CN104217095A - Human-body health function-status evaluating model - Google Patents
Human-body health function-status evaluating model Download PDFInfo
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Abstract
The invention relates to a human-body health function-status evaluating model, relates to an evaluating method for comprehensively evaluating the functional level of a human body and belongs to the category of health evaluation. The construction of the evaluating model comprises the establishment of seven modules, i.e. a brain-cognizing function module, a metabolic function module, a traditional-Chinese-medicine symptom-identifying module, a psychological function module, a social-adapting function module, a cardio-pulmonary function module and a movement function module and the establishment of a specific testing project, an index system and a specific index under each module and a testing-project evaluating standard. The score evaluation of the whole module is finally obtained through each-step index evaluation, weight determination and calculation step by step. The integral comprehensive evaluation and the evaluating result of each module are all shown by corresponding evaluation reports. Functional-status levels in the aspects of physiology, psychology and social adaptation of the human body can be obtained through the health function-status evaluation of the human body, so that potential health hazards are found in advance, and intervention treatment is carried out as early as possible, so as to guarantee the physical and psychological function-status health of the human body.
Description
Technical field
Health functional status is assessed, and belongs to the field of health assessment.The assessment of healthy functions, can the functional status of the multiple system of comprehensive evaluation human body.The content of assessment lays particular emphasis on and the closely-related content such as health, daily routines, locomitivity, social adaptation, is thus different from medical examination (for disease), Data of Civil Constitution Monitoring (for fitness), functional medicine, molecular biology carries out the test and appraisal forms such as disease forecasting.This assessment models comprises cardio-pulmonary function, motor function, metabolic function, brain cognitive function, tcm symptom identification, mental functioning and social adaptation totally 7 large modules, comprise again multiple test and appraisal project below each module, each test and appraisal project has selected classical method of testing.By the determination of the evaluation criterion to each test event, then give weight to the test result of each project, draw the score value of respective modules; Then the weight of each module in entirety is assessed, for each module carries out weight assignment, thus draw the assessment result of holistic health functional status.Then, by the test to large sample crowd, arrange out the evaluation criterion of health functional status.
Background technology
The World Health Organization (WHO) points out: health is not only do not have disease, but the perfect adaptation of human body in physiology, psychology and society adaptation.Healthy performance is the health of each systemic-function of human body, the health of full and the cognitive and social adaptation of psychological health, spirit shows.Because the significance of health and various disease is multiple, people are carrying out disease and healthy diagnosis and evaluating always.Current main health evaluating be the diagnosis for various disease and the risk profile to major disease.Simultaneously in physical health field, Data of Civil Constitution Monitoring and healthy body is also had to fit the test and appraisal of energy.But from integral frame, also do not see with the detection system that health functional status is target.Along with the theories such as functional medicine, functional rehabilitation, functional exercise constantly enter domestic, medical science is not only from treatment to prevention reach, and people pay attention to the health of function more, and is not only avoid disease.
Health functional status assessment models, incorporate multiple module of carrying out detecting for health functional status: (1) brain cognitive function: adopt Mini-mental Status Examination MMSE, Montreal Cognitive Assessment MoCA and WAIS etc., the general cognitive function of the brains such as intelligence, memory, notice, directive force, computing power, visual space, n-back test, language ability, abstract thinking is assessed; (2) metabolic function: comprise body composition, bone density, energy equilibrium, biochemical indicator four major part, carries out comprehensive assessment to the metabolism of the nutrition condition of human body, Bone m etabolism, Energy intaking and consumption, blood sugar, blood fat and blood uric acid etc.; (3) tcm symptom identification: by the rational judgment to health different parts and organ (sick position disease element) and position character (characteristic of disease disease element), thus comprehensively from traditional Chinese medical science integral layer face, body function is evaluated; (4) mental functioning: adopt SDS, Analysisof Self-rating Anxiety Scale and pressure consciousness scale, assesses the psychologic status such as human body sense of discomfort, obsessive symptoms, interpersonal relation sensitivity, melancholy, anxiety, hostile, terrified, bigoted, psychotic disease, sleep diet, pressure; (5) social adaptation: adopt ADL scale, social adaptation & adjustment inventory, Fatigue Assessment Instument FAI, life event scale LES etc. again, the social adaptation functions such as human body activity of daily living (ADL), social adaptation function, fatigue, family life, work and study, social activity are assessed; (6) cardio-pulmonary function module: comprise cardiac function, pulmonary function two modules, cardiac function adopts Color Sonography assessment, and pulmonary function adopts lung function instrument to assess; (7) Motion Function Module: be made up of cardiorespiratory Endurance, muscle strength, balanced capacity, pliability, speed quality, reaction capacity 6 partial content; The motor function of comprehensive evaluation human body, finds out corresponding weakness according to test result, carries out function targetedly and improves.
