CN109394223A - Monitor the method, apparatus and server of physical activity - Google Patents
Monitor the method, apparatus and server of physical activity Download PDFInfo
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- CN109394223A CN109394223A CN201710706823.XA CN201710706823A CN109394223A CN 109394223 A CN109394223 A CN 109394223A CN 201710706823 A CN201710706823 A CN 201710706823A CN 109394223 A CN109394223 A CN 109394223A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1118—Determining activity level
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
- A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
- A61B5/0816—Measuring devices for examining respiratory frequency
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1116—Determining posture transitions
- A61B5/1117—Fall detection
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/14542—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4806—Sleep evaluation
- A61B5/4815—Sleep quality
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6802—Sensor mounted on worn items
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
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Abstract
This application involves a kind of method, apparatus and server for monitoring physical activity, which includes: from bed sensor, to detect whether human body leaves bed；Motion sensor, it is described detect that human body leaves bed from bed sensor when, the detection human body whether leaves preset surveillance zone or whether the human body falls；And communication unit sends a message to server and is shown and alarmed if the motion sensor senses leave the preset surveillance zone to the human body or the human body is fallen.The application can be improved alarm accuracy and inhibit wrong report.
Description
Technical field
This application involves safety monitoring fields, more particularly, to a kind of method, apparatus and service for monitoring physical activity
Device.
Background technique
Dementia be in the world under a kind of epidemic disease.World today has more than 46,000,000 people with dementia.With people
Mouth aging, dementia crowd are increasing.To the year two thousand fifty, estimation can reach 1.135 hundred million with the people of dementia.Dementia is also
Along with huge nursing cost.By 2018, the global totle drilling cost estimation of dementia will reach trillion dollars.This is equivalent to
The 18th big economy in the world[1].Dementia illness rate increases with the age and is increased.Increase from the 1.4% of 65-69 years old age group
It is added to 23.6% organized for 85 years old or more[2]；Therefore, the illness rate of dementia sharply increases in the aging of population including Hong Kong
Long developed countries and regions can obviously increase.It is expected that Hong Kong has 60 years old of dementia and the above number will will increase 222%,
103,433 people from 2009 increase to 332,688 people in 2039[3].Obviously, the deformity of long-term health and social care is negative
Load and cost will greatly increase.Statistics Division, the Hongkong government, which expects 2039, will about 3,000,000 years old or more people[4]。
With the reduction of Dementia patients increased with labour, the problem of how maintaining the care service of the elderly, is increasingly prominent.
83% Dementia patients are diagnosed as slightly being classified.Being diagnosed in the people of dementia has 63% to suffer from A Er
Ci Haimo disease[5].The development of dementia usually very slowly, without apparent early indication, and similar with other diseases.Being difficult will
Mild dementia is differentiated with normal aging.The development of dementia varies with each individual, and different because of disease.In most cases, it
Symptom be slowly in progress for many years.With the development of dementia, the people with dementia may find that their memory, think
It examines, make decision, the ability of speech deteriorates.Their behavior may change, may be sad or dejected.Develop anxiety disorder
Or neurosis is fairly common.During the late stages of developmet, indignation or excitement are another common behavioral problems.It can trigger challenge
Property behavior, including attack.Commonly used restraint device (restraint) come prevent from hurting wearer or other people[6]。
Dementia patients need more to help in daily life, including wear the clothes, go to the toilet and diet.With Time Perception
The problem of, such as sundown syndrome, it may result in the problem of sleeping and having the fidgets at night.People's also usually astasia,
Lead to very high fall risk[7].Seem that it is necessary to prevent some from going around or standing up alone when getting up.
In order to solve the problems, such as to sleep and fall, the love of dementia the elderly and treatment family using different tools and are arranged
It applies, such as to psychotropic agent, camisole (strait jacket), guardrail (side rail), infrared from bed sensor, pressure pad
(induction alarm device, sensitive alarm) handles the old man left from the bed for preventing and alerting nursing staff.Have
Anxiety, depression, Mental health problem and/or insomnia the elderly take psychotropic agent[8].These drugs are also referred to as chemistry suppression
Preparation.It is reported that usually recommending to reduce using antipsychotics in primary and secondary nursing and developing care-giver appropriate
Technical ability is as non-drug therapy[9].It is had already appeared about the problem of using camisole.Therefore, even the hospital of mentally disabled person
Also it avoids using them[10].Usually prevent someone from falling or tumbling from his/her bed using guardrail.Guardrail also prevents him/her
Bed is left, but it is reported that someone can cross guardrail or be jammed, to cause serious injury.In addition, because dementia can
In the form of triggering some challenge behaviors, restraint device is the common measure for solving injury.But it may using restraint device
Cause sizable dispute.It is conceivable that patient stretch one's limbs, using bathroom, intend drinking water and be restricted, be not able to satisfy pair
These needs of oneself, this has a significant impact to his/her mental health.It is reported that the people using Planar Mechanisms device will show
Negative emotions out, such as helpless, depressed, frightened, angry, anxiety.When a people suffers restraints, due to the phase to restraint device
When big negatively reaction, it can trigger and scream, fight and swivet, this makes he/her and its caretaker be on the hazard.
