過疎地在住高齢者の生命予後・QOL 予後・認知症リスク予測モデル構築への展望:「携帯型社会診断機器」における実装に向けた一考察

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  • A prospect for constructing prediction models of vital prognosis, QOLs and dementia risk for older people living in a depopulated village: A consideration for their implementation in “mobile Social Diagnosis Instrument (m-SDI)”
  • カソチ ザイジュウ コウレイシャ ノ セイメイ ヨゴ ・ QOL ヨゴ ・ ニンチショウ リスク ヨソク モデル コウチク エ ノ テンボウ : 「 ケイタイガタ シャカイ シンダン キキ 」 ニ オケル ジッソウ ニ ムケタ イチ コウサツ

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[Aim] The aim of this study is constructing predictive models for vital and quality of life (QOL) prognosis and dementia risk in the elderly, and examining the prediction accuracy of these models. We also proposed a mobile Social Diagnosis Instrument (m-SDI), a tool that can be used practically in the medical, caregiving, and insurance fields, by utilizing the results of the prediction models to evaluate preventative care and support strategies for independent living of the elderly. [Method] We conducted a regression analysis based on the results of a survey on activities of daily living, QOLs (physical component summary; PCS and mental component summary; MCS), cognitive function, low nutrition risk, and actual living circumstances of the residents in a village in Nagano prefecture (2007, 2014). [Results] For men and women respectively: (1) vital prognosis: R2=0.324 and R2=0.302 (2) QOL (PCS): R2=0.325 and R2=0.090. [Summary] Predictive models require further improvements, including addition of other question items, to make it more practical. m-SDI uses a tablet device and allows responses to be input easily during a home visit, thereby appropriate lifestyle guidance can be provided to individuals while perusing their diagnostics results.

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