面向慢性病运动干预的智能化健康促进服务系统

发布时间：2018-08-15 11:23

【摘要】：近年来,慢性非传染疾病如高血压、糖尿病等,在全球致死人数中占比最高,造成了极大的社会经济负担。研究表明,科学合理的体力活动有明确的健康效益,尤其有利于慢病的预防和控制。如能采用覆盖面广、成本低,且针对性强的健康促进服务,对大众健康进行慢病防控和干预,有望缓解当前慢病高发、社会经济压力巨大的紧迫现状。尤其在我国这样一个人口众多、医疗资源紧缺的大国,亟需采用信息化手段来提升科学化健身指导的效率,并增强国民大众的体质健康水平。围绕上述目标,我们设计研发了基于慢性病运动干预的健康促进服务系统,本文的主要研究内容包括：1.闭环式健康促进服务系统关键技术研究常见的科学健身指导过程中,许多环节通常是相互割裂或者不完备的,没有形成完整的闭环,降低了系统的效率,增加了运行成本和资源消耗,特别是宝贵的健康医疗专家资源,这严重制约了健康促进服务的普惠推广。针对上述问题,我们设计构建了一套打通闭环式健康促进服务系统,涵盖科学运动干预的各个主要环节,如体征数据的检测、运动机能测试、健康状况综合评估、健身指导方案制定,以及运动处方的执行反馈优化等等。研究设计了系统的关键技术、总体服务流程以及主要子系统的基本原理和业务功能。2.健康促进服务系统终端技术研究为适应闭环式科学运动指导干预的需求,研究健康数据和服务内容的对接机制,实现系列化健康体征检测和运动干预设备的高效集成。并在此基础上,设计开发体感游戏运动干预终端系统和慢病跟踪手机APP,以丰富干预项目类型并提升用户在服务过程中体验,进而增加服务依从性和干预效果。其中体感游戏运动干预终端能够自动解析系统开具的运动处方并引导用户完成体感游戏训练项目,监控并反馈用户健身过程中的关键运动数据；慢病跟踪手机APP通过融入用户的日常生活,实现体征指标长期跟踪和体力活动的管理,帮助用户养成健康的生活习惯,实现长期的健康效益。3.健康医疗数据的安全保护随着各种终端检测装备和IT系统的普及,特别是可穿戴技术的兴起,健康医疗系统中数据的安全性和隐私保护成为备受关注的技术难题。本系统中同样面临着这方面的挑战。我们基于加密数字货币中的区块链技术,实现健康促进服务系统中的数据安全和隐私保护,并对服务系统和终端设备的健康医疗数据进行数据来源的可靠性校验,在生产部署和设备运行各阶段对终端设备系统的全生命周期的安全管理和跟踪,确保系统的信息安全和用户隐私数据不受侵犯。4.系统评估和示范应用为了验证系统功能和有效性,我们进行了系统评估并开展了示范应用。首先,我们对系统数据安全性进行评估,分析了主要的数据安全攻击行为和应对措施,并对攻击的经济成本进行讨论,论证系统的数据安全保护效果；其次开展健康干预实验,对实验对象血脂、血压和脂肪含量等多个指标的变化,论证利用服务系统开展运动干预健康促进的有效性：最后,我们通过在北京市某三甲医院和安徽省国民体质检测中心开展一系列的示范应用,实地检验系统的主要功能和应用效果。综上所述,我们研制的健康促进服务系统具有干预效果好、安全性高、成本低,以及便于落地等优点,将有助于利用信息化手段增强运动干预的科学性和有效性,从而更好地服务于大众体质健康促进和社会经济发展。
[Abstract]:In recent years, chronic non-communicable diseases, such as hypertension and diabetes mellitus, account for the highest proportion of deaths in the world, resulting in a great social and economic burden. Research shows that scientific and rational physical activity has a clear health benefits, especially conducive to the prevention and control of chronic diseases. It is hopeful to alleviate the current situation of high incidence of chronic diseases and great social and economic pressure by providing services and intervening in the prevention and control of chronic diseases for the public health. Ping. Around the above goals, we have designed and developed a health promotion service system based on exercise intervention for chronic diseases. The main research contents of this paper include: 1. Closed-loop health promotion service system key technology research common scientific fitness guidance process, many links are usually split or incomplete each other, not complete. Closed loop reduces the efficiency of the system, increases the cost of operation and resource consumption, especially the valuable resources of health care experts, which seriously restricts the universal promotion of health promotion services. The key technology of the system, the overall service flow and the basic principles and business functions of the main subsystems are studied and designed. 2. The terminal technology of the health promotion service system is studied to adapt to the requirements. Based on the demand of closed-loop scientific movement guidance intervention, the docking mechanism of health data and service content is studied to realize the efficient integration of a series of health signs detection and motion intervention equipment. The sports intervention terminal can automatically analyze the exercise prescription of the system and guide the user to complete the training program of the somatosensory game, monitor and feedback the key sports data in the process of the user's fitness; the slow disease tracking mobile phone APP can integrate into the user's day Daily life, to achieve long-term tracking of physical indicators and physical activity management, to help users develop healthy habits and achieve long-term health benefits. 3. Health medical data security protection with the popularity of various terminal detection equipment and IT systems, especially the rise of wearable technology, health care system data security and hidden. Private protection has become a major technical problem. This system is also facing challenges in this area. We implement data security and privacy protection in health promotion service system based on block chain technology in encrypted digital money. We also verify the reliability of health care data sources in service system and terminal equipment. Production deployment and equipment operation stages of the terminal equipment system life cycle security management and tracking to ensure that the system's information security and user privacy data are not violated. 4. System evaluation and demonstration applications to verify the system's functionality and effectiveness, we conducted a systematic evaluation and conducted a demonstration application. First of all, we paired the Department. This paper evaluates the data security, analyzes the main data security attacks and countermeasures, discusses the economic costs of the attacks, and demonstrates the data security protection effect of the system; secondly, it conducts health intervention experiments to demonstrate the changes of blood lipid, blood pressure and fat content of the experimental subjects, and demonstrates the opening of the service system. Finally, we carried out a series of demonstration applications in a third-class hospital in Beijing and Anhui National Physical Fitness Testing Center to test the main functions and application effects of the system. The advantages of low cost and easy landing will be helpful to enhance the scientificity and effectiveness of sports intervention by means of information technology, so as to better serve the physical health of the public and promote social and economic development.
【学位授予单位】：中国科学技术大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：TP309

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