Study On The Strategy Of Preserving Health By Time-adapting Regime For The Elderly In Community Based On LaoLaoHengYan

1 Research backgroundWith the increasing aging of the Chinese population,the physical and mental health of the elderly has become a hot issue that needs urgent attention in the current society.Improving the health literacy of the elderly and enhancing the self-health management ability of the elderly can reduce the disability and mortality rate,and ultimately can improve the health of the elderly.Therefore,deeply digging into the thoughts and methods of ancient Chinese classics on health preservation for the elderly,combined with the current situation,proposes health preservation programs for the modern elderly,has important practical significance for improving the quality of life of the elderly and saving social resources.2 ObjectiveBased on the LaoLaoHengYan,with the "preserve health by Time-adapting Regime" as the starting point,through literature research combined with the strategy of community population questionnaire surveys,the current situation and influencing factors of the elders health care literacy in time keeping and influencing factors are analyzed,and based on this,the current situation of the elderly is discussed.Daily health regimen by Time-adapting Regime.3 Research contents and methods3.1 Research content one LaoLaoHengYan preserve health by Time-adapting Regime thought researchThis research focuses on the literature research method,studying LaoLaoHengYan and collecting and sorting out related classics and periodicals,and systematically summarized three aspects:Cao Tingdong used to protect Yang Qi in Shuntian,to avoid evil in Shuntian,and to regulate spleen and stomach in Shuntian.The idea of keeping in good health in time involves many aspects of the elderly’s diet,daily life,clothing,furnishings and bedding,covering almost all the daily life of the elderly,and has enlightening significance for the modern home health of the elderly.3.2 Research content 2 Compilation and survey of questionnaires based on LaoLaoHengYan on the health literacy of traditional Chinese medicineIn order to explore the timely regimen for the elderly in modern times,this study developed the "Questionnaire on the Timeliness of Health Care in Traditional Chinese Medicine" based on the ideas and methods of LaoLaoHengYan.A cross-sectional survey was conducted on the elderly in Beijing and Panjin.A questionnaire survey was carried out to analyze the cognition and practice of the modern elderly population on the timely health preservation,influencing factors,and the correlation between the interviewed elderly’s health preservation literacy and the quality of life.3.3 Research content 3 Research on the timely health regimen plan for the elderly based on LaoLaoHengYanBased on the results of the cross-sectional survey,and based on the thoughts and methods of keeping in good health in the LaoLaoHengYan,a timely health maintenance plan for the modern elderly is proposed,including health maintenance principles,implementation guarantees,health maintenance methods,and elderly health maintenance.Operation summary.4 Research results4.1 Research content one LaoLaoHengYan preserve health by Time-adapting Regime thought researchThe whole book of LaoLaoHengYan runs through the concept of "the way of keeping in good health,but the value of nature".The author,guided by the principles of protecting righteousness and avoiding evils,has formed the basis of cultivating and protecting yang,regulating the spleen and stomach,and being careful to avoid evil The thought of keeping in good health in time.Cao’s health regimen revolves around daily life,with strong operability and practicability,and the principles and methods described are quoted and practiced by themselves,with high credibility.Due to historical limitations,some of the methods in the book may no longer be applicable to modern elderly people,but its health-preserving thoughts still have important reference significance.If the thoughts of keeping in good health in the LaoLaoHengYan are popularized to modern elderly People’s daily life will be of great benefit to improving the health of the elderly.4.2 Research content 2 Compilation and survey of questionnaires based on LaoLaoHengYan on the health literacy of traditional Chinese medicine(1)Based on the LaoLaoHengYan thoughts and methods of keeping in good health,combined with literature research and expert opinions,the "Questionnaire on Health Achievement of Traditional Chinese Medicine on Keeping Health in Time" was compiled.The questionnaire includes three aspects of "knowledge,faith and action" and 5 sub-levels.Dimensions-cognition of keeping in good health in time,daily life and health care in time,diet and health care in time,sleep health care in time,and ecological degree of keeping in good time.The questionnaire uses Liket4 grades.The higher the score,the better the literacy of this dimension.By collecting and sorting out the questionnaire survey data,we explored the differences in the various dimensions of the timely regimen of different elderly groups and the impact on the quality of life.