TWI703957B - Sleep health management system - Google Patents
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本發明關於一種健康管理系統,特別是關於蒐集睡眠時人體生理資訊,並配合問卷有效解析受測者當下身體狀況,以便於未來身體調理進行時比較對照改進的一種睡眠健康管理系統。 The present invention relates to a health management system, in particular to a sleep health management system that collects physiological information of the human body during sleep, and cooperates with questionnaires to effectively analyze the current physical condition of the testee, so as to facilitate comparison and improvement of body conditioning in the future.
睡眠障礙在現今社會中是很普遍問題,長期的失眠會影響到情緒、記憶思維、動作協調、白天日常生活以及工作表現。睡眠障礙的成因相當複雜而多元,因此常造成臨床診斷上的困難。所幸在過去40年間,睡眠醫療有了長足之發展:過往只有精神、神經、心理、生理學者關注的睡眠研究議題,在1970年代以後在睡眠呼吸中止症(sleep apnea syndrome)受到重視後,使得胸腔科、喉科、口腔外科、心臟科、內分泌科等各科學者,相繼踏入睡眠醫療的研究領域,睡眠醫學也因此有所發展。 Sleep disorder is a common problem in today's society. Long-term insomnia can affect mood, memory and thinking, motor coordination, daily daily life and work performance. The causes of sleep disorders are quite complex and diverse, which often causes clinical diagnosis difficulties. Fortunately, in the past 40 years, sleep medicine has made great progress: in the past, only mental, neurological, psychological, and physiologists paid attention to sleep research topics. After the 1970s, sleep apnea syndrome (sleep apnea syndrome) became more important, and the chest cavity Scientists in the Department of Medicine, Laryngology, Oral Surgery, Cardiology, and Endocrinology have successively stepped into the research field of sleep medicine, and sleep medicine has also developed.
綜觀市面上對於睡眠相關疾病的治療或檢測、現有與睡眠醫療相關之服務平台、系統或產品,或多或少於使用上之便利性與即時性有缺失存在。以Philips Actiwatch Spectrum PRO為例,此產品為目前醫療機構最常採用之專業睡眠輔助分析穿戴式裝置。但是,存在睡眠障礙之病患必須透過睡眠醫療專業人員,以專用軟體進行診斷研判,方能解其睡眠問題之癥結所在,於即時性與便利性方面有所不足。價格方面,每套方案(穿戴式裝置+分析軟體)超過新台幣十 萬元,往往使醫療單位或消費者望之卻步。若不考慮特殊設計的硬體,一般坊間的穿戴式裝置,比如小米手環,也可以藉其所提供可串接APP的睡眠品質監控功能,對於睡眠相關疾病進行檢測。這樣的產品而不到新台幣一千元,照理來說應該是廣為醫療界所使用。然而,此類產品所提供之睡眠相關資訊,因為並未透過臨床實驗取得國內相關認證,不足以成為睡眠醫療專業人員用以研判病患睡眠問題之參考,實屬可惜。 Looking at the treatment or detection of sleep-related diseases in the market, the existing service platforms, systems or products related to sleep medical treatment are more or less convenient and immediacy in use. Take Philips Actiwatch Spectrum PRO as an example. This product is currently the most commonly used professional sleep aid analysis wearable device in medical institutions. However, patients with sleep disorders must use sleep medical professionals to perform diagnostics and judgments with special software to solve the crux of their sleep problems, which is insufficient in terms of immediacy and convenience. In terms of price, each plan (wearable device + analysis software) exceeds NT$10 Ten thousand yuan often discourages medical units or consumers. If you don't consider specially designed hardware, common wearable devices, such as Xiaomi bracelets, can also use the sleep quality monitoring function that can be connected to the APP to detect sleep-related diseases. Such a product is less than NT$1,000, so it should be widely used by the medical profession. However, it is a pity that the sleep-related information provided by such products has not obtained relevant domestic certification through clinical trials, and is not enough to be used by sleep medical professionals to study and judge patients' sleep problems.
