基于健康中国背景下老年人健康教育研究热点可视化分析

基于对健康中国视域下老年人健康教育研究热点的思考,找出研究规律,预测其未来发展趋势。运用CiteSpace可视化分析工具,以2011年—2021年CNKI数据库收录的326篇与健康中国、老年人健康教育研究相关的核心期刊文献为样本,对该领域的作者与机构分布、研究热点、年度文献分布及发展脉络进行分析。结果表明,健康中国、老年人健康教育研究呈现出萌芽期、过渡期、发展期3个时期。老年人健康教育研究总体水平不高,跨领域、跨学科的作者和机构的深度合作模式尚未形成;医学、体育学、人口学领域的政府组织部门及权威研究机构出现“一边冷、一边热”的现象。该文旨在梳理此部分内容的研究历程,总结目前老年人健康教育的优劣势,预测未来研究趋势,为老年人健康教育研究指明方向,进一步促进健康中国战略的高质量实施,为老年人健康生活谋求福祉。

南充市社区居家养老老年人心理健康教育研究

随着人口老龄化的加速,关注老龄问题已成为全人类的共识,老年人的心理健康问题也日益成为关注的焦点。本文以南充市部分社区为例,调查南充市社区居家养老老年人的心理健康现状,了解目前社区在居家养老老年人的心理健康教育方面所采取的服务措施,并借鉴国外社区老年人心理健康教育服务的建设体系,根据南充市社区老年人心理健康服务发展的现状制订因地制宜的对策。

老年人健康冲击是否挤出家庭教育支出?——基于医疗支出的中介效应检验

本文研究了我国三代户家庭内最高一代老年人的健康冲击对家庭教育支出产生的挤出效应。在构建三期世代交叠模型的基础上,分析了老年人健康冲击对家庭教育支出的影响机制,并运用2012和2014年“中国家庭追踪调查”(CFPS)数据进行了实证检验。研究结果表明,老年父母的健康冲击对家庭教育支出施加了显著的负向影响,存在以医疗支出为中介变量的中介效应。进一步地,根据城乡二元体制的差异以及家庭收入水平的异质性进行子样本估计,结果显示,老年父母健康冲击对家庭教育支出的挤出效应在农村家庭和中等收入水平的家庭更为显著,并且都存在以医疗支出为中介变量的显著中介效应。本文研究表明,为了缓解老年人健康冲击对家中子代的教育投资和人力资本的积累产生不良影响,完善我国的社会保障制度,尤其是养老保险和医疗保险制度就显得格外重要。

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.