JP7234035B2 - Medical care support system - Google Patents

Description

An embodiment of the present invention relates to a medical care support system.

In the medical field and the nursing care field, it is desired to provide more appropriate services to the subjects.

JP 2016-154696 A

An embodiment of the present invention provides a medical care support system capable of providing more appropriate services.

According to an embodiment, a medical care support system includes a sensor that detects a subject's condition and a controller. The control unit can cause an input/output terminal to output a message including at least one of an observation item, an observation frequency, and an observation criterion, and prompt the input of a result of observation of the subject. . The control unit changes at least one of the observation item, the observation frequency, and the observation determination criteria based on at least one of the subject's classification and the data detected by the sensor. output to the input/output terminal.

Embodiments of the present invention can provide a medical care support system capable of providing more appropriate services.

FIG. 1 is a schematic diagram illustrating a medical care support system according to the first embodiment. FIGS. 2(a) to 2(d) are schematic diagrams illustrating the medical care support system according to the first embodiment. FIGS. 3A to 3E are schematic diagrams illustrating the medical care support system according to the first embodiment. FIG. 4 is a schematic diagram illustrating the medical care support system according to the first embodiment. FIG. 5 is a schematic diagram illustrating the medical care support system according to the first embodiment. FIG. 6 is a flow chart diagram illustrating the operation of the medical care support system according to the first embodiment. FIGS. 7A to 7D are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment. FIGS. 8A and 8B are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment. FIGS. 9A and 9B are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment. 10(a) to 10(c) are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment. 11(a) and 11(b) are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment. FIG. 12 is a flow chart diagram illustrating the operation of the medical care support system according to the first embodiment. FIG. 13 is a graph diagram illustrating the medical care support system according to the second embodiment. 14(a) to 14(d) are schematic diagrams illustrating the operation of the medical care support system according to the second embodiment. FIG. 15 is a flow chart diagram illustrating the operation of the medical care support system according to the third embodiment. 16(a) to 16(d) are schematic diagrams illustrating the operation of the medical care support system according to the third embodiment. FIG. 17 is a schematic diagram illustrating the operation of the medical care support system according to the third embodiment. 18(a) and 18(b) are schematic diagrams illustrating the operation of the medical care support system according to the third embodiment. 19(a) to 19(d) are schematic diagrams illustrating the operation of the medical care support system according to the fourth embodiment. 20(a) to 20(d) are schematic diagrams illustrating the sensor according to the embodiment.

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described below with reference to the drawings.
The drawings are schematic or conceptual. In the present specification and each figure, the same reference numerals are given to the same elements as those described above with respect to the previous figures, and detailed description thereof will be omitted as appropriate.

(First embodiment)
FIG. 1 is a schematic diagram illustrating a medical care support system according to the first embodiment.
As shown in FIG. 1 , a medical care support system 110 according to the embodiment is used by a user 82 . A user 82 provides a service to a target person 81 . User 82 is, for example, a medical worker or a caregiver. The user 82 may be a family member of the target person 81 or the like. Medical personnel include, for example, doctors, nurses, pharmacists, and the like. The medical care support system 110 is used, for example, in hospitals or nursing homes. The medical care support system 110 may be used at home or the like. Services include, for example, activities related to medical or nursing care.

The subject 81 is, for example, the user of the bed 70B. The subject 81 can lie on the bed 70B. For example, bed 70B includes bottom 71 . A mattress 76 is placed on the bottom 71 . A subject 81 lies on the mattress 76 . In FIG. 1, the mattress 76 is drawn away from the bottom 71 for clarity of illustration.

In an embodiment a sensor 61 is provided. The sensor 61 detects the "state of the subject 81". In this example, sensor device 62 is used as sensor 61 . A sensor device 62 is provided between the bottom 71 and the mattress 76 . Thus, the sensor device 62 used as the sensor 61 is provided between the bed 70B and the subject 81. FIG.

The sensor device 62 can detect, for example, vibration accompanying body movement of the subject 81 . Data detected by the sensor device 62 is provided to the sensor control section 65, for example. The sensor control unit 65 may be, for example, a centralized control unit placed in a nurse center or the like. For example, the sensor control unit 65 analyzes data detected by the sensor device 62 . As a result, for example, the sensor control unit 65 can detect the subject's 81 body motion, leaving or staying in bed, sleeping or waking, the subject's breathing rate, the subject's heart rate, and the like. Hereinafter, body movement, getting out of bed or being in bed, sleep or wakefulness, subject's respiratory rate, subject's heart rate, etc. are referred to as "biological information".

As a method of acquiring biological information such as the respiratory rate and heart rate of the subject 81, for example, Japanese Patent Application Laid-Open No. 2016-30177 (title of the invention: respiratory disorder determination device, respiratory disorder determination method and program, filing date: Heisei July 30, 26) can be cited. As a method for determining sleep or wakefulness of the subject 81, for example, Japanese Patent Application Laid-Open No. 2010-264193 (Title of invention: sleep state determination device, program and sleep state determination system, filing date: May 18, 2009 ), and the methods described in Japanese Patent Application Laid-Open No. 2014-229118 (title of the invention: sleep state determination device, sleep state determination method and program, filing date: November 11, 2014) can be used. This patent application is incorporated by reference in its entirety.

In embodiments, the sensor device 62 may have data analysis capabilities. In this case, biometric information can be detected by the sensor device 62 without using the sensor control section 65 .

In this example, sensor 61 includes sensor device 62 . The sensor 61 may further include a sensor control section 65 . The sensor control unit 65 may be placed at, for example, a nurse station.

Thus, in the embodiment, the "state of the subject 81" detected by the sensor 61 is, for example, the body movement of the subject 81, the subject 81 leaving or being in bed, the subject 81 sleeping or waking, the subject 81 81 respiratory rate and at least one selected from the group consisting of subject's 81 heart rate. Information regarding the risk of heart failure of the subject 81 may be obtained based on the “biological information” detected by the sensor 61 . A respiratory event index of the subject 81 may be calculated based on the “biological information” detected by the sensor 61 . By referring to the information on the risk of heart failure, respiratory event index, etc., it becomes easier to provide better services.

Data (for example, information) detected by the sensor 61 can be transmitted to the input/output terminal 20 . The input/output terminal 20 is used by the user 82 . The input/output terminal 20 is, for example, a portable terminal. The input/output terminal 20 may be, for example, a “smartphone type”.

For example, the input/output terminal 20 may include a display section 20D. The display unit 20D may have a touch panel type input function. The input function is a function of acquiring (for example, accepting) input by the user 82 or the like.

For example, the user 82 can recognize the data detected by the sensor 61 through the display section 20D of the input/output terminal 20 or the like. The user 82 can make various inputs by operating the display unit 20D of the input/output terminal 20. FIG. Various inputs include, for example, the result of observing the subject 81 .

Collected data (for example, data detected by the sensor 61, observation results of the subject 81, etc.) may be supplied to the server 66, for example. The collected data may be referenced and shared by a plurality of medical institutions through the server 66 . The collected data may be used by remote medical institutions and the like.

In the medical care support system 110, the number of subjects 81 may be one, or two or more. The number of users 82 may be one, or two or more. In the following description, the case of one user 82 will be described. The following discussion is applicable to multiple users 82 as well.

A medical care support system 110 according to the embodiment includes a control unit 10 . The control unit 10 can perform various operations. In the example shown in FIG. 1 , the controller 10 is provided inside the housing of the sensor controller 65 . In the embodiment, the position where the controller 10 is provided is arbitrary. The control unit 10 is, for example, a processor. The control unit 10 is, for example, a computer. The control unit 10 includes, for example, an electronic circuit that functions as a computer.

FIGS. 2(a) to 2(d) are schematic diagrams illustrating the medical care support system according to the first embodiment.
As shown in FIG. 2( a ), the controller 10 is provided inside the housing of the sensor controller 65 . The control unit 10 may include a storage unit 10M. A part of the processor that functions as the sensor controller 65 may function as the controller 10 . A part of the processor functioning as the controller 10 may function as the sensor controller 65 . The input/output terminal 20 may include a communication section 20C in addition to the display section 20D.

As shown in FIG. 2B, the controller 10 may be provided in the input/output device 20S. The input/output device 20S includes an input/output terminal 20 and a control unit 10, for example. For example, when the input/output device 20S is a terminal device such as a smartphone, an input/output unit (for example, a display with a touch input function) of the smartphone may correspond to the input/output terminal 20S. In this case, a processor included in the smartphone may correspond to the control unit 10 . A part of the processor functioning as the input/output terminal 20 may function as the control unit 10 . A part of the processor functioning as the control unit 10 may function as the input/output terminal 20 .

As shown in FIG. 2C, the controller 10 may be provided separately from the sensor controller 65 and the input/output terminal 20 .

As shown in FIG. 2(d), the sensor control section 65 may be omitted. The control unit 10 may be capable of direct communication with the sensor device 62 included in the sensor 61 .

Examples of data detected by the sensor 61 will be described below. In the following description, an example of data is modeled.

