TW201633248A - Chronic disease symptom detection method and chronic patient readmission suggestion system - Google Patents
Chronic disease symptom detection method and chronic patient readmission suggestion system Download PDFInfo
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本發明是有關於一種建議系統,特別是指一種藉由偵測慢性疾病病徵後建議使用者再入院之建議系統。 The present invention relates to a suggestion system, and more particularly to a suggestion system for recommending a user to be re-admitted after detecting a chronic disease condition.
目前國內慢性疾病患者術後住院天數約為15天左右,而歐美等先進國家約在四到七天左右即會安排出院,除了住院給付為一可能之主因外,最主要地差異在於歐美國家將住院觀察的工作進行分工,當患者出院後即透過護理人員持續以電話或其他方式追蹤出院返家個案之照護情形,藉此掌握個案狀況,進而降低住院占床率,但此種做法在國內醫護人力吃緊的狀況下要落實有一定的難度。 At present, the number of postoperative hospital stays for patients with chronic diseases in China is about 15 days, and advanced countries such as Europe and the United States will arrange for discharge in about four to seven days. Except for hospitalization benefits, the most important difference is that European and American countries will be hospitalized. Observing the work division, when the patient is discharged from the hospital, the nursing staff will continue to follow the care of the returning home case by telephone or other means, so as to grasp the case situation and thus reduce the hospitalization rate, but this practice is in the domestic medical workforce. It is difficult to implement it under tight conditions.
隨著科技的進步,過去許多需要在醫院進行量測的各項生理數值漸漸地開始可在居家的環境進行量測,此一演變也使預防醫學在居家護理的領域得到進一步的發展,例如過去都是已發病才能進行搶救的模式,可透過即時量測各項生理訊號進而隨時監控、改善,達到提早預防之目的。 With the advancement of technology, many physiological values that used to be measured in hospitals have gradually begun to be measured in the home environment. This evolution has also led to the further development of preventive medicine in the field of home care, such as the past. It is a mode that can be rescued after it has been diagnosed. It can be monitored and improved at any time by measuring various physiological signals in real time, so as to achieve early prevention.
因此,如何設計一種搭配居家量測生理訊號之 再入院系統,讓出院後之患者可以在非醫護人員提示的狀況下了解自身病況並視情況回診,並進一步有效降低國內慢性疾病術後住院天數,就是本發明所要努力的方向。 Therefore, how to design a match with the home measurement physiological signal The re-admission system allows patients who are discharged from the hospital to understand their own condition and return to the hospital according to the situation of non-medical staff, and further effectively reduce the number of postoperative hospital stays for chronic diseases in China, which is the direction of the invention.
因此,本發明之目的,即在提供一種慢性疾病病徵偵測方法,本發明之再一目的,即在提供一種慢性疾病病患再入院建議系統。 Accordingly, it is an object of the present invention to provide a method for detecting chronic disease symptoms, and a further object of the present invention is to provide a system for re-admission of a chronic disease patient.
於是,本發明慢性疾病病徵偵測方法,適用於一醫療院所追蹤一術後慢性疾病患者,該慢性疾病病徵偵測方法包含以下步驟:(A)該術後慢性疾病患者藉由一設置於自身之生理訊號量測單元進行至少一生理訊號量測;(B)該生理訊號量測單元藉由一內建之慢性疾病復發指標偵測模組接收該生理訊號並進行監控;及(C)透過一設置於該醫療院所之回院建議模組接收該慢性疾病復發指標偵測模組之監控數據,並比對是否存在一異常訊號,當該異常訊號出現後提醒該術後慢性疾病患者回院檢查。 Therefore, the method for detecting chronic disease symptoms of the present invention is applicable to a medical institution to track a post-operative chronic disease patient, and the method for detecting chronic disease symptoms comprises the following steps: (A) the post-operative chronic disease patient is provided by The physiological signal measuring unit of the self performs at least one physiological signal measurement; (B) the physiological signal measuring unit receives the physiological signal and monitors by a built-in chronic disease recurrence indicator detecting module; and (C) Receiving monitoring data of the chronic disease recurrence indicator detection module through a hospitality suggestion module installed in the medical institution, and comparing whether there is an abnormal signal, and reminding the postoperative chronic disease patient when the abnormal signal appears Return to hospital for inspection.
