Abstract
Purposes : To clarify longitudinal mobility-associated ADL changes essential for chronic dialysis patients to continue life at home, based on interim assessment scores in surveys for long-term care need certification, and identify services necessary for continuing life at home. Methods : In this study, subjects consisted of 234 dialysis patients (dialysis group) and 765 non-dialysis patients (non-dialysis group), all of whom were certificated as patients needing long-term care in Niigata City between April 2003 and the end of March 2009. Those using long-term care insurance for at least 4 years were selected. For each subject, results of the most recent certification survey were designated as the fourth results, and those from previous annual surveys were retrospectively designated as third, second, and first results. Then, two-way analysis of variance (ANOVA) was performed using the mean score for each survey in Groups 2 to 5 of the interim assessment items as dependent variables, and the number of times the survey was performed and presence/absence of dialysis as independent variables. Results : There were 24 subjects aged≤69, 44 in their 70s, and 53 aged≥80 in the dialysis group, and 15 aged≤69, 86 in their 70s, and 234 aged≥80 in the non-dialysis group. ANOVA indicated that there was no interaction between the number of times the survey was performed and the presence/absence of dialysis. The dialysis arm showed significantly lower interim assessment scores among women aged≤69 in Group2 (p<0.05), and significantly higher scores among women aged≥80 in Group4 (p<0.01), women in their 70s in Group5 (p<0.05), and men (p<0.05) and women (p<0.001) aged≥80 in Group5. Discussion : The necessity of providing assistance for hospital visits and preventing the development of a conditions requiring care were suggested in order to counteract declining ADL associated with mobility problems.
