Background: with the continuous development of society,the progress of science and technology,the rapid development of economy,the increasingly serious aging and the development process of chronic diseases,it is not only the greatest threat to the health of the elderly in our country,and the elderly in our country and the government to bring serious economic burden,so the traditional pattern of old-age service is difficult to support the demand of the new era.The idea of combining physical education with medical treatment to promote health is a new trend in the field of health promotion and disease prevention.It is a new type of service with low input and high output,which can greatly reduce the economic burden of the people and the government.A number of national policy documents,including the Outline of Healthy China 2030 Plan,have proposed "physical and medical integration",elevating the concept of integration of sports and medicine to an important measure to promote health at the national strategic level.Therefore,the integrated development of the two fields of sports and medicine has become the development demand of The Times.At present,the aging degree of Lanzhou population exceeds the target 6%(65 years old),aging has been very obvious,individuals,families and society are facing a heavy burden of pension.Introducing integrated physical and medical services into nursing institutions can not only reduce the economic burden,but also enable the elderly to enjoy a better quality of life.Objective: this study is based on the development of "physical and medical integration" perspective,through the investigation of lanzhou city endowment institutions of sports facilities,medical and health,physical exercise and the present situation of the medical and health services,construct the lanzhou city endowment institutions "physical and medical integration" service mode,aimed at improving the quality of life of senile group pension institutions and health level.Methods: selected 10 pension institutions in the elderly(200 people),staff(50),and the community crowd(100),a total of 350 people as the research object of this study,using the literature material method to understand the current "physical and medical integration" domestic and foreign research present situation,clearly the next step to solve the problem of this study and research content;At the same time,based on the relatively mature questionnaires in this field and combined with the needs of this research,the questionnaire was designed and issued.A total of 350 questionnaires were sent out,347 were received,and 338 were effective,with an effective recovery rate of 97.4%.The managers of pension service institutions were interviewed in the form of questions to understand the current development status of pension service institutions and the development prospects of physical and medical integration in their institutions.In addition,field investigation,mathematical statistics and other research methods were combined to understand the specific conditions and needs of sports and medical services in pension service institutions.Results:The prevalence rate of the elderly in nursing institutions was as high as 91%,and only 30.9% of them regularly participated in sports;68.6% of the elderly thought that the facilities were insufficient;Only 16.5% of the elderly care institutions often carry out physical activities;Only 3.8% of the people acquired fitness knowledge from sports professionals;Only 30.2% of the elderly participated in physical health tests regularly;57% of the elderly expressed the medical and health facilities resources in the nursing institutions;22% of the staff think that nursing institutions often carry out health knowledge lectures,and only 21% of the elderly regularly attend them.Only 39.7% of the elderly were ill and undergoing rehabilitation treatment.At present,there are mainly the following shortcomings in sports services in pension service institutions :(1)Lack of sports facilities in pension service institutions and single types;(2)There is a lack of relevant personnel and start-up funds to organize sports activities in pension institutions;(3)There is no corresponding development system for the publicity of sports and fitness knowledge,and there is an extreme lack of professional guidance personnel;(4)The physical health monitoring system of the elderly is not perfect.There are several problems in medical services as follows :(1)the medical equipment in nursing institutions is backward and incomplete,and there is a lack of medical personnel,which cannot meet the current needs of medical services in institutions;(2)A sound health education and knowledge publicity system has not been formed in nursing institutions;(3)There is no perfect rehabilitation medical system in pension institutions.Conclusion:(1)Strengthen the infrastructure construction of the service mode of "physical and medical integration";(2)The government should strengthen financial input and expand fund channels;(3)Improve the allocation of human resources for "physical and medical integration" service;(4)Improve the health education system in institutions for the aged,and increase the publicity of "physical and medical integration" service;(5)Lanzhou City should take the medical service in the pension institutions as the basis,starting from the basic implementation,support,service and guarantee of four levels,and set up the corresponding sports and fitness guidance center;Its operation mode mainly includes four links: pre-service scheme design,scheme design,scheme implementation process and implementation effect evaluation. |