୰ኸ♫ಖ㝤་⒪༠㆟䛻䛚䛡䜛 ㈝⏝ᑐຠᯝホ౯䛾ศᯒ䜺䜲䝗䝷䜲䞁 䠄ϮϬϭϱ͘ϭϭ䠅 YͲϱͲϱ>䛾䝇䝁䜰䝸䞁䜾䛸 YK>䝕䞊䝍䝧䞊䝇 ᪂₲་⒪⚟♴Ꮫ ་⒪⤒῭䞉YK>◊✲䝉䞁䝍䞊 ⬟Ⓩ ┿୍ YͲϱͲϯ>䠃ϱ> YͲϱͲϯ>䛾ၥ㢟Ⅼ YͲϱͲϱ> YͲϱͲϯ>䛾ၥ㢟Ⅼ Ϯϰϯ㏻䜚їϯ͕ϭϮϱ㏻䜚 䝍䝸䝣సᡂ䛻䛚䛔䛶 ⤫୍䝅䝇䝔䝮䠄YͲsd䠅 䜢ᑟධ ᗣ≧ែ䛾グ㏙䛜ᑡ䛺䛔䠄Ϯϰϯ㏻䜚䠅 䝍䝸䝣సᡂ䛾᪉ἲ䛷ྛᅜ㛫䛾୍⮴ 䝕䞊䝍䛾ኳຠᯝ 䝕䞊䝍䛾ᓠᛶ ᗣ≧ែ䛾グ㏙䛜ᑡ䛺䛔䠄Ϯϰϯ㏻䜚䠅 䝍䝸䝣సᡂ䛾᪉ἲ䛷ྛᅜ㛫䛾୍⮴ 䝕䞊䝍䛾ኳຠᯝ 䝕䞊䝍䛾ᓠᛶ ƵƌŽYŽů sĂůƵĂƚŝŽŶdĞĐŚŶŽůŽŐLJ;YͲsdͿ YͲsd ϮϬϬϵᖺ䛛䜙䠈ƵƌŽYŽů䜾䝹䞊䝥䛻䜘䛳䛶◊✲ YͲϱͲϱ>䛾ǀĂůƵĞƐĞƚ䜢ᶆ‽䛥䜜䛯䝥䝻䝖䝁 䝹䛷㛤Ⓨ䛩䜛䛣䛸䛜┠ⓗ ŽŵƉƵƚĞƌƐƐŝƐƚĞĚWĞƌƐŽŶĂů/ŶƚĞƌǀŝĞǁ;W/Ϳ ㄪᰝ䝇䜻䞊䝮 ⿕㦂⪅ᩘ: 1,000ே ㄪᰝ᪥⛬: 2014.2᭶䛛䜙2014.5᭶ ㄪᰝᆅⅬ: ᮾி䠈ྡྂᒇ䠈㜰䠈ᒸᒣ䠈᪂₲ ㄪᰝᙧᘧ: ᅇ⟅⪅䜢ሙ䛻㞟䜑䛶䠈ㄪᰝဨ䛻䜘䜛䜲 䞁䝍䝡䝳䞊ᙧᘧ ㄪᰝෆᐜ: EQ-VT(ᅇ⟅⪅⫼ᬒ䚸TTO[10ၥ]䠈 DCE[7ၥ]) (ᗣ≧ែ䛾䝷䞁䜻䞁䜾 + ᚋಟṇ) YͲsd䛷䛾ᗣ≧ែ䛾౯್䛡᪉ἲ ᚑ᮶䛾ddK䛸ůĞĂĚƚŝŵĞddK䛾ĐŽŵƉŽƐŝƚĞddK ϴϲ䛾ᗣ≧ែ䜢ϭϬ✀㢮䛪䛴䛻ศ䛡䠈ϭϬ䝟 䝍䞊䞁䜢సᡂ䠄䛂ϱϱϱϱϱ䛃䛿ᚲ㡲䠅 㞳ᩓ㑅ᢥἲ䠄䠅䜒ᐇ ᚑ᮶䛾 ddK ᚑ᮶䛾 ddK >ĞĂĚ ƚŝŵĞ ddK ŝƐĐƌĞƚĞ ŚŽŝĐĞ džƉĞƌŝŵĞŶƚ䠖 ㄪᰝᡭ㡰 䝇䝁䜰䝸䞁䜾䛾᪉ἲ ddK䠈䠈୧⪅䛾䝝䜲䝤䝸䝑䝗䝰䝕䝹䜢᳨ウ ᭱⤊ⓗ䛻䠈ddK䛾䜏䜢᥇⏝ 䛂ϭ䠉YK>್䛃䜢┠ⓗኚᩘ䛸䛧䛯⥺ᙧΰྜ䝰䝕 䝹䜢సᡂ ᗣ≧ែ䛾䝷䞁䜻䞁䜾 ŽŵƉŽƐŝƚĞddK ddK䛾⤖ᯝ 㻱㻽㻙㻡㻰㻙㻡㻸 䝇䝁䜰䝸䞁䜾䜰䝹䝂䝸䝈䝮㻔㼀㼀㻻㻕 Effect Intercept level Mobility Self-care Usual Activities Pain/discomfort