雖然前述的穿戴式裝置所提供的監測數據目前還未能為睡眠醫療專業人員所接受,但隨著硬體偵測技術的進步,漸漸的還是會有普及應用的一天,目前已經有數家穿戴式裝置已經取得台灣衛生福利部認證。最重要的是這些穿戴式裝置偵測到的是即時的病理徵狀,可以作為後續醫療診斷重要的依據。這些穿戴式裝置所能提供的資料是屬於客觀的資訊,不含人為主觀判斷。但一般睡眠醫療專業人員對於睡眠障礙者的診斷還有一部分來自對於後者的詢問,也就是了解睡眠障礙者有哪些影響睡眠的行為、人格特質或是環境因子,比如營養飲食、身體保健、睡眠品質、工作職場、運動習慣、睡眠環境等等。這些來自睡眠障礙者的主觀答覆配合長時間觀察的客觀睡眠生理數據,如腦波、呼吸氣流、脈膊、心率、血氧、體動、睡姿等,睡眠醫療專業人員就能針對睡眠障礙者提出最有效的診療方式。但目前睡眠醫療專業人員在針對一個睡眠障礙者的個案進行診斷時,除了缺乏前述的睡眠生理數據分析,受限於對睡眠障礙者的問診時間,無法有效了解該睡眠障礙者的實際情況從而做出正確判斷,更無法追蹤睡眠障礙者受治療的改善或變化情形,適度調整診療方式。 Although the monitoring data provided by the aforementioned wearable devices has not yet been accepted by sleep medical professionals, with the advancement of hardware detection technology, there will gradually be a day of popularization. There are already several wearable devices. The device has been certified by the Taiwan Ministry of Health and Welfare. The most important thing is that these wearable devices detect immediate pathological symptoms, which can be used as an important basis for subsequent medical diagnosis. The information that these wearable devices can provide is objective information and does not contain subjective judgments. However, part of the diagnosis of sleep disorders by general sleep medical professionals comes from the latter's inquiry, that is, to understand the behaviors, personality traits or environmental factors of sleep disorders that affect sleep, such as nutritional diet, physical health, and sleep quality. , Work and workplace, exercise habits, sleeping environment, etc. These subjective responses from people with sleep disorders and long-term observation of objective sleep physiological data, such as brain waves, respiratory airflow, pulse, heart rate, blood oxygen, body movement, sleeping posture, etc., can be targeted by sleep medical professionals Propose the most effective way of diagnosis and treatment. However, when a sleep medical professional is currently diagnosing a case of a person with a sleep disorder, in addition to the lack of the aforementioned sleep physiological data analysis, it is limited by the time for consultation of the person with a sleep disorder, and cannot effectively understand the actual situation of the person with a sleep disorder. With correct judgment, it is impossible to track the improvement or changes in the treatment of sleep disorders, and adjust the diagnosis and treatment methods appropriately.
因此,本發明人鑑於以上睡眠醫療領域存在的問題,提出了本案的睡眠健康管理系統,以期對睡眠醫療提出更先進但價格親民的診斷輔助解決方案。 Therefore, in view of the above problems in the sleep medical field, the inventor proposed the sleep health management system of this case, in order to propose a more advanced but affordable diagnostic assistance solution for sleep medical treatment.
本段文字提取和編譯本發明的某些特點。其它特點將被揭露於後續段落中。其目的在涵蓋附加的申請專利範圍之精神和範圍中,各式的修改和類似的排列。 This paragraph extracts and compiles certain features of the present invention. Other features will be revealed in subsequent paragraphs. Its purpose is to cover the spirit and scope of the additional patent application, various modifications and similar arrangements.