FIGS. 3A to 3E are schematic diagrams illustrating the medical care support system according to the first embodiment.
These figures illustrate the "state of subject 81". The horizontal axis of these figures is time tm. The vertical axis in FIG. 3(a) is the value SA1 related to the body motion of the subject 81. In FIG. The vertical axis of FIG. 3(b) is the value SA2 related to the subject 81 leaving or being in bed, or the subject 81 sleeping or waking. The vertical axis of FIG. 3(c) is the respiratory rate SA3 of the subject 81. As shown in FIG. The vertical axis of FIG. 3(d) is the heart rate SA4 of the subject 81. As shown in FIG.

As shown in FIG. 3(a), the value SA1 relating to body motion changes as time tm elapses. When the value SA1 related to body movement is large, the amount of activity of the subject 81 is large. For example, when the value SA1 related to body motion is large at night, there is a possibility that the subject 81 cannot sleep at night. A threshold TH1 may be provided for the value SA1. The number of occurrences of the value SA1 exceeding the threshold TH1 and the times thereof may be totaled. The aggregated results are provided to the user 82 so that the user 82 can provide the target person 81 with appropriate services. For example, increased nocturnal activity may result in urinating, scratching, or painful movements. The user 82 can quickly care for the subject 81 by obtaining information on the amount of activity.

As shown in FIG. 3B, as time tm elapses, subject 81 is in a state of getting out of bed OB, awake WK, or sleep SP. Awake WK and sleep SP are included in being in bed. For example, when many out-of-bed OBs are detected at night, there is a high possibility that the subject 81 is wandering around at night. The user 82 is provided with the state of the subject 81 being out of bed OB, awake WK, or sleep SP, and the user 82 can provide the subject 81 with appropriate services. For example, the user 82 obtains information about the amount of activity of the subject 81 together with the state of getting out of bed OB, wake WK, or sleep SP, so that the user 82 can perform care earlier, for example, Falling down can be easily suppressed, or failure (for example, incontinence) associated with excretion can be easily suppressed.

As shown in FIG. 3(c), the respiratory rate SA3 changes with the passage of time tm. If the respiratory rate SA3 suddenly increases or decreases, there is a possibility that the physical condition of the subject 81 has changed significantly. A threshold TH3 may be provided for the respiratory rate SA3. The number of occurrences of the respiratory rate SA3 exceeding the threshold TH3 and the times thereof may be totaled. The aggregated results are provided to the user 82 so that the user 82 can provide the target person 81 with appropriate services. If the respiratory rate increases, the onset of colds or increased pain may occur. By providing the user 82 with information about the respiratory rate, the user 82 can easily grasp the possibility of the disease of the subject 81 before the disease becomes serious.

As shown in FIG. 3(d), heart rate SA4 changes as time tm elapses. If the heart rate SA4 suddenly increases or decreases, there is a possibility that the subject's 81 physical condition has changed significantly. A threshold TH4 may be provided for the heart rate SA4. The number of occurrences of the heart rate SA4 exceeding the threshold TH4 and the times thereof may be totaled. The aggregated results are provided to the user 82 so that the user 82 can provide the target person 81 with appropriate services. Premature contractions or hypertension (increase or decrease) may occur if there is an increase or decrease in heart rate. For example, user 82 may obtain information regarding heart rate prior to loss of consciousness or a fall. For example, the user 82 can easily suppress aggravation of the subject 81 by providing early care.

For example, thresholds may be provided for body movement, getting out of bed or being in bed, sleep or wakefulness, breathing rate, heart rate, and the like. Normal/abnormal may be distinguished according to the relationship between the detection result and the threshold. For example, the number of times abnormalities occur or the degree of abnormalities may be quantified. Numerical values may be accumulated over time tm. Based on the accumulated results, information regarding changes in the situation regarding the subject 81 may be derived.

The vertical axis of FIG. 3(e) is, for example, the cumulative value SA5 of digitized values. The cumulative value SA5 is a cumulative value of normal/abnormal values quantified for at least one of body movement, getting out of bed or being in bed, sleep or wakefulness, breathing rate, and heart rate. In one example, the cumulative value SA5 is a quantified value for the body motion value SA1, a quantified value for the sleep or wakefulness value SA2, a quantified value for the respiratory rate SA3, and Corresponds to the cumulative value of quantified values for the respiratory rate SA4. If the cumulative value SA5 is large, there is a high possibility that the subject 81 is abnormal. For example, a threshold value (for example, first threshold value TT1 and second threshold value TT2) may be determined for the cumulative value SA5. For example, when the cumulative value SA5 is less than the first threshold TT1 (first state ST1), there is a high possibility that the subject 81 is normal. If the cumulative value SA5 is greater than or equal to the first threshold TT1 and less than the second threshold TT2 (second state ST2), there is a high possibility that the state of subject 81 requires "special treatment." When the cumulative value SA5 is equal to or greater than the second threshold TT2 (third state ST3), there is a high possibility that the state of the subject 81 requires "urgent treatment."

In one example, when a non-calculating heart rate occurs or when the non-calculating heart rate rate increases, it is prompted to consult a doctor. In one example, nocturnal delirium or abnormal nocturnal behavior (eg, wandering) can occur when the difference between daytime and nighttime activity is small. Providing the user 82 with information about the small difference between daytime activity and nighttime activity can help prevent accidents or improve life.

For example, the user 82 can easily provide appropriate treatment (service) to the subject 81 by viewing the data shown in FIGS. 3(a) to 3(e). For example, the caregiver may increase the frequency of care work for the subject 81 based on the data. For example, based on the data, contact may be made for performing medical treatment, if necessary.

The display shown in FIGS. 3(a) to 3(e) may be performed using various colors as appropriate. Various time units (minute units, hour units, weekly units, monthly units, etc.) may be switched and displayed. The display of one subject 81 and the display of a plurality of subjects 81 may be switched.

The displays illustrated in FIGS. 3A to 3E and variations thereof may be displayed on the sensor control unit 65, for example. The displays and modifications thereof illustrated in FIGS. 3A to 3E may be displayed on the display unit 20D of the input/output terminal 20, for example.

On the other hand, in an embodiment, a subject 81 is observed by a user 82 or the like. Observation results are input from the input/output terminal 20 or the like, for example. The result detected by the sensor 61 (for example, the display illustrated in FIGS. 3A to 3E) and the observation result input by the user 82 are combined and displayed (output). can be The display is performed by the sensor control unit 65, the input/output terminal 20, or the like, for example. Examples of observations are described below.

In embodiments, subjects 81 may be classified into one of several types. Examples of classification are described below.

FIG. 4 is a schematic diagram illustrating the medical care support system according to the first embodiment.
As shown in FIG. 4, for example, identification information ID for each of a plurality of subjects 81 exists. The identification information ID is associated with, for example, each name of a plurality of subjects 81 (“XXXXXX1” to “XXXXXX7”, etc.). Data such as blood type, sex, age, address and contact information are stored for each of the plurality of subjects 81 in association with the identification information ID. These data are stored in the server 66, for example. These data may be stored in the storage unit 10M provided in the control unit 10 or the like. These data may be stored in a storage section provided in the sensor control section 65 .

As shown in FIG. 4, in the embodiment, a subject 81 is associated with one of multiple classifications GI. In this example, the multiple classifications GI include classifications G1 to G12 and so on. Multiple classification GIs (such as classifications G1 to G12) include, for example, delirium, hypofunction, skin problems, excretion problems, cognitive decline, respiratory diseases, cardiovascular diseases, bedsores, atopic eczema, excretion disorders, and terminal at least two selected from the group consisting of: Hereinafter, "delirium, functional decline, skin problems, excretion problems, cognitive decline, respiratory diseases, cardiovascular diseases, pressure ulcers, atopic eczema, excretion disorders, terminal stage" and the like are referred to as "taxonomic groups".

The relationship between the order in the categories G1 to G12 and the order in the taxonomic group is arbitrary. For example, class G1 is one of the elements included in the taxonomy. Class G2 is another one of the elements contained in the taxon. Class G3 is one of the further members included in the taxon.

In the example shown in FIG. 4, the subject of "XXXXXX1" is classified into the classification G2. The subject of "XXXXXX2" is classified into classification G7. Such classification is determined based on the subject's 81 symptoms and the like. The classification may be determined, for example, by a medical worker or a caregiver according to the subject 81's condition. A default classification may be defined in a medical care support facility or the like where the medical care support system 110 is used. The classification may be changed based on changes in the condition of the subject 81 or the like.

In embodiments, a user 82 (such as a caregiver) observes the subject 81 and the user 82 records the observations. At least part of the recording is performed by operating the input/output terminal 20, for example. Observation is performed, for example, in accordance with prescribed items. Examples of observation items will be described below.

FIG. 5 is a schematic diagram illustrating the medical care support system according to the first embodiment.
As shown in FIG. 5, a plurality of observation items II are defined for identification information IDs of a plurality of subjects 81 (for example, names "XXXXXX1" to "XXXXXX7"). Observation items are at least selected from the group consisting of, for example, meals, water intake, participation in activities, mood, cleanliness, taking medication, excretion, consciousness, pain, dyspnea, fever, oxygen administration, and postural change. including one. Hereinafter, "meals, water intake, presence or absence of participation in activities, mood, cleanliness, medication, excretion, consciousness, pain, dyspnea, heat, oxygen administration, and postural change" are referred to as an observation item group. An example of each observation item will be described later with a specific example in FIG.

