国際生活機能分類による在宅要介護者が日常生活において困難と感じている作業に関する調査

An ICF-based survey on difficulties with activities of daily living experienced by frail community-dwelling elderly individuals

要旨：在宅要介護者が生活上困難と感じている作業を明らかにすることを目的に，国際生活機能分類の「活動と参加」の項目をもとに質問紙を作成し，通所サービス利用者ヘアンケート調査を行った．利用者350名のうち218名より回答が得られ（62.3％），全ての項目に記載があった168名（48.0%）を解析対象とした．その結果，在宅要介護者の6割以上が困難に感じている作業は，「歩くこと（83.9%）」，「持ち上げることと運ぶこと（82.1%）」，「複数の課題をこなす（72.6%）」，「細かい手の作業（60.7%）」，であった．また，年齢性別，疾患，要介護度によっても，在宅要介護者が困難に感じる作業の特徴は異なっていた．

　The purpose of this study was to examine the difficulties with activities of daily living experienced by frail elderly individuals. We developed a questionnaire based on item 48 in the "activities and participation" section of the International Classification of Functioning, Disability and Health (ICF) checklist, and conducted a survey on frail community dwelling elderly individuals who use a day care center. From among 350 elderly individuals to whom the questionnaire was distributed, complete responses received from 168 individuals were analyzed. The activities of daily living in which more than 60% of respondents had difficulty were "Walking" (83.9%), "Lifting and carrying objects" (82.1%), "Undertaking multiple tasks" (72.6%) and "Fine hand use" (60.7%). Moreover, difficulties in activities of daily living differed according to each individual's age, sex, disability and degree of required care.