CN114391828A - Active psychological nursing intervention system for stroke patient - Google Patents
Active psychological nursing intervention system for stroke patient Download PDFInfo
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- CN114391828A CN114391828A CN202210188719.7A CN202210188719A CN114391828A CN 114391828 A CN114391828 A CN 114391828A CN 202210188719 A CN202210188719 A CN 202210188719A CN 114391828 A CN114391828 A CN 114391828A
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- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
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Abstract
The invention relates to the technical field of rehabilitation psychological intervention, and discloses a positive psychological nursing intervention system for a cerebral apoplexy patient, which comprises an acquisition training room, wherein a marking reference module for assisting the acquisition unit to analyze image acquisition data and a step pressure detection module for monitoring the standing and walking double-foot supporting state of the patient are sequentially arranged on the ground of the acquisition training room from top to bottom; the receiving degree of the patient is judged through the high-frequency area and the low-frequency area, a training scheme is appointed according to the receiving degree priority of the patient, the hand holding detection module and the foot step pressure detection module are used as independent motion judgment standards of the patient, the fourth stage is rapidly passed, the body rehabilitation change is reflected in a microscopic mode, two-stage and three-stage rapid transition is achieved, and therefore the psychological intervention effect and the rehabilitation speed of the patient are guaranteed.
Description
Technical Field
The invention relates to the technical field of rehabilitation psychological intervention, in particular to a positive psychological nursing intervention system for a cerebral apoplexy patient.
Background
After the stroke patient is treated, the stroke patient is accompanied by various sequelae, the sequelae are roughly divided into limb dysfunction, cognitive and mental disorders, speech dysfunction, swallowing dysfunction and the like, the disorders can easily generate negative emotions for the patient, the negative emotions influence the rehabilitation of the patient, the mental intervention is performed on the negative emotion of the stroke patient in clinic, although the method can improve the clinical diagnosis and treatment compliance of the patient to a certain degree and reduce the negative psychological emotion of the patient, the psychological intervention of nursing staff and doctors on the patient is particularly important, but before the psychological intervention of the patient, the condition of the patient needs to be known, and the condition is often known in a communication and form filling. After a stroke patient suffers from a disease, psychological changes usually have five stages, namely a shock period, a negative period, a depression period, a negative independent period and an adaptation period, the shock period is generally short in duration, most people can spend themselves quickly, the patient in the shock period is mainly in a hurry and unconscious state and cannot justify and accept the disorder caused by sequelae, at the moment, if the patient is communicated and filled in a form, the psychological state of the patient is judged according to the communication content and the form content, the filling of various forms makes the patient more fidgetful, the patient cannot consider the real idea to fill in the form too much, the result obtained by filling the form at the moment is different from the real situation of the patient, the subsequent psychological intervention scheme is set according to the result basis of the communication and the form filling, the deviation of the treatment effect is larger and larger at the moment, and because of the shock period, under the condition that a patient is in a confused state, the patient can not live according to the original living habits, entertainment projects are not in mood participation temporarily, and the real influence of sequelae on the patient is not completely displayed. Therefore, in the process of psychological intervention, because inaccurate early-stage test results are accumulated, a psychological area which a patient wants to avoid is easily touched during psychological intervention, so that the negative emotion is further increased, adverse effects are generated, and the quality of positive psychological intervention is seriously influenced.
Disclosure of Invention
The invention aims to provide a positive psycho-nursing intervention system for stroke patients, so as to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: including gathering the training room, gather the training room: the space for providing rehabilitation, rest and entertainment for the patient is provided, and the acquisition unit for monitoring the rehabilitation training and daily life of the patient is installed on one side of the acquisition training room.
The acquisition unit: the behavior and the movement of the patient are collected, the high-frequency region and the low-frequency region of the patient are counted through image video processing, the psychological intention and the avoidance intention of the patient are analyzed according to the high-frequency region and the low-frequency region, and then an accurate intervention direction is provided for subsequent psychological intervention.
The ground of gathering the training room has set gradually from top to bottom and is used for assisting acquisition unit image acquisition data analysis's mark reference module and be used for the step pressure detection module to patient's the state monitoring of standing, walking both feet.
The tag reference module: the mark reference module includes that the basis glues face, a plurality of and touches and presses start-up element, a plurality of and touch the regional suggestion unit that the start-up element corresponds, touch and press start-up element with face fixed connection is glued to the basis for to patient's step pressure detection, touch and press start-up element with regional suggestion unit signal connection for it tramples regional the passing through to respond to patient the opening of regional suggestion unit is convenient for the acquisition unit divides the processing to high-frequency district and low-frequency district.
