Exercise prescription: a key assessment indicator for the high-quality development of hospitals

In today's medical field, exercise prescription has gradually become an important assessment indicator for the high-quality development of hospitals, and it is also an indispensable part of the construction of smart hospitals. With the increasing importance of health and the continuous updating of medical concepts, the role of exercise in disease prevention, treatment and rehabilitation has become increasingly prominent. So, how exactly do you prescribe exercise?

The "National Citizen Health Literacy Improvement Action" emphasizes the purification of the health science network environment, which means that we must not only disseminate correct health knowledge, but also have the ability to distinguish between the true and the false. Exercise prescription is not a one-size-fits-all approach, but requires full consideration of various factors such as an individual's age, gender, physical condition, exercise experience, and medical condition. For different diseases or health conditions, factors such as frequency, intensity, timing, type, and total amount and progression of exercise (i.e., the FITT-VP principle) need to be carefully weighed.

For example, if diabetic patients have poor cardiopulmonary function, it may be more appropriate to choose low-intensity exercise, such as walking, yoga, etc.; For patients with chronic diseases who are relatively weak, walking, a safer form of exercise, may be the first choice. It is not that people with gout are unable to exercise, the key is to choose the appropriate form and intensity of exercise. This fully demonstrates the importance of personalized exercise prescriptions, because the way of exercise that works for others may not be suitable for you.

During exercise, we should also adjust the exercise prescription in time according to the individual's feelings and physical condition to ensure its safety and effectiveness. This requires close communication and collaboration between the patient and the doctor or exercise prescriber.

In order to promote the high-quality development of public hospitals, the state has issued a series of relevant policies and requirements. Among them, it has become an important task to promote the construction of smart hospitals and hospital information standardization of the "trinity" of electronic medical records, smart services and smart management. This is not only in line with the development trend of new business formats such as Internet diagnosis and treatment and smart medical alliances, but also needs to actively explore the use of new technologies such as intelligence to improve medical quality and efficiency.

The revision of the grading and evaluation criteria for electronic medical records is in full swing. It is expected that in the new construction standards, the content of intelligent management will be greatly increased. This may follow a pattern similar to Moore's Law, which states that technological advances and applications are growing exponentially. It is worth noting that the new standard incorporates the relevant content of the "Healthy China 2030" Planning Outline and the "Healthy China Action (2019-2030)", which further highlights the country's great importance to the health of the whole people.

In the newly added evaluation content, "medical-physical integration" and "clinical nutrition" start from level 7, covering 10 items such as exercise prescription support, prescription sharing, multi-party collaborative support, exercise prescription database for ward physicians and outpatient physicians, exercise prescription for general treatment records, intervention management, wearable device access, database, and food allergy, knowledge base, and nutritional adjustment for pharmaceutical management. This fully shows that the role of sports therapy and rehabilitation in the medical system is receiving increasing attention.

For example, for patients with cardiovascular disease, doctors will take into account factors such as heart function, blood pressure control, and drug use when prescribing exercise. Patients may be advised to start with low-intensity, short bursts of aerobic exercise, such as slow walking, and gradually increase the intensity and duration of exercise while monitoring changes in heart rate and blood pressure. Through the precise formulation and timely adjustment of exercise prescription, it can help patients improve cardiovascular function and improve their quality of life.

For another example, for obese patients, exercise prescription should not only consider the weight loss goal, but also combine the patient's joint capacity, metabolic level and other factors. Exercises that are less stressful on the joints, such as swimming and cycling, may be recommended, combined with diet control, for effective weight management.

In addition, we can also see the active exploration of some colleges and universities in health management. A long time ago, I heard that Peking University has opened a special course - "Physical Fitness Improvement: Exercise and Diet", and its entry standard is a body mass index (BMI) of more than 25.