Observation item II includes, for example, items I1 to I12. The relationship between the order of items I1 to I12 and the order of the observation item group is arbitrary. For example, item I1 is one of the elements included in the observation item group. Item I2 is another one of the elements included in the observed item group. Item I3 is one of the further elements included in the observed item group.

For example, items I1 to I6 are observation items common to all subjects 81 . Items I1 to I6 are, for example, diet, water intake, presence or absence of participation in activities, mood, cleanliness, and medication.

In addition to items I1-I6, each of the plurality of subjects 81 may have a unique observation item II. For example, the subject 81 of "XXXXXXX1" has items I8 and I11. For example, the subject 81 of "XXXXXXX3" has items I10 and I12.

Thus, a unique observation item II for the subject 81 is defined. For example, the observation item II is determined so as to match the symptoms of the subject 81 and the like. The unique observation item II for each of the plurality of subjects 81 may be set (input) by the user 82 or the like using the sensor control section 65 or the like, for example. The unique observation item II for each of the plurality of subjects 81 may be set (input) by the user 82 or the like using the input/output terminal 20 or the like, for example.

The data illustrated in FIG. 5 may be stored in, for example, the storage unit 10M provided in the control unit 10. FIG. These data may be stored in a storage section provided in the sensor control section 65 .

In the embodiment, the control unit 10 causes the input/output terminal 20 to output a message, as will be described later. The output is performed on the display unit 20D, for example. The user 82 sees the display on the display section 20D. Thereby, the control unit 10 prompts the user 82 to input the result of observing the subject 81 .

In embodiments, "output" may include display and/or sound. For example, an audible message may prompt the input. In this case, the output is performed, for example, by a speaker or the like. To simplify the explanation, an example in which the output is display will be explained below.

In the first embodiment, observation item II for observing subject 81 is changed based on data detected by sensor 61 . At least one of observation item II, observation frequency, and observation criteria may be changed. An example of changing the observation item II, the observation frequency, and the observation judgment criteria will be described below. Observation by the user 82 is performed, for example, in one period (frequency). For example, Observation Item II is changed each time an observation is made. An example of changing the observation item II in one cycle will be described below.

FIG. 6 is a flow chart diagram illustrating the operation of the medical care support system according to the first embodiment.
FIG. 6 exemplifies the operation of changing the observation item II, the observation frequency, and the observation criterion performed in one cycle. As shown in FIG. 6, the control unit 10 acquires information about the classification GI (for example, classifications G1 to G12) of the subject 81 (step S105). This classification GI is the current classification of the subject 81 and the classification of the subject 81 that has already been registered.

The control unit 10 causes the input/output terminal 20 to output the message (step S110). This message is provided to user 82 . This message is a message corresponding to the classification GI of the subject 81 acquired in step S105, and differs for each classification GI of the subject 81. FIG. The message assists the user 82 in observing the subject 81 . The message includes at least one of Observation Item II, Observation Frequency, and Observation Criteria. Thereby, the control unit 10 can prompt the user 82 to input the result of observing the subject 81 . Examples of messages are described later.

The control unit 10 acquires the observation result input by the user 82 (step S111). The control unit 10 acquires data (sensor data) detected by the sensor 61 (step S120).

For example, criteria (eg, thresholds, etc.) are defined for sensor data. This criterion may be set based on the subject 81's classification GI, for example.

The control unit 10 compares the sensor data and the reference (step S125). If the sensor data is below the criteria, end. If the sensor data is equal to or higher than the standard, at least one of observation item II, observation frequency, and observation judgment criteria is changed (step S130). For example, sensor data is digitized (for example, value SA6 in FIG. 13 described later). The digitized value (value SA6) is compared with a threshold for that value (for example, threshold TH6 in FIG. 13). Embodiments are not limited to this example and may be applied in any form that allows comparison of sensor data with a metric.

After step S130, the control unit 10 causes the input/output terminal 20 to output the changed observation item II, observation frequency, and observation criteria (step S110A). In the example of FIG. 6, steps S131, S150 and S151, which will be described later, are performed between step S130 and step S110A. After step S151 (after step S110A), for example, the user 82, based on the changed observation item II, observation frequency, and observation criteria output to the input/output terminal 20, the observation result Enter The control unit 10 further acquires the observation result input by the user 82 (step S111A).

In the example of FIG. 6, between step S130 and step S110A, the control unit 10 outputs (for example, displays) prompting approval to change at least one of observation item II, observation frequency, and observation criteria. (step S131). For example, if the change is approved by the user 82, the control unit 10 changes at least one of observation item II, observation frequency, and observation criteria. Then, the process proceeds to the next step (step S150 in this example). If the change is not approved, the change is canceled and exited.

In an embodiment, the conditions regarding notification may be changeable. For example, as shown in FIG. 6, the control unit 10 performs output (for example, display) regarding approval of change of notification (step S150). If the change is approved, we will change the conditions for reporting. If the change is not approved, the change is canceled and the process proceeds to the next step (step S110A).

Thus, in this example, the control unit 10 determines the observation items II, At least one of the observation frequency and the observation criterion is changed (step S130) and output to the input/output terminal 20 (step S110A). This makes it possible to provide a medical care support system that can provide more appropriate services.

In general, the more observation items II, the more information about the subject 81 can be obtained. However, if there are many observation items II, the work load of the user 82 increases and the time for observation increases. As a result, it becomes difficult to provide the subject 81 with appropriate services (nursing care, medical practice, etc.).

On the other hand, in the first embodiment, based on at least one of the classification GI of the subject 81 and the data detected by the sensor 61, the observation item II, the observation frequency, the observation judgment criteria, etc. is changed. As a result, for example, excessive increase in observation items II is suppressed, and the user 82 can perform observation based on effective and small number of observation items II. This allows, for example, less time and more effective observation. As a result, it becomes easier to provide the subject 81 with appropriate services (nursing care, medical practice, etc.).

For example, based on at least one of the classification GI of the subject 81 and the data detected by the sensor 61, the content of the observation item II is added or deleted. For example, based on at least one of the classification GI of the subject 81 and the data detected by the sensor 61, the observation frequency may be increased or decreased. For example, based on at least one of the classification GI of the subject 81 and the data detected by the sensor 61, the observation judgment criteria may be strict or loose. The thresholds at which the contents of Observation Item II are added or deleted may differ from each other. For example, the threshold for adding the content of observation item II is lower than the threshold for deleting the content of observation item II. For example, when the period during which the data detected by the sensor 61 exceeds the threshold is longer than the first period, the content of observation item II is added. For example, if the period during which the data detected by the sensor 61 does not exceed the threshold is longer than the second period, the contents of observation item II are deleted. At this time, for example, the first period is shorter than the second period. For example, when the number of times the data detected by the sensor 61 exceeds the threshold is greater than the first number, the content of observation item II is added. For example, when the number of times the data detected by the sensor 61 exceeds the threshold is less than the second number, the contents of the observation item II are deleted. At this time, for example, the second number of times is smaller than the first number of times.

For example, steps S105, S110, S111, S120, S125, S130, S131, S150, and S151 are performed for each observation period. In the example above, sensor data acquisition may occur independently of this period. For example, acquisition of sensor data may be performed steadily at a cycle shorter than the observation cycle. Step S120 may correspond to one of the routine acquisitions of sensor data.

Several examples of such operations are described below. In the following examples, "display" may be output by any method.

FIGS. 7A to 7D are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment.
As shown in FIG. 7(a), the identification information ID (for example, the name (“XXXXXX1” to “XXXXXX7”, etc.) of the subject 81 is displayed on the display unit 20D of the input/output terminal 20. As shown in FIG. As shown, for each subject 81, a category GI may be displayed.

For example, when the user 82 "touches" and selects the "XXXXXX3" portion of the display section 20D, the screen shifts to the "XXXXXX3" screen (input/output screen) shown in FIG. 7B. On the screen of FIG. 7(b), an input area 25 relating to observation item II is displayed. In this example, the input areas 25 include a "meal" button 25a, a "water intake" button 25b, a "participation in activities" button 25c, a "mood" button 25d, a "cleanliness" button 25e, and A "medication" button 25f is displayed. By moving (or touching) the switch portions of these buttons to the left or right, it is possible to input "applicable" or "non-applicable" for the item.

For example, by pressing the "diet" button 25a, it is possible to input whether or not the target person 81 has eaten a proper meal. For example, by pressing the "water intake" button 25b, it is possible to input whether or not the target person 81 properly ingested water. For example, the "participation in activity" button 25c allows the user to enter whether or not the target person 81 has participated in recreation, exercise, meetings, or the like. For example, the "mood" button 25d allows input of observation results as to whether the target person 81 is in a good mood or not. For example, by pressing the "clean" button 25e, it is possible to input the status of the target person 81, such as bathing or wiping. For example, with the button 25f for "medication", the presence or absence of "medication" for the target person 81 can be input.

For example, by changing the color or brightness of the display of these buttons, it may be possible to display "uninput" or "input". For example, when the user 82 operates the "save" button 28c, the input result is saved together with the time. Saving may be performed in a storage unit provided in the input/output terminal 20, for example. The input result may be provided to, for example, the sensor control section 65 and the control section 10 and stored.