Summary of the invention
The integral frame of the large module of 1 health functional status assessment models 7 and corresponding index system
Health functional status assessment models, focuses on people closely-related healthy functions, the creatively brand-new appraisal framework of framework in daily life and motion, such that content is abundanter, to evaluate more system, result more scientific.Such as, creatively will fit into the system of assessment in brain cognitive function, tcm symptom identification assessment, psychology and society adaptation etc., outside system the is gone out assessment function of biorgan, motor function and metabolic function, also the very large psychology of proportion and the assessment of cognitive function is added, make assessment body and mind one, science more.
Traditional Evaluation of Cardiopulmonary Function is often only taken exercises cardiorespiratory function test, and be common with step test or sub-maximum dose secondary load SMT scheme, and in this model, cardio-pulmonary function comprises cardiac function, pulmonary function, exercise ECG, and test and appraisal are with professional equipments such as Color Sonography, lung function instrument, exercise ECG testers; And traditional heart-and-lung function in moving, be then referred in motor function, name is called cardiorespiratory Endurance.
And metabolic function, also from body composition, bone density, energy equilibrium and biochemical indicator 4 dimensions, the comprehensive metabolic function such as comprehensive evaluation nutrition condition, Bone m etabolism, energetic supersession, blood-fat and blood sugar blood uric acid metabolism, science is full and accurate more to make the evaluation of metabolic function.
7 large modules and the detailed programs comprised as follows:
(1) brain cognitive function: adopt Mini-mental Status Examination MMSE, Montreal Cognitive Assessment MoCA and WAIS etc., the general cognitive function of the brains such as intelligence, memory, notice, directive force, computing power, visual space, n-back test, language ability, abstract thinking is assessed.
(2) metabolic function: comprise body composition, bone density, energy equilibrium, the large intermediate item of biochemical indicator 4; Wherein bone density comprises the bone density at left hip joint, right hip joint, lumbar vertebrae 3 positions, energy equilibrium comprises Energy intaking and energy ezpenditure 2 aspects, and biochemical indicator then comprises the indexs such as fasting blood-glucose, postprandial blood sugar, glycosylated hemoglobin, blood fat, blood calcium, blood uric acid, blood pressure.
(3) traditional Chinese medical science disease element identification: the content comprising disease history inquire, four methods of diagnosis result and traditional Chinese medical science disease element (sick position disease element and characteristic of disease disease element) three broad aspect; In traditional Chinese medical science disease element, sick position disease element refers to position or the organ at symptom place, comprises 20, the mind (brain), the heart, lung, spleen, liver, kidney, stomach etc.; Characteristic of disease disease element refers to the character of symptom, comprises wind, cold, heat, wet, heat, the stagnation of the circulation of vital energy, blood stasis, the deficiency of vital energy etc. 33.
(4) mental functioning: use SDS (SDS) subjective feeling to depression to assess; Analysisof Self-rating Anxiety Scale (SAS) subjective feeling to anxiety is used to assess; Pressure consciousness scale (CPSS-14) is used to assess psychological pressure.
(5) social adaptation: adopt ADL scale (ADL), social adaptation & adjustment inventory, Fatigue Assessment Instument FAI, life event scale LES etc. again, the social adaptation functions such as human body activity of daily living (ADL), social adaptation function, fatigue, family life, work and study, social activity are assessed.
(6) cardio-pulmonary function: comprise cardiac function, pulmonary function and cardiogram 3 contents.
(7) motor function: comprise cardiorespiratory Endurance, muscle strength, balanced capacity, pliability, speed quality, reaction capacity 6 test; Wherein muscle strength comprises the muscle strength with supraspinous muscle, hip flesh and greater psoas muscle, quadriceps muscle of thigh in the middle part of deltoid muscle, and pliability comprises the pliability of backbone pliability, hip joint and lower limb.
Detailed model and index system are shown in Fig. 1.
