1. Factors Related to Older and Non-Older People's Sense of Security Toward Community Medicine at the Time of Illness in Depopulated Areas in Japan : A Cross-Sectional Study
- Author
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Moriki, Yuki, Fukui, Sakiko, and Takeya, Yasushi
- Subjects
older people ,地域医療 ,community medicine ,security ,老年看護 ,安心感 ,geriatric nursing ,高齢者 - Abstract
原著論文, Original Articles, 本研究では、静岡県の過疎地域において、地域住民を対象とした大規模なアンケート調査を行い、地域医療に対する疾病罹患時の高齢者、非高齢者の安心感に関連する要因の抽出を目的とした。1701 名の住民が統計分析解析対象となり、多変量線形回帰分析の結果、行政への信頼、地域社会の愛着、住民間の温かい関係と医療への親和性が、高齢者の安心感と正の相関を示した。高齢者の安心感は、地域住民との温かい関係や、医療への親和性などが関連しており、老年看護学・地域包括ケア学の立場からは、高齢者を孤立・孤独にさせないような地域での取り組みを推し進めることで、過疎地域であっても高齢者が不安の少ない生活を送ることに寄与できるかもしれない。非高齢者に関しては、職業や人生に満足し、ストレスがなく、最期を迎えたい場所は慣れた病院であることが安心感に関連していた。安心感の関連要因は、年齢層により異なることを考慮し、支援する必要があることが明らかになった。, In depopulated areas, residents experience anxiety, and community maintenance is difficult owing to the deterioration of local medical and welfare systems. Providing adequate support and security until the end of people’s lives is necessary. This study aimed to identify the factors associated with sense of security of health care in two depopulated areas of Japan. We also examined the factors differ by age, and administered a cross-sectional survey; demographics; physical, mental, and social factors. We received 2462 responses(response rate 53.0%). Study variables were compared by age group(˂ 65 and ≥ 65) using the Wilcoxon rank-sum test for continuous variables and the chi-square test. A multivariate linear regression analysis revealed different correlations differ by age. Occupation and life satisfaction were essential for the younger group, while warm relationships between residents and accessibility of medical care were important for the older group. Strengthening confidence in the administration and community attachment can contribute to increased such feelings for residents in depopulated areas. These agebased differences in depopulated areas of Japan, relating to such feelings should be considered when developing interventions to promote health care by community health nurses.
- Published
- 2022