JP2021101367A - Program, device, system, and method for obesity patients - Google Patents

Abstract

To provide a program, a device, a system, and a method for obesity patients.SOLUTION: A program used for obesity patients which allows a computer to execute: a step of receiving patient interpretation information showing interpretation of a patient about a subject regarding obesity, which is input to a patient electronic device being an electronic device used by the patient, from the patient electronic device at acquisition timing of patient interpretation information which is determined based on at least one of input of information showing current body condition of the patient and information of obesity medical examination history; a step of determining whether or not the interpretation of the patient about the subject regarding obesity is wrong based on the received patient interpretation information and correct answer information about the subject regarding obesity; and a step of, in the case where the interpretation of the patient is determined to be wrong, transmitting cognitive behavior therapy information including information about the subject regarding obesity of the patient, which is considered to be correct, on the basis of the correct answer information to the patient electronic device.SELECTED DRAWING: Figure 1

Description

The present invention relates to programs, devices, systems and methods for obese patients.

"Obesity" is a state in which body fat is excessively accumulated in the body and has a BMI of 25 or more. "Obesity" is a disease of "obesity" that refers to a medical condition that requires weight loss treatment. According to the Japan Society for the Study of Obesity, obesity is defined as "a condition in which fat is excessively accumulated due to overnutrition or lack of exercise, and the patient has a disease caused by obesity and requires weight loss." ing. Specifically, obesity (BMI 25 or more), ^{"visceral fatty obesity" with a visceral fat area of 100 cm 2} or more, or 11 diseases caused or related to obesity (sugar tolerance disorder, dyslipidemia, hypertension, hyperuric acid blood) Diseases, coronary artery disease, cerebral infarction, fatty liver (NAFLD), abnormal menstruation, obesity-related kidney disease, orthopedic disease, sleep aspiration syndrome (SAS)) There is. For this disease, diet therapy, exercise therapy, psychotherapy (behavioral therapy, cognitive therapy and coaching), drug therapy, surgical treatment, etc. are generally performed. Behavioral therapy is a therapy in which a medical worker encourages an action (= therapeutic action) that is considered to have a therapeutic effect by performing it, and the patient practices it. Among behavioral therapies, compensatory behavioral therapy is a therapy that avoids eating and drinking by performing other actions instead of eating and drinking when the appetite urge to eat and drink occurs. Cognitive-behavioral therapy is a therapy that changes a patient's behavior by correcting the difference between the patient's interpretation (cognition) and the facts from a scientific point of view (cognitive difference). Coaching is the provision, education, encouragement, and compliment of a patient with knowledge about the disease.

Prior Document 1 proposes a system that sends daily messages to assist individuals in trying to improve bad health behaviors such as smoking cessation, weight control, and stress management.

JP 2001-92876

Behavioral therapy, cognitive therapy and coaching for obesity are performed by medical staff when the patient visits the hospital, but at present, the frequency and time of outpatient treatment are mostly limited. For example, the outpatient frequency of obesity treatment is generally once every one to three months, and the treatment time is about three to ten minutes. In addition, even if an obese patient wants to consult a doctor, it often takes a long time to see the doctor because he / she has to go to the hospital. Since the outpatient hours are limited, it is not possible to have a medical examination outside the outpatient hours. As described above, there is a problem that the time that the medical staff can spend on behavioral therapy, cognitive therapy and coaching is extremely limited, and the obese patient cannot consult when he / she wants to consult the medical staff. In other words, it cannot be said that sufficient behavioral therapy, cognitive therapy and coaching are provided. There is also the problem that the quality of obesity medical care varies depending on the medical institution or medical staff. Those who are simply obese who have not yet reached obesity are at high risk of obesity in the future and need to be improved. However, there is also a problem that obesity is not sufficiently treated because it is not treated by medical treatment.

The system disclosed in Prior Document 1 discloses a system in which behavioral change messages for improving bad health-related behaviors are sequentially provided to an individual on a daily basis based on data collected from the individual. With such a system, the behavior change message can be received once a day, so that the patient can understand the behavior to be taken on that day. However, it is not possible to fine-tune the therapy to be performed according to the ever-changing situation of obesity treatment in patients. In addition, for obese patients who cannot properly control their appetite urges, behavioral change messages sent once a day are not sufficient, and it is not possible to perform timely therapy suitable for the patient's mental state each time. .. Also, the problem of not being able to see a patient when he or she wants to consult a doctor is not solved.

The present invention has been made in view of the above problems, and has the following features. That is, the program in one embodiment of the present invention is a program used for an obese patient, and information indicating the current physical condition of the patient from a patient-side electronic device, which is an electronic device used by the patient, to a computer. Patient interpretation information indicating the patient's interpretation of matters related to obesity input to the patient-side electronic device by the patient at the patient interpretation information acquisition timing determined based on at least one of the input of the patient and the obesity medical treatment history information. And the stage of determining whether or not the interpretation of the patient's obesity-related matters is incorrect based on the received patient interpretation information and the correct answer information on the obesity-related matters. If it is determined that the patient's interpretation is incorrect, the patient side provides cognitive-behavioral therapy information including correct information on matters related to obesity of the patient based on the correct answer information. The step of transmitting to the electronic device and the execution of.

Requests the patient-side electronic device to transmit patient interpretation information including the stage of reading the obesity medical treatment history information from the database and the patient's interpretation of a predetermined obesity-related matter based on the received obese medical treatment history information. At the stage of determining the request timing and at the request timing, the patient interpretation information request requesting the transmission of the patient interpretation information including the patient's interpretation of the predetermined obesity-related matter is transmitted to the patient-side electronic device. The step and the step may be further executed by a computer, and the patient interpretation acquisition information timing may be a timing for receiving the patient interpretation information as a response to the patient interpretation information request.

The patient interpretation acquisition information timing is determined based on the timing when the information indicating the current physical condition of the patient is input to the patient-side electronic device, and the information indicating the current physical condition of the patient is input to the patient-side electronic device. At the physical condition information acquisition timing determined based on the timing, the computer is further executed to acquire information indicating the current physical condition of the patient, and the patient interpretation information is the current patient's current condition that the patient thinks. It may include information indicating the relationship between physical condition and obesity.

When the acquired information indicating the current physical condition of the patient indicates an appetite urge, the cause of the current physical condition considered by the patient, the obesity medical treatment history information, and the current physical condition of the patient are at what time. Based on at least one of the time indicating the presence, the step of determining whether or not the patient's appetite urge should be suppressed, and the result of determining whether or not the patient's appetite urge should be suppressed. The computer may further perform a step of transmitting a patient interpretation input request prompting the input of patient interpretation information indicating the patient's interpretation of the matter related to obesity.

The step of transmitting the patient interpretation input request may be performed when it is determined by the determination of whether or not the patient's appetite urge should be suppressed that the patient's appetite urge should be suppressed.

At the first behavior therapy execution timing in which the information indicating the current physical condition of the patient is determined based on the timing input to the electronic device on the patient side, the patient is based on the information indicating the current physical condition of the patient. The computer may further perform a step of transmitting a first behavior therapy information indicating the action the patient should take in relation to his / her current physical condition.

The information indicating the patient's current physical condition may include the cause of the patient's current physical condition.

After transmitting the first behavior therapy information, a step of transmitting effect inquiry information indicating a message inquiring whether or not the physical condition has improved, and an effect of indicating an answer input by the patient in response to the effect inquiry information. When the effect response information indicates the stage of receiving the response information and that the physical condition has not improved, a second behavior therapy information indicating the action to be taken by the patient in relation to the physical condition is transmitted. Steps and steps may be further performed by the computer.

When the acquired information indicating the current physical condition of the patient indicates an appetite urge, a computer further steps to determine whether or not the patient's appetite urge should be suppressed, at least based on the effect answer information. The step of transmitting the second behavior therapy information may be executed at least based on the determination based on the effect answer information.

The step of transmitting the cognitive-behavioral therapy information may be executed after the step of transmitting the first behavioral therapy information is executed.

Coaching information indicating a message for encouraging the patient in relation to the patient's physical condition is transmitted at a coaching timing in which information indicating the patient's current physical condition is determined based on the timing input to the patient-side electronic device. You may let the computer perform further steps.

The step of transmitting the cognitive-behavioral therapy information may be executed after the step of transmitting the coaching information is executed.

The second behavior therapy execution timing is determined based on at least one of the input of information indicating the patient's current physical condition and the obesity medical treatment history information, and the third behavior therapy information indicating the actions that the patient should take for the treatment of obesity. At least of the cognitive behavior therapy information and the third behavior therapy information, the step of transmitting the third behavior therapy information to the patient-side electronic device at the stage of determining the second behavior therapy execution timing. Based on one, the step of updating the obesity medical treatment history information and the step of updating the obesity medical treatment history information may be further executed by the computer.

After transmitting the cognitive-behavioral therapy information, a stage of updating the obesity medical treatment history information based on the patient interpretation information and the cognitive-behavioral therapy information, and information on medication adjustment based on the updated obese medical treatment history information. The step of transmitting the information to at least one of the doctor-side electronic device used by the doctor and the patient-side electronic device may be further performed by the computer.

The program according to one embodiment of the present invention described above can also be stored in a computer-readable storage medium.

The computer according to an embodiment of the present invention includes a processing device, a communication device, and a storage device for storing a program used for an obese patient, wherein the program is attached to the computer and an electronic device used by the patient. The patient input the information indicating the current physical condition of the patient and the patient interpretation information acquisition timing determined based on at least one of the obesity medical treatment history information from the patient-side electronic device. , Related to the patient's obesity, based on the stage of receiving the patient interpretation information indicating the patient's interpretation of the obesity-related matters and the received correct answer information on the patient interpretation information and the obesity-related matters. At the stage of determining whether or not the interpretation of the matters to be performed is incorrect, and if it is determined that the patient's interpretation is incorrect, the matters related to obesity of the patient are based on the correct answer information. The step of transmitting cognitive-behavioral therapy information including the correct information of the patient to the patient-side electronic device is executed.

Further, the computer of another embodiment of the present invention is a computer used for an obese patient, and is an electronic device used by the patient. From a patient-side electronic device, information indicating the current physical condition of the patient is input. And at the patient interpretation information acquisition timing determined based on at least one of the obesity medical treatment history information, the patient interpretation information indicating the patient's interpretation of the matter related to obesity input by the patient to the patient side electronic device is received. However, if it is determined that the patient's interpretation is incorrect, the patient-side electronic information including cognitive-behavioral therapy information including correct information on matters related to obesity of the patient is provided based on the correct answer information. Based on the communication unit transmitted to the device, the received patient interpretation information, and the correct answer information about the patient's obesity-related matters, it is determined whether or not the interpretation of the patient's obesity-related matters is incorrect. It is provided with a control unit for the operation.

