CN110876611A - Remote evaluation method for neurocognitive disorder of old people - Google Patents
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Abstract
The invention discloses a remote evaluating method for neurocognitive disorder of old people, which relates to the field of medical methods and comprises a user side, a server side and a terminal, wherein the user side is responsible for collecting user test data, the user side comprises a monitoring system and a voice auxiliary system, the server side analyzes the user test data and feeds the user test data back to the user side, the terminal provides remote assistance for the user side, the server side also comprises a database for storing the user test data, and the method comprises the following steps: the user side provides a test interface for the user, the test interface is used for testing, the test interface comprises a cognitive ability test and a mental disorder test, the user completes the test, the server side analyzes the received test data, and the analysis result is fed back to the user side and provides the test result for the user and is stored. The invention has the beneficial effects that: the system can remotely test the cognitive disorder of the old people, and the voice auxiliary system assists the old people to evaluate themselves, monitors the health condition of the subject and observes the health condition of the subject in real time.
Description
Technical Field
The invention relates to the field of medical methods, in particular to a remote evaluation method for neurocognitive disorder of old people.
Background
The existing measurement and evaluation of the neurocognitive disorder of the old people mainly adopts paper edition to detect at home, has the defects of slow statistics, constant preservation, inconsistent execution of operators and the like, is not easy to use and popularize, and can not test at any time and any place and can not effectively find problems in time because the traditional test method needs one-to-one conversation records of workers.
Disclosure of Invention
The invention mainly aims to provide a method for evaluating the neurocognitive disorder of the old people at the far side, which is convenient for the old people to evaluate the neurocognitive disorder, provides assistance for the old people in the evaluation process, feeds back the test result to a professional doctor in time for diagnosis and treatment, reduces the investment of workers and improves the test efficiency.
In order to achieve the above purposes, the technical scheme adopted by the invention is as follows: a remote evaluating method for neurocognitive disorder of old people comprises a user side, a server side and a terminal, wherein the user side is responsible for collecting user test data, the user side comprises a monitoring system and a voice auxiliary system, the server side analyzes the user test data and feeds back an analysis result to the user side, the terminal provides remote assistance for the user side through the server side, the server side further comprises a database for storing the user test data, and the method comprises the following steps:
step 1, the user side provides basic data for registration, after the user finishes filling, the monitoring system verifies and confirms that the user identity information is matched, the user side provides a test interface for the user, the test interface is used for performing neurocognitive disorder tests on the old people, and the neurocognitive disorder tests on the old people comprise cognitive ability tests and mental disorder tests;
step 2, the user completes the test of each part of the test interface under the remote assistance of the voice auxiliary system and the terminal, and the test data is transmitted to the server;
and 3, analyzing the received test data through the server, feeding the analysis result back to the user side to provide the test result for the user, and storing the test data and the analysis result into a database for convenient reference.
In the above technical solution, preferably, the basic data registration includes personal information, lifestyle habits, past medical history, and mandarin chinese level.
In the above technical solution, preferably, the monitoring system monitors and tests the physical health condition of the user in real time and is connected to the alarm system.
In the above technical solution, preferably, the server remotely assists the user to complete the test by performing remote control, interface control, and voice guidance on the user.
In the above technical solution, preferably, the voice assisting system includes mandarin and dialect, and the voice assisting system performs matching according to the mandarin degree of the user.
In the above technical solution, preferably, the cognitive ability test includes a brief cognitive ability test, a connection test, a Benton vision retention test, a numerical symbol test, and a Boston naming test:
the test mode of the simple cognitive ability test is as follows: the method comprises the following steps that the cartoon-style photos comprise 12 objective real objects, a user describes corresponding names according to the photos, scores obtained by the user after the user completes testing for the first time are used as simple cognitive ability reference lines, and then when the user rechecks, the test scores of the user are compared with the simple cognitive ability reference lines, so that whether the simple cognitive ability of the user is improved or reduced is analyzed and fed back to the user;
the testing mode of the connection testing is as follows: the method comprises a first part of a wiring test and a second part of the wiring test, wherein the first part of the wiring test comprises numbers from 1 to 8, all the numbers are not regularly scattered and distributed, the numbers need to be connected according to the sequence from 1 to 8, the numbers cannot be jumped off, and the numbers are connected one by one, so that the requirement on quickness and accuracy is met; the second part comprises numbers from 1 to 25, all numbers are not regularly scattered and need to be connected in the order of 1 to 25, the numbers cannot be skipped, and the numbers are connected one by one, which is required to be fast and accurate; recording the scores, the correct number, the error number and the time of the first part of the connection test and the second part of the connection test; then the user retests, and the scores, the correct number, the error number and the time of the first part of the two-time connection test and the second part of the two-time connection test are compared;
the test mode of the Bendun vision retention test specifically comprises the following steps: the user is shown with three or more than three graphs, four alternative answers are set for the user to select, 14 items are provided, the score of the user after the test is completed for the first time is used as a visual reference line, and then when the user retests, the test score of the user is compared with the visual reference line, and whether the visual ability of the user is improved or reduced is analyzed and fed back to the user.
