大規模な地域移行支援「ささがわプロジェクト」の退院12年後転帰は、78名中15%が死去し、生存67名 (平均66歳) は入院中13%、施設入所6%、地域生活維持67%だった。退院後12年間に26%は再入院なく、54%は精神科へ再入院なく地域生活を維持した。60歳以上のグループホーム入居者84名を検討したところ、加齢とともに身体・認知機能の低下を認めたが、主観的指標や向老意識は、年齢群による差を認めなかった。地域生活する高齢精神障害者67名 (平均69歳) を調査した結果、支援ニーズは75歳以上では異なり、身体機能低下のため活動よりも対人交流に楽しみにし、健康に留意し周囲を頼りにする傾向があった。
The 12 year outcomes of the “Sasagawa Project,” a project that oversaw a large transition of patients from hospital to community, are the following: 1) Deaths: 15% of 78 patients; 2) Hospitalizations: 13%; 3) Nursing home admissions: 6%; and 4) Return to community dwelling: 67% of 67 living patients (average age 66 years). In the 12 years after discharge, 26% of patients did not require re-admission to the hospital and 54% did not require the psychiatric ward. In the study of 84 group home residents over the age of 60, physical and cognitive functioning decreased with age, while subjective well-being and attitude towards aging were sustained throughout their aging. In the survey of 67 elderly persons with mental illness (average age was 69 years), support needs were different from over- and under-75 year-olds. In the over-75 cohort, patients tended to be aware of their physical decline, were mindful of their health, enjoyed conversation rather than activity, and relied on caregivers.

研究種目 : 基盤研究(C)(一般)
研究期間 : 2014～2018
課題番号 : 26461772
研究分野 : 社会精神医学