CN107978347A - Nursing decision householder method and system - Google Patents
Nursing decision householder method and system Download PDFInfo
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- CN107978347A CN107978347A CN201610921037.7A CN201610921037A CN107978347A CN 107978347 A CN107978347 A CN 107978347A CN 201610921037 A CN201610921037 A CN 201610921037A CN 107978347 A CN107978347 A CN 107978347A
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Abstract
A kind of nursing decision householder method, performed jointly with the hand-held action device of the server electric coupling by a server and one, in the method, the hand-held action device shows multiple Nursing evaluation options, and is sent to the server corresponding to multiple assessed informations for being selected Nursing evaluation option by one according to operation.The server chooses being used as corresponding to the nursing problem for being selected Nursing evaluation option for a database according to the assessed information and refers to nursing problem, each association numerical value for being selected Nursing evaluation option with reference to corresponding to nursing problem is added up again as an association total score, and refer to nursing problem according to the relative size sequence of each association total score is described, and by hand-held action device is sent to reference to nursing problem after the sequence for referring to nursing problem after its such sequence of display.
Description
Technical field
The invention relates to a kind of decision assistant method and system, particularly relate to a kind of nursing decision householder method and are
System.
Background technology
, can be corresponding with experience decision according to the result assessed after nursing staff carries out Nursing evaluation to sufferer
Nursing problem, and arrange to be relevant to the nursing intervention of the nursing problem, to assist the nursing that sufferer solves or monitoring is described
Problem.
However, the correlation experience deficiency of shallow nursing staff is provided, often can not be according to the result judgement and execution assessed
Follow-up nursing behavior.
It is existing may be as follows with the patent application case of the relevant information management system of medical field letter row:TaiWan, China
201525927 (clinical information management systems), TaiWan, China 201519153 (be used for high in the clouds clinical data library management method and
System), TaiWan, China 201530479 (method and application of patient's health-care and administering of property in institute), TaiWan, China
201327460 (apparatus and method for being used for voice assisted medical diagnosis), (information management system is examined in inspection to TaiWan, China 200906363
System and management method), TaiWan, China I254226 (comprehensive hospital ward management automation control system), TaiWan, China
I377515 (health controller), TaiWan, China 587929 (medical examination network system), TaiWan, China I463428 are (automatic to move
Dynamic healthcare device), TaiWan, China I417803 (health-care service system), (nursing is handed over to the next shift is TaiWan, China I482115
System), TaiWan, China I490796 (work handover system and method), TaiWan, China I222354 (Portable medicine advises system), in
State Taiwan 516948 (one kind is used for the System and method for for monitoring medical effect), CN102222153A (traditional Chinese medical science machine interrogation quantity
Change dialectical diagnostic method), CN203894762 U (a kind of speech type disease inquiry diagnosis case), US20150170494
(Clinical information management system)、US20150213205(Method and system for
determining patent status)、US 20120059669(Electronic health record system
with nursing records、US 8392232(Healthcare resource management system)、
US8175653(Chromeless user interface)、US 8145506(Patient problem data
structure and processing system)、US7693727(Evidence-based checklist flow and
tracking system for patient care by medical providers)、US8065167(Computer
systems for managing patient discharge)、US8326651(User interface for managing
medical data)、US9058635(Medical patient data collaboration system)。
However, above-mentioned information management system still fails effectively to aid in providing shallow nursing staff according to the result to sufferer
Corresponding decision-making is made, therefore still has the space of improvement.
The content of the invention
Therefore, the wherein purpose of the present invention, that is, be to provide a kind of nursing decision householder method, it can be according to user
(Such as Senior Nurse)Nursing evaluation option according to selected by assessment result, reads corresponding nursing problem, and described in display
The importance ranking of nursing problem, the progress of follow-up nursing behavior is carried out with sharp user.
Then, the present invention provides a kind of nursing decision householder method, by a server and one with the server electric coupling
Hand-held action device performs jointly, which has a database, the multiple Nursing evaluation options of the data-base recording, Duo Geguan
Join numerical value and multiple nursing problems, each Nursing evaluation option corresponds to such nursing problem one of which and corresponding such incidence number
It is worth one of which, each nursing problem corresponds to such Nursing evaluation option at least one of which, and the method includes the steps of:
(A)The hand-held action device shows a picture for including such Nursing evaluation option;
(B)The hand-held action device chooses at least one conduct according to an operation from such Nursing evaluation option and is selected nursing
Option is assessed, and corresponds to the assessed information for being selected Nursing evaluation option by one and is sent to the server;
(C)Such nursing problem at least one of which that the server chooses the database according to the assessed information is used as with reference to shield
Reason problem, reference shield is obtained further according to each association numerical value for being selected Nursing evaluation option with reference to corresponding to nursing problem
One association total score of reason problem, and nursing problem is referred to according to each relative size sequence for associating total score is described, and by described in
After sequence the hand-held action device is sent to reference to nursing problem;And
(D)The hand-held action device is joined according to after showing such sequence with reference to nursing problem after such sequence from the server
Examine nursing problem.
In certain embodiments, in the step(D)In, which is will be each selected with reference to corresponding to nursing problem
The summation of association numerical value of Nursing evaluation option is taken as the association total score.
In certain embodiments, which also records the reference nursing problem once produced before the server, and at this
Step(C)In, which also chooses described with reference to nursing problem person wherein identical with the preceding reference nursing problem once produced
It is defined as history nursing problem, and the history nursing problem is held together with being sent to this with reference to nursing problem after such sequence
Running gear;And in the step(D)In, which shows always according to the history nursing problem from the server
Show the history nursing problem.
