2014年 · 第08卷第04期

Since the reform and opening up, the market-oriented reform of the economic system has promoted the rapid development of the national economy, but also brought various social problems. The marketization of housing and medical care has increased the living cost of urban residents, the free competition of enterprises has increased the work pressure of urban residents, and the huge income gap between industries due to unbalanced resources and other factors has made the people's psychology extremely unbalanced. Research shows that quality of life and stress have obvious effects on residents' mental health^[1]。 In recent years, the mental health problems of urban residents are becoming more and more serious, leading to the increase of the incidence of mental illness and psychosomatic diseases, and even causing some vicious social events. Improving the mental health level of urban residents, helping them better cope with social problems and improving the quality of life has become an urgent problem to be solved. In this context, the concept of community mental health service came into being.

With the development of society and the progress of medicine, people pay more and more attention to mental health and mental health management, and are no longer familiar with common mental disorders such as depression, anxiety disorder, eating disorder, sleep disorder and post-traumatic stress disorder. However, little is known about children's mental disorders and the effects of children's mental disorders on adults, leading to a large number of tragedies. From the massacre in Nanping, Fujian Province on March 23, 2010 to the campus massacre in Weifang, Shandong Province on April 30, 2010, five campus massacres have occurred in less than 40 days. In less than half a year, Foxconn staged the tragedy of "twelve jumps in a row". The high pressure of life, the rapid change of environment and the heavy workload have become the main culprits. People pay close attention and society attaches great importance.

Public emergency refers to an emergency that occurs suddenly, causes or may cause heavy casualties, property losses, ecological environment damage and serious social harm, and endangers public safety^[1]。 According to the occurrence process, nature and mechanism of public emergencies, public emergencies are mainly divided into natural disasters, accident disasters, public health events and social security events^[2]。 After the occurrence of a public emergency, individuals will have an acute reaction, which is manifested by the disruption of their psychological balance state, the temporary failure of the usual coping mechanism, and the simultaneous manifestation of pain and dysfunction, which is called psychological crisis state^[3]。 In general, the psychological damage caused by sudden events can gradually decrease over time, but some symptoms cannot be completely eliminated even after a considerable period of time^[4]。 Therefore, it is an extremely important task to provide timely, standardized and effective psychological crisis intervention after the occurrence of public emergencies^[5]。

Health education is one of the important contents of nursing home work, which plays a positive role in improving the quality of life of nursing staff and improving their rehabilitation effect^[1]。 The convalescent objects in military sanatoriums are mainly special service convalescent and middle-aged and elderly cadres. Past experience shows that there are weak awareness of health education, lack of subjective initiative, lack of health knowledge, communication skills and different convalescent motivation among these special groups^[2]In response to these situations, more targeted and effective health education measures are needed to encourage them to establish new behavior habits and lifestyles and reduce the risk factors of disease. Therefore, we conducted a questionnaire survey and analysis on the needs and effects of health education of military elderly convalescents during convalescence. The results are as follows.

Breast hyperplasia is one of the most common chronic diseases in women, and its incidence ranks first among female diseases. Physique science of traditional Chinese medicine is a new subject in recent years, which divides people's physique into 9 types^[1]It is a research based on the rise and fall of yin and yang, qi, blood and body fluid in the human body, with the purpose of clinical application, and guides the prevention and treatment of diseases. Health management originated in the United States and has a history of nearly 50 years. The health management of the population in the United States has reduced the mortality rate of coronary heart disease and cerebrovascular disease by nearly 40% ~50%^[2]。 As a non-communicable chronic disease with high incidence and the possibility of cancer, breast hyperplasia should be included in the category of health management to prevent the occurrence of adverse outcomes and benefit the majority of female patients. Introducing traditional Chinese medicine constitution into the health management of breast hyperplasia, preventing and controlling diseases from regulating physique, and sorting out a standardized and individualized health management plan, the author will briefly describe it as follows.

On August 28, 2013, Premier * chaired an executive meeting of the State Council to include health services in the national development strategy^[1]。 On September 28, 2013, the State Council issued [2013] No.40 "Several Opinions on Promoting the Development of Health Service Industry". The "Opinions" pointed out that it is necessary to intensify talent training and vocational training, support colleges and universities and secondary vocational schools to set up related disciplines and majors in the health service industry, and guide relevant colleges and universities to reasonably determine the training scale of relevant professional talents. Encourage social capital to set up vocational colleges, standardize and speed up the training of nurses, elderly care workers, pharmacists, nutritionists, babysitters, masseuses, rehabilitation therapists, health managers, fitness coaches, social sports instructors and other practitioners^[2]。

The definition of health management in "Preliminary Consensus of Chinese Experts on Health Management Concept and Discipline System" is as follows: Health management is an emerging medical discipline that studies human health and factors affecting health, as well as related theories, methods and techniques of health management. It is a generalization and summary of health management medical service practice, and is an important part of modern medicine^[1]。 China's health management has experienced the initial development stage of "hard start and innovative practice", and is about to enter the standardized growth stage of "great development of discipline and great prosperity of industry". In such an important turning period, health management is facing very good development opportunities, but it also faces many problems and challenges. At present, the lag of discipline construction has become the bottleneck restricting the development of health management.

Health management of traditional Chinese medicine is a new subject, and its theory of traditional Chinese medicine is scattered in all subjects of traditional Chinese medicine, and it is closely related to the health management of modern medicine. At present, the theoretical research and discipline construction of health management obviously lag behind the practical research of health management^[1,2]This is especially true of TCM health management, which has not yet seen its theoretical system and discipline planning discussion. Therefore, it is of great significance to explore the theoretical system model of this discipline for the compilation of textbooks, theoretical teaching, clinical health management and the future development of this discipline.

China's health management industry has just started. With the progress of medical and health reform, public hospitals are also actively promoting the development of health management industry. For example, public general hospitals have set up health management centers. However, due to many problems such as hospital management system, service quality and marketing model, the development of health management industry in public hospitals is slow. We summarize the advantages and disadvantages of existing health management models, discuss the introduction of social capital to public hospitals and give some suggestions.

Cardiovascular and cerebrovascular diseases have become the main diseases that threaten human survival and quality of life. Early, timely and accurate detection of arterial function can effectively reduce the fatality and disability rate of cardiovascular and cerebrovascular diseases. cardio-ankle vascular index (CAVI) is a new indices of arteriosclerosis independent of blood pressure^[1]It can reflect the overall stiffness of the aorta, femoral artery to ankle artery, has the advantages of being quick, simple and easy to repeat, and has high sensitivity to elastic changes of arteries. It is a hot spot in the study of arteriosclerosis at home and abroad in recent years^[2]。 Therefore, this paper briefly describes the application of CAVI in health examination.

The idea of people-oriented is of great significance in physical examination^[1,2,3]In order to meet the various needs of different physical examination objects, the Department of Health Medicine of our hospital not only creates a warm, comfortable, harmonious, orderly and safe physical examination environment, but also provides a scientific and reasonable physical examination process, which makes the health physical examination more scientific, standardized and standardized, and at the same time provides a humanized working environment. We extend care management to the preparation phase prior to a physical exam. From the beginning of the consultation of customers on physical examination, we have designed and adjusted the physical examination process and service methods for different customers one by one according to their needs.