CN113261926A - Hemodialysis patient home management method and system based on informatization technology - Google Patents
Hemodialysis patient home management method and system based on informatization technology Download PDFInfo
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- 229940127088 antihypertensive drug Drugs 0.000 claims description 8
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- A—HUMAN NECESSITIES
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- 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
- A61B5/021—Measuring pressure in heart or blood vessels
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
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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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
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- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
- A61J7/04—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers
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- G—PHYSICS
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- G01G—WEIGHING
- G01G19/00—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups
- G01G19/44—Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups for weighing persons
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Abstract
The invention relates to a home management method and a home management system for hemodialysis patients based on an informatization technology. The method is characterized in that: 1) the medical care end is wirelessly connected with the patient end through the server or directly to form a two-way communication loop; 2) the patient end carries out weight measurement reminding, blood pressure measurement reminding, drinking water reminding and medicine taking reminding regularly so as to lead the patient to carry out weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking regularly; if the weight of the patient is out of limit, the blood pressure is out of limit and the water intake is out of limit; 3) the medical care end transmits a teaching video or document to the patient end to supervise and urge the patient to learn, observe the learning progress and perform examination and reminding. Has the prominent essential characteristics and remarkable progress of monitoring the weight condition, the drinking condition, the blood pressure control condition and the like of a patient.
Description
Technical Field
The invention relates to a home management method and a home management system for hemodialysis patients based on an informatization technology. Is suitable for clinical care. Belongs to the technical field of medical instrument auxiliary equipment.
Background
Hemodialysis has become one of the main methods for the alternative treatment of middle and end-stage renal diseases. Clinical work finds that the compliance of hemodialysis patients is not high, particularly the compliance of diet, medicine taking and treatment is low, and the disease prognosis of the patients is directly influenced. Most uremic patients enter the oliguric or anuric stage, and one of the objectives of hemodialysis is to eliminate excess water from the body. The drinking habit of the patient is directly related to the amount of water in the body of the patient, and if the water in the body is excessive, a series of complications can be caused. The dry body weight is clinically used as a standard, also called "target body weight", which is defined as the weight of water in normal equilibrium conditions, indicating that the patient has neither water retention nor weight at dehydration, i.e. the weight that is desired to be reached at the end of hemodialysis. The Weight Gain value between two times of dialysis (also called dialysis interval) of a patient is reflected by (IDWG), if excessive liquid is taken in the dialysis interval, the Volume Load (VL) of the patient is aggravated, and heart failure is caused, and meanwhile, the ultrafiltration Volume per unit time is too fast during dialysis of the patient, and symptoms such as blood pressure reduction, muscle spasm, dizziness and the like are caused. If the weight gain during dialysis exceeds 6-7% of the dry weight, hypotensive shock is easy to occur to the patient during dialysis, even internal fistula blockage occurs, and as a result, the patient cannot tolerate ultrafiltration dehydration. In addition, excessive water retention easily causes the occurrence of blood volume hypertension, increases the economic burden of purchasing antihypertensive drugs for patients, and even increases the hospitalization times. In the current clinical work, the dialysis time of a patient in a unit is 4 hours each time, 2-3 times per week, the patient is weighed after coming to a hospital, and the self ultrafiltration volume is obtained through calculation, namely the weight gain value is the weight of the patient before dialysis-the dry weight of the patient.
In the treatment system of the prior art, a hospital cannot monitor whether a patient weighs and measures blood pressure at home, that is, a method and a device for managing and managing the home of the patient are not formed, so that medical staff cannot know in advance whether the patient can carry out drinking control, weight measurement and blood pressure measurement on time during the living period, thereby influencing the treatment effect.
Disclosure of Invention
One of the purposes of the invention is to solve the problem that the treatment effect is affected because medical staff cannot know in advance whether the patient can carry out drinking water control, weight measurement and blood pressure measurement in time during the living period in the existing dialysis treatment, and provide a home management method for hemodialysis patients based on an information technology, which has the prominent essential characteristics and remarkable progresses of monitoring the weight condition, drinking water condition and home blood pressure control condition of the patient, facilitating the continuity management of dialysis intervals of the patient by the medical staff and the like.
The second purpose of the invention is to provide a home management system for hemodialysis patients based on an information technology, which aims to solve the problem that medical staff cannot know in advance whether the patients can carry out drinking water control, weight measurement and blood pressure measurement on time during the living period so as to influence the treatment effect in the existing dialysis treatment.