In certain embodiments, which further includes multiple nursing interventions and multiple nursing goals, each nursing intervention
Corresponding such nursing problem at least one of which, each nursing intervention correspond to such nursing problem at least one of which, and in step
Suddenly(D)Also comprise the steps of afterwards:
(E)The hand-held action device will be chosen at least one as nursing is selected in such reference nursing problem according to operation and be asked
Topic, and forcing using the history nursing problem as being selected nursing problem, and by one correspond to described in be selected nursing problem
The problem of choose data transmission to the server;
(F)The problem of server is according to from the hand-held action device chooses data from such nursing intervention of the database
Choose to correspond to and be selected the nursing intervention of nursing problem as referring to nursing intervention, and from such nursing goal of the database
Middle choose corresponds to the nursing goal for being selected nursing problem as nursing goal is referred to, will be described with reference to nursing intervention and described
The hand-held action device is sent to reference to nursing goal;And
(G)The hand-held action device is according to described with reference to nursing intervention and with reference to nursing goal, display institute from the server
State and be selected nursing problem and each reference nursing goal being selected corresponding to nursing problem and with reference to nursing intervention.
In certain embodiments, which further includes multiple execution frequency options, and each nursing intervention corresponds to this extremely
Few one performs frequency options, wherein, in step(G)Also comprise the steps of afterwards:
(H)The hand-held action device is chosen at least one from such reference nursing intervention according to operation and is arranged as necessary nursing
Apply, and the measure that one corresponds to the necessary nursing intervention is chosen into data transmission to the server;
(I)The server chooses data according to the measure will correspond to the execution frequency of necessity nursing intervention in the database
Option is used as with reference to execution frequency options, and is sent to the hand-held action device with reference to execution frequency options by described;And
(J)The hand-held action device performs frequency options according to the reference from the server and shows that one includes described necessity
Nursing intervention and the picture with reference to execution frequency options.
In certain embodiments, in step(J)Also comprise the steps of afterwards:
(K)The hand-held action device performs frequency with reference to execution frequency options at least one of which using described according to operation as confirmation
Rate option, and one corresponds to the frequency selection purposes data transmission for confirming execution option to the server;
(L)The server according to according to the frequency selection purposes data produce a measure plan, the measure plan record have perform it is each
The time of necessary nursing intervention, and a planning data comprising the measure plan is sent to the hand-held action device;And
(M)Data shows the measure plan to the hand-held action device according to this plan.
The present invention also provides a kind of nursing decision auxiliary system, it can be according to user(Such as Senior Nurse)Tied according to assessment
Nursing evaluation option selected by fruit, reads corresponding nursing problem, and shows the importance ranking of the nursing problem, with
Sharp user carries out the progress of follow-up nursing behavior.
Then, a kind of nursing decision auxiliary system of the present invention, includes a hand-held action device and a server.The hand-held row
Dynamic device includes a display screen, a processing module and an input module.The processing module is electrically connected the display screen, and controls
The display screen shows a picture for including multiple Nursing evaluation options.The input module is electrically connected to the processing module and for behaviour
Make so that the processing module chooses at least one conduct from such Nursing evaluation option and is selected Nursing evaluation option.The service
Device is electrically coupled with the hand-held action device, and receives the Nursing evaluation option, which is included at a storage element and one
Manage unit.The storage element has a database, which has such Nursing evaluation option, multiple association numerical value and multiple
Nursing problem, each Nursing evaluation option correspond to such nursing problem one of which and corresponding such association numerical value one of which,
Each nursing problem corresponds to such Nursing evaluation option at least one of which.The processing unit is electrically connected to the storage element, and
Such nursing problem wherein at least one of the database is chosen according to the Nursing evaluation option from the hand-held action device
Person is as nursing problem is referred to, further according to each association numerical value for being selected Nursing evaluation option with reference to corresponding to nursing problem
The association total score with reference to nursing problem is obtained, and is asked according to each relative size sequence for associating total score is such with reference to nursing
Topic, and the reference nursing problem after the sequence is sent to the hand-held action device;The processing module of the hand-held action device
The display screen is controlled to show one comprising after the sequence according to the reference nursing problem after the sequence from the server
With reference to the picture of nursing problem.
In certain embodiments, the processing unit of the server is by each being selected with reference to corresponding to nursing problem
The association numerical value summation of Nursing evaluation option is as the association total score.
In certain embodiments, which also records caused when the system is previous time to be operated asks with reference to nursing
Topic, and the processing unit of the server also choose it is described with reference to nursing problem wherein with once being operated before the system when produce
The raw identical person of reference nursing problem is defined as history nursing problem and by the history nursing problem together with joining after such sequence
Examine nursing problem and be sent to the hand-held action device;And the hand-held action device is protected always according to the history from the server
Reason problem shows the history nursing problem.
In certain embodiments, which further includes multiple nursing interventions and multiple nursing goals, each nursing intervention
Corresponding such nursing problem at least one of which, each nursing intervention correspond to such nursing problem at least one of which;This is hand-held
Running gear is operated and such will protected with reference to choosing at least one in nursing problem as being selected according to according to the input module
Reason problem, and forcing using the history nursing problem as being selected nursing problem, and by one correspond to described in be selected nursing
The problem of problem, chooses data transmission to the server;The server chooses data according to the problem of coming from the hand-held action device
Choose to be used as corresponding to the nursing intervention for being selected nursing problem from such nursing intervention of the database and refer to nursing intervention,
And chosen from such nursing goal of the database and correspond to the nursing goal for being selected nursing problem as with reference to nursing mesh
Mark, the hand-held action device is sent to by the reference nursing intervention and the nursing goal that refers to;The hand-held action device root
According to from the server it is described with reference to nursing intervention show one include described in be selected nursing problem, each be selected nursing and ask
The picture of the corresponding reference nursing goal of topic and each reference nursing intervention being selected corresponding to nursing problem.