Nowadays, the country's physical requirements for primary and secondary school students are increasing day by day, but the current physical fitness test of college students is worrying. According to statistics, about 70% to 80% of students who fail the physical fitness test are overweight or obese. Once overweight, a number of physical indicators will be affected.

The theme of this course is clear, which is the combined intervention of exercise and diet. The course closely combines theory and practice, and the theoretical lectures cover the principles of weight loss, reasonable diet and fat loss diet, scientific fitness and exercise prescription, etc. Exercise training includes long-distance running, sprinting, pull-ups, sit-ups, long jump, seated forward bends, etc.; Practical applications include the development of personalized weight loss plans, exercise and diet check-ins, weight loss, and physical fitness monitoring and evaluation. Its purpose is to help students establish a healthy life concept, master scientific weight loss methods, develop the habit of regular exercise and reasonable diet, improve the body composition of overweight or obese students, improve physical fitness, and improve physical fitness test scores.

In fact, not only colleges and universities, but also the whole society should pay attention to the role of exercise in health management. For people with chronic medical conditions, such as heart disease, diabetes, high blood pressure, obesity, and certain types of cancer, exercise has proven to be an integral part of a comprehensive management regimen.

Taking heart disease patients as an example, moderate exercise can enhance heart muscle function, improve cardiovascular circulation, and reduce the risk of heart attack. However, before starting exercise, patients must undergo a comprehensive heart function evaluation, and doctors will prescribe an individualized exercise based on the results of the assessment, including the type of exercise (e.g., walking, jogging, swimming, etc.), intensity (e.g., low-intensity, moderate-intensity), timing (30 minutes to 60 minutes at a time), and frequency (3 to 5 times per week).

Exercise for people with diabetes can improve insulin sensitivity and help control blood sugar levels. Exercise prescription is based on the patient's glycemic control, the presence or absence of complications, and the overall condition of the body. For example, moderate-intensity aerobic exercise, such as brisk walking and cycling, combined with moderate strength training, may be recommended for patients with good glycemic control and no significant complications; For patients with large blood glucose fluctuations or complications such as retinopathy, the type and intensity of exercise need to be chosen more carefully.

Proper exercise in patients with high blood pressure can help lower blood pressure and improve the elasticity of blood vessels. When prescribing exercise, doctors take into account factors such as the patient's blood pressure level, target organ damage, and whether they are taking antihypertensive medications. In general, patients with mild hypertension can choose to jogging, swimming and other sports, while patients with moderate to severe hypertension may need to start with low-intensity exercise such as walking before their blood pressure is effectively controlled.

For people with obesity, exercise is the key to effective weight management. Exercise prescription takes into account the patient's weight, joint condition, and cardiorespiratory function. Exercises that are less strenuous on the joints, such as swimming and cycling, are often preferred, combined with dietary control and behavioral interventions to achieve ideal weight loss.

Proper exercise is also important in cancer treatment and rehabilitation. It can help patients improve physical function, reduce treatment side effects, and improve their mental state. However, due to the special physical condition of cancer patients, exercise prescriptions need to be individualized according to factors such as the type of cancer, the stage of treatment, and the patient's physical condition, and be carried out under the supervision of professionals.

In conclusion, exercise prescription plays an important role in the management of chronic diseases. However, in order to ensure the safety and effectiveness of exercise, it is important for patients to seek professional medical advice before starting exercise and discuss with their doctor the exercise regimen that is suitable for their health condition. Doctors are able to provide personalized advice based on the patient's specific situation and help the patient develop a comprehensive management plan to control or alleviate the symptoms of chronic diseases, improve quality of life, and promote recovery.

With the continuous advancement of medical technology and the enhancement of people's health awareness, it is believed that exercise prescription will play a more important role in the medical field in the future and bring more benefits to people's health. Hospitals should also keep up with the pace of the times, continuously improve the issuance and management of exercise prescriptions, provide patients with more high-quality and comprehensive medical services, promote the high-quality development of hospitals, and contribute to the construction of a healthy China.