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RISS 인기검색어
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- 저자 : Yuki Yajima (검색결과 6 건)
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Influence of Cognitive and Functional Impairment on Depression among Institutional Older Residents
Yuki Yajima,Masafumi Kirino,Seu Mi Kim,Setsuko Okada,Yong Taek Kim,Kazuo Nakajima 한국노인복지학회 2002 International Journal of Welfare for the Aged Vol.7 No.-
The purpose of the study was to examine the relationships between cognitive and functional impairment and depression in terms of Lazarus and Folkmans theoretical perspective. We analyzed the responses of 208 older adults residing in the special elderly nursing homes and/or the health care facilities for the elderly. The results of our statistical analyses was as follows: (1) The exploratory factor analyses for two stress-appraisal scales of cognitive and functional impairment provided one-factor solution, respectively. The confirmatory factor analyses indicated the each one-factor measurement model yielded adequate indices of fit. It is evidence for their construct validity and unidimensionality. (2) Our path analytic model using structural equation modeling demonstrated that indirect effects of the cognitive and functional impairment on the depression through an increase in the stress-appraisals of their impairment. Significant direct effects of both cognitive and functional impairment on the depression were not found. These results indicate that stress-appraisals of cognitive and functional impairment play an important role in mediating the relationship between cognitive and functional impairment as a stressor, and depression as a stress response. Therefore, it is necessary to concern stress-appraisals of cognitive and functional impairment in designing and establishing an effective mental health care system for institutional older residents.
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Masafumi Kirino,Yuki Yajima,Seu Mi Kim,Setsuko Okada,Yong Taek Kim,Kazuo Nakajima 한국노인복지학회 2002 International Journal of Welfare for the Aged Vol.7 No.-
The purpose of this study was to develop an IADL scale for elderly residing in health and welfare institutions with an exploratory, confirmatory and simultaneous factor analyses. Subjects were 7,251 residents of 111 special elderly nursing homes and 5,087 residents of 5 health care facilities for the elderly in Shizuoka prefecture. First, the exploratory factor analysis yield four factors: Feeding-related activities, Cleaning-related activities, Intellectual-living-related activities, and Mobility-related activities, respectively. Second, the confirmatory factor analysis indicated that the model comprised of 13 items was fit to our data. Third, the simultaneous factor analysis with six groups divided by sex(male, female) and age brackets(younger-old = 65-74, older-old = 75-84, oldest-old = 85 or more) showed that the model was fit to our data in each group. These results supported validity of the IADL scale for institutional elderly. These findings are expected to provide clinically useful implications particularly in evaluating outcomes of rehabilitation and in designing care-plan adequate to the functional level of institutional elderly.
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Yano Yudai,Iwata Eiichiro,Sada Takuya,Ueno Yuki,Hyakuda Yoshinobu,Kawasaki Sachiko,Okuda Akinori,Shigematsu Hideki,Uematsu Kota,Yajima Hiroshi,Tanaka Yasuhito 대한척추외과학회 2022 Asian Spine Journal Vol.16 No.6
Study Design: Retrospective cohort study.Purpose: We propose a method for screening for low bone mineral density (BMD) among perimenopausal and postmenopausal women using a self-reported questionnaire.Overview of Literature: Osteoporosis is a major health problem worldwide. However, it is not cost-effective to evaluate BMD in all patients. Although several tools for predicting osteoporosis have been established, they do not focus much on low BMD prior to the development of osteoporosis.Methods: We retrospectively reviewed the medical records of 198 women aged 40–70 years who underwent mass screening for osteoporosis at our hospital between 2016 and 2019. The BMD values and the following data were collected: age, body mass index, fracture history, lower back pain, height loss, kyphosis, history of fragility fracture, family history of vertebral or hip fracture, and menopause. The reliability of each data point for the young adult mean <80% was calculated using discriminant analysis. Variables with large weight coefficients were selected and scored. This scoring tool was examined, and a cutoff score for predicting the young adult mean <80% was determined.Results: Sixty-four participants (32.3%) had a young adult mean <80%. According to the weight coefficients, the following five variables were scored as follows: age ≥60 years 3 points, body mass index <22 kg/m2 3 points, lower back pain 1 point, height loss (cm) 1 point, and menopause 1 point. The area under the receiver operating characteristic curve was 0.738 (95% confidence interval, 0.669–0.807). At cutoff scores of ≥5 and <5, the sensitivity was 82.8%, with specificity of 52.0%.Conclusions: The scoring tool performed well for predicting young adult mean <80% among perimenopausal and postmenopausal women in Japan. This tool may be useful to screen for low BMD.
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Development of the Family Caregiver Burden Inventory(FCBI)
Sadanori Higashino,Takako Tsutui,Masafumi Kirino,Yuki Yajima,Yong Taek Kim,Kazuo Nakajima 한국노인복지학회 2003 International Journal of Welfare for the Aged Vol.9 No.-
The purpose of this study was to develop the Family Caregiver Burden Inventory(FCBI) for measuring the family caregiver burden caring for a family member with dementia at home in Japan and Korea. In our statistical analysis, we used data for 181 family members caring for a family member with dementia living in Otsu city, Shiga prefecture, Japan, and 256 family members caring for a family member with dementia living in Seoul and Pusan city in Korea. In developing the FCBI, the authors assumed three dimensions, "negative feelings to the care recipient", "limitation in the social activities" and "financial constraints" and drew 12 items from existing caregiver burden measures. In order to establish internal construct validity of the FCBI, we used a confirm atory factor analysis(CFA) and simultaneous factor analysis in two cross-national samples. In the analysis, we formulated and tested a second-order factor model of family caregiver burden consisting of three factors, "negative feelings to the care recipient", "limitation in the social activities" and "financial constraints". Furthermore, external construct validity of the FCBI was assessed using structural equation modeling. In the analysis, we hypothesized and tested MIMIC(multiple indicator and multiple cause) model for caregiver`s variables(nationality, gender, age, and duration of care) to caregiver burden. To evaluate the reliability of the FCBI, its internal consistency was also tested using Cronbach`s alpha coefficient. CFA and simultaneous factor analysis results supported the hypothesized second-order factor structure of the FCBI and indicated the FCBI fit both the Korean and Japanese data. Furthermore, MIMIC modeling results showed cargiver`s nationality, gender, and duration of care were significantly related to care burden. The reliability of the FCBI was good. Cronbach`s alpha coefficient of the FCBI was 0.88 for the Korean sample and 0.85 for the Japanese sample. We could develop the FCBI for measuring the family caregiver burden caring for a family member with dementia at home in Japan and Korea.
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