(2)Description of the general situation of the elderly interviewed in the community:Among the 203 study subjects,76 were males and 127 were females;142 were 60-69 years old,61 were 70 years old and above,the minimum was 60 years old,and the maximum was 92 years old.The average age is 67.3±6.7 years;people living in cities and towns accounted for 59.1%and 40.9%of the total survey population respectively;50.7%of the survey respondents were from Panjin,and 49.3%were from Beijing.In terms of education level,elementary school and The following accounted for 20.7%,junior high school 28.6%,high school or technical secondary school accounted for 24.1%,undergraduate or junior college accounted for 26.6%;marital status,167 people have a spouse,36 people have no spouse;economic status,family monthly income of 2000-5000 yuan The largest number of people is 73;121 have stable income,59 without stable income,and 23 without income;self-rated health status evaluation,out of 203,only 36 self-rated health status For good.(3)The health literacy of the elderly in the community interviewed:the overall level of the elderly population in the interview is poor,only 8.87%.The elders have the highest scores in the three aspects of "knowledge,faith and action" in the "Knowledge,Belief,and Action"of the elderly on timeliness(69.0%),followed by the timeliness(67.1%),and the lowest is the timeliness(64.0%).,Showing the characteristics of "cognition" higher than "behavior" and"attitude".(4)Analysis of influencing factors of health literacy of the elderly in the community interviewed:The health literacy of the elderly in the community is affected by many factors,such as gender,age,region,and marital status.The statistical results show that women’s health literacy scores in terms of daily life,diet,and sleep are significantly higher than men(P<0.05);elderly people aged 70 and above score health literacy in terms of daily life and sleep Significantly higher than those under the age of 70(P<0.05);the elderly in Beijing area had significantly higher scores in terms of diet,daily life and attitude in terms of health maintenance and health literacy than those in Panjin area(P<0.05);people with spouses in daily life,The dietary dimension of the health care literacy score is higher than that of those without a spouse(P<0.05);urban residents have a more positive attitude towards health preservation than township residents(P<0.05);senior citizens with high school education and above The attitude towards regular health preservation is better than those of junior high school and below(P<0.05);the cognitive scores of regular health preservation for those with a family monthly income of more than 11,000 were significantly higher than those of those with a monthly household income of less than 11,000(P<0.05).(5)Analysis of the correlation between the health literacy and quality of life of the elderly interviewed in the community:For the evaluation of the energy level of the elderly interviewed,the higher the score of the cognitive dimension of the elderly,the better the energy level;In general,having a spouse is an advantageous factor,while bone and joint diseases,mental illness,and cardiovascular and cerebrovascular diseases are unfavorable factors for the energy level of the elderly(P<0.05).In terms of pain evaluation,older people with higher scores on the cognition and attitude dimension of keeping in good health,the lower the pain;in general,high education level is also a favorable factor,but bone and joint diseases,mental illness,cardiovascular and cerebrovascular diseases Diseases and digestive system diseases are unfavorable factors for the pain degree of the elderly(P<0.05).In the evaluation of sleep quality,the higher the score of the chronological sleep health dimension,the higher the sleep quality of the elderly;in general,mental illness and cardiovascular and cerebrovascular diseases are unfavorable factors for the sleep quality of the elderly(P<0.05).4.3 Research content 3 Research on the timely health regimen plan for the elderly based on LaoLaoHengYanTaking the thought of keeping in good health in time in LaoLaoHengYan as the guiding principle,learning from the methods of keeping in good health,combining the results of questionnaire survey and analyzing the results of the questionnaire,discussing the plan of keeping good in time for the modern elderlyPrinciples of keeping good health in time:①Keeping good health in good time should be based on "protecting righteousness" and supplemented by "avoiding evil",that is,keeping the body righteous in time and avoiding six evils.