韓国における在宅老人の痴呆症状と介護状況に関する研究

The Study of Senile Symptoms and Home Care on the Elderly Living in Korea

要旨

　本研究の目的は，韓国の在宅老人の生活状況を把握すると共にその中で痴呆をもつ老人をスクリーニングし，その老人の痴呆症状及び介護状況の実態を調査することである．第1次調査とし，韓国の60歳以上の在宅老人713名を対象に面接調査を実施し，その中から痴呆患者42名をスクリーニングした．次に第2次調査として，その内調査可能であった26名の痴呆老人とその介護者に面接調査を行った．結果は以下の通りである．

1．対象老人713名中，何等かの介護を要する者が約25％あった．

2．対象老人の活動状況をみると，約85％の者は近所ないし普通の外出ができる．寝たきり・寝たり起きたり及び起きているが動かないといった活動性の低下した者は5％のみであった．

3．713名中痴呆と判定された者は42名で，有病率は5.6％であった．

4．痴呆老人は精神症状を平均5.3個もっており，女性には抑鬱傾向，男性には暴力が多くみられた．

5．介護者―患者関係不良群は良好群に比べ精神症状の発現頻度が高かった．

Abstract

　The purpose of this study is to investigate the daily life and care condition of elderly people living in Korea, and to observe the symptom of senile dementia among them. In the first survey, 713 subjects were screened and 42 subjects were diagnosed as suffering from senile dementia. In the second survey, 26 elderly and their caregivers who agreed to participate in this program, were interviewed.

　The results were as follows.

1. About 25% of the 713 subjects needed some kind of help in their daily life.

2. 85% of the subjects could go out and about their houses without help. Only 5% of them had a complete or a partial loss of activity.

3. Of all the subjects, 42 were diagnosed as suffering from senile dementia. The prevalence of this disease was calculated at 5.6% in the survey.

4. Each demented elderly person had 5.3 mental symptoms on the average. Depression was observed more among women and violence was observed more among men.

5. The elderly who had a lower CPR score (Caretaker-Patient Relationship Score), indicating a poor relationship between the patient and caretaker, had a higher prevalence of mental symptoms than those who had a higher CPR score.