Classification, Diagnosis And Intervention Of Sub-health Of People In The Army

BackgroundSub-health is a low-health state between health and disease,and is a grey state in which the body hasn't pathologic change,and is a potential clinical state.The symptoms of sub-health mostly include weak,fatigue,decreased vigor and low immunity,and sun-health is known as the new killer of people's health in 21 century. The sub-health incidence is increasing in many countries.Even though sub-health is a medical matter in symptoms,but it is an important problem affecting the human's quality of life,which is correlative highly with vocational factor,social circumstances, economy,culture,psychologic factors and body function.It is very important to enhance the studies in this field.Objective and significanceThe objectives of this study are to establish the diagnostic classification method of sub-health which is suitable for people in the army of china,and develop sub-health measuring scale,and evaluate the sub-health state of people in the army of China,and estimate the intervention effect.The study results are good to the sub-health study of people in the army of China.Methods1.To study sub-health according to the concept of health defined by WHOThe concept of health defined by WHO in 1947 was that health was not only disease and weak,but also health in body,spirit and society.According to the theory, health at least includes three significances:body health,mental health and social adaptation.According to the concept,health state includes health state,disease state and sub-health state.The new standard of health which was proposed by WHO in 1989 included body health,mental health,morality health and good social adaptation.2.To study sub-health according to new medical modeThe change of medical mode is the theory base of sub-health classification.The medical mode has changed with the development of the society and the economy.The promoter of health theory is the traditional medicine mode(biomedical mode) has changed to modern medicine mode(biology-mental-social medicine).The new health concept has increased the health demand to a new level.3.The classsification of sub-healthSub-health is a weak state in which the vigor and adaptability degrade.There is no organ damage.There is no specific diagnosis method and objective therapeutic effect index with model medicine by now.The factors that cause sub-health are environment,mental,physiology,society and disease sources.The grouping methods of sub-health are as follow.(1) According to sub-health concept:①Discomfortable symptom:having discomfortableness,but the physical examination and checkout results are normal.②Sub-clinical syndrome:having some definite clinical situations.③Unknown origin symptom:having no pathology significance and specific reasons.④Pathogen carrier state syndrome:physical function,psychological and social adaptability are normal, and the result of pathogen checkout is abnormity.⑤Borderline state:The results of clinical examination are between the high limit value and the low limit value.⑥High pathogenicity state:such as overweight.(2) According to gold standard:①Morality health gold standard.Morality is decided by the material life conditions,and evaluates the virtue and the evil,the honor and the disgrace,the justice and the non-justice,the honest and the false,the principle and the specification.②Ecological environment gold standard.③According to the system function of human.4.To establish the Sub-health Symptom Evaluation Scale(SSES)To establish the Sub-health Symptom Evaluation Scale takes the World Health Organization Quality Of Life(WHOQOL)-BREF as the reference standard.On the basic of sub-health classification,we design the sub-health symptom questionnaire.The clinical symptoms are selected according to the clinical practice and theory of medicine.The medical experts demonstrate sub-health symptoms.The senior experts in the fields of phylaxiology,digestion,cardioangiology,urology,psychology,lemology and sociology,are invited to demonstrate the symptoms according to the theory of weight coefficient.The pre-investigation is carried out,and the validity and reliability of SSES are evaluated.5.The intervention measures of sub-healthThe intervention easures of sub-health in this study include drug therapy, exercise therapy,dietary therapy,vitaminization and physical medical rehabilitation.Results1.In this study,the sub-health classificition theory and methods are proposed in the western medicine in China for the first time.Sub-health includes six subgroups,such as environmental pollution sub-health,body function sub-health,lifestyle sub-health, psychological sub-health,morality sub-health and disease sources sub-health.2.The correction,validity and reliability between SSES and WHOQOL—BREF.The results of 200 objectives showed that cronbach's a of SSES and WHOQOL—BREF was 0.786 and 0.844,respectively.The reliability of SSES is good.The validity analysis is carried out with WHOQOL-BREF as criterion.The correction analysis results showed that the validity of SSES is reliability.3.The intervention methods of sub-health are established.The sub-health of 8300 officers and soldiers of Nanking military district was evaluated using SSES in May, 2007 and December,2007,respectively.The sun-health incidence rate was 45%in May,2007,and that was 33%in December,2007 after intervention.This indicated that the intervention methods are effective.ConclusionsThe classification theory and methods are proposed for the first in China,and six sub-health subgroups are established,and SSES is developed which has high correlation,good validity and reliability with WHOQOL—BREF,and is a reliable means to evaluate the sub-health of Chinese soldiers.The epidemiological investigation results showed that the sub-health incidence of people in Chinese army is 45%,which is reduced to 33%after intervention such as health education,exercise and psychological,etc.