| ObjectiveSubject to cerebrovascular disease as the starting point, an empirical study of a general hospital health management. Research purposes as follows:First, to explore the effect of hospital health management in chronic disease risk population at high risk of cerebrovascular disease; Second, based on the effects of a disease on health management model application evaluation, provide reference for health management of comprehensive evaluation,; Third, gradually improve the health management in practice, and promote the sustainable development of the hospital and health management disciplines.Methods1.The analysis of health management model at home and abroadUse the literature analysis to analyze and summarize the status quo and development trend on the model of health management at home and abroad to establish significance,then write the literature review.2.The status of the health management mode in general hospitalCombined the history of the development in health management, health information collection, health assessment and disease risk prediction, several aspects of health interventions, health education and health tracking to analyze the status quo of the existing health management model in the general hospital, an then summary characteristics and advantages.3. The analysis of the cerebrovascular disease risk factorsUse the literature analysis to analyze the cerebrovascular disease risk factors, review the literature, and then provide a theoretical basis for health interventions at high risk of cerebrovascular disease.4.The practical application of health management in high-risk groups of cerebrovascular disease in comprehensive hospitalObject to the high risk of cerebrovascular disease, use the health management model to provide the whole process of health management services, such as health information collection, health assessment and disease risk prediction, health interventions, health education and personalized health tracking.5.Application evaluations of a general hospital health management in cerebrovascular disease in high-risk groups5.1The object of studyIn accordance with the proposed study inclusion and exclusion criteria in four consecutive years(from2008to2011), object to256cases of cerebrovascular disease at high risk in a general hospital and health management center for health management study, three-year cohortresearch, analysis of the subjects before and after the use of the comparison mode cerebrovascular disease risk. Part of the customers were lost to follow and the information is imperfect, so the final objects of the study are211cases.5.2Research MethodsSince2009the use of hospital health management model to study the implementation of the whole systematic health collection, health assessment, health interventions and health tracking. Before the use of the contrast mode (2008-2009), the use of after one year (2009-2010), the use of after two years (2009-2011). study the general situation, physiological and biochemical indicators of disease risk prediction data, evaluation of results and quality of life score, the application effect of hospital and health management model. All the data is using statistical software SPSS13.0for statistical analysis. Paired sample test, paired count data, chi-square test and two sample non-parametric tests for statistical analysis, the significance level a=0.05.Results1. A general hospital health management to reduce the incidence of cerebrovascular disease risk significant effectThe object of the study were142males (67.30%), and69females (32.70%); unmarried13(6.16%), married198(93.84%). The average age of all customers is (42.13±12.91) years in2008.1.1Before the use of a general hospital management model, the physiological and biochemical indicators of value, and cerebrovascular disease risk index decline of the object is not obvious.Between cerebrovascular disease-related physiological and biochemical indices in the object of study2008-2009(including comparative analysis of blood glucose, triglycerides, total cholesterol, systolic blood pressure, diastolic blood pressure, body mass index), compared with2008,2009indexthe abnormal rate is no significant difference (P>0.05), each index value do not exist significant difference (P>0.05). Disease risk prediction in2008-2009study cerebrovascular risk and incidence of the risk of multiples do not exist significant differences (P>0.05).1.2In a general hospital after the use of health management model study of the physiological and biochemical indicators of value, cerebrovascular disease risk index decreasedStudy cerebrovascular disease-related physiological and biochemical indicators (including a comparative analysis of blood glucose, triglycerides, total cholesterol, systolic blood pressure, diastolic blood pressure, body mass index) between2009to2010, compared with2009in2010the value of its abnormal rates declined slightly. Total cholesterol, diastolic blood pressure value of the abnormal rate of decline there was a significant difference (P<0.05), glucose, triglycerides, systolic blood pressure, body mass index value of the abnormal rate of decline does not exist significant difference (P>0.05). The index value in addition to diastolic blood pressure, body mass index value does not exist significant difference (P>0.05), other indicators of value there are significant differences (P<0.05). Disease risk