The overall support of medical social work intervention in chronic disease self-management

doi:10.12114/j.issn.1007-9572.2020.00.018

Abstract

Abstract: Chronic disease self-management means that chronic disease is controlled by self-management.Chronic disease self-management plays a positive role in reducing medical costs，enhancing patients autonomy and promoting their healthy lifestyle.The professional support for chronic disease self-management is mainly focused on the narrow sense of patient empowerment and education and training，and lack of attention to the patients social，psychological，economic and other aspects of the overall support.Medical social work plays an important role in the psychological and social support of patients with chronic diseases，and it can provide holistic care and support for the self-management of patients with chronic diseases.Medical social work can provide more comprehensive support by helping patients realize the link between economy and resources，enhancing patients' self-care knowledge and skills，alleviating psychosocial pressure，and promoting the healthy lifestyle change of patients.According to the present situation of chronic disease self-management in our country，it is urgent to pay attention to the whole human care and support for chronic disease patients，and to promote the participation of medical social work.This paper studies the role and strategy of medical social workers in providing whole person care and overall support for self-management of chronic diseases，hoping to promote the development of medical social work in self-management support of chronic diseases through research and provide better service quality for patients.

Key words: Chronic disease, Self-management, Social support, Medical social work

摘要： 慢性病自我管理指用自我管理方法来控制慢性病。慢性病自我管理对缩减医疗费用、增强患者自主权利、促进个人健康生活方式改变等方面起到积极作用。医院及社区健康保健专业人员对慢性病自我管理的支持多集中于狭义的患者赋权和教育培训上，对患者社会、心理、经济等方面的整体支持关注较少。医务社会工作在慢性病患者心理、社会支持上占有优势，能够为慢性病患者的自我管理提供全人关怀和整体支持。医务社会工作可以通过帮助患者实现经济与资源的链接，增强患者自我保健知识和技能，缓解心理社会压力，促进患者健康生活方式的转变提供更全面的支持。结合我国目前慢性病自我管理的现状，重视对慢性病患者的全人关怀与整体支持，促进医务社会工作的参与是亟待开展的工作。本文研究医务社会工作者为慢性病自我管理提供全人关怀和整体支持的作用与策略，透过研究推动医务社会工作在慢性病自我管理支持方面的发展，为患者提供更好的服务品质。

关键词: 慢性病, 自我管理, 社会支持, 医务社会工作者

WANG Suming,WANG Zhizhong,YAO Shangman, et al. The overall support of medical social work intervention in chronic disease self-management[J]. Chinese General Practice, 2020, 23(19): 2451-2458. DOI: 10.12114/j.issn.1007-9572.2020.00.018.
王素明,王志中,姚尚满等. 医务社会工作者介入慢性病自我管理的整体支持[J]. 中国全科医学, 2020, 23(19): 2451-2458. DOI: 10.12114/j.issn.1007-9572.2020.00.018.

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