高齢障害者におけるレクリエーションの参加頻度と知的機能・ADL能力との関係—HDS-R，FIMを用いて(第2報)

Effects of recreation in the disabled elderly who reside at nursing home

要旨：本論文は，特別養護老人ホームで行ったレクリエーションの効果を明らかにすることを目的として，対象者を参加回数別に4群に分け，レクリエーション活動開始時と終了時にHDS-RとFIMを用いて評価し，レクリエーション参加頻度と，知的機能およびADLとの関連について検討した．

　結果より，レクリエーション参加頻度とADL能力の関係では，週2回程度レクリエーションに参加することがADL能力維持に有効であることが示された．また，週1回以下の参加頻度でも，日常生活の中で主体的活動がある高齢障害者ではADL能力が維持された．しかし，知的能力は変化が示されなかった．

　The purpose of this study is to clarify whether a recreation for disabled elderly persons has an effect on their ADL and mental faculties or not. During a half year study, the relations between Hasegawa's revised dementia rating scale (HDS-R) and Functional Independence Measure (FIM) with recreation for 42 disabled elderly persons in the nursing home were investigated.

　The FIM score of once-per-week participants was mostly decreased, and half of them had a very low score. Then after a half year, it was significantly lowes. But, the FIM score over twice-a-week participants was maintained. It means that they can maintain their ADL if they participate in recreaion twice a week.

　Conversely, even if under once-a-week participation, it was possible to maintain their ADL by active life. The relations between mental faculties with participation in recreation was not found.