CN110742578A - Pressure sore assessment method, device and system - Google Patents
Pressure sore assessment method, device and system Download PDFInfo
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- CN110742578A CN110742578A CN201810818967.9A CN201810818967A CN110742578A CN 110742578 A CN110742578 A CN 110742578A CN 201810818967 A CN201810818967 A CN 201810818967A CN 110742578 A CN110742578 A CN 110742578A
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/44—Detecting, measuring or recording for evaluating the integumentary system, e.g. skin, hair or nails
- A61B5/441—Skin evaluation, e.g. for skin disorder diagnosis
- A61B5/445—Evaluating skin irritation or skin trauma, e.g. rash, eczema, wound, bed sore
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Abstract
The invention discloses a pressure sore assessment method, device and system, and belongs to the technical field of computers. The method comprises the following steps: when detecting that a new evaluation control corresponding to the Barden evaluation is triggered, displaying at least one evaluation item and a specific index corresponding to each evaluation item in the at least one evaluation item; acquiring the selected specific indexes, and calculating the sum of the corresponding score values of all the selected specific indexes; determining the pressure sore risk degree according to the sum; the problem that in the related art, a nurse judges the pressure sore risk degree of a patient according to personal experience, and misjudgment is easy to occur is solved; the effect of improving the evaluation accuracy of the pressure sore risk degree is achieved.
Description
Technical Field
The invention relates to the technical field of computers, in particular to a pressure sore assessment method, device and system.
Background
Pressure sores, also known as pressure ulcers and bedsores, are caused by tissue ulceration and necrosis due to persistent ischemia, hypoxia and malnutrition caused by long-term local tissue compression. Skin pressure sores are a common problem in rehabilitation and care. According to the literature, about 6 million people die of the pressure sore symptom every year.
In clinic, a nurse judges the pressure sore risk degree of a patient according to personal experience, so that misjudgment is easy to occur.
Disclosure of Invention
In order to solve the problem that misjudgment is easy to occur due to the fact that a nurse judges the pressure sore risk degree of a patient according to personal experience in the prior art, the embodiment of the invention provides a pressure sore evaluation method, device and system. The technical scheme is as follows:
in a first aspect, there is provided a pressure wound assessment method, the method comprising:
when detecting that a new evaluation control corresponding to the Barden evaluation is triggered, displaying at least one evaluation item and a specific index corresponding to each evaluation item in the at least one evaluation item;
acquiring the selected specific indexes, and calculating the sum of the corresponding score values of all the selected specific indexes;
and determining the pressure sore risk degree according to the sum.
Optionally, the at least one assessment item comprises at least one of a sensory item, a wetness item, an activity item, a mobility item, a nutritional item, a friction and a shear force item.
Optionally, the specific indexes corresponding to the sensory items include at least one of complete limitation, extreme limitation, mild limitation and no injury;
the specific indexes corresponding to the moisture items comprise at least one of lasting moisture, very moisture, occasional moisture and little moisture;
the specific indexes corresponding to the activity items comprise at least one of bedridden, limited to chairs, occasional walking and frequent walking;
the specific indexes corresponding to the moving force item comprise at least one of complete incapability, severe limitation, mild limitation and no limitation;
the specific indexes corresponding to the nutritional items comprise at least one of very poor, possibly insufficient, proper and good;
the specific indexes corresponding to the items of the friction force and the shearing force comprise at least one of problems, potential problems and no obvious problems.
Optionally, the method further includes:
and when an evaluation submission button is detected, submitting an evaluation result and a patient identification to the server, wherein the evaluation result comprises at least one of the sum, the pressure sore risk degree and all the selected specific indexes.
Optionally, the method further includes:
when a turning-over treatment instruction is obtained, the patient identification of the selected patient is obtained;
sending the turning-over treatment instruction and the patient identification to a server, wherein the turning-over treatment instruction is used for triggering the server to determine a pressure sore prevention turning-over mattress where the selected patient is located according to the patient identification, and sending the turning-over treatment instruction to the pressure sore prevention turning-over mattress;
the turning treatment instruction is used for triggering the pressure sore prevention turning mattress to execute the turning treatment instruction.
Optionally, the turning-over treatment instruction may include at least one of 120-minute 45-degree unilateral cycle left turning, 120-minute 45-degree unilateral cycle right turning, 120-minute 45-degree left cycle turning, 120-minute 30-degree left cycle turning, 5-minute 45-degree left cycle self checking, 30-minute 45-degree left cycle turning, 30-minute 60-degree left cycle turning, 60-minute 30-degree left cycle turning, and 60-minute 45-degree left cycle turning.
