高齢入院患者のQOL—老人デイケア利用者と比較して

QOL for elderly inpatients : Compared with outpatients who receive day-care services

要旨：本研究では，高齢入院患者とデイケア利用者のQOLを比較することにより，高齢入院患者のQOLにおける問題を検討した．方法は，被験者のQOLを日常生活満足度評価表(SDL)とPGCモラールスケール(PGC)を用いて評価し，同時にBarthel Index(BI)によるADLとの関連性についても検討した．結果，入院群は，SDLについては教養以外の全ての項目においてデイケア群に比べ有意に低値であり，PGCでは，孤独感・不満感に関わる因子の項目が低値であった．またBIとSDLには相関が認められたが，PGCには認められなかった．以上のことから，高齢入院患者に対してはADLの改善のみならず，家族や友人との関わり，自己表現の場や役割の提供などが必要と考えられた．

　Two different scales to examine assets of quality of life (QOL)-Satisfaction for Daily Life Scale (SDL) and Philadelphia Geriatric Center Morale Scale (PGC)-were administered to both groups of elderly inpatients and of outpatients receiving day-care services. Barthel Index (BI) was also administered to determine if any correlation would exist between their level of ADL and these scores.

　The results showed that, compared with the outpatient group, the group of inpatients scored significantly lower in all SDL items except for the "education" ; their PGC scores were also lower on the items regarding "loneliness and dissatisfaction". In addition, correlation between the scores of BI and SDL was found only with the group of inpatients. No correlation was found between the scores of BI and PGC.

　Importance of providing elderly inpatients with opportunities to interact with their families and friends, to express their feelings, and to take their roles in their families will be discussed.