過疎地に暮す身体障がい者実態調査における，首尾一貫感覚（ＳＯＣ）に関与する因子，および自己効力感（ＧＳＥＳ），精神健康度（ＧＨＱ），主観的健康感との相互関連性についての検討

Abstract

This study investigated present conditions of people with physical disabilities living in less-populated areas to get basic documents for health promotion activities. We carried out this study in Nanmoku-mura, Gunma Prefecture and in Motegi-machi, Tochigi Prefecture.The main investigation items were as follows : 1) Subjective health, 2) Sense of coherence (SOC), 3) General self-efficacy scale (GSES), 4) The general health questionnaire (GHQ), 5) The relevance among SOC, generalized resistance resources (GRRs), stressors, and health-related index, 7) The relevance between SOC and subjective health, 6) The relevance between SOC and GSESThe study subjects were 88 people with disabilities. Mean age (±standard deviation) was 65.0±14.1 years.The average score of SOC was 122.1. Comparing with a manual of GSES, their Self-Efficacy tended “a little low” as a whole. People with severe disabilities tended to think themselves to be unhealthy.Intercommunication with neighbors, and motivations in lives were important to SOC. Limitations of communications, transfers, movements, daily activities owing to disabilities, having housemates or not, and the struggles with the family affected SOC as a stressor while being related mutually. There were positive correlations with healthy behaviors, subjective health, and GSES for SOC. There was negative correlation with GHQ for SOC.