為了解決前述問題,本發明提出一種睡眠健康管理系統。該系統包含:一睡眠生理數據蒐集裝置,包括:一偵測模組,連續偵測蒐集人體在睡眠時的至少一睡眠生理數據;及一傳輸模組,用以將該至少一睡眠生理數據連續向外部傳輸;一訊息顯示傳輸裝置,與該傳輸模組資訊連接,用以記錄及顯示該至少一睡眠生理數據的連續記錄數據,並將該些記錄數據向外部傳輸;及一伺服器,與該訊息顯示傳輸裝置透過網路連接,以取得該些記錄數據,包括:一數據處理模組,將該些記錄數據依照時間序列記錄、除去局部極端值後挑選出該些記錄數據中的有效記錄數據,及將前述的有效記錄數據發送至一通訊裝置;一問卷處理模組,包含複數個具有依照不同影響因子而設定之問題的問卷,用以將該些問卷之部分或全部提供至該訊息顯示傳輸裝置,從而讓睡眠障礙者作答、回收作答後的問卷結果,並將前述問卷結果連同對應的問卷發送至該通訊裝置;一數據追蹤模組,與該數據處理模組連接,針對每一睡眠生理數據設有一合理參數區間,在該數據處理模組發出有效記錄數據給該通訊裝置後的一數據追蹤時間內,依照睡眠生理數據是漸漸收斂於對應的合理參數區間內與否,判斷睡眠障礙者睡眠問題是否有改善,並將一判斷結果發送至該訊息顯示傳輸裝置。 In order to solve the aforementioned problems, the present invention proposes a sleep health management system. The system includes: a sleep physiological data collection device, including: a detection module that continuously detects and collects at least one sleep physiological data of the human body during sleep; and a transmission module for continuous the at least one sleep physiological data Transmission to the outside; a message display and transmission device connected to the transmission module information to record and display the continuous recorded data of the at least one sleep physiological data, and transmit the recorded data to the outside; and a server, and The message shows that the transmission device is connected through the network to obtain the recorded data, including: a data processing module that records the recorded data according to a time series, removes local extreme values, and selects valid records among the recorded data Data, and send the aforementioned valid record data to a communication device; a questionnaire processing module, including a plurality of questionnaires with questions set according to different impact factors, to provide part or all of the questionnaires to the message Display the transmission device, so that the person with sleep disorders can answer, collect the questionnaire results after answering, and send the aforementioned questionnaire results together with the corresponding questionnaire to the communication device; a data tracking module connected to the data processing module for each Sleep physiological data is set with a reasonable parameter interval, and within a data tracking time after the data processing module sends valid record data to the communication device, according to whether the sleep physiological data gradually converges within the corresponding reasonable parameter interval or not, sleep is judged Whether the sleep problem of the disabled person is improved, and a judgment result is sent to the message display transmission device.
依照本發明,該睡眠生理數據可為腦波頻率、呼吸氣流量、脈膊頻率、心率、血氧量、體動率、鼾聲分貝或睡姿。 According to the present invention, the sleep physiological data may be brain wave frequency, respiratory air flow, pulse frequency, heart rate, blood oxygen level, body movement rate, snoring decibels, or sleeping position.
依照本發明,該訊息顯示傳輸裝置可為裝設有一操作行動應程式的平板電腦或智慧型手機。 According to the present invention, the message display transmission device can be a tablet computer or a smart phone equipped with an operating mobile application program.
依照本發明,該操作行動應程式啟動以於該訊息顯示傳輸裝置上的一觸控螢幕上顯示該至少一睡眠生理數據的連續記錄數據與問卷、讓使用者作答問卷,並將問卷結果回傳該伺服器的該問卷處理模組。 According to the present invention, the operation action application program is activated to display the continuously recorded data and questionnaires of the at least one sleep physiological data on a touch screen on the message display transmission device, allow the user to answer the questionnaire, and return the questionnaire result The questionnaire processing module of the server.
依照本發明,該影響因子可為生活型態、營養飲食、運動習慣、身體保健、情緒個性、人際情感、工作職場或睡眠環境。 According to the present invention, the influencing factor can be lifestyle, nutritional diet, exercise habits, physical health care, emotional personality, interpersonal emotion, work and workplace, or sleeping environment.
依照本發明,該合理參數區間可為睡眠醫學定義的疾病範圍數據區間。 According to the present invention, the reasonable parameter interval may be a disease range data interval defined by sleep medicine.
依照本發明,該數據追蹤時間可為一週以上的連續天數。 According to the present invention, the data tracking time can be consecutive days of more than one week.
依照本發明,該通訊裝置可為桌上型電腦、筆記型電腦、智慧型手機或平板電腦。 According to the present invention, the communication device can be a desktop computer, a notebook computer, a smart phone or a tablet computer.
睡眠健康管理系統的該伺服器進一步包含一睡眠日誌資料庫,用以儲存、更新及提供睡眠障礙者每日針對睡眠狀況主觀的說明文字、語音或影音資料。 The server of the sleep health management system further includes a sleep log database for storing, updating and providing daily subjective description text, voice or audiovisual data of sleep disorders for people with sleep disorders.