One of the purposes of the invention can be achieved by adopting the following technical scheme:
a home management method for hemodialysis patients based on an information technology is characterized by comprising the following steps:
1) the medical care end is wirelessly connected with the patient end through the server or directly to form a two-way communication loop;
2) the patient end carries out weight measurement reminding, blood pressure measurement reminding, drinking water reminding and medicine taking reminding regularly so as to lead the patient to carry out weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking regularly; if the weight of the patient exceeds the limit, the blood pressure exceeds the limit and the water intake exceeds the limit, the patient is notified to the medical care end and alarms are given to remind the patient that the weight of the patient exceeds the limit, the blood pressure exceeds the limit and the water intake exceeds the limit; the patient end transmits the weight measurement data, the blood pressure measurement data, the quantitative drinking data and the quantitative medicine taking data to the medical care end;
3) the medical care end transmits a teaching video or document to the patient end to supervise and urge the patient to learn, observe the learning progress and perform examination and reminding.
One of the purposes of the invention can be achieved by adopting the following technical scheme:
furthermore, the propaganda and education videos or the propaganda and education documents uploaded from the medical care end are displayed on the patient end after being processed by the server, and medical staff remotely monitor the learning progress of the patient on the propaganda and education knowledge from the medical care end to supervise and urge the patient to learn and examine.
Further, medical staff monitor the instant blood pressure data, the water intake data, the weight data, the taking state of the antihypertensive drug and the health education learning progress state of the patient from the medical care end.
The second purpose of the invention can be achieved by adopting the following technical scheme:
the utility model provides a hemodialysis patient house management system based on information-based technology, includes patient end, medical care end and server, its structural feature lies in:
1) the patient end comprises an individual user, an intelligent weight scale, an intelligent sphygmomanometer, an intelligent water cup and an intelligent terminal, the signal output ends of the intelligent weight scale, the intelligent sphygmomanometer and the intelligent water cup are connected with the signal input end of the intelligent terminal, the signal input/output end of the intelligent terminal is connected with the signal input/output end of the medical care end and the signal input/output end of the medical care end through a server, and a two-way communication structure is formed;
2) the patient end is provided with a timing weight measurement reminding circuit, a blood pressure measurement reminding circuit, a drinking water reminding circuit and a medicine taking reminding circuit so as to remind the patient to perform weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking at regular time; the patient end is provided with a weight overrun alarm, a blood pressure overrun alarm and a water intake overrun alarm to remind the patient of the weight overrun alarm, the blood pressure overrun alarm and the water intake overrun alarm and report the body weight overrun alarm, the blood pressure overrun alarm and the water intake overrun alarm to the medical care end, and the patient end transmits weight measurement data, blood pressure measurement data, quantitative water drinking data and quantitative medicine taking data to the medical care end;
3) the end of doctorsing and nurses is equipped with patient's weight monitoring, blood pressure monitoring, drinking water monitoring and medicine monitoring and carries out healthy propaganda and education circuit to guide patient control weight, measure blood pressure, control water intake and dose, by doctorsing and nurses the end to patient end conveying propaganda and education video or document, with the supervision patient study, watch the study progress and examine the warning.
The second purpose of the invention can be achieved by adopting the following technical scheme:
furthermore, the patient end is provided with a patient basic information module, a weight management module, a blood pressure management module, a drinking water management module, a health education module, an intelligent reminding module, an information display module, a food moisture content identification module and a remote communication module; the medical care end is provided with a patient management module, an information data display module, a risk assessment module, a health propaganda and education module, a medical care intelligent reminding module and a medical care remote communication module; the medical care end is in wireless connection with the patient end through the server or in wireless connection with the patient end directly to form a two-way communication structure.
Further, patient's end is connected with intelligent terminal, intelligent terminal is electronic computer or other intelligent networking equipment, including embedded host computer, display screen, pronunciation sensing unit, the image sensing unit of shooing, wireless signal receiving and sending unit, patient's end and server are connected through bluetooth communication structure, wiFi communication structure or 2G/3G/4G communication structure to this wireless signal receiving and sending unit, and function APP is installed to this intelligent terminal.
Furthermore, the weight management module comprises an intelligent weight scale, the blood pressure management module comprises an intelligent sphygmomanometer, the drinking water management module comprises an intelligent water cup, an information management system is arranged in the intelligent terminal, and a server management system is arranged in the server; the remote communication module comprises a function structure of on-line communication between medical care and patients at any time and a reminding function structure for inquiring patients;
the weight management module comprises a weight measurement reminding function structure, a dry weight setting function structure, a weight overrun alarm function structure, a manual or automatic wireless data transmission selecting function structure and a wireless transmitting device, weight data is transmitted to an intelligent terminal in a wireless mode, the weight management module comprises one or more of Bluetooth, a Wi-Fi communication interface or a mobile phone communication interface, and sorting, screening and management are realized;
the blood pressure management module is provided with a blood pressure measurement reminding function structure, a blood pressure overrun alarm function structure and a wireless transmitting device, transmits blood pressure data to the intelligent terminal in a wireless mode, comprises one or more of Bluetooth, a Wi-Fi communication interface or a mobile phone communication interface, and realizes sorting, screening and management;
the drinking water management module is provided with a liquid level detector, a control processor, a prompter and a wireless transmitting device, and is used for transmitting drinking water data to the intelligent terminal in a wireless mode, wherein the drinking water management module comprises one or more of a Bluetooth communication interface, a Wi-Fi communication interface or a mobile phone communication interface.