Gastmans[11]It points out, restraint device has a consequences of many passivenesses, including respiratory tract complication, malnutrition, the urinary incontinence and just
Secret, reduction cardiovascular endurance, the dependence of increased excitement and daily routines, risk for mortality increases, muscle strength is impaired, flat
Weigh bad, decubitus ulcer and bruise.Compared to normal adults, since body is restricted, the body & mind situation of the elderly
It may be subjected to more adverse effects.In many cases, the anxiety that do not accommodate of controlled old man also increases, this causes to hurt
Evil risk increases[11].This is because people needs to escape restraint device with strength.With more and more people recognize anxiety and
The use of excitement, restraint device is reduced.Also it was reported that, restraint device is invalid in terms of preventing tumble or grievous injury
's[12,13].Since the patient of report and staff's injury rate are high, the restraint device usage amount reduction in the U.S. has been cited as country
Highest priority[14].However, this is still the requisite measure for preventing patient's evening events and tumble.
It can be used and carry out surrogating constraint device from bed sensor, to remind nursing staff to take row when patient leaves bed
It is dynamic.But for for leave that bed alarms it is infrared from the validity of bed sensor and pressure pad (pressure sensor)
It is subjected to very big concern.Food and drug administration (FDA) has had received largely about false alarm and can not be accurate
The report of alarm.It is infrared to combine from bed sensor and pressure pad to improve sensitivity, and reduce miss to the maximum extent
Report.However, this is combined still without eliminating this problem[15].Moreover, these measures are also free with limitation Dementia patients
Ethics problem is relevant[16].This is because the elderly is very easy to find equipment, them is made to have strong monitored feeling.Therefore,
In the presence of developing a kind of this apparent demand of the unconstrained system of these patients is monitored at night.
Other than leaving bed, sleep closely related with mental health.It sleeps critically important, because it is for restoring mental and body
Body is essential.Sleep insufficiency may have a negative impact to motor function, cognitive behavior and mood[17].It grinds
Study carefully[18,19]Show that there is very strong connections between some cognition dysfunctions and the severity of sleep disturbance degree.Also
It is recommended that sleep quality (sleep order) may be earliest one of the sign of Alzheimer disease[20].Longitudinal research shows event
Mild cognitive impairment (MCI) and dementia are related to sleeping problems[21].Also it was reported that, about 2/3rds MCI patient suffers from
Sleep disturbance[22].It is very normal in the elderly with the sleep disordered breathing (SDB) of apnea including having difficulty in breathing in addition to sleep
See.Prevalence rate is respectively 24% to 42%[23].The risk for developing to neuro-cognitive damage is related to the consequence of SDB, including sleep
Fragmentation and anoxic[19,24,25].It is important that having a system to extend monitoring sleep and breathing.Although sleep analysis monitor is
The goldstandard of hypnopaedia.But it is designed for Term Learning.The sensor and electric wire largely interconnected hinders
The use of the elderly, especially for the elderly with MCI and senile dementia.Therefore, it is carried out using sleep analysis monitor
Cognitive disorder and the monitoring of the progress of sleep are difficult and expensive, thus are had to the substitution of sleep analysis monitor or some functions
Sizable demand.
Bibliography
[1]https://www.alz.co.uk/research/WorldAlzheimerReport2015.pdf
[2]Jorm AF,Korten AE,Henderson AS.The prevalence of dementia:a
quantitative integration of the literature.Acta Psychiatrica
Scandinavica1987；76:465-479.
[3]Yu R,Chau P,McGhee S,Cheung W,Chan K,et al..(2012)Trends in
Prevalence and Mortality of Dementia in Elderly Hong Kong Population:
Projections,Disease Burden,and Implication for Long-Term Care.International
Journal of Alzheimer’s disease.doi:10.1155/2012/406852.
[4]Census and Statistics Department of Hong Kong Special
Administrative Region,“Hong Kong population projections 2010–2039,”2010,
http://www.statistics.gov.hk/publication/stat_report/population/
B1120015042010X XXXB0100.pdf.
[5]“Elderly Commission:Prevalence of dementia in Hong Kong,”2006,
Http:// www.elderlycommission.gov.hk/en/meeting/47.html?
[6]Heerema E.Dangers of Using Physical Restraints with
Dementia.Retrieved January 4,2017 from https://www.verywell.com/the-dangers-
of-restraints-for-people-with-dementia-97621
[7]http://www.dementiaconsortium.org/dementia-facts/
[8]NSW Department of Health.Psychotropic medication use in nursing
homes:Report of the NSW Ministerial Taskforce.Sydney,New South Wales,
Australia:Author；1997.
[9]Banerjee S.A report for the Minister of State for Care
Services.Retrieved January 4,2017 from https://www.rcpsych.ac.uk/pdf/
Antipsychotic%20Bannerjee%20Report.pdf
[10]Foderaro LW.Hospitals seek an alternative to
straitjacket.Retrieved January 4,2017 from http://www.nytimes.com/1994/08/01/
Nyregion/hospitals-seek-an-alternative-to-strai tjacket.html? pagewanted=all
[11]Gastmans C,Milisen K.Use of physical restraint in nursing homes:
clinical‐ethical considerations.J Med Ethics.2006 Mar；32(3):148–152.
[12]Australian Commission on Safety and Quality in
Healthcare.Preventing falls and harm from falls in older people.Best practice
guidelines for Australian hospitals and residential aged care facilities.In:
Canberra(Australia):Australian Commission on Safety and Quality in
Healthcare；2009.