The program used for an obese patient in one embodiment of the invention is determined based on at least one of the input of information indicating the patient's current physical condition and the patient's obesity medical history information into the electronic device used by the patient. At the timing of acquiring the patient interpretation information, the stage of accepting the input of the patient interpretation information indicating the patient's interpretation of the matter related to obesity, the stage of transmitting the input patient interpretation information to the server device, and the stage of the patient If the interpretation is determined to be incorrect, the step of receiving cognitive-behavioral therapy information from the server device, including information indicating the correct information about the patient's obesity-related matters, and the received. A program that provides the patient with the correct information about matters related to the patient's obesity based on the cognitive-behavioral therapy information.

The patient-side electronic device used by the patient in one embodiment of the present invention is an electronic device comprising a processing device, a communication device, an output device, and a storage device for storing a program used for an obese patient. Therefore, the program describes matters related to obesity at the timing of inputting information indicating the patient's current physical condition into the electronic device and acquiring patient interpretation information determined based on at least one of the patient's obesity medical treatment history information. The stage of accepting the input of the patient interpretation information indicating the patient's interpretation, the stage of transmitting the input patient interpretation information to the server device, and the stage of transmitting the input patient interpretation information to the server device, and when it is determined that the patient's interpretation is incorrect, the patient Based on the stage of receiving cognitive-behavioral therapy information from the server device and the received cognitive-behavioral therapy information, which includes information indicating correct information about matters related to obesity of the patient, it is related to the obesity of the patient. Have the patient perform the steps of presenting the patient with the correct information about what to do.

The patient-side electronic device of another embodiment of the present invention is an electronic device used for an obese patient and is based on at least one of input of information indicating the patient's current physical condition and information on the patient's obesity medical treatment history. The input unit that accepts the input of the patient interpretation information indicating the patient's interpretation of the matter related to obesity at the patient interpretation information acquisition timing determined by the patient, and the input patient interpretation information is transmitted to the server device to transmit the input patient interpretation information to the patient. When it is determined that the interpretation of the above is incorrect, the communication unit that receives the cognitive-behavioral therapy information including the information indicating the correct information about the matter related to the patient's obesity from the server device, and the above-mentioned It has an output unit that presents to the patient correct information about matters related to the patient's obesity based on the received cognitive-behavioral therapy information.

The system in one embodiment of the present invention includes a server device which is the above-mentioned computer, an electronic device used by at least one of the above-mentioned patients, and a database for storing patient obesity medical treatment history information.

The method used for obese patients is determined based on at least one of the input of information indicating the patient's current physical condition and the obesity medical history information from the patient-side electronic device, which is the electronic device used by the patient, into the computer. At the timing of acquiring the patient interpretation information, the stage of receiving the patient interpretation information indicating the patient's interpretation of the matter related to obesity input by the patient to the patient side electronic device, the received patient interpretation information, and the received patient interpretation information Based on the correct answer information on the matter related to obesity, it was determined that the step of determining whether or not the interpretation of the matter related to obesity of the patient was incorrect and the interpretation of the patient was incorrect. In this case, based on the correct answer information, a step of transmitting cognitive-behavioral therapy information including correct information about matters related to the patient's obesity to the patient-side electronic device is executed.

The method used for obese patients is related to obesity at the timing of patient interpretation information acquisition, which is determined based on at least one of the input of information indicating the patient's current physical condition and the patient's obesity medical history information into an electronic device. When it is determined that the patient's interpretation is incorrect, the stage of accepting the input of the patient interpretation information indicating the patient's interpretation of the matter to be performed, the stage of transmitting the input patient interpretation information to the server device, and the stage of transmitting the input patient interpretation information to the server device. Is receiving cognitive-behavioral therapy information from the server device, including information indicating correct information about matters related to the patient's obesity, and based on the received cognitive-behavioral therapy information, Have the patient perform the steps of presenting the patient with the correct information about matters related to obesity.

By adopting the configuration of the present invention, it is necessary to finely change the selection of an appropriate therapy and the execution timing of the selected therapy according to the ever-changing situation of obesity treatment of a patient, and when necessary. It becomes possible to carry out the therapy in a timely manner. By using an electronic device such as their own smartphone, the patient can receive obesity treatment at all times and for a long period of time through the electronic device. By setting the system so that appropriate therapy can be selected and executed, it is possible to realize appropriate obesity guidance that does not always vary. In addition, obesity that has not led to obesity can be treated appropriately in the same manner as obesity treatment.

The patient can enter information indicating the patient's current physical condition, such as an appetite urge, via his or her electronic device. Based on this information, when selecting and implementing therapy, immediately identify the patient's interpretation of the condition and its causes and matters related to obesity, and correct any misinterpretations. By doing so, you will improve your current physical condition and have the correct knowledge related to obesity treatment. As a result, when the patient's wrong thinking circuit is corrected and a similar physical condition is reached, the thinking based on the correct interpretation can be taken. For example, based on correct knowledge, when an appetite urge occurs, it is possible to control the appetite urge well. In addition, if the cause of the current physical condition is further identified, the therapy suitable for the cause can be executed. If the current physical condition is an appetite urge, behavioral therapy such as compensatory behavior therapy suitable for the identified cause of the appetite urge and coaching should also be performed to more effectively and immediately eliminate the appetite urge. Can be done.

It is a block diagram of the system which concerns on one Embodiment of this invention. It is a hardware block diagram of the server apparatus which concerns on one Embodiment of this invention. It is a hardware block diagram of the database which concerns on one Embodiment of this invention. It is a hardware block diagram of the patient side electronic device which concerns on one Embodiment of this invention. It is a hardware block diagram of the electronic device on the doctor side which concerns on one Embodiment of this invention. It is a functional block diagram of the server apparatus which concerns on one Embodiment of this invention. It is a functional block diagram of the database which concerns on one Embodiment of this invention. It is a functional block diagram of the patient side electronic device which concerns on one Embodiment of this invention. It is a functional block diagram of the electronic device on the doctor side which concerns on one Embodiment of this invention. It is a patient information table which concerns on one Embodiment of this invention. It is a therapy list which concerns on one Embodiment of this invention. It is a therapy list which concerns on one Embodiment of this invention. It is a flowchart which concerns on 1st Embodiment of this invention. It is a flowchart which concerns on 1st Embodiment of this invention. It is a flowchart which concerns on 1st Embodiment of this invention. It is a flowchart which concerns on 1st Embodiment of this invention. It is a flowchart which concerns on 1st Embodiment of this invention. It is a flowchart which concerns on 1st Embodiment of this invention. It is a flowchart which concerns on 1st Embodiment of this invention. It is a flowchart which concerns on 2nd Embodiment of this invention. It is a flowchart which concerns on 2nd Embodiment of this invention.

In the present specification, a patient means a person who attempts to improve (treat) obesity or treat obesity using the present invention, and does not necessarily have to perform obesity treatment under the guidance of a medical professional. In the following embodiments, a patient with obesity will be described as an example, but the same applies to a patient who attempts to improve obesity.

FIG. 1 shows an example of a system configuration diagram of the present invention. System 100 is used for obese patients and includes a server 102, a database 103, one or more patient-side electronic devices 104-1-104-N that are electronic devices used by patients, and electronic devices used by physicians. One or more doctor-side electronic devices 105-1 to 105N, which are devices, are provided. These are connected to each other by the network 101, but each may be individually connected as needed. For example, the database 103 is not connected to the network 102, but is directly connected to the server 102, and the patient-side electronic devices 104-1-104-N and the doctor-side electronic devices 105-1 to 105N are connected to the database 103 via the server 102. It may be configured to be connected.

FIG. 2 shows an example of a hardware configuration diagram of the server 102. The server 102 is a computer including a processing device 201, a display device 202, an input device 203, a storage device 204, and a communication device 205. Each of these components is connected by a bus 210, but each of them may be individually connected as needed. The display device 202 has a function of displaying information to the user. The input device 203 has a function of receiving input from the user, such as a keyboard and a mouse. The server program 206 is stored in the storage device 204. The storage device 204 may be any device that can store information such as a hard disk, a non-volatile memory, and a volatile memory. The communication device 205 performs wired communication using an Ethernet (registered trademark) cable or the like, mobile communication, wireless communication such as a wireless LAN, and connects to the network 101.

FIG. 3 shows an example of a hardware configuration diagram of the database 103. The database 103 is a computer including a processing device 301, a display device 302, an input device 303, a storage device 304, and a communication device 305. Each of these components is connected by a bus 310, but each of them may be individually connected as needed. The display device 302 has a function of displaying information to the user. The input device 303 has a function of receiving input from the user, such as a keyboard and a mouse. The storage device 304 may be any device that can store information such as a hard disk, a non-volatile memory, and a volatile memory. The database (DB) program 306 is stored in the storage device 304. The communication device 305 performs wired communication using an Ethernet (registered trademark) cable or the like, mobile communication, wireless communication such as a wireless LAN, and connects to the network 101.

In the present embodiment, the server 102 and the database 103 are realized by different computers, but they may be realized by one computer.

FIG. 4 shows an example of a hardware configuration diagram of the patient-side electronic device 104, which is an electronic device used by the patient. The patient-side electronic device 104 includes a processing device 401, a display device 402, an input device 403, a storage device 404, and a communication device 405. Each of these components is connected by a bus 410, but each of them may be individually connected as needed. The patient-side electronic device 403 may be a desktop computer or a laptop computer, a portable information terminal, a mobile phone, a smartphone, a tablet terminal, or a dedicated portable electronic device. A portable communication terminal is preferable for the patient to input the current physical condition immediately. The display device 402 has a function of displaying information to the user. The input device 403 has a function of receiving input from a user, such as a keyboard and a mouse. When the patient-side electronic device 104 is a smartphone or tablet terminal, the display device 402 and the input device 403 can be integrated into a touch panel. The storage device 404 stores the patient program 406 for the patient-side electronic device. The storage device 404 may be any device that can store information such as a hard disk, a non-volatile memory, and a volatile memory. The communication device 405 performs wired communication using an Ethernet (registered trademark) cable or the like, mobile communication, wireless communication such as a wireless LAN, and connects to the network 101.

FIG. 5 shows an example of a hardware configuration diagram of a doctor-side electronic device 105, which is an electronic device used by a doctor. The doctor-side electronic device 105 includes a processing device 501, a display device 502, an input device 503, a storage device 504, and a communication device 505. Each of these components is connected by a bus 510, but each of them may be individually connected as needed. The doctor-side electronic device 104 may be a desktop computer or a laptop computer, a portable information terminal, a mobile phone, a smartphone or a tablet terminal, or a dedicated portable electronic device. The display device 502 has a function of displaying information to the user. The input device 503 has a function of receiving input from the user, such as a keyboard and a mouse. When the doctor-side electronic device 104 is a smartphone or tablet terminal, the display device 502 and the input device 503 can be integrated into a touch panel. The storage device 504 stores a doctor's program 506 for the doctor's side electronic device. The storage device 504 may be any device that can store information such as a hard disk, a non-volatile memory, and a volatile memory. The communication device 505 performs wired communication using an Ethernet (registered trademark) cable or the like, mobile communication, wireless communication such as a wireless LAN, and connects to the network 101.

