JP7779014B2 - Information processing program, information processing device, and information processing method - Google Patents

Description

The present invention relates to an information processing program, an information processing device, and an information processing method.

Japan's postwar high economic growth has led to a marked increase in life expectancy, thanks to improvements in living standards, sanitary conditions, and medical standards. This, coupled with a declining birthrate, has resulted in an aging society with a high aging rate. In such an aging society, it is expected that the number of people requiring care or nursing due to illness, injury, aging, etc. (hereinafter referred to as "care recipients") will increase.

In facilities such as hospitals and elderly welfare facilities (hereinafter referred to as "nursing care facilities"), caregivers, nurses, etc. (hereinafter referred to as "care staff") provide care to care recipients (see, for example, Patent Document 1). Care staff provide care in accordance with a care plan for each care recipient.

Japanese Patent Application Laid-Open No. 2019-192065

In such nursing care facilities, it is desirable to reduce the burden on care staff by streamlining operations.

The present invention was made in consideration of the above circumstances, and aims to provide an information processing program, information processing device, and information processing method that can reduce the burden on care staff and others.

The above objectives will be achieved by the following means:

(1) An information processing program for causing a computer to execute a process comprising: a step (a) of acquiring subject information about a care recipient; and a step (b) of extracting improvement-requiring items from among a plurality of items that represent the condition of the care recipient, based on the subject information acquired in step (a).

(2) The information processing program described in (1) above further causes a computer to execute step (c), which associates the improvement items extracted in step (b) with the care plan for the care recipient and stores them in a storage unit.

(3) In step (c), the information processing program described in (2) above stores information regarding whether the improvement-requiring item has been incorporated into the care plan.

(4) In step (c), when the improvement-requiring item is not incorporated into the care plan, the information processing program described in (3) above stores the reason why the improvement-requiring item is not reflected in the care plan.

(5) The information processing program described in any one of (1) to (4) above, further causing a computer to execute step (d) of determining the priority of incorporation of the improvement items extracted in step (b) into the care plan for the care recipient.

(6) An information processing program according to any one of (2) to (5) above, further causing a computer to execute step (e) of analyzing the condition of the care recipient after the care plan is implemented.

(7) The information processing program described in (6) above, further causing a computer to execute step (f) of storing the results of the analysis performed in step (e) in association with the items requiring improvement.

(8) The information processing program according to any one of (1) to (7), wherein step (b) includes step (b1) of evaluating the condition of the care recipient for each of the plurality of items based on the subject information acquired in step (a), and step (b2) of extracting the items requiring improvement based on the results of the evaluation in step (b1).

(9) The information processing program described in (8) above, wherein step (b1) quantitatively evaluates the condition of the care recipient for each of the plurality of items.

(10) An information processing program according to any one of (1) to (9) above, wherein in step (a), the subject information is acquired from a database.

(11) The information processing program according to any one of (1) to (10) above, further causing a computer to execute step (g) of outputting information relating to the improvement items extracted in step (b).

(12) An information processing device that executes the information processing program described in any one of (1) to (11) above.

(13) An information processing method including the step (a) of acquiring subject information about a care recipient, and the step (b) of extracting improvement-requiring items from among a plurality of items that represent the condition of the care recipient based on the subject information acquired in the step (a).

The information processing program, information processing device, and information processing method of the present invention acquire subject information about care recipients and extract items requiring improvement based on this subject information. This allows care staff and others to easily grasp the items requiring improvement for each care recipient, reducing the burden required, for example, to create a care plan. This makes it possible to reduce the burden on care staff.

