What is meant by chronic disease management

Chronic diseases are diseases that are not contagious and last for a long time. For example, chronic kidney disease, hypertension, diabetes, etc. These diseases are characterized by a more insidious onset, more difficult to be completely cured, but can be effectively controlled, and their development is closely related to lifestyle, so their treatment also cannot rely solely on drugs, but requires changes in poor lifestyle habits. Wu Yifan, Department of Chinese Medicine and Nephrology, Guangdong Provincial Hospital of Traditional Chinese Medicine Chronic disease management, which can be understood as self-management of chronic diseases, is an ability to manage symptoms, treatment, physical and psychosocial changes, and make lifestyle changes developed in the process of coping with chronic diseases. The purpose is to promote and improve patients’ self-management ability through education and training of medical and nursing staff, so that patients can acquire the knowledge of self-management of diseases and the skills to change their lifestyles, and train them to become “insider patients”, so that they can (1) acquire the knowledge of treatment and management of diseases -(2) Physiologically adapt to the disease – after a period of treatment and conditioning, patients can return to society and family and do the work they can do; (3) Psychologically adapt to the disease –(3) Psychological adaptation to the disease – to be able to handle and cope with the various negative emotions caused by the disease, and to adapt to the new role in the unit, family and friends after the disease. The ultimate goal of chronic disease management is also not to cure the disease (because many chronic diseases are incurable), but to strive to maintain the health status and health functions of patients with chronic diseases in a satisfactory state, to lead an independent life, and to recover and return to society; at the same time, because of the emphasis on changing poor lifestyles, it can effectively reduce disease risk factors, reduce the use of drugs, control health care costs, and save social health resources. Although this disease management model comes from Western countries, Chinese medicine has in fact put forward the concept of “treating the untreated disease” thousands of years ago, and its basic concept is “preventing the untreated disease before it occurs, preventing changes after the disease has occurred, and preventing recurrence after the disease has occurred. It emphasizes that the key to dealing with diseases is not “treatment” but “management”, and that the prevention and treatment of chronic diseases should focus on “nourishing the disease” rather than “seeking medical treatment”. “It should be “three parts treatment and seven parts nourishment”. Therefore, the chronic disease management model with TCM characteristics is one of the best ways to treat chronic diseases such as chronic kidney disease.