Furthermore, a hollow equipment cavity is arranged at the lower part of the cup body of the intelligent water cup, the processor and the prompter are arranged in the equipment cavity, and the liquid level detector is arranged on the inner side wall of the cup body; the liquid level detector is used for sensing the water level of the liquid in the cup body in real time to obtain a water level value; the processor is used for determining whether prompt information for reminding a user of drinking water is generated or not according to the water level value and sending the generated prompt information to the prompter; the prompter is used for sending out an alarm prompt tone according to the prompt information; the wireless transmitting device records and transmits the amount of drinking water and the amount of water contained in the cup to the terminal, and sequencing, screening and management are realized.
The invention has the following prominent substantive characteristics and remarkable technical progress:
1. the home management method for hemodialysis patients comprises the steps that a management system comprising a patient end, a medical care end and a server is arranged, and the medical care end is in wireless connection with the patient end through the server or directly to form a two-way communication loop; the patient end carries out weight measurement reminding, blood pressure measurement reminding, drinking water reminding and medicine taking reminding at regular time so as to lead the patient to carry out weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking at regular time; the medical care end is used for monitoring the weight, the blood pressure, the drinking water and the medicine of the patient and performing health propaganda and education so as to guide the patient to control the weight, measure the blood pressure and control the water intake and the medicine amount. Therefore, the problem that medical staff cannot know in advance whether the patient can carry out drinking water control, weight measurement and blood pressure measurement in time during the living period so as to influence the treatment effect in the existing dialysis treatment can be solved, and the dialysis treatment system has the prominent essential characteristics and remarkable progresses of monitoring the weight condition, the drinking condition and the home blood pressure control condition of the patient, facilitating the continuity management of the dialysis intervals of the patient by the medical staff and the like.
2. The home management system for the hemodialysis patient comprises a patient end, a medical care end and a server, wherein the patient end comprises an individual user, an intelligent weighing scale, an intelligent sphygmomanometer, an intelligent water cup and an intelligent terminal, the signal output ends of the intelligent weighing scale, the intelligent sphygmomanometer and the intelligent water cup are connected with the signal input end of the intelligent terminal, the signal input/output end of the intelligent terminal is connected with the signal input/output end of the medical care end and the signal input/output end of the medical care end through the server, and a two-way communication structure is formed; the patient end is provided with a timing weight measurement reminding circuit, a blood pressure measurement reminding circuit, a drinking water reminding circuit and a medicine taking reminding circuit so as to remind the patient to perform weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking at regular time; the patient end 1 is provided with the weight overrun, blood pressure overrun and water intake overrun alarms to remind the patient of the weight overrun, blood pressure overrun and water intake overrun and report the alarms to the medical care end, and the patient end 1 transmits weight measurement data, blood pressure measurement data, quantitative water drinking data and quantitative medicine taking data to the medical care end; therefore, the problem that medical staff cannot know in advance whether the patient can carry out drinking water control, weight measurement and blood pressure measurement in time during the living period so as to influence the treatment effect in the existing dialysis treatment can be solved, and the dialysis treatment system has the prominent essential characteristics and remarkable progresses of monitoring the weight condition, the drinking condition and the home blood pressure control condition of the patient, facilitating the continuity management of the dialysis intervals of the patient by the medical staff and the like.
3. By adopting the invention, a user can promote a hemodialysis patient to know the self weight, drinking water and blood pressure conditions in real time through the patient end, and the patient is promoted to automatically form the purpose of controlling the water intake, thereby controlling the weight increase during dialysis, stabilizing the blood pressure and improving the life quality of the patient; a nurse can check the real-time situation of a hemodialysis patient in time through a medical care end, know the recent liquid intake situation, know the home blood pressure, drinking water and weight situations of the patient specifically through a communication module, and push health education contents in a targeted manner; is beneficial to improving the diet, medicine taking and treatment compliance of patients with hemodialysis, and is more convenient for medical care personnel to master big data.
Drawings
Fig. 1 is a schematic block diagram of a home management system for hemodialysis patients according to the present invention.
Fig. 2 is a schematic block diagram of a home management system for hemodialysis patients according to an embodiment of the present invention.
