The Investigation On Aged People's Self-Health Management In Gushan Town, Fuzhou

Objectives:(1) To describe the status of aged people's self-health perception and to explore its features of different social demographies in Gushan Town, Fuzhou.(2) To describe the related behavior of aged people's self-health management and to analyze its related factors in Gushan Town, Fuzhou.(3) To explore the mode of community nursing for the elderly in rural-urban fringe, and to introduce the strategy on how to enhance the aged people's self-health management.Methods:14 administration units in Gushan Town, Fuzhou were screened and interviewed by random cluster sampling. The cross-sectional study was conducted by using questionnaires and physical examination among people aged 60 years and above. The investigation instrument was Aged People's Self- health Management Questionnaire. Data were analyzed by statistical description and statistical inference, including chi-square test, trends of chi-square test, nonparametric test, multiple logistic regressions.Results:(1)The aspect of health status: 55.0% of old people investigated perceived their diseases. Age, occupation and monthly income were related to the self-reported prevalence of chronic diseases. 17.3% of them decreased their activities of daily living(ADL). Age, gender, education level, monthly income,the payment style of medical treatment, depressive symptoms, the number of diseases were related to ADL.15.3% were suffered from depressive symptoms. Gender, living status, ADL, the number of diseases were related to depressive symptoms.(2) The aspect of health related behaviors: 10.9% of the elderly undertook the diet management everyday. The smoking rate was 19.7% and the stop-smoking rate was 37.9%. The drinking rate was 22.5%. Outdoor walking and household duties were the major movement styles. 29.5% of the elderly were not satisfied with their sleep quality. 34.9% were overweight and 12.0% obesity. And 46.4% spent most of their time watching TV, film and live show. 27.8% saw the doctors at community medical center. Health examination and health guidance were the primary requirement in community nursing service. Television, broadcast and home visit were the most digestible style about health education.Conclusions:The status of health perception among the elderly in Gushan Town, Fuzhou showed the integrity's specificity and individual variability. The health status of the elderly was not so optimistic. Their sensing capability decreased when they turned older. Part of them decreased their activities of daily living or suffered from depressive symptoms. There were some health risk factors of life and behavior styles among the elderly in this area. Part of the elderly's diet structure was not reasonable. Young elderly, male, marriaged people, cadre, high income and high education people were the major object of smoking-controlling and alcohol-limiting. The elderly's activity style was single. Part of their sleep quality and body weight-controlling were not so satisfied. Their behavior of medical treatment was not good for developing the health management and community nursing .Community nurses should establish aged people's nursing mode in the rural-urban fringe which based on home visit and aim at improving old people's self-health management. They also should undertake multiple health education to implement successful aging.