| with the acceleration of urbanization process, increasing the number of "empty nest" the old man, old man absolute number has become the world’s first. The number of empty nester family in China now, our country occupies a quarter of the total number of the old family, forecast after 15 years, the proportion will grow, eventually to nine over ten. By that time, our country will truly empty nest old family. For the elderly, in the nuclear family type to the type of empty nest after a series of transformation and process, will present the two structures, one is gradually; And the other who is unable to adapt. For the latter, it also appear many physical and psychological problems and disease. Among the whole adapt to link, involves many aspects of the influence of the factors, such as the elderly’s character, economic situation, culture, education level, and social support, and so on. As is known to all, more than 60 years old, both in economic income and education level have basic finalize the design, the old man’s personality and the way of doing things, and so on are stable, so in the transformation process, changes in one of the biggest factors of social support. In the past few decades, China’s "empty nest" of the elderly with essential hypertension prevalence is increasing rapidly, primary hypertension has become the biggest factor that affect empty-nesters life and health. So with primary hypertension of empty nest elderly should be given more social attention.Objective:In this paper, on the basis of systematic investigation and analysis, a community based on changchun in 100 patients with primary hypertension "empty nesters", the basic situation of the health demand investigation, statistics, research, analysis, and a community to explore changchun empty nest elderly hypertension control, and to analyze its influence factors; At the same time, through the survey to learn more about this part of the old man’s community health demand, social demand of the empty nest elderly patients with essential hypertension, physical health needs, and mental health needs, put forward the corresponding countermeasure, to study urban empty nest elderly patients with essential hypertension of health management and provide basis for the building of community needs, in order to satisfy the demands of the elderly mental health and mental health needs and the needs of society, to improve the quality of life of the elderly, is particularly important for the harmonious development of the whole society.Methods:a community based on changchun 1800 investigation, select empty nester family, making home visits, access to 100 cases of primary hypertension empty-nesters as the research object. Used to write the empty nest elderly with essential hypertension questionnaire, questionnaire survey was conducted by a investigators household system training, and a preliminary analysis on the collected data. Use the Epi- data computer tools to create relevant database, and input all information into it. To check and processing of information, then use SPSS10.0 statistical software for statistical analysis, with p < 0.05 for the difference is statistically significant.Results:1. The basic situation. In the investigation of 100 cases of primary hypertension in the empty nest elderly male 55 cases, women 45 cases. Have a spouse of 78%, 68% of respondents said that in the same city with their children, 31% of calls with their children every day, weekly calls accounted for 56%; 63% of respondents on the economy without the help of their children; In life do not need child care(56%); Time in more than 10 years of hypertension accounted for 63%; In a community service is not very optimistic, 52% of respondents did not accept community health service.2. Health. This study suggests empty-nesters the body with essential hypertension(eh) and poor mental health. Suffering from various chronic diseases at the same time, the body health of cerebrovascular disease(48%), respiratory system diseases(25%), diabetes(24%), heart disease accounted for 16%; Vision loss, hearing loss, memory loss, slow to 43%, 26%, 69% and 35% respectively; Mental health, according to feel lonely(56%), anxiety(38%), loss of 28%, found that women’s mental health worse than men.3. Treatment of hypertension. Shown in the table, to monitor blood pressure every day(18%), a few days monitoring once accounted for 52%, hardly monitoring accounted for 30%; Can often go to a medical accounted for 23%, the occasional urge to 38%, almost not to physical examination(39%); Can often regular medication(33%), occasionally forget accounted for 29%, 15%, often forget almost do not take medicine accounted for 23%.4. High blood pressure control effect factors. Hypertension control effect factors and cultural degree, economic income, the types of health insurance, and children call frequency, medication compliance and blood pressure monitoring frequency, the degree of nervous, children rely on was statistically significant(P < 0.05); And gender on hypertension control effect is not statistically significant(P > 0.05).5. Subjects health needs. Health requirements in investigation object, way of living and type on the demand of 64% of respondents hope alone, hope children living near 25%, 11% of respondents wanted to live with their children, The highest rate in living form mixed community demand, accounting for 38%; Hope the collective activities together on daily activities way, most(30%); 57% of respondents want community service; When respondents sick hope spouse care accounted for 53%, want their children to take care of 36%; When have worry about their spouses(43%), children(40%); In the investigation of 100 primary hypertension in the empty nest elderly, 90% needed an community health services, 61% need to old-age security, and 41% of the second culture entertainment, to respect love 22% support; Demand on public facilities, sports hall(54%), the reading room is occupied 48%, chess &cards room(48%), calligraphy studio(31%), the projection booth accounted for 26%; Cultural demand, 94% of the elderly need health lecture, and 66% of the elderly want to interest class; Popular science lectures, keeping in good health hall also accounted for 19% and 19% respectively; The demand for community yizhen projects are: blood pressure measurement(89%), blood sugar monitoring(69%), electrocardiogram accounted for 91%, blood in the urine routine accounted for 22%; Survey of the 100 cases of primary hypertension in the empty nest elderly, 100% hope to get the community the door to see a doctor to send medicine service, hope to get daily life care(53%), need psychological comfort accounted for 50%, 72%, want to provide health care knowledge hope to participate in social entertainment activities(36%).Conclusion:1. The primary hypertension empty-nesters poorer health;2. The primary hypertension empty nester family support poor condition;3. The empty nest elderly essential hypertension control effect is influenced by various factors;4. Various requests of empty nest elderly with essential hypertension wants;5. Should attach importance to the empty nest elderly with essential hypertension, high blood pressure control and health community health service demand, formulate related policies, optimize resources, focus on individuals, families, social forces, improve the quality of life of empty nest elderly with essential hypertension. |
PDF Full Text Request