WO2019130674A1 - Abnormal behavior detection device, method, and system for nursing facility - Google Patents

Abnormal behavior detection device, method, and system for nursing facility Download PDF

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Publication number
WO2019130674A1
WO2019130674A1 PCT/JP2018/033966 JP2018033966W WO2019130674A1 WO 2019130674 A1 WO2019130674 A1 WO 2019130674A1 JP 2018033966 W JP2018033966 W JP 2018033966W WO 2019130674 A1 WO2019130674 A1 WO 2019130674A1
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Prior art keywords
action
care
abnormality
care recipient
time
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PCT/JP2018/033966
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French (fr)
Japanese (ja)
Inventor
宗司 廣田
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コニカミノルタ株式会社
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Priority to JP2019562744A priority Critical patent/JPWO2019130674A1/en
Publication of WO2019130674A1 publication Critical patent/WO2019130674A1/en

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02Alarms for ensuring the safety of persons
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B25/00Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems
    • G08B25/01Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium
    • G08B25/04Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium using a single signalling line, e.g. in a closed loop
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Definitions

  • the present invention relates to a behavioral abnormality detection device for a nursing care facility, a behavioral abnormality detection method for a nursing care facility, and a behavioral abnormality detection system for a nursing care facility, which detect behavioral abnormalities in a person to be cared for.
  • Patent Document 1 In recent years, with the rush of the super-aging society, techniques for complementing operations such as the nursing industry and the care industry have been researched and developed, and disclosed, for example, in Patent Document 1.
  • the care support system disclosed in the patent document 1 comprises a life pattern detection means for detecting a life pattern of a care recipient, and / or an independent activity measurement means for measuring the independence activity degree of the care recipient, and the life Living pattern storage means for storing the living pattern detected by the pattern detection means and / or independent activity degree storage means for storing the independent activity degree measured by the above-mentioned independent activity degree measuring means;
  • a care state information input means for inputting care state information indicating a care state; a care state information storage means for storing the care state information input by the care state information input means; and physical information on the body of the care recipient Physical information input means, Physical information storage means for storing physical information input by the physical information input means,
  • the care support system disclosed in the patent document 1 is a system for evaluating the degree of recovery of a care recipient using at least one of the living pattern and the degree of independence activity, the care state information and the physical information, It is not a system to evaluate
  • the present invention is an invention made in view of the above-mentioned circumstances, and an object thereof is a behavior abnormality detecting apparatus for a nursing home, which can detect an abnormality of behavior suspected of having onset of dementia from daily behavior
  • a behavioral abnormality detection method and a behavioral abnormality detection system for a nursing home are provided.
  • a behavioral abnormality detection device for a care facility a behavioral abnormality detection method for a care facility, and a behavioral abnormality detection system for a care facility, which reflect one aspect of the present invention
  • Stored in the action information storage unit in association with the time of acquisition and stored in the action information storage unit in the past and stored in the action information storage unit, and the plurality of time-series actions of the care target and the action information storage unit
  • the presence or absence of an abnormality in the action of the subject of care is determined based on the plurality of time-series actions of the subject of care stored in the step c, and the determination result is notified to the outside.
  • the behavioral abnormality detection system for a nursing care facility in the embodiment is a system for detecting a behavioral abnormality in the care recipient Ob who is a detection target, is provided corresponding to the care recipient Ob, and acquires the care recipient Ob's behavior.
  • Central control that is connected communicably with the sensor device to manage the behavior of the care recipient Ob and determines the presence or absence of abnormality in the care recipient's behavior based on the care recipient Ob's behavior
  • a terminal device communicably connected to the central management device and outputting a determination result determined by the central management device.
  • the central management apparatus includes an action abnormality detection device for a care facility according to an embodiment, and an acquisition unit for acquiring an action of a care recipient and an action of the care recipient acquired by the acquisition unit are associated with an acquisition time.
  • the behavior information storage unit to be stored, a plurality of time-series actions of the care target person acquired in the past by the acquisition unit and stored in the behavior information storage unit, and the behavior information storage acquired most recently by the acquisition unit
  • An abnormality determination unit that determines the presence or absence of an abnormality in the action of the care recipient based on a plurality of time-series actions of the care subject stored in the unit; and the determination result determined by the abnormality determination unit
  • a notification processing unit that notifies to.
  • the behavioral abnormality detection device for a nursing care facility is based on a sensor that acquires the behavior of the care recipient Ob, or a sensor that acquires information (data) representing the behavior of the care recipient Ob and the information acquired by the sensor
  • the action processing unit for obtaining the action of the care recipient Ob may be provided in the own machine itself
  • the action abnormality detection apparatus for a care facility is from the sensor device as an example of the external device.
  • the interface unit for acquiring the action of the care recipient Ob more specifically, the communication interface unit acquires the communication signal containing information (data) representing the action of the care recipient Ob.
  • the central management apparatus may further include an output unit on its own device, and the notification processing unit may notify (notify) the determination result determined by the abnormality determination unit from the output unit.
  • the notification processing unit transmits the determination result determined by the abnormality determination unit to the terminal device, and notifies (notifies) the terminal device from the outside.
  • the terminal device may be one type of device, but in the present embodiment, the terminal device is two types of devices: a fixed terminal device and a portable terminal device.
  • the main difference between the fixed terminal device and the portable terminal device is that while the fixed terminal device is operated in a fixed manner, the portable terminal device is operated by being carried by, for example, a caregiver.
  • a behavioral abnormality detection system for a care facility will be described more specifically.
  • FIG. 1 is a view showing the configuration of a behavioral abnormality detection system for a nursing home according to the embodiment.
  • FIG. 2 is a block diagram showing a configuration of a central management apparatus (an example of a care facility behavior abnormality detection device) used for the care facility behavior abnormality detection system.
  • FIG. 3 is a diagram showing the configuration of an action information table stored in the central management device.
  • FIG. 4 is a diagram showing the configuration of a determination condition information table stored in the central management device.
  • FIG. 5 is a diagram showing the configuration of an advice information table stored in the central management device.
  • FIG. 6 is a diagram showing the configuration of a carer information table stored in the central management device.
  • the behavioral abnormality detection system MS for a care facility in the embodiment includes one or more sensor devices SU (SU-1 to SU-4), a central management device SV, and a fixed terminal device SP. , One or more portable terminal devices TA (TA-1 and TA-2), and a private branch exchange (PBX) CX, which may be wired or wireless, LAN (Local Area Network), etc.
  • a network NW network, communication line
  • the network NW may be provided with relays such as repeaters, bridges and routers for relaying communication signals.
  • the plurality of sensor devices SU-1 to SU-4, the central management device SV, the fixed terminal device SP, the plurality of portable terminal devices TA-1 and TA-2, and the private branch exchange CX are L2 switches.
  • a wired / wireless mixed LAN for example, a LAN according to the IEEE 802.11 standard
  • NW including the line concentrators (hub, HUB) LS and the access point AP.
  • the plurality of sensor devices SU-1 to SU-4, the central management device SV, the fixed terminal device SP, and the private branch exchange CX are connected to the concentrator LS, and the plurality of mobile terminal devices TA-1 and TA-2 Are connected to the concentrator LS via the access point AP.
  • the network NW constructs a so-called intranet by using an internet protocol group such as a transmission control protocol (TCP) and an internet protocol (IP).
  • the behavioral abnormality detection system MS for a care facility is disposed in a building of a care facility provided with a plurality of living rooms RM in which a plurality of care recipients Ob reside, and a plurality of living rooms such as a nurse station.
  • the sensor device SU includes a communication interface for communicating with the central management device SV via the network NW, a sensor for acquiring the behavior of the care recipient Ob, and a microcomputer for controlling these, etc.
  • the action of the care recipient Ob is transmitted to the central management device SV via the network NW by the communication interface.
  • the sensor is preferably a device that acquires the action of the care recipient Ob in a non-contact manner with the care recipient Ob.
  • the sensor is a camera that generates an image (image data). Since the action of the care recipient Ob is acquired without contact, the action of the care recipient Ob can be acquired without the restraint of the care subject Ob.
  • the image may be a still image (still image data), may be a moving image (moving image data), or may be a still image (still image data) and a moving image (moving image data).
  • the camera is arranged to be able to monitor the space where the care recipient Ob who is to detect behavioral abnormality is planning to be located (location space; room RM in the arrangement location in the example shown in FIG.
  • the location space is imaged as an imaging target from the upper side, and an image (image data) in which the imaging target is viewed is generated.
  • the camera is scheduled to locate the head of the care recipient Ob in the bedding (eg, bed, etc.) on which the care recipient Ob lays, since it is highly probable that the whole care recipient Ob can be imaged. It is disposed so as to be able to pick up an image pickup target from directly above a predetermined head planned position (usually, a position where a pillow is provided) or from the center position of the ceiling surface in the living room RM.
  • the sensor device SU acquires an image obtained by imaging the care recipient Ob from above the care recipient Ob, preferably an image taken from directly above the planned head position or at the center position of the ceiling surface, using the camera. .
  • Such a camera may be a device that generates an image of visible light, but in the present embodiment, it is a device that generates an infrared image so that the care recipient Ob can be monitored even in the dark.
  • a camera for example, in the present embodiment, is an imaging optical system for forming an infrared optical image of an imaging object on a predetermined imaging surface, and is disposed with the light receiving surface aligned with the imaging surface. And an area image sensor that converts an infrared optical image of the imaging target into an electrical signal, and an image that is data representing an infrared image of the imaging target by performing image processing on an output of the area image sensor.
  • a digital infrared camera including an image processing unit that generates data.
  • the imaging optical system is preferably a wide-angle optical system (a so-called wide-angle lens (including a fisheye lens)) having an angle of view capable of imaging the entire living room RM provided.
  • the sensor is not limited to the camera, and may be a device that senses and acquires the action of the care recipient Ob.
  • a distance image generation device distance image sensor
  • the thermography heat distribution (temperature distribution) image
  • thermography device thermography device
  • the sensor device SU transmits a communication signal containing the action of the care recipient Ob acquired by the sensor to the central management device SV via the communication interface. More specifically, the sensor device SU generates an image (image data) of an imaging target with the camera at predetermined time intervals, and the generated image (image data), the image as an example of action time
  • a communication signal containing the time of image generation for generating the time of image generation and the sensor ID of the own machine is transmitted to the central management device SV by the communication interface.
  • the sensor ID is an identifier for identifying a sensor device SU and identifying the sensor device SU.
  • the communication signal may contain one image generated at predetermined time intervals, or the communication signal may be generated at predetermined time intervals to reduce communication traffic. Multiple images may be accommodated.
  • first to fourth sensor devices SU-1 to SU-4 are shown, and the first sensor device SU-1 is one of Mr. A, who is one of the care recipient Ob.
  • the second sensor device SU-2 is disposed in the living room RM-2 (not shown) of Mr. B Ob-2 who is one of the care recipient Ob, and is disposed in the living room RM-1 (not shown) of the
  • the third sensor device SU-3 is disposed in a room RM-3 (not shown) of Mr. C's Ob-3 who is one of the care recipient Ob
  • the fourth sensor device SU-4 is a care recipient person. It is arranged in the room RM-4 (not shown) of Mr. D's Ob-4 who is one of the Obs.
  • the central management device SV centrally manages the care facility behavior abnormality detection system MS, includes the care facility behavior abnormality detection device, and is an example of the care facility behavior abnormality detection device.
  • the central management device SV including the behavior abnormality detection device for a nursing care facility has a communication function of communicating with other devices SU, TA, and SP via the network NW, and receives the communication signal from the sensor device SU, the care target
  • the action of the person Ob is managed, and the presence or absence of abnormality in the action of the care recipient Ob is determined based on the action of the care recipient Ob.
  • a central management device SV includes a communication interface unit (communication IF unit) 21, a control processing unit 22, and a storage unit 23.
  • the communication IF unit 21 is a communication circuit connected to the control processing unit 22 and performing communication in accordance with the control of the control processing unit 22.
  • the communication IF unit 21 generates a communication signal containing the data to be transferred input from the control processing unit 22 according to the communication protocol used in the network NW of the care facility behavior abnormality detection system MS, and the generated communication The signal is transmitted to the other devices SU, SP, TA via the network NW.
  • the communication IF unit 21 receives communication signals from the other devices SU, SP, and TA via the network NW, extracts data from the received communication signals, and allows the control processing unit 22 to process the extracted data. Data to the control processing unit 22.
  • the communication IF unit 21 includes, for example, a communication interface circuit conforming to the IEEE 802.11 standard or the like.
  • the storage unit 23 is a circuit that is connected to the control processing unit 22 and stores various predetermined programs and various predetermined data according to the control of the control processing unit 22.
  • the various predetermined programs include, for example, control programs for controlling the respective units 21 and 23 of the central management device SV according to the functions of the respective units 21 and 23, and the care recipient Ob contained in the communication signal.
  • an action processing program for obtaining the action of the care recipient Ob based on an image (image data), or a memory obtained by the communication IF unit 21 and stored in the storage unit 23
  • the care target is based on a plurality of time-series actions in the subject care recipient Ob and a plurality of time-sequential actions in the care subject Ob that are most recently acquired by the communication IF unit 21 and stored in the storage unit 23
  • an abnormality determination program that determines the presence or absence of an abnormality in the behavior of the person Ob
  • a notification processing program that externally notifies the determination result determined by the abnormality determination program, and the like. It is.
  • the various predetermined data includes a server identifier (server ID) for identifying the central management device SV and identifying the central management device SV, the communication address of the sensor device SV, the communication address of the terminal devices SP and TA, , Room name / Sensor ID correspondence information indicating the correspondence between the name of the room RM and the sensor ID of the sensor device SU disposed in the room RM, the action information of the care recipient Ob, the action of the care recipient Ob Judgment condition information representing the judgment condition used when judging the presence or absence of abnormality in the subject, advice information representing the advice presented when there is an abnormality in the behavior, or carer information on the care recipient Ob Data required to execute each program, such as information representing the attribute of
  • the storage unit 23 includes, for example, a ROM (Read Only Memory), which is a nonvolatile storage element, and an EEPROM (Electrically Erasable Programmable Read Only Memory), which is a rewritable nonvolatile storage element.
  • the storage unit 23 includes, for example, a random access memory (RAM) serving as a working memory of the control processing unit 22 that stores data and the like generated during execution of the predetermined program.
  • the storage unit 23 may further include a hard disk drive (HDD) to store relatively large-capacity data.
  • the storage unit 23 stores the behavior information storage unit 231, the determination condition information storage unit 232, the advice information storage unit 233, and the caregiver information storage unit in order to store each of the behavior information, the determination condition information, the advice information, and the caregiver information. 234 is functionally provided.
  • the action information storage unit 231 stores action information indicating an action of the care recipient Ob.
  • the behavior information storage unit 231 corresponds to each of a plurality of care recipients Ob (a plurality of sensor devices SU, a plurality of sensor IDs) And store the action information.
  • the action of the care recipient Ob is represented by the moving speed (walking speed), and is stored in the action information storage unit 231 in a table format in association with the care subject Ob.
  • the action information table AT for registering the action information is, for example, as shown in FIG. 3, a plurality of action information tables associated with each of a plurality of care recipients Ob (a plurality of sensor devices SU, a plurality of sensor IDs). It comprises AT-1, AT-2, AT-3, and so on.
  • the plurality of action information tables AT-1, AT-2, AT-3,... Have the same configuration, and include an action time field 2311, a position field 2312 and an action (moving speed) field 2313, respectively.
  • the action time field 231 the time when the care recipient Ob acted, and in this embodiment, the generation time of the image accommodated in the communication signal is registered in the year, month, day, hour, minute and second.
  • the action of the care recipient Ob is represented by the moving speed (walking speed)
  • the position of the care subject Ob at the action time registered in the action time field 2311 is registered in the position field 2312 and the action is performed.
  • the moving speed (walking speed) field 2313 the moving speed (walking speed) of the care recipient Ob at the action time registered in the action time field 2311 is registered.
  • the determination condition information storage unit 232 stores the determination condition information representing the determination condition used when determining the presence or absence of an abnormality in the action of the care recipient Ob.
  • the determination condition includes, for example, a first determination period (past determination period), a second determination period (current determination period), and a threshold for determining the presence or absence of abnormality.
  • a first determination period the determination period in the past
  • a plurality of time-series actions moving speed in the present embodiment
  • the second determination period (the current determination period) a plurality of time-series actions (movement speed in the present embodiment) in the care recipient Ob that are acquired by the communication IF unit 21 and stored in the behavior information storage unit 231 most recently.
