@article{oai:meio-u.repo.nii.ac.jp:00001395,
 author = {松田, めぐみ and 永田, 美和子 and 前上門, ルミ and 新城, 慈},
 issue = {27},
 month = {2020-12-03},
 note = {目的：本研究は，沖縄県国頭村を東側と西側の地域に分け，そこで暮らす「閉じこもり」状態にある高齢者の身体，心理，社会・環境等の実態を明らかにし，その支援について検討することを目的とした。方法：沖縄県国頭村に暮らす在宅高齢者を対象に無記名自記式質問紙調査を実施した。344名（有効回答率27.6％）を「非閉じこもり」と「閉じこもり」に分けた。本研究においては，「閉じこもり」状態にある高齢者34名を分析対象とした。結果：東側と西側で有意な差が認められた項目は，「世帯構成」，「最終学歴」，「既往歴：ひざの痛み」であった。「世帯構成」では東側では子どもと同居，西側では夫婦二人暮らし，子どもと同居の割合が高く，「最終学歴」では東側で小学校，西側で高等学校の割合が高かった。また，「既往歴」では東側西側共に、膝の痛みなしの割合が高かった。東側西側共に，「閉じこもり」状態にあっても友人・知人の自宅来訪があり，他者との交流が保たれていた。考察：交通の利便性が良くない東側の高齢者は「他者運転」により外出し，通院が主な外出目的となっており，通院時を利用して楽しめるような場の提供と気軽に利用できる交通手段の確保を検討する必要があると考える。また，東側西側共に外出しなくても他者との交流が維持できており，訪問による他者との交流が継続できるような高齢者の見守り支援のネットワークを強化していくことが重要であると考える。, Purpose: The principal aims of the present study were to divide Kunigami Village in Okinawa Prefecture into eastern and western districts to clarify the physical status of elderly persons who were living in a “housebound” state, elucidate the actual status of going out, psychological status, social status, environmental status, etc., and examine support for such persons. Methods: A self-administered questionnaire survey was distributed to elderly persons living in Kunigami Village, Okinawa Prefecture. The results of 344 respondents （valid response rate: 27.6 ％） were classified as “nonhousebound” or “housebound” . In the present study, we analyzed 34 elderly persons who were in a “housebound” state. Results: The items for which a significant difference was noted between eastern and western districts are as follows: “cohabitation status,” “educational background,” and “past medical history of knee pain.” Regarding “cohabitation status,” the highest percentage of respondents in eastern districts comprised persons who lived in the same household with a child, while the highest in western districts comprised married couples who lived together or with a child. Regarding “educational background,” the highest percentage of respondents in eastern districts comprised persons who graduated from elementary school, while the highest in western districts comprised persons who graduated from high school. Furthermore, regarding “past medical history,” the percentage of persons who responded that no knee pain was present was high in both the eastern and the western districts. In both the eastern and the western districts, even subjects in a “housebound” state had friends and acquaintances who made home visits, and exchange with others was maintained. Discussion: In the eastern districts, which do not have a convenient transportation network, elderly persons go out through “driving by another person”, and the main goal of going out is going to the hospital. In both eastern and western districts, exchange with others was maintained even among persons who did not go out, and it may be important to strengthen the network to watch over support for elderly persons who are able to continue to interact with others through home visiting., application/pdf},
 pages = {97--106},
 title = {沖縄県過疎地域に暮らす「閉じこもり」状態にある高齢者の実態と支援の検討 : 国頭村東西地域の比較分析},
 year = {},
 yomi = {まつだ, めぐみ and ながた, みわこ and まえうえじょう, るみ and しんじょう, めぐみ}
}