title: [A study of factors related to activities of daily living (ADL) of the elderly receiving in-home service longitudinal study using functional independence measures].
abstract: OBJECTIVE
  We conducted a longitudinal study using Functional Independence Measures to clarify factor related to independence of activities of daily living of elderly receiving in-home service under the long-term care insurance system
  
  
  METHODS
  Fifty-four elderly users of the in-home service of Ibaraki Prefecture assented to participate in this study and were analyzed. A researcher conducted survey at the baseline and after follow-up by visiting the elderly at each home. The evaluation standards used here were the Japanese version of Functional Independence Measure (FIM), Mini-Mental State Examination (MMSE), and Geriatric Depression Scale (GDS-15).
  
  
  RESULTS
  The FIM score (mean+/-SD) was decreased 83.6+/-36.4 to 81.7+/-37.4 during the 112+/-22.2 day follow up period. Thirty-nine elderly demonstrated improvement or no change in FIM and 15 had declining scores. To clarify independent factors related to FIM change, we conducted a step-wise multifactor logistic regression analysis, and the results suggested importance for "in-home service availability" and "home care period less than one year".
  
  
  CONCLUSIONS
  Our study suggested that it is important for maintenance or improvement of ADL in home care elderly to provide sufficient home .care services from the beginning under the long-term care insurance system.
authors.affiliation: Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 305-8577.
authors.forename: Ikuko
authors.initials: I
authors.lastname: Suzuki
authors.forename: Hisako
authors.initials: H
authors.lastname: Yanagi
authors.forename: Shigeo
authors.initials: S
authors.lastname: Tomura
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003152:Community Health Nursing; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006299:Health Services for the Aged; D006699:Home Care Services; D006801:Humans; D007353:Insurance, Long-Term Care; D008137:Longitudinal Studies; D008297:Male