Detailed Description
Specific example 1:
referring to fig. 1, the home management system for hemodialysis patients based on the informatization technology according to the embodiment includes a patient end 1, a medical care end 3 and a server 2, where the patient end 1 includes an individual user, an intelligent weight scale, an intelligent sphygmomanometer, an intelligent water cup and an intelligent terminal, signal output ends of the intelligent weight scale, the intelligent sphygmomanometer and the intelligent water cup are connected to a signal input end of the intelligent terminal, and a signal input/output end of the intelligent terminal is connected to a signal input/output end of the medical care end 3 and to a signal input/output end of the medical care end 3 through the server 2, so as to form a two-way communication structure; the patient end 1 is provided with a timing weight measurement reminding circuit, a blood pressure measurement reminding circuit, a drinking water reminding circuit and a medicine taking reminding circuit so as to remind the patient to perform weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking at regular time; the patient end 1 is provided with the alarm for the weight overrun, the blood pressure overrun and the water intake overrun to remind the patient of the weight overrun, the blood pressure overrun and the water intake overrun and report the alarm to the medical care end 3, and the patient end 1 transmits the weight measurement data, the blood pressure measurement data, the quantitative water drinking data and the quantitative medicine taking data to the medical care end 3; the end 3 of doctorsing and nurses is equipped with patient's weight monitoring, blood pressure monitoring, drinking water monitoring and medicine monitoring and carries out healthy propaganda and education circuit to guide patient control weight, measure blood pressure, control water intake and dose, by doctorsing and nurses end 3 and to 1 conveying propaganda and education video or document of patient end, with the prompt of supervising patient's study, watching the study progress and examining.
Referring to fig. 2, the patient end 1 is provided with a patient basic information module 1-1, a weight management module 1-2, a blood pressure management module 1-3, a drinking water management module 1-4, a health education module 1-5, an intelligent reminding module 1-6, an information display module 1-7, a food moisture content identification module 1-8 and a remote communication module 1-9; the medical care end 3 is provided with a patient management module 3-1, an information data display module 3-2, a risk assessment module 3-3, a health propaganda and education module 3-4, a medical care intelligent reminding module 3-5 and a medical care remote communication module 3-6; the medical care end 3 is in wireless connection with the patient end 1 through the server 2 or in wireless connection with the patient end 1 directly to form a two-way communication structure.
Further, patient end 1 is connected with intelligent terminal, intelligent terminal is electronic computer or other intelligent networking equipment, including embedded host computer, display screen, pronunciation sensing unit, the image sensing unit of shooing, wireless signal receiving and sending unit, this wireless signal receiving and sending unit passes through bluetooth communication structure, wiFi communication structure or 2G 3G 4G communication structure and connects patient end 1 and server 2, and function APP is installed to this intelligent terminal.
Further, the weight management module 1-2 comprises an intelligent weight scale, the blood pressure management module 1-3 comprises an intelligent sphygmomanometer, the drinking water management module 1-4 comprises an intelligent water cup, an information management system is arranged in an intelligent terminal, and a server management system is arranged in the server 2; the remote communication module 1-9 comprises a medical care and patient on-line communication function structure at any time and a patient inquiry reminding function structure;
the weight management module 1-2 comprises a weight measurement reminding function structure, a dry weight setting function structure, a weight overrun alarm function structure, a manual or automatic wireless data transmission selecting function structure and a wireless transmitting device, transmits weight data to an intelligent terminal in a wireless mode, comprises one or more of Bluetooth, a Wi-Fi communication interface or a mobile phone communication interface, and realizes sorting, screening and management;
the blood pressure management module 1-3 is provided with a blood pressure measurement reminding function structure, a blood pressure overrun alarm function structure and a wireless transmitting device, transmits blood pressure data to an intelligent terminal in a wireless mode, comprises one or more of a Bluetooth communication interface, a Wi-Fi communication interface or a mobile phone communication interface, and realizes sorting, screening and management;
the drinking water management module 1-4 is provided with a liquid level detector, a control processor, a prompter and a wireless transmitting device, and is used for transmitting drinking water data to an intelligent terminal in a wireless mode, wherein the drinking water data comprises one or more of Bluetooth, a Wi-Fi communication interface or a mobile phone communication interface.
Furthermore, a hollow equipment cavity is arranged at the lower part of the cup body of the intelligent water cup, the processor and the prompter are arranged in the equipment cavity, and the liquid level detector is arranged on the inner side wall of the cup body; the liquid level detector is used for sensing the water level of the liquid in the cup body in real time to obtain a water level value; the processor is used for determining whether prompt information for reminding a user of drinking water is generated or not according to the water level value and sending the generated prompt information to the prompter; the prompter is used for sending out an alarm prompt tone according to the prompt information; the wireless transmitting device records and transmits the amount of drinking water and the amount of water contained in the cup to the terminal, and sequencing, screening and management are realized.
In this embodiment, the basic information module 1-1, the weight management module 1-2, the blood pressure management module 1-3, the drinking water management module 1-4, the health education module 1-5, the intelligent reminding module 1-6, the information display module 1-7, the food moisture content identification module 1-8 and the remote communication module 1-9 may be of a circuit structure of a conventional technology, and each of them is internally provided with software having control and management functions of the conventional technology. The medical care remote communication system comprises a patient management module 3-1, an information data display module 3-2, a risk assessment module 3-3, a health propaganda and education module 3-4, a medical care intelligent reminding module 3-5 and a medical care remote communication module 3-6, and can adopt a circuit structure of the conventional technology and is internally provided with software with the control and management functions of the conventional technology. The server 2 can adopt a server structure of the conventional technology, and the built-in management systems of the patient end 1 and the medical care end 3 can adopt management system software with the conventional doctor-patient management function.