  • the second determination period is set to a period different from the first determination period, it is possible to more clearly determine continuously changing behavior.
  • the first determination period is longer than the second determination period, from the viewpoint that behavior change in dementia is likely to change rapidly as the disease becomes severer.
  • the first determination period is appropriately preset, for example, half a year or one year, and the second determination period is appropriately preset, for example, one week or one month.
  • the determination condition may be prepared in advance in a single piece, but in the present embodiment, a plurality of the determination conditions are prepared in advance according to the attributes of the care recipient Ob, such as age, sex, degree of need of nursing care, etc. In the present embodiment, such a plurality of determination conditions are stored in the determination condition information storage unit 232 in a table format.
  • the determination condition information table DT for registering a plurality of determination conditions includes a gender field 2321, an age field 2322, a degree-of-care requiring field 2323, a threshold field 2324, and a first determination period.
  • a field 2325 and a second determination period field 2326 are provided, and a record is provided for each of the plurality of determination conditions (combination of the attributes of the care recipient Ob).
  • the gender as one of the attributes of the care recipient Ob is registered in the gender field 2321.
  • the age field 2322 the age as another one of the attributes of the care recipient Ob is registered.
  • the degree-of-care need as another one of the attributes of the care recipient Ob is registered in the degree-of-care need field 2323.
  • the sex registered in the gender field 2321, the age registered in the age field 2322, and the threshold in the case of the degree of need-for-care registered in the degree-of-care need field 2323 are registered.
  • the first determination period field 2325 the sex registered in the gender field 2321, the age registered in the age field 2322, and the first determination period in the case of the degree of need of nursing care registered in the degree of needing care field 2323 are registered. Be done.
  • the second determination period field 2326 the sex registered in the gender field 2321, the age registered in the age field 2322, and the second determination period for the degree of need of nursing care registered in the degree of needing care field 2323 are registered. Be done.
  • the threshold, the first determination period, and the second determination period are classified by a combination of sex, age and degree of need of nursing care, but among sex, age, degree of needing care, height, weight and underlying disease May be classified in part or all of the combinations.
  • the determination condition information storage unit 232 corresponds to an example of a determination period information storage unit that stores predetermined first and second determination periods.
  • the advice information storage unit 233 stores advice information representing an advice presented when there is an abnormality in the behavior.
  • One piece of the advice may be prepared in advance, but in the present embodiment, a plurality of pieces of advice are prepared in advance according to the attributes of the care recipient Ob, such as age, sex, degree of need of nursing care, and the like. In the present embodiment, such a plurality of advices are stored in the advice information storage unit 233 in a table format.
  • the advice information table AdT for registering a plurality of advices includes, for example, as shown in FIG. 5, a sex field 2331, an age field 2332, a degree-of-care required field 2333 and an advice field 2334. There is a record for each (combination of attributes of the care recipient Ob).
  • the gender field 2331 the gender as one of the attributes of the care recipient Ob is registered.
  • the age field 2332 the age as another one of the attributes of the care recipient Ob is registered.
  • the degree-of-care need as another one of the attributes of the care recipient Ob is registered in the degree-of-care need field 2333.
  • the sex registered in the gender field 2331, the age registered in the age field 2332, and the advice in the case of the degree of need of nursing care registered in the degree of needed care field 2333 are registered.
  • the text of the advice may be registered as text, and the file name of the electronic file of the text of the advice may be registered.
  • the action of the care recipient Ob is the moving speed (walking speed), for example, “the walking speed is reduced. Since there is a risk of falling, the walking training is started. Please, etc.
  • the advice is classified by the combination of gender, age and degree of need for nursing care, but it is classified according to the combination of sex, age, degree of care requiring need, height, weight and some or all of the basic diseases. It is good.
  • the caregiver information storage unit 234 stores caregiver information (information representing the attribute of the care recipient Ob) regarding the care recipient Ob.
  • the carer information is, for example, the name, room name, sex, age, height, weight of a carer, etc. in the present embodiment, and is stored in the carer information storage unit 234 in a table format in the present embodiment. Ru.
  • the carer information table RT for registering this carer information includes a name field 2341, a room name field 2342, a sex field 2343, an age field 2344, a height field 2345, and a weight A field 2346 and a degree-of-care requiring field 2347 are provided, and each care recipient Ob has a record.
  • the name field 2341 the name of the care recipient Ob is registered.
  • the room name field 2342 the name of the room RM in which the care recipient Ob having the name registered in the name field 2341 is registered is registered.
  • the gender, age, height, weight and weight of the care recipient Ob having a name registered in the name field 2341 are stored in the gender field 2343, the age field 2344, the height field 2345, the weight field 2346 and the degree-of-care need field 2347 respectively. Each degree of need of nursing care is registered.
  • the control processing unit 22 controls each part of the central management device SV according to the function of each part, centrally manages the behavior abnormality detection system MS for a care facility, and receives the communication signal from the sensor device SU. It is a circuit for managing the action of the care recipient Ob and determining the presence or absence of abnormality in the action of the care recipient Ob based on the action of the care recipient Ob.
  • the control processing unit 22 includes, for example, a CPU and its peripheral circuits.
  • the control processing unit 22 functionally includes a control unit 221, an action processing unit 222, an abnormality determination unit 223, and a notification processing unit 224 when the control processing program is executed.
  • the control unit 221 controls the respective units 21 and 23 of the central management device SV according to the functions of the respective units 21 and 23, and controls the overall control of the central management device SV.
  • the action processing unit 222 obtains the action of the care recipient Ob based on information (data) representing the action of the care recipient Ob contained in the communication signal, and in the present embodiment, an image (image data). It is. In the present embodiment, since the action of the care recipient Ob is the moving speed (walking speed), the action processing unit 222 selects the care subject based on the image (image data) contained in the communication signal. Find the moving speed of Ob.
  • the action processing unit 222 first extracts the area (person area) of the person of the care recipient Ob from the image (target image) contained in the communication signal, for example, by the background subtraction method.
  • the position of the center of the person area is calculated as the position of the care recipient Ob.
  • the center position of the person area is, for example, the center of a circumscribed circle circumscribing the person area, or, for example, an intersection of diagonals in a circumscribed rectangle circumscribing the person area.
  • the action processing unit 222 selects (searches) the action information table AT corresponding to the sensor ID contained in the communication signal from the action information storage unit 231, and the communication is performed from the selected action information table AT.
  • the position of the care recipient Ob and the previous action time obtained in the previous time are extracted.
  • the action processing unit 222 is accommodated in the position and the time of the previous action of the care recipient Ob obtained at the previous time, the position of the care subject Ob currently determined as described above, and the communication signal.
  • the movement speed of the care recipient Ob is obtained from the current action time.
  • the action processing unit 222 adds a new record to the selected action information table AT, and the communication signal is added to each of the action time field 2311, the position field 2312 and the action (moving speed) field 2313 in the added record.
  • the current action time stored in the current position, the current position and the moving speed obtained as described above are registered.
  • the action of the care recipient Ob is stored in the action information storage unit 231.
  • the distance image generation device distance image sensor
  • a person pattern representing a person on the distance image is prepared in advance, and care is taken by pattern matching.
  • the person area of the subject person Ob is obtained.
  • a thermographic apparatus is used instead of the camera as the sensor, a heat distribution image (temperature distribution image) of background temperature is prepared, and the person area of the care recipient Ob is determined by the background subtraction method.
  • a learning model machine-learned for person recognition may be prepared, and the person area of the care recipient Ob may be obtained by using this learning model.
  • the abnormality determination unit 223 is acquired by the communication IF unit 21 and stored in the storage unit 23 and a plurality of time-series actions in the care recipient Ob acquired by the communication IF unit 21 and stored in the storage unit 23 in the past
  • the presence or absence of an abnormality in the behavior of the care recipient Ob is determined based on a plurality of time-series actions of the care recipient Ob.
  • the abnormality determination unit 223 determines a plurality of time-series actions in the care recipient Ob that are acquired by the communication IF unit 21 and stored in the behavior information storage unit 231 within the first determination period from the past time point.
  • the action of the care recipient Ob based on a plurality of time-series actions in the care recipient Ob that are acquired by the communication IF unit 21 and stored in the action information storage unit 231 within the second determination period from the most recent time point Determine the presence or absence of an abnormality in
  • the past time points are appropriately preset, for example, one month ago, three months ago, six months ago, and one year ago from the present time.
  • the most recent time is the current time.
  • the abnormality determination unit 223 determines a first value obtained by performing statistical processing on the plurality of time-series actions in the past, and the time-series in the latest state.
  • the presence or absence of abnormality in the action of the care recipient Ob is determined by comparing a difference value with a second value obtained by performing the statistical processing on a plurality of actions with a predetermined threshold.
  • the statistical process may be, for example, a process of obtaining an average value, or may be, for example, a process of obtaining a mode value, or may be, for example, a process of obtaining a variance value.
  • the statistical process is, for example, a process of obtaining an average value
  • the abnormality determination unit 223 obtains, as the first value, a first average value for the plurality of time-series moving speeds in the past.
  • a second average value for the plurality of time-series moving speeds at the latest is obtained as the second value, a difference value between the first average value and the second average value is obtained, and the obtained difference value and a predetermined threshold value
  • the presence or absence of an abnormality in the action of the care recipient Ob is determined by comparing with.
  • the abnormality determination unit 223 first extracts the age, sex, and the degree of need of nursing care corresponding to the name of the care recipient Ob to be determined from the carer information table RT, and from the determination condition information table DT, The threshold value corresponding to the extracted age, sex, and the degree of need of nursing care, a first determination period and a second determination period are extracted.
  • the abnormality determination unit 223 selects, from the behavior information storage unit 231, the behavior information table AT corresponding to the name of the care recipient Ob to be determined, and from the selected behavior information table AT, 1 Moving speed within the judgment period is extracted, a first average value is obtained, and moving speed within the second judgment period from the most recent time point is extracted from the selected action information table AT, and a second average value is obtained. A difference value between these first and second average values is determined. Then, the abnormality determination unit 223 determines the presence or absence of an abnormality in the action of the care recipient by comparing the calculated difference value with the extracted threshold value.
  • the abnormality determining unit 223 subtracts the second average value from the first average value of the moving speed.
  • a difference value can be determined, and if the determined difference value exceeds the threshold, the movement speed is reduced by exceeding the threshold, so it is determined that there is an abnormality in the behavior, while the difference is determined If the value does not exceed the threshold (if the calculated difference value is equal to or less than the threshold), it is determined that there is no abnormality in the behavior.
  • the action of the care recipient Ob is movement (walking) between predetermined two points (between predetermined two areas), and the first and second values are respectively the predetermined two points. It may be the first and second average values of the moving speed (walking speed) between (the predetermined two areas).
  • the predetermined two points (predetermined two areas) are, for example, bedding and a toilet, and by referring to the position stored in the behavior information storage unit 231, the average moving speed (walking speed) between the bedding and the toilet The value is determined.
  • the predetermined two points (predetermined two areas) are, for example, bedding and washroom facilities, and by referring to the position stored in the behavior information storage unit 231, the moving speed between the bedding and washroom facilities ( The average value of the walking speed is determined. Since the moving speed (walking speed) is specified as a speed between specific two points (between areas) where the relative frequency is relatively frequent, comparison between the past moving speed and the latest moving speed becomes more appropriate and more appropriate Can detect the presence or absence of abnormal behavior.
  • the notification processing unit 224 notifies the outside of the determination result determined by the abnormality determination unit 223. More specifically, in the present embodiment, for example, the notification processing unit 224 is a terminal device including a communication signal containing the name of the care recipient Ob to be determined and the determination result determined by the abnormality determination unit 223. Send to SP, TA by broadcast communication. Alternatively, the sensor device SU (sensor ID, care recipient Ob) and the terminal device SP or TA (terminal ID) of the notification destination are associated in advance, and the notification processing unit 224 determines the care target determined by the abnormality determination unit 223 The communication signal containing the determination result of the person Ob is transmitted to the terminal devices SP and TA of the notification destination associated with the sensor device SU disposed in the room RM of the care recipient Ob.
  • the terminal ID is an identifier for identifying a terminal apparatus SP or TA and identifying the terminal apparatus SP or TA.
  • the notification processing unit 224 notifies the advice stored in the advice information storage unit 233 when the abnormality determination unit 223 determines that the behavior is abnormal. More specifically, in the present embodiment, for example, the notification processing unit 224 further accommodates the advice in the communication signal containing the determination result determined by the abnormality determination unit 223. More specifically, the notification processing unit 224 extracts, from the advice information table AdT, advice corresponding to the age, sex and degree of need of nursing care of the care recipient Ob whose abnormality determination unit 223 determines the presence or absence of an abnormality in the behavior. The extracted advice is further contained in the communication signal containing the determination result determined by the abnormality determination unit 223.
  • the central management unit SV is further connected to the control processing unit 22 as necessary, as shown by a broken line in FIG. 2, and is input by the input unit 24 for inputting various commands, various data, etc.
  • Output unit that outputs various commands and data, and the action of the care recipient Ob, judgment results, advice, etc., and an interface unit (IF unit) that inputs / outputs data to / from external devices 26 may be provided.
  • the behavior information storage unit 231, the determination condition information storage unit 232, the advice information storage unit 233, and the caregiver information storage unit 234 are functionally configured in the storage unit 23. Some or all of the determination condition information storage unit 232, the advice information storage unit 233, and the caregiver information storage unit 234 may be configured by one or more database servers.
  • the behavior abnormality detection system MS for a nursing care facility further includes a behavior information database server that stores (records) and manages behavior information, and a caregiver information database server that stores (records) and manages caregiver information. May be configured.
  • Such a central management device SV can be configured, for example, by a computer with a communication function.
  • the fixed terminal apparatus SP has a communication function of communicating with other apparatuses SV and TA via the network NW, a display function of displaying predetermined information, and an input function of inputting predetermined instructions and data, etc. By entering predetermined instructions and data to be given to the device SV and the portable terminal device TA, and displaying the behavior, the determination result and the advice of the care recipient Ob received from the central management device SV, etc.
  • the device functions as a user interface (UI) of the abnormality detection system MS.
  • UI user interface
  • Such fixed terminal apparatus SP can be configured, for example, by a computer with a communication function.
  • the portable terminal device TA has a communication function of communicating with other devices SV and SP via the network NW, a display function of displaying predetermined information, an input function of inputting predetermined instructions and data, etc. It is an apparatus for inputting predetermined instructions and data given to the mobile terminal device TA, displaying the action of the care recipient Ob received from the central management device SV, the determination result, and the advice.
  • a portable terminal device TA can be configured by, for example, a portable communication terminal device such as a so-called tablet computer, a smartphone, or a mobile phone.
  • TA or the central management apparatus SV further includes the input unit 24, the past time, the latest time, the first determination period, the second determination period, or the like from the input unit 24.
  • a care facility behavior abnormality detection system MS and a central management device SV may be configured so that the determination period and the method of statistical processing can be designated (set).
  • FIG. 7 is a flowchart showing an operation related to behavior abnormality determination in the central management device.
  • each of the devices SU, SV, SP, and TA performs initialization of necessary parts when the power is turned on, and starts its operation.
  • the control processing unit 22 functionally includes a control unit 2211, an action processing unit 222, an abnormality determination unit 223, and a notification processing unit 224 by execution of the control processing program.
  • the sensor unit SU When the sensor unit SU starts its operation, the sensor unit SU generates an image (target image) of an imaging target at predetermined time intervals, and generates the generated target image, an image generation time as an example of action time, and a sensor ID of its own device.
  • the received communication signal is generated for the central management device SV, and the generated communication signal is transmitted to the central management device SV via the network NW.
  • the action processing unit 222 obtains an action of the care recipient Ob, and stores the obtained action of the care recipient Ob in the action information storage unit 231.
  • the action processing unit 222 first extracts the area (person area) of the person of the care recipient Ob from the target image contained in the communication signal, for example, by the background subtraction method, and this extracted person area The center position of is determined as the position of the care recipient Ob.
  • the action processing unit 222 selects (searches) the action information table AT corresponding to the sensor ID contained in the communication signal from the action information storage unit 231, and the communication is performed from the selected action information table AT. Based on the action time contained in the signal, the position of the care recipient Ob obtained last time and the previous action time are extracted.
  • the action processing unit 222 is accommodated in the position and the time of the previous action of the care recipient Ob obtained at the previous time, the position of the care subject Ob currently determined as described above, and the communication signal.
  • the movement speed of the care recipient Ob is obtained from the current action time.
