Effects of the Great Hanshin-Awaji Earthquake on activities of daily living and social function in the aged fragile and handicapped subjects : Comparative study between living-alone and living-with-family group Toru Nagao 1 , Toshiaki Muraki 1 , Tasuku Kaneko 1 , Yuichi Ishikawa 1 1Faculty of Health Science, Kobe University School of Medicine Keyword: 老人 , (阪神・淡路大震災) , ADL , 社会生活 , コミュニケーション , Aged , Hanshin-Awaji Earthguake , Activities of Daily Living , Social function , Communication pp.194-202
Published Date 1998/6/15
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 The purpose of this investigation was to evaluate the differences of activities in daily living (ADL) and social function of the aged fragile and handicapped subjects living alone and with family before, immediately after, half a year, and one year after the quake. Having received home help service once or twice a week from Kobe Welfare Promotion Association, 117 aged subjects were divided into two groups; one group consisted of 54 "living alone (LA)" (13 men and 41 women, mean age (± 1SD) : 81.2 ± 8.1 years; range in age from 55 to 93 years) and the other of 63 "living with family (LF)" subjects (17 men and 46 women, mean age (±1SD) : 79. 7 ± 7. 8 years ; range in age from 55 to 93 years). At the time of both half a year and one year after the onset of the quake, occupational and physical therapists, nurses, a doctor, and trained student volunteers called on each of them and asked about ADL on the basis of the Barthel Index (BI) and social function of ESCROW Profile (EP). In comparison with both BI and EP between the groups, a significant difference was found in LA by Mann-Whitney's U-test. This clearly showed that LA demonstrated more independent ADL and lower social function. In modified EP without subitem C as cluster of family members, higher social function of LA was presented. This investigation suggests that medical staffs should lay greater weight on social supports to the aged fragile and handicapped subjects in case of various disasters.

Copyright © 1998, Japanese Association of Occupational Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会