依照本發明,該傳輸模組可為藍芽模組或Wi-Fi模組。 According to the present invention, the transmission module can be a Bluetooth module or a Wi-Fi module.
依照本發明,該訊息顯示傳輸裝置可接受操作以編輯該些說明文字、語音或影音資料,並將該些說明文字、語音或影音資料上傳至該睡眠日誌資料庫。 According to the present invention, the message display transmission device can be operated to edit the explanatory text, voice or audiovisual data, and upload the explanatory text, audio or audiovisual data to the sleep log database.
依照本發明,該睡眠日誌資料庫可接受該通訊裝置的請求,將該些說明文字、語音或影音資料發送至該通訊裝置。 According to the present invention, the sleep log database can accept a request from the communication device, and send the explanatory text, voice or audiovisual data to the communication device.
睡眠健康管理系統的該伺服器進一步包含一服務提供模組,與該數據追蹤模組連接,儲存複數個與睡眠生理數據對應的強化睡眠品質服務資訊,當該數據追蹤模組的該判斷結果為沒有改善或變差時,發出對應睡眠生理數據的強化睡眠品質服務資訊到訊息顯示傳輸裝置。 The server of the sleep health management system further includes a service providing module, connected to the data tracking module, and storing a plurality of enhanced sleep quality service information corresponding to sleep physiological data, when the judgment result of the data tracking module is When there is no improvement or deterioration, the enhanced sleep quality service information corresponding to the sleep physiological data is sent to the message display transmission device.
本發明將睡眠生理數據、問卷及睡眠日誌,在睡眠障礙者接受治療前提供給睡眠醫療專業人員,讓睡眠醫療專業人員能掌握睡眠障礙者的主客觀睡眠障礙資訊,有助睡眠醫療專業人員對睡眠障礙形成原因的判斷。同時,睡眠障礙者也能在接收睡眠醫療專業人員診療後一段時間內,知道客觀身體狀況的改變情況。一但療效不佳,服務提供模組也會提供其它的協助改善資訊給睡眠障礙者。睡眠健康管理系統雖然不是診療系統,但卻是一種具有動態結合資訊與追蹤功能服務的劃時代系統,對於睡眠障礙者與睡眠醫療專業人員是一種福音。 The present invention provides sleep physiological data, questionnaires and sleep logs to sleep medical professionals on the premise of receiving treatment for sleep disorders, so that sleep medical professionals can grasp the subjective and objective sleep disorder information of sleep disorders, and help sleep medical professionals to understand sleep Judgment of the cause of the obstacle. At the same time, people with sleep disorders can also know the changes in their objective physical conditions within a period of time after receiving treatment from sleep medical professionals. Once the effect is not good, the service delivery module will also provide other assistance and improvement information to people with sleep disorders. Although the sleep health management system is not a diagnosis and treatment system, it is an epoch-making system with dynamic combination of information and tracking functions. It is a boon for people with sleep disorders and sleep medical professionals.
10:網路 10: Internet
20:桌上型電腦 20: Desktop computer
100:睡眠生理數據蒐集裝置 100: Sleep physiological data collection device
110:偵測模組 110: Detection module
120:傳輸模組 120: Transmission module
200:訊息顯示傳輸裝置 200: message display transmission device
210:藍芽模組 210: Bluetooth module
220:行動通訊模組 220: mobile communication module
230:觸控螢幕 230: touch screen
300:伺服器 300: server
310:數據處理模組 310: Data Processing Module
320:問卷處理模組 320: Questionnaire processing module
330:數據追蹤模組 330: Data Tracking Module
340:睡眠日誌資料庫 340: Sleep log database
350:服務提供模組 350: Service provision module
圖1為依照本發明實施例的一種睡眠健康管理系統的示意圖,圖2為睡眠生理數據隨時間變化的示意圖。 FIG. 1 is a schematic diagram of a sleep health management system according to an embodiment of the present invention, and FIG. 2 is a schematic diagram of sleep physiological data changes over time.
下面將結合本發明實施例中的附圖,對本發明實施例中的技術方案進行清楚、完整地描述,顯然,所描述的實施例僅僅是本發明一部分實施例,而不是全部的實施例。基於本發明中的實施例,本領域普通技術人員在沒有做出創造性改良前提下所獲得的所有其它實施例,都屬於本發明保護的範圍。 The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative improvement shall fall within the protection scope of the present invention.
