The Research On The Improvement Of The Elderil Diabetics' Self-management Ability By Group Treatment Model

With the development of social economy,the quality of people's living standard has been gradually improved,but also contributing to the so-called"Affluenza".Diabetes mellitus,as a typical "Affluenza",its prevalence and incidence increased year by year,and accompanied by acute complications,has become a major hazard to people's lives and health and has now been more and more people pay attention to.At present,in our country,the incidence of diabetes in the growth of year by year,but the related data display,most of the patients with diabetes self-management ability is low,some people with diabetes due to the lack of correct cognition on diabetes,they blindly diet which leads to the decrease of blood glucose,lead to malnutrition;Some patients with diabetes due to fear of disease,and around the doctor,view all kinds of books and data,cause random medication.Based on previous scholars' research finding that the influencing factors of the elderly diabetics self-management ability including age,culture level,awareness of diabetes,sports,psychological feelings etc.With the intensification of aging,the number of the elderly diabetics is increasing year by year.the elderly diabetics because of older,exercise less,and most of the old cultural level is low,the cognition of diabetes is often scanty or repeat word for word what others say,can't suit the remedy to the case,coupled with a fear of disease and concerns,leading to a lot of the old man's mood affected,thus affect the rehabilitation of the disease.Therefore,this research hopes through the method of group social work involved in improving the elderly diabetics self-management ability,help the elderly diabetics actively and effectively to cope with diabetes,improving the quality of life,reduce the burden on the family,and help the elderly to build self support networkIn order to accurately understand the current situation of the elderly diabetics self-management ability,this research on the elderly diabetics of P community in Nanjing as the research object,by the method of the questionnaire and interview.On the one hand,on the basis of previous research results,the selection of P community in 80 elderly people with diabetes to carry out a questionnaire survey.The survey found that the elderly diabetics in the P community,their self-management ability present situation characterized by cognitive ability is low,the behavior ability is insufficient and the psychological adjustment ability is weak etc.On the other hand,based on a questionnaire survey,select one of 7 elderly diabetics as the service object who has poor self management ability,unstable blood sugar,using the collective interview method,to collect the seven elderly diabetics more comprehensive,more extensive data,including information on physical and psychological,family,life habits,course and history etc,so as to carry out social work team,under the guidance of the theory of sociology and the theory of cognitive behavior,through group treatment model,in order to strengthen the elderly cognition of the diabetes in P community,improve the bad eating and living habits,enhance the consciousness of exercise,and learning science of emotion regulation and the method of self health care,in order to promote the elderly in the P community to improve diabetes self-management ability,effectively control the diabetes disease.At the end of the study,the results of evaluation of the 7 team members,by using the scale of Summary of Diabetes Self Care Activities(SDSCA),through the pre-test and post test results can be seen that the effect of group activities in improving diabetes self-management ability in the elderly is more obvious,the 7 to participate in the activities of the elderly diabetics blood glucose was controlled effectively,all increased in knowledge of diabetes,the diet and living habits,exercise,psychological emotion and self care ability and level.And through mutual communication between team members and experience sharing,team members formed better mutual support network,enhance the social interaction of the elderly with diabetes,which is conducive to the elderly with diabetes to obtain positive and optimistic attitude towards life,the quality of life is improved,the economic burden of the family is reduced,and the strong support of family members is obtained.Finally,this study from the practice method,practice mode and the role of social workers these three aspects carries on the summary and reflection on the whole process of the group activities.From the whole process of practice can be found that social work intervention in improving the elderly diabetics self-management ability is necessary and feasible,play an important role.At the same time,the social worker is not professional medical staff after all,the lack of professional medical knowledge in medicine,therefore also need to have the authority of the professional in medicine physicians and other medical professionals from the side,for social workers to professional medical knowledge training and education,enhance the social worker's professional medical knowledge.And social workers as links and integration of resources,need to be positive for diabetes mellitus elderly integrate all useful medical resources,meet their basic needs and rights.