  • the action processing unit 222 adds a new record to the selected action information table AT, and the communication signal is added to each of the action time field 2311, the position field 2312 and the action (moving speed) field 2313 in the added record.
  • the current action time stored in the current position, the current position and the moving speed obtained as described above are registered.
  • the action (moving speed) of the care recipient Ob is stored in the action information storage unit 231.
  • the central management device SV carries out an operation related to behavior abnormality determination in the care recipient Ob by executing the following respective processes.
  • the operation relating to the behavioral abnormality determination in the care recipient Ob is, for example, by receiving an execution start instruction from the terminal device SP or TA, or at predetermined time intervals, or containing the action of the care recipient Ob. It is implemented each time a communication signal is received.
  • the operation relating to the behavioral abnormality determination in the care recipient Ob is, for example, received for all the care recipient Ob, or by receiving designation of the care recipient Ob from the terminal devices SP and TA, or contained in the communication signal.
  • the care recipient Ob of the living room RM in which the sensor device SU having the above sensor ID is disposed is implemented.
  • the central management device SV acquires the first determination period, the second determination period, and the threshold value by the abnormality determination unit 223 of the control processing unit 22 (S11). More specifically, the abnormality determination unit 223 first records the name of the care recipient Ob to be determined in the name field 2341 from the caregiver information table RT stored in the caregiver information storage unit 234. Are selected (searched), and the sex, age, and degree of need of nursing care registered in each of the sex field 2343, the age field 2344 and the degree of needing care field 2347 in the selected record are extracted.
  • the abnormality judging unit 223 extracts the sex, the age and the degree of need of nursing care for each of the sex field 2321, the age field 2322 and the degree of needing care A record to be registered in each of the fields 2323 is selected (searched), and the threshold registered in each of the threshold field 2324, the first determination period field 2325 and the second determination period field 2326 in the selected record, the first determination period and the second 2 Extract the judgment period.
  • the central management device SV statistically processes past action data by the abnormality determination unit 223 (S12). More specifically, the abnormality determination unit 223 first selects (searches) an action information table AT corresponding to the name of the care recipient Ob to be determined from the action information storage unit 231. Next, the abnormality determination unit 223 extracts, from the selected action information table AT, the moving speed within the first determination period acquired in the process S11 from the past time point. Then, the abnormality determination unit 223 obtains the first average value by averaging the extracted moving speeds.
  • the central management device SV statistically processes the latest action data by the abnormality determination unit 223 (S13). More specifically, the abnormality determination unit 223 first extracts, from the past time point, the moving speed in the second determination period acquired in the process S11 from the action information table AT selected in the process S12. Then, the abnormality determination unit 223 obtains the second average value by averaging the extracted moving speeds.
  • the central management device SV obtains a difference value between the first and second average values by the abnormality determination unit 223 (S14). More specifically, the abnormality determination unit 223 obtains the difference value by subtracting the second average value from the first average value.
  • the central management device SV determines, by the abnormality determination unit 223, whether or not there is an abnormality in the behavior of the care recipient Ob to be determined (S15). More specifically, the abnormality determination unit 223 compares the difference value obtained in the process S14 with the threshold value acquired in the process S11 to determine whether there is an abnormality in the behavior of the care recipient Ob who should be determined. judge. If, as a result of this determination, the difference value obtained in the process S14 exceeds the threshold obtained in the process S11, the movement speed is reduced beyond the threshold, so it is determined that there is an abnormality in the behavior. (Yes), the abnormality determination unit 223 sequentially executes each process of the process S16 and the process S17, and ends the present process.
  • the abnormality determination unit 223 ends the present process.
  • the central management device SV acquires advice by the notification processing unit 224. More specifically, from the advice information table AdT stored in the advice information storage unit 233, the notification processing unit 224 selects the gender, the age, and the degree of long-term care required extracted in the process S11 as the gender field 2331, the age field A record to be registered in each of the field 2332 and the degree-of-care requiring field 2333 is selected (searched), and the advice registered in the advice field 2334 in the selected record is extracted.
  • the notification processing unit 224 selects the gender, the age, and the degree of long-term care required extracted in the process S11 as the gender field 2331, the age field A record to be registered in each of the field 2332 and the degree-of-care requiring field 2333 is selected (searched), and the advice registered in the advice field 2334 in the selected record is extracted.
  • the central processing unit SV causes the notification processing unit 224 to notify (notify) the determination result to the outside. More specifically, the notification processing unit 224 determines the name of the care recipient Ob to be determined, the determination result determined in the process S15 (the presence of an abnormality in the behavior), and the advice extracted in the process S16.
  • the communication signal to be accommodated is addressed to the terminal apparatus SP or TA notified to the terminal apparatus SP or TA by broadcast communication, or to the sensor apparatus SU disposed in the room RM of the care recipient Ob. To send.
  • the terminal devices SP and TA When the terminal devices SP and TA receive this communication signal, they display the name of the care recipient Ob, the determination result (action abnormality present), and the advice, whereby the determination result is notified, and the determination result is Recognized by the user.
  • the abnormal behavior is notified to the terminal apparatus SP, TA.
  • the abnormal behavior may also be notified to the terminal apparatus SP, TA.
  • the process S17 is performed.
  • the communication signal contains the name of the care recipient Ob to be determined and the determination result (no abnormality in the behavior) determined in the process S15.
  • the behavioral abnormality detection system MS for a nursing care facility the behavioral abnormality detection device for a nursing care facility included in the central management device SV, and the behavioral abnormality detection method for a nursing care facility implemented in this embodiment are: An abnormality in the action of the care recipient Ob based on a plurality of time-sequential actions (moving speed (walking speed in the present embodiment)) acquired in the past and a plurality of time-sequential actions acquired most recently Determine the presence or absence.
  • the behavioral abnormality detection system MS for a nursing care facility the behavioral abnormality detection device for a nursing care facility (central management device SV) and the behavioral abnormality detection method for a nursing care facility are not detected by the sudden behavior on the day, From the behavior, it is possible to detect minute daily behavioral changes, and it is possible to detect behavioral abnormalities suspected to develop dementia earlier. Therefore, it is possible to take measures in the early stage of dementia.
  • the behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV), and the behavioral abnormality detection method for a nursing care facility include the determination condition information storage unit 232, so the first and second determination periods Each can be set appropriately.
  • the behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV), and the behavioral abnormality detection method for a nursing care facility statistically process the plurality of behaviors in time series. It is possible to remove unique data (noise data that is not correct as data) included in a plurality of actions, and determine the presence or absence of an abnormality in the action of the care recipient Ob with statistical feature quantities represented from the plurality of actions in time series. it can. Therefore, the behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV) and the behavioral abnormality detection method for a nursing care facility more appropriately determine the presence or absence of an abnormality in the behavior of the care recipient Ob. it can.
  • the behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV), and the behavioral abnormality detection method for a nursing care facility comprise an advice information storage unit 233. If it is determined that there is, for example, advice can be provided to the user such as a caregiver.
  • the action of the care recipient Ob is the moving speed (walking speed), but is not limited to this, and may be another action related to the detection of the onset of dementia.
  • the action of the care recipient Ob may be turning over, a normal action, a night shift, or the like.
  • the number of times of turning over is found instead of the moving speed (walking speed).
  • the number of times of turning is determined, for example, by execution of each of the following processes.
  • a location area of bedding, a right-side lying posture pattern representing a right-side lying posture, and a left-side lying posture pattern representing a left-side lying posture are prepared in advance.
  • the orientation of the lying posture (direction of the person area) in the care recipient Ob is determined by pattern matching using the lying posture pattern and the left lying posture pattern, and from the start time to the end time of bedtime
  • the number of turns is incremented by one.
  • the start time of bedtime is, for example, the time of admission when the care recipient Ob (person area) is in the lying position in the area where the bedding is located, and the time when bedtime is ended, the care target person is in the area where the bedding is located.
  • the lying posture of the care recipient Ob in the area where the bedding is located, the sitting posture of the care recipient Ob in the area where the bedding is located, and the standing posture of the care subject Ob outside the region where the bedding is located are respectively images. It is judged by the size of the head of the care recipient Ob.
  • the size of the head decreases in the order of the standing posture, the sitting posture, and the lying posture, so preparing each determination threshold in advance makes each of these postures It can be determined. Then, a first average value is obtained from the number of times of turning over in the first determination period from the past time point, and a second average value is obtained from the number of times of turning over in the second determination period from the most recent time point A difference value is determined by subtracting the second average value from the value, and the determined difference value is compared with the threshold value.
  • the determination result is notified (notified) together with the predetermined advice.
  • the above-mentioned predetermined advice is, for example, "You can see a decrease in turning over. Since the range of motion of the hip joint may be reduced, please start joint range of motion training.”
  • the ordinary behavior is, for example, to repeat nonsensical similar behavior such as repeating the behavior of folding clothes and performing in front of the closet.
  • the action of the care recipient Ob is such a normal action
  • the length of time for staying in a specific area (place) such as a predetermined area in front of the chest instead of the moving speed (walking speed) (The length of time for which you have continued your normal behavior) is required.
  • the specific area for example, the area before the closet
  • the specific area is stored in advance, and the length of time from the time when the care recipient Ob (person area) enters the specific area to the time when it comes out from the image Is required.
  • the care subject Ob person area
  • the length of time during which the care subject Ob is in the sitting posture (the clothes are folded) It may be required to have a length of time) which is estimated to repeat repetitive behavior. Then, a first average value is obtained from the time length in the first determination period from the past time point, and a second average value is obtained from the time length in the second determination period from the most recent time point. A difference value is determined by subtracting the second average value from the value, and the determined difference value is compared with the threshold value.
  • the difference value does not exceed the threshold, it is determined that there is no abnormality in the action, while if the difference value exceeds the threshold, it is determined that there is an abnormality in the action.
  • the determination result is notified (notified) together with the predetermined advice.
  • the predetermined advice is, for example, "normal behavior is observed. A diagnosis consultation for dementia is recommended" or the like.
  • the number of night depressions or the time length of night depression is obtained. More specifically, the location area of the bedding is stored in advance, and in the night time zone (for example, the time zone from 22 o'clock to the next 4 o'clock etc.), from the image, the area is outside the bedding area of the bedding. The number of times the care recipient Ob (person's area) is present for at least a predetermined time set in advance outside the area where the bedding is located is counted as the number of night wrinkles.
  • the number of times the care recipient Ob (person area) is absent for a predetermined time or more out of the room RM is counted as the number of night wrinkles from the image.
  • the location area of the bedding is stored in advance, and in the night time zone (for example, the time zone from 22:00 to the next 4 o'clock etc.), the image is out of the location area of the bedding and out of the location area of the bedding.
  • the time length in the case where the care recipient Ob (person area) is beyond the area where the bedding is located is longer than the predetermined time set in advance is determined as the time length of the night time.
  • a time length of absence of the care target person Ob (person area) for a predetermined time or more, which is outside the living room RM, is obtained from the image as the nighttime habit time length.
  • a first average value is obtained from the number of night brows or the time length of the night brow in the first determination period from the past time point, and the number of night brows or night brow in the second determination period from the most recent time point.
  • the second average value is determined from the time length of the second average value, the difference value is determined by subtracting the second average value from the first average value, and the determined difference value is compared with the threshold value.
  • the determination result is notified (notified) together with the predetermined advice.
  • the predetermined advice is, for example, "You can see a night-time acne. We recommend that you have a diagnosis for dementia.”
  • the behavioral abnormality detection device for a nursing care facility includes an acquisition unit that acquires an activity of a care recipient, and an activity information storage unit that associates the activity of the care recipient acquired by the acquisition unit with an acquisition time and stores the activity. And a plurality of time-series actions of the care recipient acquired by the acquisition unit in the past and stored in the behavior information storage unit, and the action acquired by the acquisition unit and stored in the behavior information storage unit most recently.
  • An abnormality determination unit that determines the presence or absence of an abnormality in the behavior of the care recipient based on a plurality of time-series actions of the care recipient, and a notification processing unit that notifies the determination result determined by the abnormality determination unit to the outside
  • the acquisition unit includes an interface unit that acquires an activity of the care recipient from an external device such as a sensor device.
  • the acquisition unit is a communication interface unit that receives, from an external device, a communication signal containing information (data) representing the behavior of the care recipient.
  • the acquisition unit includes a sensor that acquires an activity of the care recipient.
  • the acquisition unit is any one of a camera as a sensor for acquiring an activity of the care recipient, a distance image generation apparatus, and a thermographic apparatus.
  • the behavior of the person to be treated is movement (walking) between a predetermined two points (a predetermined two areas).
  • Such a behavior abnormality detection apparatus for a nursing care facility is based on a plurality of time-series multiple actions acquired in the past and a plurality of time-series multiple actions acquired most recently. Determine Therefore, the behavioral abnormality detection device for a nursing care facility can detect minute daily behavioral changes from daily behavior, and can detect behavioral abnormalities in which onset of dementia is suspected.
  • the above-described behavioral abnormality detection apparatus for a nursing care facility further includes a determination period information storage unit that stores predetermined first and second determination periods, and the abnormality determination unit is configured to determine whether the first or the second determination period is stored. Acquired by the acquisition unit within the second determination period from the most recent time point and a plurality of time-series actions of the care recipient acquired by the acquisition unit and stored in the behavior information storage unit within one determination period; The presence or absence of abnormality in the action of the care recipient is determined based on the plurality of time-series actions of the care subject stored in the action information storage unit.
  • each of the first and second determination periods can be appropriately set. For example, by setting the second determination period to a period different from the first determination period, it is possible to more clearly determine continuously changing behavior. In particular, it is preferable that the first determination period is longer than the second determination period, from the viewpoint that behavior change in dementia is likely to change rapidly as the disease becomes severer.
  • the abnormality determination unit may calculate a first value obtained by statistically processing the plurality of time-series actions in the past, and the latest value.
  • the presence or absence of abnormality in the care target person's behavior is determined by comparing the difference value with the second value obtained by performing the statistical processing on the plurality of time series actions in the above and a predetermined threshold.
  • the behavior of the person to be treated is movement (walking) between a predetermined two points (a predetermined two areas), and the first and second values are Each is an average value of the moving speed (walking speed) between the predetermined two points (between the predetermined two areas).
  • Such a behavior abnormality detection apparatus for a nursing care facility statistically processes the plurality of time-series actions, it is possible to remove unique data (noise data as incorrect data) included in the plurality of time-series actions, For example, it is possible to determine the presence or absence of an abnormality in the care target person's behavior from statistical feature quantities expressed from the plurality of time-series actions such as average value and standard deviation. Therefore, the behavioral abnormality detection apparatus for a nursing care facility can more appropriately determine the presence or absence of an abnormality in the behavior of the care recipient.
  • the above-described behavior abnormality detection apparatus for a nursing care facility further includes an advice information storage unit that stores an advice presented when there is an abnormality in the behavior, the notification processing unit including the abnormality determination unit If it is determined that there is an abnormality in the action, the advice stored in the advice information storage unit is notified.
  • Such a care facility behavior abnormality detection device further includes an advice information storage unit, when the abnormality determination unit determines that there is an abnormality in the behavior, for example, it is possible to provide advice to a user such as a carer.
  • the behavior abnormality detection method for a care facility includes an acquisition step of acquiring an action of a care recipient, and an action information storage unit by associating the action of the care recipient acquired in the acquisition step with an acquisition time. And a plurality of time-series actions of the care target person obtained in the acquisition step in the past and stored in the action information storage unit, and the action information acquired most recently in the acquisition step An abnormality determining step of determining presence or absence of an abnormality in the action of the care recipient based on a plurality of time-series actions of the care subject stored in the storage unit; and a determination result determined in the abnormality determination step And a notification processing step of notifying the outside.
  • Such a behavioral abnormality detection method for a nursing care facility is based on a plurality of time-series multiple actions acquired in the past and a plurality of time-series multiple actions acquired most recently, whether or not there is an abnormality in the care target person's behavior Determine Therefore, the above-described behavioral abnormality detection method for a nursing care facility can detect minute daily behavioral changes from daily behavior, and can detect behavioral abnormalities in which onset of dementia is suspected.
  • a behavioral abnormality detection system for a care facility comprises a sensor device for acquiring a behavior of a care recipient, and communicably connected to the sensor device to manage the behavior of the care recipient, the care recipient
  • a central management apparatus that determines presence or absence of an abnormality in the action of the care recipient based on the behavior of the care recipient, and a terminal apparatus communicably connected to the central management apparatus and outputting a determination result determined by the central management apparatus; It is an action abnormality detection system for nursing homes provided, and the said central-management apparatus contains the behavior abnormality apparatus for any of these above-mentioned care institutions.