In certain embodiments, which further includes multiple execution frequency options, and each nursing intervention corresponds to this at least
One performs frequency options, and the processing module of the hand-held action device is operated from such according to the input module arranges with reference to nursing
Apply it is middle choose at least one as necessary nursing intervention, and data is chosen into the measure that one corresponds to the necessary nursing intervention and is passed
Send to the server;The processing unit of the server chooses data according to the measure from the hand-held action device, will
The execution frequency options for corresponding to the necessary nursing intervention in the database are used as with reference to performing frequency options, and by the ginseng
Examine execution frequency options and be sent to the hand-held action device;And the processing module of the hand-held action device is according to coming from the service
Device it is described with reference to perform frequency options control the display screen show one comprising it is described with reference to execution frequency options and it is described must
Want the picture of nursing intervention.
In certain embodiments, the processing module of the hand-held action device is operated from the ginseng according to the input module
Examine to perform and at least one is chosen in frequency options as confirmation execution frequency options, and one is confirmed to perform frequency corresponding to described
The frequency selection purposes data transmission of option is to the server;The processing unit of the server is always according to from the hand-held action device
The frequency selection purposes data produce a measure plan, measure planing discipline plan record, which has, performs each necessary nursing intervention
Time, and produce one and include the planning data of the measure plan, and the planning data is sent to the hand-held action device;The hand
Holding the processing module of running gear, data controls the display screen to produce a picture for including the measure plan according to this plan.
In certain embodiments, which is a contact panel.
Beneficial effects of the present invention are:The hand-held action device, corresponds to one according to an operation and is selected Nursing evaluation
The assessed information of option is sent to the server, and nursing problem is referred to for server selection is corresponding, and with each reference
The summation of the association numerical value of all Nursing evaluation options corresponding to nursing problem is total with reference to an association of nursing problem as this
Point, the relative size sequence further according to each association total score is such with reference to will refer to nursing problem after the sequence after nursing problem
Being sent to this makes to hold running gear, and nursing problem is referred to after showing the sequence for the hand-held action device.Therefore, user is
Permeable display screen learns the current nursing problem of sufferer and its associates the sequence of total score.
【Brief description of the drawings】
Fig. 1 is a block diagram, illustrates the hardware configuration of an embodiment of nursing decision auxiliary system of the present invention;
Fig. 2 to Fig. 4 is a flow chart respectively, illustrates a first embodiment of nursing decision householder method of the present invention;And
Fig. 5 to Fig. 7 is a flow chart, illustrates a second embodiment of nursing decision householder method of the present invention.
【Embodiment】
Before the present invention is described in detail, it shall be noted that in the following description content, similar element is with identical volume
Number represent.
Refering to Fig. 1 and Fig. 2, an embodiment of nursing decision auxiliary system 100 of the present invention be for aid in user according to
It carries out sufferer the result of Nursing evaluation to carry out follow-up nursing behavior, which can be the professional people of medical field
Member, is by taking Senior Nurse as an example in the present embodiment, but is not limited.The nursing decision auxiliary system 100 includes a hand-held row
The server 2 of dynamic device 1 and one and 1 electric coupling of hand-held action device, and nursing decision householder method of the present invention is performed jointly,
In the present embodiment, it is to carry out the biography of data through the modes of wireless telecommunications between the hand-held action device 1 and the server 2
It is defeated, but be not limited.
The hand-held action device 1 can any have calculation function and can be with a notes type of 2 electric coupling of server
Computer, an intelligent mobile phone or a tablet PC etc..In the present embodiment, which is an intelligent hand
Machine, and it is electrically connected the display screen 11 and the processing of the input module 12 including a display screen 11, an input module 12 and one
Module 13.The input module 12 can be any physical button with input function or contact panel etc., in the present embodiment
In, which is a contact panel.
In the present embodiment, which includes a storage element 21 and one is electrically connected the processing list of the storage element 21
Member 22.The storage element 21 of the server 2 stores a database, the multiple Nursing evaluation options of the data-base recording, multiple
Associate numerical value, multiple nursing problems, multiple nursing goals, multiple nursing interventions and multiple execution frequency options.Wherein, Mei Yihu
Reason assessment option corresponds to such nursing problem one of which, and each Nursing evaluation option corresponds to such association numerical value wherein one
Person;Each nursing problem corresponds to such Nursing evaluation option at least one of which;Each nursing problem corresponds to such with reference to nursing
Target at least one of which;Each nursing intervention corresponds to such nursing problem at least one of which, and each nursing intervention corresponds to
Such execution frequency options at least one of which.
In the present embodiment, such Nursing evaluation of the database is preferentially to educate to carry on the back using nursing staff with nursing problem
Scape such as textbook is defined to establish, if do not defined, in a manner of counting nursing staff's usage, establishes such nursing
Option and nursing problem are assessed, is not limited thereto.
In the present embodiment, the process that such Nursing evaluation option of the database and such nursing problem are established also by
Classification, and the standard of the classification is, for example, to take clinic to look after criteria for classification(Clinical Care Classification,
CCC), but be not limited.In other examples, the standard of the classification can also take such as NANDA nursing diagnosis point
Class standard.Supplementary notes, since the standardization classification of CCC is relatively simple, so that establishing the process phase of the database
To simplicity.
In addition, in the present embodiment, which also has a classification table of comparisons, can be by this through the classification table of comparisons
Clinic looks after criteria for classification used by embodiment(Clinical Care Classification, CCC)Be converted into it is another not
Same criteria for classification, such as NANDA nursing diagnosis criteria for classifications.
