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Pain in Frail Elderly People Living at Home and Using Rehabilitation Service of Day Care: Comparison of ADL, Self-efficacy for ADL, Instrumental ADL, and Social Interaction by Pain Hiroko Chida 1 , Wakako Sato 2 1Gunma University Hospital 2Yamagata University Faculty of Medicine, Graduate School of Nursing Keyword: 居宅軽度要介護者 , 痛み , 日常生活動作 , 日常生活動作効力感 , 手段的日常生活動作 , frail elderly people living at home , pain , ADL , Self-Efficacy for ADL , Instrumental ADL pp.64-73
Published Date 2013/11/30
  • Abstract
  • Reference

 The objective of this study was to investigate pain in frail elderly people living at home and to compare the difference between activities of daily living (ADL), self-efficacy for ADL, instrumental ADL (IADL), and social interaction. An interview survey was conducted on 60 older adults using day services with rehabilitation service who are categorized as “Support Required” (level 1 or 2) or “Long-Term Care Level 1” in the Japanese Long-Term Care Insurance system and who were able to answer questions. The results showed that more than half had pain, and the pain was at sites involved in ambulation and transfer, such as the lumbar region, knee, foot, and hip joint. The subjects were using medications and physical methods to cope with the pain. Examination of the relationship to pain also showed significant differences in the Functional Independence Measure (FIM) items related to changing clothes and IADL(TMIG Index of Competence) items of independence of instrumental and in self-efficacy for ADL (p < 0.05). These findings suggested that pain may affect confidence regarding ADL and play a role in reduced ADL independence in frail elderly people living at home. It will be necessary in the future to mitigate the effects of pain on daily living and to examine ways to provide assistance for pain in order to improve the quality of life of older adults who live at home.


Copyright © 2013, Japan Academy of Gerontological Nursing All rights reserved.

基本情報

電子版ISSN 2432-0811 印刷版ISSN 1346-9665 日本老年看護学会

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