6 to 9 show an example of a functional block diagram of the server 102, the database 103, the patient-side electronic device 104, and the doctor-side electronic device 105 of the present invention. The server 102 includes a control unit 601 and a display unit 602, an input unit 603, a storage unit 604, and a communication unit 605, and the database 103 includes a control unit 701, a display unit 702, an input unit 703, a storage unit 704, and a communication unit 705. The patient-side electronic device 104 includes a control unit 801 and a display unit 802, an input unit 803, a storage unit 804, and a communication unit 805, and the doctor-side electronic device 105 includes a control unit 901, a display unit 902, an input unit 903, and a storage unit. 904 and communication unit 905 are provided. Each control unit has a function of executing control such as information processing. Each display unit has a function of displaying information so that the user can see it. Each input unit has a function of accepting input from the user. Each storage unit has a function of storing data and the like. The communication unit has a function of transmitting and receiving information with other devices. In the present embodiment, these functions are realized by executing each program on the hardware shown in FIGS. 2 to 5, but by configuring an electronic circuit or the like for realizing each function. It can also be achieved by hardware.

In the present embodiment, patient information is stored in the storage unit 704 of the database 103. Patient information is information about an obese patient associated with a patient identification number (ID). Information about the patient includes personal information of the patient, obesity medical treatment history information, and the like. In the present invention, the medical treatment does not have to be an act performed by a medical worker, and may be performed using the present invention. In the present embodiment, the personal information of the patient is basically fixed information, and the obesity medical treatment history information is information that can change from moment to moment. The patient's personal information includes information such as the patient's name, date of birth, gender, proper weight, obesity treatment start date, and proper calorie intake. The obesity medical treatment history information includes information on the obesity medical treatment history such as the number of treatment days, the patient's physical condition history information, the weight history information, the calorie intake history information, the medication history information, and the therapy history information. The patient's physical condition history information is, for example, information that records the patient's daily physical condition and the like, and can also be called diary information. The physical condition history information includes, for example, information on daily physical condition such as headache, irritability, feeling good, and nausea, blood data (AST (aspartate aminotransferase) / ALT (alanine aminotransferase)), and CT value. including. The reference values for AST and ALT are about 9 to 32 and 4 to 37, respectively, and when these reference values are exceeded, it is determined to be an abnormal value. For example, when obesity leads to fatty liver, it often rises to around 50 to 100. The CT value is about 50 to 70 in the normal case, but is often 50 or less in the case of obesity leading to fatty liver. The body weight history information includes the daily weight of the patient from the start of obesity treatment. The calorie intake history information is information indicating the calorie intake. The date and time of ingestion may be included. The calorie ingested by the patient and the date and time thereof can be recorded by inputting to the patient-side electronic device 104. For example, "2014/3/11/08 15:524" shown in the item of calorie intake of patient AAAA in FIG. 10 indicates that he ate a meal of 524 kcal at 8:15 on March 11, 2014. .. The medication history information includes information on the dosage and the date of medication for the treatment of obesity. The therapy history information is provided to the patient, such as cognitive-behavioral therapy performed by the system, the date and time when the behavioral therapy was recommended, information indicating whether or not the patient actually performed treatment such as behavioral therapy, and coaching performed. It contains historical information about the therapy given to the patient.

The patient information in the present embodiment may be input by the doctor's electronic device 105 used by the doctor after hearing or collecting blood by the patient's medical treatment by the doctor, and may be registered in the database 103 or used by the patient. It may be registered in the database 103 by inputting by the patient by the patient-side electronic device 104, or may be input in combination thereof. It may also be renewed by these methods after the obesity treatment has begun.

In the embodiments described below, the patient information is stored in the database storage unit 704 in association with the identification number (ID) that identifies the patient in the format shown in FIG. Other necessary information may be added as needed, and unnecessary information may not be used. Personal information includes name, age, gender, proper weight and proper calorie intake. The appropriate weight is determined by gender, height, age, etc., and has a certain range. The appropriate calorie intake indicates the appropriate daily calorie intake determined from gender, height, weight, age, etc., and has a certain range. In addition, the obesity medical treatment history information includes the number of treatment days, calorie intake, blood data (AST / ALT) as physical condition history, CT value, body weight history, medication history and therapy history. The obesity medical history information may be stored with the date and time. The medication history means the daily medication status, 1 means that the medication was taken, and 0 means that the medication was not taken. The therapy history shows the history of the therapy given to the patient. Each therapy is identified by a therapy ID and the identification number (ID) of the therapy performed is recorded.

Further, in the present embodiment, the therapy is stored in the storage unit 604 of the server 102 in association with the identification number (ID) that identifies the therapy in the form of the therapy list shown in FIGS. 11A and 11B. It may be stored in the database storage unit 704 and read by the server 102 as appropriate. The therapy list includes messages, answer options, correct answer information, therapy type, physical condition / cause, follow-up, appetite suppression and score. These are examples, and may be a form that does not include them, or may be a form that includes these other items. The message is displayed on the patient-side electronic device 104 and includes a message for the treatment of obesity. The answer option is an option for an answer to be displayed on the patient side electronic device 104 when the message is an inquiry to the patient and requests an answer. An inquiry to a patient is an inquiry of patient interpretation information indicating the patient's interpretation of matters related to obesity. Correct answer information includes correct answer branches and guidance information. The correct answer branch is the number of the option that is correct for the answer option. Guidance information indicates the correct information about the inquiry to the patient as a message. Further, the instruction information is not a simple written message, but may be a video such as an educational video. In this case, the instructional information on the therapy list may include instructions for playing the educational video and information specifying the storage location of the educational video. If the message is not a query to the patient, answer options and correct answer information are not always required. This information is not only displayed on the display unit 802 of the patient-side electronic device 104, but may also be presented to the patient by outputting it as voice from a voice output unit such as a speaker. The display unit may be an output unit including a display unit and an audio output unit.

The therapy type is information indicating whether each therapy is cognitive-behavioral therapy, behavioral therapy, or coaching. In this embodiment, "1" means cognitive behavioral therapy, "2" means behavioral therapy, and "3" means coaching. Physical condition / cause means the physical condition and its cause that trigger the execution of the therapy for the ID. Here, the part before "/" means physical condition and the part after "/" indicates the cause. In this embodiment, the cause is set in combination with the physical condition. As for physical condition, "1" means a state in which an appetite urge is occurring, and "2" means a state in which an appetite urge is occurring. "1" as the cause of appetite urge means that food is placed on the desk, "2" is stress, "3" is hungry, and "4" is recommended by an acquaintance. means. In other words, "1/1" means that an appetite urge has occurred, and that the cause is that the food is seen and the person wants to eat it. Further, "0" of the cause means that the cause has not been identified by the patient. Cause information is not always necessary in the present invention. It is also possible to specify the therapy to be performed only by the physical condition, and the present invention can be carried out even in an embodiment that does not include cause information. Multiple physical conditions / causes can be assigned to one therapy. In that case, if any of the physical conditions / causes is applicable, the therapy can be performed. The follow-up indicates whether or not the follow-up process needs to be performed after the therapy has been performed, and if so, the timing for the follow-up process to be performed. For example, the follow-up observation of ID = 1 to 4 is set to "5". This means that follow-up is required and the follow-up process is performed 5 minutes after the therapy is performed. Appetite suppression is information that indicates whether the therapy can be performed to suppress appetite. Here, "1" is a therapy that can be performed to suppress appetite, and those that are not are indicated by "0".

At the stage of creating a therapy list, therapies can be assigned to physical condition / cause according to various criteria. For example, it is classified into therapies for suppressing appetite urges and other therapies, and the physical condition / cause indicating the appetite urge to be suppressed is assigned to the therapy for suppressing appetite urge, and the other physical conditions / causes are other than that. Can be assigned to the therapy. Some therapies have an appetite-suppressing effect, but some therapies are also used to relieve frustration, for example. Such therapies, even those for suppressing appetite urges, can be assigned to both physical conditions / causes that indicate an appetite urge to be suppressed and other physical conditions / causes. The feeling of hunger that causes appetite is classified into psychological hunger and physical hunger, and it can be considered that the appetite urge caused by psychological hunger should be suppressed. Physical hunger does not need to be suppressed when the calorie content in the proper range is ingested at the proper timing, but it is considered that it needs to be suppressed in other cases.

In the present embodiment, the physical condition / cause indicating the appetite urge to be suppressed is assigned to the therapy for suppressing the appetite urge, and the other physical condition / cause is assigned to other therapies. For example, as shown in FIGS. 11A and 11B, since therapy IDs 1 to 6 are therapies that can be performed to suppress the appetite urge, appetite suppression = 1. In addition, the current physical condition is a state in which an appetite urge is generated (physical condition = 1), and the causes of the appetite urge are "1: food is placed on the desk", "2: stress" and "4: acquaintance". In the case of "Recommendation", it is considered that the cause is psychological hunger, and it can be judged that the appetite should be suppressed. Therefore, the ID indicating these physical conditions / causes is the therapy ID = 1. Assign to ~ 6. At that time, it is preferable to select and assign a therapy suitable for the physical condition / cause. For example, if the cause is "2: stress", it is assigned to therapy ID = 3, 5 which is a therapy related to stress. Further, since the therapy IDs = 3 and 5 are effective even when the physical condition is "irritated", the physical condition / cause = 2/0 can also be assigned.

On the other hand, if the cause of the appetite urge is "3: hunger", it may be an appetite urge caused by a feeling of physical hunger and a feeling of psychological hunger. It cannot be determined whether or not it should be suppressed. Therefore, in this case, ID = 1/3 indicating appetite urge / hunger may be randomly assigned to the therapy ID, or may be regarded as an appetite urge to be suppressed and assigned to the therapy ID for appetite suppression. However, it may be assigned to other than the therapy ID for appetite suppression, considering that it is not an appetite urge to be suppressed. It can also be assigned by any other predetermined method. Here, it is regarded as an appetite urge to be suppressed, and is assigned to therapy ID = 4 for appetite suppression. With such a configuration, it is possible to select and execute an effective therapy for the appetite urge to be suppressed.