較佳地,當該步驟(C)之回院建議模組在接收該慢性疾病復發指標偵測模組之監控數據前,還藉由一身份辨識模組確認該術後慢性疾病患者,並於該異常訊號產生後,透過該術後慢性疾病患者出院前提供之至少一聯繫方式進行回院檢查提醒。 Preferably, when the hospital recommendation module of the step (C) receives the monitoring data of the chronic disease recurrence indicator detection module, the identification module is used to confirm the post-operative chronic disease patient, and After the abnormal signal is generated, the hospitalization reminder is performed through at least one contact method provided before the discharge of the chronic disease patient.
較佳地,該生理訊號量測單元量測之生理訊號至少包括體重、水腫及喘氣(short of breath)等三者的組合。 Preferably, the physiological signal measured by the physiological signal measuring unit includes at least a combination of body weight, edema and shortness of breath.
再者,本發明慢性疾病病患再入院建議系統,適用於一醫療院所追蹤一術後慢性疾病患者,該慢性疾病病患再入院建議系統包含一設置於該術後慢性疾病患者之生理訊號量測單元及一設置於該醫療院所且與該生理訊號量測單元連線之回院通知單元。 Furthermore, the re-admission recommendation system for chronic diseases of the present invention is applicable to a medical institution to track a post-operative chronic disease patient, and the re-admission suggestion system for the chronic disease patient includes a physiological signal set in the post-operative chronic disease patient. The measuring unit and a return notification unit disposed in the medical institution and connected to the physiological signal measuring unit.
該生理訊號量測單元包括一至少量測一生理訊號的量測模組,及一接收其該量測模組提供之生理訊號並進行監控的慢性疾病復發指標偵測模組。 The physiological signal measuring unit comprises a measuring module for measuring at least one physiological signal, and a chronic disease recurrence indicator detecting module for receiving and monitoring the physiological signal provided by the measuring module.
該回院通知單元包括一與該生理訊號量測單元連線且用以接收該慢性疾病復發指標偵測模組之監控數據的回院建議模組,回院建議模組並比對是否存在一異常訊號,當該異常訊號出現後,提醒該術後慢性疾病患者回院檢查。 The return notification unit includes a hospitality suggestion module connected to the physiological signal measuring unit and configured to receive monitoring data of the chronic disease recurrence indicator detecting module, and the returning suggestion module compares whether there is a Abnormal signal, when the abnormal signal appears, remind the postoperative chronic disease patients to return to hospital for examination.
較佳地,該生理訊號量測單元量測之生理訊號至少包括體重、水腫及喘氣等三者的組合。 Preferably, the physiological signal measured by the physiological signal measuring unit includes at least a combination of body weight, edema and gasping.
較佳地,該回院通知單元還包含一與該生理訊號量測單元連線的身份辨識模組,用以確認該術後慢性疾病患者,並於該異常訊號產生後,透過該術後慢性疾病患者出院前提供之至少一聯繫方式進行回院檢查提醒。 Preferably, the hospital notification unit further includes an identity recognition module connected to the physiological signal measuring unit for confirming the post-operative chronic disease patient, and transmitting the post-operative chronicity after the abnormal signal is generated. At least one contact method provided by the disease patient before discharge from the hospital for reminder of the return visit.
較佳地,該生理訊號量測單元還包含一提示模組,該提示模組分別與該生理訊號量測單元之量測模組及 該回院通知單元之回院建議模組連線,並可供該術後慢性疾病患者選擇顯示該生理訊號或進行該術後慢性疾病患者回院檢查提示之用。 Preferably, the physiological signal measuring unit further includes a prompting module, and the prompting module and the measuring module of the physiological signal measuring unit respectively The return notification unit of the hospital notification unit is connected to the hospital, and is available for the postoperative chronic disease patient to select the physiological signal or to perform the postoperative examination of the patient with chronic diseases.