  • Such a behavioral abnormality detection system for a nursing care facility includes any of the above-described behavioral abnormality devices for a nursing care facility, so that it is possible to detect from the daily behavior the behavioral abnormality in which the onset of dementia is suspected.
  • the sensor device includes a sensor that acquires the activity of the care recipient without contact with the care recipient.
  • a behavioral abnormality detection device for a nursing care facility a behavioral abnormality detection method for a nursing care facility, and a behavioral abnormality detection system for a nursing care facility, which detect a behavioral abnormality in a care recipient.

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Abstract

An abnormal behavior detection device, an abnormal behavior detection method, and an abnormal behavior detection system for a nursing facility according to the present invention: acquire the behavior of a patient to be nursed; store the behavior in association with the acquisition time thereof in a storage unit; determine the presence or absence of an abnormality in the behavior of the patient to be nursed on the basis of a plurality of time-sequential behaviors, made in the past, of the patient to be nursed stored in the storage unit and a plurality of time-sequential behaviors, made most recently, of the patient to be nursed stored in the storage unit; and provide notification of the determination result to the outside.

Description

介護施設用行動異常検知装置、該方法および該システムBehavioral anomaly detection apparatus for nursing home, method and system
 本発明は、介護対象者における行動の異常を検知する介護施設用行動異常検知装置、介護施設用行動異常検知方法および介護施設用行動異常検知システムに関する。 The present invention relates to a behavioral abnormality detection device for a nursing care facility, a behavioral abnormality detection method for a nursing care facility, and a behavioral abnormality detection system for a nursing care facility, which detect behavioral abnormalities in a person to be cared for.
 近年、超高齢社会の突入に伴って、看護業界や介護業界等の業務を補完する技術が、研究、開発されており、例えば、特許文献1に開示されている。 In recent years, with the rush of the super-aging society, techniques for complementing operations such as the nursing industry and the care industry have been researched and developed, and disclosed, for example, in Patent Document 1.
 この特許文献1に開示された介護支援システムは、介護対象者の生活パターンを検出する生活パターン検出手段、及び/又は前記介護対象者の自立活動度を測定する自立活動度測定手段と、前記生活パターン検出手段により検出された生活パターンを記憶する生活パターン記憶手段、及び/又は前記自立活動度測定手段により測定された自立活動度を記憶する自立活動度記憶手段と、前記介護対象者の介護状態を示す介護状態情報を入力する介護状態情報入力手段と、前記介護状態情報入力手段により入力された介護状態情報を記憶する介護状態情報記憶手段と、前記介護対象者の身体に関する身体情報を入力する身体情報入力手段と、前記身体情報入力手段により入力された身体情報を記憶する身体情報記憶手段と、前記生活パターン及び/又は前記自立活動度と、前記介護状態情報及び前記身体情報とを用いて前記介護対象者の回復度合いを評価する評価手段と、前記評価手段による評価結果を出力する出力手段とを備える。 The care support system disclosed in the patent document 1 comprises a life pattern detection means for detecting a life pattern of a care recipient, and / or an independent activity measurement means for measuring the independence activity degree of the care recipient, and the life Living pattern storage means for storing the living pattern detected by the pattern detection means and / or independent activity degree storage means for storing the independent activity degree measured by the above-mentioned independent activity degree measuring means; A care state information input means for inputting care state information indicating a care state; a care state information storage means for storing the care state information input by the care state information input means; and physical information on the body of the care recipient Physical information input means, Physical information storage means for storing physical information input by the physical information input means, The life pattern Comprising a / or the independence activity, and evaluating means for evaluating the degree of recovery the care subject using said care state information and the body information, and output means for outputting the evaluation result by the evaluation means.
 ところで、介護における発見すべき異常は、転落や転倒や呼吸停止等の早急に対処すべき事象であることが一般的である。その一方で、放置することによって進行してしまうため、認知症の発症も早めに発見することが望まれる。しかしながら、認知症の早期では、日々の行動変化が微小であると考えられ、これまでに効果的な手法は提案されていない。前記特許文献1に開示された介護支援システムは、生活パターンおよび自立活動度のうちの少なくとも一方と、介護状態情報および身体情報とを用いて介護対象者の回復度合いを評価するシステムであり、認知症を評価するシステムではない。 By the way, it is general that an abnormality to be detected in care is an event to be dealt with immediately, such as fall, fall or respiratory arrest. On the other hand, it is desirable to detect the onset of dementia early as it progresses by leaving it to stand. However, in early stages of dementia, daily behavioral changes are considered to be minimal, and no effective method has been proposed so far. The care support system disclosed in the patent document 1 is a system for evaluating the degree of recovery of a care recipient using at least one of the living pattern and the degree of independence activity, the care state information and the physical information, It is not a system to evaluate
特開2006-92257号公報JP, 2006-92257, A
 本発明は、上述の事情に鑑みて為された発明であり、その目的は、日々の行動から、認知症の発症が疑われる行動の異常を検知できる介護施設用行動異常検知装置、介護施設用行動異常検知方法および介護施設用行動異常検知システムを提供することである。 The present invention is an invention made in view of the above-mentioned circumstances, and an object thereof is a behavior abnormality detecting apparatus for a nursing home, which can detect an abnormality of behavior suspected of having onset of dementia from daily behavior A behavioral abnormality detection method and a behavioral abnormality detection system for a nursing home are provided.
 上述した目的を実現するために、本発明の一側面を反映した介護施設用行動異常検知装置、介護施設用行動異常検知方法および介護施設用行動異常検知システムは、介護対象者の行動を取得して取得時刻と対応付けて行動情報記憶部に記憶し、過去に取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動と、直近に取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動とに基づいて前記介護対象者の行動における異常の有無を判定し、その判定結果を外部に通知する。 In order to realize the above-described object, a behavioral abnormality detection device for a care facility, a behavioral abnormality detection method for a care facility, and a behavioral abnormality detection system for a care facility, which reflect one aspect of the present invention Stored in the action information storage unit in association with the time of acquisition and stored in the action information storage unit in the past and stored in the action information storage unit, and the plurality of time-series actions of the care target and the action information storage unit The presence or absence of an abnormality in the action of the subject of care is determined based on the plurality of time-series actions of the subject of care stored in the step c, and the determination result is notified to the outside.
 発明の1または複数の実施形態により与えられる利点および特徴は、以下に与えられる詳細な説明および添付図面から十分に理解される。これら詳細な説明及び添付図面は、例としてのみ与えられるものであり本発明の限定の定義として意図されるものではない。 The advantages and features provided by one or more embodiments of the invention will be better understood from the detailed description given below and the accompanying drawings. These detailed descriptions and the accompanying drawings are given by way of example only and are not intended as a definition of the limits of the present invention.
実施形態における介護施設用行動異常検知システムの構成を示す図である。It is a figure which shows the structure of the behavioral abnormality detection system for nursing homes in embodiment. 前記介護施設用行動異常検知システムに用いられる中央管理装置(介護施設用行動異常検知装置の一例)の構成を示すブロック図である。It is a block diagram which shows the structure of the central-management apparatus (an example of an action abnormality detection apparatus for nursing homes) used for the said behavior abnormality detection system for nursing homes. 前記中央管理装置に記憶される行動情報テーブルの構成を示す図である。It is a figure which shows the structure of the action information table memorize | stored in the said central management apparatus. 前記中央管理装置に記憶される判定条件情報テーブルの構成を示す図である。It is a figure which shows the structure of the determination condition information table memorize | stored in the said central management apparatus. 前記中央管理装置に記憶されるアドバイス情報テーブルの構成を示す図である。It is a figure which shows the structure of the advice information table memorize | stored in the said central management apparatus. 前記中央管理装置に記憶される介護者情報テーブルの構成を示す図である。It is a figure which shows the structure of the caregiver information table memorize | stored in the said central management apparatus. 前記中央管理装置における、行動異常判定に関する動作を示すフローチャートである。It is a flowchart which shows the operation | movement regarding behavioral abnormality determination in the said central management apparatus.
 以下、図面を参照して、本発明の1または複数の実施形態が説明される。しかしながら、発明の範囲は、開示された実施形態に限定されない。なお、各図において同一の符号を付した構成は、同一の構成であることを示し、適宜、その説明を省略する。本明細書において、総称する場合には添え字を省略した参照符号で示し、個別の構成を指す場合には添え字を付した参照符号で示す。 Hereinafter, one or more embodiments of the present invention will be described with reference to the drawings. However, the scope of the invention is not limited to the disclosed embodiments. In addition, the structure which attached | subjected the same code | symbol in each figure shows that it is the same structure, and abbreviate | omits the description suitably. In the present specification, suffixes are generally indicated by reference numerals without suffixes, and individual configurations are indicated by subscripts.
 実施形態における介護施設用行動異常検知システムは、検知対象である介護対象者Obにおける行動の異常を検知するシステムであり、介護対象者Obに対応して設けられ、介護対象者Obの行動を取得するセンサ装置と、前記センサ装置と通信可能に接続され前記介護対象者Obの行動を管理し、前記介護対象者Obの行動に基づいて前記介護対象者の行動における異常の有無を判定する中央管理装置と、前記中央管理装置と通信可能に接続され前記中央管理装置で判定された判定結果を出力する端末装置とを備える。前記中央管理装置は、実施形態の介護施設用行動異常検知装置を含み、介護対象者の行動を取得する取得部と、前記取得部で取得した前記介護対象者の行動を取得時刻と対応付けて記憶する行動情報記憶部と、過去に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動と、直近に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動とに基づいて前記介護対象者の行動における異常の有無を判定する異常判定部と、前記異常判定部で判定された判定結果を外部に通知する通知処理部とを備える。前記介護施設用行動異常検知装置は、介護対象者Obの行動を取得するセンサ自体、あるいは、介護対象者Obの行動を表す情報(データ)を取得するセンサおよび前記センサで取得した前記情報に基づいて介護対象者Obの行動を求める行動処理部を、自機自体に備えても良いが、本実施形態では、前記介護施設用行動異常検知装置は、外部機器の一例としての前記センサ装置から、介護対象者Obの行動を取得するインターフェース部、より詳しくは、介護対象者Obの行動を表す情報(データ)を収容する通信信号を通信インターフェース部で受信することによって取得する。前記中央管理装置は、出力部を自機自体にさらに備え、前記通知処理部は、前記異常判定部で判定された判定結果を前記出力部から外部に通知(報知)しても良いが、本実施形態では、前記通知処理部は、前記異常判定部で判定された判定結果を前記端末装置へ送信し、前記端末装置から外部に通知(報知)する。この端末装置は、1種類の装置であって良いが、本実施形態態では、前記端末装置は、固定端末装置と携帯端末装置との2種類の装置である。これら固定端末装置と携帯端末装置との主な相違は、固定端末装置が固定的に運用される一方、携帯端末装置が例えば介護士等に携行されて運用される点である。以下、このような介護施設用行動異常検知システムについて、より具体的に説明する。 The behavioral abnormality detection system for a nursing care facility in the embodiment is a system for detecting a behavioral abnormality in the care recipient Ob who is a detection target, is provided corresponding to the care recipient Ob, and acquires the care recipient Ob's behavior. Central control that is connected communicably with the sensor device to manage the behavior of the care recipient Ob and determines the presence or absence of abnormality in the care recipient's behavior based on the care recipient Ob's behavior And a terminal device communicably connected to the central management device and outputting a determination result determined by the central management device. The central management apparatus includes an action abnormality detection device for a care facility according to an embodiment, and an acquisition unit for acquiring an action of a care recipient and an action of the care recipient acquired by the acquisition unit are associated with an acquisition time. The behavior information storage unit to be stored, a plurality of time-series actions of the care target person acquired in the past by the acquisition unit and stored in the behavior information storage unit, and the behavior information storage acquired most recently by the acquisition unit An abnormality determination unit that determines the presence or absence of an abnormality in the action of the care recipient based on a plurality of time-series actions of the care subject stored in the unit; and the determination result determined by the abnormality determination unit And a notification processing unit that notifies to. The behavioral abnormality detection device for a nursing care facility is based on a sensor that acquires the behavior of the care recipient Ob, or a sensor that acquires information (data) representing the behavior of the care recipient Ob and the information acquired by the sensor Although the action processing unit for obtaining the action of the care recipient Ob may be provided in the own machine itself, in the present embodiment, the action abnormality detection apparatus for a care facility is from the sensor device as an example of the external device. The interface unit for acquiring the action of the care recipient Ob, more specifically, the communication interface unit acquires the communication signal containing information (data) representing the action of the care recipient Ob. The central management apparatus may further include an output unit on its own device, and the notification processing unit may notify (notify) the determination result determined by the abnormality determination unit from the output unit. In the embodiment, the notification processing unit transmits the determination result determined by the abnormality determination unit to the terminal device, and notifies (notifies) the terminal device from the outside. The terminal device may be one type of device, but in the present embodiment, the terminal device is two types of devices: a fixed terminal device and a portable terminal device. The main difference between the fixed terminal device and the portable terminal device is that while the fixed terminal device is operated in a fixed manner, the portable terminal device is operated by being carried by, for example, a caregiver. Hereinafter, such a behavioral abnormality detection system for a care facility will be described more specifically.
 図1は、実施形態における介護施設用行動異常検知システムの構成を示す図である。図2は、前記介護施設用行動異常検知システムに用いられる中央管理装置(介護施設用行動異常検知装置の一例)の構成を示すブロック図である。図3は、前記中央管理装置に記憶される行動情報テーブルの構成を示す図である。図4は、前記中央管理装置に記憶される判定条件情報テーブルの構成を示す図である。図5は、前記中央管理装置に記憶されるアドバイス情報テーブルの構成を示す図である。図6は、前記中央管理装置に記憶される介護者情報テーブルの構成を示す図である。 FIG. 1 is a view showing the configuration of a behavioral abnormality detection system for a nursing home according to the embodiment. FIG. 2 is a block diagram showing a configuration of a central management apparatus (an example of a care facility behavior abnormality detection device) used for the care facility behavior abnormality detection system. FIG. 3 is a diagram showing the configuration of an action information table stored in the central management device. FIG. 4 is a diagram showing the configuration of a determination condition information table stored in the central management device. FIG. 5 is a diagram showing the configuration of an advice information table stored in the central management device. FIG. 6 is a diagram showing the configuration of a carer information table stored in the central management device.
 実施形態における介護施設用行動異常検知システムMSは、例えば、図1に示すように、1または複数のセンサ装置SU(SU-1~SU-4)と、中央管理装置SVと、固定端末装置SPと、1または複数の携帯端末装置TA(TA-1、TA-2)と、構内交換機(PBX、Private branch exchange)CXとを備え、これらは、有線や無線で、LAN(Local Area Network)等の網(ネットワーク、通信回線)NWを介して通信可能に接続される。ネットワークNWは、通信信号を中継する例えばリピーター、ブリッジおよびルーター等の中継機が備えられても良い。図1に示す例では、これら複数のセンサ装置SU-1~SU-4、中央管理装置SV、固定端末装置SP、複数の携帯端末装置TA-1、TA-2および構内交換機CXは、L2スイッチの集線装置(ハブ、HUB)LSおよびアクセスポイントAPを含む有線および無線の混在したLAN(例えばIEEE802.11規格に従ったLAN等)NWによって互いに通信可能に接続されている。より詳しくは、複数のセンサ装置SU-1~SU-4、中央管理装置SV、固定端末装置SPおよび構内交換機CXは、集線装置LSに接続され、複数の携帯端末装置TA-1、TA-2は、アクセスポイントAPを介して集線装置LSに接続されている。そして、ネットワークNWは、TCP(Transmission control protocol)およびIP(Internet protocol)等のインターネットプロトコル群が用いられることによっていわゆるイントラネットを構成する。介護施設用行動異常検知システムMSは、複数の介護対象者Obが入居する複数の居室RMや、ナースステーション等の複数の居室を備える介護施設の建物に配設されている。 For example, as shown in FIG. 1, the behavioral abnormality detection system MS for a care facility in the embodiment includes one or more sensor devices SU (SU-1 to SU-4), a central management device SV, and a fixed terminal device SP. , One or more portable terminal devices TA (TA-1 and TA-2), and a private branch exchange (PBX) CX, which may be wired or wireless, LAN (Local Area Network), etc. Are communicably connected via a network (network, communication line) NW. The network NW may be provided with relays such as repeaters, bridges and routers for relaying communication signals. In the example shown in FIG. 1, the plurality of sensor devices SU-1 to SU-4, the central management device SV, the fixed terminal device SP, the plurality of portable terminal devices TA-1 and TA-2, and the private branch exchange CX are L2 switches. Are connected communicably to each other by a wired / wireless mixed LAN (for example, a LAN according to the IEEE 802.11 standard) NW including the line concentrators (hub, HUB) LS and the access point AP. More specifically, the plurality of sensor devices SU-1 to SU-4, the central management device SV, the fixed terminal device SP, and the private branch exchange CX are connected to the concentrator LS, and the plurality of mobile terminal devices TA-1 and TA-2 Are connected to the concentrator LS via the access point AP. Then, the network NW constructs a so-called intranet by using an internet protocol group such as a transmission control protocol (TCP) and an internet protocol (IP). The behavioral abnormality detection system MS for a care facility is disposed in a building of a care facility provided with a plurality of living rooms RM in which a plurality of care recipients Ob reside, and a plurality of living rooms such as a nurse station.
