Studies on Practical Use of Results of Health Examination under the Gealth and Medical Services Law for the Aged, - Development a Health Administration System for District Residents without Abnormal Finding from Health Examination

本研究旨在探索《老年卫生与医疗服务法》规定的健康体检结果的实用方法，以促进地区居民的健康，根据在渔村进行的调查数据，探讨健康咨询的指导方针和内容，并在此基础上建立健康促进支持体系。1990年，在静冈县西水区进行了关于生活方式(饮食、运动、休息)的问卷调查。受试者为1497名居民(557名男性，940名女性)，根据《老年人健康和医疗服务法》进行健康检查。调查内容包括居民的健康意识、膳食摄入量和偏好、对饮食习惯的看法、经常锻炼的程度、对锻炼习惯的看法、…的状况等。1991年，在同一地区进行了另一项关于日常体育活动和锻炼的调查。受试者为1737名居民(620名男性，1117名女性)，根据法律参加健康检查。本研究采用时间研究法测量学生的日常身体活动量，根据锻炼计划得出的得分来衡量运动强度，并随锻炼次数的增加进入锻炼得分。在此基础上，结合类似软件开发的信息，于1992年开发了“健康促进支持系统”，使公共卫生护士能够更好地利用社区居民的健康咨询。为了确定该系统的质量和性能，在西津地区和千叶县丸山的公共卫生服务实践中都采用了该系统。并对千叶县7名公共卫生护士进行问卷调查。结果表明，该系统对健康体检中未发现异常分数而被忽视的人群有一定的健康促进作用。但仍存在一些问题，如视觉解释困难等。

This studies were intended to find methods of practical use the health examination results under "the Health and Medical Services Law for the Aged", in order to promote district residents' health, based on data obtained by surveys which were conducted in a fishing village, to consider the guidelines for and the contents of health counseling for district residents without abnormal findings from the health examination, and to establish the health promotion support system based on the findings.In 1990, a questionnaire survey about lifestyle (diet, exercise, rest) was carried out at Nishiizu district, Shizuoka Prefecture. Subjects were 1,497 residents (557 males , 940 females) participating in a health examination under "the Health and Medical Services Law for the Aged". They revealed residents' health consciousness, the dietary intakes and preferences, the opinion on their dietary habits, the levels of their regular exercise, the opinion on their exercise habits, the conditions of their r … More est, and the opinion on their rest.In 1991, another survey about daily physical activity and exercise was carried out at the same district. Subjects were 1,737 residents (620 males, 1,117 females) participating in a health examination under the law. In this study, daily physical activity was measured by time study, and exercise intensity was measured by the score derived from exercise programs, getting into the exercise score with frequency. Consequently, The relationship were observed between the exercise score and sex, age, the daily physical activity, the results of the health examination, and the self-evaluation of health.In 1992, based on these findings and information about the similar software development, "the Health Promotion Support System", which enabled utilization of health counseling for district residents by public health nurses, was developed. In order to ascertain the quality and performance of the system, it was applied by practice for public health services, both at Nishiizu district and at Maruyama, Chiba Prefecture. A questionnaire survey was furthermore conducted by 7 public health nurses in Chiba Prefecture. The results of this system showed that it was useful for health promotion for the people who were cared less because of not having abnormal mark by the nealth examination. Several problems were however remained such as difficulty of visual explanation, etc. Less