境因子を探索した。一週間の外出頻度を従属変数とし，性別，年齢，疾病の種類，日常生活活動能力，利用施設，一週間の通所リハビリテーション利用日数，環境因子を独立変数とした。環境因子は，Home And Community Environment（HACE）日本語版を用いて評価した。【結果】地域の障害の多さを示すHACE日本語版の地域移動性得点が高いことは，一週間の外出頻度が通所リハビリテーションの利用を除くと「まったく外出しなかった（調整オッズ比 [95%信頼区間]：8.84 [1.80-67.02]）」と独立に関連した。また，通所リハビリテーションを外出頻度に含めた二次的分析でも同様の結果が得られた。【結論】地域の物的障害が多いことは，地域在住要介護者等の低い外出頻度に関連する環境要因として重要である。