 センサ装置SUは、ネットワークNWを介して中央管理装置SVと通信する通信インターフェース、介護対象者Obの行動を取得するセンサ、および、これらを制御するマイクロコンピュータ等を備え、前記センサで介護対象者Obの行動を取得し、この取得した介護対象者Obの行動を前記通信インターフェースでネットワークNWを介して中央管理装置SVへ送信する。 The sensor device SU includes a communication interface for communicating with the central management device SV via the network NW, a sensor for acquiring the behavior of the care recipient Ob, and a microcomputer for controlling these, etc. The action of the care recipient Ob is transmitted to the central management device SV via the network NW by the communication interface.
 前記センサは、好ましくは、介護対象者Obに非接触で前記介護対象者Obの行動を取得する装置であり、例えば、本実施形態では、画像(画像データ)を生成するカメラである。非接触で介護対象者Obの行動が取得されるので、前記介護対象者Obが拘束されることなく、前記介護対象者Obの行動が取得できる。前記画像は、静止画(静止画データ)であって良く、あるいは、動画(動画データ)であって良く、あるいは、静止画(静止画データ)および動画(動画データ)であって良い。前記カメラは、行動異常を検知すべき介護対象者Obが所在を予定している空間(所在空間、図1に示す例では配設場所の居室(部屋)RM)を監視可能に配置され、前記所在空間を撮像対象としてその上方から撮像し、前記撮像対象を俯瞰した画像(画像データ)を生成する。好ましくは、介護対象者Ob全体を撮像できる蓋然性が高いことから、前記カメラは、介護対象者Obが横臥する寝具(例えばベッド等)における、介護対象者Obの頭部が位置すると予定されている予め設定された頭部予定位置(通常、枕の配設位置)の直上から、あるいは、前記居室RMにおける天井面の中央位置から、撮像対象を撮像できるように配設される。センサ装置SUは、この前記カメラによって、介護対象者Obを、介護対象者Obの上方から撮像した画像、好ましくは前記頭部予定位置の直上や前記天井面の中央位置から撮像した画像を取得する。 The sensor is preferably a device that acquires the action of the care recipient Ob in a non-contact manner with the care recipient Ob. For example, in the present embodiment, the sensor is a camera that generates an image (image data). Since the action of the care recipient Ob is acquired without contact, the action of the care recipient Ob can be acquired without the restraint of the care subject Ob. The image may be a still image (still image data), may be a moving image (moving image data), or may be a still image (still image data) and a moving image (moving image data). The camera is arranged to be able to monitor the space where the care recipient Ob who is to detect behavioral abnormality is planning to be located (location space; room RM in the arrangement location in the example shown in FIG. 1); The location space is imaged as an imaging target from the upper side, and an image (image data) in which the imaging target is viewed is generated. Preferably, the camera is scheduled to locate the head of the care recipient Ob in the bedding (eg, bed, etc.) on which the care recipient Ob lays, since it is highly probable that the whole care recipient Ob can be imaged. It is disposed so as to be able to pick up an image pickup target from directly above a predetermined head planned position (usually, a position where a pillow is provided) or from the center position of the ceiling surface in the living room RM. The sensor device SU acquires an image obtained by imaging the care recipient Ob from above the care recipient Ob, preferably an image taken from directly above the planned head position or at the center position of the ceiling surface, using the camera. .
 このような前記カメラは、可視光の画像を生成する装置であって良いが、比較的暗がりでも介護対象者Obを監視できるように、本実施形態では、赤外線の画像を生成する装置である。このような前記カメラは、例えば、本実施形態では、撮像対象における赤外の光学像を所定の結像面上に結像する結像光学系、前記結像面に受光面を一致させて配置され、前記撮像対象における赤外の光学像を電気的な信号に変換するエリアイメージセンサ、および、エリアイメージセンサの出力を画像処理することで前記撮像対象における赤外の画像を表すデータである画像データを生成する画像処理部等を備えるデジタル赤外線カメラである。前記結像光学系は、本実施形態では、その配設された居室RM全体を撮像できる画角を持つ広角な光学系(いわゆる広角レンズ(魚眼レンズを含む))であることが好ましい。 Such a camera may be a device that generates an image of visible light, but in the present embodiment, it is a device that generates an infrared image so that the care recipient Ob can be monitored even in the dark. Such a camera, for example, in the present embodiment, is an imaging optical system for forming an infrared optical image of an imaging object on a predetermined imaging surface, and is disposed with the light receiving surface aligned with the imaging surface. And an area image sensor that converts an infrared optical image of the imaging target into an electrical signal, and an image that is data representing an infrared image of the imaging target by performing image processing on an output of the area image sensor. A digital infrared camera including an image processing unit that generates data. In the present embodiment, the imaging optical system is preferably a wide-angle optical system (a so-called wide-angle lens (including a fisheye lens)) having an angle of view capable of imaging the entire living room RM provided.
 なお、前記センサは、前記カメラに限定されるものではなく、介護対象者Obの行動をセンシングして取得する装置であれば良く、例えば、距離画像を生成する距離画像生成装置(距離画像センサ)、あるいは、サーモグラフィー(熱分布(温度分布)画像)をサーモグラフィー装置であって良い。これら距離画像生成装置(距離画像センサ)およびサーモグラフィー装置も非接触で介護対象者Obの行動を取得でき、好ましい。 The sensor is not limited to the camera, and may be a device that senses and acquires the action of the care recipient Ob. For example, a distance image generation device (distance image sensor) that generates a distance image Alternatively, the thermography (heat distribution (temperature distribution) image) may be a thermography device. These distance image generation devices (distance image sensors) and thermographic devices are also preferable because they can acquire the behavior of the care recipient Ob in a non-contact manner, and are thus preferable.
 センサ装置SUは、前記センサで取得した介護対象者Obの行動を収容する通信信号を中央管理装置SV宛に前記通信インターフェースで送信する。より具体的には、センサ装置SUは、所定の時間間隔で、前記カメラで撮像対象の画像(画像データ)を生成し、この生成した画像(画像データ)、行動時刻の一例としての、前記画像を生成した画像生成時刻、および、自機のセンサIDを収容する通信信号を中央管理装置SV宛に前記通信インターフェースで送信する。前記センサIDは、センサ装置SUを識別し前記センサ装置SUを特定するための識別子である。なお、前記通信信号には、所定の時間間隔で生成された1個の画像が収容されて良く、あるいは、通信トラフィックを低減するために、前記通信信号には、所定の時間間隔で生成された複数の画像が収容されて良い。 The sensor device SU transmits a communication signal containing the action of the care recipient Ob acquired by the sensor to the central management device SV via the communication interface. More specifically, the sensor device SU generates an image (image data) of an imaging target with the camera at predetermined time intervals, and the generated image (image data), the image as an example of action time A communication signal containing the time of image generation for generating the time of image generation and the sensor ID of the own machine is transmitted to the central management device SV by the communication interface. The sensor ID is an identifier for identifying a sensor device SU and identifying the sensor device SU. The communication signal may contain one image generated at predetermined time intervals, or the communication signal may be generated at predetermined time intervals to reduce communication traffic. Multiple images may be accommodated.
 図1には、一例として、第1ないし第4センサ装置SU-1~SU-4が示されており、第1センサ装置SU-1は、介護対象者Obの一人であるAさんOb-1の居室RM-1(不図示)に配設され、第2センサ装置SU-2は、介護対象者Obの一人であるBさんOb-2の居室RM-2(不図示)に配設され、第3センサ装置SU-3は、介護対象者Obの一人であるCさんOb-3の居室RM-3(不図示)に配設され、そして、第4センサ装置SU-4は、介護対象者Obの一人であるDさんOb-4の居室RM-4(不図示)に配設されている。 In FIG. 1, as an example, first to fourth sensor devices SU-1 to SU-4 are shown, and the first sensor device SU-1 is one of Mr. A, who is one of the care recipient Ob. The second sensor device SU-2 is disposed in the living room RM-2 (not shown) of Mr. B Ob-2 who is one of the care recipient Ob, and is disposed in the living room RM-1 (not shown) of the The third sensor device SU-3 is disposed in a room RM-3 (not shown) of Mr. C's Ob-3 who is one of the care recipient Ob, and the fourth sensor device SU-4 is a care recipient person. It is arranged in the room RM-4 (not shown) of Mr. D's Ob-4 who is one of the Obs.
 中央管理装置SVは、この介護施設用行動異常検知システムMSを集中的に管理する装置であり、前記介護施設用行動異常検知装置を含み、前記介護施設用行動異常検知装置の一例である。この介護施設用行動異常検知装置を含む中央管理装置SVは、ネットワークNWを介して他の装置SU、TA、SPと通信する通信機能を備え、センサ装置SUから前記通信信号で受信した、介護対象者Obの行動を管理し、前記介護対象者Obの行動に基づいて前記介護対象者Obの行動における異常の有無を判定する。このような中央管理装置SVは、例えば、図2に示すように、通信インターフェース部(通信IF部)21と、制御処理部22と、記憶部23とを備える。 The central management device SV centrally manages the care facility behavior abnormality detection system MS, includes the care facility behavior abnormality detection device, and is an example of the care facility behavior abnormality detection device. The central management device SV including the behavior abnormality detection device for a nursing care facility has a communication function of communicating with other devices SU, TA, and SP via the network NW, and receives the communication signal from the sensor device SU, the care target The action of the person Ob is managed, and the presence or absence of abnormality in the action of the care recipient Ob is determined based on the action of the care recipient Ob. For example, as illustrated in FIG. 2, such a central management device SV includes a communication interface unit (communication IF unit) 21, a control processing unit 22, and a storage unit 23.
 通信IF部21は、制御処理部22に接続され、制御処理部22の制御に従って通信を行うための通信回路である。通信IF部21は、制御処理部22から入力された転送すべきデータを収容した通信信号を、この介護施設用行動異常検知システムMSのネットワークNWで用いられる通信プロトコルに従って生成し、この生成した通信信号をネットワークNWを介して他の装置SU、SP、TAへ送信する。通信IF部21は、ネットワークNWを介して他の装置SU、SP、TAから通信信号を受信し、この受信した通信信号からデータを取り出し、この取り出したデータを制御処理部22が処理可能な形式のデータに変換して制御処理部22へ出力する。通信IF部21は、例えば、IEEE802.11規格等に従った通信インターフェース回路を備えて構成される。 The communication IF unit 21 is a communication circuit connected to the control processing unit 22 and performing communication in accordance with the control of the control processing unit 22. The communication IF unit 21 generates a communication signal containing the data to be transferred input from the control processing unit 22 according to the communication protocol used in the network NW of the care facility behavior abnormality detection system MS, and the generated communication The signal is transmitted to the other devices SU, SP, TA via the network NW. The communication IF unit 21 receives communication signals from the other devices SU, SP, and TA via the network NW, extracts data from the received communication signals, and allows the control processing unit 22 to process the extracted data. Data to the control processing unit 22. The communication IF unit 21 includes, for example, a communication interface circuit conforming to the IEEE 802.11 standard or the like.
 記憶部23は、制御処理部22に接続され、制御処理部22の制御に従って、各種の所定のプログラムおよび各種の所定のデータを記憶する回路である。前記各種の所定のプログラムには、例えば、中央管理装置SVの各部21、23を当該各部21、23の機能に応じてそれぞれ制御する制御プログラムや、前記通信信号に収容された、介護対象者Obの行動を表す情報(データ)、本実施形態では、画像(画像データ)に基づいて前記介護対象者Obの行動を求める行動処理プログラムや、過去に通信IF部21で取得され記憶部23に記憶された介護対象者Obにおける時系列な複数の行動と、直近に通信IF部21で取得され記憶部23に記憶された前記介護対象者Obにおける時系列な複数の行動とに基づいて前記介護対象者Obの行動における異常の有無を判定する異常判定プログラムや、前記異常判定プログラムで判定された判定結果を外部に通知する通知処理プログラム等が含まれる。前記各種の所定のデータには、中央管理装置SVを特定し中央管理装置SVを識別するためのサーバ識別子(サーバID)や、センサ装置SVの通信アドレスや、端末装置SP、TAの通信アドレスや、居室RMの名称と前記居室RMに配設されたセンサ装置SUのセンサIDとの対応関係を表す室名センサID対応関係情報や、介護対象者Obの行動情報や、介護対象者Obの行動における異常の有無を判定する際に用いられる判定条件を表す判定条件情報や、行動の異常有りの場合に提示されるアドバイスを表すアドバイス情報や、介護対象者Obに関する介護者情報(介護対象者Obの属性を表す情報)等の、各プログラムを実行する上で必要なデータ等が含まれる。記憶部23は、例えば不揮発性の記憶素子であるROM(Read Only Memory)や書き換え可能な不揮発性の記憶素子であるEEPROM(Electrically Erasable Programmable Read Only Memory)等を備える。そして、記憶部23は、前記所定のプログラムの実行中に生じるデータ等を記憶するいわゆる制御処理部22のワーキングメモリとなるRAM(Random Access Memory)等を含む。なお、記憶部23は、比較的大容量のデータを記憶するために、ハードディスク装置(HDD)をさらに備えても良い。これら行動情報、判定条件情報、アドバイス情報および介護者情報それぞれを記憶するために、記憶部23は、行動情報記憶部231、判定条件情報記憶部232、アドバイス情報記憶部233および介護者情報記憶部234を機能的に備える。 The storage unit 23 is a circuit that is connected to the control processing unit 22 and stores various predetermined programs and various predetermined data according to the control of the control processing unit 22. The various predetermined programs include, for example, control programs for controlling the respective units 21 and 23 of the central management device SV according to the functions of the respective units 21 and 23, and the care recipient Ob contained in the communication signal. Information (data) representing the action of the subject, and in the present embodiment, an action processing program for obtaining the action of the care recipient Ob based on an image (image data), or a memory obtained by the communication IF unit 21 and stored in the storage unit 23 The care target is based on a plurality of time-series actions in the subject care recipient Ob and a plurality of time-sequential actions in the care subject Ob that are most recently acquired by the communication IF unit 21 and stored in the storage unit 23 Includes an abnormality determination program that determines the presence or absence of an abnormality in the behavior of the person Ob, a notification processing program that externally notifies the determination result determined by the abnormality determination program, and the like. It is. The various predetermined data includes a server identifier (server ID) for identifying the central management device SV and identifying the central management device SV, the communication address of the sensor device SV, the communication address of the terminal devices SP and TA, , Room name / Sensor ID correspondence information indicating the correspondence between the name of the room RM and the sensor ID of the sensor device SU disposed in the room RM, the action information of the care recipient Ob, the action of the care recipient Ob Judgment condition information representing the judgment condition used when judging the presence or absence of abnormality in the subject, advice information representing the advice presented when there is an abnormality in the behavior, or carer information on the care recipient Ob Data required to execute each program, such as information representing the attribute of The storage unit 23 includes, for example, a ROM (Read Only Memory), which is a nonvolatile storage element, and an EEPROM (Electrically Erasable Programmable Read Only Memory), which is a rewritable nonvolatile storage element. The storage unit 23 includes, for example, a random access memory (RAM) serving as a working memory of the control processing unit 22 that stores data and the like generated during execution of the predetermined program. The storage unit 23 may further include a hard disk drive (HDD) to store relatively large-capacity data. The storage unit 23 stores the behavior information storage unit 231, the determination condition information storage unit 232, the advice information storage unit 233, and the caregiver information storage unit in order to store each of the behavior information, the determination condition information, the advice information, and the caregiver information. 234 is functionally provided.