As shown in FIG. 7B, a display input area 28d for the observation frequency IT may be displayed. In this example, "4H" is displayed in the display input area 28d, and the observation time interval is 4 hours. The next observation scheduled time may be displayed in the display input area 28d.

As shown in FIG. 7B, a button 28a for returning to the previous screen and a button 28b for returning to the next screen may be provided.

FIG. 7(b) corresponds to when the data detected by the sensor 61 is in the first state ST1 (see FIG. 3(e)). The first state ST1 corresponds to, for example, the normal state.

FIG. 7(c) corresponds to when the data detected by the sensor 61 is in the second state ST2 (see FIG. 3(e)). A second state ST2 corresponds to a state in which the subject 81 requires "special treatment". As shown in FIG. 7C, in this case, the changed input area 26 is displayed on the display section 20D in addition to the input area 25 (buttons 25a to 25f) regarding the observation item II. In this example, the modified input area 26 includes a "consciousness" button 26a and a "pain" button 26b. By moving (or touching) the switch portions of these buttons to the left or right, it is possible to input "applicable" or "non-applicable" for the item.

The "Consciousness" button 26a allows the user to input an observation result regarding the consciousness of the subject 81 (for example, whether or not the subject 81 is conscious). The "pain" button 26b allows the user to input the observation result of the pain of the subject 81 (for example, whether or not the subject 81 feels pain).

In FIG. 7C, by operating the "save" button 28c, the change in observation item II is approved and saved. If the "save" button 28c is not operated, the observation item II does not have to be changed. In this case, for example, at the next observation, the changed input area 26 may be displayed again, and approval of the change may be prompted again.

FIG. 7B, for example, corresponds to step S110 (see FIG. 6). FIG. 7C, for example, corresponds to step S110A (see FIG. 6) in which observation item II has been changed.

In this manner, the control unit 10 may change the observation item II based on data detected by the sensor 61 that detects the condition of the subject 81 . For example, when the classification GI of the subject 81 is "terminal stage", for example, "consciousness" and "pain" are added to the observation item II. As will be described later, the change in observation item II may differ according to the classification GI of subject 81 . Changing Observation Item II includes adding or deleting Observation Item II. This will allow us to provide better service.

As shown in FIG. 7(d), based on the data detected by the sensor 61, an image for changing settings related to notification may be displayed on the display section 20D. For example, by operating the "report" button 27a, it may be switched whether or not to transmit the "report" when the data detected by the sensor 61 becomes abnormal. Information 27b (telephone number) on the report destination may be displayed. When the "report" button 27a is turned "ON", a report is sent to the report destination when the data detected by the sensor 61 is greater than or equal to the threshold value.

FIGS. 8A and 8B are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment.
FIG. 8(a) corresponds to when the data detected by the sensor 61 is in the third state ST3 (see FIG. 3(e)). The third state ST3 is a state in which the subject 81 requires "urgent treatment". In this example, as shown in FIG. 8(a), when the state of the subject 81 changes from the second state ST2 to the third state ST3, the display input area 28d for the observation frequency IT changes to that shown in FIG. 7(c). The exemplified "4H" is changed to "2H". When the display input area 28d for the observation frequency IT indicates "next observation time", the "next observation time" may differ between the second state ST2 and the third state ST2.

Thus, according to the embodiment, the control unit 10 may change the observation frequency IT based on the data detected by the sensor 61 and cause the input/output terminal 20 to output it.

As shown in FIG. 8B, when the data detected by the sensor 61 is in the third state ST3, for example, by operating the "report" button 27a, whether or not to transmit the "report" is switched. It's okay to be Even if the button 27a is set so as not to transmit the "report", the control unit 10 uses the button 27a to transmit the "report" when the state of the subject 81 changes from the second state ST2 to the third state ST3. can be changed to The information 27b (telephone number) on the report destination illustrated in FIG. 7(d) may be changed to information 27c (telephone number) on another report destination. Thus, based on the data detected by the sensor 61, the conditions regarding reporting may be changed. For example, the control unit 10 changes at least one of the destination of the notification and the method of notification based on at least one of the data detected by the sensor 61 and the data input about the observed result. You can

FIGS. 9A and 9B are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment.
As shown in FIG. 9A, when the subject 81 is in the first state ST1, buttons 25a to 25f are displayed as the input area 25 regarding the observation item II. For example, the observation criterion for "diet" is "70% of the stated meal amount." The user 82 records "the amount of meals is small" when the amount of meals of the subject 81 is 70% or less of the prescribed amount of meals.

As shown in FIG. 9B, when the subject 81 is in the second state ST2, for example, the observation criterion IS for "meal" is "1/2 of the prescribed amount of meal". The user 82 records "the amount of meals is small" when the amount of meals of the subject 81 is less than 1/2 of the prescribed amount of meals.

As described above, in the embodiment, the control unit 10 may change the observation determination criterion IS based on the data detected by the sensor 61 and output it to the input/output terminal. This will allow us to provide better service. Thus, observation criteria IS include, for example, thresholds for observation item II.

10(a) to 10(c) are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment.
As shown in FIG. 10( a ), the identification information ID of the subject 81 is displayed on the display section 20D of the input/output terminal 20 . For example, the user 82 "touches" and selects the "XXXXXX6" portion of the display section 20D, thereby shifting to the "XXXXXX6" screen (input/output screen) shown in FIG. 10B. On the screen of FIG. 10(b), an input area 25 regarding observation item II is displayed. In this example, buttons 25a to 25f are displayed as the input area 25 when the data detected by the sensor 61 is in the first state ST1. For the subject 81 of "XXXXXX6", the category GI is the category G3.

As shown in FIG. 10(c), when the classification GI of the subject 81 is the classification G3, and the data detected by the sensor 61 is in the second state ST2, in addition to the buttons 25a to 25f in the input area 25, A modified input area 26 is displayed. In this example, the modified input area 26 includes a "heat" button 26c and a "breath" button 26d. By moving (or touching) the switch portions of these buttons to the left or right, it is possible to input "applicable" or "non-applicable" for the item.

For example, when the user 82 observes the subject 81 of "XXXXXX6" and observes the state of hyperthermia or hypothermia, the observation result (the subject 81 is high or low temperature) is pressed by the "heat" button 26c. ) can be entered. For example, when the user 82 observes difficulty in breathing for the subject 81 of "XXXXXXX6", the observation result (whether the subject 81 is having difficulty breathing or is or not) can be entered.

For example, when the classification G3 of the subject 81 of "XXXXXX6" is "respiratory disease", the changed input area 26 is the "fever" button 26c and Added "Breathe" button. On the other hand, as already explained, when the classification GI of the subject 81 is "terminal stage", based on the data detected by the sensor 61, the changed input area 26 is the "consciousness" button 26a and , a "pain" button 26b is added.

Thus, in the embodiment, the control unit 10 determines the observation items II, At least one of the observation frequency IT and the observation criterion IS can be changed and output to the input/output terminal 20 . This makes it possible to provide a medical care support system that can provide more appropriate services.

11(a) and 11(b) are schematic diagrams illustrating the operation of the medical care support system according to the first embodiment.
In the example shown in FIG. 11(a), when the data detected by the sensor 61 is in the first state ST1 for the subject 81 of "XXXXXX3" of the classification G1, buttons 25a to 25f is displayed.

As shown in FIG. 11B, when the observation result of "participation in activity" of button 25c is different from the state of FIG. A button 26a may be displayed. Thus, at least one of the observation item II, the observation frequency IT, and the observation criterion IS may be changed according to the observation result.

In the first embodiment, for example, the observation result is "decreased mood", "decreased amount of food", "decreased amount of water taken", "decreased consciousness", "clouded consciousness", or "pain , etc., the observation frequency IT may be changed. In such a case, the elapsed time from the latest observation time may be displayed on the input/output terminal 20, the sensor control section 65, or the like. In such a case, the contents of the display of the detection result by the sensor 61 may be changed. In such a case, the destination of the notification may be changed from the normal destination to a special destination (for example, a medical worker or a visiting caregiver).

For example, when the observation result includes "decreased mood", "decreased amount of food", "decreased amount of water intake", "decreased consciousness", "clouded consciousness", or "distress" For example, the display state of the detection result by the sensor 61 may be changed. For example, when the detection result by the sensor 61 is displayed in multiple colors (for example, blue or yellow), multiple colors may be changed. The area ratio of the regions displayed in a plurality of colors may be changed.

For example, when the observation result includes "decreased mood", "decreased amount of food", "decreased amount of water intake", "decreased consciousness", "clouded consciousness", or "distress" , the control unit 10 may change the information supply destination, for example. For example, when the observation results do not include "decreased mood", "decreased amount of food", "decreased amount of water intake", "decreased consciousness", "clouded consciousness", or "distress". , the information is supplied to the "normal viewer". If the observation results include "decreased mood", "decreased amount of food", "decreased amount of water intake", "decreased consciousness", "clouded consciousness", or "pain", etc. The destination of information is the "specific destination". A "specific supplier" includes, for example, a doctor. "Specific destinations" include, for example, visiting nurses.

