Exploring the Effects of Health Education and Chronic Disease Management Nursing in the Management of Hypertension in Elderly Patients in the Community

Objective:To explore the effects of health education and chronic disease management nursing in elderly community patients with hypertension,in order to provide scientific evidence for improving the health management level of these patients.Methods:Sixty-four elderly hypertension patients treated at this hospital between March 2022 and March 2024 were selected and randomly divided into two groups,with 32 patients in each group.One group received conventional management,designated as the control group,while the other group received a combined management strategy involving health education and chronic disease management,designated as the experimental group.The study compared the management outcomes of the two groups to evaluate the value of the combined management approach in elderly hypertensive patients in the community.Results:The study found that the experimental group showed significantly lower systolic blood pressure(SBP),diastolic blood pressure(DBP),and scores on the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)compared to the control group,with statistically significant differences(P<0.05).Additionally,the experimental group demonstrated significantly higher scores in disease cognition levels regarding awareness of normal blood pressure ranges,prevention of complications,identification of high-risk factors,and healthy lifestyle practices,with statistically significant differences(P<0.05).Moreover,the experimental group showed significantly better rates of self-management behaviors,such as quitting smoking and alcohol,self-monitoring of blood pressure,dietary control,regular medication adherence,and consistent exercise,compared to the control group,with statistically significant differences(P<0.05).Conclusion:This study indicates that a combined management model integrating health education and chronic disease management effectively improves the emotional state of elderly hypertensive patients in the community,significantly enhances their disease cognition levels,and boosts their self-management abilities.Furthermore,this model can effectively lower patients’blood pressure,thereby achieving better health management outcomes for elderly hypertensive patients in the community.

Experiences of Practical Nurses in Promoting the Rehabilitation of the Elderly and Their Education - A Secondary Publication

The significance of rehabilitation-promoting nursing care is emphasized in aging Finland. According to studies, rehabilitation-promoting nursing care enhances the functional capacity of the elderly. The Elderly Services Act obliges municipalities to create a plan to support the elderly population, emphasizing home care and rehabilitation measures. A large portion of graduated practical nurses will be working with the elderly, so the education of practical nurses must meet the needs of the workforce. The study aimed to produce new information on the implementation of rehabilitation- promoting nursing care in the elderly service system and on the education of rehabilitation-promoting nursing care for the elderly in vocational institutions. The research data was collected in the autumn of 2020 through individual thematic interviews with practical nurse students (n = 8). The data was analyzed using inductive content analysis. Practical nurse students’ experiences of rehabilitation-promoting nursing care for the elderly were related to nurses’ time management, organizational practices, nursing competence, nurses’ attitudes, nurses’ practices, organizational development, implementation and development of practical education, factors affecting the use of aids, and technological aspects of aids in the future. In conclusion, it can be stated that the content of education and practical work life do not align. It is essential to increase competence in rehabilitation-promoting nursing care and to develop organizational practices.

Compliance to Medication Management and Mental Health Status of Elderly Hypertensive Patients: Basis of Educational Health Program

Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.

Association standard on education services for the elderly published

Elderly education is an important measure for China to actively deal with the aging population,improve the life quality of the elderly,meet their diversified learning demands,realize the modernization of education,and build a learning society,which is highlighted by the State Council for many times.

Construction of Industrialization Development Model for"1+4+X"Community-Based Elderly Care in Gannan Old Revolutionary Base Area in the Context of Population Aging

In the context of controlling population development in a planned way,China entered an aging society in the early 21 st century.In this context,how to meet the needs of the elderly care and form an effective elderly care model has become a key problem to be solved urgently by local government departments.With the continuous advancement of the elderly care policy,the community-based elderly care has gradually become the mainstream and is in the stage of vigorous promotion.Taking the Gannan old revolutionary base area in Jiangxi Province as an example,this study puts forward"1+4+X"community-based elderly care model based on the policy system of community-based elderly care,the physical and mental health of the elderly,the material space and the construction of evaluation system,and explores how to promote the application of this community model efficiently in the form of industrialization,so as to drive the economic growth of the Gannan old revolutionary base area,promote the employment development and improve the community-based elderly care service.

