JP7019800B2 - Caregiving information system - Google Patents

Description

The present specification relates to a caregiving information system that manages caregiving information indicating that a caregiving device has been used.

With the progress of the aging society, the needs for caregiving equipment are increasing. The caregiving device is generally driven from the drive unit to move the support unit that supports a part of the body of the person being assisted. The introduction of caregiving equipment will reduce the physical burden on the caregiver and the care recipient, as well as the labor shortage of the caregiver. As an example of the assisting device, there is an assisting device that assists the transfer operation from the sitting posture of the person being assisted. The caregiving information system manages caregiving information indicating that the caregiving device has been used, thereby improving the efficiency of caregiving and contributing to the improvement of the quality of life of the care recipient. Technical examples of this type of caregiving information system are disclosed in Patent Documents 1 and 2.

Patent Document 1 discloses a nursing care system including a nursing care robot and a server. The nursing care robot performs a nursing care operation on the care recipient, and stores the nursing care history such as the number of transfers, the number of toilets, the toilet time, and the result of an interview and sends it to the server. The server calculates the optimum operating environment when the nursing robot operates based on the nursing history of the care recipient, and sends it to the nursing robot. According to this, it is possible to reduce the burden on the care recipient and the caregiver in the long-term care.

Further, the monitoring care recording system of Patent Document 2 is a means for receiving input of the contents of the care service provided to the user by the care staff, a means for receiving input of the user's health condition, and measurement of the user's living environment. The local server is provided with a means for acquiring the result and a means for outputting. According to this, it is possible to confirm whether or not an appropriate long-term care service has been provided by recording the contents of the long-term care service and outputting the user's health condition and living environment together.

Japanese Unexamined Patent Publication No. 2015-165879 Japanese Unexamined Patent Publication No. 2016-162053

By the way, in the systems of Patent Documents 1 and 2, since most of the assistance information is acquired by the input operation of the caregiver (nursing staff), an error tends to occur. In particular, when a plurality of care recipients take turns using one care device, there are cases where the caregiver misunderstands the care recipient or makes a mistake in the input operation. Further, although it is possible to give the caregiving device a function of automatically recording the number of times of caregiving, information on the usage scene is insufficient.

For example, the caregiving device that assists the transfer operation is used in a scene where the person being assisted leaves the bed, a scene where the person is transferred from the bed to a wheelchair, a scene where the person is going to the toilet or a bathroom, and the like. Although this caregiving device can automatically count the number of operations, it cannot determine the usage scene. On the other hand, from the viewpoint of the family of the care recipient, it is preferable to provide the care information including the number of times of each use scene and the quality of the use situation at that time. Conventionally, information on such a usage scene has been troublesome and inefficient for the caregiver because an input operation is required every time.

In the present specification, it is an object to be solved to provide an assistance information system that can accurately manage assistance information including information on a usage scene when a person being assisted uses an assistance device while saving labor.

This specification includes a user information acquisition unit that acquires user information that identifies the person being assisted using an assisting device that can be used by a plurality of people in turn, and the person being assisted. An information aggregation unit that associates the usage scene detection unit that detects the usage scene when the assistance device is used, the user information, and the usage scene information that is the detected information of the usage scene into one assistance information. The caregiving device is used as a means of transportation for the person being assisted, and the use scene includes getting out of bed, entering the bed, excreting, bathing, and rehabilitation exercise. , The user information acquisition unit and the use scene detection unit disclose the caregiving information system provided in the caregiving device.

In the caregiving information system disclosed in the present specification, user information is automatically acquired and usage scenes are detected, and further, the operation of information aggregation that associates user information and usage scene information into assistance information is also automatic. Is done. Therefore, as compared with the conventional technique, the input operation of the caregiver is reduced and labor saving is achieved. Furthermore, since human error such as erroneous input operation is reduced, a large amount of caregiving information can be managed accurately.

