亚健康概念框架的文献评析

作者	单位
杨志敏	广州中医药大学第二附属医院广东省中医院
杨小波	广州中医药大学第二附属医院广东省中医院
黄鹂	广州中医药大学第二附属医院广东省中医院
老膺荣	广州中医药大学第二附属医院广东省中医院
麦润汝	广州中医药大学第二附属医院广东省中医院
奎瑜	广州中医药大学第二附属医院广东省中医院

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中文摘要:

目的开展文献评析,进一步明晰亚健康的概念框架。方法检索收集亚健康的相关文献,着重选取其中的理论探讨、调查性研究等代表性文献,进行亚健康范畴、调查对象、评测工具、概念框架、诊断标准及其操作性、基金支持等内容的评价分析。结果多数将亚健康分为躯体、心理、社会适应等3类,症状表现分为3个层级,不同研究所涉及的亚健康内涵、诊断标准及操作性等同质性方面存在差异。结论亚健康理论探讨与调查性研究存在一定的不对应性,特定亚健康与非特定亚健康的问题需要澄清;亚健康概念框架的明晰是所有研究的基础,建议采用4级结构;制订亚健康诊断的评测工具时,在重视具体表现的评定基础上,必须对亚健康整体上的主观、客观表现予以评定。

英文摘要:

Objective To further articulate the conceptual framework of sub-health by way of literature review. Methods Published papers and relevant literature about sub-health were collected,the representative publishing about theoretical exploration and practical surveys were focused for analyzing and assessing the category of sub-health,investigative objects,assessing tools,conceptual framework,diagnostic criteria and its operability, foundation support,etc.Results Sub-health conditions were categorized into three kinds in most documents, namely,the somatic,the mental and the social adaptative sub-health,and the relevant symptoms were classified into three levels.However,contents regarding the homogeneous issues,such as meaning and definition of subhealth, its diagnostic criteria and operability,in different documents were discrepant.Conclusion Discrepancy exists between the theoretical and practical studies of sub-health.And detailed description is needed to articulate the problems respectively on specific and non-specific sub-health.The perspicuity of conceptual framework is the basis of sub-health researches.The authors recommended that to form the framework the four-level hierarchic structure should be adopted;in developing the assessing tool for sub-health diagnosis,besides the basic assessment on concrete conditions,the differential evaluation on the belonging of overall manifestations,subjective complain or objective symptom,should also be paid attention to.

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