The Study on Community Health Education of Empty Nest Elderly

Objective:To study the demands of community health education on the empty nest elderly and analyse the related factors. Methods:The 36-Item Short-Form Health Survey(SF-36), activities of daily living (ADL) and the community health services satisfaction scale were used to investigate the community health service demand and supply of 358 empty nesters. Results:The results showed that the ability of self-care was worse and needed more nursing or caring from others in the empty nest elderly;the empty nest elderly, in comparison with the non-empty-nest elderly, had lower physical and mental scores. With the age changing, the requirements of community health services were different in empty nest elderly and the satisfaction of community health service was low in the empty nest (39.1%). Conclusions: Empty nest elderly generally needed the different degree of community health education demands. The utilization rates of community health education were low.

An Analysis of the Demand for Education for the Elderly in Rural Areas:A Caso Study of the Suburbs of Hangzhou

The education for the elderly is the last link of life-long education and an important part of spiritually providing for the aged.In the context of rural revitalization,this paper chooses the elderly in the suburbs of Hangzhou,an eastern developed city,as the survey object.Through the methods of questionnaire survey and quantitative statistics,this paper analyzes and introduces the basic situation of rural education for the elderly,the demand for participating in education for the elderly,the learning evaluation of education for the elderly and the problems existing in the education for the elderly in rural areas.On this basis,some brief conclusions and discussions are put forward.

Effect of Psychological Education Combined with Progressive Muscle Relaxation Training on the Symptom Cluster and Rehospitalization Rate of Elderly Patients with Coronary Heart Disease

Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:This study is a longitudinal randomized controlled study involving 140 elderly patients with coronary heart disease.The patients were divided into two groups:an intervention group and a control group,with 70 cases in each group,via random number table.The patients in the control group received routine nursing,whereas those in the intervention group received psychological education combined with progressive muscle relaxation training for 4 weeks on the basis of routine nursing.The effect of the intervention was evaluated before intervention,at the end of 1 month,3 months,and 6 months after intervention.Results:At the end of 1 month,3 months,and 6 months,the sleep,fatigue,anxiety,and functional status of the patients in the intervention group were significantly better than those of the control group,with statistical significance difference(P<0.05).The rehospitalization rate of the intervention group was lower than that of the control group,and the difference was statistically significant(X2=10.685,P=0.001).Conclusion:Psychological education combined with progressive muscle relaxation training is effective in alleviating the symptom cluster of elderly patients with coronary heart disease and reducing their rehospitalization rate;thus,it should be popularized.

Research on Problems and Countermeasures of Education for the Elderly in Colleges and Universities

The speed of China＇s aging population is accelerating. How to improve the happiness index of the elderly is highly valued by the Party and the governments. The education for the aged is an important way to enrich the spiritual life of the elderly. In recent years, the experts and scholars have paid much attention. Through the analysis of the measures and experiences in promoting the education for the elderly at the present stage, this paper points out the existing problems in the education for the elderly in colleges and universities, and puts forward the policies and suggestions for the development of the education for the elderly in colleges and universities, to provide a theoretical basis for the rapid development of the education for the elderly.

A Comparative Study on the Education of Elderly University between China and Britain

The UK is one of the earliest countries in the world to set up an elderly university. There are many similarities and differences between Chinese and British elderly university. This paper makes a comparative study on the educational goals, curriculum, content and activities of elderly university in China and Britain, which is beneficial to the elderly university of our country for reference to the development experience of the elderly university in Britain. The elderly university in our country should also adhere to the value orientation of social adaptation and self-realization theory, further update the curriculum content, carry out diversified teaching activities, meet the diversified needs of the elderly for entertainment, learning and development, and ultimately improve the quality of life of the elderly.

A Comprehensive Overview of Active and Healthy Aging: Incorporating Education and Physical Activity

Elderly individuals are adults who are often treated like children and,even worse,as numbers.Physical and mental degeneration is to some extent an inevitable occurrence.The problem that is not yet solved by biology and medicine lies in the acceleration of decay and the severity of certain pathologies.There is a relationship between the health of the elderly and their previous lifestyles,current social conditions,network of emotional relationships,and their personality structure.The organization and culture of society,still shaped by the principles of modernity,are the second major obstacle to the well-being of the elderly.On the one hand,the elderly face difficulties due to the organization of cities,transportation,housing structures,services,and families.On the other hand,the elderly’s condition is hindered by mental images,prejudices,ethical principles,cultural stereotypes,or by a social organization and culture modelled on the healthy,productive,reproductive adult male inserted into a family unit.The aim of this essay is reviewing the literature on AHA(active and healthy ageing),analyse the theoretical models and definitions,explore related normative terms and concepts,and create a comprehensive thematic overview of what constitutes AHA’s dimensions,attributes,antecedents,and consequences.