In addition, the score is information used when selecting the therapy to be performed for the patient, and a reference score is set for each of the body weight, AST, ALT, CT value, medication history, therapy history and treatment days. .. For example, a therapy history "-1" with therapy ID = 1 means that the therapy with ID = 1 (ie, the therapy itself) is not performed on a patient who has already been treated. The body weight of therapy ID = 7 is set to "Tu <". This means that the current weight is heavier than the upper limit Tu of the appropriate weight range (Tb to Tu) targeted by the patient, which is a requirement for the treatment to be carried out. The AST, ALT and CT values for ID = 7 are set to "32 <", "37 <" and "<50". This means that it is executed when the AST, ALT and CT values are outliers. Medication history = "1 * 3" means that taking the prescribed medication up to now for 3 consecutive days is a requirement for execution. The therapy history = "12" means that the therapy with ID = 12 has already been executed, which is a requirement for executing this therapy. The number of treatment days = "<14" means that the number of days from the start of treatment is shorter than 14 days as a requirement for execution. Here, a therapy that meets all the requirements defined by these scores is selected, but if any of the requirements is met, the therapy may be performed, or prioritization, weighting, etc. may be performed for each requirement. ..

[First Embodiment]
The operation of the system in the first embodiment will be described. In this embodiment, a smartphone is used as the patient-side electronic device 104, and a notebook computer is used as the doctor-side electronic device 105. In the following embodiments, the operation of one patient-side electronic device 104 and one doctor-side electronic device 105 will be described for the sake of explanation, but in this system, two or more patient-side electronic devices 104 and two or more doctors The side electronic device 105 may be included.

In the present embodiment, as shown in FIG. 12A, when the patient operates the patient-side electronic device 104, which is his / her own smartphone, information indicating the current physical condition of the patient is input, and behavior therapy and cognitive behavior therapy are performed. And at least one of the coaching is performed.

It is assumed that the patient is AAAAA with patient ID = 0. When the patient thinks that a physical condition problem related to the obesity treatment such as appetite urge has occurred after the obesity treatment is started, it is displayed on the display unit 802 of the smartphone which is the patient side electronic device 104. Touch the nurse call button (step 1201). Then, a physical condition input screen for inquiring about the current physical condition is displayed on the display unit 802 of the patient-side electronic device 104 (step 1202). Here, the display is performed so that the patient can select one of the two physical conditions, "What happened? 1: I want to eat 2: I am frustrated." In addition, it is also possible to display options indicating other physical conditions such as being unable to concentrate or sleeping. On the other hand, the patient inputs an option indicating the current physical condition that he / she thinks to the patient side input unit 803 (step 1204).

When the patient-side electronic device 104 receives an input of an answer indicating the current physical condition from the patient, the control unit 801 detects this, and then whether or not to input the cause of the physical condition based on the answer. Is determined, and if necessary, the cause input screen according to the physical condition is displayed (step 1206). Here, it is predetermined that the cause is inquired for "1: I want to eat" and the cause is not inquired for "2: Frustrated". Also prepare an inquiry message in advance about "1: I want to eat". For example, here, consider the case where the patient's current physical condition is in a state of having an appetite urge to eat and drink, and "1: want to eat" is selected in step 1202. In response to this, the control unit 801 displays on the display unit 802 "What made you want to eat? 1: There is food on the desk 2: Stress 3: Hunger 4: Recommendation of an acquaintance" , Prompting the patient for input (step 1206). The patient considers it to be a stress-induced appetite urge. Therefore, the patient selects “2: stress” and inputs the answer via the input unit 803 (step 1208). Information indicating the current appetite urge as the patient's current physical condition and the input cause is transmitted to the server 102 via the communication unit 805 together with the patient ID (0) for identifying the patient (step 1210). ). In steps 1201 to 1206, for example, the patient-side electronic device 104 transmits to the server 102 that the nurse call button has been touched, and the server 102 sends information for displaying the physical condition input to the patient-side electronic device. It may be performed by a dialogue such as sending to 104.

When the communication unit 605 of the server 102 receives the information indicating the patient ID, the current physical condition of the patient and the cause thereof (step 1212), the transmission request of the patient information for the patient is stored in the database based on the received patient ID. It is transmitted to 103 via the communication unit 605 (step 1214). When the communication unit 705 of the database 103 receives the transmission request (step 1216), the control unit 701 searches for the patient information of the patient in the storage unit 704 based on the patient ID received together with the patient information transmission request. It is taken out (step 1218), and the communication unit 705 transmits it to the server 102 (step 1220).

When the server communication unit 605 receives the patient information from the database 103 (step 1222), the server control unit 601 receives the current patient from the therapy list stored in the storage unit 604 based on the received patient information and the cause of the appetite urge. Choose the right therapy for you. Here, the patient AAAA has an appetite urge, which is believed to be caused by stress. The therapy history in the patient information indicates that the therapy ID = 1 has not been executed. In this embodiment, it is not used for appetite suppression. Therefore, in this case, therapy ID = 1 and 3 to 5 can be selected. All may be performed, but the number of therapies may be limited to a predetermined number. In this embodiment, one is maximized for each of cognitive-behavioral therapy, behavioral therapy and coaching. Here, ID = 1 is selected as cognitive-behavioral therapy, ID = 3 is selected as behavioral therapy, and ID = 5 is selected as coaching. Behavioral therapies corresponded to IDs = 3 and 4, but were randomly selected. Therapy may be selected according to other predetermined criteria.

The server control unit 601 further determines the execution order of the three selected therapies based on predetermined criteria. Here, based on the criteria of performing behavioral therapy, coaching, and cognitive behavioral therapy in that order, behavioral therapy with ID = 3, coaching therapy with ID = 5, and cognitive behavioral therapy with ID = 1 are executed in this order. By performing in such an order, it is possible to effectively improve the current physical condition and treat obesity. For example, the current appetite urge can be eliminated or diminished by performing compensatory behavior therapy suitable for the currently occurring appetite urge and cause. In addition, coaching can encourage the patient and lead to a mental state in which the appetite urge does not increase again. Then, after the appetite urge has subsided, cognitive-behavioral therapy can be performed, and if the patient's interpretation of the matters related to the appetite urge that has occurred earlier is incorrect, it can be corrected. Compared to cognitive-behavioral therapy after a long period of time after the appetite urge occurs, the patient can gain a higher understanding and feeling. For this reason, it is possible to correct misinterpretations of matters related to physical condition and appetite urge, effectively prevent eating when a similar appetite urge occurs, or to have a similar appetite urge. It is possible to effectively prevent the fall again.

The server control unit 601 resets the counter N to 0 (step 1226) and counts up N (step 1228). Then, the therapy (ID = 3), which is the determined first (Nth) therapy, is executed.

The execution procedure for behavior therapy and coaching is shown in FIG. First, the server control unit 601 transmits behavior therapy information or coaching information indicating the selected Nth therapy to the patient-side electronic device 104 via the communication unit 605 (step 1301). Behavioral therapy information and coaching information include messages in the therapy list. Here, since N = 1, the case where the therapy (ID = 3) is executed will be described. Since the therapy (ID = 3) is behavior therapy (2), it is performed according to the procedure of FIG. The server control unit 601 reads the therapy list from the storage unit 604, puts the message of the therapy ID = 3 into the behavior therapy information, and transmits it to the patient-side electronic device 104 (step 1301). The communication unit 805 of the patient-side electronic device receives this (step 1302), and displays a message "Let's take a shower to relieve stress" on the display unit 802 based on this behavior therapy information (step 1304). This behavior therapy is a compensatory behavior therapy, and the appetite urge can be eliminated by having the patient perform actions other than eating and drinking to eliminate the appetite urge that is currently occurring. Here, the appetite urge can be effectively eliminated by immediately identifying the cause of the patient's appetite urge and executing compensatory behavior therapy suitable for the cause. The patient-side electronic device 104 transmits the therapy execution confirmation information indicating that the therapy execution process in the patient-side electronic device 104 has been completed (step 1306).

When the server control unit 601 receives the therapy execution confirmation information (step 1308), the server control unit 601 records in the therapy history that the therapy (ID = 3) has been executed and updates the update command in the database 103 together with the patient ID. It is transmitted via 605 (step 1310). Database 103 receives this (step 1312) and updates the patient history based on the patient ID and therapy ID (step 1314). After that, the follow-up execution setting process for performing the setting process for executing the follow-up observation is executed (step 1316). The update process may be executed without sending and receiving the therapy execution confirmation information after the behavior therapy information or the coaching information is transmitted from the server 102 to the patient-side electronic device 104. Further, the update process may be performed after the follow-up execution setting process (step 1316).

The follow-up execution setting process (step 1316) will be described with reference to FIG. First, the server control unit 601 determines whether or not the therapy performed requires follow-up based on the therapy list stored in the storage unit 604 (step 1401). Referencing the therapy list, the follow-up parameter for the therapy performed (ID = 3) is "5". Therefore, the server control unit 601 determines that the therapy requires follow-up and that the predetermined timing for the follow-up is 5 minutes later (steps 1401, 1402). The server control unit 601 reserves to execute the follow-up process after 5 minutes (step 1404). Such processing can be executed as a periodic execution process such as a Coulomb job.

Next, the follow-up execution process will be described with reference to FIG. 15A. The server control unit 601 transmits an effect inquiry message indicating an effect inquiry message indicating whether or not the physical condition that has occurred has improved when the reserved time is reached in the follow-up execution setting process to the patient-side electronic device 104. (Step 1501). The patient-side electronic device 104 receives this (step 1502) and displays it on the display unit 802. Here, the message "Have you resolved your desire to eat? 1: Yes 2: No" is displayed. On the other hand, in the input unit 603 which is the touch panel of the smartphone, the patient inputs the effect answer by touching either the "1: Yes" or "2: No" button, and the input effect answer. Is transmitted (step 1506). The server communication unit 605 receives this (step 1508), and the server control unit 601 determines whether or not the effect response is "1". If the effect answer is 1, the appetite urge that occurred earlier has been resolved, and the follow-up process is terminated. If the effect answer is 2, the appetite urge that occurred earlier has not been resolved, so another therapy to eliminate this is selected (step 1512), and the selected therapy is executed (step 1514). .. Therapies may be selected that are associated with the therapy that has already been performed, the same therapy that has been performed may be performed again, or the same procedure as in steps 1214-1232 described above may be used. Therefore, one or more therapies may be selected and executed. In the present embodiment, the therapy of ID = 4, which is another therapy for relieving the stress that is the cause of the appetite urge that is currently occurring, is selected, and steps 1301 to 1316 shown in FIG. 13 described above are selected. This is executed according to the procedure of, and the follow-up execution process is completed. In this way, after executing the selected therapy, the effect is confirmed at an appropriate timing as needed, and if the physical condition is still not improved, the appropriate therapy for further improving the physical condition is executed. It becomes possible to do. The follow-up process may be repeated at predetermined intervals until the physical condition is improved. Further, the patient-side electronic device 104 can autonomously display the effect inquiry message after a lapse of a predetermined period, input the answer, and send it to the server 102.

When the follow-up execution setting process (step 1316) is completed, the behavior therapy and coaching execution process in FIG. 13 is completed, the therapy execution process in 1230 in FIG. 12A is completed, and whether or not the therapy to be further executed is selected. Is determined (step 1232). In addition, K indicates the number of selected therapies. The set follow-up execution process is a process executed at a reserved predetermined timing, and it is not necessary to wait for the end of this follow-up process in order to execute the next therapy selected in step 1224.

