Health management benefits to listen to family doctors

Doctors of grass -roots medical institutions are affectionately called the health of the elderly. So, how does the "gatekeeper" allow more elderly people to fully understand the benefits of health management and learn from health knowledge? How to effectively ensure the health status of the elderly? Recently, the reporter interviewed the medical staff of the Yangjiayu Community Health Service Center in Xinghualing District, Taiyuan City, and listened to the story of health management for the elderly.

A grass -roots medical institution is doing

The "seat belt" on the health department of the elderly

Statistics show that the per capita life expectancy of residents in my country has increased from 77.93 in 2020 to 78.2 years in 2021.

Although the data is happy, the health expectations of the elderly in my country still need to be improved. Under this goal, the quality of life to ensure the health and longevity of the elderly has put forward higher requirements for the active health management and disease prevention of the elderly.

The old man Anzee family, family security. Only by comprehensively improving the health level of the elderly and extending the life span of healthy expectations can we lay a good foundation for economic and social development.

Chen Xiaoling, Secretary of the Party Branch and Director of the Yangjiayu Community Health Service Center, said that establishing a health file is a good entry point for the health service work of the elderly. By asking about lifestyle, health status, physical examination, auxiliary inspection and other means to determine whether the elderly can live Self -care and implementation management. The ability to take care of self -care is divided into four categories: self -care, mild dependence, moderate dependence, and unable to take care of themselves.

For elderly people with chronic diseases such as hypertension and diabetes, they must be included in chronic disease management and graded management.

"Central medical staff conducts a healthy medical examination on patients with hypertension and patients with type II diabetes each year, and provide at least 4 face -to -face follow -up services. In addition, medical staff also provide 4 free empty blood glucose measurement services for patients with type II diabetes per year." Chen Xiaoling said that in fact, the number of services provided by medical staff is far more than the number of times agreed in the agreement.

The high -quality service is the "seat belt" on the health department of the elderly, which also makes the prevention and control of chronic diseases of the elderly more standardized, systematic, and refined.

"Reconstruction" to the "heavy prevention"

Achieving healthy aging is the core issue that actively responds to population aging, and it is also a long -term plan for active population aging.

To achieve healthy aging, we must adhere to the concept of great health and vigorously promote the transition from "cure disease" to "health -centric". Therefore, health education and treatment of diseases should be placed in the same important position.

Among the 60 -year -old population in my country, the 60 -69 -year -old population accounts for 55.83%, which is the aging aging. This means that these elderly people have just retired not long after retiring, they have stronger wishes to complete their goals and even contribute to society, which requires a healthy physique and life status as the basis. "A large number of studies have shown that there is a positive relationship between the active participation of the elderly and health. The more the social and economic development, the higher the activity, the better the health state." Chen Xiaoling said.

In order to strengthen the popularity of health knowledge, improve the awareness of prevention of the elderly, and promote the development of a healthy lifestyle, medical staff in the process of treatment of the disease, from the probability of high blood pressure, diabetes, high -risk factors, and hypertension in recent years , Start with diabetic diagnosis methods and related symptoms, to comply with the cases of the actual life of the people, it is easy to understand medical knowledge, change the living habits of residents in the subtle way, and promote the transition of residents' concepts from "heavy treatment" to "heavy prevention" to achieve prevention of prevention Passing forward.

What service can the elderly can enjoy

Enjoy 1 health management service every year

According to the "National Basic Public Health Services Specification (Third Edition)", grass -roots medical and health institutions such as community health service centers provide health management services to the elderly each year, including the evaluation of lifestyle and health status, physical examination, auxiliary inspection and health guide.

For the assessment of lifestyle and health status, family doctors understand their basic health status, physical exercise, diet, smoking, drinking, chronic diseases, common symptoms of chronic diseases, past diseases, treatment, current medication and current medicine through the health status of the elderly Life self -care and other situations.

Physical examinations include body temperature, pulse, respiratory, blood pressure, body height, weight, waist circumference, skin, superficial lymph nodes, lung, heart, abdomen and other conventional physical examinations, and conduct rough testing of oral cavity, vision, hearing, and exercise function.

Auxiliary examinations include blood routine, urine routine, liver function, renal function, empty blood glucose, blood lipids, electrocardiogram and abdominal B -ultrasound (liver and gallbladder pancreatic spleen).

