Takahashi R, Fukazawa H, Izumo Y, Simizu Y, Araki A, Inoue J, Ito H
Uguisuzawa Hospital, Miyagi Pref.
Nihon Ronen Igakkai Zasshi. 1994 May;31(5):404-10. doi: 10.3143/geriatrics.31.404.
The present study was performed to examine living conditions of elderly diabetic patients in rural areas in Iwate and Miyagi in northern Honsyu and compared them with similar cases in Tokyo. One hundred and nine cases over 60 years old were interviewed, and results were compared to 109 age- and sex-matched random samples in the Tokyo area. The original Tokyo subjects consisted of 383 outpatients of the Diabetic Clinic of Tokyo Metropolitan Geriatric Hospital. Types of family structure, educational background and total income were quite different in the 3 areas, and patterns of social support depended on area-specific characteristics. Attitudes toward diabetic treatment (acceptance of importance and compliance) in Tokyo were excellent, but the sensation of social burden and dissatisfaction were also at a high level. In contrast, the level of compliance in Iwate was low. Total morale scale scores were similar in the 3 areas. Multivariate analysis (dependent variable is the total morale score) showed significant contribution of levels of ADL and adherent behavioral style only in Tokyo. In contrast, the feeling of social burden was a negative factor in all areas. The quality of life of elderly people with chronic diseases such as diabetes, is affected by ability to adaptation to living conditions.
本研究旨在调查日本本州岛北部岩手县和宫城县农村地区老年糖尿病患者的生活状况，并与东京的类似病例进行比较。研究人员对109名60岁以上的患者进行了访谈，并将结果与东京地区109名年龄和性别匹配的随机样本进行了比较。东京的原始研究对象包括东京都老人综合医院糖尿病门诊的383名门诊患者。这三个地区的家庭结构类型、教育背景和总收入差异很大，社会支持模式取决于地区特定特征。东京地区对糖尿病治疗的态度（对重要性的接受程度和依从性）很好，但社会负担感和不满情绪也很高。相比之下，岩手县的依从性水平较低。三个地区的总体士气量表得分相似。多变量分析（因变量为总体士气得分）显示，仅在东京地区，日常生活活动能力水平和依从行为方式有显著贡献。相比之下，社会负担感在所有地区都是一个负面因素。糖尿病等慢性病老年人的生活质量受适应生活条件能力的影响。