 行動情報記憶部231は、介護対象者Obの行動を表す行動情報を記憶するものである。介護対象者Obが複数である場合(センサ装置SUが複数である場合)には、行動情報記憶部231は、複数の介護対象者Ob(複数のセンサ装置SU、複数のセンサID)それぞれに対応付けて行動情報を記憶する。本実施形態では、介護対象者Obの行動は、その移動速度(歩行速度)で表され、テーブル形式で介護対象者Obに対応付けて行動情報記憶部231に記憶される。 The action information storage unit 231 stores action information indicating an action of the care recipient Ob. When there are a plurality of care recipients Ob (when there are a plurality of sensor devices SU), the behavior information storage unit 231 corresponds to each of a plurality of care recipients Ob (a plurality of sensor devices SU, a plurality of sensor IDs) And store the action information. In the present embodiment, the action of the care recipient Ob is represented by the moving speed (walking speed), and is stored in the action information storage unit 231 in a table format in association with the care subject Ob.
 この行動情報を登録する行動情報テーブルATは、例えば、図3に示すように、複数の介護対象者Ob(複数のセンサ装置SU、複数のセンサID)それぞれに対応付けられた複数の行動情報テーブルAT-1、AT-2、AT-3、・・・を備えて構成されている。これら複数の行動情報テーブルAT-1、AT-2、AT-3、・・・は、同一構成であり、それぞれ、行動時刻フィールド2311と、位置フィールド2312と、行動(移動速度)フィールド2313とを備える。行動時刻フィールド2311には、介護対象者Obが行動した時刻、本実施形態では前記通信信号に収容された画像の生成時刻が年月日時分秒で登録される。介護対象者Obの行動がその移動速度(歩行速度)で表されるために、位置フィールド2312には、行動時刻フィールド2311に登録された行動時刻での介護対象者Obの位置が登録され、行動(移動速度)フィールド2313には、行動時刻フィールド2311に登録された行動時刻での介護対象者Obの移動速度(歩行速度)が登録される。複数の行動情報テーブルAT-1、AT-2、AT-3、・・・は、それぞれ、行動時刻ごとにレコードを持つ。 The action information table AT for registering the action information is, for example, as shown in FIG. 3, a plurality of action information tables associated with each of a plurality of care recipients Ob (a plurality of sensor devices SU, a plurality of sensor IDs). It comprises AT-1, AT-2, AT-3, and so on. The plurality of action information tables AT-1, AT-2, AT-3,... Have the same configuration, and include an action time field 2311, a position field 2312 and an action (moving speed) field 2313, respectively. Prepare. In the action time field 231, the time when the care recipient Ob acted, and in this embodiment, the generation time of the image accommodated in the communication signal is registered in the year, month, day, hour, minute and second. Since the action of the care recipient Ob is represented by the moving speed (walking speed), the position of the care subject Ob at the action time registered in the action time field 2311 is registered in the position field 2312 and the action is performed. In the (moving speed) field 2313, the moving speed (walking speed) of the care recipient Ob at the action time registered in the action time field 2311 is registered. Each of the plurality of action information tables AT-1, AT-2, AT-3,... Has a record for each action time.
 判定条件情報記憶部232は、介護対象者Obの行動における異常の有無を判定する際に用いられる判定条件を表す判定条件情報を記憶するものである。前記判定条件は、本実施形態では、例えば、第1判定期間(過去の判定期間)、第2判定期間(現在の判定期間)および、異常の有無を判定するための閾値を含む。前記第1判定期間(過去の判定期間)は、過去に通信IF部21で取得され行動情報記憶部231に記憶された介護対象者Obにおける時系列な複数の行動(本実施形態では移動速度)を取り出す範囲を表す。前記第2判定期間(現在の判定期間)は、直近に通信IF部21で取得され行動情報記憶部231に記憶された介護対象者Obにおける時系列な複数の行動(本実施形態では移動速度)を取り出す範囲を表す。例えば、前記第2判定期間を前記第1判定期間と異なる期間とすることで、連続的に変化する行動をより明確に判定することがきる。特に、認知症における行動変化は、重症化に伴い急激に変化し易くなるという観点から、前記第1判定期間は、前記第2判定期間より、長いことが好ましい。前記第1判定期間は、例えば、半年や1年等、適宜に予め設定され、前記第2判定期間は、例えば、1週間や1カ月等、適宜に予め設定される。前記判定条件は、1個で予め用意されて良いが、本実施形態では、例えば年齢、性別、要介護度等の介護対象者Obの属性に応じて複数、予め用意されている。このような複数の判定条件は、本実施形態では、テーブル形式で判定条件情報記憶部232に記憶される。 The determination condition information storage unit 232 stores the determination condition information representing the determination condition used when determining the presence or absence of an abnormality in the action of the care recipient Ob. In the present embodiment, the determination condition includes, for example, a first determination period (past determination period), a second determination period (current determination period), and a threshold for determining the presence or absence of abnormality. In the first determination period (the determination period in the past), a plurality of time-series actions (movement speed in the present embodiment) in the care recipient Ob that are acquired by the communication IF unit 21 and stored in the action information storage unit 231 in the past Represents the range from which to take out. In the second determination period (the current determination period), a plurality of time-series actions (movement speed in the present embodiment) in the care recipient Ob that are acquired by the communication IF unit 21 and stored in the behavior information storage unit 231 most recently. Represents the range from which to take out. For example, by setting the second determination period to a period different from the first determination period, it is possible to more clearly determine continuously changing behavior. In particular, it is preferable that the first determination period is longer than the second determination period, from the viewpoint that behavior change in dementia is likely to change rapidly as the disease becomes severer. The first determination period is appropriately preset, for example, half a year or one year, and the second determination period is appropriately preset, for example, one week or one month. The determination condition may be prepared in advance in a single piece, but in the present embodiment, a plurality of the determination conditions are prepared in advance according to the attributes of the care recipient Ob, such as age, sex, degree of need of nursing care, etc. In the present embodiment, such a plurality of determination conditions are stored in the determination condition information storage unit 232 in a table format.
 この複数の判定条件を登録する判定条件情報テーブルDTは、例えば、図4に示すように、性別フィールド2321と、年齢フィールド2322と、要介護度フィールド2323と、閾値フィールド2324と、第1判定期間フィールド2325と、第2判定期間フィールド2326とを備え、前記複数の判定条件(介護対象者Obの属性の組合せ)ごとにレコードを持つ。性別フィールド2321には、介護対象者Obの属性の1つとしての性別が登録される。年齢フィールド2322には、介護対象者Obの属性の他の1つとしての年齢が登録される。要介護度フィールド2323には、介護対象者Obの属性の他の1つとしての要介護度が登録される。閾値フィールド2324には、性別フィールド2321に登録された性別、年齢フィールド2322に登録された年齢、および、要介護度フィールド2323に登録された要介護度の場合の閾値が登録される。第1判定期間フィールド2325には、性別フィールド2321に登録された性別、年齢フィールド2322に登録された年齢、および、要介護度フィールド2323に登録された要介護度の場合の第1判定期間が登録される。第2判定期間フィールド2326には、性別フィールド2321に登録された性別、年齢フィールド2322に登録された年齢、および、要介護度フィールド2323に登録された要介護度の場合の第2判定期間が登録される。 For example, as shown in FIG. 4, the determination condition information table DT for registering a plurality of determination conditions includes a gender field 2321, an age field 2322, a degree-of-care requiring field 2323, a threshold field 2324, and a first determination period. A field 2325 and a second determination period field 2326 are provided, and a record is provided for each of the plurality of determination conditions (combination of the attributes of the care recipient Ob). The gender as one of the attributes of the care recipient Ob is registered in the gender field 2321. In the age field 2322, the age as another one of the attributes of the care recipient Ob is registered. The degree-of-care need as another one of the attributes of the care recipient Ob is registered in the degree-of-care need field 2323. In the threshold field 2324, the sex registered in the gender field 2321, the age registered in the age field 2322, and the threshold in the case of the degree of need-for-care registered in the degree-of-care need field 2323 are registered. In the first determination period field 2325, the sex registered in the gender field 2321, the age registered in the age field 2322, and the first determination period in the case of the degree of need of nursing care registered in the degree of needing care field 2323 are registered. Be done. In the second determination period field 2326, the sex registered in the gender field 2321, the age registered in the age field 2322, and the second determination period for the degree of need of nursing care registered in the degree of needing care field 2323 are registered. Be done.
 なお、上述では、前記閾値、第1判定期間および第2判定期間は、性別、年齢および要介護度の組み合わせで分類されたが、性別、年齢、要介護度、身長、体重および基礎疾患のうちの一部または全部の組合せで分類されても良い。 In the above description, the threshold, the first determination period, and the second determination period are classified by a combination of sex, age and degree of need of nursing care, but among sex, age, degree of needing care, height, weight and underlying disease May be classified in part or all of the combinations.
 なお、この判定条件情報記憶部232は、所定の第1および第2判定期間を記憶する判定期間情報記憶部の一例に相当する。 The determination condition information storage unit 232 corresponds to an example of a determination period information storage unit that stores predetermined first and second determination periods.
 アドバイス情報記憶部233は、行動の異常有りの場合に提示されるアドバイスを表すアドバイス情報を記憶するものである。前記アドバイスは、1個で予め用意されて良いが、本実施形態では、例えば年齢、性別、要介護度等の介護対象者Obの属性に応じて複数、予め用意されている。このような複数のアドバイスは、本実施形態では、テーブル形式でアドバイス情報記憶部233に記憶される。 The advice information storage unit 233 stores advice information representing an advice presented when there is an abnormality in the behavior. One piece of the advice may be prepared in advance, but in the present embodiment, a plurality of pieces of advice are prepared in advance according to the attributes of the care recipient Ob, such as age, sex, degree of need of nursing care, and the like. In the present embodiment, such a plurality of advices are stored in the advice information storage unit 233 in a table format.
 この複数のアドバイスを登録するアドバイス情報テーブルAdTは、例えば、図5に示すように、性別フィールド2331と、年齢フィールド2332と、要介護度フィールド2333と、アドバイスフィールド2334とを備え、前記複数のアドバイス(介護対象者Obの属性の組合せ)ごとにレコードを持つ。性別フィールド2331には、介護対象者Obの属性の1つとしての性別が登録される。年齢フィールド2332には、介護対象者Obの属性の他の1つとしての年齢が登録される。要介護度フィールド2333には、介護対象者Obの属性の他の1つとしての要介護度が登録される。アドバイスフィールド2334には、性別フィールド2331に登録された性別、年齢フィールド2332に登録された年齢、および、要介護度フィールド2333に登録された要介護度の場合のアドバイスが登録される。アドバイスフィールド2334には、例えば、前記アドバイスとして、アドバイスの文章がテキストで登録されて良く、アドバイスの文章の電子ファイルのファイル名が登録されて良い。本実施形態では、前記介護対象者Obの行動が移動速度(歩行速度)であるので、前記アドバイスは、例えば、「歩行速度の低下が見られます。転倒の危険があるので、歩行訓練を開始してください。」等である。 The advice information table AdT for registering a plurality of advices includes, for example, as shown in FIG. 5, a sex field 2331, an age field 2332, a degree-of-care required field 2333 and an advice field 2334. There is a record for each (combination of attributes of the care recipient Ob). In the gender field 2331, the gender as one of the attributes of the care recipient Ob is registered. In the age field 2332, the age as another one of the attributes of the care recipient Ob is registered. The degree-of-care need as another one of the attributes of the care recipient Ob is registered in the degree-of-care need field 2333. In the advice field 2334, the sex registered in the gender field 2331, the age registered in the age field 2332, and the advice in the case of the degree of need of nursing care registered in the degree of needed care field 2333 are registered. In the advice field 2334, for example, as the advice, the text of the advice may be registered as text, and the file name of the electronic file of the text of the advice may be registered. In the present embodiment, since the action of the care recipient Ob is the moving speed (walking speed), for example, “the walking speed is reduced. Since there is a risk of falling, the walking training is started. Please, etc.
 なお、上述では、前記アドバイスは、性別、年齢および要介護度の組み合わせで分類されたが、性別、年齢、要介護度、身長、体重および基礎疾患のうちの一部または全部の組合せで分類されても良い。 In the above, the advice is classified by the combination of gender, age and degree of need for nursing care, but it is classified according to the combination of sex, age, degree of care requiring need, height, weight and some or all of the basic diseases. It is good.
 介護者情報記憶部234は、介護対象者Obに関する介護者情報(介護対象者Obの属性を表す情報)を記憶するものである。前記介護者情報は、例えば、本実施形態では、介護対象者Obの氏名、居室名、性別、年齢、身長、体重および要介護度等であり、テーブル形式で介護者情報記憶部234に記憶される。 The caregiver information storage unit 234 stores caregiver information (information representing the attribute of the care recipient Ob) regarding the care recipient Ob. The carer information is, for example, the name, room name, sex, age, height, weight of a carer, etc. in the present embodiment, and is stored in the carer information storage unit 234 in a table format in the present embodiment. Ru.
 この介護者情報を登録する介護者情報テーブルRTは、例えば、図6に示すように、氏名フィールド2341と、室名フィールド2342と、性別フィールド2343と、年齢フィールド2344と、身長フィールド2345と、体重フィールド2346と、要介護度フィールド2347とを備え、介護対象者Obごとにレコードを持つ。氏名フィールド2341には、介護対象者Obの氏名が登録される。室名フィールド2342には、氏名フィールド2341に登録された氏名を持つ介護対象者Obが在室する居室RMの名称が、登録される。性別フィールド2343、年齢フィールド2344、身長フィールド2345、体重フィールド2346および要介護度フィールド2347には、それぞれ、氏名フィールド2341に登録された氏名を持つ介護対象者Obの、性別、年齢、身長、体重および要介護度それぞれが登録される。 For example, as shown in FIG. 6, the carer information table RT for registering this carer information includes a name field 2341, a room name field 2342, a sex field 2343, an age field 2344, a height field 2345, and a weight A field 2346 and a degree-of-care requiring field 2347 are provided, and each care recipient Ob has a record. In the name field 2341, the name of the care recipient Ob is registered. In the room name field 2342, the name of the room RM in which the care recipient Ob having the name registered in the name field 2341 is registered is registered. The gender, age, height, weight and weight of the care recipient Ob having a name registered in the name field 2341 are stored in the gender field 2343, the age field 2344, the height field 2345, the weight field 2346 and the degree-of-care need field 2347 respectively. Each degree of need of nursing care is registered.
 制御処理部22は、中央管理装置SVの各部を当該各部の機能に応じてそれぞれ制御し、介護施設用行動異常検知システムMSを集中的に管理し、センサ装置SUから前記通信信号で受信した、介護対象者Obの行動を管理し、前記介護対象者Obの行動に基づいて前記介護対象者Obの行動における異常の有無を判定するための回路である。制御処理部22は、例えば、CPUおよびその周辺回路を備えて構成される。制御処理部22は、前記制御処理プログラムが実行されることによって、制御部221、行動処理部222、異常判定部223および通知処理部224を機能的に備える。 The control processing unit 22 controls each part of the central management device SV according to the function of each part, centrally manages the behavior abnormality detection system MS for a care facility, and receives the communication signal from the sensor device SU. It is a circuit for managing the action of the care recipient Ob and determining the presence or absence of abnormality in the action of the care recipient Ob based on the action of the care recipient Ob. The control processing unit 22 includes, for example, a CPU and its peripheral circuits. The control processing unit 22 functionally includes a control unit 221, an action processing unit 222, an abnormality determination unit 223, and a notification processing unit 224 when the control processing program is executed.
 制御部221は、中央管理装置SVの各部21、23を当該各部21、23の機能に応じてそれぞれ制御し、中央管理装置SVの全体制御を司るものである。 The control unit 221 controls the respective units 21 and 23 of the central management device SV according to the functions of the respective units 21 and 23, and controls the overall control of the central management device SV.
 行動処理部222は、前記通信信号に収容された、介護対象者Obの行動を表す情報(データ)、本実施形態では、画像(画像データ)に基づいて前記介護対象者Obの行動を求めるものである。本実施形態では、前記介護対象者Obの行動は、移動速度(歩行速度)であるので、行動処理部222は、前記通信信号に収容された、画像(画像データ)に基づいて前記介護対象者Obの移動速度を求める。 The action processing unit 222 obtains the action of the care recipient Ob based on information (data) representing the action of the care recipient Ob contained in the communication signal, and in the present embodiment, an image (image data). It is. In the present embodiment, since the action of the care recipient Ob is the moving speed (walking speed), the action processing unit 222 selects the care subject based on the image (image data) contained in the communication signal. Find the moving speed of Ob.