本發明之功效在於:藉由分別設置於該術後慢性疾病患者之生理訊號量測單元,及設置於該醫療院所且與該生理訊號量測單元連線之回院通知單元相互作用,進一步達到提醒該術後慢性疾病患者回院檢查之目的。 The effect of the present invention is that the physiological signal measuring unit respectively disposed in the post-operative chronic disease patient, and the hospital notification unit connected to the physiological signal measuring unit and the physiological signal measuring unit are further interacted with each other. Reach the purpose of reminding the patients of the postoperative chronic disease to return to hospital for examination.
100‧‧‧慢性疾病病患再入院建議系統 100‧‧‧Re-admission system for chronic diseases
1‧‧‧醫療院所 1‧‧ ‧ medical institutions
2‧‧‧(術後)慢性疾病病患 2‧‧‧ (postoperative) patients with chronic diseases
3‧‧‧生理訊號量測單元 3‧‧‧physiological signal measuring unit
31‧‧‧量測模組 31‧‧‧Measurement module
32‧‧‧慢性疾病復發指標偵測模組 32‧‧‧Chronic Disease Recurrence Indicator Detection Module
33‧‧‧提示模組 33‧‧‧ prompt module
4‧‧‧回院通知單元 4‧‧‧Return notification unit
41‧‧‧回院建議模組 41‧‧‧Retirement suggestion module
42‧‧‧記憶模組 42‧‧‧Memory Module
43‧‧‧身份辨識模組 43‧‧‧identification module
51~54‧‧‧步驟 51~54‧‧‧Steps
本發明之其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中:圖1是一系統架構示意圖,說明本發明慢性疾病病患再入院建議系統的一較佳實施例圖2是一流程圖,說明該慢性疾病病患再入院建議系統的操作步驟。 Other features and effects of the present invention will be apparent from the embodiments of the present invention, wherein: FIG. 1 is a schematic diagram of a system architecture illustrating a preferred embodiment of the system for re-admission of chronic disease patients of the present invention. 2 is a flow chart illustrating the operational steps of the system for re-admission of the patient with chronic diseases.
在本發明被詳細描述之前,應當注意在以下的說明內容中,類似的元件是以相同的編號來表示。 Before the present invention is described in detail, it should be noted that in the following description, similar elements are denoted by the same reference numerals.
參閱圖1本發明慢性疾病病患再入院建議系統100的較佳實施例適用於一醫療院所1追蹤一術後慢性疾病患者2,該慢性疾病病患再入院建議系統100包含一設置於該術後慢性疾病患者2之生理訊號量測單元3及一設置於該醫療院所1且與該生理訊號量測單元3連線之回院通知單元4。 Referring to FIG. 1, a preferred embodiment of the re-admission counseling system 100 for a chronic disease patient of the present invention is applicable to a medical institution 1 to track a post-operative chronic disease patient 2, and the chronic disease patient re-admission suggestion system 100 includes a The physiological signal measuring unit 3 of the patient 2 with chronic diseases and a returning notification unit 4 connected to the medical institution 1 and connected to the physiological signal measuring unit 3.
該生理訊號量測單元3包括一至少量測一生理 訊號的量測模組31,及一接收其該量測模組31提供之生理訊號並進行監控的慢性疾病復發指標偵測模組32。於本實施例中該生理訊號量測單元3量測之生理訊號至少包括體重、水腫及喘氣(short of breath)等三者的組合,而各項目之數值量測分別為體重相較於出院時的增加量、對局部皮膚加壓5秒後的凹陷狀況,以及每分鐘呼吸的次數,其中,水腫的判讀方式依皮膚凹陷狀況區分為1+~4+等四個等級,各數據之量測皆為在出院前由護理人員教導該慢性疾病病患如何透過生理訊號量測單元3進行正確量測。 The physiological signal measuring unit 3 includes an at least one physiological measurement The measurement module 31 of the signal, and a chronic disease recurrence indicator detection module 32 that receives the physiological signal provided by the measurement module 31 and monitors it. In the present embodiment, the physiological signal measured by the physiological signal measuring unit 3 includes at least a combination of body weight, edema, and shortness of breath, and the numerical measurements of each item are respectively compared with the body weight when discharged. The amount of increase, the depression condition after pressing the local skin for 5 seconds, and the number of breaths per minute. Among them, the interpretation method of edema is divided into four levels such as 1+~4+ according to the skin depression condition, and the measurement of each data. All of them are taught by the nursing staff how to correctly measure the patient through the physiological signal measuring unit 3 before discharge.