The home management method for hemodialysis patients based on the informatization technology is characterized by comprising the following steps of:
1) a management system comprising a patient end 1, a medical care end 3 and a server 2 is arranged, and the medical care end 3 is in wireless connection with the patient end 1 through the server 2 or directly to form a two-way communication loop;
2) the patient end 1 carries out weight measurement reminding, blood pressure measurement reminding, drinking water reminding and medicine taking reminding at regular time so as to lead the patient to carry out weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking at regular time; if the weight of the patient exceeds the limit, the blood pressure exceeds the limit and the water intake exceeds the limit, the patient is notified to the medical care end 3 and alarms are given to remind the patient that the weight of the patient exceeds the limit, the blood pressure exceeds the limit and the water intake exceeds the limit; the patient end 1 transmits the weight measurement data, the blood pressure measurement data, the quantitative drinking data and the quantitative medicine taking data to the medical care end 3;
3) by doctorsing and nurses end 3 to patient's weight monitoring, blood pressure monitoring, drinking water monitoring and medicine monitoring and carry out healthy propaganda and education to guide patient control weight, measure blood pressure, control water intake and dose, by doctorsing and nurses end 3 and to patient end 1 conveying propaganda and education video or document, with the supervision patient study, watch the study progress and examine the warning.
Further, the propaganda and education video or the propaganda and education document uploaded from the medical care end 3 is displayed on the patient end 1 after being processed by the server 2, and medical staff remotely monitor the learning progress of the patient on the propaganda and education knowledge from the medical care end 3 to supervise and urge the patient to learn and examine.
Further, the medical staff monitors the instant blood pressure data, the water intake data, the weight data, the taking state of the antihypertensive drug and the health education learning progress state of the patient from the medical care terminal 3.
The principle of use of this particular embodiment is described in detail below:
by using the embodiment, the patient can stand on the intelligent weighing scale at any time, measure the blood pressure by using the intelligent sphygmomanometer or drink water by using the intelligent water cup, the intelligent weighing scale, the intelligent sphygmomanometer and the intelligent water cup are automatically connected with the patient end by opening the Bluetooth function of the mobile phone, and the intelligent weighing scale, the intelligent sphygmomanometer and the intelligent water cup can obtain current data and automatically or manually transmit the current data to the patient end 1 on the mobile phone or log in the patient end 1. The patient end 1 comprises a patient basic information module 1-1, a weight management module 1-2, a blood pressure management module 1-3, a drinking water management module 1-4, a health education module 1-5, an intelligent reminding module 1-6, an information data display module 1-7, a food moisture content identification module 1-8 and a remote communication module 1-9. The basic information module comprises basic information of the birth year and month, the sex, the dialysis starting time, the dialysis average rate, the dry weight setting and the like of the patient, and can be changed at any time according to adjustment. The weight management module 1-2 is used for generating a weight increase value according to weight information weighed by a user and automatically introduced, reminding the patient of reasonable intake, and simultaneously forming a weight change curve, a dialysis interval weight increase value change curve and a dialysis interval weight increase rate change curve; the blood pressure management module 1-3 is used for displaying data transmitted by the intelligent sphygmomanometer, inquiring and analyzing blood pressure data of a patient, forming a blood pressure change curve and displaying a table; the drinking water management module 1-4 is used for displaying data transmitted by the intelligent water cup, inquiring and analyzing drinking water data of a patient, and forming a drinking water amount change curve and displaying a table; the health education module 1-5 is used for enabling a patient to learn at any time and upload related propaganda and education videos or documents by medical personnel, carrying out assessment at regular intervals and simultaneously viewing assessment results; the intelligent reminding module 1-6 is used for synchronously reminding medical staff that the blood pressure data of which patient exceeds the standard, the water drinking amount exceeds the standard, the weight exceeds the standard, the antihypertensive medicine is not taken, and the reminding function of learning is not achieved in health education and learning; the information data display modules 1-7 are used for displaying real-time data of all patients monitoring weight, blood pressure, food consumption and taking antihypertensive drugs, the data are processed by the server to form curves and tables for displaying, and sorting, screening and contrast management are realized; the food moisture content identification module 1-8 is used for displaying the moisture content of the food under the condition that the moisture content of the food is not clear by the patient for the reference of the co-patient; the remote communication modules 1-9 are used for the function of on-line communication between the medical care patients at any time and the function of reminding the patients to inquire. The server 2 is used for storing user data and analysis processing of data, voice and images. The medical care end 3 comprises a patient management module 3-1, an information data display module 3-2, a risk assessment module 3-3, a health propaganda and education module 3-4, an intelligent reminding module 3-5 and a remote communication module 3-6. The patient management module 3-1 is used for collecting basic information of patients to be grouped, and screening the patients to be grouped through time, dry weight, sex, dialysis time, dialysis frequency and the like; the information data display