1 is a diagram showing a schematic configuration of an information processing system to which an information processing apparatus according to an embodiment of the present invention is applied; FIG. 2 is a block diagram showing a schematic configuration of the information processing device shown in FIG. 1 . FIG. 4 is a diagram illustrating an example of target person information provided by the external server illustrated in FIG. 3 . FIG. 2 is a block diagram showing a schematic configuration of an external server shown in FIG. 1 . FIG. 3 is a block diagram showing a functional configuration of the information processing device shown in FIG. 2 etc. 6 is a diagram illustrating an example of an evaluation result by the evaluation unit illustrated in FIG. 5 . 6 is a diagram illustrating an example of an extraction result obtained by the extraction unit illustrated in FIG. 5 . 6 is a diagram illustrating an example of priorities determined by a priority determination unit illustrated in FIG. 5 . 6 is a diagram illustrating an example of an analysis result by the analysis unit illustrated in FIG. 5 . 3 is a flowchart showing a procedure of processing executed in the information processing device shown in FIG. 2 etc.

Embodiments of the present invention will now be described with reference to the accompanying drawings. Note that in the description of the drawings, identical elements will be assigned the same reference numerals, and duplicate explanations will be omitted. Also, the dimensional proportions in the drawings have been exaggerated for the sake of explanation, and may differ from the actual proportions.

<Overall configuration of information processing system 1>
FIG. 1 is a diagram showing a schematic configuration of an information processing system (information processing system 1) to which an information processing device (an information processing device 200 described later) according to an embodiment of the present invention is applied.

The information processing system 1 is configured, for example, by an information processing device 200 and an external server 300. The information processing device 200 and the external server 300 are configured to be mutually connectable via a network.

<Configuration of information processing device 200>
The information processing device 200 is a terminal used by users such as managers, administrators, and care staff of a nursing care facility, and is an information processing terminal such as a desktop personal computer (PC), a notebook PC, a tablet PC, or a smartphone. The information processing device 200 may be configured as a server. The information processing device 200 may be configured as a plurality of devices, or may be virtually configured as a cloud server by a large number of servers, for example.

Figure 2 is a block diagram showing the general configuration of the information processing device 200.

As shown in FIG. 2, the information processing device 200 has a CPU (Central Processing Unit) 210, a ROM (Read Only Memory) 220, a RAM (Random Access Memory) 230, storage 240, a communication interface 250, and an operation display unit 260. Each component is connected to each other via a bus 270 so that they can communicate with each other.

The CPU 210 controls the above components and performs various arithmetic processing in accordance with programs recorded in the ROM 220 or storage 240. In this embodiment, the CPU 210 functions as an acquisition unit, an evaluation unit, an extraction unit, a priority determination unit, a comparison unit, an analysis unit, and an output unit. Details of each function of the information processing device 200 realized by the CPU 210 will be described later.

ROM 220 stores various programs and data.

RAM 230 serves as a working area for temporarily storing programs and data.

Storage 240 stores various programs, including an operating system, and various data. Programs that enable CPU 210 to execute various processes are installed in storage 240. In addition, storage 240 stores, as an internal database, information about the care recipients at each care facility, indicating their status. Details of the care recipient information will be described later. Storage 240 may also store care plans for each care recipient. For example, applications are installed in storage 240 for accepting input from the user, sending and receiving various information to and from other devices such as external server 300, and outputting acquired information to operation display unit 260.

The communication interface 250 is an interface for communicating with other devices. The communication interface 250 may be a wired or wireless communication interface conforming to various standards.

The operation display unit 260 is, for example, a touch panel display that displays various information and accepts various inputs from the user.

<Configuration of external server 300>
The external server 300 stores, for example, subject information on care recipients as a database. The external server 300 provides this subject information to managers, administrators, care staff, etc. of nursing care facilities via, for example, a website. The external server 300 may be operated by a government, a local government, etc.

Figure 3 shows an example of subject information for a specified care recipient (care recipient A) provided by external server 300. The subject information is categorized into multiple fields, such as general, dementia, oral, and nutrition. Subject information in the general field includes information such as gender, date of birth, and whether or not the person lives with others. Subject information in the dementia field includes information such as a history of dementia and level of motivation. Subject information in the oral field includes information such as dietary habits and a history of aspiration pneumonia. Subject information in the nutrition field includes information such as height, weight, and attitudes toward diet.

