@article{oai:toyama.repo.nii.ac.jp:00002543, author = {笠井, 恭子 and 梶田, 悦子}, issue = {1}, journal = {富山医科薬科大学看護学会誌}, month = {Aug}, note = {application/pdf, 在宅高齢者604名の主観的健康感と痛みの実態を明らかにし, さらに, 両者の関係を検討した結果, 次のことが示された.身体的な慢性痛を抱えている者は61.8%で, 下肢痛と腰背部痛を訴える者が多かった.また, 男性に比べて女性の慢性痛保有者が有意に多かった.慢性痛保有者の主な日常生活の不自由は正座と階段昇降であった.Short-Form36 bodily pain scoreによる痛みは, 男性に比べて女性が有意に強い痛みを訴えた.また, 感覚器系の痛み, 下肢痛, 腰背部痛を抱える者の痛みが強かった.主観的健康感は71.2%の者が良好であった.感覚器系の痛み, 下肢痛, 腰背部痛のある者, および痛みの程度が強い者, 日常生活に不自由がある者は, そうでない者に比べて有意に主観的健康感が不良であった.老研式活動能力指標(IADL)の手段的自立と知的能動性に関する内容が, 可能な者に比べて不可能な者は有意に主観的健康感が不良であった.PGCモラールスケールでは, ほとんどの項目でモラールが良好な者に比べて不良の者は有意に主観的健康感が不良であった.以上のことから, 主観的健康感を高めるためには, IADL, モラールを良好に保つこと, 下肢痛や腰背部痛を軽減し移動能力を維持することの必要性が示唆された., We examined the relationship between the self-assessment of health status and pain in 604 elderly people at home. The following results were obtained. Chronic physical pain was noted in 61.8% of the subjects. Many subjects complained of lower limb pain and dorsal lumbar pain. Furthermore, the incidence of chronic pain in females was significantly higher than that in males. In elderly people with chronic pain, daily activities such as sitting upright and going up/down the stairs were limited. When the Short-Form 36 bodily pain score was examined, females complained of significantly severer pain than males. Furthermore, in subjects with pain of the sensory organs, lower limb pain, or dorsal lumbar pain, the pain score was higher. The self-assessment of health status was regarded as good in 71.2% of the subjects. In subjects with pain of the sensory organs, lower limb pain, or dorsal lumbar pain, subjects with severe pain, and subjects with limited daily activities, the self-assessment of health status was significantly poorer than that in subjects without the above findings. In subjects who could not do the items regarding measure-associated independence and intellectual activity in the Instrumental Activities of Daily Living (IADL), the self-assessment of health status was significantly poorer than that in those who could do the items. The PGC moral scale was used. In subjects with poor moral in most items, the self-assessment of health status was significantly poorer than that in those with good moral in most items. These results suggest that to improve the results of the self-assessment of health status, good IADL and moral should be maintained, lower limb pain and dorsal lumbar pain should be relieved, and moving capability must be maintained., Article}, pages = {13--22}, title = {在宅高齢者の主観的健康観と痛みとの関連}, volume = {4}, year = {2001} }