Ohura Tomoko, Washio Masakazu, Ishizaki Tatsuro, Otsubo Tetsuya, Anzai Masaya, Kai Ichiro, Ueki Shouzoh, Yaniwa Sayuri, Fujiwara Yoshinori, Okumura Jiro
Faculty of Healtrh Sciences, Naragakuen University.
Kitakyushu Wakasugi Hospital.
Nihon Koshu Eisei Zasshi. 2020;67(7):435-441. doi: 10.11236/jph.67.7_435.
Japan is currently one of the countries with a long life expectancy, in which a great number of older people need care for their daily living. Japan has become increasingly internationalized due to an increase in foreigners and international marriages. As the number of elderly foreigners and foreign-born Japanese increase, older adults who do not use Japanese as their first language will need more opportunities to receive care. We examined characteristics such as country of origin, language spoken, lifestyle, living environment, and cultural background of elderly people who were either foreign permanent residents living in Japan or foreign-born Japanese (hereinafter referred to as elderly with an international background, in short, EIB) receiving care support. Ichushi-web, a medical literature database, was used [last search date: June 2, 2018]. These searches extracted 205 papers. After the first and second extraction procedures, only two papers matched this theme. These two reports were for Korean residents in Japan, so-called special permanent residents, and repatriates from China and their spouses, many of whom were aged 75 years old and above. The number of permanent residents in Japan who speak a foreign language as their first language is increasing. Inhibition of communication between EIB and healthcare welfare service providers is expected to be an obstacle while accessing care support services. For this reason, we must provide them with information related to Japanese healthcare services. Medical interpretation efforts are scattered and the response to EIB in the event of disasters has been discussed. From the perspective of multicultural coexistence, it is necessary to provide long-term care insurance services and medical services to EIB. Such efforts may include development and sharing of tools and the placement of staff who can communicate with non-Japanese speakers. Staff must also understand various illness- and health awareness-related issues. In the future, considering the increasing number of EIB who may require care services, we must consider cultural backgrounds and language diversification for EIB. These issues require clarification and development of acceptable solutions.
日本是目前预期寿命较长的国家之一，有大量老年人需要日常生活照料。由于外国人数量增加以及跨国婚姻增多，日本日益国际化。随着外国老年人和在国外出生的日本人数量的增加，不以日语为母语的老年人将需要更多接受照料的机会。我们研究了接受照料支持的外国永久居民或在国外出生的日本人（以下简称具有国际背景的老年人，简称EIB）的原籍国、所讲语言、生活方式、生活环境和文化背景等特征。使用了医学文献数据库Ichushi-web[最后检索日期：2018年6月2日]。这些检索共提取出205篇论文。经过第一次和第二次提取程序后，只有两篇论文符合该主题。这两篇报告针对的是在日本的韩国居民，即所谓的特别永久居民，以及从中国回国的人员及其配偶，其中许多人年龄在75岁及以上。以外语为第一语言的日本永久居民数量正在增加。预计EIB与医疗保健福利服务提供者之间的沟通障碍会成为获取照料支持服务的一个阻碍。因此，我们必须向他们提供与日本医疗服务相关的信息。医学口译工作分散开展，并且已经讨论了在发生灾害时对EIB的应对措施。从多元文化共存的角度来看，有必要向EIB提供长期护理保险服务和医疗服务。此类努力可能包括开发和共享工具以及安排能够与非日语使用者沟通的工作人员。工作人员还必须了解各种与疾病和健康意识相关的问题。未来，考虑到可能需要照料服务的EIB数量不断增加，我们必须考虑EIB的文化背景和语言多样性。这些问题需要澄清并制定可接受的解决方案。