Figure 4 is a block diagram showing the general configuration of the external server 300 on which such target person information is stored.

The external server 300 has a CPU 310, ROM 320, RAM 330, storage 340, a communication interface 350, and an operation display unit 360. Each component is connected to each other via a bus 370 so that they can communicate with each other.

The components of the CPU 310, ROM 320, RAM 330, storage 340, communication interface 350, and operation display unit 360 have the same functions as the corresponding components of the information processing device 200, so duplicated descriptions will be omitted.

Storage 340 has installed therein a program for providing the above-mentioned subject information via a website. Storage 340 also stores the subject information as a database. The information stored in storage 340 is updated, for example, at predetermined intervals.

Note that the information processing system 1 may include components other than those described above, or may not include some of the components described above. Furthermore, the number of each component is not limited to one, and multiple components of each component may be provided.

<Functions of information processing device 200>
FIG. 5 is a block diagram showing the functional configuration of the information processing device 200.

The information processing device 200 functions as an acquisition unit 211, an evaluation unit 212, an extraction unit 213, a priority determination unit 214, a comparison unit 215, an analysis unit 216, and an output unit 217 by the CPU 210 reading and executing programs stored in the storage 240.

The acquisition unit 211 acquires subject information related to the care recipient (see Figure 3). The acquisition unit 211 may acquire the subject information from an external database on the external server 300, or may acquire the subject information from a database stored in the information processing device 200 as an internal database. The acquisition unit 211 also acquires information related to the care plan for each care recipient. The care plan is created, for example, by care staff at a nursing care facility.

Based on the subject information acquired by the acquisition unit 211, the evaluation unit 212 evaluates the condition of the care recipient in each of multiple items representing the condition of the care recipient. The multiple items representing the condition of the care recipient represent, for example, the care recipient's state of independence in daily life, health status, dietary status, excretory status, and mental state. The evaluation unit 212 evaluates the condition of each care recipient in each of these multiple items, for example, by using a predetermined algorithm. For example, the evaluation unit 212 may evaluate the condition of each care recipient by calculating a predetermined evaluation index using a pre-prepared calculation formula. Alternatively, the evaluation unit 212 may evaluate the condition of each care recipient by inputting the subject information into an evaluation model that has been machine-learned in advance using a large amount of training data and outputting information regarding the condition of each care recipient. It is preferable that the evaluation unit 212 quantitatively evaluate the condition of the care recipient. The evaluation unit 212 may perform a quantitative evaluation based on an average value or deviation calculated from the subject information of multiple care recipients, or may perform a quantitative evaluation of changes in each care recipient over time. Such quantitative evaluation by the evaluation unit 212 allows care staff and the like to easily grasp the condition of the care recipient for each item. The evaluation unit 212 may evaluate the condition of the care recipient for each of the multiple pieces of subject information acquired at different times by the acquisition unit 211.

Figure 6 shows an example of the evaluation results for care recipient A by the evaluation unit 212. The multiple items representing the condition of the care recipient include, for example, items related to ADL (Activity of Daily Living), cognitive function, motivation, oral cavity, eating disorders, height and weight change, and dietary nutrition. The evaluation unit 212 quantitatively evaluates the condition of each care recipient for these items, for example, on a scale of 0 to 100. In the example shown in Figure 7, the ADL scores are 80, motivation 85, and height and weight change 90, and the condition of care recipient A is relatively good for these three items. On the other hand, the condition of care recipient A is relatively poor for these two items, oral cavity 55 and eating disorders 50. The evaluation unit 212 may evaluate the condition of the care recipient for each of the multiple items in stages (for example, two stages of good and poor), or the evaluation by the evaluation unit 212 may be made using comments, etc.

The extraction unit 213 extracts improvement-requiring items from among multiple items based on the evaluation results by the evaluation unit 212. The extraction unit 213 extracts improvement-requiring items, for example, by determining the degree of need for improvement in the status of each item, i.e., the degree of improvement required.