請見圖1,該圖為依照本發明實施例的一種睡眠健康管理系統的示意圖。睡眠健康管理系統包含了一睡眠生理數據蒐集裝置100、一訊息顯示傳輸裝置200及一伺服器300。以下分別介紹該些技術元件的結構、功能及運作方式。
Please refer to Fig. 1, which is a schematic diagram of a sleep health management system according to an embodiment of the present invention. The sleep health management system includes a sleep physiological
睡眠生理數據蒐集裝置100包括一偵測模組110及一傳輸模組120。偵測模組110可連續偵測蒐集人體在睡眠時的至少一睡眠生理數據。睡眠生理數據指的是人體在睡眠間內,可由外部偵測到、用來找出該人睡眠障礙發生原因的物理偵測量,比如,但不限於腦波頻率、呼吸氣流量、脈膊頻率、心率、血氧量、體動率、鼾聲分貝或睡姿。腦波頻率可以包含α波、β波、θ波、δ波和γ波等不同頻率區間的波種,則睡眠生理數據蒐集裝置100的偵測模組110可包含腦電波感測器(未繪示),安裝於人體頭部來取得數據。呼吸氣流量是測試肺功能的基本數據,對於睡眠障礙,尤其是睡眠呼吸中止症的觀察尤為重要,此時睡眠生理數據蒐集裝置100的偵測模組110可包含一個呼吸流量計(Spirometer未繪示),該呼吸流量計以一口鼻罩安置於面部,以於睡眠時測得進出口鼻的氣流量。脈膊頻率可以藉由光學心率感測器(未繪示),貼近表皮來取得數據。此時睡眠生理數據蒐集裝置100的偵測模組110可包含該光學心率感測器,而以一種穿戴式裝置配置於手腕上。心率和脈膊頻率具有相同發生原因與相同數據,但是取得方式或位置略有不同,原則上睡眠生理數據蒐集裝置100的偵測模組110也可以前述的光學心率感測器來偵測。血氧量是人體血液中的含氧量,可運用傳統的監測方式以脈沖血氧計夾住手指測血氧飽和度。隨著科技進步,亦可運用綠光LED為探測光源,利用血液含氧量不同有不同頻率的光被吸收的原理而製作的血氧偵測器,廣泛地應用於智慧手環中。因此,睡眠生理數據蒐集裝置100的偵測模
組110也可以包含該血氧偵測器,而以手環的型態來偵測血氧量。人體會有意識或無意識的震動或抖動,無論是否於處於睡眠狀態,體動率就是觀察這些”動”態的具體數據,為每秒發生的動作次數(頻率)。體動率在睡眠時會下降,清醒時上升。睡眠生理數據蒐集裝置100的偵測模組110可以使用一加速度感測器(G-sensor,未繪示),貼附於皮膚表面,或是放置於床上來監測。鼾聲是睡眠時人體會發出的聲音,其大小可以分貝來區分,鼾聲分貝是在蒐集人體睡眠時扣除掉外部噪音的純鼾聲能量大小。實作上,睡眠生理數據蒐集裝置100的偵測模組110可以使用一微型麥克風(未繪示),配合訊號處理電路來進行鼾聲分貝偵測。最後,睡姿也是觀察睡眠障礙的客觀數據,某些睡姿反應了因呼吸困難而自動調整的結果。追蹤睡姿變化可以使用加速度感測器(G-sensor,未繪示)或攝像模組長時間拍攝。如加使用速度感測器,該速度感測器可裝置於上述任一模組中。如採用攝像模組,此時睡眠生理數據蒐集裝置100的偵測模組110就類似一台相機,放在固定位置進行偵測。依照本發明,偵測模組110偵測蒐集的睡眠生理數據至少需要一個。在本實施例中,睡眠生理數據蒐集裝置100可同時偵測血氧量及脈搏頻率,其外型為一手環,套設在手腕處進行偵測。傳輸模組120可用以將前述來自偵測模組110的至少一睡眠生理數據連續向外部傳輸。實作上,傳輸模組120可以是藍芽模組或Wi-Fi模組,可用無線方式傳輸資料。當然,手環只是本實施例中睡眠生理數據蒐集裝置100的一個載體。在其它實施例中,睡眠生理數據蒐集裝置100的載體可能是貼片、智能衣或是其它適當的人體附著設備。
The sleep physiological
訊息顯示傳輸裝置200與傳輸模組120資訊連接,其用途是記錄及顯示該至少一睡眠生理數據的連續記錄數據,並將該些記錄數據向外部傳輸。由於睡眠生理數據蒐集裝置100是貼近人體裝設,因此和訊息顯示傳輸裝置200分
