Abstract
The purpose of this study was to clarify the environmental factors associated with out-of-bed states in older adults with severe disabilities living at home. Survey items included the attributes of the participants, out-of-bed states, and environmental factors related to transfer. Each survey item was analyzed after classifying participants into four groups according to their out-of-bed states. The results showed that out-of-bed states were significantly related to environmental factors, such as medical management and/or treatment, the use of assistive devices, the number of caregiver types, the use of services, and motivation for getting out of bed. Thus, support for out-of-bed patients by focusing on environmental factors such as disseminating assistive devices for transfer, expanding daycare services for older adults with severe disabilities, and setting the goal of out-of-bed activities and participation should be encouraged to promote activity and participation among older adults with severe disabilities.
