Research On The Self-management Of Chronic Elderly By Group Work

Under the background of an aging population,an increasing proportion of elderly patients with chronic diseases.Improve chronic disease control needs both from the policy level perfect medical services system and monitoring and evaluation mechanism,also need to all kinds of social organizations and medical institutions to actively participate in elderly health service system construction,at the same time the elderly themselves to be paid more attention of selfmanagement.Chronic diseases,however,the old self-management awareness and skill level are low,not only threaten the elderly’s own health and safety,and to family and society bring heavy burden to patients.This article selects the Hefei Z community as the investigation site,using the method of questionnaire investigation,interview,field observation method to investigate the selfmanagement of the community of chronic diseases.Through the analysis of the problems existing in the cognitive,behavioral and emotional aspects of the elderly,with the guidance of cognitive behavior theory and empowerment theory,Z Community Elderly Care Service Center as the main support platform,through the participation of team members in the activity theme discussion and combining with doctors’ opinions,8 group intervention activities for selfmanagement of chronic diseases were designed and carried out with self-management of hypertension as the theme.Use before and after the test,process evaluation,target completion,satisfaction appraisal way to evaluate activities such as the effect.Hypertension awareness and the results show that the crew has large improvement in blood pressure monitoring,diet,exercise,and emotion regulation skills are enhanced,the ability of community resources use increased.At the same time,the connection between the team members,team members,and pension center staff contact to further strengthen and enrich the social support network of the elderly.Through carries on the summary and reflection on the research process,social work in the integration of community resources,help to improve the old chronic diseases selfmanagement ability can play a positive role.By applying the theory of cognitive behavior theory and energized fusion promote behavior change have obvious effect.Service support platform can use the advantage to its own resources in elderly health education services,help the community management of chronic diseases.At the same time,there are some problems,such as the lack of support at the family level during the group intervention process,and the service platform has its own limitations,etc.,and relevant suggestions are put forward.