置於兩地。訊息顯示傳輸裝置200與傳輸模組120間可以同樣的規格(藍芽或2.4G訊號)互相聯通,比如一藍芽模組210(虛線框表示藍芽模組210在訊息顯示傳輸裝置200內部而無法被直視)。訊息顯示傳輸裝置200可以是特別設計的硬體,也可以是裝設有一操作行動應程式的平板電腦或智慧型手機。該操作行動應程式的功能將於後文中說明。訊息顯示傳輸裝置200屬於睡眠障礙者所擁有,或是以租賃方式暫時取得使用,用來監測及觀看睡眠時的偵測結果。
The message
伺服器300與訊息顯示傳輸裝置200透過網路10連接,以取得前述的記錄數據。伺服器300的結構和一般的伺服器一樣,有處理邏輯運算的中央處理器,有儲存資料的硬碟或固態硬碟,有暫時儲存需要運算資料的記憶體,有負責資料輸出入的I/O界面、有特定的作業軟體等。不一樣之處在於伺服器300包括一數據處理模組310、一問卷處理模組320、一數據追蹤模組330、一睡眠日誌資料庫340及一服務提供模組350。這些模組或資料庫可以是硬體(外接卡),也可以軟體模擬或運作,甚至可以部分是硬體部分是軟體。伺服器300與訊息顯示傳輸裝置200因為是透過網路10連接,所以訊息顯示傳輸裝置200不是以藍芽模組210或其它點對點無線連接模組作為對接的硬體。訊息顯示傳輸裝置200有一行動通訊模組220(虛線框表示行動通訊模組220在訊息顯示傳輸裝置200內部而無法被直視),比如3G、4G或5G通訊模組,透過固網或行動網路(網路10),直接或間接與伺服器300的I/O界面資訊連接,從而伺服器300與訊息顯示傳輸裝置200可以連接通訊。以下分別說明這些模組或資料庫的功能及作業方式。
The
數據處理模組310可以將該些記錄數據依照時間序列記錄、除去局部極端值後挑選出該些記錄數據中的有效記錄數據,及將前述的有效記錄數據發送至一通訊裝置。由於偵測模組110是電子元件,將一定的物理量轉為電位
差組成的數位資訊,交給藍芽模組210轉成電磁波傳送。偵測模組110可能偵測錯誤,數位資訊的型態轉變也可能受到環境影響,從而造成記錄數據部分出錯。因此,數據處理模組310必須將不符合的資料除去。有效記錄數據發送到的通訊裝置,比如圖1的桌上型電腦20。這裡,通訊裝置還可以是筆記型電腦、智慧型手機或平板電腦。擁有者是睡眠醫療專業人員(如醫師、睡眠技師、睡眠管理師),用通訊裝置來看睡眠健康管理系統提供的資料(有效記錄數據、問卷結果、睡眠日等)。
The
問卷處理模組320包含複數個具有依照不同影響因子而設定之問題的問卷。問卷存在的目的是讓睡眠障礙者能夠根據自己主觀的感知,回答問卷內關於睡眠障礙可能原因的問題,問卷結果可以在睡眠障礙者去找睡眠醫療專業人員提供專業治療之前,讓睡眠醫療專業人員能夠對該睡眠障礙者的狀況有深入的了解。除了減少診療時的問診時間外,也免於睡眠醫療專業人員遺落必要向睡眠障礙者取得的資料。影響因子就是對所有向睡眠障礙者詢問的問題進行分類的項目。依照本發明,影響因子為生活型態、營養飲食、運動習慣、身體保健、情緒個性、人際情感、工作職場與睡眠環境。以生活型態而言,問卷問題可以是「平常有抽煙的習慣嗎?」、「平常有飲酒的習慣嗎?」、「有睡午覺習慣嗎?」等。以營養飲食而言,問卷問題可以是「是外食族嗎?」、「每天有沒有吃到5份魚肉蛋豆類的食物?」、「每天有沒有吃到蔬菜、水果加起來約五個電鍋量米杯的量?」等。以運動習慣而言,問卷問題可以是「平常有沒有固定運動的習慣?」、「運動的種類為何?」、「通常運動的時段為何?」等。以身體保健而言,問卷問題可以是「有沒有失眠的問題?」、「睡眠期間會不會中斷?」、「會不會常常覺得睡不飽,或是下午容易會打哈欠嗎?」等。以情緒個性而言,問卷問題可以是「認為