7 shows an example of the level of improvement required for each item for care recipient A. The extraction unit 213, for example, determines the level of improvement required for each item using three levels: A, B, and C. Level of improvement required A indicates, for example, that the item is in the greatest need of improvement and requires improvement. Level of improvement required B indicates, for example, that the item is in less need of improvement than level of improvement required A, but improvement is still recommended. Level of improvement required C indicates, for example, that the item is in less need of improvement and it is sufficient to maintain the current state. In the example shown in FIG. 7, two items, oral cavity and eating disorder, are rated level of improvement required A, and two items, cognitive function and dietary nutrition, are rated level of improvement required B. The extraction unit 213, for example, extracts items with levels of improvement required A and level of improvement required B as items requiring improvement. The extraction unit 213 may extract items with level of improvement required A as items requiring improvement. Alternatively, the extraction unit 213 may extract items requiring improvement without determining the level of improvement required for each item.

The priority determination unit 214 determines the priority of the items requiring improvement extracted by the extraction unit 213 to be incorporated into the care plan for the care recipient. The priority determination unit 214 determines the priority based on, for example, the degree of improvement required for each item determined by the extraction unit 213 and the evaluation results of the evaluation unit 212.

Figure 8 shows an example of the priorities of items requiring improvement for care recipient A. The priority determination unit 214 determines priorities, for example, by ranking the items requiring improvement. In the example shown in Figure 8, in the care plan for care recipient A, improving eating disorders has the highest priority, followed by improving oral condition. The priorities of improving cognitive function and improving dietary and nutritional status are lower than, and about the same as, the priority of improving oral condition.

The comparison unit 215 compares the improvement items extracted by the extraction unit 213 with the care plan created for the care recipient, associates them, and stores them in storage 240 or the like. Specifically, whether or not the improvement items have been incorporated into the care plan is stored in storage 240 or the like. When the improvement items have not been incorporated into the care plan, for example, information to the effect that the improvement items have not been incorporated into the care plan, along with the reason for this, is stored.

The analysis unit 216 analyzes the condition of the care recipient after the care plan has been implemented, associates the analysis results with the items requiring improvement extracted by the extraction unit 213, and stores them in storage 240, etc. For example, storage 240, etc. stores whether the condition of the care recipient has improved in the items requiring improvement.

Figure 9 shows an example of the condition of care recipient A after a care plan has been implemented. This is the result of the evaluation by the evaluation unit 212 of the subject information acquired after the care plan has been implemented. In the example shown in Figure 9, the condition of care recipient A has improved in four areas requiring improvement extracted by the extraction unit 213: cognitive function, oral cavity, eating disorders, and dietary nutrition.

The output unit 217 outputs, for example, information related to the items requiring improvement extracted by the extraction unit 213. The output unit 217 may also output information related to the evaluation results evaluated by the evaluation unit 212. Furthermore, the output unit 217 outputs information related to the priority of each item determined by the priority determination unit 214, information related to the analysis results analyzed by the analysis unit 216, and the like. The output unit 217 outputs such information, for example, by displaying it on the operation display unit 260.

<Overview of Processing Executed in Information Processing Device 200>
The procedure of the process executed in the information processing device 200 according to this embodiment will be described with reference to FIG.

First, the information processing device 200 acquires information about the care recipients at the nursing care facility from the external database of the external server 300 (step S101). The information processing device 200 acquires, for example, information about each of multiple care recipients. The acquired information about the care recipients is stored, for example, in an internal database of the information processing device 200.

Next, the information processing device 200 quantitatively evaluates the condition of the care recipient for each of multiple items that represent the condition of the care recipient, based on the subject information acquired in step S101 (step S102). At this time, the information processing device 200 uses a predetermined algorithm.

Next, based on the evaluation results in step S102, the information processing device 200 extracts items requiring improvement to improve the condition of the care recipient (step S103), and determines the priority of these items requiring improvement to be incorporated into the care plan for the care recipient (step S104). Care staff at the nursing care facility, for example, create a care plan for each care recipient based on the priority determined by the information processing device 200.