In a second aspect, a computer-readable storage medium is provided, in which one or more instructions are stored, and the one or more instructions, when executed by a processor in a terminal device, implement the pressure sore evaluation method according to the first aspect and any one of the optional embodiments of the first aspect.
In a third aspect, there is provided a pressure wound evaluation device, the device comprising:
a memory and a processor;
at least one program instruction is stored in the memory;
the processor is configured to load and execute the at least one program instruction to implement the pressure wound evaluation method according to the first aspect and any one of the optional embodiments of the first aspect.
In a fourth aspect, there is provided a pressure sore patient management system comprising a terminal and a server, wherein:
the method comprises the steps that when the terminal detects that a new evaluation control corresponding to Barden evaluation is triggered, at least one evaluation item and specific indexes corresponding to each evaluation item in the at least one evaluation item are displayed;
the terminal acquires the selected specific indexes and calculates the sum of the corresponding scoring values of all the selected specific indexes;
and the terminal determines the pressure sore risk degree according to the sum.
When the terminal detects a submit button, submitting an evaluation result and a patient identifier to the server, wherein the evaluation result comprises at least one of the sum, the pressure sore risk degree and all the selected specific indexes;
and the server correspondingly stores the evaluation result and the patient identification.
Optionally, the at least one assessment item comprises at least one of a sensory item, a wetness item, an activity item, a mobility item, a nutritional item, a friction and a shear force item.
The technical scheme provided by the embodiment of the invention has the following beneficial effects:
when detecting that a new evaluation control corresponding to Barden evaluation is triggered, displaying at least one evaluation item and a specific index corresponding to each evaluation item in the at least one evaluation item; acquiring the selected specific indexes, and calculating the sum of the corresponding score values of all the selected specific indexes; determining the pressure sore risk degree according to the sum; the problem that in the related art, a nurse judges the pressure sore risk degree of a patient according to personal experience, and misjudgment is easy to occur is solved; the effect of improving the evaluation accuracy of the pressure sore risk degree is achieved.
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 description of the embodiments will be briefly introduced 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 creative efforts.
FIG. 1 is a schematic diagram of a pressure wound evaluation system according to an exemplary embodiment of the present invention;
FIG. 2 is a flow chart of a method of pressure sore patient management provided by one embodiment of the present invention;
FIG. 3 is a schematic diagram of an interface of a patient list displayed by a terminal according to an embodiment of the present invention;
FIG. 4 is a schematic diagram of an interface for displaying evaluation items of a patient displayed on a terminal according to an embodiment of the present invention;
FIG. 5 is a schematic diagram of a pressure wound risk assessment table provided by one embodiment of the present invention;
FIG. 6 is a schematic view of a wound surface evaluation table provided in accordance with one embodiment of the present invention;
fig. 7 is a flowchart of a method for pressure wound assessment according to another embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, embodiments of the present invention will be described in detail with reference to the accompanying drawings.
Fig. 1 is a schematic configuration diagram of a pressure wound evaluation system according to an exemplary embodiment of the present invention, the pressure wound evaluation system including: a first client 110, a server 120, a second client 130, a third client 140, and at least one anti-pressure sore turn-over mattress (not shown in the figures), wherein:
the user accounts logged in the first client belong to a first class of user accounts, a user or attribute of any user account in the first class of user accounts is a nurse, and the first client can operate in a terminal such as a mobile phone, a tablet computer or a desktop computer.
The user accounts logged in the second client belong to a second type of user accounts, the user or attribute of any user account in the second type of user accounts is nurse manager, and the second client can operate in a terminal such as a mobile phone, a tablet computer or a desktop computer.
The user accounts logged in the third client belong to a third class of user accounts, the user or attribute of any user account in the third class of user accounts is the length of the nursing department, and the third client can operate in a terminal such as a mobile phone, a tablet computer or a desktop computer.
The server 120 is a server for providing a background service to the first client 110, the second client 130, and the third client 140. The server 120 may be a single server or a server cluster including a plurality of servers. In practical implementation, the server 120 may be connected to the terminal where the first client 110 is located, the terminal where the second client 130 is located, and the terminal where the third client 140 is located through a wired or wireless network.
The server 120 may also be connected via a wired or wireless network to each of the pressure sore prevention turn-over mattresses that are used to assist the patient in performing turn-over treatments.
