| Theoretical ResearchTheory 1:The clinical research methods of mental fatigueThe mental fatigue caused by monotonous work and life stress is increasingly serious, whose influence is far beyond our imagination. Then comes the problem that how to reduce and relieve the fatigue. The primary thing to be faced in the current is the diagnosis and the evaluation intervention of mental fatigue. People from different professions are troubled by the same mental fatigue. Most of the present studies use psychological testing tools, such as various fatigue scales, to evaluate, at the same time taking personality, anxiety, depression, sleep, defense, coping style and other conditions according to its influencing factors Researches of mental fatigue which have great practical value are gradually taken seriously, especially in the field of industrial psychology research. Great majority of the current reports concentrate on the athletes, and meanwhile bulk attention is paid to the sports mental fatigue of athletes.Mental fatigue is much more covert, more difficult to detect, measure and relieve artificially than physiological fatigue when it comes to the studies on sub-health and mental fatigue of the general population. The research tools of mental fatigue, no matter self-assessment scales on mental fatigue or other scales, are all badly in need of revising and improving continuously in order to better adapt to the domestic considerations of China. It’s believed that we can refine the cognition of mental fatigue from the perspective of traditional Chinese medical science, such as the Physique Theory of Chinese Medicine, five personality of Chinese Medicine and so on.Most of the current studies adopt subjective evaluation method to estimate mental fatigue and workload due to sorts of restrictions, but it will be much more objective and scientific if there are more convenient methods and conditions to measure mental fatigue. We are trying to seek some more effective and objective measuring methods from the modernization of TCM diagnosis, such as traditional Chinese medicine tongue diagnosis, pulse diagnosis and so on. We need to keep on exploring some deeper factors which are more influential on mental fatigue. And the clinical study of mental fatigue will provide a feasible way to its prevention and treatment.Theory 2:The tongue diagnosis research of fatigueTongue diagnosis is a way to acquaint the physiologic function and pathological changes of body through observing the condition of one’s tongue’s changes, which is also an important avenue to find out the disease for doctors of traditional Chinese medicine. Fatigue is a complex concept, best embodies the psychological phenomena and physical interactions. Tongue Diagnosis determination as fatigue evaluation index, fatigue tongue on tongue color, tongue color and tongue have a certain specificity previous studies Chinese medicine doctors determine the main modern tongue can image specimens, saving the time, and can transverse vertical comparison, for the diagnosis of objective provided technical support. Sports Fatigue in cytology tongue has its special significance, change its biochemical indicators may not be the vitamin and mineral deficiencies, may be due to more athletes abnormal function of internal organs due. Description Exercise Fatigue may reflect changes in the tongue. Fatigue more reflected in energy is not abundant, easy fatigue, scalloped area showed a positive correlation with.Visual fatigue patients used in traditional Chinese medicine tongue after the change, depending on the composition of less than normal fatigue physical fatigue, mental fatigue can be mainly reflected. Sleep with tongue color B negative correlation value. Researchers have always believed that mental fatigue is difficult to be alleviated by rest or sleep, but the duration of long-term negative impact on the physical and mental mental fatigue can not be underestimated. Based on previous studies, we examined the effects of factors on the tongue and can make the appropriate diagnosis of mental fatigue. Through the improvement of mental fatigue measurement tools, we can seek more effective and objective measurement method. We need to go deeper to find the mental fatigue more influential factors, study its approach, mental fatigue syndromes summarize the distribution of learning to develop uniform evaluation criteria, to establish a scientific and objective comprehensive evaluation method according to evidence-based medicine system in order to give full play to the advantages of traditional Chinese medicine, and then on the prevention and treatment of mental fatigue played a role.Clinical ReseachPre-clinical studies:Interview of 9 divers in service of marineObjective:To understand the physical and mental condition of the Navy divers, were concerned by the respondents feel and performance characteristics, provide a basis for the selection and use of TCM scales.Methods:9 is for daily training and training of male subjects 10m diving navy divers conducted interviews and four diagnostic collection for the diving operation affecting the Navy divers.Results:Diver as a high-risk occupational groups, divers often seen weak chills, post-dive particularly evident in long-term tension easily lead to mental and physical exhaustion, there are different degrees of mental fatigue, more reflected in the negative cognition, fatigue sense and negative emotion, generating anxiety, depression and other negative emotions.Conclusion:In order to study China’s national conditions, cultural background and meet the divers physical and mental characteristics, reasonable to deal with fatigue caused by diving, cold, sleep and other issues. I hope summarized divers various syndromes manifestations and our