[13]Tilly J,Reed P.Falls,Wandering,and Physical Restraints:
Interventions for Residents with Dementia in Assisted Living and Nursing
Homes.Alzheimer's Association；August 2006.Retrieved February 21,2017 from
https://www.alz.org/national/documents/Fallsrestraints_litereview_II.pdf.
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Restraint in Psychiatric Emergency and Adult Inpatient Services—Improving
Patient-Centered Care.Perm J.2011 Spring；15(2):57–62.
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deprivation.Semin Neurol 2005；25(01):117-29.
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Summary of the invention
In view of the above-mentioned problems, embodiments herein provides a kind of method, apparatus and server for monitoring physical activity.
According to the first scheme of the embodiment of the present application, a kind of device for monitoring physical activity is provided, comprising:
From bed sensor, to detect whether human body leaves bed；
Motion sensor, it is described detect that human body leaves bed from bed sensor when, it is default whether the detection human body leaves
Surveillance zone or the human body whether fall；And
Communication unit, if the motion sensor senses leave the preset surveillance zone or the human body to the human body
It falls, then sends a message to server and shown and alarmed.
Optionally, the device further include: vital sign sensors, for it is described from bed sensor detect human body not from
When turning down the bed, the vital sign of the human body is detected, and the server is sent to by the vital sign that the communication unit will test
It is shown and/or is alarmed.
Optionally, the vital sign sensors include: respiratory frequen, for detecting the breathing frequency of the human body
Rate.
Optionally, the vital sign sensors include: limb motion sensor, for recording the periodical limb of the human body
Body movement.
Optionally, the vital sign sensors include: cry and snoring detection sensor, for measuring beating for the human body
Snore degree and frequency, to identify the sleep quality of human body.
Optionally, the device further include: environmental sensor, measure the room epidemic disaster of human body region, in brightness extremely
It is one few.
Optionally, the device further include: lighting unit, for irradiating different colours in different time with different brightness
Light.
Optionally, the device further include: smell control unit, for discharging smell based on preset value and timer.
Optionally, device further include: wearable device may be worn on human body, for measuring temperature, the heart of human body
At least one of rate, oxygen saturation, and the data of measurement are sent to the server or monitoring terminal.
According to the alternative plan of the embodiment of the present application, a kind of server for monitoring physical activity is provided, comprising:
Receiving unit receives the information in relation to physical activity from client；
Display shows the received information of institute；
Judging unit, judges whether the received information of institute meets predetermined condition；And
Alarm unit alarm if the received information of institute meets predetermined condition and related news is sent to monitoring
Terminal.
Optionally, the information in relation to physical activity includes: whether human body leaves bed, and whether human body leaves preset prison
Whether vision area falls, the respiratory rate of human body, the periodic limb movement of human body, the degree of snoring and frequency of human body, people
The room epidemic disaster of body region, brightness, at least one of the temperature of human body, heart rate, oxygen saturation；
Correspondingly, the predetermined condition includes: that human body leaves bed and human body leaves preset surveillance zone or tumble, human body
Respiratory rate be more than predetermined respiratory rate threshold value, periodic limb movement duration of human body is more than predetermined time, human body
Degree of snoring and frequency be more than scheduled degree and frequency, the room epidemic disaster of human body region or brightness are more than predetermined value,
The temperature of human body is more than predetermined temperature, and the heart rate of human body is more than target heart rate, and the oxygen saturation of human body is lower than scheduled oxygen saturation
Degree.
Optionally, when receiving the information in relation to physical activity from multiple client, server shows simultaneously and handles this
A little information.
According to the third program of the embodiment of the present application, a kind of method for monitoring physical activity is provided, comprising:
Whether detection human body leaves bed；
If detecting that human body leaves bed, detect whether the human body leaves preset surveillance zone or whether human body falls
?；And
If detecting that the human body leaves preset surveillance zone or human body is fallen, sends a message to server and shown
Show and alarms.
Optionally, this method further include: if detecting that human body does not leave bed, the vital sign of the human body is detected, and
The vital sign that will test is sent to the server and is shown and/or alarmed.
Optionally, the vital sign of the human body includes: the respiratory rate of human body, the periodic limb movement of human body, human body
Degree of snoring and frequency, at least one of the temperature of human body, heart rate, oxygen saturation.
Optionally, this method further include: measure at least one of room epidemic disaster, brightness of human body region.
Optionally, this method further include: control lighting unit is in different time with the light of different brightness irradiation different colours.
Optionally, this method further include: control smell control unit is based on preset value and timer discharges smell.
According to the fourth program of the embodiment of the present application, a kind of method for monitoring physical activity is provided, for wrapping in server
It includes:
The information in relation to physical activity is received from client；
The received information of institute is shown over the display；
Judge whether the received information of institute meets predetermined condition；
If the received information of institute meets predetermined condition, alarm and related news are sent to monitoring terminal.
Optionally, the information in relation to physical activity includes: whether human body leaves bed, and whether human body leaves preset prison
Whether vision area falls, the respiratory rate of human body, the periodic limb movement of human body, the degree of snoring and frequency of human body, people
The room epidemic disaster of body region, brightness, at least one of the temperature of human body, heart rate, oxygen saturation；
Correspondingly, the predetermined condition includes: that human body leaves bed and human body leaves preset surveillance zone or tumble, human body
Respiratory rate be more than predetermined respiratory rate threshold value, periodic limb movement duration of human body is more than predetermined time, human body
Degree of snoring and frequency be more than scheduled degree and frequency, the room epidemic disaster of human body region or brightness are more than predetermined value,
The temperature of human body is more than predetermined temperature, and the heart rate of human body is more than target heart rate, and the oxygen saturation of human body is lower than scheduled oxygen saturation
Degree.