Referring to fig. 2, a flow chart of a method for managing a pressure sore patient according to an embodiment of the present invention is shown, which is illustrated in the case that the pressure sore patient management method is used in the pressure sore patient management system shown in fig. 1. As shown in fig. 2, the pressure sore patient management method may include:
step 210, the terminal sends a login request to the server, where the login request carries a user account and a password.
Step 220, when the server determines that the user account and the password are valid according to the login request, the server acquires the patient information of at least one patient corresponding to the user account, and sends the patient information of the at least one patient to the terminal.
The specific implementation can be as follows: detecting which one of a first type user account, a second type user account and a third type user account the user account belongs to; if the user account belongs to the first type of user account, acquiring patient information of at least one patient of a department where a nurse is located corresponding to the user account; if the user account belongs to the second type of user account, acquiring patient information of at least one patient of a department managed by a nurse manager corresponding to the user account; if the user account belongs to the third type of user account, patient information of at least one patient of departments (for example, all departments) managed by the department manager corresponding to the user account is acquired.
The patient information comprises basic information of the patient, the name of the patient, the serial number of the patient, the classification of the patient, the bed number of the patient, the department of the patient, and at least one of the sex, the admission time, the admission duration and the patient admission. Wherein, the patient classification of the patient can be any one of pre-hospital pressure sores, in-hospital pressure sores, inevitable pressure sores and common patients.
It should be noted that: the patient information for the patient also includes an identification of an assessment item if the patient of the patient is classified as a pre-hospital pressure sore or an in-hospital pressure sore or an avoidable pressure sore. The evaluation items can include a Barden evaluation sub-item, a sore evaluation sub-item and a return and declaration sub-item.
In step 230, the terminal displays the patient information of the at least one patient after receiving the patient information of the at least one patient.
The specific implementation can be as follows: displaying patient information of each patient; if the patient of any one patient is classified as any one of pre-hospital pressure sores, in-hospital pressure sores, and inevitable pressure sores, an evaluation button is displayed at the display position of the patient information.
For example, as shown in fig. 3, a patient list displayed on the terminal is shown, and the patient list includes patient information of 16 patients. An evaluation button is also displayed at the patient information display position of the preschool pressure sore, the pressure sore in the hospital and the inevitable pressure sore, while the evaluation button is not displayed at the patient information display position of the common patient.
Alternatively, a detailed button is displayed at the patient information display position of each patient. When detecting that a detailed button corresponding to any patient is triggered, the terminal sends a patient detailed information query request to the server, wherein the patient detailed information query request carries a patient identifier, and the patient identifier can be a patient number; when receiving the request for inquiring the detailed information of the patient, the server acquires the detailed information of the patient according to the patient number, wherein the detailed information of the patient can comprise the name of the patient, the number of the patient, the patient classification of the patient, the department of the patient, the sex, the admission time, the admission duration, the hospitalization of the patient and the like; when the terminal receives the detailed information of the patient, the detailed information of the patient is displayed; and if the terminal detects the modification operation of the patient classification of the patient in the patient detailed information, submitting the modified patient classification to the server.
It should be noted that: the patient identifier referred to in the present application may be any one of the basic information of the patient in hospital, or may be a combination of a plurality of kinds of the basic information of the patient.
In one example, a nurse may submit basic patient hospitalization information of a newly admitted patient to the server through a terminal (e.g., a terminal where the first client is located); when the server receives the basic information of the patient in hospital, the server acquires the classification of the patient according to the basic information of the patient in hospital, wherein the classification comprises preschool pressure sores, pressure sores in a hospital, pressure sores which are difficult to avoid and common patients; adding a Barden evaluation sub-item to an evaluation item of the patient when the patient of the patient is classified as a pre-hospital pressure sore or an intra-hospital pressure sore or an unavoidable pressure sore; if the patient of the patient is classified as an in-hospital pressure sore or an in-hospital pressure sore, adding a sore face evaluation sub-item to the evaluation item of the patient upon receiving the Barden evaluation result of the patient; if the patient of the patient is classified as a refractory pressure sore, adding a sub-item of care measures to the evaluation item of the patient when the Barden evaluation result of the patient is received; and adding a nursing measure sub-item in the evaluation item of the patient when the evaluation result of the sore surface of the patient is received.
When detecting that an evaluation button corresponding to any patient is triggered, the terminal sends a sub-item query request carrying a patient identifier of the patient to the server; the server acquires the identifiers of all the sub-items in the corresponding evaluation items of the patient according to the sub-item query request; and the terminal displays the tabs corresponding to all the sub-items according to the identifiers of all the sub-items.
