Factors Related to Ikigai among Home-visit Rehabilitation Users Aged 75 Years and Older Receiving Home Medical and Nursing Care in Japan.

Physical therapy research Pub Date : 2024-01-01 Epub Date: 2024-11-14 DOI:10.1298/ptr.E10289
Eisuke Kogure, Takeshi Ohnuma, Yuta Sugita, Tsuyoshi Hara
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Abstract

Objective: This study investigated the factors that influence Ikigai among people aged 75 years and older using home medical and nursing care with home-visit rehabilitation.

Methods: This cross-sectional study involved 66 home-visit rehabilitation users aged 75 years or older who received home medical and nursing care at 2 home-care nursing stations. The following attributes were evaluated: Ikigai-9, life-space assessment (LSA), home-based LSA (Hb-LSA), Frenchay activities index (FAI), functional independence measure (FIM), self-efficacy for activities of daily living (SEADL), self-efficacy scale for going out among community-dwelling elderly (SEGE), and physical function. The correlation between Ikigai-9 scores and each assessment was examined. Multiple regression analysis was performed using the Ikigai-9 as the dependent variable and the correlated items as independent variables.

Results: The Hb-LSA, FAI, FIM, SEADL, and SEGE were correlated with Ikigai-9. Among the correlated items, the FAI was selected for multiple regression analysis.

Conclusion: Home-visit rehabilitation users aged 75 and over may be more likely to feel Ikigai if they have higher instrumental ADLs.

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日本75岁及以上接受家庭医疗和护理的家访康复患者Ikigai相关因素
目的:探讨75岁及以上老年人居家医疗护理伴家访康复中Ikigai的影响因素。方法:本横断面研究纳入66名75岁及以上在2个居家护理站接受居家医疗和护理的家访康复患者。评估指标包括Ikigai-9、生活空间评价(LSA)、居家评价(Hb-LSA)、Frenchay活动指数(FAI)、功能独立性测量(FIM)、日常生活活动自我效能(SEADL)、社区居住老年人外出自我效能量表(SEGE)、身体功能。检查Ikigai-9评分与各项评估的相关性。以Ikigai-9为因变量,相关项为自变量进行多元回归分析。结果:Hb-LSA、FAI、FIM、SEADL、SEGE与Ikigai-9相关。在相关项目中,选取FAI进行多元回归分析。结论:75岁及以上的家访康复患者仪器adl越高,越容易产生Ikigai。
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