In the embodiment, it is a perspective view of the caregiving device which is an example of the caregiving device to which the caregiving information system is applied, as viewed diagonally from the rear. It is a block diagram which shows the functional structure of the part arranged in the caregiving apparatus in the caregiving information system of embodiment. It is a schematic diagram explaining the functional structure of the part using a public communication line in the caregiving information system of an embodiment. It is a figure of the 1st display screen which illustrates the caregiving information which is sequentially notified to the family of a care recipient. It is a figure of the 2nd display screen which exemplifies the care information in the order of occurrence that the family of the care recipient browses. It is a figure of the 3rd display screen which illustrates the daily care information which the care recipient's family browses. It is a figure of the 4th display screen which illustrates the edited caregiving information which a caregiver browses.

1. 1. Configuration Example of Assistance Device (Assistance Device 1) The assistance information system 6 of the embodiment will be described with reference to FIGS. 1 to 7. First, an assistance device to which the assistance information system 6 is applied will be illustrated and described. FIG. 1 is a perspective view of an assisting device 1 which is an example of an assisting device to which the assisting information system 6 is applied in an embodiment as viewed diagonally from the rear. The assist device 1 supports the body of the person being assisted and assists the standing motion from the sitting posture to the standing posture and the sitting motion from the standing posture to the sitting posture. The care device 1 is composed of a base 10, a pillar portion 20, a support portion 30, a drive mechanism 40, a control unit 50, and the like.

The base 10 is formed of a frame 11, a footrest 12, a pair of wheels 16, and the like. The frame 11 is provided substantially horizontally near the floor surface. The footrest 12 is fixed to the rear of the upper surface of the frame 11 and is provided substantially horizontally. On the upper surface of the footrest table 12, a ground contact mark 13 for guiding the position of the foot of the person being assisted is marked. The three pairs of wheels 16 are provided on the underside of the frame 11. The steering function of the wheels 16 enables not only forward / backward movement and direction change, but also lateral movement and super-credit turning (in-situ rotation).

The pillar portion 20 is composed of a pillar main body portion 21, an elevating pillar portion 22, and the like. The pillar main body 21 is erected near the front of the frame 11. The elevating pillar portion 22 is provided so as to be able to move up and down with respect to the pillar main body portion 21. The lower leg support portion 23 is supported by a pair of L-shaped left and right support arms 24 extending rearward from the pillar main body portion 21, and is disposed slightly above the ground contact mark 13 on the front side. A swing arm 26 is swingably provided on the rear side of the upper part of the elevating column portion 22. A first handle 25 is provided near the swingable rear end of the swing arm 26. The first handle 25 is formed in a substantially quadrangular frame shape and extends in the front-up direction. The first handle 25 is gripped by the care recipient and is gripped by the caregiver to move the care device 1.

The support portion 30 is fixed to the rear end of the swing arm 26 and swings integrally with the swing arm 26. The support portion 30 is composed of a body support portion 31, a pair of left and right side support portions 32, a second handle 33, and the like. The body support portion 31 is formed in a substantially rectangular shape and supports the area around the chest of the person being assisted. The armpit support portion 32 is formed in an L shape and extends rearward from the upper portions on both the left and right sides of the body support portion 31. The armpit support portion 32 supports the armpits and shoulders of the person being assisted. The second handle 33 is formed in a horizontally long U-shape and is arranged below the first handle 25.

The drive mechanism 40 is arranged inside the pillar portion 20. The drive mechanism 40 includes an elevating drive mechanism that elevates and drives the elevating column portion 22 with respect to the column main body portion 21, and a oscillating drive mechanism that oscillates the support portion 30 with respect to the elevating column portion 22. The elevating drive mechanism and the swing drive mechanism are configured by using, for example, a ball screw feeding mechanism driven from each motor.

The control unit 50 is provided on the upper side of the battery 59 on the front right side of the upper surface of the frame 11. The control unit 50 is connected to the operation unit (not shown) by using the signal cable (not shown). The control unit 50 controls the two motors of the drive mechanism 40 in association with each other according to the operation of the operation unit by the caregiver. As a result, in the assist device 1, the elevating column portion 22 rises and the support portion 30 swings forward and upward to assist the person being assisted in standing up. Further, due to the reverse rotation of the motor, the assisting device 1 operates in the opposite direction to assist the seated operation of the person being assisted. The control unit 50 includes a display unit 51 and displays various information such as an operating status. The control unit 50 and the motor use the battery 59 as an operating power source.

