{"created":"2023-06-19T10:43:17.679674+00:00","id":3506,"links":{},"metadata":{"_buckets":{"deposit":"a60d8daf-c1f0-40d8-8731-1eb746db475b"},"_deposit":{"created_by":11,"id":"3506","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3506"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003506","sets":["6:7:222:225"]},"author_link":["7778","1594","7777","1109"],"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"チイキ ザイジュウ コウレイシャ ニオケル ヨウカイゴ ニンテイ ト ニチジョウ セイカツ カツドウ トノ カンレン : Kami-study "}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-03-19","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"25","bibliographicPageStart":"20","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"滋賀医科大学雑誌"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究の目的は、地域在住高齢者における4年間の新規要介護認定状況を記述し、要介護認定区分と日常生活活動（Activity of daily living: ADL）との関連を記述することである。2013年に兵庫県香美町に在住する65歳以上の健常高齢者を対象に実施した高齢者コホート研究の協力者(n=5,094)のうち、脱落者455名を除き、4年後の2017年調査に協力が得られた3,829名(応諾率 82.5%)を研究対象者とした。そのうち、主要評価項目に欠損のなかった3,351名を解析対象者とした。要介護認定状況については2016年12月1日時点での認定状況で評価し、基本的ADL はBarthel indexを、手段的ADL は老研式活動能力指標を用いて評価した。2013年度調査から4年後の新規要介護認定者は365名（10.9%）であり、認定区分別では要支援1: 150名（4.5%）、要支援2: 35名（1.0%）、要介護1: 101名（3.0%）、要介護2: 28名（0.8%）、要介護3: 24名（0.7%）、要介護4: 19名（0.6%）、要介護5: 8名（0.2%）であった。要介護認定区分別のADLについて、基本的ADLと手段的ADLは介護度が上がるにつれて非自立者の割合が増加傾向であった(全てp for trend<0.001)。基本的ADLにおいては「食事」、「洗面」、「トイレ動作」の非自立者は要支援1・2では１割未満であるのに対して要介護者は段階的に増加し、手段的ADLにおいては「交通機関を利用した外出」と「日用品の買い物」の非自立者は要支援の段階から多かった。また、健常者であっても約2割の者が失禁経験があることから、失禁は単独では要介護状態に直結しない可能性が考えられた。","subitem_description_type":"Abstract"}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Departmental Bulletin Paper","subitem_description_type":"Other"}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.14999/1521.00012628","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"滋賀医科大学雑誌編集委員会"}]},"item_3_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.14999/1521.0001262"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://doi.org/10.14999/1521.0001262","subitem_relation_type_select":"DOI"}}]},"item_3_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"片寄, 亮"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"荻田, 美穂子"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"大倉, 美佳"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"荒井, 秀典"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-03-30"}],"displaytype":"detail","filename":"jsums3202p020.pdf","filesize":[{"value":"289.5 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