@article{oai:oka-pu.repo.nii.ac.jp:00000659, author = {栗本, 一美 and Kurimoto, Kazumi and 太湯, 好子 and Futoyu, Yoshiko}, journal = {岡山県立大学保健福祉学部紀要, Bulletin of Faculty of Health and Welfare Science,Okayama Prefectural University}, month = {}, note = {中山間地域で介護保険制度の施策が及び難く高齢化率の高いA市内の2地域に在住する高齢者を対象に「サテライト・デイ」の事業を実施し、介護予防事業として有効であるか検討することを目的とした。「サテライト・デイ」の第1回目に参加した46名を対象に、質問紙調査及び健康指標の測定を実施、分析した。その結果、参加者を継続群と非継続群に分けて違いをみると、非継続群は継続群に比べ有意に外出頻度は高かった。精神と身体健康では、両群問に差はなかったが共に70%の者に抑うつ状態がみられた。次に、継続参加による影響をみると精神健康では、抑うつ状態の割合は93.5%(第3回)が87.1%(第6回)と低下した。身体健康では、体脂肪率、BMIは有意に低下したが下肢機能に課題が残った。この中山間地域で「サテライト・デイ」の実施は、外出頻度の低い在宅高齢者の外出の機会や他者交流の場となり、生きがい支援や生活習慣病を含めた介護予防事業として意義ある活動と伺えた。, We performed a project called "Satellite Day" for the elderly at home in 2 intermediate and mountainous areas in City A where the percentage of the elderly is high, and policies of the care insurance system are difficult to carry out, and evaluated its usefulness as a care prevention project. A total of 70 elderly inhabitants in the 2 areas registered to participate in "Satellite Day" , and 46 of them who participated in the first Satellite Day were enrolled as the subjects. A Questionnairesurvey was performed, and health parameters were measured. The results were used as data and analyzed. When the participants were classified into two groups who continued or did not continue participation, a significant difference was observed only in the state of going out between the two groups. The frequency of going out was significantly higher in the non-continuation than in the continuation group. Measurement data on mental and physical health parameters did not differ between the two groups; more than 80% of the subjects underwent certain treatment, and 70% showed depressive states in both groups. Concerning the influences of continuous participation in "Satellite Day" , the percentage of subjects with depressive states decreased from the third (93.5%)to the sixth Satellite Day (87.1%). Among physical health parameters, the body fat ratio, body weight, and BMI significantly decreased, while the right grip strength significantly increased. Thus, many elderly people at home in the intermediate and mountainous areas had health problems. The practice of "Satellite Day" in these areas provided opportunities to go out and places of exchange with others for elderly people who infrequently leave their homes. This project may be useful as a care prevention project including support for what the elderly take interest in and the prevention of lifestyle-related diseases.}, pages = {73--81}, title = {中山間部の在宅高齢者の健康と生活を支える介護予防活動に関する研究}, volume = {15}, year = {2008}, yomi = {クリモト, カズミ and フトユ, ヨシコ} }