Sense of coherence (SOC) : social and psychological factors in the homebound elderly in a community

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  • Wakayama Shuichi
    筑波大学大学院人間総合科学研究科ヒューマンケア科学専攻 アール医療福祉専門学校
  • Takata Yuu
    アール医療福祉専門学校
  • Kubota Tomohiro
    アール医療福祉専門学校
  • Nakamura Shigemi
    アール医療福祉専門学校
  • Fujita Yoshihiko
    筑波大学大学院人間総合科学研究科ヒューマンケア科学専攻 茨城県立医療大学
  • Maki Naoki
    筑波大学大学院人間総合科学研究科ヒューマンケア科学専攻
  • Hasegawa Daigo
    筑波大学大学院人間総合科学研究科ヒューマンケア科学専攻
  • Yanagi Hisako
    筑波大学医学医療系

Bibliographic Information

Other Title
  • 地域高齢者における閉じこもりと心理・社会環境的要因に関する研究
  • 地域高齢者における閉じこもりと心理・社会環境的要因に関する研究 : SOC(首尾一貫感覚)に注目して
  • チイキ コウレイシャ ニ オケル トジコモリ ト シンリ ・ シャカイ カンキョウテキ ヨウイン ニ カンスル ケンキュウ : SOC(シュビ イッカン カンカク)ニ チュウモク シテ
  • ─SOC (首尾一貫感覚) に注目して─

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Abstract

Objective : Although current preventative care policies consider the issue of the homebound elderly to be important, effective means of intervention have not been established. Therefore, it is necessary to elucidate the relevant causes of the poorly understood “homebound” problem. As little expertise exists on the social and psychological factors of those who are homebound, this study focuses on the sense of coherence (SOC) —a new estimate of the psychosocial factors involved in being homebound—and examines the connection between being homebound and SOC.<br>Methods : A mail survey was conducted among 1,895 elderly adults, none of whom had been issued a Certification of Long-Term Care Need. Survey items included basic attributes, physical characteristics, psychological and socioenvironmental characteristics, and the condition of being homebound. Furthermore, SOC was investigated as part of the psychosocial and environmental evaluation. The 853 respondents chosen for the analysis were divided into three groups depending on their level of homeboundedness, and an ordered logistic regression analysis was conducted using homeboundedness as the dependent variable.<br>Results : The following items were found to have a significant association with homeboundedness : age, sex, low motor function, depressive tendencies, low SOC, and the low TMIG Index of Competence.<br>Discussion : This study identified a relation between being homebound and SOC, suggesting that in addition to interventions for depression and motor function, new SOC focused aid must be considered in the prevention of homeboundedness.

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