Optionally, it when receiving the information in relation to physical activity from multiple client, while showing and handling these information.
It is optionally, described that judge whether the received information of institute meets predetermined condition include: to utilize big data or artificial intelligence
To analyze received information to judge whether it meets predetermined condition.
The application at least has following advantageous effects: by the sequence of tracking event, such as waking up, leaves bed progress
With the sequence of tumble event, alarm accuracy can be improved and inhibit wrong report.
Detailed description of the invention
Fig. 1 shows the schematic diagram of the monitoring movable system of human body according to the embodiment of the present application；
Fig. 2 shows the structure charts according to the client unit of the embodiment of the present application；
Fig. 3 shows the position of human body and the example of posture；
Fig. 4 shows the example of event tracking sequence；
Fig. 5 shows the example for the sequence of movement taken after detecting scheduled event；
(a) and (b) in Fig. 6 shows server or monitors the example of the message content shown in terminal；
(a) and (b) in Fig. 7 shows the example for visualizing the information of client unit on the server；
Fig. 8 shows the schematic diagram of the alert if setting options of client unit；
Fig. 9 shows the schematic diagram of vital signs threshold values setting and message content；
Figure 10 shows the structural schematic diagram of the server of the monitoring physical activity according to the application；
Figure 11 shows the flow chart of the method for the monitoring physical activity according to the embodiment of the present application；And
Figure 12 shows the flow chart of the method for the monitoring physical activity in server according to the embodiment of the present application.
Specific embodiment
Embodiments herein is described more fully below.It should be noted that the embodiments described herein be only used for for example,
The range being not intended to limit this application.
This application discloses a kind of peaces that people's life is supported using event tracking sequence and different types of detection technology
Full monitoring system, above-mentioned detection technology include remote vital sign sensor and non-invasive imaging device, for monitor bed and
Activity and sleep near bed.
Fig. 1 shows the schematic diagram of the monitoring movable system of human body according to the embodiment of the present application.It is retouched below with reference to Fig. 1
The system for stating monitoring physical activity (including people's vital sign in bed and nocturnalism etc.).
The system of the monitoring physical activity includes N number of client unit 100, server 200 and monitors terminal 300, wherein N
For the integer more than or equal to 1.Client unit 100 is connect in a wired or wireless fashion with server 200, and can be communicated with each other.
Server 200 is connect in a wired or wireless fashion with monitoring terminal 300, and can be communicated with each other.Client unit 100 can will acquire
The information of related physical activity be sent to server 200, received information is shown and/or is alarmed by server 200, and
Partial information can be sent to monitoring terminal 300.
Client unit 100 is the device for monitoring physical activity, and server 200 is the service for detecting physical activity
Device, and monitoring terminal 300 can be the computer or mobile device (such as mobile phone) of nursing staff or system manager.
The structure of client unit 100 (that is, device of monitoring physical activity) is described below with reference to Fig. 2.Such as Fig. 2 institute
Show, client unit 100 may include: from bed sensor 101, to detect whether human body leaves bed；Motion sensor 102,
When detecting that human body leaves bed from bed sensor 101, the detection human body whether leaves preset surveillance zone or the human body is
No tumble；And communication unit 105, if motion sensor 102 detects that the human body leaves preset surveillance zone or the people
Body is fallen, then sends a message to server 200 (see Fig. 1) and shown and alarmed.
It is above-mentioned to can be near-infrared from bed sensor, for example, the near-infrared 3D flight time (TOF) passes from bed sensor 101
Sensor, above-mentioned motion sensor 102 can be ultra-wide band sensor.
Near-infrared 3D time-of-flight sensor is responsible for the capture movement in the case where having light or without light, can provide user
When waking up and sleep when the movable motion information of relevant user.For example, sensor issues modulated near infrared light, near infrared light
Object back reflection is encountered, sensor is taken by calculating time difference or phase difference between light transmitting and reflection to convert
Furthermore the distance of object is shot, so that it may by the three-D profile of object with or not generating depth information in conjunction with traditional camera
The topographic map mode for representing different distance with color shows.Ultra-wide band sensor is for detecting human body presence and movement
Another sensoring, especially suitable for the little trick under detection clothes and bedding.
When user wakes up or sleeps, client unit 100 can use above-mentioned from bed sensor 101 and motion sensor
102 tracking human bodies position and posture, including lie on a bed, sit in bed, be sitting in bedside, leave bed, leave monitoring region, limb
Body periodic motion etc. (as shown in Figure 3).
In addition, client unit 100 can also include: vital sign sensors 103, for examining from bed sensor 101
When measuring human body and not leaving bed, the vital sign of the human body is detected, and send by the vital sign that communication unit 105 will test
It is shown and/or is alarmed to the server 200.
In one embodiment, vital sign sensors 103 may include: respiratory frequen, for detecting the human body
Respiratory rate；Limb motion sensor, for recording the periodic limb movement of the human body；Or cry and snoring detection pass
Sensor (voice and snoring detection sensor), for measuring the degree of snoring and frequency of the human body, to know
The sleep quality of others' body.