The care device 1 can be used by a plurality of people taking turns. Further, the caregiving device 1 can be used by moving a plurality of positions. For example, the caregiving device 1 is moved to a living room, a bathroom, a rehabilitation room, a toilet, or the like and used on the spot. The care device 1 is also used as a means of moving between the two positions of the person being assisted. Further, the care device 1 can be used in combination with any of a plurality of devices. Equipment includes beds, wheelchairs, and bathing aids.

2. 2. Part of the caregiving information system 6 of the embodiment, which is arranged in the caregiving device 1, will be described with respect to the caregiving information system 6 of the embodiment. The caregiving information system 6 includes a part arranged in the caregiving device 1 and a part using a public communication line. FIG. 2 is a block diagram showing a functional configuration of a portion of the caregiving information system 6 of the embodiment arranged in the caregiving device 1. The caregiving information system 6 has a user information acquisition unit 71, a position information acquisition unit 72, an instrument information acquisition unit 73, a usage scene detection unit 74, an information aggregation unit 75, and a communication module 76 in the control unit 50 of the care device 1. To prepare for. Each unit in the control unit 50 operates every time the assistance device 1 is used.

The user information acquisition unit 71 acquires user information Mu (see FIG. 2) that identifies the person being assisted Mn (see FIG. 3) who uses the assistance device 1. More specifically, the care recipient Mn carries the user notification device 81. The user information acquisition unit 71 and the user notification device 81 have a function of wirelessly communicating with each other to transmit and receive information. Then, the user information acquisition unit 71 automatically acquires the user information Mu from the user notification device 81 of the person being assisted Mn who approaches or comes into contact with the assistance device 1. As the user notification device 81, a wearable terminal worn by the care recipient Mn can be exemplified.

The user information acquisition unit 71 may be an ID reading device that reads an ID display unit holding the user information Mu. The ID display unit is attached to the chest of the clothes of the person being assisted Mn, wrapped around the wrist of the person being assisted Mn, or hung from the neck of the person being assisted Mn using a hanging strap. Further, the user information acquisition unit 71 may be a biometric authentication device that authenticates the appearance, fingerprint, voice, etc. of the person being assisted Mn and acquires the user information Mu. Further, the user information acquisition unit 71 may acquire the user information Mu in cooperation with the existing watching care service or the like.

The position information acquisition unit 72 acquires the position information Ps that specifies the position where the assisted person Mn uses the assist device 1. More specifically, the position notification device 82 is arranged at each position such as a living room or a toilet where the assistance device 1 can move. The position information acquisition unit 72 and the position notification device 82 have a function of wirelessly communicating with each other to transmit and receive information. Then, the position information acquisition unit 72 automatically acquires the position information Ps from the position notification device 82 approached by the care device 1.

Not limited to this, a GPS device (global positioning system) having high position positioning accuracy may be adopted in the position information acquisition unit 72 and mounted on the caregiving device 1. The positioning accuracy of the latest GPS devices has been improved to the extent that the number of floors and rooms of nursing care facilities can be specified. Further, the location information acquisition unit 72 may acquire the location information Ps in cooperation with the existing watching care service or the like, like the user information acquisition unit 71.

The instrument information acquisition unit 73 acquires the instrument information Ap that specifies the instrument used by the assisted person Mn together with the assist device 1. More specifically, the device notification device 83 is arranged on each device such as a bed or a wheelchair used by the person being assisted together with the care device 1. The instrument information acquisition unit 73 and the instrument notification device 83 have a function of wirelessly communicating with each other to transmit and receive information. Then, the device information acquisition unit 73 automatically acquires the device information Ap from the device notification device 83 to which the caregiving device 1 has approached.

The usage scene detection unit 74 detects the usage scene when the person being assisted Mn uses the assistance device 1, and creates the usage scene information Sn which is the information of the detected usage scene. In the present embodiment, the usage scene detection unit 74 receives the position information Ps from the position information acquisition unit 72 and the instrument information Ap from the instrument information acquisition unit 73. Further, the usage scene detection unit 74 detects the usage scene by considering the position information Ps and the instrument information Ap in combination, and creates the usage scene information Sn.