In the present embodiment, the nursing problem wherein corresponding to a Nursing evaluation option x1 of the database is, for example, to nurse
Problem X, and all Nursing evaluation options corresponding to nursing problem X are for example to be protected comprising the Nursing evaluation option x1 and one
A reason assessment option x2 and Nursing evaluation option x3, and the corresponding association numerical example of Nursing evaluation option x1, x2 and x3 institute
Such as it is respectively 2,3 and 4, in the present embodiment, bigger this assessment option that represents of association numerical value is judged as corresponding nursing problem
Possibility is higher, but is not limited.In the present embodiment, nursing problem X is for example corresponding to a shield in the database
Target X " is managed, in other examples, nursing problem X can also correspond to other shields in addition to nursing goal X "
Reason measure.In the present embodiment, nursing problem X is for example corresponding to a nursing intervention X ', at other in the database
Embodiment in, nursing problem X can also correspond to other nursing interventions in addition to nursing intervention X '.In addition, at this
In database, " the execution frequency " for performing frequency options refers to that nursing staff performs the frequency of nursing intervention, in this reality
Apply in example, the execution frequencies of the execution frequency options corresponding to nursing intervention X ' be, for example, every four hours once, it is six hours one every
It is secondary and every eight hours once, but be not limited.
One first embodiment of nursing decision householder method of the present invention comprises the steps of.
Step S1:The processing module 13 of the hand-held action device 1 controls the display screen 11 display one to include such nursing
The picture of option is assessed, such Nursing evaluation option is checked and in input mould for holding the Senior Nurse of the hand-held action device 1
Block 12 is operated.
Step S2:The processing module 13 of the hand-held action device 1 according to operation of the Senior Nurse to the input module 12 from
At least one conduct is chosen in such Nursing evaluation option and is selected Nursing evaluation option, and produces one and corresponds to described be selected
The assessed information of Nursing evaluation option, and the assessed information is sent to the server 2.Specifically, when Senior Nurse is to sufferer
After carrying out Nursing evaluation, the input module 12 of the hand-held action device 1 is operated according to assessment result with choose on this screen to
Lack a Nursing evaluation option, for example Nursing evaluation option x1, y1 and z1.In the present embodiment, which is for example
The result operated according to the input module 12 chooses Nursing evaluation option, is commented further according to being selected Nursing evaluation option and producing this
Estimate data, but be not limited.
Step S3:The processing unit 22 of the server 2 is such according to corresponding to being chosen in the database assessed information
Nursing problem at least one of which is used as and refers to nursing problem.To be selected Nursing evaluation option in step s 2 as Nursing evaluation
Exemplified by option x1, y1 and z1, the processing unit 22 of the server 2 will be chosen corresponding nursing in database and be asked in step S3
Topic X, Y and Z refer to nursing problem as described.
Step S4:The processing unit 22 of the server 2 is commented according to each nursing that is selected with reference to corresponding to nursing problem
The association numerical value for estimating option obtains the association total score with reference to nursing problem.In the present embodiment, which is with each
The summation of the association numerical value for being selected Nursing evaluation option with reference to corresponding to nursing problem is as the association total score, but not with this
It is limited, in other examples, which can pass through other computation rules and determine.Specifically, in step S3
Reference nursing problem be nursing problem X, Y and Z, for nursing problem X therein, its be selected Nursing evaluation choosing
Item is Nursing evaluation option x1, and the association numerical value of Nursing evaluation option x1 is respectively 2 in the database, therefore, in step
In S4, the association total score of nursing problem X (wherein one refers to nursing problem) is 2.Similarly, it is other to refer to nursing problem example
Such as nursing problem Y and Z is also to obtain corresponding association total score respectively with identical operation rule, is repeated no more in this.
Step S5:The processing unit 22 of the server 2 is such according to the sort result of the size of more each association total score
With reference to nursing problem, and the hand-held action device 1 will be sent to reference to nursing problem after such sequence.Such as in the present embodiment
In, the reference nursing problem of step S4 by nursing problem X, Y and Z and the corresponding association total score that obtains be respectively 2,4 and
When 3, then the sequence is sequentially nursing problem X, Z and Y in step s 5.
Step S6:1 processing module 13 of hand-held action device is asked according to the reference nursing after the sequence from the server 2
Topic controls the display screen 11 to show a picture for including the reference nursing problem after the sequence on picture.In the present embodiment
In, the Senior Nurse for holding the hand-held action device 1 asks through such reference nursing after the sequence shown by the display screen 11
Topic, it is sequentially that nursing is asked to learn that the nursing problem of sufferer at this time should be judged as nursing problem X, Y and Z and its important order
Inscribe X, Z and Y.Therefore, through this method, even lack experience or the unskilled shallow Senior Nurse of money of professional knowledge also can
The enough priority for learning sufferer nursing problem at this time and its processing immediately, therefore this method can effectively aid in providing shallow shield in real time
Reason teacher is understood with the corresponding nursing problem of assessment result after the Nursing evaluation is carried out to carry out appropriate disposal, and then is lifted
Quality of medical care.
Therefore, in order to carry out appropriate nursing disposal in real time according to assessment result, as shown in step S7, which fills
1 operation according to Senior Nurse is put, choosing at least one conduct from such reference nursing problem is selected nursing problem, and produces
One chooses data corresponding to described the problem of being selected nursing problem, and the problem is chosen data transmission to the server 2.
In the present embodiment, the reference nursing problem shown by the hand-held action device 1 is nursing problem X, Y and Z in step s 6,
In step S7, if Senior Nurse judges that nursing problem Z is to answer ignored nursing to ask according to on-site actual situations and patient status
Inscribe, then Senior Nurse clicks the nursing problem X and Y in picture through the input module 12 for operating the hand-held action device 1, should
Hand-held action device 1 is to produce one to choose data corresponding to the problem of nursing problem X and Y clicked and be sent to server
2.Therefore, Senior Nurse can remove unnecessary nursing problem according to field condition or patient status, and be avoided that unnecessary shield
Reason problem becomes the burden of follow-up nursing behavior.
