紀要論文 認知症対応型共同生活介護の組織的公正と介護福祉職の腰痛との関連
Associations between organizational justice at group homes for elderly persons with dementia and low back pain among professional caregivers

時實, 亮  ,  森脇, あき  ,  谷口, 敏代

内容記述
[目的]認知症対応型共同生活介護(以下、グループホーム)の組織的公正と介護福祉職の腰痛との関連について明らかにする。[方法]中国地方にあるグループホーム397施設に自記式調査票による横断調査を行った。欠損値のない523票を分析対象とした。調査内容は、基本属性、組織的公正尺度日本語版、腰の痛みの有無を尋ねた。腰痛の有無を従属変数とした単変量ロジスティック回帰分析を行った。[結果]経験年数3年以上5年未満(オッズ比〔95%信頼区間〕, 1.60〔1.02-2.52〕)、経験年数5年以上10年未満(1.71〔1.10-2.67〕)、経験年数10年以上(2.00〔1.06-3.78〕)、手続き的公正(0.66〔0.46-0.93〕)、対人的公正(0.68〔0.47-0.97〕)で有意差がみられた。[考察]経験年数が長いことがリスク要因となり、手続き的公正や対人的公正といった組織的公正の認識が高いことは腰痛の低下に関連していることが示唆された。グループホームの管理者は、心理社会的要因にも関心を払い、組織の運営をしていくことが求められる。
[Objectives]This study aimed to define relationships between organizational justice and the incidence of low back pain (LBP) among professional caregivers employed in group homes for elderly persons with dementia in Japan.[Methods]We distributed the self-administered questionnaires to professional caregivers working in group homes for elderly persons with dementia of the Chugoku district. We received 523 completed responses to questions about items such as sex, age, year of work experience, job status, shift work, marriage status, and organizational justice. Single logistic regression analysis of these factors included LBP among professional caregivers as the dependent variable.[Results]Among the respondent caregivers, 414(79.2%) were women and 309(59.1%) of them had LBP, which was significantly associated with 3-5, 5-10, and >10 years of work experience (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.02-2.52; OR 1.71, CI 1.10-2.67; OR 2.00, CI 1.06-3.78, respectively), procedural justice (OR 0.66, CI 0.46-0.93), and interactional justice (OR 0.68, CI 0.47-0.97).[Conclusions]LBP among professional caregivers working in 397 group homes for elderly persons with dementia in Japan is associated with work experience. However, the psychosocial factors of procedural justice and interactional justice reduced the risk of LBP among professional caregivers working in group homes. Thus, managers in group homes should consider these psychosocial factors to reduce the risk of LBP among professional caregivers.
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