Further, after confirming that the behavior therapy was executed in the patient-side electronic device in step 1310, the server 102 sends a message inquiring whether or not the patient actually performed the behavior therapy, and sends the message to the patient-side electronic device 104. You may present it to the patient and inquire at. In response, the patient selects an answer as to whether or not it has been executed and is transmitted to the server 102 via the patient-side input device 105. The server 102 transmits this information to the database 103. For example, in addition to the ID of the therapy performed in the therapy history item of the obesity medical treatment history, an item as to whether or not the patient actually performed the therapy is also provided, and this is based on the information from the server 102. Can be updated. The process of confirming whether or not the patient actually performed the therapy may be performed as a coulomb job as in the follow-up execution process, for example, 5 minutes after the therapy is executed. Information on when to perform the treatment may be stored in the therapy list. In coaching, the same processing can be performed as needed.

In this embodiment, K = 3 because three therapies have been selected, and K = 3 and N = 1 because the first treatment has been performed so far. Therefore, K> N is established, the process returns to step 1228, N = 2, and the selected second therapy (ID = 5) is executed (step 1228, 1230). As described above, the therapy with ID = 5 is coaching and is performed in the same procedure as behavior therapy by the procedure of steps 1301 to 1316 shown in FIG. In step 1304, instead of the behavior therapy information, a coaching message for encouraging the patient, "Mr. XX will not lose stress!" Is displayed on the display unit 802 of the patient-side electronic device 104. This makes it possible to further encourage and mentally stabilize the patient whose appetite urge is eliminated or diminished by compensatory behavior therapy. When the coaching execution process is completed, since K (= 3)> N (= 2), the process returns to step 1228, the counter N is counted up to 3, and the selected third therapy, cognitive behavioral therapy (ID). = 1) is executed.

The procedure of the therapy execution process (step 1230) for cognitive-behavioral therapy will be described with reference to FIG. First, in step 1601, the server control unit 601 requests the patient interpretation information request to transmit the patient interpretation information including the patient's interpretation about the matter related to obesity specified by the Nth therapy selected. It is transmitted to the patient-side electronic device 104. The patient interpretation request includes a message from the therapy list. The patient-side electronic device 104 receives this (step 1602) and displays a message on the display unit 802 based on the received patient interpretation information request (step 1604). Here, based on the message information of the selected cognitive-behavioral therapy (ID = 1), "How long do you think your current feelings of wanting to eat will last? 1: Unless you eat, you need to eat. Display a message asking the patient's interpretation of the appetite urge and its elimination, which is a matter related to obesity, such as "I feel that it will be settled in about 2: 5 minutes."

In response to this, the patient inputs an option that he / she thinks is correct to the patient-side electronic device 104 via the input unit 803, and the input answer is transmitted to the server 102 (step 1606). When the server communication unit 605 receives this and the server control unit 601 receives the consultation (step 1608), the correct answer information described in the therapy list is compared with the answer information input by the patient, and the patient's obesity Determine if the interpretation of matters related to is incorrect (step 1610). Then, if it is correct, it is correct, and if it is incorrect, it is based on the correct answer information, and cognitive-behavioral therapy information including guidance information indicating the correct information is transmitted (step 1612). The patient-side electronic device 104 receives this cognitive-behavioral therapy information (step 1614), and displays information indicating a correct answer and correct information on the display unit 802 based on the received cognitive-behavioral therapy information (step 1616). ).

Here, regarding the matter related to obesity that the appetite urge lasts for a long time and can be resolved only by eating and drinking, in step 1606, the patient feels that "1: It continues unless it is eaten and it is necessary for oneself to eat." The patient's interpretation of "" is input as an answer and transmitted to the server 102. The server control unit 601 refers to the correct answer information with ID = 1 in the therapy information list, and reads out the correct answer information “2”. The patient's answer "1" and the correct answer information "2" are compared, and it is determined that they are different, and the patient's interpretation is determined to be incorrect (step 1610). Then, the cognitive-behavioral therapy information including the instruction information indicating the instruction information included in the correct answer information of the therapy list is transmitted (step 1612). The patient-side electronic device 104 receives the cognitive-behavioral therapy information, and based on the guidance information contained therein, "the feeling of wanting to eat is actually settled in about 5 minutes, and can be settled with a little overdoing." There is no need to be particular about it. ”Is displayed on the display unit 802. In this way, when an appetite urge occurs, the cause is identified, and the patient's misinterpretation of the appetite urge, its cause, and matters related to obesity is also identified, and by correcting it, the appetite urge is corrected. And to be able to control similar appetite urges well in the future. The closer the timing of the cognitive-behavioral therapy to the time when the appetite urge occurs, the easier it is for the patient to recognize the error in his / her own interpretation, and the more effective the cognitive-behavioral therapy can be.

If the patient's interpretation is correct, for example, "It is correct. You understand it well!" Can be displayed. The message in the case of the correct answer may be included in the therapy list, or a message list for the correct answer is separately provided, selected from the message list according to a predetermined criterion, included in the cognitive behavioral therapy, and transmitted to the patient-side electronic device 104. You may. In addition, any method may be used as long as it can be displayed to the patient in a format that shows the correct answer.

In step 1616, after the cognitive-behavioral therapy is executed, the patient-side electronic device 104 transmits the therapy execution confirmation information indicating that the therapy execution is completed (step 1618). Upon receiving this, the server control unit 601 (step 1620) transmits an update instruction to the database 103 to record and update the execution of the Nth therapy in the therapy history (step 1622). Upon receiving this (step 1624), the database 103 updates the therapy history based on the update instruction (step 1626). After that, the follow-up execution setting is executed (step 1628). The update process may be executed without sending and receiving the therapy execution confirmation information after the cognitive-behavioral therapy information is transmitted from the server 102 to the patient-side electronic device 104, or the follow-up execution setting (step 1628) is executed. It may be executed after it is done. The follow-up execution setting (step 1628) is the same as that described with reference to FIG.

It was confirmed in step 1622 that cognitive-behavioral therapy was performed in the patient-side electronic device 104, as described above as a process for whether or not the patient actually performed cognitive-behavioral therapy in connection with behavioral therapy. Later, the patient may send an inquiry message to confirm that cognitive-behavioral therapy has corrected the misinterpretation and gained a correct understanding, and obtain a response from the patient. The server 102 can send this information to the database 103 to update the obesity medical treatment history.

When the follow-up execution setting (step 1628) is completed, the cognitive-behavioral therapy execution process is completed, and in step 1232, it is confirmed whether or not the selected therapy still remains. Here, since K = 3 and N = 3 and K> N is false, it is determined that all the selected therapies have been performed, and the processing procedure initiated by the act of touching the patient's nurse call button ends. To do.

The selected therapies may allow one therapy to be performed followed by the next after a period of time.

In the above-mentioned example, the case where three therapies of behavioral therapy, coaching, and cognitive-behavioral therapy are selected as the therapies and three therapies are executed as a whole has been described. However, any one of these, or any combination thereof, may be used, and it is possible to operate similarly even if a plurality of therapies, for example, three behavioral therapies are selected from each therapy. it is obvious.

The entire process of this embodiment can be repeated, and only cognitive-behavioral therapy is performed when information indicating the appetite urge from the patient is input at a certain timing, and then another appetite from the patient at another timing. Behavioral therapy alone can also be performed when information indicating the urge is entered.

According to the above-described embodiment according to the present invention, when a patient reaches a predetermined physical condition related to obesity, the physical condition and cause are identified, and appropriate therapy for obesity for the physical condition and cause is timed. Since it can be carried out in Lee, effective treatment for obesity can be performed. Higher effects can be obtained by performing a combination of behavioral therapy, coaching and cognitive behavioral therapy. For example, by providing compensatory behavioral therapy suitable for the appetite urge that is currently occurring, the appetite urge can be eliminated or reduced, and coaching can mentally support the patient's motivation for obesity and maintain a mentally stable state. When cognitive-behavioral therapy is performed, the appetite urge that has occurred just before, its cause, and the misunderstanding of the patient related to obesity are corrected, and when a similar appetite urge is reached, the appetite urge is corrected. It can help you control your appetite well and encourage you not to have a similar appetite urge again. Similar effects can be obtained with a combination of behavioral therapy and cognitive-behavioral therapy, or a combination of coaching and cognitive-behavioral therapy.

Further, a notebook computer, which is a doctor-side electronic device 105 used by a doctor, is also connected to the server 102 via the network 101. Then, an information transmission request accompanied by patient identification information from the doctor-side electronic device 105 is transmitted from the doctor-side electronic device 105, and when the server 102 receives this, it is stored in the database 103 based on the information transmission request. The patient information associated with the patient identification information is taken out and transmitted to the doctor's electronic device 105. As a result, the doctor can confirm the obesity medical treatment history information of the patient, which is updated from moment to moment.

Further, when the obesity medical treatment history information is updated after the behavioral therapy, cognitive behavioral therapy and coaching are executed, or when the obesity medical treatment history information is updated by the patient, the server control means 601 detects this. Then, the medication adjustment process may be executed. For example, when the server control unit 601 detects the update of the obesity medical treatment history information, the obesity medical treatment history information is received from the database 103 based on the identification ID that identifies the patient in the updated history information, and the received obesity. Based on the medical history information, information on medication adjustment can be determined and transmitted to the doctor-side electronic device 105 or the patient-side electronic device 104 used by the doctor.

According to this embodiment, since appropriate therapy is performed according to the patient's ever-changing situation, the progress of obesity treatment is likely to vary greatly depending on the patient. Patients who take appropriate actions according to the appropriate treatment are more effective in treating obesity, but for patients who eat and drink without pressing the nurse call even if they have an appetite urge. Can not be expected to be very effective. Therefore, when this embodiment is used, the individual difference in the effect of obesity treatment becomes larger than in the past. Therefore, if the medication is adjusted based on the obesity medical treatment history information that changes from moment to moment, it is possible to take the medication according to the progress of the obesity treatment for each patient, and the effect of the obesity treatment can be enhanced. .. It is also possible to minimize the risk of side effects by including the side effect history information of the drug in the obesity medical treatment history information and adjusting the medication based on this.

In addition, it is not necessary to identify the cause of physical condition. For example, when the physical condition "2: frustrated" is selected in the physical condition input step 1204, steps 1206 to 1208 for identifying the cause are not performed. In this case, in step 1210, only the current physical condition information that is frustrating is transmitted to the server 102. Then, in step 1224, the therapy to be performed is selected based on the physical condition information and the patient information that the patient is frustrated. For example, when the physical condition is frustrating and the cause is not specified, the display in the actionable therapy list is when the item of "physical condition / cause" is "2/0". Therefore, the behavior therapy with ID = 3 corresponding to this is executed, and the message "Let's take a shower to relieve stress" is displayed on the patient-side electronic device 104, and the behavior therapy can be executed. By the same procedure, cognitive behavioral therapy and coaching can be performed without identifying the cause.

