Matsuda Kensuke, Hamachi Nozomi, Yamaguchi Tamotsu, Oka Shinichiro, Suzuki Akari, Shimoda Takeyoshi, Ikeda Takuro, Eguchi Masahiko, Nakahara Masami, Nagai Yoshiharu, Takano Yoshio, Kaneko Hideo, Morita Masaharu
Department of Physical Therapy, School of Rehabilitation Sciences at Fukuoka, International University of Health and Welfare: 137-1 Enokizu, Okawa-city, Fukuoka 831-8501, Japan.
Department of Physical Therapy, Fukuoka International College of Health and Welfare, Japan.
J Phys Ther Sci. 2019 Apr;31(4):326-331. doi: 10.1589/jpts.31.326. Epub 2019 Apr 1.
[Purpose] This study aimed to examine the direct and indirect effects of factors influencing the risk of life space assessment using path analysis. [Participants and Methods] A sample of 212 elderly residents (at least 65 years old) with no clear indications of cognitive dysfunction, visual impairment, and physical dysfunction were recruited for the study. Data on these factors were collected from the participants at a community gathering using measures of life space assessment, skeletal muscle mass, lower extremity muscle strength, mobility, cognitive function, and fear of falling. Correlational and path analyses were used to investigate the relationships between these variables. [Results] The final path model satisfied the requisite statistical criteria, and subsequently, the relationships between the physiological and psychological factors associated with life space assessment were structured and represented visually. Age, skeletal muscle mass, fear of falling, and mobility had a direct effect on life space assessment, whereas lower extremity muscle strength and cognitive function affected it indirectly. [Conclusion] In this study, direct and indirect effects of physiological and psychological factors related to risk of life space assessment of the elderly were clarified using path analysis.
[目的] 本研究旨在通过路径分析检验影响生活空间评估风险的因素的直接和间接效应。[参与者与方法] 本研究招募了212名无明显认知功能障碍、视力障碍和身体功能障碍迹象的老年居民（至少65岁）。在社区聚会上，通过生活空间评估、骨骼肌质量、下肢肌肉力量、活动能力、认知功能和跌倒恐惧等测量方法，从参与者那里收集了这些因素的数据。采用相关性分析和路径分析来研究这些变量之间的关系。[结果] 最终的路径模型满足必要的统计标准，随后，与生活空间评估相关的生理和心理因素之间的关系得以构建并直观呈现。年龄、骨骼肌质量、跌倒恐惧和活动能力对生活空间评估有直接影响，而下肢肌肉力量和认知功能则间接影响生活空间评估。[结论] 在本研究中，通过路径分析明确了与老年人生活空间评估风险相关的生理和心理因素的直接和间接效应。