值得一提的是,本發明選用體重、水腫及喘氣等三者的組合作為生理訊號判讀之原因在於,目前慢性疾病患者通常會有該些表徵存在,最常見的是系統性的營養方面失調,血蛋白降低,或是肝硬化、腎臟病或是心臟病,還有靜脈方面的週邊血管疾病如深部靜脈栓塞,或是深部靜脈瓣膜閉鎖不全,如靜脈曲張等。在此以心臟病中的心臟衰竭舉例說明,其發生原因是心臟由於某種致病機轉或併發症導致本身充血功能(舒張性功能)失調或收縮功能故障,無法提供足夠的血量供應身體各部份,進而導致病人有典型的症狀(喘、腳腫、無力)及徵象(頸靜脈壓上升、肺水腫、心尖搏動外移),而此類病患多伴隨有其他慢性病如高血壓、糖尿病等,於手術後就需特別注意重、水腫及喘氣等生理數據是否異常,此時患者即能藉由本發明提供之系統進行量測及取得建議,且該些量測方式皆屬非 侵入式,患者自行量測較為方便,將有較高意願進行配合追蹤。 It is worth mentioning that the reason why the invention uses the combination of body weight, edema and gasping as the physiological signal interpretation is that the current chronic disease patients usually have these characterizations, the most common being systemic nutritional disorders. Reduced blood protein, or cirrhosis, kidney disease or heart disease, as well as peripheral vascular disease such as deep vein thrombosis, or deep venous insufficiency, such as varicose veins. Here, heart failure in heart disease is exemplified by the fact that the heart is unable to provide sufficient blood supply to the body due to a certain pathogenic machine or a complication that causes its own hyperemia (diastolic function) to be dysfunctional or systolic. Each part, in turn, causes patients with typical symptoms (asthma, swollen feet, weakness) and signs (rising of jugular venous pressure, pulmonary edema, apex pulsation), and such patients are often accompanied by other chronic diseases such as hypertension. Diabetes, etc., after surgery, special attention should be paid to whether the physiological data such as weight, edema and gasping are abnormal. At this time, the patient can measure and obtain suggestions by the system provided by the present invention, and the measurement methods are non-negative. Invasive, the patient's self-measurement is more convenient, and there will be a higher willingness to cooperate with the tracking.
該回院通知單元4包括一與該生理訊號量測單元3連線且用以接收該慢性疾病復發指標偵測模組32之監控數據的回院建議模組41,一記載有各慢性疾病病患身分資訊及正常生理訊號的記憶模組42,以及一與該生理訊號量測單元3連線的身份辨識模組43,且用以確認該術後慢性疾病患者之身分別。 The hospital notification unit 4 includes a hospitality suggestion module 41 connected to the physiological signal measuring unit 3 for receiving the monitoring data of the chronic disease recurrence index detecting module 32, and one chronic disease disease is recorded. The memory module 42 of the identity information and the normal physiological signal, and an identity recognition module 43 connected to the physiological signal measuring unit 3, and used to confirm the body of the post-operative chronic disease patient.
該回院建議模組41主要用於比對該慢性疾病復發指標偵測模組32之監控數據與該記憶模組42中所記載之正常生理訊號是否存在一異常訊號,當該異常訊號出現後,透過該術後慢性疾病患者2出院前提供之至少一聯繫方式進行回院檢查提醒 The hospital recommendation module 41 is mainly used to compare whether the abnormality signal exists in the monitoring data of the chronic disease recurrence index detecting module 32 and the normal physiological signal recorded in the memory module 42. Repatriation check reminder through at least one contact method provided before the discharge of the patient with chronic disease 2
於此要特別說明的是,該回院建議模組41如何比對該慢性疾病復發指標偵測模組32所提供之監控數據的依據如下表1所示,只要該回院建議模組41將慢性疾病患者2透過生理訊號量測單元3量測之生理訊號比對出現異常訊號時(三種生理訊號只要其一發生判讀為異常),即會建議回診以確認健康情況:
另外需說明的是,雖然本發明揭露透過至少包括體重、水腫及喘氣等三種生理數值的組合進行回院建議,但不限於目前揭露之項目,其他可藉由生理訊號量測單元3量測之生理訊號皆可納入進行綜合評估,例如:心率、血壓、夜尿......等。 It should be noted that although the present invention discloses a hospitalization recommendation through a combination of at least three physiological values including body weight, edema, and gasping, it is not limited to the currently disclosed items, and the others can be measured by the physiological signal measuring unit 3. Physiological signals can be included in a comprehensive assessment, such as heart rate, blood pressure, nocturia, etc.