Hypertension knowledge in urban elderly patients:compari-son between adherents to traditional Chinese medicine and Western medicine

Objective To compare knowledge about hypertension between elderly Chinese urban patients with preferences for either traditional Chinese medicine (TCM) or Western medicine (WM). Methods Elderly (≥ 65 years old) patients with hypertension who prefer TCM treatment (n=112) or WM (n=126) were questioned about hypertension. Their answers were compared. Results Only 32.6% of participants correctly identified hypertension as a main risk factor of coronary heart disease and stroke, 22.3% of patients answered that the main purpose of hypertension control was preventing cardiovascular disease. Other major reasons for these patients to seek medical treatment for their hypertension included: persuasion by physicians or their family members (21.6%), alleviating symptoms such as headache and dizziness (16.8%), lowering blood pressure without knowing specific reason (12.4%). The predictors for poor knowledge of hypertension were similar irrespective of preference for WM or TCM treatment, and included those with lower levels of education and older age. Television and newspaper (46.8%) were the most frequent sources of hypertension information for both groups. Among those who preferred TCM treatment, "TCM has fewer side effects than WM" and"TCM cures disease while WM only alleviates symptoms" were common beliefs held. Conclusion This study shows that knowledge of hypertension is similar among Chinese urban patients with preferences for either WM or TCM treatment and that misunderstandings about hypertension are common among the elderly patients. In order to control hypertension effectively, public health education is necessary. This should target those with a lower level of education and older age.

Impact of Health Education on KAP towards Malaria among Basic Schools Pupils in Taiz Governorate. Republic of Yemen 2013: Pre and Post Intervention Study

Background: Malaria is one of the main health problems in Yemen. School-age children represent 25% of Yemen’s population and an increased proportion of these children are going to school. Schools provide a good entry point for community malaria prevention and control. Aim: To assess the impact of HE campaign towards malaria prevention and control. Methods: We conducted a community-based trial (pre-post intervention study), in two randomly selected districts (rural and urban) of Taiz governorate. The sample size was calculated using Epi Info version7 to be 1065 pupils from 6th - 8th grades in randomly selected basic schools. Data was collected using questionnaire before and after the intervention (three months apart). χ2 was used to analyze differences. Results: Health education activities in schools were associated with the increased knowledge of malaria symptoms and methods of prevention from 24.5% to be 60.2% among pre and post intervention respectively, with statistically significant difference (p Conclusions and Recommendation: Health education intervention in schools had a positive impact on the knowledge and attitude of pupils. We recommend conducting health education activities to improve the role of school pupils in malaria prevention.

Effect of Health Education on Knowledge Attitude Practice towards Malaria among Basic Schools Pupils in Taiz

Background: Malaria is one of the main health problems in Yemen. Health education is essential for the control of diseases such as malaria. School-age children represent 25% of Yemen’s population. Schools children can convey the knowledge and skills that they acquire at school to the community, thus increasing general community awareness about malaria. Aim to determine the impact of school-based malaria education intervention on knowledge, attitude and practice of school children towards malaria prevention and control. Methods: We conducted a community-based trial, intervention and non-intervention comparison (exposed & non-exposed), in four randomly selected districts (rural and urban) of Taiz governorate. This study was conducted in four districts of Taiz governorate. The study population was 2130 pupils of grade 6, 7, and 8 in primary schools, chosen from four randomly selected districts;two of them were rural and the others urban. Four schools and their pupils (1065 pupils) were chosen for the study and assigned as an intervention group and four schools with their pupils (1065) were chosen for the study and assigned as a non-intervention (1065 pupils). Data were collected using questioner in intervention and non-intervention schools (three months apart). The major intervention activities included lectures about malaria, distribution of educational materials. χ2 was used to analyze differences. Results: Health education activities in schools were associated with the increased knowledge of malaria symptoms and methods of prevention. The mean knowledge of malaria symptoms is higher in the intervention schools 4.4 ± 1.9, compared with 2.1 ± 1.4 in the non-intervention group. With statistically significant difference (P < 0.001), also the positive attitude and practice toward malaria was higher to be (48%) in the intervention group;compared with (35%) in the non-intervention group the difference was statistically significant. The knowledge of mode of malaria transmission was higher in the intervention schools to be (86.2%) compared with (59.1%) in the non-intervention group, with statistically significant deference (P value <0.001). The knowledge of fever as a main malaria symptom was higher to be (90.4%) in the intervention schools compared with (63.6%) in the non-intervention schools with statistically significant deference. Conclusions and Recommendation: This study concludes that the health education intervention in primary schools in Taize governorate had a positive impact on the knowledge, attitude and practice of pupils. We recommend to conduct similar methods of the health education activities in schools with suitable modifications to reach all schools level.