For example, as shown in fig. 4, the patient classification of the patient is exemplified as the inevitable pressure sore, and the evaluation items of the patient include a Barden evaluation sub-item and a care measure sub-item. The terminal presents the Barden evaluation tab and the care measure tab corresponding to the Barden evaluation sub-item.
And when the tab of any sub-item is selected, the terminal displays the recorded basic information in the sub-item. For example, when the tab corresponding to the Barden evaluation sub-item is selected, the terminal displays basic information of an evaluation record in the Barden evaluation sub-item; when the tab corresponding to the sub-item of the nursing measures is selected, the terminal displays basic information of the nursing measures recorded in the sub-item of the nursing measures; and when the tab corresponding to the sore surface evaluation sub-item is selected, the terminal displays the basic information of the sore surface evaluation record in the sore surface evaluation sub-item. For example, as shown in fig. 4, a corresponding tab of a sub-item of a care measure is selected, and the terminal displays basic information of a care measure record included in the sub-item of a care measure.
Optionally, the basic information of each record includes generation time and evaluation nurse.
Optionally, when the terminal displays the basic information of each record of each sub-item, the terminal also correspondingly displays a detail button; when detecting that a detail button corresponding to any record is triggered, sending a query request carrying the record identifier to a server; and the server sends the record to the terminal according to the query request.
In one example, when the Barden evaluation sub-item is selected, the terminal also presents a new evaluation button; when the newly-built evaluation button is triggered, displaying a pressure sore risk evaluation table, wherein the pressure sore risk evaluation table comprises various evaluation items and specific indexes corresponding to the evaluation items; as shown in fig. 5, the pressure sore risk assessment table includes Barden assessment sub-items including at least one of a sensory item, a wetness item, an activity item, a movement item, a nutritional item, a friction item, and a shear item.
Wherein, the specific index corresponding to the sensory item comprises at least one of complete limitation (corresponding to a score of 1), extreme limitation (corresponding to a score of 2), mild limitation (corresponding to a score of 3), and no damage (corresponding to a score of 4); the specific index corresponding to the wetness item comprises at least one of lasting wetness (corresponding to a score of 1), very wetness (corresponding to a score of 2), occasional wetness (corresponding to a score of 3), and very little wetness (corresponding to a score of 4); the specific indexes corresponding to the activity items comprise at least one of bedridden people (corresponding to a score of 1), limited chairs (corresponding to a score of 2), occasional walking (corresponding to a score of 3) and frequent walking (corresponding to a score of 4); the specific indexes corresponding to the movement force items comprise at least one of complete failure (corresponding to a score value of 1), severe limitation (corresponding to a score value of 2), mild limitation (corresponding to a score value of 3) and no limitation (corresponding to a score value of 4); the specific indexes corresponding to the nutritional items comprise at least one of very poor (corresponding to a score of 1), possibly insufficient (corresponding to a score of 2), proper (corresponding to a score of 3), and good (corresponding to a score of 4); the specific indexes corresponding to the items of the friction force and the shearing force comprise at least one of problems (corresponding to a score of 1), potential problems (corresponding to a score of 2) and no obvious problems (corresponding to a score of 3).
When the terminal detects a submission button corresponding to the pressure sore risk assessment table, acquiring selected specific indexes in the pressure sore risk assessment table, and calculating the sum of score values corresponding to all the selected specific indexes; determining the risk degree of the pressure sore according to the sum, and submitting at least one of the sum, the risk degree of the pressure sore, an evaluation nurse and a pressure sore risk evaluation table (the selected specific index in the table is marked) as a Barden evaluation result and a patient identification to a server; and the server generates an evaluation record according to the evaluation result, acquires the current time as the generation time of the evaluation record, and stores the evaluation record in the assessment sub-item corresponding to the Barden evaluation of the patient identifier.
The specific implementation can be as follows; if the sum is less than or equal to 11 points, determining that the patient has a high risk of pressure sore risk level; if the sum is greater than 11 points and less than 15 points, determining that the patient has a moderate risk of pressure sore risk; determining that the patient's pressure sore risk level is low risk if the sum is greater than or equal to 15 points and less than 18 points; if the sum is greater than or equal to 18 points, the patient is determined to be risk-free.
In one example, upon receiving the Barden assessment result for any patient, the server adds a sub-item of care measures to the assessment item corresponding to that patient if the patient is classified as a refractory pressure sore. The terminal displays a tab corresponding to the Barden evaluation sub-item and a tab corresponding to the care measure sub-item when detecting that the evaluation button corresponding to the patient is triggered.