值得一提的是,為了方便術後慢性疾病患者2操作使用,該生理訊號量測單元3還包含一提示模組33,該提示模組33分別與該生理訊號量測單元3之量測模組31及該回院通知單元4之回院建議模組41連線,並可供該術後慢性疾病患者2選擇顯示定期量測之生理訊號或接收該回院建議模組41通知術後慢性疾病患者2回院檢查提示之用。於本實施例中,該提式模組33為一液晶顯示器,除可提供顯示生理訊號量測值外,更可進一步在異常訊號發生時進行回院提示 It is worth mentioning that, in order to facilitate the operation of the chronic disease patient 2, the physiological signal measuring unit 3 further includes a prompting module 33, and the prompting module 33 and the physiological signal measuring unit 3 respectively measure the mode. The group 31 and the hospital recommendation module 41 of the hospitalization notification unit 4 are connected, and the patient who is chronically ill after the operation 2 can select the physiological signal for displaying the periodic measurement or receive the recommendation module 41 to notify the postoperative chronic The disease patient 2 is used for the examination of the hospital. In this embodiment, the lifting module 33 is a liquid crystal display, and in addition to providing a physiological signal measurement value, the hospitality prompt can be further performed when an abnormal signal occurs.
在了解本發明的系統架構後,於此進一步說明術後患者在使用上的情境:請參閱圖2並一併回顧圖1,當一名因心臟衰竭住院病進行手術的患者要出院前,將先由護理人員教導該慢性疾病病患如何透過生理訊號量測單元進行正確量測,接著,該患者即可應用本發明慢性疾病病徵偵測方法達到病症產生即早並確實回診之目的,該慢性疾病病徵偵測方法包含以下步驟:首先,該術後慢性疾病患者2藉由一設置於自身之生理訊號量測單元3進行至少一生理訊號量測(步驟 51)。於本實施例中該生理訊號量測單元量測之生理訊號至少包括體重、水腫及喘氣等三者的組合,而各項目之數值量測分別為體重相較於出院時的增加量、對局部皮膚加壓5秒後的凹陷狀況,以及每分鐘呼吸的次數。 After understanding the system architecture of the present invention, the situation of the postoperative patient in use is further illustrated: Referring to Figure 2 and reviewing Figure 1, when a patient undergoing surgery for a heart failure hospital is discharged, First, the nursing staff teaches how the chronic disease patient can be correctly measured through the physiological signal measuring unit, and then the patient can apply the chronic disease symptom detecting method of the present invention to achieve the purpose of early and indeed returning the disease. The method for detecting a disease symptom comprises the following steps: First, the patient with chronic disease after surgery 2 performs at least one physiological signal measurement by a physiological signal measuring unit 3 disposed on itself (step 51). In the embodiment, the physiological signal measured by the physiological signal measuring unit includes at least a combination of body weight, edema, and gasping, and the numerical measurements of each item are respectively compared with the increase in body weight compared with the discharge, and local The condition of the depression after 5 seconds of skin pressure and the number of breaths per minute.
接著,當該術後慢性疾病患者2透過步驟51所量測之生理訊號皆正確量測後,該生理訊號量測單元3藉由一內建之慢性疾病復發指標偵測模組32接收該生理訊號並進行監控(步驟52)。於本實施例中慢性疾病復發指標偵測模組32將會依照先前表1揭露關於體重、水腫及喘氣等三項生理量測數據進行紀錄。 Then, after the physiological signal of the post-operative chronic disease patient 2 measured by the step 51 is correctly measured, the physiological signal measuring unit 3 receives the physiological condition by a built-in chronic disease recurrence index detecting module 32. The signal is monitored and monitored (step 52). In the present embodiment, the chronic disease recurrence index detecting module 32 will record three physiological measurement data such as body weight, edema, and gasping according to the previous Table 1.