The test mode of the digital symbol test specifically comprises the following steps: respectively corresponding 9 numbers from 1 to 9 by patterns, giving 50 symbols, converting the symbols into one-to-one corresponding numbers by a user, limiting the time for 90 seconds, taking the score obtained by the first test of the user as a reference line of the digital symbol, comparing the test score of the user with the reference line of the digital symbol when the user retests, and analyzing whether the cognitive ability of the user is improved or reduced and feeding the cognitive ability back to the user.
The test mode of the Boston naming test is specifically as follows: the user describes corresponding names according to the pictures, and scores obtained by the user after testing are used as simple cognitive ability reference lines for the first time, and when the user rechecks, the test scores of the user are compared with the simple cognitive ability reference lines, so that the improvement or reduction of the naming ability of the user is analyzed and fed back to the user.
In the above technical solution, preferably, the mental disorder test includes a simple mental state rating scale, a depression self-rating scale, a subjective cognitive decline assessment, and a sleep quality assessment:
the test method of the simple mental state evaluation scale specifically comprises the following steps: 30 questions in total, including time orientation force, place orientation force, instant memory, attention and calculation force, delay memory, language and visual space, each answer is correct and 1 point is obtained, the answer is wrong or the score 0 is unknown, the total score range of the scale is 0 to 30 points, the test result is less than 17 points, the dementia degree is illiterate, if the test result is in the range of 17 to 20 points, the dementia degree is the degree of primary school, and if the test result is more than 24 points, the dementia degree is the degree of middle school and above culture;
the test method of the depression self-rating scale specifically comprises the following steps: providing 20 questions related to the depression emotion problems and giving alternative items, wherein each question is divided into 4 grades according to severity degree and is recorded for 1-4 grades, the test result is that the obtained score is multiplied by 1.25 and then is rounded, if the result is less than 53, no depression phenomenon is suggested, if the result falls within the range of 53-62, mild depression is suggested, if the result falls within the range of 63-72, moderate depression is suggested, and if the result is more than 72, severe depression is suggested;
the test method for subjective cognitive decline assessment specifically comprises the following steps: the method comprises the following steps of (1) including 9 memory and cognition related problems and giving options, wherein the options are selected by a user, the scoring standards are 0 point, 0.5 point and 1 point, and if the result is more than 5 points, further memory outpatient service screening is required;
the test method for sleep quality evaluation specifically comprises the following steps: and providing 19 self-scoring items and 5 other scoring items, wherein the 19 th self-scoring item and the 5 other scoring items do not participate in scoring, 18 items are scoring items, the 18 items form 7 components, each component is scored according to a grade of 0-3, the cumulative component score is 0-21, the total score range is 0-21, and the higher the score is, the worse the sleep quality is.
The invention has the beneficial effects that: the system can remotely test the cognitive disorder of the old people, has a voice auxiliary system, assists the old people to evaluate themselves, monitors the health condition of the subject in real time, provides remote control, section control and voice guidance of the subject, can improve the efficiency, and observes the health condition of the subject in real time.
Detailed Description
The following description is presented to disclose the invention so as to enable any person skilled in the art to practice the invention. The preferred embodiments in the following description are given by way of example only, and other obvious variations will occur to those skilled in the art.
The invention discloses a remote evaluating method for neurocognitive impairment of old people, which comprises a user side, a server side and a terminal, wherein the user side is responsible for collecting user test data, the user side comprises a monitoring system and a voice auxiliary system, the server side analyzes the user test data and feeds back an analysis result to the user side, the terminal provides remote assistance for the user side through the server side, the server side also comprises a database for storing the user test data, and the method comprises the following steps:
step 1, the user side provides basic data for registration, after the user finishes filling, the monitoring system verifies and confirms that the user identity information is matched, the user side provides a test interface for the user, the test interface is used for performing neurocognitive disorder tests on the old people, and the neurocognitive disorder tests on the old people comprise cognitive ability tests and mental disorder tests;
the basic data register comprises personal information, living habits, past medical history and Mandarin level, and the monitoring system monitors and tests the physical health condition of the user in real time and is connected with the alarm system.
