Uehira T, Fujita T
Yodogawa Public Health Center.
Nihon Koshu Eisei Zasshi. 1993 Sep;40(9):841-9.
A cross-sectional study of disabled women living at home, aged 65 years and more, was conducted in Osaka-city to examine difference in subjective well-being in two groups differing in length of bedridden period, and to elucidate correlates of subjective well-being. A short-period group was composed of 43 disabled women whose bedridden periods were shorter than two years, and a long-period group of 63 women was randomly selected from disabled women of the corresponding age having a bedridden experience of five or more years. The two groups were interviewed by public health nurses using the Philadelphia Geriatric Center Morale Scale. The subjective well-being was lower in the short-period group than in the long-period group. This result indicates the necessity to provide adequate support to the disabled elderly early on, not only from the physical stand point but also for consideration of subjective well-being. Other correlates of subjective well-being in the disabled women were age, number of family members and caregivers, economic state, pain, ophthalmopathy and utilization of domiciliary care services. Existence of a plan for home visits by public health nurses was strongly related to subjective well-being, possibly indicating that the visiting plan was made with some consideration of subjective well-being. These need to be further development of adequate support systems that consider the subjective well-being of the disabled elderly.
在大阪市开展了一项针对65岁及以上居家残疾女性的横断面研究,以调查卧床期长短不同的两组残疾女性在主观幸福感方面的差异,并阐明主观幸福感的相关因素。短期组由43名卧床期短于两年的残疾女性组成,长期组的63名女性则从有五年及以上卧床经历的同龄残疾女性中随机选取。公共卫生护士使用费城老年中心士气量表对两组进行了访谈。短期组的主观幸福感低于长期组。这一结果表明,不仅要从身体角度,还要从主观幸福感考虑,尽早为残疾老年人提供充分的支持。残疾女性主观幸福感的其他相关因素包括年龄、家庭成员和照顾者数量、经济状况、疼痛、眼病以及居家护理服务的使用情况。公共卫生护士进行家访计划的存在与主观幸福感密切相关,这可能表明制定家访计划时对主观幸福感有所考虑。需要进一步开发充分考虑残疾老年人主观幸福感的支持系统。