最後,該術後慢性疾病患者2所屬之醫療院所1藉由一設置於院內之回院通知單元4的回院建議模組42接收該慢性疾病復發指標偵測模組32之監控數據,並在接收的同時先透過一身份辨識模組43確認該術後慢性疾病患者2之身分別及相關資訊(步驟53),且進一步比對並判讀是否有異常訊號產生(步驟54),若無,則持續連線並接收該慢性疾病復發指標偵測模組32提供之監控數據,而當異常訊號產生時,將透過該術後慢性疾病患者出院前提供之至少一聯繫方式進行回院檢查之提醒(步驟55)。 Finally, the medical institution 1 to which the post-operative chronic disease patient 2 belongs receives the monitoring data of the chronic disease recurrence index detecting module 32 by a hospitality suggestion module 42 installed in the hospital return notification unit 4, and At the same time of receiving, the identity identification module 43 first confirms the body information and related information of the post-operative chronic disease patient 2 (step 53), and further compares and interprets whether an abnormal signal is generated (step 54), if not, Then continuously connect and receive the monitoring data provided by the chronic disease recurrence index detecting module 32, and when the abnormal signal is generated, the reminder of the returning hospital will be performed through at least one contact method provided before the discharge of the chronic disease patient (Step 55).
綜上所述,本發明藉由分別設置於該術後慢性疾病患者2之生理訊號量測單元3,及設置於該醫療院所1且與該生理訊號量測單元3連線之回院通知單元4相互作用,進一步達到提醒該術後慢性疾病患者2回院檢查之目的,在大部分時間皆由術後慢性疾病患者2於居家進行量 測的狀況下,可大幅減少佔床率以及醫護人力之支出;且值得一提的是,本發明選用體重、水腫及喘氣等三者的組合作為生理訊號判讀,有能效以非侵入方式判斷慢性疾病患者之表徵,同時因患者自行量測較為方便,將有較高意願進行配合追蹤,故確實能達成本發明之目的。 In summary, the present invention is provided by the physiological signal measuring unit 3 respectively disposed in the postoperative chronic disease patient 2, and the hospital return notification provided in the medical institution 1 and connected to the physiological signal measuring unit 3. Unit 4 interacts to further remind the patient of the postoperative chronic disease to return to the hospital for the purpose of returning to the hospital for most of the time. Under the condition of measurement, the bed occupancy rate and the expenditure of medical staff can be greatly reduced; and it is worth mentioning that the invention selects a combination of body weight, edema and gasping as a physiological signal interpretation, and has energy efficiency to judge chronicity in a non-invasive manner. The characterization of patients with diseases, and the convenience of self-measurement by patients, will have a higher willingness to cooperate with tracking, so it can achieve the purpose of the present invention.
惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,即大凡依本發明申請專利範圍及專利說明書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。 However, the above is only the embodiment of the present invention, and the scope of the present invention is not limited thereto, that is, the simple equivalent changes and modifications made by the patent application scope and the patent specification of the present invention are still It is within the scope of the patent of the present invention.
100‧‧‧慢性疾病病患再入院建議系統 100‧‧‧Re-admission system for chronic diseases
1‧‧‧醫療院所 1‧‧ ‧ medical institutions
2‧‧‧慢性疾病病患 2‧‧‧ chronic disease patients
3‧‧‧生理訊號量測單元 3‧‧‧physiological signal measuring unit
31‧‧‧量測模組 31‧‧‧Measurement module
32‧‧‧慢性疾病復發指標偵 測模組 32‧‧‧ chronic disease recurrence indicator Test module
33‧‧‧提示模組 33‧‧‧ prompt module
4‧‧‧回院通知單元 4‧‧‧Return notification unit
41‧‧‧回院建議模組 41‧‧‧Retirement suggestion module
42‧‧‧記憶模組 42‧‧‧Memory Module
43‧‧‧身份辨識模組 43‧‧‧identification module
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