微信平台在医院护理健康教育中的应用及评价

总结微信平台在健康教育中的应用及体会。方法 选取我院糖尿病专科40 至55 岁有智能手机者40 名,随机分为对照组20 例和实验组20 例,实验组加入科室微信好友,利用微信结合口头方式进行健康宣教,对照组仅使用口头健康教育,分别在入院第一天、出院以及出院后一月使用满意度调查表进行评估。结果 实验组出院及出院后一月后满意度得分高于对照组(P<0.05),两组入院第一天得分相差不具有统计学意义(P>0.05)。结论 利用微信平台能够有效促进健康教育的开展。

Economic and Social Impact of China’s Aging Population and Public Policy Response

In mapping out China’s future development,policymakers must bear in mind the challenges from a falling birthrate and aging society.Based on previous demographic censuses and original data of large sample surveys,this study employed an indirect method for estimating China’s total fertility rate(TFR)and a demographic forecast method based on the parity progression ratio(PPR).Our analysis details the socioeconomic implications behind demographic change,and we have proposed public policy countermeasures.The findings include:(i)China’s ultra-low fertility rate over the past three decades has led to an increasingly aging society,and China’s future fertility rate is likely to continue to decrease.(ii)Around 2024,China’s total population is expected to peak at 1.407 billion,followed by chronic negative population growth at an accelerating pace.By 2050,China’s newborn population will shrink to 8.73 million and the aging population will increase to roughly 30%of the total population resulting in the total dependency ratio above 50%.(iii)With a falling birthrate and aging society,China will face unprecedented challenges with respect to education,employment,and pension.(iv)As a public policy response,China should remove birth control altogether.If the fertility rate continues to stall,policymakers should consider issuing policies to encourage birth and create a birth-friendly society for all birth cycles.

A comprehensive health education plus monitoring support program for older adults with knee osteoarthritis coexisting with overweight and type 2 diabetes

Objectives:To examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabetes.Methods:Quasi-experimental,two-group,pretest-posttest design was applied.Using random geographic cluster sampling,older adults who met the inclusion criteria were assigned to two groups,62 in the intervention group and 71 in the control group.The intervention group received the comprehensive health education plus village health volunteer monitoring support program.The control group received only the comprehensive health education program.Study outcomes,including blood glucose level,knee pain and range of motion,body weight,physical ability(Timed Up and Go Test),fatigue,depressive symptoms,quality of sleep,and quality of life,were assessed at baseline,3 months,and 6 months after enrollment and analyzed using descriptive statistics and multivariate analysis of variance.Results:One hundred and ten participants completed the study(55 participants in each group).Most patient outcomes in the two groups showed general improvement with statistical significance(P<0.001):pain decreased,physical ability improved,less depressive symptoms and fatigue,quality of life and sleep improved.The interaction effect(the group and time)demonstrated statistically significant differences between the intervention and control groups on pain,knee range of motion,and fatigue according to each time follow-up(P<0.001).Conclusions:The comprehensive health education plus village health volunteer monitoring support program promotes good patient outcomes in this population.The integrated health education resource and support for older adults with knee osteoarthritis and type 2 diabetes is an effective,non-surgical treatment that highlights professional nursing roles and non-professional rolesdvillage health volunteers.Nurses should consider implementing a health education plus monitoring support program to mitigate the effects of chronic diseases and improve patients’quality of life.

Implementation and evaluation of the peer-training program for village health volunteers to improve chronic disease management among older adults in rural Thailand

Objectives This study aimed to investigate the effect of a peer-training program for village health volunteers(VHVs)to improve chronic disease management among older adults in rural Thailand.Methods The study was guided by community-based participatory research(CBPR).The peer-training program was developed by engaging diverse stakeholders,including community organizations,healthcare services,VHVs,older adults with chronic illnesses,and folk scholars in remote communities with high healthcare needs.The peer-training program comprised a three-day training workshop that convened once a week for three weeks with the following six sessions:knowledge sharing,peer support and empowerment,health literacy and health behavior,the general caring procedure for older adults with chronic illnesses,information sharing and communication,and home visit.From January to April 2021,a total of 28 VHVs completed the peer training program in a rural area in Chiang Rai province,Thailand.The Health Literacy and Health Behavior-3E2S(HLHB-3E2S),the Management of Non-Communicable Diseases Questionnaire(MNCDQ),and a self-confidence questionnaire were used to survey pre(week 1)and post-intervention(week 12),respectively.Then VHVs were interviewed to collect attitudes,and opinions about the intervention.Results After the intervention,the HLHB-3E2S scores(49.39±5.54 vs.52.35±4.26,P=0.001),the MNCDQ scores(44.10±6.27 vs.50.60±4.84,P<0.001),and the self-confidence questionnaire scores(22.28±2.46 vs.23.21±1.81,P=0.01)of VHVs significantly increased.VHVS also reported that the peer-training program enhanced their healthcare services,including health education,chronic disease management,leadership skills,and improving their relationship with healthcare providers.Conclusion Peer training programs are a practical strategy to improve VHVs’capacities.Healthcare professionals should provide a continuous training program for VHVs with their peers to increase capacities,confidence,and satisfaction in caring for the older adults with chronic diseases in the community.