| Chronic diseases are becoming an obstacle to the health of an increasing number of older persons as the population ages.The study shows that the proportion of people over 60 years old with one or more chronic diseases in China is 76.3%.A study on chronic disease status and disease burden in chinese elderly population.treatment and management of chronic diseases in the elderly is urgent.Hu Dayi,director of the Institute of Cardiovascular Disease,Capital Medical University,said that patients with chronic diseases can live a long and healthy life as long as they are properly controlled.At the same time It is pointed out that chronic diseases require not only the professional intervention of doctors but also the self-management of patients.Therefore,it is very important to improve the self-health management consciousness and ability of elderly patients with chronic diseases.Because of their specificity,older groups often need face-to-face services in self-health management.Social work as a helpful service activity guided by altruism,based on scientific knowledge and using scientific methods,can play a great advantage in improving the self-health management consciousness and ability of elderly patients with chronic diseases.According to the investigation,the elderly patients with chronic diseases in the B community mainly have the following problems: first,the consciousness of self-health management is weak;second,the ability of self-health management is not strong;third,the support of social support is not strong.In view of the existing problems,we fully explore the needs of patients’ own self-health management,and use theprofessional methods of group work and case work to help the elderly patients with chronic diseases to carry out good self-health management,from disease knowledge,self-examination methods,diet exercise,interpersonal communication and so on.aspects of service,and mobilize the enthusiasm of patients to participate in self-management.At the same time,support groups are constructed to provide social workers with communication platforms and health education services for elderly patients with chronic diseases after their withdrawal from the community.Case work focuses on the problem of differentiation in cognition and behavior through targeted service to individual cases with outstanding problems,training them to establish correct mentality and actively learn self-management methods,and learning to "live in harmony" with diseases.The intervention of group work and case work has effectively improved the self-health management ability of elderly patients with chronic diseases,and improved their social support network to bring patients up provides a comprehensive health support environment.The establishment of supporting groups for self-management and self-service of elderly patients with chronic diseases not only fully ensures the continuity of service effect,but also fully mobilizes the initiative of patient self-health management.This study provides a case reference for improving the self-health management ability of elderly patients with chronic diseases,and also provides a new idea for the research in this field. |