| Background:With the aging of the population,the health problems of the elderly are becoming more and more prominent.The rural elderly should be pay more attention.However,the current literature research in the elderly lacks the attention of the elderly in rural areas.Therefore,In order to improve the quality of life and live of rural elderly people and provide reference and reference for the government to formulate health management policies for rural elderly in China,this research is based on rural elderly health and self-management ability of health,and purpose the self-health management mode for rural elderly.Methods and object:Using the convenient sampling method,a questionnaire survey was conducted on the elderly aged 60 years and older in Hucun Township,Shangrao County,Jiangxi Province from September 25,2018 to October 20,2018.A total of 230 questionnaires were distributed and 216 valid questionnaires were effective.The database was built using Epidata 3.1 software and the questionnaire was entered.The data was statistically analyzed using SPSS 17.0 software.Combined with the results of data analysis and literature analysis method,this paper proposes the content and implementation method suitable for the self-health management mode of rural elderly.Results and conclusion:Result:①Basic demographic information:109 males;the average age is 69.59 years;176 people with illiteracy and primary school level;152 married;average number of children is 3.69,and the average annual income is 6973.75Y.②Health status:18.52%of the elderly self-reported poor health;51.39%of the elderly had disease,the prevalence of chronic diseases was 24.53%.③Daily life ability:63.43%of the elderly can take care of themselves,and 36.57%of the elderly have different levels of obstacles in their daily living ability.④Sleep quality:56.48%of the elderly have good sleep quality,and 2.31%of the elderly have poor sleep quality.⑤Tobacco:Smoking rate is 19.91%,and 19,44%of the elderly have different degrees of dependence on tobacco.⑥Drinking:Drinking rate is 25.00%,31 elderly people are harmful to drinking,⑦Health self-management ability:The total score of healthy sel-management ability of the elderly is 133.21,which is at the middle level,the average of health self-management behavior;healthy self-management environment and healthy self-management cognition are 2.92,3.65 and 4.13.⑧The factors influencing the health self-management ability are age,marital status,education level,vision,hearing and daily living ability.Conclusion:①The health status of rural elderly is not optimistic;②the daily living ability and sleep quality of rural elderly are generally poor;③the smoking rate and drinking rate of rural elderly are higher;④the healthy self-management ability of rural elderly is "high cognition,low behavior" status.Therefore,it is imperative to promote the self-health management of rural elderly and improve the quality of life and quality of life of rural elderly.Countermeasures and suggestions:The self-health management model of rural elderly proposed in this study is based on the first-level prevention thinking,and draws on the health management framework,which consists of three steps:health information collection,health status assessment,and health risk factors prevention and control.Among them,health risk factors prevention and control inclued two types;there are for the whole age group to implement health promotion and tthe high-risk groups to carry out risk prevention and control for.In order to promote the promotion and application of self-health management model in the elderly population,this study starts from the three-dimensionality of the organization(government),supplier(health care provider),and demander(elderly),and clarifies the three-way cooperation measures and strategy. |