For example, when the position information Ps is a living room and the instrument information Ap is a bed, the usage scene detection unit 74 creates the usage scene information Sn of getting out of bed or entering the bed. Whether the usage scene is leaving the bed or entering the bed is determined from the previous usage scene information Sn. Further, when the position information Ps is a living room and the instrument information Ap is a bed and a wheelchair, the usage scene detection unit 74 creates usage scene information Sn such as transfer from bed to wheelchair or transfer from wheelchair to bed. .. The transfer direction is determined from the usage scene information Sn before that.

It is also assumed that there is no one of the position information Ps and the instrument information Ap. For example, when the position information Ps is a toilet and there is no instrument information Ap, the use scene detection unit 74 creates the use scene information Sn called excretion. Further, when there is no position information Ps and the appliance information Ap is a bathing assisting appliance, the usage scene detection unit 74 creates the usage scene information Sn of bathing.

The information aggregation unit 75 receives the user information Mu from the user information acquisition unit 71, and receives the usage scene information Sn from the usage scene detection unit 74. Further, the information aggregation unit 75 acquires the usage content information Us representing the usage content when the assistance device 1 is used. The usage content information Us includes, for example, the usage start time, the usage time, and the quality determination information of the usage status of the assistance device 1, and is not limited thereto. The information aggregation unit 75 associates the user information Mu, the usage scene information Sn, and the usage content information Us into one assistance information Ih.

Information acquisition is automated by the user information acquisition unit 71, the position information acquisition unit 72, and the instrument information acquisition unit 73. Further, the information aggregation unit 75 automates the operation of information aggregation to be summarized in the caregiving information Ih. As a result, labor saving is achieved and errors in the input operation of the caregiver are reduced.

The communication module 76 communicates and connects the information aggregation unit 75 and the information storage unit 77 via a public communication line such as the Internet. The communication module 76 acquires the caregiving information Ih from the information aggregation unit 75 and transmits it to the information storage unit 77. In the present embodiment, the communication module 76 performs real-time transmission each time the assistance device 1 is used. Not limited to this, the communication module 76 may perform transmission every time a certain period of time elapses or every time the assistance device 1 is used a predetermined number of times.

3. 3. Functional configuration of the part of the caregiving information system 6 of the embodiment that uses the public communication line Next, FIG. 3 is a schematic diagram showing the functional configuration of the part of the caregiving information system 6 of the embodiment that uses the public communication line. be. The caregiving information system 6 includes an information storage unit 77 and an information provision unit 78 in a portion using a public communication line. For example, a cloud service is used for the information storage unit 77 and the information provision unit 78. A cloud service is a computer service system that can be accessed by unspecified users.

The information storage unit 77 is arranged apart from the plurality of assistance devices 1, and is connected to the information aggregation unit 75 of the plurality of assistance devices 1 via a public communication line. The information storage unit 77 receives and stores the care information Ih from each of the plurality of care devices 1. The information storage unit 77 can also receive and store the care information Ih from a type of care device different from that of the care device 1. Therefore, the information storage unit 77 can collectively manage the assistance information Ih of the plurality of assistance devices 1 and the assistance information Ih of the plurality of types of assistance devices.

The information providing unit 78 sequentially provides the caregiving information Ih stored in the information storage unit 77. Further, the information providing unit 78 edits and provides a plurality of caregiving information Ih stored in the information storage unit 77. In either case, the information providing unit 78 provides the caregiving information Ih via a public communication line. Here, the person who can use the care information Ih is limited to the family Fy of the care recipient Mn registered in advance, the caregiver Hp, and the like. Therefore, when accessing the information providing unit 78, it is determined whether or not the access is possible by login authentication.

Specifically, the information providing unit 78 sequentially notifies the family Fy of the care recipient Mn registered in advance of the care information Ih of the care recipient Mn. From the viewpoint of confidentiality of personal information, the care information Ih of the care recipient Mn is not notified to anyone other than the family Fy. FIG. 4 is a diagram of a first display screen illustrating the caregiving information Ih sequentially notified to the family Fy of the care recipient Mn. The first display screen is displayed on a mobile terminal (smartphone, tablet terminal), a personal computer, or the like held by the family Fy.

