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  4. Vol 3, Issue 6, 2023

A study on health literacy improvement strategies of undergraduate nursing students supporting community health education model: an example of chronic disease management in Nanta community

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DOI: 10.23977/phpm.2023.030611 | Downloads: 9 | Views: 347

Author(s)

Xiaoying Jia 1, Pan Li 1, Yehua Dai 1, Dejuan Li 1, Shufang Deng 1, Liping Cao 2, Hui Xie 3, Wenxia He 1

Affiliation(s)

1 School of Nursing, Xiangnan University, Chenzhou, Hunan, 423000, China
2 People's Road Community Health Center, Chenzhou, Hunan, China
3 Nanta Street Community Health Center, Chenzhou, Hunan, China

Corresponding Author

Pan Li

ABSTRACT

Through the investigation and interview of Nanta Street Health Service Center, and the telephone follow-up of elderly patients with hypertension and diabetes, to understand the current situation of chronic disease management and explore the community intervention strategy of undergraduate nursing students. In October 2021, the data of 200 elderly patients with hypertension and/or diabetes mellitus were randomly exported from the chronic disease management system of the center, and the staff of the center were also examined and interviewed. The elderly patients whose data were exported were telephonically followed up by the cut-off date of January 2022. According to their original diseases, they were divided into elderly hypertension group, elderly diabetes group, and elderly hypertension combined with diabetes group, and their data were counted and analyzed. Among the elderly patients with chronic diseases, 49 cases (72%) had normal blood pressure index and 19 cases (27.9%) had high blood pressure in the elderly hypertension group; 43 cases (72.8%) had normal blood glucose index and 16 cases (27.1%) had high blood glucose in the elderly diabetes group; 37 cases (67.2%) had normal blood pressure and blood glucose index and 18 cases (32.7%) had high blood pressure and/or high blood glucose in the elderly hypertension combined with diabetes group. The situation of chronic diseases accompanied by complications and activity abnormalities in the elderly was as follows: 9 cases (13.2%) of complications and 5 cases (7.3%) of activity abnormalities in the elderly hypertension group; 11 cases (18.6%) of complications and 10 cases (16.9%) of activity abnormalities in the elderly diabetes group; and 21 cases (38.1%) of complications and 15 cases (27.2%) of activity abnormalities in the elderly hypertension combined with diabetes group. Health management of key populations showed that the center filed 3,301 cases of elderly patients aged 65 years and older, and the rate of physical examination during the system year was 68.8%; the center managed 1,687 cases of hypertensive patients during the system year, and the standardized management rate was 77.83%; the center managed 651 cases of diabetic patients during the system year, and the standardized management rate was 80.03%. The management of hypertension and diabetes in the community, health education and family visits need to be further improved. Undergraduate nursing students and other medical students can volunteer to serve in the management of chronic diseases in the community, provide diversified and multi-form health education, and establish a "family-community health service center-Tertiary general hospital" linkage network platform to provide a path to improve the management of chronic diseases in the community and to enhance the health literacy of the whole population.

KEYWORDS

Undergraduate nursing students, chronic disease, health education, health literacy

CITE THIS PAPER

Xiaoying Jia, Pan Li, Yehua Dai, Dejuan Li, Shufang Deng, Liping Cao, Hui Xie, Wenxia He, A study on health literacy improvement strategies of undergraduate nursing students supporting community health education model: an example of chronic disease management in Nanta community. MEDS Public Health and Preventive Medicine (2023) Vol. 3: 72-78. DOI: http://dx.doi.org/10.23977/phpm.2023.030611.

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