Study On The Effect Of The "In Order To Self-Management Mainly, Supplemented By Family, Community Supported" Intervention Model Is Applied To Health Promotion Of The Rural Elderly Chronic Disease

Objectives1Preliminary discussion on the effect of the “in order to self-managementmainly, supplemented by family, community supported” intervention model for healthpromotion of rural chronic disease in elderly people.Methods Take the sampling method to extract Tangshan Guye district Linxi NumerousGarden community aged60and above178patients with hypertension and Ⅱdiabetes.Use “In order to self-management mainly, supplemented by family, communitysupported” model of health promotion to people for half year from2013February to July.1Quantity indicators: The average blood sugar levels and blood pressure values,medication adherence, knowledge-attitude-behavior, general self-efficacy, happiness,family function and social support research before and after the intervention. Survey toolincludes GSES, MUNSH, SSRS and APGAR, etc. Use SPSS19.0package for statisticalanalysis.2Qualitative interviews: Random selection of20subjects,3communitycommittee workers,3community health service station workers and3chronic diseasemanagement experts in tertiary hospital for in-depth interviews, to discuss theimplementation of “in order to self-management mainly, supplemented by family,community supported” urban and rural integration of the rural community interventionmodel of resistance and countermeasure, to explore urban and rural integration of ruralold-age chronic disease and health intervention model. Use content analysis qualitativeinterview data analysis.Results The quantitative results1Changes of blood pressure, blood glucose valuesbefore and after intervention The change of the blood pressure, blood sugar levels afterthe intervention group average systolic pressure, diastolic blood pressure, blood sugarlevels were significantly decreased, compared with before, with significant difference (P＜0.01).2Before and after the intervention of medication compliance of the crowdIntervention treatment of medication, whether by the doctor, take medicine before takingthe medication, read the instructions and a restricted diet medication compliance rateswere higher than those before intervention, the difference was statistically significant (P<0.01).3People health knowledge level before and after the intervention situation Before and after the intervention about the dangers of smoking, long-term excessivedrinking causes and the relevant knowledge of the disease a risk factor for hypertension,hyperlipidemia, obesity, high blood sugar, reasonable diet, scientific physical exerciseawareness of knowledge had significant difference (P＜0.01), after the interventiongroup aware of knowledge about health, significantly higher than before.4People healthattitude changes before and after the intervention Before and after the interventionpeople think “manual labor can replace physical exercise”,“healthy people don’t have toexercise” is not the right attitude and“eat a variety of foods can meet the nutritionalneeds”, the state is the best method,“the body is in a state of health” is the right attitudehas significant difference (P＜0.01), after the intervention groups have conducive tohealthy attitude increased, compared with before, and a health hazard of attitudes toreduce, compared with before. Intervention before people don’t think “not thirsty to drinkwater,” the error of attitude is also fell after the intervention, statistically significantdifference (P＜0.05).5The situation of population health behavior changes before andafter the intervention Intervene after healthy cooking style, reasonable diet, healthybehavior obviously more than before, however, high salt diet, high fat diet, not to takepart in physical exercise, excessive drinking behavior harm health is less than that ofbefore intervention, with significant difference (P＜0.01), excessive smoking behavioralso decreased, compared with before, statistically significant difference (P＜0.05).6Before and after the intervention in community elderly family function scores Beforeand after the intervention, cooperation degree, the fitness of family function in theelderly, emotional maturity degree and density scores have significant difference (P＜0.01), after the intervention of family functioning, five factor score were higher thanbefore.7Before and after the intervention of elderly people in community social supportscores Before and after intervention of subjective support, social support weresignificant difference on the utilization of support score (P <0.01), but the objectivesupport score was not statistically significant (P <0.05).8Before and after theintervention in community elderly general self-efficacy, happiness scores Dryprognosis in the elderly general self-efficacy, happiness scores than those beforeintervention were higher, with significant difference (P <0.01).The qualitative results1The interview data analysis found that the influence of the “Inorder to self-management mainly, supplemented by family, community supported” model of health promotion is: the rural elderly cultural level is generally low, understand andaccept ability is poor; the children of migrant workers to go home to visit relatives toolittle time, care for the elderly in rural areas too small; the lack of licensed doctor, hardconditions fail to attract foreign talent; rural infrastructure construction fund investmentinsufficiency, improper use.Conclusions The “In order to self-management mainly, supplemented by family,community supported” model of health promotion to intervene the elderly chronicdisease to control the diseases development, knowledge-attitude-behavior, self-efficacyand family function and social support has positive effect, can help the elderly chronicdisease increase the happiness of life, is worth to be popularized in the elderly chronicdisease at urban-rural fringe community.