prediction,2009-2010study brain disease risk reduced, there is significant difference (P<0.05); risk of multiples also decreased (1.955±1.009down to1.938±0.981), but there is no significant difference (P>0.05).The object of study2009-2011cerebrovascular disease-related physiological and biochemical indices (including blood glucose, triglycerides, total cholesterol, systolic blood pressure, diastolic blood pressure, body mass index), comparative analysis, compared with2009,2011index value and abnormal rate of decline. In addition to the abnormal rate of decline of body mass index value does not exist a significant difference (P>0.05), and other indicators of the value of the abnormal rate of decline there are significant differences (P<0.05). In addition to diastolic blood pressure of each index value does not exist significant difference differences (P>0.05), other indicators of value there are significant differences (P<0.05). Disease risk prediction,2009-2011study of cerebrovascular disease risk reduction, there was a significant difference (P<0.05); the risk of multiples also continue to reduce (1.955±1.009down to1.919±.970), but does not yet exist significant difference (P>0.05).2. A general hospital health management model can effectively improve the population lifestyle2.1Before the use of a general hospital management model to the object,the quality of life, personal lifestyle improvement is not obviousThis study selected three cerebrovascular disease-related lifestyle indicators to analyze, they were the quality of life, smoking status and smoking, exercise intensity. In this study, use the World Health Organization Quality of Life BREF WHOQOL-BREF quality of life study to analyze the object of study in2008and2009, none of the four aspects of quality of life physical, psychological, social, environmental score significant line difference (P>0.05).Personal habits,122cases in2008, the smoking study, six people to quit smoking in2009,4.92%of quit smoking but smoking does not exist a significant difference (P>0.05); compared with2008,2009study of exercise intensity, there was no significant difference (P>0.05). 2.2A general hospital after the use of the health management model, the object of study quality of life, personal way of life improved significantly2010study of quality of life compared with2009, in addition to the environmental score no significant difference (P>0.05), physiological, psychological, social score, there were significant differences (P<0.05). Personal habits,116cases in2009, the smoking study,12people quit smoking in2010, tobacco and the proportion of10.34%, there is a significant difference (P<0.05) in the study between smoking, smoking reduction on the same day; compared with2009,2010between the study of exercise intensity significant difference (P<0.05), exercise intensity have increased.104cases in2010, smoking subjects,17in2011to quit smoking, quit smoking proportion of16.35%, there is a significant difference (P<0.05) in the study between smoking, smoking was significantly reduced;2009The ratio between the intensity of the movement of the2011study there were significant differences (P <0.05), exercise intensity were significantly strengthened.3. Chronic disease management model should be around the risk factors for disease and the risk of expansionThis study on the health management of cerebrovascular disease with the physical examination to detect high risk of cerebrovascular disease or sick people means quantitative assessment of the scientific risk to health intervention measures as the main means to provide health managementservices, including a variety of health counseling, missionary and tracking, aimed at reducing its incidence, and improve the cure rate. In this study, the research object cerebrovascular disease risk significantly decreased, indicating that the implementation of health management should focus on chronic disease risk or sick people around the risk factors for disease and the risk of expansion. Health assessment-health intervention-re-assessment is the core of the health management, chronic disease prevention based on the points raised in the health assessment is the assessment of risk factors for disease as well as to further its risk assessment. Chronic disease prevention effect is much higher than the treatment, the prevalence of chronic diseases of high morbidity, high mortality rate, high medical expenses "three high" high-risk groups, significant risk factors for disease assessment and incidence of risk assessment.Conclusion1. A general hospital and health management mode to use the full information of the health information collection, quantifiable health assessment and disease risk prediction, personalized health interventions for risk factors for disease and risk the health of the scientific commence tracking of customerhealth management services can be better used in cerebrovascular disease at high risk of health management;2. The health management model can effectively reduce the risk of cerebrovascular disease high-risk groups, thereby reducing the incidence of cerebrovascular disease;3. The health management model can effectively improve the lifestyle of the population, improve the quality of life;4. Chronic disease management model should be the focus on risk factors for disease and the risk to commence. |
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