是自我要求高的人?」、「認為自己是樂觀的人?」、「會不會容易焦慮緊張?」等。以人際情感而言,問卷問題可以是「會不會習慣向他人或自己表達感謝之意?」、「最近與配偶(情人)有沒有感情變化波折?」、「最近與父母、兄弟、子女等親屬有沒有感情變化波折?」等。以工作職場而言,問卷問題可以是「是不是管理階層?」、「工作會不會需要付出大量體力?」、「職業的性質屬於哪一類?」等。以睡眠環境而言,問卷問題可以是「睡覺時對何種狀況敏感?」、「會不會習慣開燈睡覺?」、「平時睡覺時有沒有人同睡?」等。這些問題都是睡眠醫療專業人員常向睡眠障礙者詢問的,有系統且完整的問卷可以有效協助睡眠醫療專業人員對睡眠障礙者的了解。操作方面,問卷處理模組320可將該些問卷之部分或全部提供至訊息顯示傳輸裝置200,從而讓睡眠障礙者作答、回收作答後的問卷結果,並將前述問卷結果連同對應的問卷發送至通訊裝置。睡眠障礙者利用訊息顯示傳輸裝置200作答時,操作行動應程式就是主要的操作工具。前述的操作行動應程式啟動以於訊息顯示傳輸裝置200上的一觸控螢幕230上顯示至少一睡眠生理數據的連續記錄數據與問卷、讓使用者作答問卷,並將問卷結果回傳伺服器300的問卷處理模組320。
The
數據追蹤模組330與數據處理模310連接,是用來反應睡眠生理數據變化的主要元件。為了對數據追蹤模組330的運作有較佳的了解,請見圖2,該圖為睡眠生理數據隨時間變化的示意圖。數據追蹤模組330針對每一睡眠生理數據設有一合理參數區間,該合理參數區間為睡眠醫學定義的疾病範圍數據區間(圖2中的Vu表示上限,V1表示下限)。比如,AHI:(Apnea-Hypopnea Index,AHI)呼吸紊亂指數的上限為5,下限為0,就屬於睡眠醫學認定的疾病範圍數據區間。由圖2中可知,睡眠障礙者的睡眠生理數據在一開始使用睡眠健康管理系
統前是低於合理參數區間。要注意的是,由於睡眠生理數據是在睡眠時蒐集,圖2的數據應該不是連續的,而是分區間的。然而,為了說明方便起見,將數據連結起來呈現。其次,本實施例中使用兩種睡眠生理數據,所以兩種睡眠生理數據各有其對應的圖形,分別表示兩種睡眠生理數據在睡眠障礙者接受治療後的變化情況(不見得都會改善)。數據追蹤模組330在數據處理模組310發出有效記錄數據給該通訊裝置後的一數據追蹤時間內,依照睡眠生理數據是漸漸收斂於對應的合理參數區間內與否,判斷睡眠障礙者睡眠問題是否有改善,並將一判斷結果發送至訊息顯示傳輸裝置200。睡眠障礙者在時間為t0時使用睡眠健康管理系統,到了t1時接受睡眠醫療專業人員的診療,睡眠生理數據的變化走勢(實線部分)漸漸收斂於合理參數區間。於t2時,數據追蹤模組330便會發現睡眠障礙者的睡眠問題已經改善,判斷結果便會包含相關數據及改善的說明而發出;相反地,如果睡眠生理數據的變化走勢(虛線部分)未收斂於合理參數區間時,數據追蹤模組330便會發現睡眠障礙者的睡眠問題並未改善,判斷結果便會包含相關數據及未有改善的說明而發出。t2與t1間的時間就是數據追蹤時間。數據追蹤時間可以是一週以上的連續天數,比如一週、15天、一個月等,設定數據追蹤時間可以讓數據追蹤模組330在一定的時間內,將睡眠障礙者治療的結果以客觀的數據反饋給睡眠障礙者。
The
睡眠日誌資料庫340可用以儲存、更新及提供睡眠障礙者每日針對睡眠狀況主觀的說明文字、語音或影音資料(睡眠日誌)。訊息顯示傳輸裝置200可接受操作以編輯前述的睡眠日誌,睡眠日誌上傳至睡眠日誌資料庫340中。睡眠日誌資料庫340可接受通訊裝置的請求,將睡眠日誌內容發送至通訊裝置。換句話說,睡眠日誌是睡眠障礙者本身的睡眠狀況的記錄,除了讓睡眠障礙者可
以回朔了解過去的睡眠情況外,也可以讓睡眠醫療專業人員隨時參閱,動態了解睡眠障礙者的睡眠情形。睡眠日誌可以跟穿戴裝置上的數據進行比對,以協助睡眠醫療專業人員對睡眠障礙者的睡眠狀況有更客觀的數據了解。
The
服務提供模組350與數據追蹤模組330連接,儲存複數個與睡眠生理數據對應的強化睡眠品質服務資訊。當數據追蹤模組330的該判斷結果為沒有改善或變差時,服務提供模組350會發出對應睡眠生理數據的強化睡眠品質服務資訊到訊息顯示傳輸裝置200給睡眠障礙者。舉例而言,睡眠生理數據如果是血氧量,而睡眠障礙者睡眠時的血氧量顯示他缺氧的時間超過10秒鐘,並且血中含氧量下降基準值的3%或4,經過了數據追蹤時間也沒有改善。睡眠生理數據對應的強化睡眠品質服務資訊可能為一個睡眠期間陽壓呼吸器的治療,或配戴口內裝置,或是設計一個口腔肌力的訓練等,以提升血氧量,服務提供模組350便會將前述資訊發給睡眠障礙者,給他額外的改善建議。
The