When a care plan is created and information about this care plan is input into the information processing device 200, the information processing device 200 compares the input information about the care plan with the items requiring improvement extracted in step S103, and stores them in association with each other (step S105). Specifically, whether or not the items requiring improvement have been incorporated into the care plan is stored.

The information processing device 200 then determines whether the care plan has been implemented for a predetermined period of time (step S106). If it determines that the care plan has not been implemented for a predetermined period of time (step S106: NO), the information processing device 200 repeats the processing of step S106.

When it is determined that the care plan has been implemented for a predetermined period of time (step S106: YES), the information processing device 200 analyzes the condition of the care recipient (step S107). The analysis is performed, for example, by obtaining subject information after care has been implemented for a predetermined period of time and comparing the evaluation results of items requiring improvement based on this subject information with the evaluation results before care was implemented.

After analyzing the condition of the care recipient, the information processing device 200 stores the analysis results in association with the improvement items extracted in step S103 (step S108). For example, whether or not the condition of the care recipient has improved is stored for each improvement item.

The information processing device 200 then determines whether to end the processing (step S109). If it determines to end the processing, the information processing device 200 ends the processing (step S109: YES). If it determines not to end the processing, the information processing device 200 returns to the processing of step S101.

<Operational Effects of Information Processing Device 200 and Information Processing System 1>
The information processing device 200 and information processing system 1 according to this embodiment acquire information about the care recipient, and based on this information, extract improvement items for improving the condition of the care recipient. This allows the care staff to easily grasp the improvement items for each care recipient, thereby reducing the burden required for, for example, creating a care plan. The effects of this are described in detail below.

Even if useful information about care recipients could be obtained from an external database on an external server, in order to create a care plan, etc., it would be necessary to organize the information about the recipients by category, such as ADL, cognitive function, and motivation, which could impose a heavy burden on care staff, etc. Furthermore, it would be difficult for care staff, etc. to efficiently identify areas requiring improvement for each care recipient from among these categories.

In contrast, the information processing device 200 acquires subject information about the care recipient, and quantitatively evaluates the condition of the care recipient for each item based on this subject information. Therefore, care staff and others do not need to organize the subject information by item, and can easily grasp the condition of each care recipient for each item.

In addition, the information processing device 200 extracts items requiring improvement for each care recipient from these evaluated items. Therefore, care staff and others can easily grasp the items requiring improvement in addition to the condition of each care recipient, which can be useful in creating a care plan.

Furthermore, the information processing device 200 determines the priority for incorporating improvement items into the care plan for each care recipient. This allows care staff and others to efficiently create effective care plans for each care recipient in accordance with this priority.

In addition, the information processing device 200 stores information regarding whether or not the improvement items for each care recipient have been incorporated into the care plan. This allows care staff and others to easily confirm whether or not a care plan incorporating the improvement items has been created. Furthermore, this stored information can serve as evidence that the improvement items have been incorporated into the care plan. If an improvement item has not been incorporated into the care plan, the reason for this can be stored.

In addition, the information processing device 200 analyzes the condition of the care recipient after care is provided and stores information, for example, regarding whether the condition of the care recipient has improved in areas requiring improvement. Therefore, care staff and others can easily confirm whether the areas requiring improvement incorporated into the care plan have improved as planned, which can be useful when reviewing the care plan, etc.

As described above, the information processing device 200 of this embodiment acquires subject information about the care recipient, and based on this subject information, extracts items requiring improvement to improve the condition of the care recipient. Therefore, care staff and the like can easily grasp the condition and items requiring improvement of each care recipient, which can reduce the burden required, for example, to create a care plan. This makes it possible to reduce the burden on care staff.

The present invention is not limited to the above-described embodiments, and various modifications are possible within the scope of the claims.

For example, the information processing device 200 and the external server 300 may each include components other than those described above, or may not include some of the components described above.