②Take care of the five internal organs in time:Under the guidance of the theory of "four o’clock and five internal organs yin and yang",according to the physiological function characteristics of the five internal organs under different time backgrounds,corresponding health care measures are taken.③ Balance movement and static in time:follow the health principle of "nourishing yang in spring and summer,and nourishing yin in autumn and winter".In spring,summer or daytime,focus on movement,in autumn and winter or night,focus on calmness,movement to nourish yang,and calmness to nourish yin.Safeguarding measures for the implementation of timely health preservation:①Improve cognition:under the guidance of the theory of knowledge,belief,practice and healthy behavior,and promote the cognition of the elderly,promote timely health preservation and the unity of knowledge and action,and ultimately benefit people.②Being nurtured by people:Different elderly people have different cognition and practical ability of keeping in good health.Therefore,scientific grouping is needed when conducting health education,and nurturing by different people.③Adjust measures to local conditions:pay attention to regional and community differences,and conduct health education for shortcomings.Timely health maintenance method:①According to the timing of the body and spirit:exercise to build up the body,elegant and fun,and exercise according to the changes of yin and yang in the day and night at four o’clock and to cultivate emotions.②According to the timing of daily life:daily life,including the details of people’s daily life around work and rest,such as walking,living,sitting,lying,etc.,it is recommended that the elderly should adapt to the changes of natural yin,yang,cold and heat,so as to have a regular daily life and keep up with the time.③ Matching clothes according to the time:The elderly should not only pay attention to "warm and fit",but also adjust the clothes and clothes according to the changes in the four seasons.④Adjust the diet according to the time:According to the influence of different seasons,day and night on the ups and downs of the yin and yang of the human viscera,combined with the theory of restraint of the five elements,adjust the diet timely to help maintain the peace of yin and yang of the human viscera.Timely health maintenance summary table:Based on LaoLaoHengYan combined with modern lifestyles of the elderly,a summary table of the four o’clock,day and night health maintenance for the elderly is compiled to achieve the purpose of convenient use by the elderly.5 Research conclusions(1)The book LaoLaoHengYan under the guidance of the holistic view of the unity of nature and man in traditional Chinese medicine has formed the thought of keeping in good health by protecting the yang in the sun,regulating the spleen and stomach in the sun,and avoiding evil in the sun.The health-preserving techniques listed in the book are close to daily life,are in line with the physiological characteristics of the elderly,and are feasible and scientific,and can be used to guide modern health-preserving activities for the elderly.(2)The questionnaire was designed and tested based on the LaoLaoHengYan on the thoughts and methods of keeping in good time.The study found that the method of keeping in good time can improve the quality of life of the elderly.However,the current community interviewed elderly people have relatively better quality of keeping in good health.In addition,there are situations such as the inconsistency of knowledge and behavior,and the imbalance in the level of literacy among the population.In particular,the literacy of "behavior" and"attitude" in the timely regimen needs to be improved.(3)In order to maintain the mental and physical health of the elderly,the research suggests taking the "timely" as the starting point for health preservation,and pay attention to the 3 principles of timely health preservation:timely to protect righteousness and avoid evil,timely to take care of the five internal organs,and timely to balance movement;In terms of keeping in good time,it is necessary to follow the idea of "The way of keeping in good health,but the value of nature" in LaoLaoHengYan,and comprehensively guide the daily life behaviors of the elderly from the aspects of body and spirit,daily life,clothing,diet,etc.,in order to facilitate the use of the elderly.It is finally presented in the form of "Summary of Timely Health Preservation";in order to ensure the smooth implementation of timely health preserving science education,it is necessary to be guided by "enhancing awareness" and pay attention to "respect for the individual" and "adapt to local conditions".