Step S8:The problem of processing unit 22 of the server 2 is according to from hand-held action device 1 choose data from this
At least one conduct is chosen in such nursing intervention of database and refers to nursing intervention, and is transmitted described with reference to nursing intervention
To the hand-held action device 1.In the present embodiment, in step s 8 the problem choose data correspond to nursing problem X and
Y, therefore the processing unit 22 of the server 2 will correspond to respectively according in problem selection data selection database in step s 9
In nursing intervention X ', the Y ' of nursing problem X and Y, nursing intervention is referred to as described, and return with reference to nursing intervention data
To the hand-held action device 1.In addition, in the present embodiment, the processing unit 22 of the server 2, which is also chosen in the database, to be corresponded to
It is used as in the nursing goal for being selected nursing problem and refers to nursing goal, and the reference nursing goal is sent to this and is held
Running gear 1.According to precedent, the nursing problem that is selected is nursing problem X and Y, therefore, the server in step s 9
Nursing goal X ", the Y " that 2 processing unit 22 will be chosen in database, nursing goal is referred to as described.
Step S9:The processing module 13 of the hand-held action device 1 controls the display screen 11 display one comprising described selected
Take nursing problem, each reference nursing goal being selected corresponding to nursing problem and each be selected corresponding to nursing problem
With reference to the picture of nursing intervention.Consequently, it is possible to even the shallow Senior Nurse of money can also learn the nursing problem selected by it, by taking
The reference of the nursing goal and the corresponding nursing problem of the nursing problem is corresponded to proposed by nursing decision auxiliary system in business device
Nursing intervention.Then, the processing module 13 of the hand-held action device 1 according to operation of the Senior Nurse to the input module 12 from this
At least one is chosen in nursing intervention as necessary nursing intervention Deng referring to, and produces one and corresponds to necessity nursing intervention
Data is chosen in measure, and the measure is chosen data transmission to the server 2 according to precedent, holds the hand-held action device 1
Senior Nurse learns nursing decision auxiliary system to the shield for being selected nursing problem X, Y and suggesting reference through the display screen 11
Reason measure is nursing intervention X ' and Y ', likely corresponds to described be clicked nursing problem through such learn with reference to nursing goal
For nursing goal X ", Y ".Therefore, this method can effectively aid in providing shallow Senior Nurse and learn nursing decision auxiliary system in real time
The nursing intervention that construction in a systematic way view performs, and then lift quality of medical care.Then, Senior Nurse can assess and lead to according to live actual state
Cross and operate the nursing intervention that the input module 12 is suitably executed to be chosen in picture, for example Senior Nurse judges nursing intervention Y '
The necessity being not carried out, just deletes nursing intervention Y ', and the processing module 13 of the hand-held action device 1, which transmits, produces correspondence
Data is chosen to the server 2 in the measure of nursing intervention X ', but is not limited.
Step S10:The processing unit 22 of the server 2 chooses data according to the measure, described by corresponding in database
The execution frequency options of necessary nursing intervention are used as with reference to execution frequency options, and are passed described with reference to execution frequency options
Send to the hand-held action device 1.And in the present embodiment, the reference corresponding to nursing intervention X ' performs frequency options as example
Every four hours perform once, every six hours perform once and every eight hours perform once, therefore, in this step S11, the service
Above three is performed frequency options as with reference to execution frequency options by the processing unit 22 of device 2.
Step S11:The processing module 13 of the hand-held action device 1 controls the display screen 11 to show that one includes on picture
Necessity nursing intervention X ' and the picture with reference to execution frequency options, for manipulating the shield of the hand-held action device 11
Reason teacher checks or refers to.
Therefore, such as step S12, the processing module 13 of the hand-held action device 1 is according to Senior Nurse to the input module 12
Operation at least one is chosen in frequency options as confirming to perform frequency options with reference to performing from described, and produce and one correspond to
The frequency selection purposes data for confirming to perform frequency options, and by the frequency selection purposes data transmission to the server 2.According to preceding
Example, the necessary nursing intervention shown in step S11 be nursing intervention X ', ' and the ginseng corresponding to nursing intervention X ' shown
Examine perform frequency options for every four hours perform once, every six hours perform once and every eight hours perform once, Senior Nurse can
Assessed according to field condition and patient status and chosen through the input module 12 for operating the hand-held action device in picture
The frequency of nursing intervention X ' is suitably executed, such as Senior Nurse chooses the every six hours execution frequency options performed once, the frequency
It is to correspond to the every six hours execution frequency options performed once that rate, which chooses data,.
Step S13:The processing unit 22 of the server 2 is according to the frequency selection purposes data from the hand-held action device 1
The confirmation perform frequency options and produce a measure plan, measure plan record have perform each necessary nursing intervention when
Between.Then, the processing unit 22 of the server 2 produces a planning data comprising the measure plan and by this by the planning data
It is sent to the hand-held action device 1.In the present embodiment, in step s 12, Senior Nurse determines nursing intervention X '(Necessity nursing
Measure)Execution frequency options performed once for every six hours, therefore in this step S13, which is, for example, to connect down
(being to perform a this method in every 72 hours in the present embodiment) nursing intervention X ' in 72 hours come(It is necessary
Nursing intervention)The time that must be performed(Perform once within every six hours), but be not limited, in other examples, can
More than one necessary nursing intervention can be had and corresponding confirmation performs frequency options, then the measure plan includes ensuing
The time for arranging each necessary nursing intervention to be performed in 72 hours.
