Analysia On The Status Quo Of Knowledge,belief And Practice Of Tcm Health Management Concept Among The Elderiy With Chronic Diseases And Its Infiuencing Factors

Purpose: This study takes the elderly with moderate and chronic diseases in 8 communities of Shengli Village,Harbin City,Heilongjiang Province as the research object.By investigating the status quo of the elderly with chronic diseases in this region on the knowledge,belief and behavior of TCM health management concept,the relevant influencing factors are analyzed,and targeted guidance is proposed based on TCM health management theory.The aim is to improve the knowledge,belief and practice level of the elderly with chronic diseases and the consciousness of TCM health management concept,so as to explore appropriate prevention and treatment measures for chronic diseases and provide reference for the formulation of chronic disease prevention and treatment strategies.Methods: This paper adopted the methods of literature research,questionnaire survey and statistical analysis to investigate and analyze the status quo of knowledge,belief and practice of TCM health management concept among the elderly with chronic diseases in Shengli Village of Harbin City and the influencing factors.Firstly,through literature research,the status quo of health management,the status of slow disease management and the relevant policies of the country are understood,and the research path is put forward.Secondly,a questionnaire was designed by referring to a large number of literatures and consulting expert opinions to collect the social demographic information of the elderly with chronic diseases in Shengli Village,Harbin,and to understand their cognition,attitude and behavior on the concept of TCM health management.Finally,using statistical analysis method,the social demographic information of the survey object was statistically described.One-way analysis of variance was used to analyze the influence of each variable on cognition,attitude and behavior of TCM health management.With the scores of TCM health management knowledge,attitude,demographic characteristics,disease status,doctor visit and doctor compliance of the chronically ill elderly as independent variables and behavior scores as dependent variables,multiple linear regression analysis was conducted to find out the factors affecting behavior.Results:(1)The elderly with chronic diseases lacked knowledge of TCM health management and their cognitive level needed to be improved;The subjects of the study had a low cognitive level of TCM health management,and only understood some basic and easy to understand TCM health management knowledge.(2)The utilization rate of TCM suitable technology for the elderly with chronic diseases is low,and the compliance of TCM health management behavior is poor;In the past six months,the utilization rate of TCM appropriate technology was low among the subjects,and the importance of non-drug therapy in treating chronic diseases was ignored.The compliance of TCM health management behavior of the elderly with chronic diseases was poor.Whether the cognitive level of the subjects and their attitude towards TCM health management are important factors affecting the TCM health management of chronic patients;In addition to knowledge and attitude,the education level,pre-retirement occupation and medical insurance status of chronic disease patients are also influencing factors for patients to adopt TCM health management methods.There is a positive correlation among knowledge,attitude and behavior of TCM health management.(3)The elderly with chronic diseases have a high prevalence rate and the management effect of chronic diseases is low;More than one-third of the study subjects had a negative assessment of chronic disease management.(4)The elderly with chronic diseases have good trust in TCM health management,and their satisfaction needs to be improved;(5)The elderly with chronic diseases have a great demand for TCM health management services,and the multi-level demand is not satisfied;Conclusions:(1)In order to improve the cognitive level of TCM health management of the elderly with chronic diseases,the publicity of TCM health management should be strengthened,including regular TCM health publicity activities,to improve the cultural literacy of TCM for the elderly with chronic diseases;With the help of the power of network media,to promote the concept of TCM;Cultivating scientific talents,popularizing the theory of TCM in the hospital;(2)The medical level is the basic condition to improve the behavioral ability of TCM health management of the elderly with chronic diseases.The government should increase fiscal expenditure,provide financial support,and enrich the medical and health resources at the grassroots level;(3)The price affects the elderly’s overall satisfaction with TCM health management.Expanding the reimbursement ratio of TCM in medical insurance and maintaining the price advantage of TCM can help to improve the utilization rate of TCM health management for the elderly with chronic diseases;(4)To actively explore the traditional Chinese medicine health management mode integrating community health service centers,which can cultivate the consciousness of the elderly with chronic diseases to be responsible for their own health and help them improve their level of self-care;(5)The establishment of a social support system is helpful to improve the TCM health management ability of the elderly with chronic diseases and promote their health behaviors.