The determination of 2 each individual event measuring technologies and method
The principle that measuring technology and method are determined: (1) is evaluated mainly for function; (2) method is tried one's best Non-invasive detection, facilitates the universal of model like this; (3) authoritative and scientific, adopt up-to-date theory and ripe detection technique.Concrete method of testing is as follows:
(1) brain cognitive function: adopt Mini-mental Status Examination MMSE, Montreal Cognitive Assessment MoCA and WAIS etc., the general cognitive function of the brains such as intelligence, memory, notice, directive force, computing power, visual space, n-back test, language ability, abstract thinking is assessed.
(2) body composition: adopt the body composition meter (8 electrode multiloop) of bio-electrical impedance principle to carry out overall Body components test; Blood fat (triglyceride, cholesterol, high-density lipoprotein (HDL), low-density lipoprotein) is measured by extraction limosis vein blood in early morning; Fatty liver then passes through Ultrasonic Diagnosis.
(3) bone density: adopt dual-energy x-ray bone density bed machine, according to X ray intelligent scanning and image reconstruction technology, comprehensive test is carried out to whole body each position bone density.
(4) energy equilibrium: use cell phone software to be gathered the energy taken in for a day by diet record; Use amount of exercise and energy ezpenditure that the motion energy consumption monitor of three-dimensional acceleration principle is monitored one day.
(5) biochemical indicator: fasting blood-glucose, glycosylated hemoglobin, blood fat, blood calcium, blood uric acid: extract ulnar vein blood measurement on an empty stomach in early morning; 2 hours blood glucoses after the meal: the anhydrous grape Icing Sugar 75g (taking in 5 minutes) on an empty stomach in the oral 300ml of being dissolved in water, timing from taking sugared first, takes a blood sample after 2 hours in clothes sugar and surveys blood sugar; Blood pressure: measure systolic pressure and diastolic pressure (having a rest more than at least 10 minutes).
(6) traditional Chinese medical science disease element identification: the content comprising disease history inquire, four methods of diagnosis result and traditional Chinese medical science disease element (sick position disease element and characteristic of disease disease element) three broad aspect; In traditional Chinese medical science disease element, sick position disease element refers to position or the organ at symptom place, comprises 20, the mind (brain), the heart, lung, spleen, liver, kidney, stomach etc.; Characteristic of disease disease element refers to the character of symptom, comprises wind, cold, heat, wet, heat, the stagnation of the circulation of vital energy, blood stasis, the deficiency of vital energy etc. 33.Syndrome experimenter occurred, according to " the double-deck scissor of power frequently algorithm " principle, determines that each disease maps the weight of relevant card element; Then be weighted summation threshold decision, namely carry out weight by card element and add up, weight reaches and exceedes the card element diagnosis establishment of more than threshold value.
(7) mental functioning: use SDS (SDS) subjective feeling to depression to assess; Analysisof Self-rating Anxiety Scale (SAS) subjective feeling to anxiety is used to assess; Pressure consciousness scale is used to assess psychological pressure.
(8) social adaptation function: adopt ADL scale (ADL), social adaptation & adjustment inventory, Fatigue Assessment Instument FAI, life event scale LES etc. again, the social adaptation functions such as human body activity of daily living (ADL), social adaptation function, fatigue, family life, work and study, social activity are assessed.
(9) Color Sonography: adopt Color Sonography to carry out function judgement, according to the principle of ultrasonic reflection, cardiac muscle, chamber, the valve of Color Sonography dynamic display heart, to beat and the situation such as blood flow.
(10) cardiogram: gather cardiogram before motion under quiescent condition, directly gather cardiogram by exercise ECG during motion.
(11) pulmonary function: gas flow sensor, Jaeger lung function instrument, accurately can measure the situations such as vital capacity, timed vital capacity, pulmonary ventilation obstruction, can also carry out test and the exercise of maximum ventilation capacity.
(12) cardiorespiratory Endurance: the Exercise lung function instrument adopting gas and vapor permeation storehouse method analysis principle, real-time Accurate Analysis can be carried out to oxygen intake and the gas that gives off carbon dioxide in incremental exercises test, cardio-pulmonary function and maximal oxygen uptake can be measured, in test process, add exercise ECG simultaneously, exercise intensity and security are monitored.
(13) muscle strength: power electric transducer, measures the size of having an effect of muscle under given pose, test in the middle part of deltoid muscle respectively and supraspinous muscle, hip flesh and greater psoas muscle, quadriceps muscle of thigh muscle strength.
