Discussion on Process of Relation Between ADL and Morale

青柳 暁子

doi:10.15009/00000420

筆者の調査等から「ＡＤＬが低い障害高齢者も高い高齢者も入院時には高いモラールを示し、ＡＤＬとモラールの相関ははとんどみられない。しかし退院前後を契機にＡＤＬとモラールは高い相関を示し始め、ＡＤＬが高い障害高齢者はモラ一ルが高くなり、ＡＤＬが低い障害高齢者はモラールが低くなる」というＡＤＬとモラールの相関にプロセスが存在する可能性が示唆された。本報告はこのプロセスについて説明すると共に、このプロセスに関わる要因として「学習性無力感」「役割転換の困難さ」「障害高齢者自身の『あきらめ』」「周囲の人々の『不適切な対応』」「『高齢者のＡＤＬ低下は改善が困難である』という認識」を筆者の調査と他の文献から挙げた｡また、これらの要因について整理をおこなった。　これらの要因にアプローチすることでＡＤＬの低い障害高齢者のモラールを上昇させることが可能となると考えられる。

From the result of this research, whether the handicapped elders indicate low A D L or not, any relation between A D L and morale cannot be seen when they are admitted to the hospital. However, around the time they are released from the hospital, morale highly starts interrelating with A D L . Therefore the possibility of process existence is proved in interrelation that the handicapped elders who indicate low A D L have low morale and those who have high A D L show high morale. This research explains the process and mentions the factors relating to it. These factors that are found from the research and other literatures are: “Learned helplessness" , "Difficulty in switching roles" , "Giving up themselves" , “lnappropriate treatment from others" , and "the recognition that decrease of A D L is does not improve easily" .Increasing the morale of elders who have low A D L could be possible by decreasing the influence from these factors resulting from approaching them.

Discussion on Process of Relation Between ADL and Morale

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