Furthermore, the information processing device 200 and the external server 300 may each be composed of multiple devices, or may be composed of a single device.

Furthermore, the functions of each component may be realized by other components. For example, at least some of the processing described as being executed by the information processing device 200 may be executed by other devices, such as an application on a user terminal owned by each care staff member or an external server 300.

Furthermore, the processing units in the flowcharts in the above embodiments are divided according to the main processing content to make each process easier to understand. The method of classifying the processing steps does not limit the scope of the present invention. Each process can also be divided into more processing steps. Furthermore, one processing step may execute even more processes.

The means and methods for performing various processes in the information processing system according to the above-described embodiments can be realized by either dedicated hardware circuits or a programmed computer. The above programs may be provided, for example, on computer-readable recording media such as flexible disks and CD-ROMs, or online via a network such as the Internet. In this case, the programs recorded on the computer-readable recording media are typically transferred to and stored in a storage unit such as a hard disk. The above programs may also be provided as standalone application software, or may be incorporated into the software of the device as a system function.

1. Information processing system,
200 information processing device,
210 CPU,
211 Acquisition Department;
212 evaluation unit,
213 Extraction part,
214 Priority determination unit,
215 comparison unit,
216 Analysis Department,
217 output unit,
220 ROM,
230 RAM,
240 storage,
250 communication interface,
260 operation display section,
270 bus,
300 external server,
310 CPU,
320 ROM,
330 RAM,
340 storage,
350 communication interface,
360 operation display section,
370 bus.

Claims (9)

(a) obtaining subject information relating to subjects of care from databases operated by governments and local authorities ;
Step (b) of extracting improvement items that require improvement from a plurality of items that represent the condition of the care recipient based on the subject information acquired in step (a);
Step (c) of associating the improvement items extracted in step (b) with the care plan for the care recipient and storing them in a storage unit;
(h) determining whether the care plan has been implemented for a predetermined period of time;
and (e) analyzing the condition of the care recipient when it is determined in step (h) that the care plan has been implemented for a predetermined period of time;
The step (b)
Step (b1) of organizing the subject information classified into the plurality of fields acquired in step (a) into the plurality of items different from the plurality of fields to evaluate the condition of the care recipient;
and a step (b2) of extracting the items requiring improvement based on the results of the evaluation in the step (b1). The information processing program according to claim 1, wherein step (c) stores information regarding whether the improvement-requiring item has been incorporated into the care plan. The information processing program described in claim 2, wherein in step (c), when the improvement-requiring item is not incorporated into the care plan, the reason why the improvement-requiring item is not reflected in the care plan is stored. The information processing program of any one of claims 1 to 3 further causes a computer to execute step (d) of determining the priority of the improvement items extracted in step (b) to be incorporated into the care plan for the care recipient. The information processing program of any one of claims 1 to 4 further causes a computer to execute step (f) of storing the results of the analysis performed in step (e) in association with the improvement items. An information processing program according to any one of claims 1 to 5, wherein step (b1) quantitatively evaluates the condition of the care recipient for each of the plurality of items. The information processing program of any one of claims 1 to 6 further causes a computer to execute step (g) of outputting information relating to the improvement items extracted in step (b). An information processing device that executes the information processing program described in any one of claims 1 to 7. (a) obtaining subject information relating to subjects of care from databases operated by governments and local authorities ;
Step (b) of extracting improvement items that require improvement from a plurality of items that represent the condition of the care recipient based on the subject information acquired in step (a);
Step (c) of associating the improvement items extracted in step (b) with the care plan for the care recipient and storing them in a storage unit;
(h) determining whether the care plan has been implemented for a predetermined period of time;
and (e) analyzing the condition of the care recipient when it is determined in step (h) that the care plan has been implemented for a predetermined period of time;
The step (b)
Step (b1) of organizing the subject information classified into the plurality of fields acquired in step (a) into the plurality of items different from the plurality of fields to evaluate the condition of the care recipient;
and (b2) extracting the items requiring improvement based on the results of the evaluation in (b1).