At present,along with the economic development with high quality and medical level unceasing enhancement,the population average life expectancy in extension,at the same time,an aging population growing,the elderly with declining physical quality,and showed both to provide for the aged,and demand to see a doctor,the elderly over the age of 60 mouth in our country,nearly half of people with chronic diseases,Chronic disease self-management of elderly patients with chronic diseases is increasingly prominent,which is undoubtedly a problem that needs to be paid attention to and solved in the process of implementing healthy China strategy and realizing healthy aging.In this study,questionnaires and unstructured interviews were used to analyze the chronic disease self-management of elderly patients with chronic diseases in H community.Under the guidance of social support theory and empowerment theory,the hypertension patients in H Community,Guandu District,Kunming City were selected as the research objects.Group work was used to improve hypertension self-management ability of these patients for intervention services.First of all,the author followed the staff of H Community and Social Work Service Center into each park to investigate the physical health status of the elderly in the community.It was found that H community has a large number of elderly with chronic diseases,of which hypertension accounts for the majority.In the questionnaire and interview,these hypertension patients have the following problems:Lack of knowledge related to hypertension,insufficient motivation for hypertension self-management,poor hypertension self-management,weak family support,community support,etc.Based on their basic characteristics and self-management of hypertension,determine group goals,make group plans and carry out group activities.In social support,under the guidance of theory and the theory of energized by six section team activities,improve the patients’ awareness of high blood pressure,learning to keep blood pressure stable scientific methods,improve their hypertension self-management ability,at the same time,help them develop chronic disease self-management consciousness,develop healthy living ideas,and according to the performance of the team members and feedback timely adjust group activities.Finally,by summarizing and reflecting on the shortcomings and advantages of group work in the intervention,social workers are encouraged to pay attention to the problems faced by the elderly in the prevention and management of chronic diseases,and suggestions are put forward to promote the enrichment and development of professional social work in the field of chronic disease management services. |