module 3-2 is used for displaying historical data of monitoring weight, blood pressure, food consumption and taking antihypertensive drugs of all patients in real time, and the data is processed by the server to form curves and tables for displaying and realizing sorting, screening and management; the risk assessment module 3-3 can summarize recent data of the patient, show the recent data in the form of curves, tables and characters, predict risk coefficients brought according to weight growth data and blood pressure data, such as complications of heart failure, cardiac hypertrophy, blockage of vascular access and the like, and transmit the analyzed result to the medical care end and the patient end through the server for risk reminding; the health propaganda and education module 3-4 is used for uploading relevant propaganda and education videos or documents to medical personnel, and can simultaneously view the learning progress of the patient and remind the patient of learning and checking functions. Medical staff can upload relevant propaganda and education videos or documents at any time when needed, the videos or documents are displayed on the health education module of the patient end after being processed by the server, and the medical staff can remotely monitor the learning progress of the patient on propaganda and education knowledge and supervise and urge the patient to learn nuclear examination; the intelligent reminding module 3-5 is used for reminding the patient that the blood pressure data exceeds the standard, the water drinking amount exceeds the standard, the weight exceeds the standard and the antihypertensive drug is not taken; the remote communication module 3-6 is used for the on-line communication function at any time between the medical care patients and the reminding function of inquiry of the patients.
The basic information set by the patient comprises basic information such as birth year and month, sex, dialysis starting time, dialysis frequency, dry weight setting and the like, and can be changed at any time according to adjustment, and the system can set weight, blood pressure and water intake ranges according to the basic information. The weight measurement is set to be in a random mode or a timing mode, the timing mode can be 1 time after three meals or at an interval of n hours, the weight of each day does not exceed 1Kg, the dialysis interval does not exceed 5 percent of dry weight, and the automatic reminding stage is started after 3 percent of dry weight is exceeded. The blood pressure measurement can be set into a random mode and a timing mode according to requirements, wherein the timing mode is measurement before and after taking the antihypertensive drug or measurement 1 time at an interval of n hours. The drinking cup has a total volume of 500ml, and the buzzing sound reminding alarm of the cup with the drinking amount exceeding the total volume can be set. The weight, blood pressure and water intake measured every day are led into the system, and the system automatically generates a change curve chart.
When the patient is grouped, the dry weight of the patient can be set at the medical care end by medical care, when the dry weight of the patient is estimated to change by a doctor, the dry weight of the patient can be fixed at the medical care end, after the dry weight is fixed, the system can automatically generate weight control suggestion information and timely send the weight control suggestion information to the patient end to remind the patient of paying attention.
The patient end communication modules 1-9 and the medical care end communication modules 3-6 are further used for the on-line text and voice communication between medical care personnel and patients, so that the medical care personnel can answer questions of the patients in time and remind the patients to use the functions.
The information management system software comprises a medical care end, a patient end and a server. The intelligent terminal management system software can be installed on the intelligent terminal, and the intelligent terminal and cloud server terminal weight management system key comprises a data collection module, a received data processing module, a voice processing module, a data processing and analyzing module, a data management module and a database.
The patient management module comprises all basic information of the patients and the current dry weight of the patients, and realizes grouping, sorting, screening and comparison management;
the information data display module comprises a server for processing the data to form curves and tables for displaying, and realizes sorting, screening and management.
The risk assessment module can summarize recent data of the patient, display the recent data in the form of curves, tables and characters, and transmit the summarized result to the patient end through the server.
The health propaganda and education module has the functions of uploading relevant propaganda and education videos or documents and observing learning progress and checking and reminding by medical personnel. Medical personnel can upload relevant propaganda and education video or document at any time when having the needs, handle the back through the server and show at patient end health education module, and medical personnel can remote monitoring patient to the study progress of propaganda and education knowledge, supervise and urge patient study and examination.
The intelligent reminding module comprises a function of reminding patients of exceeding blood pressure data, exceeding water drinking amount, exceeding weight, not taking hypotensor, and a function of reminding health education and learning progress.
The remote communication module comprises a function of on-line communication between the medical care patients at any time and a function of reminding the patients to inquire.
The patient side comprises a patient basic information module, a weight management module, a blood pressure management module, a drinking water management module, a health education module, an intelligent reminding module, an information data display module, a food moisture content identification module and a remote communication module.
The basic information module comprises basic information of the birth year and month, the sex, the starting dialysis time, the dialysis average rate, the dry weight setting and the like of the patient, and can be changed at any time according to adjustment.
