Evaluation Of Self Health Management Capability On Chronic Patients

With the unceasing progress of technology and continuously development of economy in recent years, the quality and quantity of health services is also increased, and the average life expectancy is increasing year by year,the disease prevention and control work has got remarkable achievement. However, due to quickly progress of population aging, urbanization and industrialization, people’s lifestyle has changed, which result to great changes of disease spectrum and a large increase of patients with chronic diseases. cardiovascular disease, chronic obstructive pulmonary disease, cancer and diabetes mellitus have been the first four chronic diseases to cause death, On average five deaths around the world, there will be three people died in one of these four diseases. At the same times, Chronic diseases have become the "number one cause of death" in our country, there has been more than 1000 million deaths with various reasons every year, at least 80% caused by a chronic diseases. And prevalence of chronic diseases is always high and being raised year by year.The chronic disease harm should not be overlooked,which will be inevitablely caused great negative effects on individual, family and society,and serious physical injury and mental disorder on person, resulting in heavy economic burden to the family and society, also brought strong pressure for the national health service system.In this context, self health management has become the best way to prevent chronic diseases. At the beginning of this century, the concept of modern health management was introduced into China, Although gained the support from the government, self health management in our country is in the embryonic stage, due to our country national conditions, weak economic base,limited public health resources and traditional treatment of diseases, people pay little attention to self health management.This research is based on social cognitive theory, self-efficacy theory, self-determination theory, disease risk factor accumulation theory and health ecological model. To define self health management of patients with chronic diseases concept by referring related documentation. In order to construct the self health management ability evaluation system of the patients with chronic diseases. We carried out Delphi expert consultation method by two rounds of expert consultation, Including five dimensions of cognitive ability, psychological status, behavioral lifestyle, social environment and treatment compliance, Each dimension has a corresponding evaluation entry. Finally, the formal scale has been made, to help patients with chronic diseases to quantify their self-management ability, improve the sense of self health management of chronic disease groups.In order to avoid subjectivity and professionalism of experts, which leads to the lack of feasibility and applicability in the patients with chronic diseases. Therefore, we do conduct field survey, as a result, this table has good feasibility and authority, which could be popularly used the group of patients with chronic diseases. At the same time, this scale was used to evaluate the self health management ability of patients with chronic diseases. The results showed that the group’s self health management ability was in the middle level. Using single factor analysis of variance to explore the influence of demographic characteristics on self health management of patients with chronic diseases, Using the correlation analysis to explore the relationship between the five evaluation dimensions, the sex, education level, marital status, medical payment methods will have a significant impact on the self health management of patients with chronic diseases. There are relativities between cognitive ability, psychological status, behavior way of life, social environment and treatment compliance. And there is a strong positive correlation between the ability of self health management. Finally, our research pointe at influencing factors, discussed and analyzed, and put forward the intervention strategy and improvement suggestion, To Strengthen the propaganda and education, establish the consciousness of self health management. Taking different health intervention measures to improve the level of self health care. To strengthen the self regulation, improve the personal physical and mental health. To promote the reform of medicare payment system and improve the affordability of medical services.To establish a social support system and increase the patient’s compliance. In order to improve the ability of self health management of patients with chronic diseases, and ultimately to achieve a reliable basis for improving the level of health.