山东省社区老年人慢性病自我健康管理脆弱性综合评价

Comprehensive Evaluation of Self-health Management Vulnerability of Chronic Diseases Among Old Adults in Community in Shandong Province

目的:综合评价山东省社区老年人慢性病自我健康管理脆弱性等级,为提升老年人慢性病自我健康管理能力提供参考依据。方法:利用可拓学方法,构建社区老年人慢性病自我健康管理脆弱性可拓综合评价模型,运用该模型对山东省社区老年人慢性病自我健康管理进行脆弱性等级评价。结果:山东省及其3个地市社区老年人慢性病自我管理脆弱性评价等级整体均为较高,关联度最大值依次为0.25、-0.01、0.61、-0.02。在评价指标中,营养与饮食、健康素养、自我监测、自我认知力、自我约束力、医疗保障、养老保障和情感支持的脆弱性等级均为高,关联度最大值依次为-0.39、-0.37、0.36、0.17、-0.40、0.15、0.64、0.83。结论:构建的模型和可拓的评价方法在老年人慢性病自我健康管理脆弱性评价中具有可行性。山东省在进行社区老年人慢性病自我健康管理过程中需要通过落实相关政策、完善保障机制、落实家庭医生签约服务、开展健康教育活动等降低老年人慢性病自我健康管理脆弱性。

Objective:To comprehensively evaluate the vulnerability level of self-health management vulnerability of chronic diseases in the elderly in communities in Shandong province,so as to provide references for promoting the self-health management ability of the elderly.Methods:Using extension method,the extension synthetic evaluation model of self-health management vulnerability of chronic diseases in the elderly in communities was constructed.Using this model,the vulnerability level of self-health management vulnerability of chronic diseases in the elderly in communities in Shandong province was assessed.Results:In Shandong province and the three prefecture-level cities,the overall vulnerability evaluation level of chronic disease self-management of the elderly in communities was high,and the maximum correlation degree was 0.25,-0.01,0.61,-0.02.Among the evaluation indexes,the vulnerability levels of nutrition and diet,health literacy,self-monitoring,self-cognition and self-restraint,medical security,pension security and emotional support were all high,and the maximum correlation degree was-0.39,-0.37,0.36,0.17,-0.40,0.15,0.64,0.83.Conclusion:The model constructed by this study and the extension evaluation method are feasible in the evaluation of self-health management vulnerability of chronic diseases in the elderly.In the process of self-health management of chronic diseases in the elderly in communities,Shandong province needs to reduce the vulnerability of self-health management of chronic diseases in the elderly by implementing relevant policies,improving the security mechanism,implementing the family doctor contract service and carrying out health education activities.