Step S14:Data shows the measure plan to the hand-held action device 1 in picture according to this plan.According to precedent, hold
Having the Senior Nurse of the hand-held action device 1 to be learnt through the measure plan interior while it is working must perform the sufferer shield
Reason measure X '(Necessary nursing intervention)Time, another Senior Nurse to hand over to the next shift for the Senior Nurse or with the Senior Nurse checks, with
Delay is avoided to perform nursing intervention X '.
The flow chart of a second embodiment of nursing decision householder method of the present invention referring again to Fig. 5 to Fig. 7, its with
Foregoing first embodiment is roughly the same, wherein one main difference is that, the database of the storage element 21 of the server 2 is also remembered
Once it is performed before record the present embodiment caused by the processing unit 22 of the server 2 and refers to nursing problem.
Therefore, in the present embodiment, as shown in figure 5, between performing step S3 ' and step S4 ', a step is also included
S30’:The processing unit 22 of the server 2 is chosen the nursing problem that refers to and is wherein produced with being once performed before the present embodiment
The raw identical person of reference nursing problem is defined as history nursing problem.Such as in the present embodiment, the reference selected by step S3 '
Nursing problem includes nursing problem X, Y, Z, W and R, and the processing list of the server 2 is once performed before the present embodiment
Caused by member 22 nursing problem W, R and Q, therefore, the place of the server 2 in step S30 ' are included with reference to nursing problem
Reason unit 22 will choose nursing problem W and R as the history nursing problem.
In addition, in the step S5 ' of the present embodiment, the processing unit 22 of the server 2 is according to more each association total score
Size result come sort it is such refer to nursing problem, it should be noted that, since the server 2 does not obtain each history shield
The association total score of reason problem, therefore affiliated historical problem is not added into the sequence.Then, the processing unit 22 of server 2 will be such
After sequence the hand-held action device 1 is sent to reference to nursing problem and the history nursing problem.It is such with reference to shield according to precedent
Reason problem is respectively nursing problem X, Y and Z, and the corresponding association total score obtained in this step is for example respectively 2,4
And 3, and the processing unit 22 of the server 2 is by nursing problem X, Z and Y after sequence(With reference to nursing problem)And do not arranged
The nursing problem W and R of sequence(History nursing problem)It is sent to the hand-held action device 1.
In the step S6 ' of the present embodiment, which protects always according to the history from the server 2
After reason problem, such sequence nursing is referred to after picture is shown comprising the such sequence of history nursing problem with reference to nursing problem
Problem.Therefore, which can not only learn that (i.e. the nursing of precedent is asked with reference to nursing problem caused by this execution this method
Inscribe X, Z and Y), Senior Nurse can also learn that sufferer is existing in preceding once execution this method through such history nursing problem
And late to the history nursing problem (i.e. the nursing problem W and R of precedent) not being solved yet instantly.
In the step S7 ' of the present embodiment, the hand-held action device 1 is except the operation according to Senior Nurse, from such reference
At least one is chosen in nursing problem as being selected nursing problem, also forces to protect using the history nursing problem as being selected
Reason problem, and produce one and choose data corresponding to described the problem of being selected nursing problem, and the problem is chosen into data transmission
To the server 2.According to precedent, the reference nursing problem in step S6 ' shown by the hand-held action device 1 is nursing problem
X, Y and Z, and shown history nursing problem is nursing problem W and R, in step S7 ', if clicking the shield in picture
Reason problem X and Y, the hand-held action device 1 is i.e. using nursing problem X, Y, W and R as being selected nursing problem, and produce
One chooses data the problem of corresponding to nursing problem X, Y, W and R.
In the step S8 ' of the present embodiment, the processing unit 22 of the server 2 is selected in the problem selection data
Take the nursing intervention for being selected nursing problem described in corresponding in nursing problem selection database to be used as and refer to nursing intervention, and will
It is described to be sent to the hand-held action device 1 with reference to nursing intervention.According to precedent, the server 2 is except according to nursing problem X, Y
Outside (referring to nursing problem), the nursing intervention (shield of database is chosen always according to nursing problem W and R (history nursing problem)
Reason measure X ', Y ', W ' and R ') refer to nursing intervention as described.In other words, though Senior Nurse the present embodiment step
Unselected history nursing problem (nursing problem W and R) in rapid S7 ', in step 9 ' in the processing unit 22 of the server 2 also can be strong
The nursing intervention W ' and R ' that system chooses in database corresponding to the history nursing problem (nursing problem W and R) are used as institute
State and refer to nursing intervention.In addition, the processing unit 22 of the server 2, which is also chosen to correspond in the database, is selected nursing problem
Nursing goal as refer to nursing goal, and the reference nursing goal is sent to the hand-held action device 1.According to preceding
Example, the nursing problem that is selected is nursing problem X, Y, W and R, therefore, the processing list of the server 2 in step S9 '
Nursing goal X ", Y ", W " and the R " that member 22 will be chosen in database, nursing goal is referred to as described.
In the step S9 ' of the present embodiment, the processing module 13 of the hand-held action device 1 is according to from the server 2
This is selected nursing problem with reference to described in measure data controls the display screen 11 to show, each is selected corresponding to nursing problem
Reference nursing goal and each reference nursing intervention being selected corresponding to nursing problem.Then, the hand-held action device 1
The processing module 13 chooses at least one work according to operation of the Senior Nurse to the input module 12 from such reference nursing intervention
For necessary nursing intervention, and produce a measure for corresponding to the necessary nursing intervention and choose data, and the measure is chosen and is provided
Material is sent to the server 2.According to precedent, the display screen 11 display it is such with reference to nursing intervention for nursing intervention X ',
Y ', W ' and R ', and such reference nursing goal is nursing goal X ", Y ", W " and R ".Therefore, the present embodiment energy
Effectively auxiliary provide shallow Senior Nurse learn in real time based on it is previous to patient using the present embodiment carry out assessment result and this
Suggest nursing intervention and the Related Nursing target performed caused by assessment result, and then lift quality of medical care.Then, Yu Benshi
Applying Senior Nurse can assess according to live actual state and click the nursing intervention being suitably executed by contacting the input module 12.
