佳木斯地区慢病老年人冬季健康干预模式探索

Exploration of winter health intervention modes for the oldsters with chronic diseases in Jiamusi area

目的:对佳木斯地区慢病老人冬季健康给予多种模式医学支持和研究,探析老龄化时代慢病老人的健康干预新思路,提高其生存质量。方法:佳木斯地区60~86岁慢病老年人冬季健康干预组20例、对照组20例,通过云端会诊、用药指导、老年健康通识教育、心理干预、病情个性化解析、风险评估研判而制定个性化康复计划等持续医学支持,及干预前、后6方面评估、两组间比较。结果:佳木斯地区慢病老人健康干预组与对照组比较,干预组慢病老年人健康干预后用药依从性、紧张焦虑、抑郁、平衡与步态、基本生活能力和幸福指数评估、总体状态均明显改善(P<0.05);干预前两组比较无统计学意义(P>0.05)。结论:对佳木斯地区慢病老年人采取冬季健康干预不仅提高其生活能力,还使其成为健康第一责任人开始主动管理健康,其健康状况与生存质量明显改善,幸福指数显著提高。

Objective:To provided various modes intervention to help the oldsters with chronic diseases of Jiamusi area,promoting their health,meanwhile observing and exploring to seek the new ideas of health intervention for the elderly with chronic diseases in the aging era and improve their life quality.Methods:The elderly with chronic diseases of Jiamusi area from 60 to 86 years old,twenty of them were randomly selected as the continuous medical support health intervention group;20 patients for the control group.Through cloud consultation,medication guidance,general health education for the elderly,psychological intervention,personalized illness analysis,and the corresponding risk assessment,the personalized rehabilitation plan is developed,providing the continuous valuable medical support for the elderly with chronic diseases by means health intervention to the intervention group,six aspects monitoring scales were assessed as well as the comparation between the two group elderly about their overall status before and also after the health interventions.Results:Compared with the control group,the compliance of medication,the anxiety,depression,balance and gait,basic living ability and happiness index,the general situation exhibited spirited,bright emotion,pleasant voice and the active cooperation of the oldsters with chronic disease in the intervention group were significantly improved after the series health interventions(P<0.05);There was no significant difference between the two groups before intervention(P>0.05).Conclusions:The health intervention medical support not only significantly ameliorated their basic life ability,but also enable them become the first person that responsible for their own health and actively manage their health,therefore,the general status both their health and life quality are substantial improvement and the happiness index was dramatically increased.