需要說明的是,在本文中,術語“包括”、“包含”或者其任何其他變體意在涵蓋非排他性的包含,從而使得包括一系列要素的過程、方法、物品或者設備不僅包括那些要素,而且還包括沒有明確列出的其他要素,或者是還包括為這種過程、方法、物品或者設備所固有的要素。 It should be noted that in this article, the terms "including", "including" or any other variants thereof are intended to cover non-exclusive inclusion, so that a process, method, article or device including a series of elements not only includes those elements, It also includes other elements not explicitly listed, or elements inherent to the process, method, article, or equipment.
儘管已經示出和描述了本發明的實施例,對於本領域的普通技術人員而言,可以理解在不脫離本發明的原理和精神的情況下可以對這些實施例進行多種變化、修改、替換和變型,本發明的範圍由所附權利要求及其等同物限定。 Although the embodiments of the present invention have been shown and described, for those of ordinary skill in the art, it will be understood that various changes, modifications, substitutions, and substitutions can be made to these embodiments without departing from the principle and spirit of the present invention. Variations, the scope of the present invention is defined by the appended claims and their equivalents.
10:網路 10: Internet
20:桌上型電腦 20: Desktop computer
100:睡眠生理數據蒐集裝置 100: Sleep physiological data collection device
110:偵測模組 110: Detection module
120:傳輸模組 120: Transmission module
200:訊息顯示傳輸裝置 200: message display transmission device
210:藍芽模組 210: Bluetooth module
220:行動通訊模組 220: mobile communication module
230:觸控螢幕 230: touch screen
300:伺服器 300: server
310:數據處理模組 310: Data Processing Module
320:問卷處理模組 320: Questionnaire processing module
330:數據追蹤模組 330: Data Tracking Module
340:睡眠日誌資料庫 340: Sleep log database
350:服務提供模組 350: Service provision module
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WO2019122412A1 (en) * | 2017-12-22 | 2019-06-27 | Resmed Sensor Technologies Limited | Apparatus, system, and method for health and medical sensing |
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