The step pressure detection module: the step pressure detection module comprises a square hard plate with the width of 3 cm, a connection transition unit, a pressure reduction unit and a pressure sensor, wherein the hard plate is fixedly connected with the basic rubber surface and used for conducting the step pressure of the patient; the hard plate is fixedly connected with the ground through the two pressure reducing units and is used for elastically supporting the hard plate through the pressure reducing units, so that the situation that the walking of a patient is obstructed due to the fact that a step is formed by the fact that the descending distance of the hard plate is too large is avoided; the connecting transition unit is fixedly connected between the two hard plates and used for smooth transition between the two hard plates, and the step condition formed by the connecting transition unit is further optimized; the pressure sensor is fixedly connected below the hard plate and used for collecting the step pressure of the patient.
One side of gathering the training room sets gradually and is used for adjusting the regulation passageway of rehabilitation training apparatus, amusement equipment and rest area position and is used for placing the rehabilitation amusement activity district of rehabilitation training apparatus, amusement equipment and rest area position, and the detection module is held to the hand that is used for monitoring patient's motion stability is installed in the district that grips, the support area of exerciser.
The adjusting channel is: the device mainly aims to provide a translation section for facilities installed on the rehabilitation entertainment activity area and avoid damage to the step pressure detection module caused by the movement of the facilities.
The rehabilitation entertainment activity area is as follows: the facilities are placed at different positions on the rehabilitation entertainment activity area according to functions, and the functions of the high-frequency area and the low-frequency area of the patient are corresponding to the functions of the rehabilitation entertainment activity area after being collected by the collecting unit, so that reference data are provided for psychological intervention during nursing.
The hand-holding detection module comprises a contact layer, a buffer layer, a hard bottom layer, a plurality of tension detection units and a plurality of traction ropes corresponding to the tension detection units, wherein the hard bottom layer is fixedly connected with the sports apparatus and is used for ensuring that the hard bottom layer and the sports apparatus are fixed stably and do not generate relative displacement; the buffer layer is fixedly connected between the contact layers of the hard bottom layer and is used for improving the holding friction force by contacting the hands of a patient through the contact layers and improving the holding comfort degree through the buffer layer; the traction rope is fixedly connected between the contact layer and the hard bottom layer and is used for connecting the contact layer and the hard bottom layer, so that the phenomenon that the buffer layer is torn due to transition translation of the contact layer caused by the displacement of hands with loose holding to affect the holding safety is avoided; the pull detection unit is fixedly connected to the surface of the hard bottom layer, and the other end of the traction rope is fixedly connected with the pull detection unit and used for judging the holding stability of the patient through the pull of the traction rope.
As a still further scheme of the invention: the inside of the collection training room is provided with an alarm which gives an alarm after the step pressure detection module senses that the number of the pressures sensed by the step pressure detection module is greater than 100, the step pressure detection module senses the stress balance state of the foot support of the patient to provide reference for a training result, and meanwhile, a guide item is provided for positive psychological intervention, and the positive psychological intervention effect is increased.
As a still further scheme of the invention: the top fixedly connected with of stereoplasm bottom is used for detecting the pressure detection module that grips who grips pressure, it is right to offer to be used for the bottom of buffer layer grip the groove of stepping down that the pressure detection module steps down, the turn trough has been seted up at the top of stereoplasm bottom, the turn trough internal rotation is connected with grips the slip detection dish, grip slip detection dish one side fixedly connected with contact piece, turn trough inside fixedly connected with be used for with the contact switch that the contact piece contact was opened.
As a still further scheme of the invention: the contact layer is sewed up by nylon screen cloth and sweat-absorbing layer and is made, the surface of stereoplasm bottom is seted up and is used for accomodating the recess of pulling force detecting element.
As a still further aspect of the present invention, an intervention procedure of a positive psycho-nursing intervention system for stroke patients includes:
s1: through the acquisition unit monitors patient's daily rest, training process, amusement process to according to patient's individual habit, will gather the inside data of training room and handle through outside computer, calculate high frequency area and low frequency area, combine patient's sequelae condition and patient's activity high frequency area to contrast, judge the influence scope of sequelae to patient, and then intervene and provide the reference for doctor's later stage nursing.
S2: and (3) making a rehabilitation scheme by taking the types of the instruments and equipment in the high-frequency region of the rehabilitation training of the patient as the first priority of the training of the rehabilitation instruments of the patient, selecting the instrument in the low-frequency region with the minimum psychological influence on the patient according to the influence of the sequelae of the patient in the step S and listing the instrument in the rehabilitation plan if the types of the instruments and equipment in the low-frequency region have items which are necessary to be trained by the patient, and after determining the instrument, adjusting the position of the instrument according to the type of the instrument and the high-frequency region of the patient.
