基于生物-心理-社会医学模式的个人健康状况模糊综合评价

281Vol.28No.120051JournalofBeijingSportUniversityJan.2005--陈善平,李树茁,李淑娥,许宗女民(,710049):,,,;:,,,:;;;;:G806:A:1007-3612(2005)01-0063-03FuzzyComprehensiveEvaluationofPersonalHealthConditionBasedonHealthConceptionDefinedbyWHOCHENShanping,LIShuzhuo,LIShue,XUZongmin(XianJiaotongUniversity,Xian710049,ShaanxiChina)Abstract:AccordingtohealthconceptiondefinedbyWHO,comprehensiveevaluationofpersonalhealthshouldincludephysical,psychological,socio-culturalandmoralfactors.Amodeloftwo-stepfuzzycomprehensiveevaluation,whichwasjoinedwithphysicalandpsychologicalmeasurement,wasestablishedbasingontheidea.Themodelismadeupofthepersonalhealthindexsystem,weights,linearmembershipfunctionofphysicalhealth,linearmembershipfunctionofpsychologicalhealth,personalhealthindex,andsoon.Exampleindicatesthatthemodelcanbeusedtoevaluatepersonalhealthandtofindouttheweaknessofpersonalhealth.Keywords:health;healthassessment;personalhealthcondition;personalhealthindex;fuzzycomprehensiveevaluation,1989WHO:!,,,,,,(FCE),:,,--,1--,,[6],--(1)图1基于生物-心理-社会医学模式的个人健康状况评估指标体系2,[5]2.1U={Ui}={U1,U2,U3,U4}:2003-11-06:(1970-),,,,,={,,,};U1={u1j}={u11,u12,u13}={,,};U2={u2j}={u21,u22,u23}={,,};U3={u3j}={u31,u32,u33,u43}={,,,};U4={u4j}={u41,u42}={,}V={vk}={v1,v2,v3,v4,v5}={,,,,},:vk,k=1,2,3,4,5,,,,,,2.2UiU:A=(a1,a2,a3,a4)=(0.32,0.28,0.20,0.20);u1jU1:A1=(a12,a12,a13)=(0.15,0.35,0.50);u2jU2:A2=(a22,a22,a23)=(0.50,0.30,0.20);u3jU3:A3=(a31,a32,a33,a34)=(0.30,0.30,0.20,0.20);u4jU4:A4=(a41,a42)=(0.30,0.70),,!(39670664)Delphi:A=(a1,a2,a3)=(40.4,34.3,25.3)[6],1984WHO,,,,1989WHO:A=(a1,a2,a3,a4)=(40.4,34.3,25.3,25.3);A=(a1,a2,a3,a4)=(0.32,0.28,0.20,0.20)∀#,∀#15,30,50,A1=(a12,a12,a13)=(0.15,0.35,0.50),,,;,2.3,,2.3.1定性因素,uijkvk,,rijk∃rijk=dijk%d,d,dijkuijkuijkRij,Rij=(rij1,rij2,rij3,rij4,rij5):u3120%50%30%0%0%,u31R31=(0.2,0.5,0.3,0,0)UiUi()RiBi∃Bi=Ai∃Ri=(bi1,bi2,bi3,bi4,bi5),i=1,2,3,4M(∃,)2.3.2定量因素,[50,100],:(90),(80~90),(70~80),(60~70),(60~50),(2):(v1)=195&u&100(u-85)/1085&u&950(v2)=(95-u)/1085&u&95(u-75)/1075&u&850(v3)=(85-u)/1075&u&85(u-65)/1065&u&750(v4)=(75-u)/1065&u&75(u-55)/1055&u&650(v5)=(65-u)/1055&u&65150&u&550图2身体健康线性隶属函数,B1B1=((v1),(v2),(v3),(v4),(v5)),SCL-901.44∋0.521.44,,:(0~0.66),(0.66~1.18),(1.18~1.70),(1.70~2.22),(2.22~5),(3):图3心理健康线性隶属函数(v1)=10&u&0.4(0.92-u)/0.520.4&u&0.920(v2)=(u-0.4)/0.520.4&u&0.92(1.44-u)/0.520.92&u&1.440(v3)=(u-0.92)/0.520.92&u&1.44(1.96-u)/0.521.44&u&1.960∃64∃28(v4)=(u-1.44)/0.521.44&u&1.96(2.48-u)/0.521.96&u&2.480(v5)=(u-1.95)/0.521.96&u&2.4812.48&u&502.4,,(Bi),U()R,,M(∃,),(U)BB=A∃R=(b1,b2,b3,b4,b5)2.5(PersonalHealthIndex,PHI)(2):[90,100],[80,90],[70,80],[60,70],[60,50];H=(95,85,75,65,55):PHI=B∃H=(b1,b2,b3,b4,b5)∃(95,85,75,65,55)=95(b1+85(b2+75(b3+65(b4+55(b53,,--,,,,,,(),,,,,:,,,,:[1],,.[J].,1994,8:5-7.[2].[M].:,2000,8.[3],,.Delphi[J].,1999,2.[4],.[M].:,1995.[5],,.[J].,2000,3:161-163.(上接第56页)2.4,,,!,,,,2.5,,,,,:[1].[J].,2002,(17):19-22.[2].[J].[3]CphMyburgh,MPoggenpoe.Teachersexperienceoftheirschoolenvironment-implicationsforhealthpromotion.[J].Education.ChulaVista:Winter2002,123(2):260-269.[4].().,2001.[5].[M].:,2001.[6]BrownMarie,SueRalph,IvyBritish.Change-linkedwork-relatedstressinBritishteacher[J]..ResearchinEducation(H.W.Wilson-educ).2002(67):1-13.[7]WillJGEvers,AndreBrouwers,WelkoTomic.Burnoutandself-efficacy:AstudyonteachersbeliefswhenimplementinganinnovativeeducaitonalsystemintheNetherlands[J].TheBritishJournalofEducationalPsychology.Leicester.2002,72(6):227-243.[8],.[M].:,1999.[9].[J].(),2002,108(3):123-129.[10].[J].,2000,29(12):53-56.[11]JamesRCheek,LorettaJBradley,GeraldParr,WilliamLan.Usingmusictherapytechniquestotreatteacherburnout[J].JournalofMentalHealthCounseling.Alexandria.2003,25(3):204-215.[12],,.[J].,1998,10(5):305-306.[13].[J].,2000,(9):23-24.[14],.[M].:,2000.[15],,.[J]..2002,(3):50-54.[16].[J].,2002,16(8):527-544.[17]DianeDrake,EdwardPHebert.Perceptionsofoccupationalstressandstrategiesforavoidingburnout:Casestudiesoftwofemaleteacher-coaches[J].PhysicalEducator.Indianapolis:Winter,2002,59(4):170-183.∃65∃1,:--