Optionally, when the tab corresponding to the sub-item of the care measure is selected, the terminal may further display the record of the care measure in the sub-item of the care measure and a newly-built care button; when the newly-built nursing button is detected to be triggered, a nursing measure table is displayed, wherein the nursing measure table comprises a plurality of nursing items, and the nursing items can comprise a whole body treatment item, a body position and activity item, a skin nursing item, an auxiliary article using item, a dressing using item and a patient family health education item.
Optionally, the care measure table further includes specific measures for each care item. Wherein the specific measures of the whole body treatment project comprise at least one of active treatment of primary morbidity, nutrition increase, anti-infection treatment and psychological care; the specific measures of the body position and the activity project comprise establishing a turning card, periodically turning or changing the body position and guiding to execute at least one of active and passive movement of limbs; the specific measures of the skin care project comprise at least one of cleaning the body skin by using mild cleanser, maintaining skin moistening by using emulsion, correctly placing the skin, preventing pipeline compression, keeping a bed unit and cleaning, drying and leveling clothes; the specific measures of using the auxiliary articles include at least one of protecting the apophyseal part, preventing the heel from being pressed, using a soft pillow, a turning-over cushion and other auxiliary supports and using a pressure sore-preventing turning-over mattress; the specific measures of the dressing use project comprise at least one of using skin moisture, using foam dressing, using hydrocolloid dressing, using film dressing and gauze and cotton pad; the specific measures of the family health education program of the patient comprise at least one of knowing the purpose and the method for preventing the pressure sore, guiding the turning over, moving limbs, knowing the using method of the protective product, using the film dressing and paying attention to the nutrition intake.
When detecting that a submission button displayed together with the nursing measure table is triggered, the terminal acquires the selected specific measures in the nursing measure table to generate a nursing measure result, and sends the nursing measure result to the server. The specific implementation can be as follows: submitting the nursing measure table (marked with the selected specific measure) as a nursing measure result to a server; the server generates a nursing measure record according to the nursing measure result, and acquires the current time as the generation time of the nursing measure record.
Optionally, when the tab corresponding to the sub-item of the nursing measures is selected, the terminal sends a nursing measure record query request to the server, wherein the nursing measure record query request comprises the patient identifier; the server inquires a corresponding nursing measure record according to the patient identifier and sends the inquired nursing measure record to the terminal; and the terminal displays the inquired nursing measure record.
In one example, the server, upon receiving the Barden assessment results for any patient, adds a sore surface assessment sub-item to the patient's corresponding assessment item if the patient is classified as a pre-hospital pressure sore or an intra-hospital pressure sore. And when detecting that the evaluation button corresponding to the patient is triggered, the terminal displays a tab corresponding to the Barden evaluation sub-item and a tab corresponding to the sore surface evaluation sub-item.
Optionally, when the tab corresponding to the sub-sore surface evaluation project is selected, the terminal may further display a sore surface evaluation record and a new evaluation button in the sub-sore surface evaluation project; and when the newly established nursing button is detected to be triggered, a sore surface evaluation table is displayed, and the user can edit the sore surface information in the sore surface evaluation table. For example, as shown in FIG. 6, a sore surface assessment table may allow a user to select where the sore surface occurs and edit the size of the sore surface.
Optionally, when detecting that a submit button displayed together with the sore surface evaluation table is triggered, the terminal sends the edited sore surface evaluation table as a sore surface evaluation result to the server; the server generates a sore surface evaluation record according to the sore surface evaluation result, and acquires the current time as the generation time of the sore surface evaluation record.
In one example, when the server receives the evaluation result of the sore surface of any patient, the server adds the nursing measure sub-item to the corresponding evaluation item of the patient. And when detecting that the evaluation button corresponding to the patient is triggered, the terminal displays a tab corresponding to the Barden evaluation sub-item, a tab corresponding to the sore surface evaluation sub-item and a tab corresponding to the care measure sub-item.
In one example, when the server receives the nursing measure result of any patient, adding a return and declaration sub-item in the corresponding evaluation item of the patient; and when detecting that the evaluation button corresponding to the patient is triggered, the terminal displays a tab corresponding to the Barden evaluation sub-item, a tab corresponding to the sore surface evaluation sub-item, a tab corresponding to the care measure sub-item and a tab corresponding to the reporting sub-item.
