| Background:Epidemiological study showed that the elderly noninfectious chronicdisease prevalence was76-89%, it's significantly higher than themiddle-aged and young(23.7%). Currently, however, according with thehealth status of the elderly in domestic nursing home survey report, thehealth status of the nursing home elderly is not optimistic in our country,the elderly noninfectious chronic disease prevalence rate is as high as96.5%."Chinese chronic disease control planing (2012-2015)" pointed outthat diseases caused by the death of the population of Chian has accountedfor85%mortality rate, and the burden of noninfectious chronic disease hasaccounted for70%of the total burden of disease. To continue, will bringthe serious social and economic problems.October2013," The several opinions promote the development ofhealth services" was issued by the state council made a clear emphasis: toboost the elderly health care, and strengthen the cooperation of nursinghome and medical institutions. Fully integrated the health concept into the pension services, strengthen the medical and health service?and offered theelderly disease management and rehabilitation care. Therefore, it's one ofdevelopment direction of nursing career that provide effective healthintervention in nursing home.In the late1950s, the managed care was first put forward in theUnited States, the concept of the core content for medical insuranceinstitutions through implement the system of health management for itscustomers which including disease patients or high-risk groups, toeffectively control the occurrence of diseases or development, it cansignificantly reduce the accident probability, the actual medical expenses,and reduce the loss of medical insurance claims.The Narrow sense ofhealth management means based on health examination results, establishhealth records, health assessment, put forward personalized healthinterventions, and professionals provided"one to one" advisory guidanceand following counseling service. Customer from social, psychological,environmental, nutrition, exercise, and other comprehensive maintenanceand support health services can be given, It's the true of "tertiaryprevention". Its advantage is that:(1)to reduce the medical cost;(2)toreduce the time in hospital;(3)process of health management is slowly, butreturns quickly;(4) to reduce the health risk factors of customer.Health interventions, is the most important part of the healthmanagement. It's a measures that change healthy lifestyle and habits witch lead to poor health status, it including health education, nutrition andexercise intervention, psychological and mental intervention, health riskcontrol and management and medical guidance, etc. It can notindependently complete by one department of health interventions, it needmultiple departments work together, it is a allied intervention. Its mainlyinclude health, nutrition, psychology, and other sports multiple departmentsparticipation.Teamwork is standard that assess and implement standardservice level. Teamwork can bring continuously and integrally services, soas to improve the level of nursing home care services.Objective:To investigate the basic situation of the elderly in nursing home, toexplore the effect about implement allied health intervention in nursinghome, provide reference about allied health intervention for nursing home.Methods:The82elderly were selected through convenience sampling from twonursing home which implemented allied health intervention. Respectivelyin live with in the nursing home in a week and stay for three months afterobserved the quality of life of the82elderly people by the Mos36-itemShort Form Health Survey(SF-36) and mini nutritional assessment (MNA),to assess the intervention effect. Analysis and statistics the data by SPSS(21.0). Results:1. The general situation of the nursing home elderly: there are30elderly whose age is60-75years old(36.6%), and52elderly whose age isover75years old (63.4%), their average age is77.46±7.21. In nursinghome, the prevalence of noninfectious chronic disease was84.15%,including64.63%of the elderly people with multiple chronicdiseases.Measured by shares, about43.9%of the nursing home elderlyhave High school degree or above, and nearly half of the elderly need theirchildren to help pay for the residential fees.2. Statistics noninfectious chronic situation of the elderly: the82elderly people have154kinds of chronic disease, and average every peoplehave1.88kinds of chronic diseases. Top ten for chronic disease:hypertension, diabetes, coronary heart disease, chronic bronchitis,constipation, joint disease, Alzheimer's disease, eye disease, prostatedisease, stroke and chronic obstructive pulmonary disease both be10th.3.After three months allied health intervention, the total mean scoreand its eight dimensions score of SF-36improved significantly, the scoresof the SF-36showed significant difference in a week and three monthsafter(P=0.000). After implementation allied health intervention for3months, the SF-36score respectively is PF:74.6±11.2, RP:68.6±17.0,BP:83.0±11.2,GH:66.5±12.5, VT:69.4±8.5, SF:72.2±10.9, RE:74.0±17.4,MH:75.0±7.4,mean total score:72.9±8.6.4.The scores of MNA is no statistically difference(P>0.05),but there were certain positive correlation between the total mean score and its eightdimensions score of SF-36and MNA score.Conclusions?1. The elderly in a state of poor health in nursing home, have higherrate of noninfectious chronic disease, many of them suffered by multiplechronic diseases.2. The effect is good,which is implemented allied health interventionin nursing., it can effectively improve the elderly quality of life.3. All departments concerned of the nursing home should be supportand closely cooperate with one another., to maintaining health of theelderly and improve the quality of life. |
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