Study On Program Of The Unintentional Injuries' Health Education For Community Oldest-old People Living Alone

Objectives: Investigate the differences of two unintentional injuries'health education methods for the oldest old people living alone in community, analysis the KAP(knowledge attitude,practice) status and the incidence rate of unintentional injury. At last establish a suitable unintentional injuries'health education intervention program for the oldest old people living alone in community.Methods: Sampling facilitately 74 oldest old people living alone in Laoximen community. Divided them into two groups,——Group A (home assessment + VCD + health education manual) and Group B (home assessment + health education manual) ,before and after intervention we used < unintentional injury questionnaire for the oldest old people living alone in community >. Use statistical software SPSS11.0 comparing two intervention methods : before and after the intervention and after 1 month, 3 months of unintentional injuries'KAP status and the occurrence of unitentional injuries.Results (1) Before intervention there were no differences between the two groups at the gender, educational level, religious belief, children contact, marital status, perceived health status, living fun, life safety, ADL scores and the frequency of unintentional injuries (P> 0.05).(2) Own control results:①Group A : in the first(one month later) and second(three month later) evaluation the knowledge, attitude, behavior and total scores were higher than before the intervention, the results have statistical significance (P <0.01). the behavior scores was higher in the second evaluation ,the knowledge, attitude and total scores were lower than the first evaluation(P <0.05); The number of unintentional injuries were both less in evaluation than before intervention (P <0.05), there was no differences between the first and second evaluation in the number of unintentional injuries (P> 0.05).②Group B :the first evaluation is better than before in the knowledge, attitude and total scores (P <0.05), there was no difference in behavior (P> 0.05). the second evaluation was better than before in the knowledge, attitude scores, the results have statistical significance (P <0.05), but there was no difference between behavior and the total scores (P> 0.05). the attitudes and behavior scores decreased in the second evaluation compared to the first one (P <0.05), but there were no differencess in knowledge and total scores (P <0.05); before and after intervention there was no differencese in the occurrence of unintentional injury (P> 0.05).(3) results during two groups: group A was better than group B (P <0.05) in the knowledge, behavior, attitude, and total scores in the first month; in the second evaluation there was no differencese in knowledge, attitude, behavior and the total scores (P> 0.05).(4) relevant analysis:①Group A:the first evaluation results total scores has a negative correlation with ADL scores and the number of children; knowledge scores has a negative correlation with perceived health status and gender, and has a positive correlation with the frequency of contact with their children. Attitude scores have a negative correlation with ADL scores and have a positive correlation with the frequency of contact with their children. In the second evaluation results, there was a negative correlation during total scores and perceived health status, and the total scores have a positive correlation with educational level.②Group B: In the first evaluation results, there was a negative correlation during total scores and perceived health status, attitude scores has a negative correlation with ADL scores and perceived health status.Conclusions: (1) Unintentional injuries'health education can significantly improve the oldest old people's knowledge, attitude and behavior who lived alone in community, and the method with Graphs, Voices and Words are better than simple data education; (2) unintentional injuries'health education is a long-term process, people living alone will forget the knowledge ,and behavior change is also a long-term process which needs further study. (3)Expand the unintentional injuries health education to the oldest old's children and other relatives.(4)Emprove the oldest old's health status and attitude to disease, raise the ADL status.