| Objective: The project seeks to promote the level of physical activity of the crowd armed cadres, reasonable die status, study groups and individual health status and chronic disease risk assessment methods, and explore control and reduce the level of risk factors for effective ways to gradually establish a long-term sustainable district health management, working mechanism and evaluation systems.Methods: Firstly, through software engineering, the development of health management software systems can establish a health information management platform for the armed cadres. Then the software as the foundation, the armed police unit serving cadres 209 for a six-month health management services, from the last relevance, feasibility, appropriateness, effectiveness, efficiency, impact and sustainability.During the health management services, first used the survey method to collect information on the health of objects, the design of the questionnaire to the armed forces cadres crowd actual health risk factors based on the reference to the United States military health-related behavior questionnaire. Survey included basic situation of the current state of health, eating habits and dining, smoking, drinking behaviors, and medical care and health, exercise, mental health status. After completing the collection of information, used software to establish health files and health risk assessment, finally formed the mentoring program and health groups and individual health intervention. In the end, filled out questionnaires and medical examinations, health management and evaluated health management platform and the armed police service model.Results:1.The evaluation of the armed cadres health management systemConstruction of the platform entitled "Armed Police Health Management System", the main platform for a healthy study, health records, health assessment report information integration, substantial saved time and manpower, and created a efficient health management platforms. The software assessment results compares with the results of manual control by experts, the outcome of the software evaluation consistent with the rate of 87.9%. In addition to software, we also designed the software supporting the use of the health management tools, including armed cadre health guide, health diaries, diets and exercise fast facts quantitative tools. The software and related tools has already formed a study of the results of an independent study.2.The evaluation of armed cadre health services managementAfter six months of health management services, 206 participants diet, exercise, sleep, quitting smoking and limiting alcohol, and other basic health behavior formation rates are significantly increased. Abnormal blood glucose cadres fasting blood glucose decreased significantly, the former medical management by fasting blood glucose for 8.11±0.95mmol / L, after health management fasting blood glucose 6.49±1.50mmol / L, the difference was significant (t = 3.980, P <0.05), glycosylated Hemoglobin also decreased significantly. Cadres of total cholesterol and low-density lipoprotein, high blood pressure systolic and diastolic blood pressure were significantly reduced.According to the Secretary of Health statistics, diabetes medication expenditures dropped by 35 RMB / person / month, patients with hypertension dropped 32 RMB/ person / month.Health Secretary graded excellent diary at 25.1%, accounting for 29.7% of good diary.Study on the health of the overall satisfaction with the management of the project for 89.4%. Among the participants, 34% of the people think that health management services is necessary, only three percent of the people believed that the service unnecessary. Four health experts and four are of the view that the Secretary of the health services is very necessary.Conclusions: 1.Set up a health management mode as a basic of camp, a multi-sector, multi-level forms of cooperation, in view of adverse lifestyle, in order to maintain health behavior at the core objectives, select acceptable, quantifiable measures of intervention, the development of the information platform, promoting individual behavior change, and emphasized that "small changes can be made adhere to the results.2.Developing the Health Management System platform is of great significance for the modernized the military health service management .In this study, formed a separate product, the "soft science" is not soft.3.Evaluating from the many perspectives of the armed police, the short-term effect and the medium-term effects are significant, long-term change in the quality of life yet in-depth study. In conclusion, the armed forces health management project is feasible, and the effect is obviously. |
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