(14) balanced capacity: three-dimensional force sensing technology, Static forensics is adopted to measure the barycenter trajectory of experimenter under different gestures, different scene, by the data analysis to different scenes such as center of gravity track length degree, envelope size, the axial maximum rocking tendency of XY and average velocity, single pin and both feet, eye opening and eye closings, from vestibular stability, proprioception, vision accommodation three aspects, the comprehensive balanced capacity analyzing experimenter.
(15) pliability: the pliability comprising backbone pliability and hip joint and lower limb; Backbone pliability adopts backbone measuring instrument to carry out the measurement of spinal mobility, and the pliability of hip joint and lower limb adopts the method for sitting body anteflexion to measure.
(16) speed quality: adopt rope skipping in 30 seconds, be recorded in the number of times completing rope skipping in 30 seconds.
(17) reaction capacity: tester during employing electron reaction, experimenter presses " signal " key sent to instrument with the fastest speed, human body sensitivity, harmony and flexible ability.
The evaluation criterion of 3 indexs, individual event, module, each rank of model, weight and algorithm
(1) criterion
In each test individual event, there are multiple indexs that quantity does not wait.As bone density has T value and Z value, Body components has body fat rate, body weight, muscle rate, moisture, waist-to-hipratio, interior fat etc.The evaluation criterion of index, usually all carry out according to authoritative standard, its basic data of standard of institute's foundation must derive from Chinese population, conventional standard resource is national standard or industry standard, if none (situation is few), can adopt company standard, testing of equipment producer according to the test data of oneself and statistical method, can formulate the evaluation criterion meeting oneself equipment.
Criterion typically refers to the standard of the core index in certain test event.As bone density T value standard, Z value standard, the standard of body fat rate, the standard etc. of muscle mass in body composition, the standard of maximum ventilation capacity in pulmonary function, the standard of cardiorespiratory Endurance cardiac Functional Capability F.C., maximal oxygen uptake, in biochemical indicator the standard etc. of fasting blood-glucose, questionnaire measure in the standards of grading etc. of concrete a certain problem.Criterion is the basis of individual event standard.
(2) individual event standard
The score value of individual event test, comes from the weighted mean of each index test result in test event, and normal centesimal system or the grading evaluation of adopting is assessed.As Body components, cardiorespiratory Endurance etc. take centesimal system, and physique class testing many employings grading evaluation carries out.Concrete evaluation criteria is gone according to test event.
The standard of individual event test, what usually adopt is manufacturer's standard, because a same individual event, the instrument of test has a variety of, as bone density, has the bone density of many types, the Body components that Body components also has a lot of country to produce.The difference of device category, causes its test result and evaluation criterion also different.But be no matter the formulation of which kind of equipment, its standard, based on the Chinese population data that all must have a large sample, the formulation of its standard based on the statistics to mass data, and is well verified in crowd's test.
(3) weight and algorithm
The score of individual event is obtained by each index weighted mean, and the score of module is obtained by each individual event weighted mean, and the score of whole assessment models is obtained by modules weighted mean.The weight of each index, individual event, module, adopts expert to compose power and the method that combines of data statistics, according to its significance level in corresponding individual event, module, whole model, gives the weight of correspondence.
(4) evaluation criterion of whole model
The evaluation criterion of whole model is the test based on large sample crowd, according to departure method, adopts 5 grades of evaluation criterions to formulate.The evaluation of 5 ranks is generally: low, lower, generally, well, outstanding.For exact evaluation, Different age group, different sexes have the standard of oneself correspondence, and normally different sexes is with the typical curve of change of age.Accuracy and the data volume of departure method have much relations, and along with the data volume participating in production standard is larger, it is evaluated more close to true horizon.Adding up therefore along with data volume, we can adjust standard in good time, make evaluation more accurate.
The designs such as 4 individual event reports, consolidated return
For making experimenter can the result seeing test of quicklook, we devise reports of some row, make clear the presenting of test result.Report comprises the reports such as health functional status comprehensive assessment report, cardio-pulmonary function report, motor function report, metabolic function report, brain cognitive function report, the report of traditional Chinese medical science allomeric function assessment report, mental functioning, the report of social adaptation function.Detailed report refers to the report shown in Fig. 2-Fig. 9.
