| [Background and Purpose]Under the guidance of Xi Jinping's Thought on Socialism with Chinese Characteristics for a New Era,how to serve the development of prison with high quality is the key topic discussed by our prison theorists.In recent years,we have tasted the sweetness of seeking change actively by strengthening cooperation with the social hospitals,which saved resources and reduced risks.However,the introduction of social medical resources mainly focuses on the diagnosis and treatment of acute and severe cases.The daily diagnosis and treatment of chronic diseases in the prison gradually takes up a larger proportion of medical and health services in prison hospital.Therefore,establishing the long-lasting system of disease prevention and control as well as greatly mobilizing the enthusiasm of medical professional and technical police are two necessary things which are helpful to form the effective management of chronic diseases in prison.The purpose of this research is to deepen the theoretical exploration of the crossing field between public health major and prison management major,and grope for the establishment of chronic disease management model and long-term implementation plan of disease prevention and control work in prison system.In the sense of practical guidance,on the one hand,it can promote the health and epidemic prevention or the preventive health care department in prison hospital to implement relevant laws and regulations under the guidance of local health administrative department.On the basis of highly considering the actual situation and requirementsof the work,the work system of disease prevention and control in prison shall be formulated,the management of chronic diseases in the region shall be implemented and the overall work of regulatory security shall be served.On the other hand,it can strengthen health promotion and health education.The humanitarian implementation of daily management of chronic diseases,humanized education and behavior modification to the criminals and the improvement of health care ability as well as the dissemination of health knowledge after serving the sentence and re-entering the society have long-term social significance.[Method]According to the detailed records of the physical examination of prisoners implemented by the preventive health care department of a prison hospital in Jiangsu Province from 2015 to 2016,this research is to describe the data on chronic disease monitoring,study the current status of chronic diseases in a prison in Jiangsu Province,study the effectiveness of disease prevention and control in prison,and explore the specific operation plan for controlling chronic diseases through the follow up investigation to the persons with high blood pressure and analyze and explore the reasonable long-term operation mechanism in practice.[Result]After the physical examination of prisoners in a prison in Jiangsu Province,3319 persons have not been diagnosed and needed further treatment,which accounts for88.27% of all prisoners with physical examination,and the overall health situation of prisoners is good.The top three of chronic diseases diagnosed by physical examination of prisoners are high blood pressure(10.88%),diabetes(1.94%)and coronary heart disease(0.43%).From the comparison in this research,the overall health situation of prisoners in a prison in Jiangsu Province is better than social members.The awareness rate,treatment rate and control rate of prisoners' high blood pressure and diabetes are higher than social members,and the prevalence rate is lower than social members.From the perspective of coronary heart disease,the degree of screening of prisoners in prison is higher and the availability of treatment inemergencies is also higher.The overweight rate,obesity rate and central obesity of prisoners are lower than social members.It has important relations with the availability of medical services in prison and the mandatory health management.The investigation result is the same as expected.From the prevalence of chronic disease risk factors,smoking is still widespread,and drinking is controlled absolutely.The consumption of lean meat is lower than social average level and the consumption of fat is higher than social average level,which are conducive to management of health.In addition,the fruit is not enough,which does not meet the requirement of health management.According to the special investigation of prisoners with high blood pressure,after tracking control of chronic diseases,timely drug adjustment to the people with poor control effect and strengthening intervention management for several times after continuous observation,the control effect of high blood pressure in prison has been greatly improved,which is much higher than the social level.[Conclusion]According to physical examination of prisoners in prison,the unique and highly accessible health management of prison make the treatment rate and control rate of common chronic diseases in prison are far higher than social level and the prevalence rate is far lower than social level.The occurrence and development of physical examination have been well controlled,and the overall health situation of prisoners is good,which greatly eliminate the hidden danger of regulatory security.In the chronic disease risk factors,smoking-control measures need to be strengthened,the vegetables and fruits are not enough.The difference between the health situation of prisoners and the social members in this research shows that correcting the poor eating and living habits as far as possible and trying to live regularly,work and rest orderly,do more exercises and quit smoking and drinking are the best way to keep the normal physical indicators,and prevent the occurrence and development of chronic diseases.According to the special investigation of prisoners with high blood pressure,theactive acts of medical and health workers in prison can greatly improve the health situation of prisoners and influence the distribution of disease spectrum.Medical and health workers in prison must take the highly responsible attitude to the career,comply with the requirements of time development and pay high attention to the health management of prisoners. |
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