The weight management module is used for displaying data transmitted by the intelligent weighing scale, inquiring and analyzing weight data of the patient, reminding the patient of reasonable intake, forming a weight curve and displaying a table.
The blood pressure management module is used for displaying data transmitted by the intelligent sphygmomanometer, inquiring and analyzing blood pressure data of a patient, forming a blood pressure change curve and displaying a table.
The drinking water management module is used for displaying data transmitted by the intelligent water cup, inquiring and analyzing drinking water data of a patient, and forming a drinking water amount change curve and displaying a form.
The health propaganda and education module comprises a function that a patient can learn at any time and medical personnel upload related propaganda and education videos or documents, and conduct assessment at regular intervals and simultaneously view assessment results.
The intelligent reminding module synchronously reminds medical staff that the blood pressure data of a patient exceeds the standard, the water intake exceeds the standard, the weight exceeds the standard, a hypertension drug is not taken for reminding function and a health education and learning progress reminding function.
The information data display module comprises a server for processing the data to form curves and tables for displaying, and realizes sorting, screening and contrast management.
The food moisture content identification module comprises a camera shooting function of the terminal equipment, a food classification module, a food query module and a food moisture content module. And basic data of the food model in the storage module in the cloud server terminal is calculated by every 100g, the food photo is transmitted to the server for image recognition by photographing, and the water content of the food is displayed for the reference of the co-sufferer. The patient may also directly query the moisture content of the food for reference using a food query module directly on the terminal.
The invention can give real-time water drinking warning to the patient and the sphygmomanometer, thereby promoting the patient to actively control the liquid intake and achieving the purpose of controlling the blood pressure.
Claims (8)
1. A home management method for hemodialysis patients based on an information technology is characterized by comprising the following steps:
1) the medical care system is provided with a management system comprising a patient end (1), a medical care end (3) and a server (2), wherein the medical care end (3) is in wireless connection with the patient end (1) through the server (2) or directly to form a two-way communication loop;
2) the patient end (1) carries out weight measurement reminding, blood pressure measurement reminding, drinking water reminding and medicine taking reminding at regular time so as to lead the patient to carry out weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking at regular time; if the weight of the patient exceeds the limit, the blood pressure exceeds the limit and the water intake exceeds the limit, the patient reports to the medical care end (3) and gives an alarm to remind the patient that the weight of the patient exceeds the limit, the blood pressure exceeds the limit and the water intake exceeds the limit; the patient end (1) transmits the weight measurement data, the blood pressure measurement data, the quantitative drinking data and the quantitative medicine taking data to the medical care end (3);
3) by doctorsing and nurses end (3) to patient's weight monitoring, blood pressure monitoring, drinking water monitoring and medicine monitoring and carry out healthy propaganda and education to guide patient control weight, measure blood pressure, control water intake and dose, by doctorsing and nurses end (3) to patient end (1) transmission propaganda and education video or document, with the supervision patient study, watch the study progress and examine the warning.
2. The home management method for hemodialysis patients based on the informatization technology of claim 1, which is characterized in that: the propaganda and education video or the propaganda and education document uploaded from the medical care end (3) is displayed on the patient end (1) after being processed by the server (2), and medical staff supervise and urge the learning and assessment of the patient to the learning progress of the propaganda and education knowledge by remotely monitoring the patient from the medical care end (3).
3. The home management method for hemodialysis patients based on the informatization technology of claim 1 or 2, which is characterized in that: the medical staff monitors the instant blood pressure data, the water intake data, the weight data, the taking state of the antihypertensive drug and the health education learning progress state of the patient from the medical care terminal (3).
4. The utility model provides a hemodialysis patient house management system based on information-based technology, includes patient end (1), medical care end (3) and server (2), its characterized in that:
1) the patient end (1) comprises an individual user, an intelligent weight scale, an intelligent sphygmomanometer, an intelligent water cup and an intelligent terminal, signal output ends of the intelligent weight scale, the intelligent sphygmomanometer and the intelligent water cup are connected with a signal input end of the intelligent terminal, a signal input/output end of the intelligent terminal is connected with a signal input/output end of the medical care end (3) and is connected with a signal input/output end of the medical care end (3) through a server (2), and a two-way communication structure is formed;
2) the patient end (1) is provided with a timing weight measurement reminding circuit, a blood pressure measurement reminding circuit, a drinking water reminding circuit and a medicine taking reminding circuit so as to remind the patient to perform weight measurement, blood pressure measurement, quantitative drinking and quantitative medicine taking at regular time; the patient end (1) is provided with a weight overrun alarm, a blood pressure overrun alarm and a water intake overrun alarm to remind the patient of the weight overrun alarm, the blood pressure overrun alarm and the water intake overrun alarm and report the body weight overrun alarm, the blood pressure overrun alarm and the water intake overrun alarm to the medical care end (3), and the patient end (1) transmits weight measurement data, blood pressure measurement data, quantitative water intake data and quantitative medicine taking data to the medical care end (3);
3) the medical care end (3) is provided with a patient weight monitoring circuit, a blood pressure monitoring circuit, a drinking water monitoring circuit, a medicine monitoring circuit and a health propaganda and education circuit to guide the patient to control the weight, measure the blood pressure, control the water intake and the medicine dosage, and a propaganda and education video or document is transmitted to the patient end (1) by the medical care end (3) to supervise and urge the patient to learn, check the learning progress and check and remind.
