Thesis topics on geriatric disease prevention and nursing

1. Evaluation of the preventive effect of the "smart pill box + neighborly mutual aid" intervention model for elderly patients with hypertension living alone in the community

2. The application effects and ethical boundaries of the concept of “independence support” in preventive care for disabled elderly people

3. Research on the accessibility and optimization paths of chronic disease preventive care services for the floating elderly population in the urban-suburban fringe

4. Construction of a risk prediction model and optimization of preventive care plans for the elderly suffering from low-temperature burns in winter

5. Design and application effect verification of self-service foot care tool kit for elderly diabetic patients in the community

6. Analysis of the effectiveness of hypertension prevention care under the "market day" mobile free clinic model for the elderly in rural areas

7. Study on the preventive effect of nursing intervention program on adverse drug reactions in elderly patients with comorbidities and multiple drug use

8. Controlled study on the preventive effect of non-drug intervention on agitation behavior in elderly people with dementia in nursing homes

9. Evaluation of the effectiveness of the “family caregiver training + regular follow-up” model for pressure ulcer prevention in the disabled elderly at home

10. Community exercise intervention program for fall prevention in the elderly: Comparative effect of Baduanjin vs. balance training

11. Research on nursing intervention and prevention strategies for COVID-19 symptoms in the elderly after infection with COVID-19

12. Research on the impact of oral health problems on malnutrition in the elderly and the effect of preventive nursing intervention

13. Research on the connection mechanism of chronic disease prevention and care services for elderly people living in remote places

14. Study on the preventive effect of discharge transitional care on readmission risk for elderly patients with chronic diseases

15. Analysis of the application value and limitations of smart wearable devices in preventive monitoring of cardiovascular events in the elderly

I have been working in the community chronic disease management group for almost 6 years, and I have seen too many nurses and medical students get confused when choosing a topic, or the topic they choose is too big to cover, such as "Research on the Construction of my country's Geriatric Disease Prevention System". It is written with all clichés, and even the defense teacher is too lazy to read it.； Or they are copying "Experiences in Nursing Care of Hypertension in the Elderly" written poorly by others 10 years ago, and they can't even pass the plagiarism check. In fact, there is no need to look for a good topic randomly, it can be found in the work scenes you deal with every day.

Take the first topic about high blood pressure intervention for the elderly living alone, which we saved from a three-month pilot project last year. At that time, the academic community was still arguing about whether community chronic disease intervention should be based on technology or human relationships - some university scholars said that smart wearables and smart pill boxes should be fully rolled out, and technology should be used to reduce labor costs.； Some old nurses who have been working in the community for more than ten years said that no equipment is as effective as the old neighbor downstairs who knocks on the door and shouts "Take medicine" every day. We combined the two as a pilot at that time. We found 42 elderly people with high blood pressure who lived alone. Half of them only used the smart pill box reminder, and half joined the neighborhood mutual aid group. After 3 months, the medication compliance of the elderly who joined the mutual aid group was 37% higher than those who only used the device, and even the blood pressure compliance rate was 22% higher. This data is valid whether it is written in a general publication or the core.

Last time, a nurse in a nursing home asked me to revise her promotion thesis. Her original topic was "Experiences in Nursing Care of Pressure Ulcers for the Disabled Elderly." I changed her to the second topic on the current list about independent support nursing. She was worried at the time and said that our hospital has always required nurses to take care of the elderly's basic necessities, food, clothing, housing, and transportation. Now we encourage the elderly to do it themselves. Who is responsible if they fall? In fact, this happens to be the most valuable part of this topic - there is already a huge controversy in the academic circles about the care of the disabled elderly. One school advocates "zero-risk care" and reduces the probability of all accidents as much as possible, even at the expense of the elderly's autonomy. ； The other school's concept of independent support has been implemented in Japan for almost 20 years. The core is that even if the elderly are slow and risky, they should retain their ability to complete tasks independently and maintain their dignity as much as possible. She later returned to the hospital and found 12 semi-disabled elderly people as controls. After 3 months, 4 elderly people who originally needed to be fed could hold a spoon to eat by themselves. Only one elderly person accidentally scratched his skin when he stood up. She specifically wrote about this accident in the paper, and also analyzed how to set up protective measures and sign informed consent forms with family members to draw ethical boundaries. In the end, this paper not only passed the promotion review, but was also accepted by the annual meeting of the Provincial Nursing Association.

If you are a graduate student and need to do your graduation thesis, you can choose a topic with more social value, such as the topic of migrant elderly people in the suburbs. Last year, I took a professional master's student to do a preliminary survey and traveled to urban villages for half a month. Among the elderly people from other places who came to help their children with their children, 80% did not know where the community health service center was. More than half of the antihypertensive drugs were brought from their hometowns, and some were expired and they were still being taken. They even didn't know where to get free physical examinations. When I followed her to interview, there was an aunt from Henan who brought antihypertensive medicine for 5 yuan a bottle when she went home during the Chinese New Year. She had kept it for almost 10 months, and the words on the bottle were worn away. She was still taking it. She said that it was expensive to buy medicines in pharmacies, and she didn’t know that antihypertensive medicines could be obtained for free in the community. The data in this direction is easy to collect, and it is also in line with the current national policy orientation on the equalization of public services for the floating population. It is very advantageous to write it down whether it is for core distribution or subject reporting.

Of course, if you are just writing a course assignment or a short paper required by your unit, don't choose something that is too complicated. Just find a small incision, such as the question about the foot care self-help tool kit. You can research the information yourself to get some practical tools, scrape up the cost of twenty or thirty yuan, send them to 20 diabetic elderly people in the community, teach them how to use them, and compare their foot skin conditions and blood sugar control after three months. The data is easy to produce, and it is practical enough to write down.

Last year, I saw a Peking University core published by a nurse at a township health center, which was about a free clinic on market day in a rural area. They set up a free clinic every month at the market to measure blood pressure, distribute antihypertensive drugs, and provide health education to the elderly who came to the market. They persisted for a year. According to statistics, the hypertension control rate among the elderly in the village is nearly 30% higher than that in the neighboring town. The whole paper does not have any complicated models, but is all solid follow-up data. It’s interesting to say that when she submitted the manuscript, she was worried that she had low academic qualifications and no funding project to support it. However, the first sentence of the review comments given by the editor was “solid research and practical reference value”, so the manuscript was accepted directly.

Some people also asked me if I could choose interdisciplinary questions, such as the question about smart wearable devices. Nowadays, many manufacturers are touting that smart bracelets can provide early warnings for myocardial infarction and stroke. However, we have encountered several elderly people wearing bracelets in clinical practice. It is obvious that there are abnormalities, or they are not able to do so. Looking at the alarms, it may be that the sensitivity of the bracelet is too low and the alarm is missed. If you can find dozens of clinical data, compare the consistency of the bracelet's warnings with the actual disease, and analyze the limitations, it is also a very innovative topic. Many interdisciplinary journals now accept such articles.

In fact, the core of choosing this type of topic is not complicated at all. Don’t always think about chasing hot topics or copying other people’s topics. Look for scenarios that you encounter every day, either to solve real headaches in your work, or to respond to controversies that have not yet been finalized in the academic world. The things you write are both supported by data and have practical significance. They are far better than those empty articles that only add up to a few words.