The respiratory frequen can be above-mentioned ultra-wide band sensor.Ultra-wide band sensor can further provide for human body
Respiratory rate.This is not only the important vital sign for disclosing user health, can also be by the respiratory rate of human body and above-mentioned from bed
Sensor 101 and the information detected of motion sensor 102 combine, to identify the stage locating for sleep quality, including it is slight
Sleep, deep sleep and rapid eye movement.Moreover, the health status of human body can also be identified by the respiratory frequen, such as exhale
Inhale pause, hypopnea etc..
Above-mentioned cry and snoring detection unit can understand human body by the degree (level) and frequency help of measurement snoring
Sleep quality and its tendency.Described frequency and degree can reveal that the movable or possible illusion of human body.
Above-mentioned limb motion sensor can recorde periodic limb movement.Disease, such as sleep disturbance and Parkinson's disease
Restless legs syndrome and periodic leg movement during feature is sleep.By the week for recording human body using limb motion sensor
Phase property limb motion can help caregiver to predict user mood and his/her health tendency.
In addition, client unit 100 can also include: environmental sensor 104, the room temperature, wet of human body region is measured
At least one of degree, brightness.
Above-mentioned environmental sensor 104 can provide various environment measurements, such as room epidemic disaster, brightness
(luminosity).Temperature and humidity can be utilized to design heat stress index, and to directly control heating ventilation and air-conditioning, informing is seen
Shield personnel take further action.
Optionally, client unit 100 can also include: lighting unit 107, for being shone in different time with different brightness
Penetrate the light of different colours.Optionally, in addition, client unit 100 can also include: smell control unit 108, for based on pre-
If value and timer discharge smell.
Lighting unit 107 and smell control unit 108 are used to help human body and maintain circadian rhythm.For example, morning is according to blue
With the light of white, night according to the light of reddish orange, will enhance awakening and sleepiness respectively.In addition, the study found that using aromatotherapy
The relevant Personal Guiding of cognitive function and behavior on have it is sizable improve (referring to Jimbo D1, Kimura Y,
Taniguchi M,Inoue M,Urakami K.Effect of aromatherapy on patients with
Alzheimer's disease.Psychogeriatrics.2009Dec；9(4):173-9；And Ballard CG1, O'
Brien JT,Reichelt K,Perry EK.Aromatherapy as a Safe and Effective Treatment
for the Management of Agitation in Severe Dementia:The Results of a Double-
Blind,Placebo-Controlled Trial With Melissa.J Clin Psychiatry.2002Jul；63(7):
553-8.).Fragrance appropriate can be filled in tank to carry out controlled release.Client unit 100 can control and adjust brightness, light
Color, and fragrance is discharged based on preset value and timer.
Optionally, client unit 100 can also include: wearable device, may be worn on human body, for measuring human body
Temperature, heart rate, at least one of oxygen saturation, and the data of measurement are sent to the server 200 or monitoring terminal 300
(see Fig. 1).The wearable device can be for example wearable bracelet, portable BOLD contrast etc..
Client unit 100 can be linked to wearable device, for measuring skin and body core temperature including human body
Other vital signs of degree and heart rate, to improve level monitoring.The measurement result of wearable product is also sent to service
Device and monitoring terminal (as shown in Figure 6).For example, in (a) of Fig. 6, it is shown that the information that Pi Te leaves.In (b) of Fig. 6,
Show the specifying information of monitoring human body, wherein shown website is 2, monitored artificial skin is special, and monitoring state is monitoring
Start, the skin temperature of Pi Te is 25 degree, respiratory rate 17.
In addition, client unit 100 further include: processor 106, for handling above-mentioned each sensor, each unit
Data simultaneously execute above-mentioned operations.
The processor 106 of the application uses multi-level algorithm.For example, algorithm first layer by user from sleep and from
It turns down the bed middle classification.If user is in sleep state, vital sign subalgorithm (vital sign tracking) will be in major function.
And if user is leaving bed, fall detection subalgorithm (motion tracking) will be in major function.
Thus, the application can during sleep monitors sleep quality and vital sign, and according to setting, in people
Leave when waking up before bed or after people leave bed, prevent from falling by alerting caregiver.
In existing monitoring system, an event and tumble thing are left to monitor people respectively using different monitoring devices
Part, and be independently processed from people and leave an event and tumble event, so as to cause a large amount of false alarms.And in the present invention, inventor
It has been investigated that the most important event sequence of monitoring physical activity is to wake up rapidly, leave bed, then falling.As shown in figure 4,
The usual life event sequence of people usually follows following sequence: people wakes up (step 1), then moves to bedside (step 2), later
It leaves bed and enters the surveillance zone (step 3) of bedside, be then departed from surveillance zone or the tumble of bedside.As it can be seen that leaving bed and falling
On the contrary event sequence common in daily life.
The present invention in individual system by monitoring above-mentioned event sequence, that is, first detects whether human body leaves bed, if human body
Bed is left, further detects whether this human body leaves preset surveillance zone or whether fall, if it is, triggering alarm；It is no
Then continue to monitor.In this way, only will not detect that human body leaves bed and just triggers alarm from bed sensor, but need into one
Step judges the movement after human body leaves bed, obscures to avoid by people monitored and caregiver, and then avoid spurious alarm, and energy
The reason of analysis event.