5. The home management system for hemodialysis patients based on the information technology of claim 4, which is characterized in that: the patient side (1) is provided with a patient basic information module (1-1), a weight management module (1-2), a blood pressure management module (1-3), a drinking water management module (1-4), a health education module (1-5), an intelligent reminding module (1-6), an information display module (1-7), a food moisture content identification module (1-8) and a remote communication module (1-9); the medical care end (3) is provided with a patient management module (3-1), an information data display module (3-2), a risk assessment module (3-3), a health promotion and education module (3-4), a medical care intelligent reminding module (3-5) and a medical care remote communication module (3-6); the medical care end (3) is in wireless connection with the patient end (1) through the server (2) or is in wireless connection with the patient end (1) directly to form a two-way communication structure.
6. The home management system for hemodialysis patients based on the informatization technology of claim 4 or 5, wherein the home management system comprises: patient end (1) is connected with intelligent terminal, intelligent terminal is electronic computer or other intelligent networking devices, including embedded host computer, display screen, pronunciation sensing unit, image sensing unit of shooing, wireless signal receiving and sending unit, this wireless signal receiving and sending unit passes through bluetooth communication structure, wiFi communication structure or 2G 3G 4G communication structure and connects patient end (1) and server (2), and function APP is installed to this intelligent terminal.
7. The home management system for hemodialysis patients based on the informatization technology of claim 4 or 5, wherein the home management system comprises: the weight management module (1-2) comprises an intelligent weight scale, the blood pressure management module (1-3) comprises an intelligent sphygmomanometer, the drinking water management module (1-4) comprises an intelligent water cup, an information management system is arranged in an intelligent terminal, and a server management system is arranged in the server (2); the remote communication module (1-9) comprises a function structure of on-line communication between medical care and patients at any time and a reminding function structure for inquiring patients;
the weight management module (1-2) comprises a specific weight measurement reminding function structure, a dry weight setting function structure, a weight overrun alarm function structure, a manual or automatic wireless data transmission selecting function structure and a wireless transmitting device, weight data is transmitted to an intelligent terminal in a wireless mode, the weight data comprises one or more of Bluetooth, a Wi-Fi communication interface or a mobile phone communication interface, and sorting, screening and management are realized;
the blood pressure management module (1-3) is provided with a blood pressure measurement reminding function structure, a blood pressure overrun alarm function structure and a wireless transmitting device, transmits blood pressure data to the intelligent terminal in a wireless mode, comprises one or more of a Bluetooth communication interface, a Wi-Fi communication interface or a mobile phone communication interface, and realizes sorting, screening and management;
the drinking water management module (1-4) is provided with a liquid level detector, a control processor, a prompter and a wireless transmitting device, and is used for transmitting drinking water data to the intelligent terminal in a wireless mode, wherein the drinking water management module comprises one or more of Bluetooth, a Wi-Fi communication interface or a mobile phone communication interface.
8. The home management system for hemodialysis patients based on the informatization technology of claim 4 or 5, wherein the home management system comprises: a hollow equipment cavity is formed in the lower portion of the cup body of the intelligent water cup, the processor and the prompter are arranged in the equipment cavity, and the liquid level detector is arranged on the inner side wall of the cup body; the liquid level detector is used for sensing the water level of the liquid in the cup body in real time to obtain a water level value; the processor is used for determining whether prompt information for reminding a user of drinking water is generated or not according to the water level value and sending the generated prompt information to the prompter; the prompter is used for sending out an alarm prompt tone according to the prompt information; the wireless transmitting device records and transmits the amount of drinking water and the amount of water contained in the cup to the terminal, and sequencing, screening and management are realized.
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| CN202110319355.7A CN113261926A (en) | 2021-03-25 | 2021-03-25 | Hemodialysis patient home management method and system based on informatization technology |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113741206A (en) * | 2021-09-08 | 2021-12-03 | 上海长征医院 | Smart home management system and application thereof |
| WO2024122279A1 (en) * | 2022-12-06 | 2024-06-13 | ニプロ株式会社 | Program, body water content management system, body water content management method, and storage medium |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113741206A (en) * | 2021-09-08 | 2021-12-03 | 上海长征医院 | Smart home management system and application thereof |
| WO2024122279A1 (en) * | 2022-12-06 | 2024-06-13 | ニプロ株式会社 | Program, body water content management system, body water content management method, and storage medium |
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