For example, when the subject 81 is classified as terminally ill, the control unit 10 changes the content of the output based on the classification and the observation result of the subject 81 . Based on the content of the changed output, the user 82 can provide more appropriate care.

In one example, the level of consciousness check item is subdivided when a decrease in food or water intake is observed. In one example, when it is observed that the level of consciousness has become severe, the frequency of observing the subject 81 (for example, the frequency of visiting the room) is shortened to about 10 minutes. In one example, when the sensor 61 detects that the amount of nighttime activity has increased by 30% or more relative to the weekly average up to the previous day, the observation items are "daytime activity" and "nighttime activity." Whether or not getting out of bed was for excretion", "whether scratching the skin", or "pain" is added. In one example, when the sensor 61 detects that the respiratory rate is 50% or more higher than the average respiratory rate during the night for 5 minutes or more, the frequency of observation (for example, temperature measurement) frequency) is increased. In one example, when the sensor 61 detects that the rate of time during which the heart rate SA4 cannot be calculated at night is 10% or more, a message or item prompting consideration of a Holter electrocardiogram is added as an observation item. be done. In one example, when the sensor 61 detects that the rate of time during which the heart rate SA4 cannot be calculated is 10% or more during the night, confirmation of the presence or absence of abnormalities in the amount of alcohol intake and activity status is prompted. , alcohol intake and participation in the activity are added as observation items, or criteria for alcohol intake and participation in the activity are changed and output (for example, displayed). In one example, Observations II of "Fever" and "Pain" are added when a rapid increase in respiratory rate is detected. In one example, "awareness" is added as observation item II when there is a sudden rise or fall in heart rate SA4.

(Second embodiment)
In the second embodiment, the observation item II, the observation frequency IT, and the observation determination criterion IS are changed based on at least one of the data input about the observation result and the data detected by the sensor 61. be.

FIG. 12 is a flow chart diagram illustrating the operation of the medical care support system according to the first embodiment.
FIG. 12 exemplifies the operation of changing the observation item II, the observation frequency IT, and the observation criterion IS performed in one cycle. As shown in FIG. 12, the control unit 10 causes the input/output terminal 20 to output the message (step S210). The message includes at least one of observation item II, observation frequency IT, and observation criterion IS. The control unit 10 can prompt the user 82 to input the result of observing the subject 81 .

The control unit 10 acquires observation results (step S211). The control unit 10 determines whether or not the observation result meets the defined criteria (step S215). For example, observation results are quantified. The digitized value and a threshold for that value are compared. Terminate if the observation results do not meet the defined criteria.

If the observation result meets the defined criteria, the control unit 10 acquires data (sensor data) detected by the sensor 61 (step S220). The control unit 10 compares the sensor data with defined criteria (step S225). For example, sensor data is digitized (for example, value SA6 in FIG. 13 described later). The digitized value (value SA6) is compared with a threshold for that value (for example, threshold TH6 in FIG. 13). Terminate if the sensor data is less than the defined criteria. The quantified values and thresholds for the observations correspond to the quantified values and thresholds for the sensor data.

If the sensor data is equal to or higher than the defined standard, the control section 10 changes the observation item II, the observation frequency IT, and the observation determination standard IS (step S230). After that, the process proceeds to step S210A. In this example, the process proceeds to step S210A through steps S231, 250, and step S251, which will be described later. In step S210A, the control unit 10 changes the observation item II, the observation frequency IT, and the observation criterion IS, and causes the input/output terminal 20 to output them. After that, the control unit 10 further acquires the observation result input by the user 82 (step S211A).

As shown in FIG. 12, an approval process (step S231) may be performed for changes in at least one of observation item II, observation frequency IT, and observation criterion IS. If approved in the approval process (step S231), at least one of observation item II, observation frequency IT, and observation criterion IS is changed, and the process proceeds to the next step (step S250 in the example of FIG. 12). . If not approved, exit. Further, as shown in FIG. 12, the notification may be changed (step S250, for example, at least one of the destination of the notification and the method of notification) may be changed. For notification changes, an approval process (step S251) may be performed.

For example, steps S210, S211, S215, S220, S225, S230, S250 and S251 are performed for each observation cycle. For example, step S220 may correspond to one of the routine acquisitions of sensor data. In the above example, after performing the first process including steps S210, S211 and S215, the second process including steps S220 and S225 is performed. Without being limited to this example, in the embodiment, for example, the first process and the second process may be performed in parallel. In the embodiment, step S230 may proceed to step S230 when the criteria for the first process are met (Yes in step S215) or when the criteria for the second process are met (Yes in step S225).

An example of such operation will be described below.

FIG. 13 is a graph diagram illustrating the medical care support system according to the second embodiment.
The horizontal axis of FIG. 13 is time tm. The vertical axis in FIG. 13 is the value SA6 regarding the number of times the subject 81 leaves the bed at night. For example, when the number of times of getting out of bed at night is large, the value SA6 becomes large. For example, a threshold TH6 may be defined for the value SA6. In the fourth state ST4, the value SA6 is less than the threshold TH6. If the state in which the value SA6 is equal to or greater than the threshold TH6 continues to occur, the fifth state ST5 is reached.

14(a) to 14(d) are schematic diagrams illustrating the operation of the medical care support system according to the second embodiment.
In the example shown in FIG. 14( a ), the identification information ID of the subject 81 is displayed on the display section 20D of the input/output terminal 20 . For example, the user 82 "touches" and selects the "XXXXXX3" portion of the display section 20D, thereby shifting to the "XXXXXX3" screen (input/output screen) shown in FIG. 14(b).

On the screen of FIG. 14(b), an input area 25 relating to observation item II is displayed. In this example, buttons 25a to 25f are displayed as the input area 25 when the data detected by the sensor 61 is in the fourth state ST4.

As shown in FIG. 14(c), when the data detected by the sensor 61 is in the fifth state ST5, the changed input area 26 is displayed in addition to the buttons 25a to 25f of the input area 25. FIG. In this example, the modified input area 26 includes a "excretion" button 26e and a "consciousness" button 26a. By moving (or touching) the switch portions of these buttons to the left or right, it is possible to input "applicable" or "non-applicable" for the item.

Thus, in the second embodiment, when the sensor 61 detects a special state (in this example, the fifth state ST5, in which the number of times of leaving the bed at night is high), , Observation Item II is modified. This will allow us to provide better service. The observation frequency IT or the observation criterion IS may be changed based on the data detected by the sensor 61 .

For example, if the sensor 61 detects a decrease in sleep efficiency at night, there is a possibility that awakening during the night will increase, leading to behavior of getting out of bed. An index of sleep efficiency at night can be used to predict behavior of getting out of bed. Based on this index, the observation frequency IT is increased. Based on this index, the water intake observation criterion IS is changed. For example, water intake may be restricted. For example, it is possible to easily suppress overturning caused by leaving the bed.

In the second embodiment, for example, the control unit 10 outputs based on at least one of the data input about the observation result and the data detected by the sensor 61 that detects the state of the subject 81. The observation item II, the observation frequency IT, and the observation criterion IS included in the message may be changed and output to the input/output terminal 20 . We can provide better service.

As shown in FIG. 14(d), the conditions regarding notification may be changed. For example, the control unit 10 may change at least one of the notification destination and notification method based on at least one of the data detected by the sensor 61 and the input data. .

In one example according to the second embodiment, for example, the subject may get out of bed more often at night. In this case, the sensor 61 indicates that the number of times of leaving the bed at night increases. For example, observations may include ``increased fluid intake'', ``decreased degree of activity participation'', ``decreased mood'', ``occurrence of incontinence'', or ``increased frequency of diaper changes''. may contain. In such cases, Observation Item II is modified. For example, the state of excretion, the amount of excretion, or the frequency of excretion is added as observation item II. As for "excretion" of button 26e in FIG. 14(c), "applicable" or "non-applicable" is entered depending on whether or not the frequency of excretion in one night exceeds a certain threshold value. For example, "consciousness" and "pain" are added as observation items II.

For example, the sensor 61 detects an increase in the number of times of getting out of bed at night. In the case of including “occurrence of incontinence” or “increase in frequency of changing diapers”, evaluation of sleep efficiency may be started based on the results obtained by the sensor 61 . In such a case, evaluation of the day/night reversal situation may be initiated.

In the second embodiment, observation item II, observation frequency, or , observation criterion IS, etc. are changed. As a result, for example, excessive increase in observation items II is suppressed, and the user 82 can perform observation based on effective and small number of observation items II. This allows, for example, less time and more effective observation. As a result, it becomes easier to provide the subject 81 with appropriate services (nursing care, medical practice, etc.).

In one example, when an abnormality (redness, dryness, etc.) is observed on the skin during "hygiene care", photographing of the skin with a camera is added as observation item II. In one example, when a decrease in mood or a decrease in participation in activities is observed, the observation criterion IS is "amount of change in food and water intake over the past week." may be set. This determination criterion facilitates understanding of changes in the situation of the subject 81 . In one example, when it is observed that the amount of water intake in the afternoon has increased by 30% or more relative to the average for the past week, as an observation item, grasping the number of nighttime awakenings, or grasping sleep efficiency, etc. is added. Alternatively, the observation criterion IS for observing the number of night awakenings or sleep efficiency may be changed.