[Second Embodiment]
In the present embodiment, when it is detected that the physical condition of the patient is in a state of causing an appetite urge, it is determined whether or not the appetite urge should be suppressed based on the nurse call time and the patient information. However, it differs from the first embodiment in that the therapy to be performed is selected based on the result of this determination in addition to the cause of the appetite urge and the patient information. In other respects, it is the same as that of the first embodiment. Hereinafter, only the points different from the first embodiment will be described with reference to FIG. 12B.

First, in step 1201, the patient-side electronic device 104 acquires the time when the touch to the nurse call button is detected as the nurse call time. Next, in step 1202, on the physical condition input screen for inquiring about the current physical condition displayed on the display unit 802 of the patient-side electronic device 104, "1: I want to eat" is selected, and the patient's physical condition is selected. It is detected that the current physical condition is a state in which an appetite urge is generated (step 1204). Further, "2: stress" is input as a response to the cause input display (step 1206) for the appetite urge (step 1208), and the nurse call time is transmitted together with the information indicating the patient's current physical condition and cause (step 1210). ). The nurse call time is the time when the nurse call button is touched here, but any information can be used to indicate when the patient's physical condition is currently occurring. Good. For example, in step 1204 or 1210, it may be the time when the patient inputs the answer, or it may be the time when the information indicating the patient's current physical condition and cause is transmitted in step 1210. It can also be the time when the server 102 receives information indicating the patient's current physical condition and cause.

In the present embodiment, when the server communication unit 605 receives the patient information from the database 103 (step 1222), it detects that the current physical condition is an appetite urge, and is based on the cause of the appetite urge and the received patient information. To determine if the patient's current appetite urge should be suppressed (step 1223). As described above, the feeling of hunger that causes appetite is classified into psychological hunger and physical hunger, and it is considered that the appetite urge due to psychological hunger should be suppressed. In addition, the feeling of physical hunger does not need to be suppressed when the calorie amount in an appropriate range is ingested at an appropriate timing, but it is considered that it needs to be suppressed in other cases. Similar to the case of the assignment of therapy in the first embodiment, when the cause of the appetite urge is "1: food is placed on the desk", "2: stress" and "4: recommendation of an acquaintance". Is considered to be caused by a feeling of psychological hunger, so it is judged that the appetite should be suppressed.

On the other hand, if the cause of the appetite urge is "3: hunger", it may be an appetite urge caused by a feeling of physical hunger and a feeling of psychological hunger. It cannot be determined whether or not it should be suppressed. Therefore, in the present embodiment, the nurse call time and the calorie intake of the day stored in the patient information are less than the upper limit of the predetermined appropriate range, and the nurse call time is the range of the appropriate time for eating. It is determined whether or not it is within. The upper limit of calorie intake and the range of meal time can be determined in advance by a doctor, for example, and can be included in the patient information. From the patient information received in step 1222, the range of calorie intake, proper calorie intake and meal time of the day is obtained, and in step 1223, the calorie intake of the day is appropriate based on this information and the nurse call time. If it is determined that the calorie intake is less than the upper limit and the nurse call time is within the appropriate meal time range, it is determined that this appetite urge is appropriate and does not need to be suppressed. If the calorie intake of the day exceeds a certain range, or if the nurse call time is not within the proper time range for eating, this appetite urge is not proper and should be suppressed. Judge that it is a thing. For example, it is assumed that the proper meal time for patient AAAA is until 20:00, and the upper limit of the prescribed daily calorie intake is 2700 kcal. Then, the nurse call time is 23:45, and if the calorie intake so far on this day is 2900 kcal, it is determined that this appetite urge should be suppressed.

Next, in step 1225, one or more (K) therapies to be executed are selected from the therapy list based on the appetite urge suppression determination result, the cause, and the patient information, and the execution order is determined. If the result of the appetite impulse suppression determination in step 1223 is the determination result that this appetite impulse should be suppressed, the first embodiment from the therapies of appetite suppression = 1 in the therapy list. Select and execute the therapy based on the cause and patient information in the same manner as above. Subsequent processing is the same as in the first embodiment.

On the other hand, when it is determined that the appetite urge does not need to be suppressed, a message such as "You have an appropriate appetite, you may eat an appropriate meal" is simply displayed on the display unit 802 in step 1225. Therefore, it is not necessary to allow meals and perform other therapies, and based on the physical condition / cause = 1/3 and the result of this determination, a therapy other than the therapy for suppressing the appetite urge, that is, physical condition / Of the therapies for cause = 1/3, therapies with appetite suppression = 0 may be selected and executed. In the case of the patient AAAA described above, if the nurse call time is 18:00 and the calorie intake of the day is 1500 kcal, the nurse call time is within an appropriate time range for meals. Since the calorie intake is equal to or less than the predetermined reference value, it is determined that the appetite urge is appropriate and does not need to be suppressed. In this case, select behavior therapy ID = 10 as the behavior therapy with appetite suppression = 0, and display the message "You may eat, but when you eat, chew slowly and well." It may be displayed on the unit 802. In addition, the content of the message may be changed based on the difference between the upper limit of calorie intake and the calorie intake of the day. For example, you may display the message "You can eat only XX calories, but when you eat, chew slowly and well." It is also possible to take a difference from the lower limit and perform behavioral therapy such as calling attention and eating a meal for a patient who does not receive the necessary calorie intake due to excessive dietary restriction.

By using this embodiment, even if it is not possible to sufficiently determine whether or not the current appetite urge should be suppressed only by the physical condition and the cause obtained from the patient's input, the nurse call time and the day Based on the calorie intake, it is possible to make a more accurate judgment and select an appropriate therapy. Appetite-suppressing therapies, despite proper appetite urges, can lead to excessive dietary restrictions and adverse health effects. By using this embodiment, it is possible to accurately grasp an appropriate appetite urge.

In the present embodiment, the physical condition, the cause, the nurse call time and the calorie intake are used to determine whether or not the appetite urge should be suppressed, but some of them may be used, or other ones. Elements may be used.

[Third Embodiment]
In the present embodiment, in the follow-up execution process, it is determined whether the appetite urge should be suppressed, and the post-follow-up therapy is selected and executed based on the determination result. Is different from the embodiment of. In other respects, it is the same as that of the first embodiment. Hereinafter, only the points different from the first embodiment will be described based on FIG. 15B.

In the follow-up execution process of the present embodiment, the appetite urge should be suppressed when the answer to the effect inquiry about the performed therapy is "1", that is, when the current physical condition does not improve. The determination step of whether or not is executed is executed. According to the example shown in FIG. 15B, the current physical condition is a state in which an appetite urge is occurring, and in step 1504, in response to the question "Have you resolved your desire to eat?", "2: No". Is input, in step 1511 a step of determining whether the current appetite urge should be suppressed is executed.

As described above, the appetite urge caused by the psychological hunger should be basically suppressed, and it is considered that the physical hunger other than the appetite urge based on the appropriate hunger should be suppressed. It is generally thought that psychological hunger disappears after a certain period of time without eating, and if hunger does not disappear after a certain period of time, it is based on physical hunger. Most likely an appetite urge. Therefore, if one of the therapies is performed and the response to the effect inquiry message after the lapse of a predetermined time is that the appetite urge has not been resolved, the appetite urge that is occurring is the body. It is likely to be based on a feeling of hunger.

As described in relation to the first embodiment, when there is a patient input that an appetite urge has occurred and the cause is "3: hunger", this appetite urge is due to a psychological hunger. Whether it is due to physical hunger or physical hunger cannot be determined solely from the cause that the patient is aware of. Therefore, in the first embodiment, for the time being, a therapy for suppressing the assigned appetite urge, which is regarded as a psychological hunger, is selected and executed. However, after that, when the response to the effect inquiry message after the lapse of a predetermined time is that the appetite urge has not been resolved, the appetite urge that is occurring is actually a feeling of physical hunger. It is likely to be based on.

More specifically, in the present embodiment, it is determined whether or not the generated appetite urge should be suppressed based on the effect response input by the patient in response to the effect inquiry message (step). 1511). Here, the effect inquiry message transmission step (step 1501) is executed after a lapse of a certain period of time from the execution of the therapy to the elimination of the psychological hunger, for example, 5 minutes after the follow-up time for the executed therapy. Is set to. Then, the therapy to be performed is selected based on the result of the appetite impulse suppression determination (step 1512). Here, when the answer to the effect inquiry message is "2: No", it is determined that the appetite urge is based on the feeling of physical hunger and not the appetite urge to be suppressed (step 1511). Based on this determination result, a therapy other than the therapy for suppressing the appetite urge, that is, a therapy for physical condition / cause = 1/3, in which the appetite suppression score ≠ 1, is selected and executed. For example, the therapy ID = 10 is executed, the message "You may eat a meal, but let's eat slowly and well" is displayed on the display unit 802 of the patient-side electronic device 104, and the behavior therapy is executed. Then, the follow-up process is completed. In addition, it may be checked if there are any unexecuted therapies for suppressing the appetite urge selected in step 1224, and if so, the execution of those therapies may be discontinued.

In step 1511, as in the second embodiment, it may be determined whether or not the appetite urge should be suppressed based on the nurse call time and the calorie intake in the received patient information. This makes it possible to determine whether or not the appetite urge should be suppressed even among the appetite urges based on the feeling of physical hunger.

In addition, an appetite urge that does not need to be suppressed when a therapy for appetite suppression is performed based on the cause of the appetite urge interpreted by the patient, even though it is not actually an appetite urge to be suppressed It makes it possible to make a correct judgment and re-execute appropriate therapy. For example, in step 1206, the patient-interpreted cause of the appetite urge was "1: food is placed on the desk", so a therapy to suppress the appetite urge was selected. However, in reality, the urge to appetite may be caused not only by having food on the desk, but also by being physically hungry. In such a case, therapy for suppressing appetite is performed, and even after a certain period of time has passed, the appetite urge does not disappear. Therefore, the patient's response received in step 1508 is "2: No", indicating that the appetite urge has not been resolved. In step 1511, based on this answer, it is determined again whether the current appetite urge should be suppressed. For example, since the appetite urge has not been resolved even after a certain period of time, it is re-determined that it is not caused by psychological hunger but by physical hunger, and the nurse call time and calorie intake are increased. Re-determine the appetite urge to be suppressed based on.

[Fourth Embodiment]
It is also possible to carry out the present invention in a form in which the second embodiment and the third embodiment are combined. That is, before selecting the therapy to be performed, it is determined whether or not the appetite urge should be suppressed (step 1223), and the therapy is selected and executed based on the result (steps 1225 to 1232). ), And also in the follow-up process, it is determined whether or not the appetite urge should be suppressed (step 1511). With such a configuration, it is possible to make a more accurate determination for appetite suppression.