S21: install in the support area of apparatus hold and hold detection module, through hold and hold detection module and can investigate patient's the stability of gripping, hold and hold detection module and can hold when supporting at patient, because the power of gripping is not enough, receive the influence of the gravity of patient's health, this moment the contact layer with the stereoplasm bottom can take place the skew in the horizontal direction, and then experience the pulling force of haulage rope through pulling force detecting element to this is regarded as patient's autonomic training security reference, adds the item or the training form changes for subsequent training.
S3: the method has the advantages that the method can be used for monitoring according to the daily life state of the patient, further enabling the influence range of the sequelae on the patient to be clear according to the influence of the sequelae on the patient, and enabling a doctor to conduct psychological persuasion according to the real situation of the patient and simultaneously avoid sensitive points more accurately.
S4: the psychological conflict range of the patient is judged according to the combination of the functions of the low-frequency area and the sequelae of the patient, because the low-frequency area may have two conditions, the first condition is uninterested, the second condition is that the current physical state does not support the patient to move, entertain and train in the low-frequency area, when the psychological counseling is carried out on the patient, the type and the content of the low-frequency area are avoided, thereby avoiding the secondary influence on the patient caused by miscounseling in the psychological counseling process, improving the psychological counseling quality, and with the exercise of the primary high-frequency rehabilitation training item and the double holding of the psychological counseling, the patient is tentatively guided to try to train the necessary training apparatus in the low-frequency area, and the psychological influence on the patient caused by the necessary training but the items not expected by the patient is reduced.
S5: the physical balance of the patient when walking is monitored according to the step pressure detection module, action risks of the patient are evaluated, the patient who cannot be subjected to autonomous rehabilitation training is nursed in a nursing mode, special rehabilitation training is carried out, meanwhile, the reference value according to the step pressure detection module can also be used as a psychological guide intervention process, a front-back comparison effect is played on the patient, the subconscious of the patient is enabled to be considered as effective in training, and the training attitude of the patient is improved so that the psychological conflict condition of the patient is reduced.
Compared with the prior art, the invention has the beneficial effects that:
the system utilizes a monitoring mode to record daily habits and training autonomous selection of patients, judges the acceptance degree of the patients through a high-frequency area and a low-frequency area, appoints a training scheme according to the acceptance degree priority of the patients, avoids sensitive points aiming at the daily habits and the low-frequency area, and ensures the intervention effect by cooperating with psychological intervention, avoids negative influence caused by touching the sensitive points of the patients, utilizes a hand holding detection module and a foot step pressure detection module as the independent motion judgment standard of the patients, quickly passes through a fourth stage, and utilizes the hand holding detection module and the foot step pressure detection module to reflect the body rehabilitation change in a microscopic mode, thereby realizing the quick transition between the two stage and the three stage, and further ensuring the psychological intervention effect and the rehabilitation speed of the patients.
Drawings
In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings needed to be used in the embodiments or the prior art descriptions will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on these drawings without inventive exercise.
Fig. 1 is a schematic diagram of the composition of an acquisition training room of a positive psycho-nursing intervention system for stroke patients.
Fig. 2 is a schematic cross-sectional view of a hand-holding detection module of a positive psychological care intervention system for stroke patients.
Fig. 3 is a flow diagram of a positive psycho-nursing intervention system for stroke patients.
Fig. 4 is a schematic cross-sectional view of a marker reference module and a step pressure detection module in a positive psycho-nursing intervention system for stroke patients.
In the figure: 1. collecting a training room; 2. marking a reference module; 21. a base rubber surface; 22. a touch pressure starting unit; 23. an area presentation unit; 3. a step pressure detection module; 31. a hard plate; 32. connecting the transition unit; 33. a pressure reducing unit; 34. a pressure sensor; 4. adjusting the channel; 5. a rehabilitation and entertainment activity area; 6. a collection unit; 7. a hand grip detection module; 71. a contact layer; 72. a buffer layer; 721. a yielding groove; 73. a hard bottom layer; 731. rotating the groove; 74. a tension detection unit; 75. a hauling rope; 76. a grip pressure detection module; 77. holding the sliding detection plate; 771. a contact block; 78. a contact switch.
Detailed Description
Referring to fig. 1, in the preparation embodiment before intervention of the present invention, in a hospital, there are many sequela limb dysfunctions caused by cerebral apoplexy, and the limb dysfunctions have the greatest influence on life, and the rehabilitation training is good, so most limb dysfunctions need the acquired rehabilitation training, and the patients usually do not need high-strength training, and most of the patients need small aerobic exercises such as walking, local muscle exercise arms or legs, so the volume of the rehabilitation equipment is not very large, the collection training room 1 is provided with a rehabilitation entertainment activity area 5 and an adjustment channel 4 inside, the rehabilitation entertainment activity area 5 is provided with training instruments, an entertainment area and a rest area, and the adjustment channel 4 is used for transferring items on the rehabilitation entertainment activity area 5, the collection training room 1 is internally provided with a bed and a toilet.