Optionally, when the terminal detects that the tab corresponding to the declaration sub-item is selected, the terminal can display a declaration form, wherein the declaration form comprises a Barden evaluation result, a sore surface evaluation result and a nursing measure result; when the terminal detects that a submission button displayed together with the statement form is triggered, submitting the statement form to a server as submission information; the server establishes a first reviewing task of the declaration information according to the declaration information.
In addition, the declaration form can also comprise the signature of the declaration person, the declaration date and the like.
Optionally, a plurality of symptoms are provided in the statement, which may include at least one of a need for an obsessive-compulsive position to severely restrict turning, coma, liver failure, heart failure, respiratory failure, hemiplegia/amputation/pelvic fracture/paralysis of the limbs, instability of vital signs, age > 70 years, serum protein <30g/L, extreme wasting, high edema, incontinence, pain, poor compliance, and others. And the terminal marks the symptoms selected by the user in the statement table.
Optionally, when the server establishes the first reviewing task, the server acquires a user account of a nurse manager of a department where the patient is located, and allocates the first reviewing task to the nurse manager; as shown in fig. 1, the terminal (e.g., the terminal at which the second client is located) also displays a claim review button when displaying the patient list; when detecting that the review button is triggered, the terminal sends a review task query request carrying a user account logged in by the terminal to the server; and the server sends a review task corresponding to the user account to the terminal. If the user account logged in the terminal is the account of the nurse manager in the department where the patient is located, the review task corresponding to the user account comprises a first review task.
Optionally, when the server establishes the first reviewing task, the reviewing state of the declaration information is set to be in the long review of the nurse.
Optionally, the sending, by the server, the review task corresponding to the user account to the terminal may be implemented by: sending reference information of the review tasks corresponding to the user account to the terminal, wherein the reference information of each review task can comprise a patient name, a patient number, a patient department, patient admission time, a declaration and the like; when a viewing button corresponding to the reviewing task is triggered, the terminal sends a reporting information acquisition request to the server; the server sends declaration information (namely, declaration form) to the terminal according to the declaration information acquisition request
When detecting the approval operation of the declaration information, the terminal sends a first notification message for notifying that the corresponding review result of the first review task is approval to the server; the server establishes a second review task corresponding to the declaration information according to the first notification message, allocates the second review task to the nursing department chief, and updates the review state of the declaration information to be in review by the nursing department chief.
The declaration information includes a result of review by the nurse, a signature by the nurse, a review time by the nurse, and the like.
When detecting the rollback operation of the declaration information, the terminal sends a second notification message for notifying that the corresponding review result of the first review task is not approved to the server; the server sends the second notification message to a reporting user account (namely, a reporting nurse) corresponding to the reporting information, and updates the auditing state of the application information to be audited.
When detecting that the review button is triggered, the terminal (e.g., the terminal in which the third client is located) logging in the account of the nursing department long user can display the reference information and the declaration information of the second review task (the display mode can refer to the reference information and the declaration information of the first review task, and is not described here again). When detecting the approval operation of the declaration information, the terminal sends a third notification message for notifying that the corresponding review result of the second review task is approval to the server; the server sends the third notification message to the reporting nurse (i.e. the reporting account of the application information) or the professional nursing staff, so that the reporting nurse or the professional nursing staff can carry out nursing according to the nursing measures selected in the reporting information.
Optionally, when detecting that the evaluation button corresponding to any patient is triggered, the terminal may further display a turning treatment tab; when the turnover treatment option card is triggered, the displayable turnover treatment options may include at least one of 120-minute 45-degree unilateral cycle left turn, 120-minute 45-degree unilateral cycle right turn, 120-minute 45-degree left turn, 120-minute 30-degree left turn, 5-minute 45-degree left turn cycle self test, 30-minute 45-degree left turn cycle, 30-minute 60-degree left turn cycle, 60-minute 30-degree left turn cycle, and 60-minute 45-degree left turn cycle.
When detecting that any one turning-over treatment option is triggered, the terminal sends a turning-over treatment instruction corresponding to the turning-over treatment option and a patient identifier of any patient (namely, the selected patient) to the server; the server sends the turn-over treatment instruction to the pressure sore prevention turn-over mattress corresponding to the patient identification (such as the patient bed number), and the turn-over treatment instruction is executed by the pressure sore prevention turn-over mattress.
