Developing and Establishing the Model of Holistic Health Cares by using Procedures of Community Health Care

Monday, 22 July 2013

Hui Zhu Chen, MSN, RN1
Shung Mei Pan, MPH, RN1
LI Chin Chen, MHA, RN2
Chia-Li Hsiao, MSN, RN1
(1)Department of Nursing, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan
(2)Department of Nursing, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan

Learning Objective 1: confirm the health status and needs

Learning Objective 2: understand the health care knowledge of the residents

Purpose:  The purpose of this study is the application of the process of community care to 1. confirm the health status and needs, 2. understand the health care knowledge of the residents.

Methods: (a) diagnostic assessment stage: a windshield survey, demographic statistics, questionnaire, and interviews with important figures in the community are adopted in the process. Three dimensions, including lifestyles, health knowledge, and health needs of residents are randomly evaluated by utilizing "healthy lifestyle assessment". (b) formative assessment stage: to identify topics for community health courses and execute pretests before courses commence according to the results of the health status and health needs obtained at the first stage. (c) summative assessment stage: to undertake the post-test and data interpretation two weeks after the implementation of the health curriculum.

Results: On-site screening items include blood pressure, waist circumference, fasting blood sugar, cholesterol and so on and the pretest will be executed. In the screening results, the percentage of abnormal waist circumference exceeding the standard values is up to 44.1% (n = 45), followed by high blood pressure (n = 27, 26.8%) and fasting glucose (n = 22, 21.5%). Metabolic syndrome subjects’ waist is 6.8 to 8.4 cms higher than that of the non-metabolic syndrome subjects. Systolic blood pressure is 25mmHg higher and diastolic pressure higher by 9mmHg. Fasting blood sugar is higher by 35mg%. It shows patients with metabolic syndrome have higher blood sugar. 64.7% of the metabolic syndrome subjects have a history of hypertension, heart disease and a history of high cholesterol. Most of them smoke and do not have the habit of exercise.The average correct response rate of the health curriculum pretest is 33%.

Conclusion: The results of this study can be used as the reference resources for hospital to strengthen the care system and implement the philosophy of holistic health care.