[Fifth Embodiment]
In this embodiment, the therapy execution process for obesity is not started by the input of the information indicating the current physical condition by the patient, but at the timing determined by the server 102 based on the obesity medical treatment history information of the patient. It differs from the first embodiment in that it is started based on. Other points are the same as those in the first embodiment. Hereinafter, only the points different from the first embodiment will be described.

With reference to FIG. 17, a process for reserving the execution of a predetermined therapy at a predetermined timing based on the patient information by the server 102 will be described. First, the server 102 transmits the patient information transmission request to the database 103 at a predetermined timing (step 1701). This predetermined timing may be performed for a certain period of time, for example, every 24 hours, at a predetermined time, for example, at midnight, or when the patient information is updated. However, it may be a combination thereof. The patient information is updated when it is executed when some therapy is executed as described above, or when the patient sends information such as daily physical condition, calorie intake, weight, and medication status to the server 102, and the patient information is updated. Based on this, it may be executed by the database 103.

Upon receiving this patient information transmission request, the database control unit 701 extracts the patient information from the storage unit 704 and transmits it to the server 102. The extracted patient information may be collectively performed for all patients, or may be performed for one or more patients specified by the patient ID transmitted from the server 102 together with the patient information transmission request. When the server 102 receives the patient information (step 1708), it reserves the execution of the predetermined therapy at a predetermined timing based on the patient information (step 1708), and the therapy reservation process ends. This reservation process can be set as a periodic execution process such as a Coulomb job, similarly to the progress process execution reservation (step 1404) described above. The reserved therapy may be stored in the server storage unit 604 as a therapy reservation table, for example. There may be multiple therapies scheduled to be performed at the same time. This reservation process is executed based on at least the obesity medical treatment history information in the patient information. That is, based on the obesity medical treatment history information such as physical condition history, calorie intake history, weight history, medication history, therapy history, and number of medical treatment days that change from moment to moment, the optimum therapy is executed at the optimum timing for the patient. It becomes possible. In addition to this, it is also possible to consider confirmed personal information. Further, the reserved timing may be set to be executed 0 seconds later, that is, immediately, 1 hour later, or 9 am the next day. The therapy list may contain information for determining the appropriate timing and may be based on this.

For example, if AAAA with patient ID = 1 updates the patient's daily obesity treatment diary as part of the daily update of the obesity treatment diary, the patient weighs 75 kg on March 13, 2014 via the server 102. Sends a request to update the obesity medical treatment history information of the patient AAAA recorded in the database 103 based on this update request. Then, after the update in the database 103 is completed, the server control unit 601 requests the database 103 together with the patient ID = 1 to transmit the patient information about the patient AAAA (step 1701). Upon receiving this (step 1702), the database 103 retrieves patient information with patient ID = 1 (step 1704) and transmits it to the server 102 (step 1706). Based on the received patient information, the server control unit 601 selects a therapy to be performed and reserves the treatment to be performed at a predetermined timing.

In obesity treatment, the treatment stage can be divided into (1) a phase of losing weight and (2) a phase of maintaining weight. And the therapy to be performed in each phase is different. For example, as of March 13, 2014, a patient based on the fact that the patient's AAAA weight is heavier than the upper limit of target weight Tu (65 kg) and the most recent AST, ALT and CT values are out of the proper range. It is determined that the treatment stage of AAAA is the phase of losing weight. Then, assuming that the number of treatment days is 3, an effective therapy ID = 7 is selected in the early stage of the weight loss phase, and this therapy is reserved to be performed immediately after 1 minute. In the present embodiment, since the patient does not input the current physical condition and its cause, the therapy without limitation according to the physical condition / cause item is selected. The therapy may be selected by ignoring the physical condition / cause item.

As shown in FIG. 18, the server control unit 601 waits until the time reserved for the execution of the therapy (step 1801), and when the reserved time is reached, the server control unit 601 determines the L therapies reserved for the execution at the reserved time. (Step 1802). For example, it can be determined based on the therapy reservation table stored in the server storage unit 604. Then, the execution order of one or more determined therapies is determined according to a predetermined criterion. This can be determined by the same method as in the first embodiment. Further, this order may also be determined in the reservation process. In that case, the first therapy is determined according to the determined order. Counter M is set to 0 (step 1804) and cant up one for the execution of the first determined therapy (step 1806). Then, the determined first therapy is performed (step 1808). This therapy execution process is the same as the process described with reference to FIG. 13 for behavioral therapy and coaching, and is similar to the process described with reference to FIG. 16 for cognitive behavioral therapy. Compare the number of therapies L determined to perform the first therapy with the number of therapies M performed (step 1808), and if the determined number of therapies is greater, return to step 1806 for the remaining therapies. If M is equal to or greater than the number of L, it is determined that all the determined therapies have been performed, and the execution process of the reserved therapy is terminated.

For example, when the execution time of the therapy (ID = 7) reserved for the patient AAAA is reached, the server control unit 601 uses the therapy reservation table stored in the server storage unit 604 to display the therapy ID reserved at that time. = 7 is read and it is determined to perform therapy ID = 7 (step 1802). Since only one therapy is performed, L = 1. Then, after resetting the counter M (step 1804), the counter M is counted up for the first therapy execution (step 1806). Then, in step 1808, the therapy specified by therapy ID = 7 is performed. Since therapy ID = 7 is cognitive-behavioral therapy, it is executed by the process described with reference to FIG. The cognitive-behavioral therapy identified by this therapy ID = 7 gets the patient's interpretation of obesity-related matters, do you think overeating is bad evidence, and overeating? If you misinterpret that you think it's bad proof, you say, "The amount you eat doesn't matter what you value. You just need control and you're working on weight loss. At this point, you are much better than before! "

According to the present embodiment, it is possible to select an appropriate therapy in a timely manner and execute it at an appropriate timing based on the patient's condition that changes from moment to moment, so that more effective treatment for obesity can be performed. Can be done. For example, if you start treatment for obesity and the treatment phase goes smoothly from the weight loss phase to the weight maintenance phase, you will try to lose more weight beyond your healthy weight target weight range. Tend. Taking patient AAAA as an example, as of April 3, 2015, the weight history of patient AAAA was within the target weight range (63 kg to 65 kg), and the latest AST, ALT, and CT values were within the appropriate range. He reached a medically healthy state and entered the phase of maintaining weight. However, since the patient AAAA had weighed 60 kg before becoming obese, he was motivated to lose weight beyond the target range of 63 to 65 kg set by the doctor. Based on the patient information received in step 1706, the server control unit 601 detects that the body weight, AST, ALT, and CT values of the patient AAAA are within the appropriate range, and the therapy ID suitable for the phase of maintaining the body weight. Select = 8 and execute. That is, if it is detected whether or not the appropriate weight recognized by the patient AAAA is less than the lower limit of 63 kg of the appropriate weight set by the doctor, and the patient is erroneously recognized, "Your appropriate weight is 63 to 63 to". It is 65 kg. If you lose more than 63 kg, it will put a heavy burden on your body and you will be in an unhealthy state. " This makes it possible to correct misinterpretations of matters related to obesity in patients and effectively prevent obesity treatment based on misinterpretations that patients tend to make at this time.

As described above, according to the present embodiment, by monitoring the daily history of obesity treatment of the patient and executing appropriate therapy each time, detailed treatment for obesity according to the patient's condition is performed. Can be done.

Further, for example, after confirming that the patient's cognition has changed, the effect of the behavior therapy can be enhanced by performing the behavior therapy in the state where the change in the cognition has occurred.

For example, in step 1206, the case where "4: Recommendation by an acquaintance" is selected as the cause of the patient's appetite urge is taken as an example. Obese patients who eat and drink on the recommendation of an acquaintance often misunderstand that refusing the recommended food will offend the recommended acquaintance. When cognitive-behavioral therapy with therapy ID = 2 is performed and it is confirmed in steps 1604 to 1610 that such false cognition is being performed, "it is offensive even if the food recommendation is refused." There are few people. Rather, they often support us. ”(Step 1616) to correct the patient's misinterpretation. If it is set in the therapy list that this cognitive-behavioral therapy (therapy ID = 2) has been performed as a condition for executing the therapy with therapy ID = 9, the therapy ID = 2 is executed at a predetermined timing thereafter. This is confirmed from the obesity medical treatment history information, and the therapy ID = 9 is executed at that timing. In the therapy list, add the item of the effect of the performed therapy to the therapy history, and in addition to the cognitive-behavioral therapy being performed, if the effect of cognitive change is confirmed according to the above procedure, the cognitive change Behavioral therapies suitable for the patient can also be performed. After cognitive-behavioral therapy with therapy ID = 2 was performed and the patient realized that few people would be offended if they refused to recommend food, in step 1304, "when specifically recommended for food". Present a message for behavioral therapy, "Prepare in advance how to refuse." As a result, it is possible to create an environment in which the other party can cheer you on when you are advised to eat food, based on correct recognition.

When the effect of behavioral therapy is performed alone, the effect may be limited, but using this embodiment, it is suitable for the change in cognition after the change in cognition caused by cognitive-behavioral therapy. The effect can be enhanced by performing behavioral therapy.

[Sixth Embodiment]
The system for obese patients in the present embodiment has a procedure for determining the start timing for performing therapy for obesity treatment according to the first to fourth embodiments, and a start timing according to the fifth embodiment. It has the ability to perform both the procedure and the procedure for determining. The first to fourth embodiments and the fifth embodiment differ in the method of determining the timing of initiation for performing the therapy for the treatment of obesity. However, by combining the first to fourth and fifth embodiments, the start timing determination process of any of these therapies can be performed, and the therapy can be executed at the timing determined by any of the start timing determination processes. Is clear. Other configurations are the same as those of the first to fourth and fifth embodiments. In addition, the therapy started at a certain timing is, for example, only cognitive behavioral therapy, and the therapy executed at another timing is only behavioral therapy. Therefore, an appropriate therapy is selected and executed at each timing. May be done.

[7th Embodiment]
In the present embodiment, the patient inputs a sentence in the patient-side electronic device 104, sends it to the server 102, and performs parsing processing or the like in the control unit 601 of the server 102 to analyze and acquire the patient's answer. Then, by comparing with the correct answer information, the same information processing as in the first to sixth embodiments is executed. Other configurations are the same as those in the first to sixth embodiments.

Each of the embodiments described above is an example for explaining the present invention, and the present invention is not limited to these embodiments. The present invention can be carried out in various forms as long as it does not deviate from the gist thereof.