The cognitive ability test comprises a short cognitive ability test, a line connection test, a Benton vision retention test, a numerical symbol test and a Boston naming test:
the test mode of the simple cognitive ability test is as follows: the method comprises the following steps that the cartoon-style photos comprise 12 objective real objects, a user describes corresponding names according to the photos, scores obtained by the user after the user completes testing for the first time are used as simple cognitive ability reference lines, and then when the user rechecks, the test scores of the user are compared with the simple cognitive ability reference lines, so that whether the simple cognitive ability of the user is improved or reduced is analyzed and fed back to the user;
the testing mode of the connection testing is as follows: the method comprises a first part of a wiring test and a second part of the wiring test, wherein the first part of the wiring test comprises numbers from 1 to 8, all the numbers are not regularly scattered and distributed, the numbers need to be connected according to the sequence from 1 to 8, the numbers cannot be jumped off, and the numbers are connected one by one, so that the requirement on quickness and accuracy is met; the second part comprises numbers from 1 to 25, all numbers are not regularly scattered and need to be connected in the order of 1 to 25, the numbers cannot be skipped, and the numbers are connected one by one, which is required to be fast and accurate; recording the scores, the correct number, the error number and the time of the first part of the connection test and the second part of the connection test; then the user retests, and the scores, the correct number, the error number and the time of the first part of the two-time connection test and the second part of the two-time connection test are compared;
the test mode of the Bendun vision retention test specifically comprises the following steps: the method comprises the steps of displaying three or more than three graphs for a user, setting four alternative answers for the user to select, wherein 14 items are provided, the score of the user for completing the test for the first time is used as a visual reference line, and when the user retests later, the test score of the user is compared with the visual reference line, and the visual ability of the user is analyzed to be improved or reduced and fed back to the user;
the test mode of the digital symbol test specifically comprises the following steps: respectively corresponding 9 numbers from 1 to 9 by using patterns, giving 50 symbols, converting the symbols into one-to-one corresponding numbers by a user, limiting the time for 90 seconds, taking the score obtained by the first test of the user as a reference line of the digital symbol, comparing the test score of the user with the reference line of the digital symbol when the user retests, and analyzing whether the cognitive ability of the user is improved or reduced and feeding the cognitive ability back to the user;
the test mode of the Boston naming test is specifically as follows: the method comprises the following steps that simple stroke pictures of 20 objective objects are included, a user describes corresponding names according to the pictures, scores obtained by the user after the user completes testing for the first time are used as simple cognitive ability reference lines, and then when the user rechecks, the test scores of the user are compared with the simple cognitive ability reference lines, so that the improvement or reduction of the naming ability of the user is analyzed and fed back to the user;
the mental disorder test comprises a simple mental state evaluation scale, a depression self-evaluation scale, a subjective cognitive decline evaluation and a sleep quality evaluation:
the test method of the simple mental state evaluation scale specifically comprises the following steps: 30 questions in total, including time orientation force, place orientation force, instant memory, attention and calculation force, delay memory, language and visual space, each answer is correct and 1 point is obtained, the answer is wrong or the score 0 is unknown, the total score range of the scale is 0 to 30 points, the test result is less than 17 points, the dementia degree is illiterate, if the test result is in the range of 17 to 20 points, the dementia degree is the degree of primary school, and if the test result is more than 24 points, the dementia degree is the degree of middle school and above culture;
the test method of the depression self-rating scale specifically comprises the following steps: providing 20 questions related to the depression emotion problems and giving alternative items, wherein each question is divided into 4 grades according to severity degree and is recorded for 1-4 grades, the test result is that the obtained score is multiplied by 1.25 and then is rounded, if the result is less than 53, no depression phenomenon is suggested, if the result falls within the range of 53-62, mild depression is suggested, if the result falls within the range of 63-72, moderate depression is suggested, and if the result is more than 72, severe depression is suggested;
the test method for subjective cognitive decline assessment specifically comprises the following steps: the method comprises the following steps of (1) including 9 memory and cognition related problems and giving options, wherein the options are selected by a user, the scoring standards are 0 point, 0.5 point and 1 point, and if the result is more than 5 points, further memory outpatient service screening is required;
the test method for sleep quality evaluation specifically comprises the following steps: and providing 19 self-scoring items and 5 other scoring items, wherein the 19 th self-scoring item and the 5 other scoring items do not participate in scoring, 18 items are scoring items, the 18 items form 7 components, each component is scored according to a grade of 0-3, the cumulative component score is 0-21, the total score range is 0-21, and the higher the score is, the worse the sleep quality is.