At the end of the evaluation, the grass -roots medical institutions should inform relevant personnel to evaluate the results and conduct corresponding health guidance. For patients with primary hypertension and type II diabetes diagnosed, grass -roots medical institutions should conduct health management of corresponding chronic disease patients; patients with other diseases (non -hypertension or diabetes) should be treated in time or transferred in time Diagnosis; for the elderly with abnormalities, grassroots medical and health institutions should recommend the other party to review regularly or refer it to superior medical institutions.

C how to do health management

I follow the guidance to regulate the recovery of diet blood sugar normal

Guo Jia is a family doctor who has long worked on the first -line medical care. When she participated in the work a few years ago, she followed the phone to follow up with the patient Wang Guilan (a pseudonym), but before her words were finished, the other party hung up the phone. Despite some grievances, Guo Jia still cheered for herself: "Don't be discouraged, you must let the other party recognize herself." Since then, she no longer calls Wang Guilan. Policies issued by patients with diabetes. Gradually, Wang Guilan felt that Guo Jia was not only kind and kind, but also had strong business ability. Wang Guilan told Guo Jia: "In the future, I actively cooperate with your work."

Since then, Wang Guilan has actively went to the community health service center to measure blood pressure and measure blood glucose. After continuous measurement, Guo Jia found that Wang Guilan not only suffered from hypertension, but also had diabetes. In order to control blood sugar, Guo Jia reminded Wang Guilan to eat more crude fiber food, eat less starch content, and take hypoglycemic drugs in accordance with the doctor's advice. After a long persistence, Wang Guilan's blood glucose has returned to normal level.

Analysis: According to the classification of the World Health Organization and the International Diabetes Alliance in 1999, diabetes are basically divided into four categories: type I diabetes, type II diabetes, special types of diabetes, and gestational diabetes.

Type -Ⅰ diabetes occurs during children and adolescence. Other age also occurs. The onset is often acute, and there may be significant weight loss in the early stage of the onset. "Three more and one less" (that is, urine, more drinking, more food, weight loss and fatigue) symptoms are typical, and keto acid poisoning may have occurred.

Type II diabetes, mostly obesity or overweight at the beginning of the onset, and the symptoms are more concealed.

Doctor's reminder

For those who are prone to diabetes and pre -diabetes, they can maintain moderate weight through the selection and exercise of healthy food to reduce the risk of diabetes. For example, reduce fat intake, consume a certain amount of dietary fiber daily, and take more foods with low blood glucose indexes.

Solisited the antihypertensive drug without authorization and increased blood pressure and rising

In November 2020, Liu Jin (pseudonym) felt a little dizzy and went to a hospital in Taiyuan City for treatment and was diagnosed with high blood pressure. The hospital subsequently sent this information to the community health service center through the public health information system. After receiving the information, family doctor Wu Xiaoxia took the initiative to contact Liu Jin to establish a health file for him.

Liu Jin follows the doctor's advice and takes antihypertensive drugs every day and regularly. Through regular monitoring, Wu Xiaoxia discovered that Liu Jin's blood pressure was well controlled.

In January of this year, Wu Xiaoxia used Liu Jin's blood pressure as usual, and found that the contraction pressure rose to 150 mm Hg, which was mild hypertension. Wu Xiaoxia asked that Liu Jin thought that blood pressure was well controlled, so he stopped taking antihypertensive drugs without authorization. Wu Xiaoxia told Liu Jin that even if the blood pressure returned to normal, the medicine could not be discontinued without authorization. At present, Liu Jin has resumed taking drugs, and blood pressure has returned to normal level.

Analysis: Hypertension is divided into primary hypertension and secondary hypertension. At present, in my country, the systolic blood pressure ≥140 mm Hg and (or) diastolic pressure ≥90 mm Hg, which is identified as hypertension. According to the level of blood pressure, hypertension can be divided into mild, moderate, and severe level.

Primary hypertension is related to factors such as genetic and environmental factors. Secondary hypertension is an increase in blood pressure caused by certain determined diseases or causes, accounting for about 5%of all hypertension.

Doctor's reminder

All patients with hypertension should adhere to a healthy lifestyle, mainly including reasonable diet, controlling weight, quitting of smoking and restrictions, appropriate exercise, and psychological balance. Hypertensive diet therapy is mainly salt reduction. The Chinese Nutrition Society recommends that healthy adults' daily salt intake does not exceed 5 grams.

In addition, people also need to reduce the intake of animal oil and cholesterol, unsaturated fatty acids, limit the total amount of cooking oil to 25 grams per person per day, supplement protein in an appropriate amount, and eat more vegetables and fruits. Reporter Liang Yaohua

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