According to precedent, for example Senior Nurse judges necessity that nursing intervention Y ', W ' and R ' are not carried out, you can clicks nursing intervention
X ', the processing module 13 of the hand-held action device 1 are to transmit to produce the measure selection data for corresponding to nursing intervention X ' extremely
The server 2.
In conclusion the hand-held action device 1 produces the assessed information so that server 2 is according to assessed information according to operation
Select at least one and refer to nursing problem, and according to each association total score with reference to nursing problem, sequence is described to refer to nursing problem,
And the hand-held action device 1 will be sent to reference to nursing problem so that the hand-held action device 1 shows that one includes after the sequence
The picture of nursing problem is referred to after the sequence.Therefore, Senior Nurse can pass through display screen 11 and learn the current nursing of sufferer
The sequence of problem and its importance.Furthermore the server 2 choose it is described with reference to nursing problem wherein with the preceding reference once produced
The identical person of nursing problem is defined as history nursing problem, and therefore, which can learn the disease through such history nursing problem
Suffer from when preceding once-through operation this method to have existed and late to still untreated nursing problem instantly, to reduce medical careless mistake
Chance.In addition, data shows the measure plan to the hand-held action device 1 according to this plan, therefore, hold hand-hold mobile dress
The Senior Nurse for putting 1 learns each necessary nursing intervention that should be performed to the sufferer in while it is working through the measure plan
Time, another Senior Nurse to hand over to the next shift for the Senior Nurse or with the Senior Nurse checks, each necessary nurse is performed to reduce delay
The chance of measure.Therefore the purpose of the present invention can be reached really.
Above in conjunction with attached drawing to the present invention embodiment and embodiment elaborate, but cannot with restriction
The scope of the present invention, the impartial modification and transformation made in scope of the present invention patent, should all belong to patent of the present invention
In the range of.
Claims (13)
1. a kind of nursing decision householder method, held jointly with the hand-held action device of the server electric coupling by a server and one
OK, which has a database, and the multiple Nursing evaluation options of the data-base recording, multiple association numerical value and multiple nursing are asked
Topic, each Nursing evaluation option correspond to such nursing problem one of which and corresponding such association numerical value one of which, Mei Yihu
Reason problem corresponds to such Nursing evaluation option at least one of which, it is characterised in that:The method includes the steps of:
(A)The hand-held action device shows a picture for including such Nursing evaluation option;
(B)The hand-held action device chooses at least one conduct according to an operation from such Nursing evaluation option and is selected nursing
Option is assessed, and corresponds to the assessed information for being selected Nursing evaluation option by one and is sent to the server;
(C)Such nursing problem at least one of which that the server chooses the database according to the assessed information is used as with reference to shield
Reason problem, reference shield is obtained further according to each association numerical value for being selected Nursing evaluation option with reference to corresponding to nursing problem
One association total score of reason problem, and nursing problem is referred to according to each relative size sequence for associating total score is described, and by described in
After sequence the hand-held action device is sent to reference to nursing problem;And
(D)The hand-held action device is joined according to after showing such sequence with reference to nursing problem after such sequence from the server
Examine nursing problem.
2. nursing decision householder method according to claim 1, it is characterised in that:In the step(D)In, which is
Using the summation of each association numerical value for being selected Nursing evaluation option with reference to corresponding to nursing problem as the association total score.
3. nursing decision householder method according to claim 1, it is characterised in that:Before the database also records the server
The reference nursing problem once produced,
And in the step(C)In, which also chooses described wherein nurses with reference to nursing problem with the preceding reference that once produces
The identical person of problem is defined as history nursing problem, and the history nursing problem is passed together with after such sequence with reference to nursing problem
Send to the hand-held action device;
And in the step(D)In, which shows institute always according to the history nursing problem from the server
State history nursing problem.
4. nursing decision householder method according to claim 3, it is characterised in that:The database further includes multiple nursing and arranges
Apply and multiple nursing goals, each nursing intervention correspond to such nursing problem at least one of which, each nursing intervention corresponds to should
Deng nursing problem at least one of which, and in step(D)Also comprise the steps of afterwards:
(E)The hand-held action device will be chosen at least one as nursing is selected in such reference nursing problem according to operation and be asked
Topic, and forcing using the history nursing problem as being selected nursing problem, and by one correspond to described in be selected nursing problem
The problem of choose data transmission to the server;
(F)The problem of server is according to from the hand-held action device chooses data from such nursing intervention of the database
Choose to correspond to and be selected the nursing intervention of nursing problem as referring to nursing intervention, and from such nursing goal of the database
Middle choose corresponds to the nursing goal for being selected nursing problem as nursing goal is referred to, will be described with reference to nursing intervention and described
The hand-held action device is sent to reference to nursing goal;And
(G)The hand-held action device is according to described with reference to nursing intervention and with reference to nursing goal, display institute from the server
State and be selected nursing problem and each reference nursing goal being selected corresponding to nursing problem and with reference to nursing intervention.
5. nursing decision householder method according to claim 4, it is characterised in that:The database, which further includes, multiple performs frequency
Rate option, and each nursing intervention corresponds at least one execution frequency options, wherein, in step(G)Following step is also included afterwards
Suddenly:
(H)The hand-held action device is chosen at least one from such reference nursing intervention according to operation and is arranged as necessary nursing
Apply, and the measure that one corresponds to the necessary nursing intervention is chosen into data transmission to the server;
(I)The server chooses data according to the measure will correspond to the execution frequency of necessity nursing intervention in the database
Option is used as with reference to execution frequency options, and is sent to the hand-held action device with reference to execution frequency options by described;And
(J)The hand-held action device performs frequency options according to the reference from the server and shows that one includes described necessity
Nursing intervention and the picture with reference to execution frequency options.