As described above, the client unit 100 of the application, which is responsible for each sensor of control, obtains respiratory rate, environmental parameter
(including luminous intensity, temperature and humidity), and identify user in bed with the activity outside bed.Client unit 100 can control photograph
The brightness of bright equipment and color and fragrance release.It can also be associated with wearable device, this can with further progress other
Important signal measurement, such as heart rate and oxygen saturation.Server 200 can monitor the state of all clients unit 100.
Algorithm in client unit 100 will execute state classification in real time.For example, it can be in the feelings for having the light of light/not
It is identified among other states from bed event under condition.Fall detection is another feature built-in in algorithm.It enables client
End unit, the possible injury occurred when falling in monitor region in user for identification.Client unit 100 tracks whole
A sequence of events, such as traced into from wake-up and leave surveillance zone or fall (Fig. 4).The sequence is stored in subject events log
In, so that caregiver further analyzes, thus the reason of understanding event (such as tumble).The predeterminable event of any generation, packet
The vital sign beyond preset threshold is included, server 200 will be sent to and visualized, then the server 200 can incite somebody to action
The message for being accompanied with optional photo and/or video clipping is sent to preset mobile phone and/or computer.
Fig. 5 shows an example of the sequence of movement taken after detecting scheduled event.As shown in figure 5, working as client
End unit 100 detects that people leaves bed and people obtains or leave surveillance zone, then sends relevant information to server 200, service
Device receives the information and is shown, and sends a message to monitoring terminal, which receives message to prompt to nurse
Personnel are handled.
Since nursing staff is in the state of night shift running check user, which can be at the night of monitoring and nursing staff
Monitored user and nursing staff are distinguished during the visit.This feature is for preventing wrong report to be very important.
The server of the monitoring physical activity of the application is described below with reference to Fig. 7-Figure 10.
Figure 10 shows the structural schematic diagram of the server 200 of the monitoring physical activity according to the application.The server 200
Include: receiving unit 201, receives the information in relation to physical activity from client unit 100；Display 202, by the received letter of institute
Breath is shown；Judging unit 203, judges whether the received information of institute meets predetermined condition；And alarm unit 204, if institute
Received information meets predetermined condition, then carries out alarm and related news are sent to monitoring terminal 300.
The above-mentioned information in relation to physical activity includes: whether human body leaves bed, human body whether leave preset surveillance zone or
Whether person falls, the respiratory rate of human body, the periodic limb movement of human body, the degree of snoring and frequency of human body, where human body
The room epidemic disaster in region, brightness, at least one of the temperature of human body, heart rate, oxygen saturation.
Correspondingly, above-mentioned predetermined condition includes: that human body leaves bed and human body leaves preset surveillance zone or tumble, human body
Respiratory rate be more than predetermined respiratory rate threshold value, periodic limb movement duration of human body is more than predetermined time, human body
Degree of snoring and frequency be more than scheduled degree and frequency, the room epidemic disaster of human body region or brightness are more than predetermined value,
The temperature of human body is more than predetermined temperature, and the heart rate of human body is more than target heart rate, and the oxygen saturation of human body is lower than scheduled oxygen saturation
Degree.
It is alternatively possible to received information be analyzed using big data or artificial intelligence to judge it is pre- whether it meets
Fixed condition, and then determine the need for alarming.
When receiving the information in relation to physical activity from multiple client, server shows simultaneously and handles these information.
The major function of server is to visualize the information retrieved from client unit.As shown in fig. 7, it illustrates taking
The example of the information of client unit is visualized on business device.According to about the need for including preset event, privacy and vital sign
It asks, can show these letters in the form of text, image, video, masking-out image (masked image), measured value and icon
Breath.The information of multiple client unit can be shown on the screen in the same time.Renewal frequency also can be set.For example,
In (a) of Fig. 7, all customer rs sites are shown.In (b) of Fig. 7, the specifying information of selected customer rs site is shown.
Another important feature of server is the predetermined value and condition of setting alarm.For each client unit, I
Initially define monitor area.These regions consist essentially of the region (as shown in Figure 8) of bed, bedside and neighbouring bedside.?
After defining region, need be arranged for trigger alarm leave the conditions such as bed, temperature.It later, can be with the thin of adding conditional
Section.For example, heart rate, respiratory rate, body temperature and the threshold value of movement can be set.Finally, the destination of message transmission can be set
With mode (as shown in Figure 9).These setting steps can be repeated, all clients when whole system is configured for the first time
Unit both is set to stop.
Display alarm is another critical function of server.Server can also adjust the subsidiary snapshot that event occurs
And/or the message of video clipping, for being sent to computer or mobile unit and/or the system manager of nursing staff.Service
Device can also store and be arranged each client unit setting for monitoring.
Server can be with storage and management user information, and provides long-term storage and report generation.It can be by recuperating
The achieved unit more preferably managed manages the corresponding setting of personal user.
Present invention also provides a kind of methods for monitoring physical activity.As shown in figure 11, this method comprises:
S10: whether detection human body leaves bed；
S20: if detecting that human body leaves bed, detect whether the human body leave preset surveillance zone or human body
It falls；And
S30: if detecting that the human body leaves preset surveillance zone or human body and falls, send a message to server into
Row display and alarm.
If the above method can also include: to detect that human body does not leave bed, the vital sign of the human body is detected, and will
The vital sign of detection is sent to the server and is shown and/or alarmed.