 より具体的には、行動処理部222は、まず、前記通信信号に収容された画像(対象画像)から例えば背景差分法によって介護対象者Obの人物の領域(人物領域)を抽出し、この抽出した人物領域の中心位置を介護対象者Obの位置として求める。前記人物領域の中心位置は、例えば、前記人物領域に外接する外接円の中心であり、あるいは、例えば、前記人物領域に外接する外接矩形における対角線の交点等である。次に、行動処理部222は、行動情報記憶部231から、前記通信信号に収容されたセンサIDに対応する行動情報テーブルATを選定(検索)し、この選定した行動情報テーブルATから、前記通信信号に収容された行動時刻(本実施形態では画像生成時刻)に基づいて、前回に求めた介護対象者Obの位置および前回の行動時刻を抽出する。次に、行動処理部222は、これら前回に求めた介護対象者Obの位置および前回の行動時刻、上述のように求めた今回の介護対象者Obの位置、ならびに、前記通信信号に収容された今回の行動時刻から、前記介護対象者Obの移動速度を求める。そして、行動処理部222は、前記選定した行動情報テーブルATに新たなレコードを追加し、この追加したレコードにおける行動時刻フィールド2311、位置フィールド2312および行動(移動速度)フィールド2313それぞれに、前記通信信号に収容された今回の行動時刻、上述のように求めた今回の位置および移動速度それぞれを登録する。これによって前記介護対象者Obの行動が行動情報記憶部231に記憶される。 More specifically, the action processing unit 222 first extracts the area (person area) of the person of the care recipient Ob from the image (target image) contained in the communication signal, for example, by the background subtraction method. The position of the center of the person area is calculated as the position of the care recipient Ob. The center position of the person area is, for example, the center of a circumscribed circle circumscribing the person area, or, for example, an intersection of diagonals in a circumscribed rectangle circumscribing the person area. Next, the action processing unit 222 selects (searches) the action information table AT corresponding to the sensor ID contained in the communication signal from the action information storage unit 231, and the communication is performed from the selected action information table AT. Based on the action time (image generation time in this embodiment) contained in the signal, the position of the care recipient Ob and the previous action time obtained in the previous time are extracted. Next, the action processing unit 222 is accommodated in the position and the time of the previous action of the care recipient Ob obtained at the previous time, the position of the care subject Ob currently determined as described above, and the communication signal. The movement speed of the care recipient Ob is obtained from the current action time. Then, the action processing unit 222 adds a new record to the selected action information table AT, and the communication signal is added to each of the action time field 2311, the position field 2312 and the action (moving speed) field 2313 in the added record. The current action time stored in the current position, the current position and the moving speed obtained as described above are registered. As a result, the action of the care recipient Ob is stored in the action information storage unit 231.
 なお、前記センサとしての前記カメラに代え、前記距離画像生成装置(距離画像センサ)が用いられる場合には、例えば、距離画像上での人物を表す人物パターンが予め用意され、パターンマッチングによって、介護対象者Obの人物領域が求められる。また、前記センサとしての前記カメラに代え、前記サーモグラフィー装置が用いられる場合には、背景温度の熱分布画像(温度分布画像)が用意され、背景差分法によって、介護対象者Obの人物領域が求められる。また、人物認識用に機械学習した学習モデルが用意され、この学習モデルを用いることによって介護対象者Obの人物領域が求められても良い。 When the distance image generation device (distance image sensor) is used instead of the camera as the sensor, for example, a person pattern representing a person on the distance image is prepared in advance, and care is taken by pattern matching. The person area of the subject person Ob is obtained. In addition, when the thermographic apparatus is used instead of the camera as the sensor, a heat distribution image (temperature distribution image) of background temperature is prepared, and the person area of the care recipient Ob is determined by the background subtraction method. Be In addition, a learning model machine-learned for person recognition may be prepared, and the person area of the care recipient Ob may be obtained by using this learning model.
 異常判定部223は、過去に通信IF部21で取得され記憶部23に記憶された介護対象者Obにおける時系列な複数の行動と、直近に通信IF部21で取得され記憶部23に記憶された前記介護対象者Obにおける時系列な複数の行動とに基づいて前記介護対象者Obの行動における異常の有無を判定するものである。より具体的には、異常判定部223は、過去の時点から第1判定期間内に通信IF部21で取得され行動情報記憶部231に記憶された介護対象者Obにおける時系列な複数の行動と、直近の時点から第2判定期間内に通信IF部21で取得され行動情報記憶部231に記憶された前記介護対象者Obにおける時系列な複数の行動とに基づいて前記介護対象者Obの行動における異常の有無を判定する。前記過去の時点は、例えば、現在時点から、1カ月前の時点、3カ月前の時点、半年前の時点および1年前の時点等、適宜に予め設定される。前記直近の時点は、現在の時点である。さらに、より具体的には、本実施形態では、異常判定部223は、前記過去における前記時系列な複数の行動を統計処理することによって得られた第1値と、前記直近における前記時系列な複数の行動を前記統計処理することによって得られた第2値との差分値と所定の閾値と比較することによって、前記介護対象者Obの行動における異常の有無を判定する。前記統計処理は、例えば、平均値を求める処理であって良く、あるいは、例えば最頻値を求める処理であって良く、あるいは、例えば分散値を求める処理であって良く、あるいは、例えば標準偏差を求める処理であって良く、あるいは、例えば歪度を求める処理であって良く、あるいは、例えば尖度を求める処理であって良い。本実施形態では、前記統計処理は、例えば、平均値を求める処理であり、異常判定部223は、前記過去における前記時系列な複数の移動速度に対する第1平均値を前記第1値として求め、前記直近における前記時系列な複数の移動速度に対する第2平均値を前記第2値として求め、これら第1平均値と第2平均値との差分値を求め、この求めた差分値と所定の閾値とを比較することによって、前記介護対象者Obの行動における異常の有無を判定する。 The abnormality determination unit 223 is acquired by the communication IF unit 21 and stored in the storage unit 23 and a plurality of time-series actions in the care recipient Ob acquired by the communication IF unit 21 and stored in the storage unit 23 in the past The presence or absence of an abnormality in the behavior of the care recipient Ob is determined based on a plurality of time-series actions of the care recipient Ob. More specifically, the abnormality determination unit 223 determines a plurality of time-series actions in the care recipient Ob that are acquired by the communication IF unit 21 and stored in the behavior information storage unit 231 within the first determination period from the past time point The action of the care recipient Ob based on a plurality of time-series actions in the care recipient Ob that are acquired by the communication IF unit 21 and stored in the action information storage unit 231 within the second determination period from the most recent time point Determine the presence or absence of an abnormality in The past time points are appropriately preset, for example, one month ago, three months ago, six months ago, and one year ago from the present time. The most recent time is the current time. Furthermore, more specifically, in the present embodiment, the abnormality determination unit 223 determines a first value obtained by performing statistical processing on the plurality of time-series actions in the past, and the time-series in the latest state. The presence or absence of abnormality in the action of the care recipient Ob is determined by comparing a difference value with a second value obtained by performing the statistical processing on a plurality of actions with a predetermined threshold. The statistical process may be, for example, a process of obtaining an average value, or may be, for example, a process of obtaining a mode value, or may be, for example, a process of obtaining a variance value. It may be a process of obtaining, or may be, for example, a process of obtaining a skewness, or may be, for example, a process of obtaining a kurtosis. In the present embodiment, the statistical process is, for example, a process of obtaining an average value, and the abnormality determination unit 223 obtains, as the first value, a first average value for the plurality of time-series moving speeds in the past. A second average value for the plurality of time-series moving speeds at the latest is obtained as the second value, a difference value between the first average value and the second average value is obtained, and the obtained difference value and a predetermined threshold value The presence or absence of an abnormality in the action of the care recipient Ob is determined by comparing with.
 より詳しくは、異常判定部223は、まず、介護者情報テーブルRTから、判定すべき介護対象者Obの氏名に対応する年齢、性別および要介護度を抽出し、判定条件情報テーブルDTから、この抽出した年齢、性別および要介護度に対応する閾値、第1判定期間および第2判定期間を抽出する。次に、異常判定部223は、行動情報記憶部231から、判定すべき介護対象者Obの氏名に対応する行動情報テーブルATを選定し、この選定した行動情報テーブルATから、過去の時点から第1判定期間内の移動速度を抽出し、第1平均値を求め、前記選定した行動情報テーブルATから、直近の時点から第2判定期間内の移動速度を抽出し、第2平均値を求め、これら第1および第2平均値の差分値を求める。そして、異常判定部223は、この求めた差分値と前記抽出した閾値と比較することによって、前記介護対象者の行動における異常の有無を判定する。本実施形態では、介護対象者Obの行動は、移動速度(歩行速度)であるので、異常判定部223は、移動速度の前記第1平均値から、前記第2平均値を減算することによって前記差分値を求められ、この求めた差分値が前記閾値を超えている場合には、前記閾値を超えて移動速度が低下しているので、行動の異常有りと判定し、一方、前記求めた差分値が前記閾値を超えていない場合(前記求めた差分値が前記閾値以下である場合)には、行動の異常無しと判定する。 More specifically, the abnormality determination unit 223 first extracts the age, sex, and the degree of need of nursing care corresponding to the name of the care recipient Ob to be determined from the carer information table RT, and from the determination condition information table DT, The threshold value corresponding to the extracted age, sex, and the degree of need of nursing care, a first determination period and a second determination period are extracted. Next, the abnormality determination unit 223 selects, from the behavior information storage unit 231, the behavior information table AT corresponding to the name of the care recipient Ob to be determined, and from the selected behavior information table AT, 1 Moving speed within the judgment period is extracted, a first average value is obtained, and moving speed within the second judgment period from the most recent time point is extracted from the selected action information table AT, and a second average value is obtained. A difference value between these first and second average values is determined. Then, the abnormality determination unit 223 determines the presence or absence of an abnormality in the action of the care recipient by comparing the calculated difference value with the extracted threshold value. In the present embodiment, since the action of the care recipient Ob is the moving speed (walking speed), the abnormality determining unit 223 subtracts the second average value from the first average value of the moving speed. A difference value can be determined, and if the determined difference value exceeds the threshold, the movement speed is reduced by exceeding the threshold, so it is determined that there is an abnormality in the behavior, while the difference is determined If the value does not exceed the threshold (if the calculated difference value is equal to or less than the threshold), it is determined that there is no abnormality in the behavior.
 なお、上述において、前記介護対象者Obの行動は、所定の2地点間(所定の2領域間)の移動(歩行)であり、前記第1および第2値は、それぞれ、前記所定の2地点間(所定の2領域間)の移動速度(歩行速度)の第1および第2平均値であっても良い。前記所定の2地点(所定の2領域)は、例えば寝具およびトイレであり、行動情報記憶部231に記憶されている位置を参照することで、寝具およびトイレ間の移動速度(歩行速度)の平均値が求められる。また例えば、前記所定の2地点(所定の2領域)は、例えば寝具および洗面施設であり、行動情報記憶部231に記憶されている位置を参照することで、寝具および洗面施設間の移動速度(歩行速度)の平均値が求められる。前記移動速度(歩行速度)が比較的多発する特定の2地点間(領域間)での速度に特定されることで、過去の移動速度と直近の移動速度との比較がより適切となり、より適切に行動の異常の有無が検知できる。 In the above description, the action of the care recipient Ob is movement (walking) between predetermined two points (between predetermined two areas), and the first and second values are respectively the predetermined two points. It may be the first and second average values of the moving speed (walking speed) between (the predetermined two areas). The predetermined two points (predetermined two areas) are, for example, bedding and a toilet, and by referring to the position stored in the behavior information storage unit 231, the average moving speed (walking speed) between the bedding and the toilet The value is determined. Also, for example, the predetermined two points (predetermined two areas) are, for example, bedding and washroom facilities, and by referring to the position stored in the behavior information storage unit 231, the moving speed between the bedding and washroom facilities ( The average value of the walking speed is determined. Since the moving speed (walking speed) is specified as a speed between specific two points (between areas) where the relative frequency is relatively frequent, comparison between the past moving speed and the latest moving speed becomes more appropriate and more appropriate Can detect the presence or absence of abnormal behavior.
 通知処理部224は、異常判定部223で判定された判定結果を外部に通知するものである。より具体的には、本実施形態では、例えば、通知処理部224は、前記判定すべき介護対象者Obの氏名、および、異常判定部223で判定された判定結果を収容した通信信号を端末装置SP、TA宛に同報通信で送信する。あるいは、センサ装置SU(センサID、介護対象者Ob)と通知先の端末装置SP、TA(端末ID)とが予め対応付けられ、通知処理部224は、異常判定部223で判定された介護対象者Obの判定結果を収容した通信信号を、前記介護対象者Obの居室RMに配設されたセンサ装置SUに対応付けられた通知先の端末装置SP、TA宛に送信する。前記端末IDは、端末装置SP、TAを識別し前記端末装置SP、TAを特定するための識別子である。 The notification processing unit 224 notifies the outside of the determination result determined by the abnormality determination unit 223. More specifically, in the present embodiment, for example, the notification processing unit 224 is a terminal device including a communication signal containing the name of the care recipient Ob to be determined and the determination result determined by the abnormality determination unit 223. Send to SP, TA by broadcast communication. Alternatively, the sensor device SU (sensor ID, care recipient Ob) and the terminal device SP or TA (terminal ID) of the notification destination are associated in advance, and the notification processing unit 224 determines the care target determined by the abnormality determination unit 223 The communication signal containing the determination result of the person Ob is transmitted to the terminal devices SP and TA of the notification destination associated with the sensor device SU disposed in the room RM of the care recipient Ob. The terminal ID is an identifier for identifying a terminal apparatus SP or TA and identifying the terminal apparatus SP or TA.
 そして、本実施形態では、通知処理部224は、異常判定部223で行動の異常有りと判定された場合に、アドバイス情報記憶部233に記憶されたアドバイスを通知する。より具体的には、本実施形態では、例えば、通知処理部224は、異常判定部223で判定された判定結果を収容した前記通信信号に、アドバイスをさらに収容する。より詳しくは、通知処理部224は、異常判定部223で行動の異常の有無を判定された介護対象者Obの年齢、性別および要介護度に対応するアドバイスを、アドバイス情報テーブルAdTから抽出し、この抽出したアドバイスを、異常判定部223で判定された判定結果を収容した前記通信信号にさらに収容する。 Then, in the present embodiment, the notification processing unit 224 notifies the advice stored in the advice information storage unit 233 when the abnormality determination unit 223 determines that the behavior is abnormal. More specifically, in the present embodiment, for example, the notification processing unit 224 further accommodates the advice in the communication signal containing the determination result determined by the abnormality determination unit 223. More specifically, the notification processing unit 224 extracts, from the advice information table AdT, advice corresponding to the age, sex and degree of need of nursing care of the care recipient Ob whose abnormality determination unit 223 determines the presence or absence of an abnormality in the behavior. The extracted advice is further contained in the communication signal containing the determination result determined by the abnormality determination unit 223.
 なお、中央管理装置SVは、図2に破線で示すように、必要に応じて、さらに、制御処理部22に接続され例えば各種コマンドや各種データ等を入力する入力部24、入力部24で入力された各種コマンドや各種データ、ならびに、介護対象者Obの行動、判定結果およびアドバイス等を出力する出力部)25、および、外部機器との間でデータの入出力を行うインターフェース部(IF部)26等を備えても良い。また、上述では、行動情報記憶部231、判定条件情報記憶部232、アドバイス情報記憶部233および介護者情報記憶部234は、記憶部23に機能的に構成されたが、行動情報記憶部231、判定条件情報記憶部232、アドバイス情報記憶部233および介護者情報記憶部234のうちの一部または全部が、1または複数のデータベースサーバで構成されても良い。例えば、介護施設用行動異常検知システムMSは、行動情報を記憶(記録)して管理する行動情報データベースサーバ、および、介護者情報を記憶(記録)して管理する介護者情報データベースサーバをさらに備えて構成されても良い。 The central management unit SV is further connected to the control processing unit 22 as necessary, as shown by a broken line in FIG. 2, and is input by the input unit 24 for inputting various commands, various data, etc. Output unit that outputs various commands and data, and the action of the care recipient Ob, judgment results, advice, etc., and an interface unit (IF unit) that inputs / outputs data to / from external devices 26 may be provided. Further, in the above description, the behavior information storage unit 231, the determination condition information storage unit 232, the advice information storage unit 233, and the caregiver information storage unit 234 are functionally configured in the storage unit 23. Some or all of the determination condition information storage unit 232, the advice information storage unit 233, and the caregiver information storage unit 234 may be configured by one or more database servers. For example, the behavior abnormality detection system MS for a nursing care facility further includes a behavior information database server that stores (records) and manages behavior information, and a caregiver information database server that stores (records) and manages caregiver information. May be configured.