(Third embodiment)
In the third embodiment, based on the data input about the observation result of the subject 81, the setting regarding transmission or non-transmission of the notification is changed.

FIG. 15 is a flow chart diagram illustrating the operation of the medical care support system according to the third embodiment.
As shown in FIG. 15, for example, the control unit 10 obtains the classification GI of the subject 81 (step S305). The control unit 10 causes the input/output terminal 20 to output a message (step S310). The message may include, for example, observation item II, observation frequency IT, and/or observation criteria IS. The output message corresponds to the target person 81's classification GI. For example, different messages may be output when the target person 81 is classified differently. With this message, the user 82 inputs the result of observing the subject 81 . The control unit 10 acquires the input observation result (step S311). The control unit 10 compares the input observation result with the standard (step S315). For example, observation results are quantified. The digitized value and a threshold for that value are compared. Terminate if the entered observations do not meet the criteria.

If the input observation result corresponds to the criteria, the control unit 10 outputs to the input/output terminal 20 a message regarding at least one of, for example, change of notification transmission or non-transmission, and change of notification threshold. (step S340). This message prompts you to approve the change in notification settings.

The control unit 10 determines the input result of the user 82 regarding approval of the change (step S341). If the user 82 does not approve the change of the settings related to reporting, the process ends without changing the settings related to reporting.

If approval is obtained for the change of the setting regarding the notification, the control unit 10 changes transmission or non-transmission of the notification, or changes the threshold regarding the notification (step S342). Furthermore, the control unit 10 may cause the input/output terminal to output a display (step S360) regarding at least one change of the destination of the notification and the method of notification (step S360). The control unit 10 may obtain approval for changing at least one of the notification destination and the notification method (step S361). If approval is not obtained in step S361, the process ends. If approval is obtained in step S361, the control unit 10 may further output a message including at least one of observation item II, observation frequency IT, and observation criterion IS, for example (step S310A). With this message, the user 82 inputs the result of observing the subject 81 . The control unit 10 further acquires the input observation result (step S311A).

For example, steps S305, S310, S311, S315, S340, S341, S342, S360 and S361 are performed for each observation period.

In the third embodiment, the control unit 10 can transmit a report based on the data detected by the sensor 61 that detects the state of the subject 81 . In one example, the control unit 10 generates a message regarding at least one of changing the transmission or non-transmission of the report and changing the threshold of the report based on the data input about the observation result of the subject 81. is output to the input/output terminal 20 . In another example, the control unit 10 changes the transmission or non-transmission of the report and the notification mode based on the classification GI of the subject 81 and the data input about the observation result of the subject 81. The input/output terminal 20 may output a message regarding at least one of the threshold changes. Furthermore, at least one of the destination of the notification and the method of notification may be changed based on at least one of the data detected by the sensor 61 and the data input about the observed result. By changing the condition for sending the notification based on the observation result of the subject 81 or the classification GI of the subject 81, it is possible to provide a medical care support system capable of providing more appropriate services.

In general, more calls increase the burden on health care workers or caregivers. In the third embodiment, the condition regarding reporting is changed based on the observation result of the subject 81 or the classification GI of the subject 81 . It is possible to provide more necessary reports while suppressing an excessive increase in the number of reports. For example, based on the observation result of the subject 81 or the classification GI of the subject 81, the frequency of reporting increases or decreases. For example, an excessive increase in the burden on medical staff or caregivers can be suppressed. It is possible to provide a medical care support system that can provide more appropriate services.

16(a) to 16(d) are schematic diagrams illustrating the operation of the medical care support system according to the third embodiment.
In the example shown in FIG. 16(a), when the target person 81 of the classification G3 "XXXXXX6" is in the first state ST1 (see FIG. 1(e)), the input area 25 regarding the observation item II is displayed on the display unit 20D. (buttons 25a to 25f) and the changed input area 26 ("Pain" button 26b) are displayed. In this example, a "report" button 28e is displayed on the display section 20D. For example, when the user 82 selects the "report" button 28e, the screen shifts to the "current report setting state" screen illustrated in FIG. 16(b).

In the example shown in FIG. 16(b), a button 24 for "report setting" is displayed as the "current report setting state". In this example, the "report setting" button 24 includes a "activity amount" button 24a, a "sleep/awake/getting out of bed" button 24b, a "breathing rate" button 24c, and a "heart rate" button 24d. include. In the example of FIG. 16(b), these buttons 24c are set to the state of "do not report" and no report is made.

On the screen shown in FIG. 16(b), the user 82 may be able to manually change the report setting by operating the "report setting" button 24 (buttons 24a to 24d). The user 82 may be able to change the settings related to reporting by operating the "Do you want to change?" button 28f and operating the "Approve" button 28g. By operating the button 28a for returning to the previous screen, it is possible to return to the previous screen.

As shown in FIG. 16(c), for example, when the user 82 inputs the result of observing the subject, the "pain" button 26b is brought into the relevant state. At this time, the control unit 10 may change the display of the button 24 for "report setting" as shown in FIG. 16(d). In this example, in the "report setting" button 24, the "respiratory rate" button 24c and the "heart rate" button 24d are displayed in the "report" state.

In the example of FIG. 16D, an "Approve" button 31 is displayed. When the user 82 operates the "approve" button 31, the display of the "report setting" button 24 changed by the control unit 10 is approved, and the "report" operation starts. In this example, when an abnormality is detected in the "breathing rate" and "heart rate", the control unit 10 notifies.

In the examples shown in FIGS. 16(a) to 16(d), the category GI of the target person 81 of "XXXXXX6" is the category G3. Classification G3 is, for example, respiratory diseases. At this time, when "pain" is observed in the observation result of the user 82, the control unit 10 prompts the user 82 to make a report regarding the sensor data corresponding to the classification GI. This will allow us to provide better service.

As will be described later, when the classification GI of the subject 81 is not the classification G3, if an abnormality is input for another observation item II, the notification setting may be changed for another sensor data value.

FIG. 17 is a schematic diagram illustrating the operation of the medical care support system according to the third embodiment. FIG. 17 shows another example of the display section 20D after the "pain" button 26b is brought into the corresponding state by the user 82 inputting the observation result of the subject in the state of FIG. 16(c). . As shown in FIG. 17, the "respiratory rate" button 24c and the "heart rate" button 24d are displayed in the "report" state. Then, "threshold" buttons 24da and 24db relating to heart rate notifications are displayed.

For example, when the "threshold" button 24da is selected, a notification is sent when the threshold reaches 120% of the normal value (for example, average value). For example, if the "threshold" button 24db is selected, a notification is sent when the threshold reaches 150% of the normal value (eg, average value).

When the user 82 operates the "Approve" button 31, the transmission or non-transmission of the report and the change of the threshold value are started.

18(a) and 18(b) are schematic diagrams illustrating the operation of the medical care support system according to the third embodiment.
In the example shown in FIG. 18(a), when the target person 81 of the classification G2 "XXXXXX1" is in the first state ST1 (see FIG. 1(e)), the input area 25 regarding the observation item II is displayed on the display unit 20D. (buttons 25a to 25f) and the changed input area 26 (button 26a of "awareness") are displayed. For example, when the user 82 inputs the result of observing the target person, the button 26a of "Awareness" is put into the corresponding state. In this case, under the control of the control unit 10, as shown in FIG. display. When the user 82 operates the "approve" button 31, the transmission of the report regarding "activity level" and "sleep/awake/getting out of bed" is started. If the "Awareness" button 26a is not in the relevant state, the report setting is, for example, in the initial setting state, and the buttons 24a and 24b are in the "No report" state, and no report is made.

As described above, when the classification G2 of the target person 81 of "XXXXXX1" is different from the classification G3 of the target person 81 of "XXXXXX6", the setting of the notification may differ depending on the input results of different observation items II. .

As described above, in the third embodiment, the control unit 10 changes transmission or non-transmission of the notification based on the classification GI of the subject 81 and the data input about the result of observing the subject 81, Also, it causes the input/output terminal 20 to output a message regarding at least one of the changes in the reporting threshold. Based on the data input about the observation result of the subject 81, the control unit 10 sends to the input/output terminal 20 a message regarding at least one of changing the transmission or non-transmission of the report and changing the threshold value of the report. You can output to . We can provide better service.

(Fourth embodiment)
In the fourth embodiment, observation item II is changed based on data detected by sensor 61 . For example, based on data detected by the sensor 61 (sensor data), an abnormality in the physical condition of the subject 81 (or a sign thereof) can be estimated. For example, heart failure or arrhythmia can be estimated from sensor data. Observation item II is changed when an abnormality in physical condition or the like is estimated.

For example, the control unit 10 causes the input/output terminal 20 to output a message (eg, step S110 in FIG. 6). The message includes, for example, at least one of observation item II, observation frequency IT, and observation criterion IS. With this message, the user 82 inputs the result of observing the subject 81 . The control unit 10 acquires the input observation result (for example, step S111 in FIG. 6).

The control unit 10 acquires data (sensor data) detected by the sensor 61 that detects the state of the subject 81 (eg, step S120 in FIG. 6). The control unit 10 compares the sensor data with the reference (for example, step S125 in FIG. 6). When the sensor data is less than the reference, the process returns to step S110 in FIG. 6, for example.