5 based on the knowledge base of report output content and the foundation of algorithm
According to the design of report, in report, need the content exported, need corresponding knowledge base and support.Foundation, the different evaluation result of test event evaluation criterion as different in all ages and classes different sexes go out which type of evaluation and recommendations statement etc.There are design and the expression way of report, there is corresponding knowledge base as support, so, between the content of knowledge base and the expression of report, need which type of logical relation, just need specific rule to perform, Here it is from test to the algorithm logic of appraisal report.
Accompanying drawing explanation
Fig. 1 health functional status assessment models
The comprehensive assessment of Fig. 2 A health functional status is reported---each module and single index assessment
The comprehensive assessment of Fig. 2 B health functional status is reported---comprehensive assessment and Health & Fitness Tip
Fig. 3 cardio-pulmonary function assessment report
Fig. 4 motor function assessment report
Fig. 5 A metabolic function assessment report---body composition and bone density evaluation
Fig. 5 B metabolic function assessment report---balancing energy, biochemical indicator and comprehensive evaluation
Fig. 6 brain cognitive function assessment report
Fig. 7 traditional Chinese medical science disease element identification assessment report
Fig. 8 mental functioning assessment report
Fig. 9 social adaptation functional assessment is reported
Embodiment
Health functional status assessment models, the enforcement of its main body is based on " health functional assessment system " software platform, test and appraisal equipment or be connected with software, or adopt the mode of result typing, gather the data of test, then carrying out comprehensive analysis and inspection, the analysis after data summarization automatically carries out, the result analyzed is illustrated in software interface with the pattern of report, and can carry out printing or the operation such as derivation.Its concrete testing process is as follows:
1. Function Appraising and data acquisition
First on software, carry out the registration of individual essential information, then arrange according to test, test item by item, the result of test or automatically preserve, or manual typing, be finally pooled on whole software platform.
2. interpretation of result and suggestion
According to set backstage algorithm, the long and that converges can carry out automatic computation and analysis evaluation, and proposes the healthy suggestion improved targetedly.And result is shown with the form of analysis report, printable to client, the history information simultaneously tested can be preserved in a database.
3. function revalues
Analysis report is presented client and give with explain targetedly.Meanwhile, according to the suggestion of the aspect such as diet and motion of correspondence, intervention guidance and supervision is carried out to client.Meanwhile, function is regularly carried out to the functional status of client and evaluates again, to check the effect of intervention, have one to grasp dynamically to the healthy functions state of client.
4. follow up a case by regular visits to tracking
To the client carrying out routine test, especially long-term customers, stop regular repetition measurement at it, when forming good life style, tracking will be carried out to its healthy functions state and follow up a case by regular visits to, be convenient to long-term maintenance.
Claims (7)
1. health functional status assessment models, comprising:
(1) index system of brain cognitive function, metabolic function, the identification of traditional Chinese medical science disease element, mental functioning, social adaptation function, cardio-pulmonary function, the large module of motor function 7 and correspondence;
(2) screening of each individual event method of testing and correction;
(3) determination of each index, each individual event, each module evaluation criterion and algorithm;
(4) foundation of the overall scoring algorithm of health Functional Capability and evaluation criterion;
(5) the single report design of health Functional Capability comprehensive assessment report and 7 modules;
(6) based on the automated software Evaluation Platform of above content, algorithm, report.
2. model as claimed in claim 1, it is characterized in that, construct by the health functional status assessment models of brain cognitive function, metabolic function, the identification of traditional Chinese medical science disease element, mental functioning, social adaptation function, cardio-pulmonary function, the large module composition of motor function 7.
3. model as claimed in claim 1, is characterized in that, on application, first quantification treatment is carried out in the identification of traditional Chinese medical science disease element, and from the overall aspect of the traditional Chinese medical science, goes the healthy functions state evaluating human body.
4. model as claimed in claim 1, is characterized in that, adapt to three broad aspect first from physiology, psychology and society, go the healthy functions state of comprehensive evaluation human body.
5. model as claimed in claim 1, is characterized in that the Data Source of evaluation criterion all comes from the data of Chinese population, the formulation of standard, all carries out differentiation process according to different sexes, Different age group, guarantees that the science evaluated is accurate.
6. model as claimed in claim 1, is characterized in that, for health functional status, overall and 7 large modules, are designed with corresponding comprehensive assessment report respectively, more full and accurate than report content in the past, science is higher.
7. model as claimed in claim 1, is characterized in that, on the basis of comprehensive evaluation, develop the automatic evaluation system of software implementation, greatly improve assess effectiveness.
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