Step 2, the user completes the test of each part of the test interface under the remote assistance of the voice auxiliary system and the terminal, and the test data is transmitted to the server;
the server side remotely assists the user to complete the test by carrying out remote control, interface control and voice guidance on the user.
The voice auxiliary system comprises Mandarin and dialect, and the voice auxiliary system is matched according to the Mandarin degree of the user.
And 3, analyzing the received test data through the server, feeding the analysis result back to the user side to provide the test result for the user, and storing the test data and the analysis result into a database for convenient reference.
The invention realizes unified test, can be tested by a user without accompanying by workers, has simple whole test process, is not limited by regions and time, uploads data to a server after testing on intelligent equipment for consultation of doctors, provides professional guidance information, obtains corresponding diagnosis and treatment in time, can make a follow-up visit by the doctor, facilitates the user, simplifies the work of medical staff and greatly improves the user experience. In the user testing process, the health condition of the user is monitored in real time, and once the user is out of order, the monitoring system immediately alarms to provide rescue for the user. In the testing process, a voice auxiliary system is provided in the whole process to assist a user to better understand the testing subject and better complete the test. The terminal provides remote assistance in the whole process in the test process, and the terminal helps the old people to complete the test.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are merely illustrative of the principles of the invention, but that various changes and modifications may be made without departing from the spirit and scope of the invention, which fall within the scope of the invention as claimed.
Claims (7)
1. A remote evaluating method for the neurocognitive disorder of the old people is characterized by comprising the following steps: the method comprises a user side, a server side and a terminal, wherein the user side is responsible for collecting user test data, the user side comprises a monitoring system and a voice auxiliary system, the server side analyzes the user test data and feeds back an analysis result to the user side, the terminal provides remote assistance for the user side through the server side, the server side further comprises a database for storing the user test data, and the method comprises the following steps:
step 1, the user side provides basic data for registration, after the user finishes filling, the monitoring system verifies and confirms that the user identity information is matched, the user side provides a test interface for the user, the test interface is used for performing neurocognitive disorder tests on the old people, and the neurocognitive disorder tests on the old people comprise cognitive ability tests and mental disorder tests;
step 2, the user completes the test of each part of the test interface under the remote assistance of the voice auxiliary system and the terminal, and the test data is transmitted to the server;
and 3, analyzing the received test data through the server, feeding the analysis result back to the user side to provide the test result for the user, and storing the test data and the analysis result into a database for convenient reference.
2. The method for remotely evaluating the neurocognitive disorder of the elderly population according to claim 1, wherein the method comprises the following steps: the basic data registration includes personal information, lifestyle habits, past medical history, and mandarin chinese level.
3. The method for remotely evaluating the neurocognitive disorder of the elderly population according to claim 1, wherein the method comprises the following steps: the monitoring system monitors and tests the physical health condition of the user in real time and is connected with the alarm system.
4. The method for remotely evaluating the neurocognitive disorder of the elderly population according to claim 1, wherein the method comprises the following steps: the server side remotely assists the user to complete the test by carrying out remote control, interface control and voice guidance on the user.
5. The method for remotely evaluating the neurocognitive disorder of the elderly population according to claim 1, wherein the method comprises the following steps: the voice auxiliary system comprises Mandarin and dialect, and the voice auxiliary system is matched according to the Mandarin degree of the user.