When the sensor data is equal to or higher than the standard, the control unit 10 changes at least one of the observation item II, the observation frequency IT, and the observation determination standard IS (eg, step S130 in FIG. 6). For example, when the biological information from the sensor data satisfies a defined criterion (for example, when an arrhythmia is estimated), the control unit 10 sets at least the observation item II, the observation frequency IT, and the observation criterion IS change any. After this, for example, the process may return to step S110 in FIG. In this case, in step S110A (see FIG. 6), the control unit 10 changes at least one of the observation item II, the observation frequency IT, and the observation criterion IS, and causes the input/output terminal 20 to output it.

For example, after step S130 in FIG. 6, an approval process (eg, step S131 in FIG. 6) may be performed for changes in at least one of observation item II, observation frequency IT, and observation criterion IS. Furthermore, the notification may be changed (step S150 in FIG. 6, for example, at least one of the destination of the notification and the method of notification) may be changed. For notification changes, an approval process (eg, step S151 of FIG. 6) may be performed.

As described with respect to FIG. 3(c), for example, a threshold TH3 may be defined with respect to the respiratory rate SA3. In one state, respiratory rate SA3 is below threshold TH3. Another condition occurs when the respiratory rate SA3 continues to be equal to or greater than the threshold TH3.

19(a) to 19(d) are schematic diagrams illustrating the operation of the medical care support system according to the fourth embodiment.
In the example shown in FIG. 19( a ), the identification information ID of the subject 81 is displayed on the display section 20D of the input/output terminal 20 . For example, the user 82 "touches" and selects the "XXXXXX6" portion of the display section 20D, thereby shifting to the "XXXXXX6" screen (input/output screen) shown in FIG. 19B.

FIG. 19(b) corresponds to state STa3 (for example, normal state). In state STa3, respiratory rate SA3 is below threshold TH3. In state STa3, an input area 25 (buttons 25a to 25f) relating to observation item II is displayed.

FIGS. 19(c) and 19(d) correspond to state STb3. In state STb3, a state in which the respiratory rate SA3 is equal to or greater than the threshold TH3 continues to occur. As shown in FIG. 19(c), when the state is shifted to state STb3 based on the data detected by the sensor 61, the changed input area 26, for example, the button 26a of "Awareness" is displayed.

Thus, the control unit 10 causes the input/output terminal 20 to output a message including at least one of the observation item II, the observation frequency IT, and the observation criterion IS (see FIG. 19B). The control unit 10 can prompt the user 82 to input the result of observing the subject 81 . Based on the data detected by the sensor 61 that detects the state of the subject 81, the control unit 10 changes at least one of the observation item II, the observation frequency IT, and the observation determination criterion IS to change the input/output terminal 20 (see FIG. 19(c)). We can provide better service.

As shown in FIG. 19D, when the state is shifted to state STb3 based on the data detected by the sensor 61, the display state of the "participate in activity" button 25c may change. In this case, a message "recommend to stop" may be output for "participation in activity". We can provide better service.

In the fourth embodiment, the observation item II, the observation frequency, or the observation criterion IS is changed based on the data detected by the sensor 61 . As a result, for example, excessive increase in observation items II is suppressed, and the user 82 can perform observation based on effective and small number of observation items II. This allows, for example, less time and more effective observation. As a result, it becomes easier to provide the subject 81 with appropriate services (nursing care, medical practice, etc.).

In one example according to the fourth embodiment, deterioration of physical condition of the subject 81 is detected by the sensor 61 . For example, data detected by sensor 61 indicates that the respiratory rate is increasing. In such a case, for example, an observation item II for checking body temperature may be added. For example, user 82 may be prompted to stop participating in the activity. For example, the user 82 may be prompted to observe specifically for awareness or pain.

In the embodiment, the control unit 10 may change the notification threshold based on the data detected by the sensor 61 . For example, based on the data detected by sensor 61, it can be seen that the heart failure index has increased. In this case, the control unit 10, for example, starts transmitting a report regarding the heart rate. For example, the control unit 10 may change the threshold for heart rate. For example, if a heart failure index rises, the control unit 10 may initiate transmission of respiratory rate notifications. In this way, the sensor 61 may be used to grasp the sign of the physical condition of the target person 81, and the conditions relating to the notification may be changed.

When the heart failure index increases based on the data detected by the sensor 61, the control unit 10 may change the observation item II, for example. If the index related to heart failure increases, the control unit 10 may add, for example, alcohol intake, participation in activities, mood (or good mood), etc. as observation item II.

An example of a sensor device 62 that can be used as the sensor 61 will be described below. As already explained, the sensor device 62 is provided between the bed 70B and the subject 81 (see FIG. 1).

In embodiments, the sensor device 62 includes a circuit portion and a sensor portion. The circuit part includes a communication part. The communication unit transmits and receives data to and from the control unit 10 (or the sensor control unit 65). Transmission and reception may be by any method including wired and/or wireless.

The sensor unit detects a force (or a characteristic corresponding to the force) that the sensor unit receives. Forces include, for example, pressure and/or sound waves. The sensor section includes, for example, a pressure sensor. The sensor unit includes, for example, a microphone.

A force (at least one of pressure and sound waves) from the subject 81 is applied to the sensor section via the mattress 76 . For example, the circuit unit outputs a signal based on the force detected by the sensor unit. The output signal is supplied to the control section 10 (or the sensor control section 65). In the control unit 10 (or the sensor control unit 65), the state of the subject 81 (getting out of bed, sleeping, or arousal) is estimated. Alternatively, the circuit unit may estimate the state of the subject 81 (getting out of bed, sleeping, waking, etc.) based on at least one of the force detected by the sensor unit and the temporal change in the force. The state of the subject 81 may include getting up, preparing to get out of bed (for example, sitting on the edge), getting out of bed, falling asleep, sleeping, or waking.

Furthermore, in at least one of the control unit 10 (or the sensor control unit 65) and the circuit unit, the target based on at least one of the magnitude of the signal (force) and the temporal change in the magnitude of the signal (force) A biological signal of a person is detected. The biological signal includes at least one of the subject's respiration rate and heart rate. A state of sleep may be estimated based on the biosignal. The posture of the subject while sleeping may be estimated based on the biosignals.

For example, vibration corresponding to the state of the subject 81 is applied to the sensor section. The vibration corresponds to body movement of the subject 81, for example. Vibrations are detected at the sensor unit. Vibration may include sound.

For example, a vibration detection means (sensor section) and a processing section (at least part of at least one of the circuit section and the control section 10 (or the sensor control section 65)) are provided. The processing unit includes, for example, a computer. The vibration detection means detects, for example, vibration of the subject 81 on the bed 70B.

The processing unit includes, for example, activity amount calculation means, sleep determination value calculation means, and sleep state determination means. These means are functionally separated. The activity amount calculation means calculates the activity amount of the sleeping person for each sampling unit time, for example, based on the vibration detected by the vibration detection means. The sleep determination value calculation means weights, for example, the amount of activity at a first time (for example, the current time) and the amount of activity calculated at a second time (for example, a time before the current time) according to time. The sum of the values multiplied by the correction coefficients may be calculated as the sleep determination value. For example, the sleep state determining means may determine that the user is in an awake state when the sleep determination value exceeds a predetermined threshold, and otherwise determine that the user is in a sleeping state.

20(a) to 20(d) are schematic diagrams illustrating the sensor according to the embodiment.
FIG. 20( a ) is a cross-sectional view of an example sensor device 62 . 20(b) is a plan view of an example sensor device 62. FIG. FIG. 20(c) is a perspective view illustrating the arrangement of the sensor device 62. FIG. FIG. 20(d) is a side view illustrating the placement of the sensor device 62. FIG.

As shown in FIG. 20(a), in this example, the sensor device 62 includes a first plate 62p and a second plate 62q. The second plate 62q faces the first plate 62p. These plates may be sheet-like.

The second plate 62q includes support protrusions 62s. 62 s of support protrusions oppose the outer edge part of the 1st plate 62p. The first plate 62p includes an inner portion inside the outer edge. An air container 62r is provided between the inner portion and the second plate 62q. In this example, a groove 62t is provided in the second plate 62q. An air container 62r is provided in a space (divided space) formed by the groove 62t. One end of the signal line 62u is connected to the air container 62r. The other end of the signal line 62u is connected to a detection circuit 62v (detection device).

As shown in FIG. 20(b), the support protrusion 62s faces part of the outer edge of the first plate 62p. In this example, the support protrusions 62s are provided at four corners of the first plate 62p. The sensor device 62 is sheet-like or plate-like.

As shown in FIG. 20(c), the above sensor device 62 is placed on the bottom 71. As shown in FIG.

As shown in FIG. 20(d), the sensor device 62 is placed on the bottom 71, and the mattress 76 is placed thereon. A subject 81 lies on the mattress 76 .