Anxiety/ depression 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 Estimate -0.061 -0.064 -0.113 -0.179 -0.243 -0.044 -0.077 -0.124 -0.160 -0.050 -0.091 -0.148 -0.175 -0.045 -0.068 -0.131 -0.191 -0.072 -0.111 -0.168 -0.196 StdErr 0.014 0.009 0.009 0.010 0.009 0.009 0.010 0.010 0.009 0.009 0.010 0.010 0.009 0.008 0.010 0.009 0.010 0.010 0.011 0.010 0.009 P-value <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 ྛᅜ䝍䝸䝣䛾ẚ㍑䠄ddK䠅 ϱƚŚ ůĞǀĞů :ĂƉĂŶ h< EĞƚŚĞƌůĂŶĚƐ <ŽƌĞĂ DŽďŝůŝƚLJ ͲϬ͘Ϯϰϯ ͲϬ͘Ϯϲϲ ͲϬ͘ϭϵϮ ͲϬ͘Ϯϲϴ ^ĞůĨͲĐĂƌĞ ͲϬ͘ϭϲϬ ͲϬ͘ϮϭϬ ͲϬ͘ϭϱϬ ͲϬ͘ϭϯϳ hƐƵĂů ĐƚŝǀŝƚŝĞƐ ͲϬ͘ϭϳϱ ͲϬ͘ϭϴϰ ͲϬ͘ϭϲϳ ͲϬ͘ϭϵϭ WĂŝŶͬ ĚŝƐĐŽŵĨŽƌƚ ͲϬ͘ϭϵϭ ͲϬ͘ϯϯϬ ͲϬ͘ϯϵϬ ͲϬ͘ϮϮϲ ŶdžŝĞƚLJͬ ĚĞƉƌĞƐƐŝŽŶ ͲϬ͘ϭϵϲ ͲϬ͘Ϯϵϭ ͲϬ͘ϰϬϭ ͲϬ͘ϭϱϳ ͲϬ͘ϰϭϴ ůĞǀĞů :ĂƉĂŶ h< EĞƚŚĞƌůĂŶĚƐ <ŽƌĞĂ DŽďŝůŝƚLJ ͲϬ͘Ϯϰϯ ͲϬ͘Ϯϲϲ ͲϬ͘ϭϵϮ ͲϬ͘Ϯϲϴ ^ĞůĨͲĐĂƌĞ ͲϬ͘ϭϲϬ ͲϬ͘ϮϭϬ ͲϬ͘ϭϱϬ ͲϬ͘ϭϯϳ hƐƵĂů ĐƚŝǀŝƚŝĞƐ ͲϬ͘ϭϳϱ ͲϬ͘ϭϴϰ ͲϬ͘ϭϲϳ ͲϬ͘ϭϵϭ WĂŝŶͬ ĚŝƐĐŽŵĨŽƌƚ ͲϬ͘ϭϵϭ ͲϬ͘ϯϯϬ ͲϬ͘ϯϵϬ ͲϬ͘ϮϮϲ ŶdžŝĞƚLJͬ ĚĞƉƌĞƐƐŝŽŶ ͲϬ͘ϭϵϲ ͲϬ͘Ϯϵϭ ͲϬ͘ϰϬϭ ͲϬ͘ϭϱϳ ϱƚŚ ྛᅜ䝍䝸䝣䛾ẚ㍑䠄ddK䠅 ͲϬ͘Ϯϰϯ ϱ>䛸ϯ>䛾㛵ಀ YͲϱͲϯ>䛸YͲϱͲϱ>䛾ẚ㍑ YͲϱͲϯ> YͲϱͲϱ> ᗣ≧ែ䛾ᩘ ϯϱ䠙Ϯϰϯ ϱϱ䠙ϯ͕ϭϮϱ ĞƐƚ ϭ͘Ϭ ϭ͘Ϭ tŽƌƐƚ ͲϬ͘ϭϭ ͲϬ͘ϬϮϱ ϯ>сϬ͘ϳϰϯϰΎϱ>нϬ͘ϭϱϱϱ;ϭϭϭϭϭ㝖䛟Ϳ ;ϱ͕ϭ͕ϭ͕ϭ͕ϭͿ DOOBGDWDVFRUHBO ϯ>䝇䝁䜰 ŵŽ䛾ϱ䜢ྵ䜐䜒䛾 ϯ>сϬ͘ϳϮϳϲΎϱ>ͲϬ͘ϬϴϮϭϲ ϱ>䝇䝁䜰 DOOBGDWDVFRUHBWWR ⮬ㄪᰝ䛾⤂䠄⬻༞୰䠅 ϯ>䛸ϱ>䛾ẚ㍑䠄䝠䝇䝖䜾䝷䝮䠅 Eсϭ͕Ϭϵϳ ᛶู䠄⏨ᛶ䠋ዪᛶ䠅 ϰϰϱ䠋ϲϱϮ ᖺ㱋 ϲϳ͘ϳ㼼ϭϯ͘ϴ デ᩿ྡ ⬻᱾ሰ ⬻ฟ⾑ ^, 䛭䛾 ᦆയ༙⌫ ྑ ᕥ ᕥྑ 䛭䛾 ŵZĂŶŬŝŶ^ĐĂůĞ䠄ϬͲϱ䠅 ĂƌƚŚĞů/ŶĚĞdž ϲϬϰ ϯϳϵ ϳϮ ϰϮ ϱϮϲ ϰϱϱ ϴϲ ϯϬ ϭϬͬϭϰϬͬϮϭϵͬϭϳϮͬϰϰϰͬϭϭϮ YͲϱͲϯ> YͲϱͲϱ> ϲϰ͘ϯ㼼ϯϮ͘Ϭ ϯ>䛸ϱ>䛾ẚ㍑䠄⟽䜂䛢ᅗ䠅 ᩓᕸᅗ䛸ኳຠᯝ Eсϯϱ ϯ͘Ϯй EсϳϮ ϲ͘ϲй YͲϱͲϯ> YͲϱͲϱ> YK>䝕䞊䝍䝧䞊䝇 ᅜෆ䛷ᐇ䛥䜜䛯YK>್ㄪᰝ ᩥ ⱥᩥ 䠄་୰ㄅ䠈ŝEŝŝ䠈䝯䝕䜱䜹䝹 䜸䞁䝷䜲䞁䛷᳨⣴䠅 䠄WƵďDĞĚ䛷᳨⣴䠅 Ϯϭϳᮏ ϵϳᮏ 㝖እ䠖ϭϱϵᮏ 㝖እ䠖ϱϮᮏ ϰϴᮏ ᅜෆ䛾YK>್䝕䞊䝍䛾ᝈูෆヂ ᪥ᮏ䛾YK>್䝕䞊䝍 ϵ ϭϮ ϲ ϵ ϴ ϰϴ ϳϴ ᩥ Ϯϵ ϰ ϰϱ ⱥᩥ ϰϱᮏ YͲϱͲϯ> ddKͬ^' ^&Ͳϲ ,h/ YͲϱͲϱ> Ϯ ϰ ϲ ϲ ϱ ϭϬ ϭϯ জᅉਤ ᱉፨ᱥᅍ ʒ˙ ᓬ֞ͳ ᓱᅉਤ RA DM োᅉਤ ៍ᇴᅍ ᱔ᵨᒊ ѡचᒊ ʣʴο 䜎䛸䜑 YͲϱͲϱ>䛿ϯ>䛾䛔䛟䛴䛛䛾ၥ㢟Ⅼ䜢ඞ᭹䛧䛯 䝇䝁䜰䝸䞁䜾䜒ጇᙜᛶ䛜䛒䜚䠈YK>್ ᐃ䛻 䛿➨୍㑅ᢥ⫥䛸䛧䛶⏝䛥䜜䜛䜉䛝䛷䛒䜝䛖 䜘䜚ከ䛟䛾ྛ✀ᝈ䞉≧ែ䛻㛵䛩䜛YK>್䜢 㞟✚䛧䠈ᚋ䛾⤒῭ศᯒ䛻ά⏝䛧䛶䛔䛟ᚲせ 䛜䛒䜛
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