Abstract
The purpose of this study was to propose a viewpoint of care promoting elder's self-reliant corresponding to improving and maintaining the level of health, and to improving care burden and prevention of excessive care burden, and appropriate correspondence.
The sample included 282 elderly over age 65 in Japan who required home care and use in-home services to support living at home by the long-term care insurance service. The questionnaire data consisted of background, physical and mental status, ability of caregiver, use of in-home services and extracted contents of the service plan sheet. The dada were divided into two groups of those who continue living at home and those who were hospitalized or moved into facilities. Analysis extracted factors about continuation at home for each degree of long-term care required. Levels of care in the Japanese long-term care insurance plan were also considered.
Based on analysis of the factors influencing elders to continue living at home, the following recommendation is suggested: The most influencing factors are housework, judgment, bedsores, belongs to care needs category. For elderly at support required and care level 1, support should be offered to improve and maintain abilities for housework. For persons in care levels 2 and 3, caregivers should support their judgment and activity in their life that needs their judgment. In care levels 4 and 5, caregivers should pay attention to preventing aggravation of the condition of the elder's whole body such as prevention of bedsores.