approach, follow-up research to try to understand Chinese medicine thinking diver fatigue, sleep, especially the psychological causes of fatigue and performance. Five states determine personality medicine and traditional Chinese medicine constitution Scale test, divers from many aspects of mental health research.Clinical studies 1:Studies on the condition of mental fatigue among people from different professionsObjective:Preliminary research to understand the mental fatigue and fatigue of different groups.Methods:cluster sampling conducted 10m diving courses in vocational training divers, shore crews and college students, using standardized burnout (mental fatigue) scale and the fatigue checklist to assess their fatigue status.Results:mental fatigue diver lighter than college students and shore crew, and in addition to situational, the physical fatigue divers, mental fatigue, fatigue consequences, relieve fatigue and sleep out to be lower than the shore crew, including mental fatigue item scores with significant difference; diver’s body fatigue, sleep remission, sleep and relieve fatigue score higher than students, the consequences of mental fatigue and fatigue lower than university students, including mental fatigue scores statistically different items. Significant positive correlation between the respondents in this population MBI-GS scores and factor scores scores and FSAS fatigue scores were positively correlated, which MBI-GS scores, emotional exhaustion items, depersonalization scores and fatigue and mental fatigue score was among the various occupational groups, in addition to a sense of accomplishment naval shore crew fatigue of low scores and total entries into negative, the other positive correlation with the total score of fatigue and mental fatigue into.Conclusion:diver fatigue performance was significantly better than the shore crew, including physical, mental, and sleep relieve fatigue consequences should explain diver has strong anti-fatigue and adjust the overall capacity; Compared with students, diver fatigue performance was slightly better, even if the training mission and guard duty factors leading to physical fatigue and sleep relieve fatigue item, but the consequences of mental fatigue and fatigue better than college students, including mental fatigue item scores have statistically significant, indicating that strong willpower divers. Divers lowest proportion of psychological fatigue, but also reached 25 percent, which is better than the shore crew, college students and the national norm in emotional exhaustion and depersonalization of performance, only the sense of achievement is low key and score higher than the national norm Students, consider this may be due to the ongoing routine training divers, therefore not strong sense of accomplishment. Shore crew in psychological fatigue highest proportion reached 77.8%, indicating that the population there is a certain mental fatigue, and there is increasing trend. The proportion of the student population in psychological fatigue has reached 47.7 percent, and the emergence of severe mental fatigue, consider the possibility of learning and examination stress-related walls.Clinical studies 2:Studies on the distribution of five personality of Chinese Medicine, Physique Theory of Chinese Medicine and sleep quality among different peopleObjective:a preliminary understanding of Chinese medicine five state personality, TCM constitution and sleep in different populations, and horizontal comparison, in order to more objectively assess the state of health of divers, providing the foundation for future research studies.Methods:cluster sampling conducted training courses in the 10m diving divers soldiers, shore crews and college students, using standardized TCM five states Personality Inventory, TCM constitution scale, PSQI Sleep Scale and determination and evaluation.Results:Diver TCM five states in addition to the yin and yang peace personality personality Students scoring slightly lower than the crowd outside, the sun, Shaoyang, Yin Yang Shao peace and personality were higher than other groups, and the lowest score lunar personality; divers gentleness (53.6%) the largest number, more than the shore crew (44.4%) and college students (19.0 percent); diver, college students crowd of sleep is normal, there are some sleep problems, and sleep in the shore crew of the critical value, there is a certain sleep problems.Conclusion:TCM five-pattern personality divers reflects a distinct personality, personality sun diver college students is significantly higher than the population, and can demonstrate not afraid of combat, resolute and brave, passionate, aggressive, etc., it reflects the military Jagged character. And while divers lunar personality most obvious, than other people, and significantly lower than the national norm. Personality characteristics of lunar and solar opposite, humility, worry, timid, easily pessimistic, do not like the exciting thing, does not match the characteristics of the military, and this characteristic in terms of the student population is necessary only in order to comply with this feature engage in practical knowledge, help in the field, we continue to accumulate, strict careful science. Most divers constitution more normal population, and better than the shore crew and college crowd, while navy divers to explain their physical state more confident, more common in this population biased constitution yang quality, qi deficiency, phlegm and heat quality. Consider the long-term cryogenic sea diving training and mission areas, caused by exposure to cold soak. Their sleep is better than the shore crew and college students. Consider the physical and psychological level divers undergo a rigorous screening, physical and