The turning-over treatment instruction can comprise at least one of 120-minute 45-degree unilateral cycle left turning, 120-minute 45-degree unilateral cycle right turning, 120-minute 45-degree left cycle turning, 120-minute 30-degree left cycle turning, 5-minute 45-degree left cycle self checking, 30-minute 45-degree left cycle turning, 30-minute 60-degree left cycle turning, 60-minute 30-degree left cycle turning and 60-minute 45-degree left cycle turning.
Optionally, the terminal further sends the user account logged in to the server together with the turn-over treatment instruction.
Optionally, in the process of executing the turn-over treatment instruction, the pressure sore prevention turn-over mattress may report description information of the posture of the pressure sore prevention turn-over mattress to the server, where the description information includes an air cushion direction, an air cushion angle, and the like. For example, when the posture of the pressure sore prevention turn-over mattress changes, a posture change notification is sent to the server, and the posture change notification comprises description information of the current posture of the pressure sore prevention turn-over mattress
When the turning treatment option is triggered, the terminal can also display the description information and simultaneously can also display information of the pressure sore prevention turning mattress, such as the identification and the installation position of the pressure sore prevention turning mattress.
Optionally, when the turnover treatment tab is triggered, the terminal may further display a reset button and a close button; when the terminal detects that the reset button is triggered, a reset instruction is sent to the server, and the server forwards the reset instruction to the sore-preventing turn-over mattress; when the terminal detects that the closing button is triggered, a closing instruction is sent to the server, and the server forwards the closing instruction to the sore-preventing turn-over mattress.
In addition, when receiving the turn-over treatment instruction, the server can also generate turn-over records according to the turn-over treatment instruction, wherein each turn-over record comprises the name of the patient, the information of the sore-preventing turn-over mattress, the turn-over time and the turn-over treatment instruction, the terminal logs in the name of the user (such as the name of a nurse) corresponding to the user account number, and the turn-over records and the patient identification are correspondingly stored. Correspondingly, when the tab corresponding to the turning-over treatment sub-item is selected, the terminal can also display a turning-over record query button; when detecting that the turning record inquiry button is triggered, the terminal sends a turning record inquiry request carrying a patient identifier to a server; the server inquires the turning-over record corresponding to the patient identifier and sends the turning-over record to the terminal; and the terminal displays the turning-over record.
Optionally, the terminal may also display a data statistics button when displaying the patient information; when detecting that the data button is triggered, the terminal can send a data statistics request to the server; the server may send the pressure sore rate and the cure rate to the terminal.
The server can count the pressure sore rate and the cure rate and realize the following steps: when the patient classification of any patient changes, acquiring the current patient classification and the patient classification before the change of any patient; if the current patient is classified as a common patient and the patient before change is classified as a preschool pressure sore or an in-hospital pressure sore, updating the pressure sore cure rate; if the current patient is classified as a hospital pressure sore, and the patient before change is classified as a normal patient or an inevitable pressure sore, the pressure sore rate is updated.
Referring to fig. 7, another embodiment of the present invention provides a method flowchart of a pressure sore evaluation method. The present embodiment is exemplified by the application of the pressure sore evaluation method to a terminal. As shown in fig. 7, the pressure wound evaluation method may include the following steps:
And 720, acquiring the selected specific indexes, and calculating the sum of the corresponding scoring values of all the selected specific indexes.
And step 730, determining the pressure sore risk degree according to the sum.
In summary, in the method provided in the embodiment of the present invention, when it is detected that a new evaluation control corresponding to Barden evaluation is triggered, at least one evaluation item and a specific indicator corresponding to each evaluation item in the at least one evaluation item are displayed; acquiring the selected specific indexes, and calculating the sum of the corresponding score values of all the selected specific indexes; determining the pressure sore risk degree according to the sum; the problem that in the related art, a nurse judges the pressure sore risk degree of a patient according to personal experience, and misjudgment is easy to occur is solved; the effect of improving the evaluation accuracy of the pressure sore risk degree is achieved.
An embodiment of the present invention further provides a computer-readable storage medium having one or more instructions stored therein, where the one or more instructions, when executed by a processor in an electronic cigarette, implement the pressure wound assessment method in any of the above embodiments.
An embodiment of the present invention also provides a pressure ulcer evaluation apparatus, wherein the control apparatus includes: a memory and a processor; at least one program instruction is stored in the memory; the processor, by loading and executing the at least one program instruction, implements the pressure wound assessment method as claimed in any of the above embodiments.
The terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implying a number of the indicated technical features. Thus, a defined feature of "first", "second", may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless otherwise specified.
The above-mentioned serial numbers of the embodiments of the present invention are merely for description and do not represent the merits of the embodiments.
