{"created":"2023-07-27T06:30:56.732132+00:00","id":16173,"links":{},"metadata":{"_buckets":{"deposit":"40ccdd09-27c3-4038-ad21-1f756c9cfcc0"},"_deposit":{"created_by":3,"id":"16173","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"16173"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00016173","sets":["1132:1137:1223:1235"]},"author_link":["1192","495"],"item_7_alternative_title_2":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"運営システム別にみた通所サービス利用者の自宅と施設の日常生活動作の比較"}]},"item_7_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-07-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"18","bibliographicPageStart":"11","bibliographicVolumeNumber":"35","bibliographic_titles":[{"bibliographic_title":"金沢大学つるま保健学会誌 = Journal of the Tsuruma Health Science Society Kanazawa University"}]}]},"item_7_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"[Purpose] In elderly daycare facilities, services are provided according to independence support, which is the basic philosophy of Long-Term Care Insurance, to maintain and improve the user s activities of daily living (ADL). However, the efforts aimed at independence support and methods of service vary from facility to facility. In this study, we examined the relationship between the administrations system of the facilities and the user s independence of ADL, comparing two types of elderly daycare that provide different methods of service. Facilities that allowed the users to select the programs and time provided were classified into Group A, and those that provided predetermined sets of services were classified into Group B. [Methods] The subjects were elderly daycare facilities in three prefectures in the Hokuriku region of Japan ; 46 users in two facilities in Group A, and 40 users in three facilities in Group B. Evaluation of ADL at home and at a facility was performed using the Functional Independence Measure (FIM). [Results] There was no significant difference in the total FIM score at home between Groups A and B. In Group A, the total FIM score at the facility was significantly higher than that at home, while it was significantly lower in Group B. When the scores for each item in FIM at home and at the facility were compared, the scores for bladder control, bowel control, bed/chair/wheelchair transfer, bath/shower transfer, stairs, comprehension, and expression were significantly higher at the facility than those at home in Group A. In Group B, scores for grooming, dressing upper body, dressing lower body, bed/chair/wheelchair transfer, comprehension, and expression at the facility were significantly lower than those at home, while score for bath/shower transfer was significantly higher at the facility. [Conclusion] When the users were allowed to select the contents of the program and when the program was offered at elderly daycare facilities, voluntary actions were promoted, which may have increased users independence. The results indicated that when the program contents and the time provided were predetermined, assistance for the users might reduce the independence of the elderly.【はじめに】通所サービスでは自立支援に沿って利用者へのサービスが行われ、利用者の日 常生活能力の維持・向上を図っている。しかし自立支援の取り組みやサービス提供方法は 施設によって異なる。本研究では提供されるプログラムや時間を利用者が選択する運営シ ステムをグループＡ、サービスやその時間が規則的に決められている運営システムをグ ループＢとし、運営システムの違いと利用者のADL自立度の関連性を検討した。【方法】対 象者はグループＡの２施設の利用者46名、グループBの３施設の利用者40名である。自宅 と施設のADLの評価は機能的自立度評価法（以下、FIM）を用いた。【結果】自宅のFIM総 点の比較では両グループ間に差は認めなかった。自宅と施設のFIM総点の比較では、グ ループＡでは施設の得点が高く、グループＢでは施設の得点が低かった。項目別の比較で は、グループＡでは自宅より施設で排尿管理、排便管理、ベッド・椅子・車椅子の移乗、 浴槽・シャワーの移乗、階段、理解、表出の得点が高かった。またグループＢでは自宅よ り施設の整容、更衣上半身、更衣下半身、ベッド・椅子・車椅子の移乗、理解、表出の得 点が低く、浴槽・シャワーの移乗は施設の得点の方が高かった。【結論】通所サービスでの プログラム内容や遂行時間を利用者が自主的に選択できると自立度が高まり、プログラム 内容や提供時間が規則的に決められていると自宅に比べ自立度が低くなることが示された。","subitem_description_type":"Abstract"}]},"item_7_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"[原著:Originals]","subitem_description_type":"Other"}]},"item_7_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"金沢大学つるま保健学会 = the Tsuruma Health Science Society, Kanazawa University"}]},"item_7_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA11599711","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-8502","subitem_source_identifier_type":"ISSN"}]},"item_7_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Mitsumura, Mika"}],"nameIdentifiers":[{"nameIdentifier":"1192","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"45830072","nameIdentifierScheme":"研究者番号","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000045830072"}]},{"creatorNames":[{"creatorName":"Someya, Fujiko"}],"nameIdentifiers":[{"nameIdentifier":"495","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"60187903","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=60187903"},{"nameIdentifier":"60187903","nameIdentifierScheme":"金沢大学研究者情報","nameIdentifierURI":"http://ridb.kanazawa-u.ac.jp/public/detail.php?kaken=60187903"},{"nameIdentifier":"60187903","nameIdentifierScheme":"研究者番号","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000060187903"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-10-04"}],"displaytype":"detail","filename":"AA11599711-35-1-11-18.pdf","filesize":[{"value":"724.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AA11599711-35-1-11-18.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/16173/files/AA11599711-35-1-11-18.pdf"},"version_id":"19644a8b-4583-4c38-a2eb-e8c380a0a3a5"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"independence support","subitem_subject_scheme":"Other"},{"subitem_subject":"elderly daycare facility","subitem_subject_scheme":"Other"},{"subitem_subject":"administration system","subitem_subject_scheme":"Other"},{"subitem_subject":"ADL","subitem_subject_scheme":"Other"},{"subitem_subject":"FIM","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"A comparative study of ADL at home and at care facilities : differences between system of elderly daycare administration","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A comparative study of ADL at home and at care facilities : differences between system of elderly daycare administration"}]},"item_type_id":"7","owner":"3","path":["1235"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-04"},"publish_date":"2017-10-04","publish_status":"0","recid":"16173","relation_version_is_last":true,"title":["A comparative study of ADL at home and at care facilities : differences between system of elderly daycare administration"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-07-27T17:13:09.313127+00:00"}