6. The method for remotely evaluating the neurocognitive disorder of the elderly population according to claim 1, wherein the method comprises the following steps: the cognitive ability test comprises a short cognitive ability test, a line connection test, a Benton vision retention test, a numerical symbol test and a Boston naming test:
the test mode of the simple cognitive ability test is as follows: the method comprises the following steps that the cartoon-style photos comprise 12 objective real objects, a user describes corresponding names according to the photos, scores obtained by the user after the user completes testing for the first time are used as simple cognitive ability reference lines, and then when the user rechecks, the test scores of the user are compared with the simple cognitive ability reference lines, so that whether the simple cognitive ability of the user is improved or reduced is analyzed and fed back to the user;
the testing mode of the connection testing is as follows: the method comprises a first part of a wiring test and a second part of the wiring test, wherein the first part of the wiring test comprises numbers from 1 to 8, all the numbers are not regularly scattered and distributed, the numbers need to be connected according to the sequence from 1 to 8, the numbers cannot be jumped off, and the numbers are connected one by one, so that the requirement on quickness and accuracy is met; the second part comprises numbers from 1 to 25, all numbers are not regularly scattered and need to be connected in the order of 1 to 25, the numbers cannot be skipped, and the numbers are connected one by one, which is required to be fast and accurate; recording the scores, the correct number, the error number and the time of the first part of the connection test and the second part of the connection test; then the user retests, and the scores, the correct number, the error number and the time of the first part of the two-time connection test and the second part of the two-time connection test are compared;
the test mode of the Bendun vision retention test specifically comprises the following steps: the method comprises the steps of displaying three or more than three graphs for a user, setting four alternative answers for the user to select, wherein 14 items are provided, the score of the user for completing the test for the first time is used as a visual reference line, and when the user retests later, the test score of the user is compared with the visual reference line, and the visual ability of the user is analyzed to be improved or reduced and fed back to the user;
the test mode of the digital symbol test specifically comprises the following steps: respectively corresponding 9 numbers from 1 to 9 by using patterns, giving 50 symbols, converting the symbols into one-to-one corresponding numbers by a user, limiting the time for 90 seconds, taking the score obtained by the first test of the user as a reference line of the digital symbol, comparing the test score of the user with the reference line of the digital symbol when the user retests, and analyzing whether the cognitive ability of the user is improved or reduced and feeding the cognitive ability back to the user;
the test mode of the Boston naming test is specifically as follows: the user describes corresponding names according to the pictures, and scores obtained by the user after testing are used as simple cognitive ability reference lines for the first time, and when the user rechecks, the test scores of the user are compared with the simple cognitive ability reference lines, so that the improvement or reduction of the naming ability of the user is analyzed and fed back to the user.
7. The method for remotely evaluating the neurocognitive disorder of the elderly population according to claim 1, wherein the method comprises the following steps: the mental disorder test comprises a simple mental state evaluation scale, a depression self-evaluation scale, a subjective cognitive decline evaluation and a sleep quality evaluation:
the test method of the simple mental state evaluation scale specifically comprises the following steps: 30 questions in total, including time orientation force, place orientation force, instant memory, attention and calculation force, delay memory, language and visual space, each answer is correct and 1 point is obtained, the answer is wrong or the score 0 is unknown, the total score range of the scale is 0 to 30 points, the test result is less than 17 points, the dementia degree is illiterate, if the test result is in the range of 17 to 20 points, the dementia degree is the degree of primary school, and if the test result is more than 24 points, the dementia degree is the degree of middle school and above culture;
the test method of the depression self-rating scale specifically comprises the following steps: providing 20 questions related to the depression emotion problems and giving alternative items, wherein each question is divided into 4 grades according to severity degree and is recorded for 1-4 grades, the test result is that the obtained score is multiplied by 1.25 and then is rounded, if the result is less than 53, no depression phenomenon is suggested, if the result falls within the range of 53-62, mild depression is suggested, if the result falls within the range of 63-72, moderate depression is suggested, and if the result is more than 72, severe depression is suggested;
the test method for subjective cognitive decline assessment specifically comprises the following steps: the method comprises the following steps of (1) including 9 memory and cognition related problems and giving options, wherein the options are selected by a user, the scoring standards are 0 point, 0.5 point and 1 point, and if the result is more than 5 points, further memory outpatient service screening is required;
the test method for sleep quality evaluation specifically comprises the following steps: and providing 19 self-scoring items and 5 other scoring items, wherein the 19 th self-scoring item and the 5 other scoring items do not participate in scoring, 18 items are scoring items, the 18 items form 7 components, each component is scored according to a grade of 0-3, the cumulative component score is 0-21, the total score range is 0-21, and the higher the score is, the worse the sleep quality is.
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| CN114098639A (en) * | 2021-11-16 | 2022-03-01 | 上海德律风置业有限公司 | AI algorithm-based old man cognitive grade evaluation method |
| CN116746930A (en) * | 2023-08-21 | 2023-09-15 | 杭州汇听科技有限公司 | Deep learning-based old people cognitive function assessment and early warning method and system |
| CN116746930B (en) * | 2023-08-21 | 2023-11-03 | 杭州汇听科技有限公司 | Deep learning-based old people cognitive function assessment and early warning method and system |
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