mental health was significantly better than the shore crew, large work training intensity, but more than adequate food and ease, therefore able to achieve a longer effective sleep time, without the aid of sleeping pills basic means. Students compared with slightly better diver, which may be the nature of work, the intensity and force discipline related to diet can sleep and asked trumpets lights sleeping, and substantially without the use of sleeping pills.Clinical studies 3:Studies on the relativity between occupation burnout of marine divers and fatigueObjective:research diver fatigue, and studied the correlation between mental fatigue and fatigue condition.Methods:cluster sampling, a unit of navy divers conducted a questionnaire survey, using standardized burnout (mental fatigue) scale and the fatigue checklist to assess their fatigue status.Results:mental tiredness compared with non-mental tiredness, fatigue and physical fatigue score score, mental fatigue were higher and statistically significant. Fatigue than those without mental fatigue fatigue who score higher, but not statistically significant, emotional exhaustion and depersonalization item item scores high, which depersonalization item scores were statistically significant, but low key accomplishment score low, but not statistically different. Mental fatigue than those without mental fatigue, mental fatigue scores were higher, but not statistically significant, MBI-GS three dimensions, emotional exhaustion items, depersonalization items and higher achievement scores were low key, which depersonalization item scores were statistically significant. In a related study found that the Navy divers mental fatigue and fatigue scores and each factor are positively correlated, wherein among MBI-GS scores and physical fatigue, mental fatigue, fatigue score, sleep relieve a significant difference, and situation There are significant differences between sex, item scores between emotional exhaustion and physical fatigue, fatigue consequences, fatigue out there is a significant difference between statistical significance, and situational, low achievement and a significant difference between situational.Conclusion:28 divers, seven people who suffer from psychological fatigue, mental fatigue were 21 non-mental fatigue were compared with non-mental tiredness, fatigue score, physical, spiritual values were high and statistically significant, visible fatigue and mental fatigue and physical and mental performance are intertwined together in the human body, causing the body’s fatigue. Domestic and burnout (mental fatigue) rating generally used MBI-GS, domestic common use Li Chaoping revised translation and inspected the reliability and validity of the MBI-GS scale, but the severity of the division of domestic work burnout no uniform standard, currently Clinical use of general access to relevant literature to determine the different degrees [2], the right to re-law, the median method Approach. Through this study we found that by the Beijing University of Chinese Medicine Development prepared checklist fatigue scale, comprehensive review of the relevant literature at home and abroad fatigue, its entry design combined with the Chinese people not only have language habits and human characteristics, and in use It found that in addition to the sense of achievement is low key, fatigue checklist measured mental fatigue and burnout (mental fatigue) and each factor was significantly and positively correlated to the general situation of the basic reaction mental fatigue, physical fatigue but can also reflect, fatigue consequences, fatigue response to sleep or rest, fatigue, feelings of situational aspects, especially situational item to progress further found that the occurrence of mental fatigue and situational relevance.Clinical studies 4:Studies on the relativity between mental fatigue of divers in service of marine and its influencing factorsObjective:Research navy divers TCM five-state personality, TCM constitution and sleep, and horizontal comparison, in order to more objectively assess the state of health of divers, providing the basis for the study of fatigue research diver.Methods:cluster sampling conducted training courses in the 10m diving divers soldiers, using standardized TCM five states Personality Inventory, TCM constitution scale, PSQI Sleep Scale and determination and evaluation.Results:Five state mental fatigue personality group and non-group mental fatigue scores was no significant difference between the group of mental fatigue sun, Shaoyang, lunar personality Shao and scored higher than non-mental fatigue group, yin and yang peaceful scored below non-mental fatigue group. MBI-GS scores and gentleness significant negative correlation factor, a positive correlation with other physical factors, among which the quality factor of Blood statistically different, and Qi quality factor, quality factor deficiency, phlegm factor and gas Yu prime factors between significant positive correlation.7 people army divers mental fatigue group abnormal sleep 4 people,21 people compared with non-mental fatigue group, abnormal sleep 1, statistically significant differences.Conclusion:Mental fatigue group navy divers sun, Shaoyang, Shao and moon were higher, while the yin and yang peace score lower than non-mental fatigue staff. And in the entry analysis, especially in sub-entry yin and yang rare peaceful "attitude calm, peaceful manner," it shows that Chinese medicine yin and yang in the five-state peace personality type can help relieve mental fatigue. Different body constitution and its susceptibility to certain types of lesions of the tendency of different pathogenic factors. Mental fatigue and the scores found correlation between the various physical factors, all