The vital sign of above-mentioned human body may include: the respiratory rate of human body, the periodic limb movement of human body, human body
Degree of snoring and frequency, at least one of the temperature of human body, heart rate, oxygen saturation.
The above method can also include: at least one of the room epidemic disaster for measuring human body region, brightness.
The above method can also include: to control lighting unit in different time with the light of different brightness irradiation different colours.
The above method can also include: that control smell control unit is based on preset value and timer release smell.
In addition, present invention also provides a kind of method for monitoring physical activity, for as shown in figure 12, being somebody's turn to do in server
Method includes the following steps.
S100: the information in relation to physical activity is received from client；
S200: the received information of institute is shown over the display；
S300: judge whether the received information of institute meets predetermined condition；And
S400: if the received information of institute meets predetermined condition, alarm and related news are sent to monitoring terminal.
The above-mentioned information in relation to physical activity includes: whether human body leaves bed, human body whether leave preset surveillance zone or
Whether person falls, the respiratory rate of human body, the periodic limb movement of human body, the degree of snoring and frequency of human body, where human body
The room epidemic disaster in region, brightness, at least one of the temperature of human body, heart rate, oxygen saturation.
Correspondingly, above-mentioned predetermined condition includes: that human body leaves bed and human body leaves preset surveillance zone or tumble, human body
Respiratory rate be more than predetermined respiratory rate threshold value, periodic limb movement duration of human body is more than predetermined time, human body
Degree of snoring and frequency be more than scheduled degree and frequency, the room epidemic disaster of human body region or brightness are more than predetermined value,
The temperature of human body is more than predetermined temperature, and the heart rate of human body is more than target heart rate, and the oxygen saturation of human body is lower than scheduled oxygen saturation
Degree.
When receiving the information in relation to physical activity from multiple client, while showing and handling these information.
In this application, it is integrated with computer vision and super-broadband tech, for (including waking up detecting various body states
Come with leave bed) when inhibit false-alarm, and then inhibit to harass caused by caregiver generates false-alarm during the visit.
In addition, in the home environment, substituting or what compensation sleep analysis monitor acted on being used to study the multiple of sleep quality
Perception and imaging method are crucial one of technical characteristics.Particularly importantly it is used for dementia.Because it is dull-witted to be difficult guidance
Patient dresses multiple sensors when sleep.They would generally remove the sensor of all connections, make it impossible to carry out
Sleep analysis monitor sleep study.The application monitor old man position and posture, can track the behavior of the elderly's sleeping at night and
It wakes up situation.This is especially important for preventing tumble and study sleep quality.For monitoring and behavior of research and vital sign
Unconstrained and non-contacting method is the notable feature of the application.
The application can have following effect:
It can be provided in vital sign detection, the sleep quality, mitigation of monitoring server user in single mechanism (setup)
Behavioral problem, the unconstrained method (non-restraint approach) for leaving bed and fall detection, be combined with sensing and at
Image space method.
The information for combining real-time design and capture provides corresponding illuminating color and intensity and release fragrance, thus
The behavioral problem of the elderly can be alleviated.
The sequence of night event can be tracked, such as the sequence for bed progress and tumble event of waking up, leave, so as to mention
High alarm accuracy and inhibition wrong report.
Release the workload of caregiver, while improving the quality of life of user, especially for have it is dull-witted and
For the elderly of mild cognitive impairment.
It can be with the sleep quality of the sleep quality of longitudinal research the elderly, especially dementia patients.
The time needed for a detection device is left in continuous setting can be reduced or eliminated.
Using tracking sequence method, better than the method for the detection individual event of the prior art.Make sequence using multiple sensors
The tracking of column is accurately realized, event category and the analysis of possible business reasons are substantially improved.Multilayer in algorithm and adaptive
Method devises pursuit movement and vital sign, more effectively manages patients of senile dementia under various conditions.
Multiple sensors with tailor-made algorithm enable the invention to solve the problems, such as night nursing old people, without the use of connecing
It touches sensor and repeats to be arranged before sleep.The algorithm provides movement and the tracking of vital sign, can be by switching function
Can priority adapt to the various functions of different the elderly's states, keep nursing staff's next day that takes an immediate action or plan living
Dynamic or offer Long-term planning information.The method of multisensor can also solve the problems, such as single-sensor failure.Near infrared imaging device
It is all as motion detection apparatus with respiration transducer.Any one failure will not result in the function for the whole system being monitored
It can collapse completely, make system that there is a degree of reduction tolerance (reductant tolerance)
Above-described specific embodiment has carried out further the purpose of the present invention, technical scheme and beneficial effects
It is described in detail, it should be understood that being not intended to limit the present invention the foregoing is merely a specific embodiment of the invention
Protection scope, all within the spirits and principles of the present invention, any modification, equivalent substitution, improvement and etc. done should all include
Within protection scope of the present invention.
Claims (22)
1. a kind of device for monitoring physical activity, comprising:
From bed sensor, to detect whether human body leaves bed；
Motion sensor, it is described detect that human body leaves bed from bed sensor when, whether the detection human body leaves preset prison
Whether vision area or the human body fall；And
Communication unit, if the motion sensor senses leave the preset surveillance zone to the human body or the human body falls
, then server is sent a message to be shown and alarmed.
2. the apparatus according to claim 1, further includes: vital sign sensors, for being detected described from bed sensor
When not leaving to human body bed, the vital sign of the human body is detected, and send by the vital sign that the communication unit will test
It is shown and/or is alarmed to the server.