Cultural Sensitivity of a Community-Based Falls Prevention Program Targeting Older Arab American

Falls are a frequent and costly cause of injuries and functional decline in the elderly. Tai Chi is a cost-effective strategy for preventing falls in older adults. Many senior centers have introduced Tai Chi programs to increase mobility and decrease the risk of falls. However, the practice has yet to be widely disseminated to ethnic minorities who are not culturally connected to Tai Chi. This paper describes implementation barriers and recruitment and retention challenges of Arab American participants in a Tai Chi intervention-based health promotion program, including issues related to community organization and staffing, recruitment and retention, need for building relationships, need for translation and interpreters, and cultural barriers & misconceptions. Understanding and paying adequate attention to these challenges may help facilitate in planning other health promotion interventions targeting Arab American population.

新时代首都老年教育实践与思考——以北京市朝阳区为例

发展新时代首都老年教育,是全面贯彻落实党中央关于应对人口老龄化一系列决策部署的必然要求,更是北京探索特大型城市人口老龄化和养老工作创新发展的现实需要。近年来,北京市进行了积极的实践,以朝阳区为代表形成了独具特色的老年教育理论实践体系、资源整合机制和优质品牌,但同时也面临管理机制尚未理顺、经费投入尚不充足、资源供给尚不充分等普遍性发展困境。需从顶层设计、资源供给、平台载体、氛围营造等方面系统发力,以首善标准推动首都老年教育工作高质量发展。

社会学视角下开放大学提升老年教育质量研究

老年教育是终身教育的最后阶段,也是老年人继续社会化的重要途径,能够进一步满足老年群体自我价值实现的需要。新时代背景下,开放大学要进一步发挥体系办学优势,丰富老年教育内涵,创新老年教育形式,帮助更多老年人通过教育改变传统的老年观,进而提升生活品质,为社会发展继续贡献力量。

老年教育课程价值取向探索——基于香港和成都老年教育机构案列比较的视角

课程作为老年教育的中介和载体,既是老年教育实践活动开展的基本依据,也是老年教育内涵发展的核心领域。以香港特别行政区长者学苑和四川省成都市金牛区老年开放大学为例,对2021-2023年间开设的课程进行比较分析,发现两者之间的课程价值取向存在显著差异。据此,对我国老年教育课程的未来价值取向进行再审思,包括嵌入代际共融理念,发挥社会服务职能;关注老年心理特征,科学设计课程体系;倡导跨界协同参与,共享社会多元资源;实施学分互认转换,提供学历进阶阶梯;加强师资水平建设,凸显课程特色文化。

以“三老五心”职业道德培育为核心的文化育人新模式探索——以长沙民政职业技术学院医学院为例

随着社会发展和进步,各行各业对从业者职业道德的要求越来越高,在分析高职院校职业道德培育现状的基础上,着重展示职业道德培育在高职院校文化育人中的重要意义。将以“三老五心”为核心的职业道德培育模式与第二课堂、社团活动、社会实践等有机融合,形成职业素养、道德素养、传统文化为一体的特色校园文化,以期为创新高职院校文化育人模式提供一定借鉴。

Community-based elderly care services in China: an analysis based on the 2018 wave of the CLHLS Survey

Community-based elderly care services play an important role in dealing with popu-lation aging.Based data from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey,we found that overall there was high demand for community-based elderly care services,but insufficient supply,resulting in unmet needs.The greatest demand was for medical care and nursing services and these were gener-ally more accessible compared to other services.The imbalance between available supply and elderly demand was greatest for personal care and psychological con-sulting services.Additionally,there were obvious imbalances of supply and demand for particular groups of the elderly population.In terms of demand,the young-old living in eastern and western China or urban areas had stronger demand for com-munity-based elderly care services.Elderly people with serious disabilities or low income,or living in rural areas and towns had more demand for home visit medical services,while the elderly with the ability to care for themselves or high incomes needed more social and entertainment services.With respect to inadequate supply,the demands for community-based elderly care services of the low-income elderly living in rural areas and towns or in western China were more likely to be unmet.Our results indicated that appropriate services should be provided by government agencies and institutions to meet the needs of various groups.It is also important to increase accessibility to community-based elderly care services as well as to guaran-tee an equitable distribution of supply.