physical factors only gentleness and emotional exhaustion, depersonalization, low achievement and mental fatigue score all items was negatively correlated, and the depersonalization with inter-item scores was statistically significant between emotional exhaustion and item scores were significantly different, represent gentleness can effectively block the development of mental fatigue, less prone to mental fatigue. Navy divers, the mental fatigue group poor sleep. Sleep Index and emotional exhaustion, depersonalization scores were positively correlated, which depersonalization item scores were statistically different. Description mental fatigue has some influence on sleep, sleep for a while to adjust to ease mental fatigue also have a positive effect and significance. Sleep disorders occur when sleep is poor, during daytime dysfunction, more and see a sense of accomplishment low. When daytime dysfunction occurs poor sleep, while more may exhibit emotional exhaustion, enthusiasm is not high. It can be adjusted to reduce sleep disturbances and daytime dysfunction way to correct mental fatigue.Clinical studies 5:Studies on the relativity between Physique type of Chinese Medicine of the marine divers and sleep qualityObjective:To investigate trends Navy divers using traditional Chinese medicine theory of traditional Chinese medicine physical condition, sleep, physical type distribution characteristics of TCM and its correlation with sleep. Actively prevent the distribution in accordance with its constitution and trends, adjust the sleep condition, provide the basis and direction for the Chinese medicine treatment of related diseases.Methods:cluster sampling conducted training courses 10m diving professional diver troops, using standardized scales TCM constitution, physical type of determination and analysis, and the use of divers to investigate PSQI of Pittsburgh Sleep Quality Index PSQI and Factors Correlation analysis of each type of physique.Results:62.9% of divers constitution of gentleness, a total of eight kinds of biased physical distribution is:the most yang quality, followed by phlegm, humid nature, Qi, yin deficiency, blood stasis, qi quality and special intrinsic quality. The existence of the problem of poor sleep,24.72% of divers. Divers in poor sleep, in addition to time to fall asleep, but all factors are negatively correlated with gentleness item scores, sleep quality factor and blood stasis scores were positively correlated. (R= 0.481, P＜0.05).Conclusion: Diver sleep have correlation with TCM constitution types, from the perspective of physical conditioning to improve the diver’s sleep.Clinical studies 6:Studies on the fatigue marine divers’condition of tongueObjective:To study the fatigue state of the Navy divers, to determine and analyse their fatigue, meanwhile to conduct TCM tongue diagnosis as well as correlation analysis between tongue and the tongue appearance. Methods:sample was a group of male divers who practice daily 10m Navy diving training courses, standardized FSAS was applied for fatigue status determination, observing and recording their tongue appearance, shooting their tongue image, and extracting their color values. Results:The fatigue score mean for Navy divers was 12.30 ± 12.94, mental fatigue index was 11.30 ± 12.74, physical fatigue index was 11.73 ± 15.02. Their fatigue status results were mostly categorised as mild fatigue. Fatigue within a certain time will decrease with the increase of age and history of diving to varying degrees. Under different fatigue status, divers with no obvious fatigue has tongue color as follows (from most to least) pink tongue, pale tongue, red tongue, purple tongue and cyanosis tongue. When compared to diver with fatigue, tongue color appeared more were pale tongue, red tongue and cyanosis tongue, rare pink tongue. Moderate to severe fatigue diver tongue color is as follows: (from most to least) pink tongue, red tongue, no tongue pale, purple-red tongue and cyanosis tongue. Pink tongue and red tongue is often seen. Conclusion:This study revealed the Navy divers do have fatigue condition, however not serious condition. Mental fatigue, accompanied by severe fatigue at the same time increased. With increasing age, the number of moderate to severe fatigue reduces, mental fatigue also decreased. Considering the age and history of the Navy diving experience would reduce fatigue and reasonable allocation of physical fitness, and the ability to continue serving in the Navy, would make elite officers have become more sophisticated and tougher. Further, their training volume has been restricted, which is partly because of the consideration of the health and the age of veterans, their extra works to lead shall also be considered. When it reaches a certain time, such as diving history more than 15 years and continue to maintain regular training courses, because of the aging of body function caused by fatigue worsens. Pink tongue with a different degree of fatigue has no significant correlation, and pale tongue, red tongue, purple tongue and fatigue was significantly negatively correlated with the total fatigue status number, purple tongue and fatigue consequences has a significant negative correlation. Thin white layer and fatigue always have significant negative correlation, indicating that Chinese medicine has merits in determining fatigue. Tongue mark often appears as weak Qi and spleen, which is also the case with fatigue. Tongue with marks symptom mostly appear to be in mild condition. However the area of tongue marks and maximum number of tongue mark area has nothing to do with the severity of fatigue. Tongue mark and different degree of fatigue has no significant correlation.
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