At the top of the first display screen, "assisted person: Mn" indicating the user information Mu is displayed. In the second row, "assistance device 1" indicating the assistance device is displayed. In the third row, "getting out of bed" indicating the usage scene information Sn is displayed. The usage information Us is displayed from the 4th stage to the 6th stage. That is, the usage start date and time "April 3, 7:00" is displayed, and the usage time "3 minutes" is displayed. The usage status "normal" is displayed.

Further, the information providing unit 78 edits a plurality of assisting information Ih and provides the assisted information Ih for viewing in response to the access from the family Fy of the person being assisted Mn. FIG. 5 is a diagram of a second display screen illustrating the care information Ih in the order of occurrence viewed by the family Fy of the care recipient Mn. Further, FIG. 6 is a diagram of a third display screen illustrating the daily care information Ih viewed by the family Fy of the care recipient Mn. The second display screen and the third display screen are also displayed on a mobile terminal, a personal computer, or the like held by the family Fy.

At the top of the second display screen of FIG. 5, "assisted person: Mn" indicating the user information Mu is displayed. In the second and lower rows of the second display screen, a plurality of caregiving information Ihs are displayed in the form of a list in the order of occurrence. The list consists of five columns: start date and time of use, type of caregiving device used, scene information Sn, usage time, and usage status. The first caregiving information Ih in the list matches the caregiving information Ih shown in FIG. The second caregiving information Ih represents "the start time of use is 7:05, the caregiving device used is the caregiving device 1, the scene of use is excretion, the time of use is 10 minutes, and the usage status is normal". In addition, the fifth caregiving information Ih represents "the use start time is 8:10, the caregiving device used is the rehabilitation support device X, the usage scene is the rehabilitation exercise, the usage time is 40 minutes, and the usage status is normal". There is.

At the top of the third display screen of FIG. 6, "assisted person: Mn" indicating the user information Mu is displayed. In the second row of the third display screen, "April 3 to April 9" indicating the period during which the caregiving information Ih was edited for each day is displayed. Further, on the right side of the uppermost row and the second row, a hatch legend explaining the distinction of the usage scene information Sn is shown. In the third and lower stages of the third display screen, a plurality of caregiving information Ihs are edited by the number of times of use for each day and displayed in a bar graph. Further, the bar graph is displayed using different hatching for each usage scene information Sn.

By providing at least one display screen of the first to third display screens, the family Fy of the care recipient Mn can know the daily living situation of the care recipient Mn in detail. In particular, since the public communication line is used, even if the family Fy lives far away from the care recipient Mn, it does not become an obstacle.

Further, the information providing unit 78 edits a plurality of assisting information Ih and provides them for viewing in response to the access from the caregiver Hp registered in advance. FIG. 7 is a diagram of a fourth display screen illustrating the edited care information Ih viewed by the caregiver Hp. The fourth display screen is displayed on a mobile terminal or a personal computer held by the caregiver Hp, or a display device of a comprehensive monitoring system provided in the nursing care facility where the caregiver Hp works.

“Assistance device 1” indicating an assistance device is displayed at the top of the fourth display screen of FIG. 7. In the second row of the fourth display screen, "April 3 to April 9" indicating the period during which the caregiving information Ih was edited is displayed. Further, on the right side of the second stage, the total number of times the assistance device 1 has been used within the period "○○○ times" is displayed. A bar graph of the number of times of use for each person being assisted and a bar graph of the number of times of use for each usage scene are shown in the third and lower stages of the fourth display screen. The former bar graph shows the number of times the three care recipients (Mn1, Mn2, Mn3) have been used. The latter bar graph represents the number of times of use for each usage scene information Sn.

By providing the fourth display screen, the caregiver Hp can grasp the current state of use of the care device 1 in detail and quantitatively. According to this, the caregiving information system 6 can contribute to the formulation of a future care plan and the improvement of the care service.

The care information Ih may include caregiver information that identifies the caregiver Hp that assists the caregiver Mn in using the care device 1. This makes it possible to edit and analyze the care information Ih with the caregiver Hp as the starting point. For example, the edited care information Ih estimates the intimacy and compatibility between the caregiver Hp and the care recipient Mn, which can be used as a reference for future care plans. In addition, the edited caregiving information Ih makes it possible to grasp the work status of the caregiver Hp, for example, the difference between the caregiving plan and the actual caregiving record.