6. nursing decision householder method according to claim 5, it is characterised in that:In the step(J)Afterwards also include with
Lower step:
(K)The hand-held action device performs frequency with reference to execution frequency options at least one of which using described according to operation as confirmation
Rate option, and one corresponds to the frequency selection purposes data transmission for confirming execution option to the server;
(L)The server according to according to the frequency selection purposes data produce a measure plan, the measure plan record have perform it is each
The time of necessary nursing intervention, and a planning data comprising the measure plan is sent to the hand-held action device;And
(M)Data shows the measure plan to the hand-held action device according to this plan.
A kind of 7. nursing decision auxiliary system, it is characterised in that:Comprising:
One hand-held action device, including:
One display screen;
One processing module, is electrically connected the display screen, and controls the display screen to show that one includes multiple Nursing evaluation options
Picture;
One input module, is electrically connected to the processing module and for operation so that the processing module is selected from such Nursing evaluation option
Take at least one to be used as and be selected Nursing evaluation option;And
One server, is electrically coupled with the hand-held action device, and receives the Nursing evaluation option, and including:
One storage element, has a database, which has such Nursing evaluation option, multiple association numerical value and multiple shields
Reason problem, each Nursing evaluation option correspond to such nursing problem one of which and corresponding such association numerical value one of which, often
One nursing problem corresponds to such Nursing evaluation option at least one of which;And
One processing unit, is electrically connected to the storage element, and according to the Nursing evaluation option from the hand-held action device
Such nursing problem at least one of which of the database is chosen as nursing problem is referred to, nursing problem is referred to further according to each
The corresponding association numerical value for being selected Nursing evaluation option obtains the association total score with reference to nursing problem, and according to each
The relative size sequence of association total score is such to refer to nursing problem, and the reference nursing problem after the sequence is sent to the hand
Hold running gear;
The processing module of the hand-held action device should according to the reference nursing problem control after the sequence from the server
Display screen shows that one includes the picture that nursing problem is referred to after the sequence.
8. nursing decision auxiliary system according to claim 7, it is characterised in that:The processing unit of the server be by
Each association numerical value summation for being selected Nursing evaluation option with reference to corresponding to nursing problem is as the association total score.
9. nursing decision auxiliary system according to claim 7, it is characterised in that:It is previous that the database also records the system
It is secondary caused when being operated to refer to nursing problem;
And the processing unit of the server also chooses the reference nursing problem wherein with once being operated when institute before the system
The identical person of reference nursing problem of generation be defined as history nursing problem and by the history nursing problem together with such sequence after
The hand-held action device is sent to reference to nursing problem;
And the hand-held action device shows the history nursing problem always according to the history nursing problem from the server.
10. nursing decision auxiliary system according to claim 9, it is characterised in that:The database further includes multiple nursing
Measure and multiple nursing goals, each nursing intervention correspond to such nursing problem at least one of which, and each nursing intervention corresponds to
Such nursing problem at least one of which;
The hand-held action device is operated according to according to the input module and will choose at least one work in such reference nursing problem
To be selected nursing problem, and force using the history nursing problem as being selected nursing problem, and by one correspond to described in
The problem of being selected nursing problem chooses data transmission to the server;
The problem of server is according to from the hand-held action device is chosen data and is selected from such nursing intervention of the database
Take to be used as corresponding to the nursing intervention for being selected nursing problem and refer to nursing intervention, and from such nursing goal of the database
Choose and correspond to the nursing goal for being selected nursing problem as nursing goal is referred to, nursing intervention and the ginseng are referred to by described
Examine nursing goal and be sent to the hand-held action device;
The hand-held action device shows that one is selected nursing comprising described according to the nursing intervention that refers to from the server
Problem, each reference nursing goal being selected corresponding to nursing problem and each reference shield being selected corresponding to nursing problem
The picture of reason measure.
11. nursing decision auxiliary system according to claim 10, it is characterised in that:The database further includes multiple execution
Frequency options, each nursing intervention correspond at least one execution frequency options;
The processing module of the hand-held action device according to the input module operated from it is such with reference to choose in nursing intervention to
Few one is as necessary nursing intervention, and the measure for one being corresponded to the necessary nursing intervention chooses data transmission to the service
Device;
The processing unit of the server chooses data according to the measure from the hand-held action device, by the database
It is used as corresponding to the execution frequency options of the necessary nursing intervention with reference to execution frequency options, and the reference is performed into frequency
Option is sent to the hand-held action device;
And the processing module of the hand-held action device should according to described controlled with reference to execution frequency options from the server
Display screen shows a picture that frequency options and the necessary nursing intervention are performed comprising the reference.
12. nursing decision auxiliary system according to claim 11, it is characterised in that:
The processing module of the hand-held action device is operated according to the input module and selected from the frequency options with reference to execution
At least one is taken as confirmation and performs frequency options, and corresponds to the frequency selection purposes data for confirming to perform frequency options by one
It is sent to the server;
The processing unit of the server produces a measure meter always according to the frequency selection purposes data from the hand-held action device
Draw, measure planing discipline plan record has the time for performing each necessary nursing intervention, and produces one and include the measure plan
Planning data, and the planning data is sent to the hand-held action device;
Data controls display screen generation one to include the measure meter to the processing module of the hand-held action device according to this plan
The picture drawn.
13. nursing decision auxiliary system according to claim 12, it is characterised in that:The input module is a touch surface
Plate.
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