Referring to fig. 1, fig. 3 and fig. 4, in the embodiment of the psychological intervention prediction intervention of the present invention, after a patient is treated, the patient is sent into the collection training room 1, at this time, the collection training room 1 is an independent room, the sequela of the patient can cause the patient to face outsiders and to be more panic to the society, the subsequent prediction result is inaccurate, at this time, after the patient wakes up, the state caused by the sequela can also affect the patient, at this time, the collection unit 6 collects the information in the collection training room 1, according to the movement track of the patient in the collection training room 1 within a period of time, because the base adhesive surface 21 is provided with the touch start unit 22, when the patient steps on, the touch start unit 22 can drive the area prompt unit 23 to turn on, the area prompt unit 23 selects a light representation area with multiple colors, at this time, when the patient steps on, the area prompt unit 23 with different colors can rapidly step on the area, the high-frequency area and the low-frequency area inside the collecting training room 1 are obtained through calculation by a computer, the collecting training room is divided into two types, the first type is that sequelae can only act or train passively, when the first type is adopted, a patient can move to an active movement in a passive training mode, the second type is an active type, the active type is mainly not serious in conditions caused by the sequelae, such as dyskinesia, hypomyodynamia of arms or legs and unstable step, when the patient is in a psychological change shock stage, the patient is overwhelmed by the disorder caused by the sequelae, the living state of the patient is firstly evaluated by a collecting unit 6, and when the patient does not have doctor's intervention, the living state of the patient and some training equipment selected autonomously are used in an trial manner, And analyzing the play items of the family members in the entertainment area to calculate a high-frequency area and a low-frequency area of the patient, wherein the division of the areas is mainly based on the items on a rehabilitation entertainment activity area 5, the areas on a marking reference module 2 are mainly used in life, the patient is analyzed through the high-frequency area and the low-frequency area, the main analysis contents are the activity item type, the entertainment type and the rest type of the high-frequency area, the entertainment type analysis mainly has the adverse effects brought by the entertainment items of the patient and the limb sequelae of the patient, the psychological condition of the patient is further judged, the doctor does not intervene at the moment, a rehabilitation scheme is formulated according to the first priority of the exercise equipment items of the high-frequency area as the exercise of the rehabilitation equipment of the patient, then the low-frequency area equipment with necessity is selected as the subsequent exercise equipment of the rehabilitation, and the high-frequency area rehabilitation equipment with the first priority is used at the moment, although the doctor intervenes for guidance, the rehabilitation scheme has selective identity with the patient, the conflict situation of the patient is reduced, the patient firstly trains under the condition of no conflict or even little conflict, the training time is increased along with the time on the basis of the independent training time of the patient detected by the acquisition unit 6, the strength is gradually increased, the consistency of the early training strength and the self training strength of the patient is ensured, the passive movement situation is avoided, simultaneously, the progressive movement is realized along with the improvement of the positive psychology of the patient, simultaneously, the influence of the sequelae on the patient is judged according to the daily entertainment projects and the living habits of the patient in the entertainment life, the psychological intervention and the psychological guidance are carried out on the patient, the sensitive topics of the patient are avoided, the psychological guidance mainly starts to lead the patient to contact with necessary training instruments in the low frequency area, and the rehabilitation plan is perfected, the system mainly judges the acceptance degree and psychological intention of a patient through the high-frequency area and the low-frequency area according to the autonomous selection state of the patient, the early-stage plan trains by preferentially selecting the training function item of the high-frequency area as the rehabilitation training priority of the patient, so that the patient can accept the rehabilitation training item more easily, and the system can select a more suitable entry point and simultaneously avoid subsequent sensitive points of the low-frequency area more easily according to the daily condition of the patient when the patient is psychologically intervened, and the quality of the psychological intervention is ensured.