In the caregiving information system 6 of the embodiment, the user information Mu is automatically acquired and the usage scene is detected, and further, the operation of information aggregation that associates the user information Mu and the usage scene information Sn into the caregiving information Ih. Is also done automatically. Therefore, as compared with the prior art, the input operation of the caregiver Hp is reduced, and labor saving is achieved. Further, since human error such as an erroneous input operation is reduced, a large number of caregiving information Ih can be accurately managed.

4. Modification and Application of the Embodiment Even if one of the position information acquisition unit 72 and the instrument information acquisition unit 73 is omitted, the usage scene information Sn can be created. Further, the main part of the care information system 6 does not need to be mounted on the care device 1, and the public communication line is not essential. That is, the caregiving information system 6 can be realized by various system configurations capable of acquiring, aggregating, transmitting / receiving, accumulating, editing, and providing necessary information. Further, the display screens shown in FIGS. 4 to 7 are examples, and the display screen can be variously deformed. In addition, the embodiments can be modified and applied in various ways.

1: Assistance device 10: Base 20: Pillar 30: Support 40: Drive mechanism 50: Control unit 6: Assistance information system 71: User information acquisition unit 72: Position information acquisition unit 73: Instrument information acquisition unit 74: Usage scene detection unit 75: Information aggregation unit 76: Communication module 77: Information storage unit 78: Information provision unit 81: User notification device 82: Location notification device 83: Instrument notification device Mu: User information Ps: Location information Ap: Equipment information Sn: Usage scene information Us: Usage information Ih: Assistance information Mn: Assisted person Hp: Assisted person Fy: Family

Claims (11)

A user information acquisition unit that acquires user information that identifies the person being assisted by using an assisting device that can be used by a plurality of people in turn , and
A usage scene detection unit that detects a usage scene when the person being assisted uses the assistance device, and a usage scene detection unit.
An information aggregation unit that associates the user information and the detected usage scene information into one caregiving information, and
It is equipped with an information storage unit that stores a plurality of the caregiving information.
The care device is used as a means of transportation for the person being assisted.
The usage scene includes any of getting out of bed, getting into bed, excreting, bathing, and rehabilitation exercise.
The user information acquisition unit and the usage scene detection unit are assistive information systems provided in the assistive device. Further, a position information acquisition unit for acquiring position information for specifying a position where the person being assisted uses the assist device is provided.
The usage scene detection unit detects the usage scene based on the position information acquired by the position information acquisition unit.
The caregiving information system according to claim 1 . The caregiving information system according to claim 2 , wherein the position information acquisition unit automatically acquires the position information from the position notification device arranged at the position. Further provided with an instrument information acquisition unit for acquiring instrument information that identifies the instrument used by the person being assisted with the assist device.
The usage scene detection unit detects the usage scene based on the instrument information acquired by the instrument information acquisition unit.
The caregiving information system according to any one of claims 1-3 . The caregiving information system according to claim 4 , wherein the device information acquisition unit automatically acquires the device information from the device notification device provided in the device. The assistance information system according to any one of claims 1 to 5 , wherein the user information acquisition unit automatically acquires the user information from a user notification device carried by the person being assisted. The caregiving information system according to any one of claims 1 to 6 , wherein the caregiving device can be used in combination with the device selected from a plurality of devices. The caregiving information system according to any one of claims 1 to 7 , further comprising an information providing unit that sequentially provides the accumulated caregiving information or edits and provides a plurality of the accumulated caregiving information. .. The assistance information system according to any one of claims 1 to 7 , wherein the information storage unit is arranged separately from the caregiving device and is connected to the information aggregation unit via a public communication line. The assistance according to claim 9 , further comprising an information providing unit that sequentially provides the accumulated assistance information via the public communication line, or edits and provides a plurality of the accumulated assistance information. Information system. The caregiving information system according to any one of claims 1 to 10 , wherein the caregiving information includes caregiving information that identifies a caregiver who assists the caregiving person in using the caregiving device.

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