3. the apparatus of claim 2, wherein the vital sign sensors include: respiratory frequen, are used for
Detect the respiratory rate of the human body.
4. the apparatus of claim 2, wherein the vital sign sensors include: limb motion sensor, are used for
Record the periodic limb movement of the human body.
5. the apparatus of claim 2, wherein the vital sign sensors include: cry and snoring detection sensing
Device, for measuring the degree of snoring and frequency of the human body, to identify the sleep quality of human body.
6. the apparatus according to claim 1, further includes: environmental sensor, the room epidemic disaster of measurement human body region,
At least one of brightness.
7. the apparatus according to claim 1, further includes: lighting unit, for being irradiated not in different time with different brightness
With the light of color.
8. the apparatus according to claim 1, further includes: smell control unit, for being discharged based on preset value and timer
Smell.
9. the apparatus according to claim 1, further includes: wearable device may be worn on human body, for measuring human body
At least one of temperature, heart rate, oxygen saturation, and the data of measurement are sent to the server or monitoring terminal.
10. a kind of server for monitoring physical activity, comprising:
Receiving unit receives the information in relation to physical activity from client；
Display shows the received information of institute；
Judging unit, judges whether the received information of institute meets predetermined condition；And
Alarm unit alarm if the received information of institute meets predetermined condition and related news is sent to monitoring terminal.
11. the server of monitoring physical activity according to claim 10, wherein the packet in relation to physical activity
Include: whether human body leaves bed, and whether human body leave preset surveillance zone or fall, the respiratory rate of human body, human body
Periodic limb movement, the degree of snoring and frequency of human body, the room epidemic disaster of human body region, brightness, the temperature of human body,
At least one of heart rate, oxygen saturation；
Correspondingly, the predetermined condition includes: that human body leaves bed and human body leaves preset surveillance zone or tumble, and human body is exhaled
Inhaling frequency is more than predetermined respiratory rate threshold value, and the periodic limb movement duration of human body is more than the predetermined time, and human body is beaten
Snore degree and frequency are more than scheduled degree and frequency, and the room epidemic disaster of human body region or brightness are more than predetermined value, human body
Temperature be more than predetermined temperature, the heart rate of human body is more than target heart rate, and the oxygen saturation of human body is lower than scheduled oxygen saturation.
12. the server of monitoring physical activity according to claim 10, wherein when receiving related people from multiple client
When the movable information of body, server shows simultaneously and handles these information.
13. a kind of method for monitoring physical activity, comprising:
Whether detection human body leaves bed；
If detecting that human body leaves bed, detect whether the human body leaves preset surveillance zone or whether human body falls；With
And
If detecting that the human body leaves preset surveillance zone or human body and falls, send a message to server carry out display and
Alarm.
14. according to the method for claim 13, further includes: if detecting that human body does not leave bed, detect the human body
Vital sign, and the vital sign that will test is sent to the server and is shown and/or alarmed.
15. according to the method for claim 14, wherein the vital sign of the human body includes: the respiratory rate of human body, human body
Periodic limb movement, the degree of snoring and frequency of human body, at least one of the temperature of human body, heart rate, oxygen saturation.
16. according to the method for claim 13, further includes: in the measurement room epidemic disaster of human body region, brightness extremely
It is one few.
17. according to the method for claim 13, further includes: control lighting unit is irradiated not in different time with different brightness
With the light of color.
18. according to the method for claim 13, further includes: control smell control unit is based on preset value and timer discharges
Smell.
19. a kind of method for monitoring physical activity, in server, comprising:
The information in relation to physical activity is received from client；
The received information of institute is shown over the display；
Judge whether the received information of institute meets predetermined condition；
If the received information of institute meets predetermined condition, alarm and related news are sent to monitoring terminal.
20. according to the method for claim 19, wherein the information in relation to physical activity includes: whether human body leaves
Whether whether bed, human body leave preset surveillance zone or fall, the respiratory rate of human body, the periodic limb movement of human body,
The degree of snoring and frequency of human body, the room epidemic disaster of human body region, brightness, the temperature of human body, heart rate, in oxygen saturation
At least one of；
Correspondingly, the predetermined condition includes: that human body leaves bed and human body leaves preset surveillance zone or tumble, and human body is exhaled
Inhaling frequency is more than predetermined respiratory rate threshold value, and the periodic limb movement duration of human body is more than the predetermined time, and human body is beaten
Snore degree and frequency are more than scheduled degree and frequency, and the room epidemic disaster of human body region or brightness are more than predetermined value, human body
Temperature be more than predetermined temperature, the heart rate of human body is more than target heart rate, and the oxygen saturation of human body is lower than scheduled oxygen saturation.
21. according to the method for claim 19, wherein when receiving the information in relation to physical activity from multiple client,
It shows simultaneously and handles these information.
22. according to the method for claim 19, wherein described to judge whether the received information of institute meets predetermined condition packet
It includes: analyzing received information using big data or artificial intelligence to judge whether it meets predetermined condition.
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| CN201710706823.XA CN109394223A (en) | 2017-08-17 | 2017-08-17 | Monitor the method, apparatus and server of physical activity |
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| CN201710706823.XA CN109394223A (en) | 2017-08-17 | 2017-08-17 | Monitor the method, apparatus and server of physical activity |
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