Referring to fig. 2 and 3, in the embodiment of the invention, in which the psychological state of the stroke patient is treated against the independent period in the rehabilitation implementation process, the independent period is opposed mainly due to the fact that the patient is suitable for rehabilitation training but depends on family members, doctors and nursing staff in a transitional way, mainly due to the fact that the family members, doctors and nursing staff can always assist the patient, if the training time is too long, the dependence is generated, but if the patient is trained independently too early, potential safety hazards are likely to be generated, in order to make the transition between the two safer, the hand-holding detection module 7 is provided at a holding part of the training, such as a rehabilitation bicycle, at the moment, the hand of the patient can hold the upper handle stably, the hard bottom layer 73 is fixed on the handle, the operator holds the outside of the hand-holding detection module 7 to be in contact with the contact layer 71, at the moment, the buffer layer 72 is elastically deformed to ensure the comfort of holding, when the previous patient is in bed for a long time and has insufficient physical strength or muscle weakness, the patient can be held on the contact layer 71 and cannot be tightly held, when the buffer layer 72 is not tightly held by the contact layer 71, the compression amount of the contact layer 71 is insufficient, so that the contact layer 71 and the hard bottom layer 73 can be influenced by the acting force generated during the body movement to match with the hand holding, the buffer layer 72 is stretched, the situation that the buffer layer 72 is stretched and torn can be avoided by the traction rope 75, meanwhile, the tension detection of the traction rope 75 by the tension detection unit 74 judges the training holding stability of the cerebral apoplexy patient according to the tension occurrence frequency of the single training tension detection unit 74, the training stability of the patient is judged according to the occurrence frequency of the tension detection unit 74, and meanwhile, the bottom surface of the buffer layer 72 is provided with the abdicating groove 721, the top of the hard bottom layer 73 is fixed with a holding pressure detection module 76, when a trainer holds the hard bottom layer 73, the buffer layer 72 is compressed, so that the contact layer 71 can be in contact with the holding pressure detection module 76, and further the holding stability is judged, and the sliding condition caused by over-tight holding is possible, at the moment, the over-tight holding easily causes the traction rope 75 to be compressed by the buffer layer 72 to generate allowance, so that the sliding cannot be sensed in the first time, therefore, the holding sliding detection disc 77 is arranged on the hard bottom layer 73, at the moment, the buffer layer 72 is in contact with the holding sliding detection disc 77, when the sliding occurs, the deformation of the buffer layer 72 causes the displacement and the stretching of the abdicating groove 721 to drive the holding sliding detection disc 77 to rotate 731 in the rotating groove, at the moment, the contact block 771 is rotated by the holding sliding detection disc 77 to be in contact with the contact switch 78, and a torsion spring is arranged in the holding sliding detection disc 77, when the hand is loosened, hold slip detection dish 77 automatic re-setting, this mode is mainly in order to avoid upper part of the body motion incoordination or upper part of the body equilibrium not enough, when leading to the motion, the upper limbs appear wriggling or have the inclined motion trend, lead to the hand when gripping, also can take place the micro displacement, detect the displacement condition of gripping through holding slip detection dish 77, the motion stability of many ways to patient detects, thereby decide the start time of independent motion, this mode can make patient's independent motion safer, simultaneously through the reduction nurse the time of motion that can the maximize of the basis that pulling force detecting element 74 produced, and then reduce because the increase of time increase leads to the increase of dependence, make patient pass through psychological change fourth stage more light.
Referring to fig. 1 and fig. 3, in the embodiment of independent movement of a stroke patient during rehabilitation implementation of the present invention, since the collection training room 1 is internally provided with the mark reference module 2 and the step pressure detection module 3, at this time, the mark reference module 2 is a rubber surface, the step pressure detection module 3 is located below the mark reference module 2, at this time, when the patient walks, the step pressure detection module 3 senses the condition of the step pressure of the patient, and problems occurring on local muscle weakness, local weakness of the upper body, local numbness and arms on any side of the stroke patient easily cause the inconsistent pressures on the two feet when the stroke patient walks, the inconsistent pressures on the two feet cause a shift of the center of gravity, and balance cannot be guaranteed when serious, the step pressure detection module 3 can measure the normal walking step pressure of the patient, because the whole foot pressure detecting module 3 is not used for detecting the foot pressure, mainly for judging the condition of the patient through the pressure difference between two feet, and when the muscle of a certain part of the leg of the patient is weak, when the patient walks, the leg can also slide on the ground, at the moment, when the patient walks, the leg at one side drives the pressure sensor 34 at the bottom to generate the condition of linear opening and closing of small pressure, and the walking condition can be observed, therefore, the hard plate 31 is supported through the pressure retarding unit 33, the pressure detected by the pressure sensor 34 is actually smaller than the actual foot pressure, the condition that the hard plate 31 is excessively displaced up and down to generate a step surface due to the excessively large pressure can be effectively avoided, and meanwhile, the transition is carried out between the two hard plates 31 through the connecting transition unit 32, so that the stability is further improved, according to the pressure difference sensed by the two steps as the reference basis of the subsequent independent movement, the larger the difference is, the more unstable the difference is, the hard plate 31 is a square with the width of 3 cm, the patient is basically grown up when the stroke occurs, the sole width of the adult is about 10 cm, when the foot is stepped on the surface of the marking reference module 2, the foot pressure detection module 3 is affected by the foot pressure, once the person falls down, the number sensed by the foot pressure detection module 3 at the same time is greatly increased, because the sole width of the adult is about 10 cm and is below 30 cm, the foot area is about 300 square cm, and the area of the hard plate 31 with the width of 3 cm is about 9 cm, about 30 pressure points are generated by the feet, and 60 feet are provided, when the pressure generation points are greater than 100, at the moment, the alarm is used for alarming, so that doctors, family members and nursing can be quickly reminded, and the safety of independent movement is guaranteed.
