Shibata Yosuke, Nakamura Mieko, Nakamura Hideko, Okada Eisaku, Ojima Toshiyuki
Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine: 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan.
School of Nursing, Seirei Christopher University, Japan.
J Phys Ther Sci. 2019 Jul;31(7):536-539. doi: 10.1589/jpts.31.536. Epub 2019 Jul 2.
[Purpose] This study aimed to determine the coping behaviors of elderly Japanese community-dwelling persons toward their skeletal muscle injuries and disorders. [Participants and Methods] A mail-in, self-administered questionnaire survey was administered to 1,084 community-dwelling adults aged 70 years and older. Information was obtained regarding their coping behaviors when dealing with bone fractures, dislocations, sprains, bruising, stiff shoulders, low back pain, acute muscle/joint pain, chronic muscle/joint pain, and daily fatigue. [Results] Visits to hospitals or general clinics were the most popular coping behavior for bone fractures, dislocations, sprains, bruising, low back pain, acute muscle/joint pain, and chronic muscle/joint pain; visits to a Judo therapist's office were the second most popular coping behavior for these conditions. Acupuncture, as well as chiropractic and massage clinics, were less frequently visited. For stiff shoulders and daily fatigue, many participants did not visit any medical facility. [Conclusion] Among the elderly, visits to hospitals or general clinics were the most used coping behavior for many types of skeletal muscle injuries and disorders. Visits to a Judo therapist's office were the second most used coping behavior. Visits to acupuncture, chiropractic, and massage clinics were less frequent. With these data, therapists could improve their care skills upon consideration of the coping preferences among community-dwelling elderly persons.
[目的] 本研究旨在确定日本社区居住老年人应对骨骼肌损伤和疾病的行为方式。[参与者与方法] 对1084名70岁及以上的社区居住成年人进行了邮寄式自填问卷调查。获取了他们在应对骨折、脱位、扭伤、瘀伤、肩部僵硬、腰痛、急性肌肉/关节疼痛、慢性肌肉/关节疼痛和日常疲劳时的应对行为信息。[结果] 对于骨折、脱位、扭伤、瘀伤、腰痛、急性肌肉/关节疼痛和慢性肌肉/关节疼痛，去医院或普通诊所就诊是最常见的应对行为；对于这些情况，去柔道治疗师办公室就诊是第二常见的应对行为。针灸以及整脊和按摩诊所的就诊频率较低。对于肩部僵硬和日常疲劳，许多参与者没有去任何医疗机构就诊。[结论] 在老年人中，去医院或普通诊所就诊是应对多种骨骼肌损伤和疾病最常用的行为方式。去柔道治疗师办公室就诊是第二常用的应对行为。去针灸、整脊和按摩诊所就诊的频率较低。根据这些数据，治疗师在考虑社区居住老年人的应对偏好后，可以提高他们的护理技能。