100 System 101 Network 102 Server 103 Database 104 Patient side electronic device 105 Doctor side electronic device 201 Processing device 202 Display device 303 Input device 204 Storage device 205 Communication device 206 Server program 301 Processing device 302 Display device 303 Input device 304 Storage device 305 Communication device 306 DB program 401 Processing device 402 Display device 403 Input device 404 Storage device 405 Communication device 406 Patient program 501 Processing device 502 Display device 503 Input device 504 Storage device 505 Communication device 506 Doctor's program 601 Processing unit 602 Display unit 603 Input unit 604 Storage unit 605 Communication unit 701 Processing unit 702 Display unit 703 Input unit 704 Storage unit 705 Communication unit 801 Processing unit 802 Display unit 803 Input unit 804 Storage unit 805 Communication unit 901 Processing unit 902 Display unit 903 Input unit 904 Department 905 Communication Department

Claims (23)

A program used for obese patients, on a computer,
The patient side at the patient interpretation information acquisition timing determined based on at least one of input of information indicating the patient's current physical condition and obesity medical treatment history information from the patient side electronic device which is an electronic device used by the patient. At the stage of receiving patient interpretation information input to the electronic device, which indicates the patient's interpretation of matters related to obesity, and
Based on the received patient interpretation information and correct answer information on the obesity-related matters, a step of determining whether or not the interpretation of the obesity-related matters of the patient is incorrect, and
If it is determined that the patient's interpretation is incorrect, the patient-side electronic device provides cognitive-behavioral therapy information including correct information on matters related to obesity of the patient based on the correct answer information. And the stage of sending to
A program that executes. At the stage of reading obesity medical history information from the database,
Based on the received obesity medical history information, a step of determining a request timing for requesting the patient-side electronic device to transmit patient interpretation information including the patient's interpretation of a predetermined obesity-related matter, and
At the request timing, a step of transmitting a patient interpretation information request requesting transmission of patient interpretation information including a patient's interpretation of the predetermined obesity-related matter to a patient-side electronic device, and a step of transmitting the patient interpretation information request.
And let the computer run
The program according to claim 1, wherein the patient interpretation acquisition information timing is a timing of receiving patient interpretation information as a response to the patient interpretation information request. The patient interpretation acquisition information timing is determined based on the timing at which information indicating the patient's current physical condition is input to the patient-side electronic device.
At the physical condition information acquisition timing in which the information indicating the current physical condition of the patient is determined based on the timing input to the electronic device on the patient side, the computer is further executed to acquire the information indicating the current physical condition of the patient. ,
The patient interpretation information includes information indicating the relationship between the patient's current physical condition and obesity.
The program according to any one of claims 1 and 2. When the acquired information indicating the current physical condition of the patient indicates an appetite urge, the cause of the current physical condition considered by the patient, the obesity medical treatment history information, and the current physical condition of the patient are the physical conditions at that time. A step of determining whether or not the patient's appetite urge should be suppressed based on at least one of the time indicating the presence.
Based on the determination result of whether or not the appetite urge of the patient should be suppressed, a step of transmitting a patient interpretation input request prompting the input of patient interpretation information indicating the patient's interpretation of the obesity-related matter, and
The program according to claim 3, wherein the computer is further executed. The step of transmitting the patient interpretation input request is executed when it is determined that the appetite urge of the patient should be suppressed by the determination of whether or not the appetite urge of the patient should be suppressed. The program described in 4. At the first behavior therapy execution timing in which the information indicating the current physical condition of the patient is determined based on the timing input to the electronic device on the patient side, the patient is based on the information indicating the current physical condition of the patient. Further let the computer perform the first step of transmitting behavior therapy information indicating the action the patient should take in relation to his / her current physical condition.
The program according to any one of claims 3 to 5. The program according to any one of claims 3 to 6, wherein the information indicating the current physical condition of the patient includes the cause of the current physical condition considered by the patient. After transmitting the first behavior therapy information, a stage of transmitting effect inquiry information indicating a message inquiring whether or not the physical condition has improved, and a stage of transmitting the effect inquiry information.
The stage of receiving the effect response information indicating the answer input by the patient in response to the effect inquiry information, and
When the effect response information indicates that the physical condition has not improved, the stage of transmitting the second behavior therapy information indicating the action to be taken by the patient in relation to the physical condition, and the stage of transmitting the second behavior therapy information.
The program according to any one of claims 6 to 7, further causing a computer to execute the program. When the acquired information indicating the current physical condition of the patient indicates an appetite urge, a computer further steps to determine whether or not the patient's appetite urge should be suppressed, at least based on the effect response information. To run
The step of transmitting the second behavior therapy information is executed at least based on the determination based on the effect response information.
The program according to claim 8. The step of transmitting the cognitive-behavioral therapy information is executed after the step of transmitting the first behavioral therapy information is executed.
The program according to claim 9. Coaching information indicating a message for encouraging the patient in relation to the patient's physical condition is transmitted at a coaching timing in which information indicating the patient's current physical condition is determined based on the timing input to the patient-side electronic device. Let the computer perform more steps to
The program according to any one of claims 3 to 10. The step of transmitting the cognitive-behavioral therapy information is executed after the step of transmitting the coaching information is executed.
The program according to claim 11. The second behavior therapy execution timing is determined based on at least one of the input of information indicating the patient's current physical condition and the obesity medical treatment history information, and the third behavior therapy information indicating the action to be taken by the patient for the treatment of obesity. And the stage of deciding
At the second behavior therapy execution timing, the step of transmitting the third behavior therapy information to the patient-side electronic device, and
A stage of updating obesity medical treatment history information based on at least one of the cognitive-behavioral therapy information and the third behavioral therapy information, and
The program according to any one of claims 1 to 12, further causing a computer to execute the program. After transmitting the cognitive-behavioral therapy information, a step of updating the obesity medical treatment history information based on the patient interpretation information and the cognitive-behavioral therapy information, and
Based on the updated obesity medical treatment history information, a step of transmitting information on medication adjustment to at least one of the doctor-side electronic device used by the doctor and the patient-side electronic device, and
The program according to any one of claims 1 to 13, further causing a computer to execute the program. A computer-readable storage medium containing the program according to any one of claims 1 to 14. A computer comprising a processing device, a communication device, and a storage device for storing programs used for obese patients.
The program is applied to the computer.
The patient side at the patient interpretation information acquisition timing determined based on at least one of input of information indicating the patient's current physical condition and obesity medical treatment history information from the patient side electronic device which is an electronic device used by the patient. At the stage of receiving patient interpretation information input to the electronic device, which indicates the patient's interpretation of matters related to obesity, and
Based on the received patient interpretation information and correct answer information on the obesity-related matters, a step of determining whether or not the interpretation of the obesity-related matters of the patient is incorrect, and
If it is determined that the patient's interpretation is incorrect, the patient-side electronic device provides cognitive-behavioral therapy information including correct information on matters related to obesity of the patient based on the correct answer information. And the stage of sending to
To run a computer. A computer used for obese patients
The patient side at the timing of inputting information indicating the patient's current physical condition and acquiring patient interpretation information determined based on at least one of the obesity medical treatment history information from the patient side electronic device which is an electronic device used by the patient. When the patient interpretation information input to the electronic device indicating the patient's interpretation of the matter related to obesity is received and it is determined that the patient's interpretation is incorrect, the patient is based on the correct answer information. A communication unit that transmits cognitive-behavioral therapy information including correct information about matters related to obesity to the patient-side electronic device, and
A computer including a control unit that determines whether or not the interpretation of the obesity-related matter of the patient is incorrect based on the received correct answer information of the patient interpretation information and the obesity-related matter. .. A program used for obese patients, for electronic devices used by patients,
Input of information indicating the patient's current physical condition and input of patient interpretation information indicating the patient's interpretation of matters related to obesity at the time of acquisition of patient interpretation information determined based on at least one of the patient's obesity medical treatment history information. And the stage of accepting
At the stage of transmitting the input patient interpretation information to the server device,
When it is determined that the patient's interpretation is incorrect, the step of receiving cognitive-behavioral therapy information including information indicating the correct information about the patient's obesity-related matters from the server device, and
Based on the received cognitive-behavioral therapy information, the stage of presenting the patient with correct information on matters related to the patient's obesity, and
A program that executes. An electronic device comprising a processing device, a communication device, an output device, and a storage device for storing programs used for obese patients.
The program is applied to the electronic device.
Input of information indicating the patient's current physical condition and input of patient interpretation information indicating the patient's interpretation of matters related to obesity at the time of acquisition of patient interpretation information determined based on at least one of the patient's obesity medical treatment history information. And the stage of accepting
At the stage of transmitting the input patient interpretation information to the server device,
When it is determined that the patient's interpretation is incorrect, the step of receiving cognitive-behavioral therapy information including information indicating the correct information about the patient's obesity-related matters from the server device, and
Based on the received cognitive-behavioral therapy information, the stage of presenting the patient with correct information on matters related to the patient's obesity, and
An electronic device that runs. An electronic device used for obese patients
Input of information indicating the patient's current physical condition and input of patient interpretation information indicating the patient's interpretation of matters related to obesity at the time of acquisition of patient interpretation information determined based on at least one of the patient's obesity medical treatment history information. Input section that accepts
Cognition including information indicating correct information about matters related to the patient's obesity when the input patient interpretation information is transmitted to the server device and it is determined that the patient's interpretation is incorrect. A communication unit that receives behavioral therapy information from the server device,
Based on the received cognitive-behavioral therapy information, an output unit that presents the patient with correct information about matters related to the patient's obesity.
Electronic device with. A server device that is a computer according to any one of claims 16 and 17, an electronic device used by at least one patient according to any one of claims 19 and 20, and a patient's obesity treatment. A system used for obese patients with a database that stores historical information. A method used for obese patients, on a computer,
The patient side at the patient interpretation information acquisition timing determined based on at least one of input of information indicating the patient's current physical condition and obesity medical treatment history information from the patient side electronic device which is an electronic device used by the patient. At the stage of receiving patient interpretation information input to the electronic device, which indicates the patient's interpretation of matters related to obesity, and
Based on the received patient interpretation information and correct answer information on the obesity-related matters, a step of determining whether or not the interpretation of the obesity-related matters of the patient is incorrect, and
If it is determined that the patient's interpretation is incorrect, the patient-side electronic device provides cognitive-behavioral therapy information including correct information on matters related to obesity of the patient based on the correct answer information. And the stage of sending to
How to run. A method used for obese patients, in electronic devices,
Input of information indicating the patient's current physical condition and input of patient interpretation information indicating the patient's interpretation of matters related to obesity at the time of acquisition of patient interpretation information determined based on at least one of the patient's obesity medical treatment history information. And the stage of accepting
At the stage of transmitting the input patient interpretation information to the server device,
When it is determined that the patient's interpretation is incorrect, the step of receiving cognitive-behavioral therapy information including information indicating the correct information about the patient's obesity-related matters from the server device, and
Based on the received cognitive-behavioral therapy information, the stage of presenting the patient with correct information on matters related to the patient's obesity, and
How to run.

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