Referring to fig. 1, 2 and 3, in the embodiment of psychologically active intervention of two and three phases of stroke patients in rehabilitation implementation of the present invention, the two and three phases most likely to generate psychological problems are respectively a negative period and a negative period, the three phases are a depression period, the negative period can last for several weeks, the patient can calm down from discordance, the patient can not know the understanding and treatment of the disease at the same time, the expectation on rehabilitation is high, the depression period can last for several weeks to several months, the patient can start rehabilitation therapy at the moment, problems in thinking, limbs and words can be intuitively felt, the patient can feel confused about long-term rehabilitation therapy, the negative period and the depression period are connected, the main generation reason of the depression period is the recovery time, the recovery effect can not be intuitively reflected, the pressure and holding stability generated by the foot step pressure detection module 3 and the hand holding detection module 7 are used as microscopic parameters, and the change that produces when the daily life according to patient forms the entry point of psychological guidance, forms the data contrast through the microcosmic parameter, makes patient's psychological change that can understand oneself through the little expression of numerical value with the big expression of physical change, can reduce the influence that two stages and three stages caused to patient, makes patient can reach the adaptation phase sooner, the positive recovered training that faces.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention are equivalent to or changed within the technical scope of the present invention.
Claims (9)
1. A positive psycho-nursing intervention system for stroke patients, characterized in that: including gathering training room (1), gather training room (1): the space is used for providing rehabilitation, rest and entertainment for patients, and one side of the collection training room (1) is provided with a collection unit (6) used for monitoring the rehabilitation training and daily life of the patients; the acquisition unit (6): the behavior and the movement of the patient are collected, the high-frequency region and the low-frequency region of the patient are counted through image video processing, the psychological intention and the avoidance intention of the patient are analyzed according to the high-frequency region and the low-frequency region, and then an accurate intervention direction is provided for subsequent psychological intervention; the ground of the acquisition training room (1) is sequentially provided with a marking reference module (2) for assisting the acquisition unit (6) to analyze image acquisition data and a step pressure detection module (3) for monitoring the standing and walking double-foot supporting states of a patient from top to bottom; the tag reference module (2): the mark reference module (2) comprises a basic adhesive surface (21), a plurality of touch pressure starting units (22) and a plurality of area prompting units (23) corresponding to the touch pressure starting units (22), wherein the touch pressure starting units (22) are fixedly connected with the basic adhesive surface (21) and used for detecting the pressure of the footsteps of a patient, and the touch pressure starting units (22) are in signal connection with the area prompting units (23) and used for sensing the opening of the stepping areas of the patient through the area prompting units (23) so as to facilitate the division processing of a high-frequency area and a low-frequency area by the acquisition unit (6); one side of gathering training room (1) is provided with in proper order and is used for adjusting regulation passageway (4) of rehabilitation training apparatus, amusement equipment and rest area position and is used for placing rehabilitation training apparatus, amusement equipment and the recovered amusement activity district (5) of rest area position, and the district that grips, the support area of exerciser install and are used for carrying out the hand that monitors to patient's motion stability and hold detection module (7).
2. The positive psycho-nursing intervention system for stroke patients according to claim 1, characterized in that: the hand holding detection module (7) comprises a contact layer (71), a buffer layer (72), a hard bottom layer (73), a plurality of tension detection units (74) and a plurality of traction ropes (75) corresponding to the tension detection units (74), wherein the hard bottom layer (73) is fixedly connected with a sports apparatus and is used for ensuring that the hard bottom layer (73) and the sports apparatus are fixed and stable and cannot generate relative displacement; the buffer layer (72) is fixedly connected between the contact layers (71) of the hard bottom layer (73) and is used for improving the holding friction force by the contact layers (71) contacting the hands of a patient and improving the holding comfort degree by the buffer layer (72); the traction rope (75) is fixedly connected between the contact layer (71) and the hard bottom layer (73) and is used for connecting the contact layer (71) and the hard bottom layer (73) to avoid tearing of the buffer layer (72) caused by transition translation of the contact layer (71) due to loose hand displacement during holding and influence on holding safety; the pull detection unit (74) is fixedly connected to the surface of the hard bottom layer (73), and the other end of the traction rope (75) is fixedly connected with the pull detection unit (74) and used for judging the holding stability of a patient through the pull of the traction rope (75).