For example, a force corresponding to the body movement of the subject 81 is applied to the air container 62r. This force includes, for example, vibration. A force (or characteristic corresponding to the force) applied to the air container 62r is detected by the detection circuit 62v. For example, the air container 62r is provided with a pressure detector, and a signal (detection result) obtained by the pressure detector is supplied to the detection circuit 62v. For example, the air container 62r is provided with a microphone, and a signal (detection result) obtained by the microphone is supplied to the detection circuit 62v. For example, the output (signal) of the detection circuit 62v is supplied to the control section 10 (or the sensor control section 65). The control unit 10 (or the sensor control unit 65) estimates the state of the subject 81 (getting out of bed, sleeping, awake, or the like). Alternatively, the detection circuit 62v may estimate the state of the subject 81 (getting out of bed, sleeping, waking, etc.) based on at least one of the detected force and temporal change in the force. The state of the subject 81 may include sitting up, sitting on the edge (for example, preparing to get out of bed), getting out of bed, falling asleep, sleeping, or waking.

In the sensor device 62, the first plate 62p is arranged on the body side of the subject 81, for example. The second plate 62q is provided, for example, on the support side. A deformable air container 62r for air pressure detection is provided between the central portions of the first plate 62p and the second plate 62q. A groove 62t for mounting the air container 62r is provided in the central portion of the second plate 62q. 62 s of support protrusions protrude in the direction which goes to the 1st plate 62p from the 2nd plate 62q. The support protrusions 62s support the four corners around the first plate 62p. 62 s of support protrusions support the 1st plate 62p so that it may be in a horizontal state (normal state), for example.

Sensors 61 according to embodiments may include, for example, optical sensors. The optical sensor may include, for example, an imaging device. The optical sensor acquires an image of the subject 81 . Data about the acquired image is supplied to the control unit 10 (or the sensor control unit 65) or the like. For example, the state of the subject 81 can be detected from the image of the subject 81 in the control unit 10 (or the sensor control unit 65). The operations described with respect to the first to fourth embodiments may be performed based on the data obtained by the optical sensor.

The operations according to the first to fourth embodiments may be performed based on data illustrated in FIGS. 4 and 5, for example. The above operation may be performed by reading data from the storage unit 10M provided in the control unit 10 or the storage unit provided in the sensor control unit 65 or the like. Data relating to the “predetermined criteria” and the like may be stored in the storage unit 10M provided in the control unit 10, the storage unit provided in the sensor control unit 65, or the like.

In embodiments, input of observations by user 82 may include, for example, uploading a photograph of subject 81 . For example, by taking a picture of the subject's 81 body (for example, a hand), the state of the subject 81 can be input more accurately.

Embodiments may include the following configurations.
(Configuration 1)
A control unit capable of outputting a message including at least one of an observation item, an observation frequency, and an observation criterion to an input/output terminal and prompting the subject to input the result of observing the subject,
The control unit controls the observation item included in the message based on at least one of data input about the observed result and data detected by a sensor that detects the condition of the subject. , a medical care support system, wherein the observation frequency and the observation criterion are changed and output to the input/output terminal.

(Configuration 2)
Medical care according to configuration 1, wherein at least one of the destination of the report and the method of the report is changed based on at least one of the data detected by the sensor and the input data. support system.

(Composition 3)
The observation items include at least one selected from the group consisting of meals, water intake, participation in activities, mood, cleanliness, taking medication, excretion, consciousness, pain, dyspnea, fever, oxygen administration, and postural change. The medical care support system according to configuration 1 or 2, comprising:

(Composition 4)
4. The nursing care and medical support system according to any one of configurations 1 to 3, wherein the observation criteria include thresholds for the observation items.

(Composition 5)
Equipped with a control unit capable of transmitting a report based on data detected by a sensor that detects the state of the subject,
The control unit inputs and outputs a message regarding at least one of changing the transmission or non-transmission of the notification and changing the threshold of the notification based on the data input about the result of observing the subject. A medical care support system that outputs to a terminal.

(Composition 6)
Equipped with a control unit capable of transmitting a report based on data detected by a sensor that detects the state of the subject,
The control unit changes transmission or non-transmission of the notification and changes the threshold of the notification based on the classification of the subject and the data input about the result of observing the subject. A medical care support system that outputs a message regarding at least one of the above to an input/output terminal.

(Composition 7)
7. The medical care support system according to configuration 5 or 6, wherein the control unit causes the input/output terminal to output a message prompting the approval.

(Composition 8)
8. The configuration according to any one of configurations 5 to 7, wherein, when the approval is obtained, the control unit performs the change of the transmission or the non-transmission of the notification, or the change of the threshold. medical care support system.

(Composition 9)
Configurations 5 to 8, wherein at least one of the notification destination and the notification method is changed based on at least one of the data detected by the sensor and the input data. The medical care support system according to any one.

(Configuration 10)
A control unit capable of outputting a message including at least one of an observation item, an observation frequency, and an observation criterion to an input/output terminal to prompt input of the observation result of the subject,
The control unit changes at least one of the observation item, the observation frequency, and the observation determination criteria based on data detected by a sensor that detects the condition of the subject, and changes the observation criteria to the input/output terminal. Medical care support system to output.

(Composition 11)
The state of the subject is a group consisting of the subject's body movement, the subject's leaving or staying in bed, the subject's sleep or wakefulness, the subject's breathing rate, and the subject's heart rate. 11. The medical care support system according to any one of configurations 1 to 10, including at least one selected from

(Composition 12)
The subject uses a bed,
12. The medical care support system according to configuration 11, wherein the sensor is provided between the bed and the subject.

(Composition 13)
13. The medical care support system according to any one of configurations 1-12, wherein the sensor includes an optical sensor.

According to the embodiment, it is possible to provide a medical care support system capable of providing more appropriate services.

The embodiments of the present invention have been described above with reference to specific examples. However, the invention is not limited to these specific examples. For example, with regard to the specific configuration of each element such as the control unit, the sensor, and the input/output terminal included in the medical care support system, those skilled in the art can implement the present invention in the same manner by appropriately selecting from the known range. It is included in the scope of the present invention as long as the effect of the above can be obtained.

Any combination of two or more elements of each specific example within the technically possible range is also included in the scope of the present invention as long as it encompasses the gist of the present invention.

In addition, based on the medical and nursing care support system described above as an embodiment of the present invention, all medical and nursing care support systems that can be implemented by those skilled in the art by appropriately changing the design, as long as they include the gist of the present invention. belong to the range.

In addition, within the scope of the idea of the present invention, those skilled in the art can conceive of various modifications and modifications, and it is understood that these modifications and modifications also belong to the scope of the present invention. .

While several embodiments of the invention have been described, these embodiments have been presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and modifications can be made without departing from the scope of the invention. These embodiments and their modifications are included in the scope and spirit of the invention, as well as the scope of the invention described in the claims and equivalents thereof.

REFERENCE SIGNS LIST 10 control unit 10M storage unit 20 input/output terminal 20C communication unit 20D display unit 20S input/output device 24, 24a to 24d, 24da, 24db buttons 25 input area 25a 25f button 26 input area 26a to 26e button 27a button 27b, 27c information 28a to 28c, 28e to 28g button 28d display input unit 31 button 61 sensor 62...Sensor device 62p...First plate 62q...Second plate 62r...Air container 62s...Supporting protrusion 62t...Groove 62u...Signal line 62v...Detection circuit 63...Optical sensor 65 ... Sensor control unit 66 ... Server 70B ... Bed 71 ... Bottom 76 ... Mattress 81 ... Subject 82 ... User 110 ... Medical care support system G1 to G12 ... Classification GI ... Classification I1 to I12... Item, ID... Identification information, II... Observation item, IT... Observation frequency, IS... Observation criteria, OB... Getting out of bed, SA1... Value, SA2... Value, SA3... Respiratory rate, SA4... Heart rate, SA5... Accumulation Value SA6... Value SP... Sleep ST1 to ST5... First to fifth states STa3, STb3... States TH1, TH3, TH4, TH6... Thresholds TT1, TT2... First and second thresholds Value, WK...Awakening, tm...Time

Claims (6)

a sensor that detects the subject's state;
a control unit that causes an input/output terminal to output a message including an observation item and receives an input of the observation result of the subject;
with
The control unit determines whether or not the input result corresponds to the set first criterion, and if the result does not correspond to the first criterion, the state of the subject detected by the sensor When the result corresponds to the first criterion without acquiring data indicating the condition of the subject detected by the sensor, and the data is equal to or higher than the second criterion , the input/ output terminal by changing at least one of the observation frequency of the observation item corresponding to the second criterion or higher and the observation determination criterion of the observation item corresponding to the second criterion or higher; A medical care support system that outputs to Based on at least one of the data detected by the sensor and the data input about the observed result, the control unit controls at least one of the destination of the report and the method of the report. The medical care support system according to claim 1 , wherein the is changed. The observation items include at least one selected from the group consisting of meals, water intake, participation in activities, mood, cleanliness, taking medication, excretion, consciousness, pain, dyspnea, fever, oxygen administration, and postural change. 3. The medical care support system according to claim 1 or 2 , comprising: The state of the subject is a group consisting of the subject's body movement, the subject's leaving or staying in bed, the subject's sleep or wakefulness, the subject's breathing rate, and the subject's heart rate. The medical care support system according to any one of claims 1 to 3, comprising at least one selected from. The subject uses a bed,
5. The medical care support system according to claim 4, wherein said sensor is provided between said bed and said subject. The medical care support system according to any one of claims 1 to 5, wherein said sensor includes an optical sensor.

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