It will be understood by those skilled in the art that all or part of the steps for implementing the above embodiments may be implemented by hardware, or may be implemented by a program instructing relevant hardware, where the program may be stored in a computer-readable storage medium, and the above-mentioned storage medium may be a read-only memory, a magnetic disk or an optical disk, etc.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.
Claims (10)
1. A method of pressure wound assessment, the method comprising:
when detecting that a new evaluation control corresponding to the Barden evaluation is triggered, displaying at least one evaluation item and a specific index corresponding to each evaluation item in the at least one evaluation item;
acquiring the selected specific indexes, and calculating the sum of the corresponding score values of all the selected specific indexes;
and determining the pressure sore risk degree according to the sum.
2. The pressure wound evaluation method of claim 1, wherein the at least one evaluation item comprises at least one of a sensory item, a wetness item, an activity item, a mobility item, a nutritional item, a friction and a shear force item.
3. The pressure wound evaluation method according to claim 1,
the specific indexes corresponding to the sensory items comprise at least one of complete limitation, extreme limitation, mild limitation and no injury;
the specific indexes corresponding to the moisture items comprise at least one of lasting moisture, very moisture, occasional moisture and little moisture;
the specific indexes corresponding to the activity items comprise at least one of bedridden, limited to chairs, occasional walking and frequent walking;
the specific indexes corresponding to the moving force item comprise at least one of complete incapability, severe limitation, mild limitation and no limitation;
the specific indexes corresponding to the nutritional items comprise at least one of very poor, possibly insufficient, proper and good;
the specific indexes corresponding to the items of the friction force and the shearing force comprise at least one of problems, potential problems and no obvious problems.
4. The pressure wound assessment method of claim 1, further comprising:
and when an evaluation submission button is detected, submitting an evaluation result and a patient identification to the server, wherein the evaluation result comprises at least one of the sum, the pressure sore risk degree and all the selected specific indexes.
5. The pressure wound assessment method of claim 1, further comprising:
when a turning-over treatment instruction is obtained, the patient identification of the selected patient is obtained;
sending the turning-over treatment instruction and the patient identification to a server, wherein the turning-over treatment instruction is used for triggering the server to determine a pressure sore prevention turning-over mattress where the selected patient is located according to the patient identification, and sending the turning-over treatment instruction to the pressure sore prevention turning-over mattress;
the turning treatment instruction is used for triggering the pressure sore prevention turning mattress to execute the turning treatment instruction.
6. The pressure wound assessment method of claim 5, wherein said turning treatment instructions may comprise at least one of 120 minute 45 degree single-sided cycle left-hand turn, 120 minute 45 degree single-sided cycle right-hand turn, 120 minute 45 degree left-hand cycle turn, 120 minute 30 degree left-hand cycle turn, 5 minute 45 degree left-hand cycle self-check, 30 minute 45 degree left-hand cycle turn, 30 minute 60 degree left-hand cycle turn, 60 minute 30 degree left-hand cycle turn, 60 minute 45 degree left-hand cycle turn.
7. A computer readable storage medium having one or more instructions stored thereon, wherein the one or more instructions, when executed by a processor within a terminal device, implement the pressure wound assessment method of any of claims 1 to 6.
8. A pressure wound assessment device, characterized in that said device comprises:
a memory and a processor;
at least one program instruction is stored in the memory;
the processor, by loading and executing the at least one program instruction, to implement the pressure wound assessment method of any of claims 1 to 6.
9. A pressure sore patient management system, comprising a terminal and a server, wherein:
the method comprises the steps that when the terminal detects that a new evaluation control corresponding to Barden evaluation is triggered, at least one evaluation item and specific indexes corresponding to each evaluation item in the at least one evaluation item are displayed;
the terminal acquires the selected specific indexes and calculates the sum of the corresponding scoring values of all the selected specific indexes;
and the terminal determines the pressure sore risk degree according to the sum.
When the terminal detects a submit button, submitting an evaluation result and a patient identifier to the server, wherein the evaluation result comprises at least one of the sum, the pressure sore risk degree and all the selected specific indexes;
and the server correspondingly stores the evaluation result and the patient identification.
10. The system of claim 9, wherein the at least one assessment item comprises at least one of a sensory item, a wetness item, an activity item, a mobility item, a nutritional item, a friction item, and a shear force item.
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| CN201810818967.9A CN110742578A (en) | 2018-07-24 | 2018-07-24 | Pressure sore assessment method, device and system |
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