3. The positive psycho-nursing intervention system for stroke patients according to claim 2, characterized in that:
the step pressure detection module (3): the step pressure detection module (3) comprises a square hard plate (31) with the width of 3 cm, a connection transition unit (32), a pressure reduction unit (33) and a pressure sensor (34), wherein the hard plate (31) is fixedly connected with the basic rubber surface (21) and used for conducting the step pressure of the patient; the hard plate (31) is fixedly connected with the ground through the two pressure reducing units (33) and is used for elastically supporting the hard plate (31) through the pressure reducing units (33) so as to avoid the situation that the walking of a patient is obstructed due to the step formed by the overlarge descending distance of the hard plate (31); the connecting transition unit (32) is fixedly connected between the two hard plates (31) and used for smooth transition between the two hard plates (31), and the step condition formed by the connecting transition unit (32) is further optimized; the pressure sensor (34) is fixedly connected below the hard plate (31) and used for collecting the step pressure of the patient.
4. A positive psycho-nursing intervention system for stroke patients according to claim 3, characterized in that: the regulating channel (4): mainly aims to provide a translation section for facilities installed on the rehabilitation entertainment activity area (5) and avoid the damage of the step pressure detection module (3) caused by the movement of the facilities.
5. The positive psycho-nursing intervention system for stroke patients according to claim 4, characterized in that: the rehabilitation entertainment activity area (5): the facilities are placed at different positions on the rehabilitation entertainment activity area (5) according to functions, and the functions of the high-frequency area and the low-frequency area of the patient are corresponding to the functions of the rehabilitation entertainment activity area (5) after being collected by the collecting unit (6), so that reference data are provided for psychological intervention during nursing.
6. The positive psycho-nursing intervention system for stroke patients according to claim 5, characterized in that: gather the internally mounted of training room (1) and work as alarm that the quantity that footstep pressure detection module (3) sensed pressure simultaneously is greater than 100 back and reports to the police provides the reference for the training result through footstep pressure detection module (3) response patient's foot support stress balance state, provides the guide item for positive psychological intervention simultaneously, increases positive psychological intervention effect.
7. The positive psycho-nursing intervention system for stroke patients according to claim 6, characterized in that: the top fixedly connected with of stereoplasm bottom (73) is used for detecting the pressure detection module (76) of gripping pressure, the bottom of buffer layer (72) is seted up be used for right grip pressure detection module (76) abdicate groove (721), rotary groove (731) have been seted up at the top of stereoplasm bottom (73), rotary groove (731) internal rotation is connected with grips sliding detection dish (77), grip sliding detection dish (77) one side fixedly connected with contact piece (771), the inside fixedly connected with of rotary groove (731) be used for with contact piece (771) contact switch (78) that the contact was opened.
8. The positive psycho-nursing intervention system for stroke patients according to claim 7, characterized in that: the contact layer (71) is made by sewing nylon mesh cloth and a sweat absorbing layer, and a groove for accommodating the tension detection unit (74) is formed in the surface of the hard bottom layer (73).
9. The intervention procedure of a positive psycho-nursing intervention system for stroke patients according to claim 8, wherein: the method comprises the following steps:
s1: the acquisition unit (6) is used for monitoring the daily rest, training process and entertainment process of the patient, and according to the personal habits of the patient, the data in the acquisition training room (1) is processed by an external computer, a high-frequency area and a low-frequency area are calculated, the influence range of sequelae on the patient is judged by combining the sequelae condition of the patient and the activity high-frequency area of the patient, and reference is further provided for later nursing intervention of a doctor;
s2: if the instruments and equipment types in the low-frequency region have items which need to be trained by the patient, selecting the instruments in the low-frequency region with the minimum psychological influence on the patient according to the influence of the sequelae of the patient in S1, listing the instruments in the low-frequency region into a rehabilitation plan, determining the instruments, and adjusting the positions of the instruments according to the types of the instruments and the high-frequency region of the patient;
s21: the hand holding detection module (7) is installed in a supporting area of the apparatus, the holding stability of a patient can be inspected through the hand holding detection module (7), when the patient holds the apparatus, the hand holding detection module (7) can be influenced by the gravity of the body of the patient due to insufficient holding force, at the moment, the contact layer (71) and the hard bottom layer (73) can deviate in the horizontal direction, and then the pulling force of the traction rope (75) is sensed through the pulling force detection unit (74), so that the pulling force is used as an independent training safety reference of the patient and is changed for subsequent training addition or training form;
s3: monitoring is carried out according to the daily life state of the patient, the influence range of the sequelae on the patient is further clarified according to the influence of the sequelae on the patient, and at the moment, a doctor conducts psychological persuasion according to the real situation of the patient and avoids sensitive points more accurately;
s4: the psychological conflict range of the patient is judged according to the combination of the functions of the low-frequency area and the sequelae of the patient, because the low-frequency area may have two conditions, the first condition is uninterested per se, the second condition is that the current physical state does not support the patient to move, entertain and train in the low-frequency area, and when the psychological counseling is carried out on the patient, the type and the content of the low-frequency area are avoided, so that the secondary influence on the patient caused by miscounseling is avoided in the psychological counseling process, the psychological counseling quality is improved, and with the exercise of the primary high-frequency rehabilitation training item and the double holding of the psychological counseling, the patient is tentatively guided to try and train the necessary training apparatus in the low-frequency area, and the psychological influence on the patient caused by the necessary training but the items not expected by the patient is reduced;
s5: the physical balance of the patient when walking is monitored according to the step pressure detection module (3), action risks of the patient are evaluated, the patient who cannot be rehabilitated independently adopts a nursing mode, special rehabilitation training is carried out, meanwhile, the reference value according to the step pressure detection module (3) can also be used as a psychological guide intervention process, a front-back comparison effect is played on the patient, the subconscious of the patient is considered to be effective in training, and the training attitude of the patient is improved to reduce the psychological conflict condition of the patient.
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Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2272606C1 (en) * | 2004-08-12 | 2006-03-27 | Людмила Георгиевна Рогова | Method for carrying out conductive educational rehabilitation of infantine cerebral paralysis patients |
| CN1985758A (en) * | 2006-12-05 | 2007-06-27 | 天津大学 | Artificial kinetic nerve system reconstructing process for paraplegic walking |
| CN201855268U (en) * | 2010-11-02 | 2011-06-08 | 成都嘉逸科技有限公司 | Pressure detection therapeutic system |
| CN105612556A (en) * | 2013-09-03 | 2016-05-25 | 焦点投资公司 | System and method for identifying and interpreting repetitive motions |
| TW201627832A (en) * | 2015-01-23 | 2016-08-01 | Univ Kun Shan | Touch sensing type gait analysis system |
| CN205433665U (en) * | 2016-01-04 | 2016-08-10 | 深圳市洛书和科技发展有限公司 | Health comprehensive testing platform |
| TWI562762B (en) * | 2015-12-24 | 2016-12-21 | ||
| CN110292378A (en) * | 2019-07-02 | 2019-10-01 | 燕山大学 | Depression remote rehabilitation system based on the monitoring of E.E.G closed loop |
| CN111544004A (en) * | 2020-05-15 | 2020-08-18 | 中国科学院自动化研究所 | System, method and device for detecting motion function of stroke patient |
| WO2021218215A1 (en) * | 2020-04-30 | 2021-11-04 | 上海商汤智能科技有限公司 | Image detection method and relevant model training method, relevant apparatuses, and device |
| CN113712558A (en) * | 2021-07-15 | 2021-11-30 | 杭州师范大学 | Ground mat type attention deficit hyperactivity disorder cognitive intervention training system and method |
| CN114038572A (en) * | 2020-10-29 | 2022-02-11 | 株式会社甫宗 | Treatment system tailored for patient of cancer comprehensive immunotherapy |
-
2022
- 2022-03-01 CN CN202210188719.7A patent/CN114391828B/en active Active
Patent Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2272606C1 (en) * | 2004-08-12 | 2006-03-27 | Людмила Георгиевна Рогова | Method for carrying out conductive educational rehabilitation of infantine cerebral paralysis patients |
| CN1985758A (en) * | 2006-12-05 | 2007-06-27 | 天津大学 | Artificial kinetic nerve system reconstructing process for paraplegic walking |
| CN201855268U (en) * | 2010-11-02 | 2011-06-08 | 成都嘉逸科技有限公司 | Pressure detection therapeutic system |
| CN105612556A (en) * | 2013-09-03 | 2016-05-25 | 焦点投资公司 | System and method for identifying and interpreting repetitive motions |
| TW201627832A (en) * | 2015-01-23 | 2016-08-01 | Univ Kun Shan | Touch sensing type gait analysis system |
| TWI562762B (en) * | 2015-12-24 | 2016-12-21 | ||
| CN205433665U (en) * | 2016-01-04 | 2016-08-10 | 深圳市洛书和科技发展有限公司 | Health comprehensive testing platform |
| CN110292378A (en) * | 2019-07-02 | 2019-10-01 | 燕山大学 | Depression remote rehabilitation system based on the monitoring of E.E.G closed loop |
| WO2021218215A1 (en) * | 2020-04-30 | 2021-11-04 | 上海商汤智能科技有限公司 | Image detection method and relevant model training method, relevant apparatuses, and device |
| CN111544004A (en) * | 2020-05-15 | 2020-08-18 | 中国科学院自动化研究所 | System, method and device for detecting motion function of stroke patient |
| CN114038572A (en) * | 2020-10-29 | 2022-02-11 | 株式会社甫宗 | Treatment system tailored for patient of cancer comprehensive immunotherapy |
| CN113712558A (en) * | 2021-07-15 | 2021-11-30 | 杭州师范大学 | Ground mat type attention deficit hyperactivity disorder cognitive intervention training system and method |
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