 このような中央管理装置SVは、例えば、通信機能付きのコンピュータによって構成可能である。 Such a central management device SV can be configured, for example, by a computer with a communication function.
 固定端末装置SPは、ネットワークNWを介して他の装置SV、TAと通信する通信機能、所定の情報を表示する表示機能、および、所定の指示やデータを入力する入力機能等を備え、中央管理装置SVや携帯端末装置TAに与える所定の指示やデータを入力したり、中央管理装置SVから受信した介護対象者Obの行動、判定結果およびアドバイスを表示したり等することによって、介護施設用行動異常検知システムMSのユーザインターフェース(UI)として機能する機器である。このような固定端末装置SPは、例えば、通信機能付きのコンピュータによって構成可能である。 The fixed terminal apparatus SP has a communication function of communicating with other apparatuses SV and TA via the network NW, a display function of displaying predetermined information, and an input function of inputting predetermined instructions and data, etc. By entering predetermined instructions and data to be given to the device SV and the portable terminal device TA, and displaying the behavior, the determination result and the advice of the care recipient Ob received from the central management device SV, etc. The device functions as a user interface (UI) of the abnormality detection system MS. Such fixed terminal apparatus SP can be configured, for example, by a computer with a communication function.
 携帯端末装置TAは、ネットワークNWを介して他の装置SV、SPと通信する通信機能、所定の情報を表示する表示機能、所定の指示やデータを入力する入力機能等を備え、中央管理装置SVや携帯端末装置TAに与える所定の指示やデータを入力したり、中央管理装置SVから受信した介護対象者Obの行動、判定結果およびアドバイスを表示したり等するための機器である。このような携帯端末装置TAは、例えば、いわゆるタブレット型コンピュータやスマートフォンや携帯電話機等の、持ち運び可能な通信端末装置によって構成可能である。 The portable terminal device TA has a communication function of communicating with other devices SV and SP via the network NW, a display function of displaying predetermined information, an input function of inputting predetermined instructions and data, etc. It is an apparatus for inputting predetermined instructions and data given to the mobile terminal device TA, displaying the action of the care recipient Ob received from the central management device SV, the determination result, and the advice. Such a portable terminal device TA can be configured by, for example, a portable communication terminal device such as a so-called tablet computer, a smartphone, or a mobile phone.
 なお、このような端末装置SP、TAや、中央管理装置SVが入力部24をさらに備える場合に当該入力部24から、前記過去の時点、前記直近の時点、前記第1判定期間、前記第2判定期間および統計処理の方法を指定(設定)できるように、介護施設用行動異常検知システムMSおよび中央管理装置SVが構成されても良い。 When such a terminal apparatus SP, TA or the central management apparatus SV further includes the input unit 24, the past time, the latest time, the first determination period, the second determination period, or the like from the input unit 24. A care facility behavior abnormality detection system MS and a central management device SV may be configured so that the determination period and the method of statistical processing can be designated (set).
 次に、本実施形態の動作について説明する。図7は、前記中央管理装置における、行動異常判定に関する動作を示すフローチャートである。 Next, the operation of this embodiment will be described. FIG. 7 is a flowchart showing an operation related to behavior abnormality determination in the central management device.
 上記構成の介護施設用行動異常検知システムMSでは、各装置SU、SV、SP、TAは、電源が投入されると、必要な各部の初期化を実行し、その稼働を始める。中央管理装置SVでは、その制御処理プログラムの実行によって、制御処理部22には、制御部2211、行動処理部222、異常判定部223および通知処理部224が機能的に構成される。 In the behavior abnormality detection system MS for a nursing care facility configured as described above, each of the devices SU, SV, SP, and TA performs initialization of necessary parts when the power is turned on, and starts its operation. In the central management device SV, the control processing unit 22 functionally includes a control unit 2211, an action processing unit 222, an abnormality determination unit 223, and a notification processing unit 224 by execution of the control processing program.
 センサ装置SUは、その稼働を始めると、所定の時間間隔で撮像対象の画像(対象画像)を生成し、この生成した対象画像、行動時刻の一例としての画像生成時刻および自機のセンサIDを収容した通信信号を中央管理装置SV宛に生成し、この生成した通信信号をネットワークNWを介して中央管理装置SVへ送信する。中央管理装置SVは、この通信信号を受信すると、行動処理部222によって、介護対象者Obの行動を求め、この求めた介護対象者Obの行動を行動情報記憶部231に記憶する。 When the sensor unit SU starts its operation, the sensor unit SU generates an image (target image) of an imaging target at predetermined time intervals, and generates the generated target image, an image generation time as an example of action time, and a sensor ID of its own device. The received communication signal is generated for the central management device SV, and the generated communication signal is transmitted to the central management device SV via the network NW. When the central management device SV receives this communication signal, the action processing unit 222 obtains an action of the care recipient Ob, and stores the obtained action of the care recipient Ob in the action information storage unit 231.
 より具体的には、行動処理部222は、まず、前記通信信号に収容された対象画像から例えば背景差分法によって介護対象者Obの人物の領域(人物領域)を抽出し、この抽出した人物領域の中心位置を介護対象者Obの位置として求める。次に、行動処理部222は、行動情報記憶部231から、前記通信信号に収容されたセンサIDに対応する行動情報テーブルATを選定(検索)し、この選定した行動情報テーブルATから、前記通信信号に収容された行動時刻に基づいて、前回に求めた介護対象者Obの位置および前回の行動時刻を抽出する。次に、行動処理部222は、これら前回に求めた介護対象者Obの位置および前回の行動時刻、上述のように求めた今回の介護対象者Obの位置、ならびに、前記通信信号に収容された今回の行動時刻から、前記介護対象者Obの移動速度を求める。そして、行動処理部222は、前記選定した行動情報テーブルATに新たなレコードを追加し、この追加したレコードにおける行動時刻フィールド2311、位置フィールド2312および行動(移動速度)フィールド2313それぞれに、前記通信信号に収容された今回の行動時刻、上述のように求めた今回の位置および移動速度それぞれを登録する。これによって前記介護対象者Obの行動(移動速度)が行動情報記憶部231に記憶される。 More specifically, the action processing unit 222 first extracts the area (person area) of the person of the care recipient Ob from the target image contained in the communication signal, for example, by the background subtraction method, and this extracted person area The center position of is determined as the position of the care recipient Ob. Next, the action processing unit 222 selects (searches) the action information table AT corresponding to the sensor ID contained in the communication signal from the action information storage unit 231, and the communication is performed from the selected action information table AT. Based on the action time contained in the signal, the position of the care recipient Ob obtained last time and the previous action time are extracted. Next, the action processing unit 222 is accommodated in the position and the time of the previous action of the care recipient Ob obtained at the previous time, the position of the care subject Ob currently determined as described above, and the communication signal. The movement speed of the care recipient Ob is obtained from the current action time. Then, the action processing unit 222 adds a new record to the selected action information table AT, and the communication signal is added to each of the action time field 2311, the position field 2312 and the action (moving speed) field 2313 in the added record. The current action time stored in the current position, the current position and the moving speed obtained as described above are registered. Thus, the action (moving speed) of the care recipient Ob is stored in the action information storage unit 231.
 一方、中央管理装置SVは、次の各処理を実行することによって、介護対象者Obにおける行動異常判定に関する動作を実施する。この介護対象者Obにおける行動異常判定に関する動作は、例えば、端末装置SP、TAから実行開始指示を受け付けることによって、あるいは、所定の時間間隔ごとに、あるいは、介護対象者Obの行動を収容した前記通信信号を受信するごとに、実施される。前記介護対象者Obにおける行動異常判定に関する動作は、例えば、全ての介護対象者Obについて、あるいは、端末装置SP、TAから介護対象者Obの指定を受け付けることによって、あるいは、前記通信信号に収容されたセンサIDを持つセンサ装置SUの配設された居室RMの介護対象者Obについて、実施される。 On the other hand, the central management device SV carries out an operation related to behavior abnormality determination in the care recipient Ob by executing the following respective processes. The operation relating to the behavioral abnormality determination in the care recipient Ob is, for example, by receiving an execution start instruction from the terminal device SP or TA, or at predetermined time intervals, or containing the action of the care recipient Ob. It is implemented each time a communication signal is received. The operation relating to the behavioral abnormality determination in the care recipient Ob is, for example, received for all the care recipient Ob, or by receiving designation of the care recipient Ob from the terminal devices SP and TA, or contained in the communication signal. The care recipient Ob of the living room RM in which the sensor device SU having the above sensor ID is disposed is implemented.
 図6において、まず、中央管理装置SVは、制御処理部22の異常判定部223によって第1判定期間、第2判定期間および閾値を取得する(S11)。より具体的には、異常判定部223は、まず、介護者情報記憶部234に記憶されている介護者情報テーブルRTから、判定すべき介護対象者Obの氏名をその氏名フィールド2341に登録するレコードを選定(検索)し、この選定したレコードにおける性別フィールド2343、年齢フィールド2344および要介護度フィールド2347それぞれに登録されている性別、年齢および要介護度それぞれを抽出する。そして、異常判定部223は、判定条件情報記憶部232に記憶されている判定条件情報テーブルDTから、これら抽出した性別、年齢および要介護度それぞれをその性別フィールド2321、年齢フィールド2322および要介護度フィールド2323それぞれに登録するレコードを選定(検索)し、この選定したレコードにおける閾値フィールド2324、第1判定期間フィールド2325および第2判定期間フィールド2326それぞれに登録されている閾値、第1判定期間および第2判定期間を抽出する。 In FIG. 6, first, the central management device SV acquires the first determination period, the second determination period, and the threshold value by the abnormality determination unit 223 of the control processing unit 22 (S11). More specifically, the abnormality determination unit 223 first records the name of the care recipient Ob to be determined in the name field 2341 from the caregiver information table RT stored in the caregiver information storage unit 234. Are selected (searched), and the sex, age, and degree of need of nursing care registered in each of the sex field 2343, the age field 2344 and the degree of needing care field 2347 in the selected record are extracted. Then, from the judgment condition information table DT stored in the judgment condition information storage unit 232, the abnormality judging unit 223 extracts the sex, the age and the degree of need of nursing care for each of the sex field 2321, the age field 2322 and the degree of needing care A record to be registered in each of the fields 2323 is selected (searched), and the threshold registered in each of the threshold field 2324, the first determination period field 2325 and the second determination period field 2326 in the selected record, the first determination period and the second 2 Extract the judgment period.
 次に、中央管理装置SVは、異常判定部223によって、過去の行動データを統計処理する(S12)。より具体的には、異常判定部223は、まず、行動情報記憶部231から、前記判定すべき介護対象者Obの氏名に対応する行動情報テーブルATを選定(検索)する。次に、異常判定部223は、この選定した行動情報テーブルATから、過去の時点から、前記処理S11で取得した第1判定期間内の移動速度を抽出する。そして、異常判定部223は、この抽出した移動速度を平均して第1平均値を求める。 Next, the central management device SV statistically processes past action data by the abnormality determination unit 223 (S12). More specifically, the abnormality determination unit 223 first selects (searches) an action information table AT corresponding to the name of the care recipient Ob to be determined from the action information storage unit 231. Next, the abnormality determination unit 223 extracts, from the selected action information table AT, the moving speed within the first determination period acquired in the process S11 from the past time point. Then, the abnormality determination unit 223 obtains the first average value by averaging the extracted moving speeds.
 次に、中央管理装置SVは、異常判定部223によって、直近の行動データを統計処理する(S13)。より具体的には、異常判定部223は、まず、前記処理S12で選定した行動情報テーブルATから、過去の時点から、前記処理S11で取得した第2判定期間内の移動速度を抽出する。そして、異常判定部223は、この抽出した移動速度を平均して第2平均値を求める。 Next, the central management device SV statistically processes the latest action data by the abnormality determination unit 223 (S13). More specifically, the abnormality determination unit 223 first extracts, from the past time point, the moving speed in the second determination period acquired in the process S11 from the action information table AT selected in the process S12. Then, the abnormality determination unit 223 obtains the second average value by averaging the extracted moving speeds.
 次に、中央管理装置SVは、異常判定部223によって、これら第1および第2平均値間の差分値を求める(S14)。より具体的には、異常判定部223は、第1平均値から、第2平均値を減算することによって、前記差分値を求める。 Next, the central management device SV obtains a difference value between the first and second average values by the abnormality determination unit 223 (S14). More specifically, the abnormality determination unit 223 obtains the difference value by subtracting the second average value from the first average value.
 次に、中央管理装置SVは、異常判定部223によって、前記判定すべき介護対象者Obにおける行動の異常の有無を判定する(S15)。より具体的には、異常判定部223は、前記処理S14で求めた差分値と前記処理S11で取得した閾値とを比較することによって、前記判定すべき介護対象者Obにおける行動の異常の有無を判定する。この判定の結果、前記処理S14で求めた差分値が前記処理S11で取得した閾値を超えている場合には、前記閾値を超えて移動速度が低下しているので、行動の異常有りと判定し(Yes)、異常判定部223は、処理S16および処理S17の各処理を順次に実行し、本処理を終了する。一方、前記判定の結果、前記処理S14で求めた差分値が前記処理S11で取得した閾値を超えていない場合(前記処理S14で求めた差分値が前記処理S11で取得した閾値以下である場合)には、行動の異常無しと判定し(No)、異常判定部223は、本処理を終了する。 Next, the central management device SV determines, by the abnormality determination unit 223, whether or not there is an abnormality in the behavior of the care recipient Ob to be determined (S15). More specifically, the abnormality determination unit 223 compares the difference value obtained in the process S14 with the threshold value acquired in the process S11 to determine whether there is an abnormality in the behavior of the care recipient Ob who should be determined. judge. If, as a result of this determination, the difference value obtained in the process S14 exceeds the threshold obtained in the process S11, the movement speed is reduced beyond the threshold, so it is determined that there is an abnormality in the behavior. (Yes), the abnormality determination unit 223 sequentially executes each process of the process S16 and the process S17, and ends the present process. On the other hand, as a result of the determination, if the difference value obtained in the process S14 does not exceed the threshold obtained in the process S11 (if the difference value obtained in the process S14 is less than or equal to the threshold obtained in the process S11) In this case, it is determined that there is no abnormality in the behavior (No), and the abnormality determination unit 223 ends the present process.
 処理S16では、中央管理装置SVは、通知処理部224によって、アドバイスを取得する。より具体的には、通知処理部224は、アドバイス情報記憶部233に記憶されているアドバイス情報テーブルAdTから、前記処理S11で抽出した性別、年齢および要介護度それぞれをその性別フィールド2331、年齢フィールド2332および要介護度フィールド2333それぞれに登録するレコードを選定(検索)し、この選定したレコードにおけるアドバイスフィールド2334に登録されているアドバイスを抽出する。 In processing S16, the central management device SV acquires advice by the notification processing unit 224. More specifically, from the advice information table AdT stored in the advice information storage unit 233, the notification processing unit 224 selects the gender, the age, and the degree of long-term care required extracted in the process S11 as the gender field 2331, the age field A record to be registered in each of the field 2332 and the degree-of-care requiring field 2333 is selected (searched), and the advice registered in the advice field 2334 in the selected record is extracted.
 そして、処理S16に続く処理S17では、中央管理装置SVは、通知処理部224によって、判定結果を外部に通知(報知)する。より具体的には、通知処理部224は、前記判定すべき介護対象者Obの氏名、前記処理S15で判定された判定結果(行動の異常有り)、および、前記処理S16で抽出されたアドバイスを収容する通信信号を、端末装置SP、TA宛に同報通信で、あるいは、前記介護対象者Obの居室RMに配設されたセンサ装置SUに対応付けられた通知先の端末装置SP、TA宛に、送信する。 Then, in processing S17 following processing S16, the central processing unit SV causes the notification processing unit 224 to notify (notify) the determination result to the outside. More specifically, the notification processing unit 224 determines the name of the care recipient Ob to be determined, the determination result determined in the process S15 (the presence of an abnormality in the behavior), and the advice extracted in the process S16. The communication signal to be accommodated is addressed to the terminal apparatus SP or TA notified to the terminal apparatus SP or TA by broadcast communication, or to the sensor apparatus SU disposed in the room RM of the care recipient Ob. To send.
 端末装置SP、TAは、この通信信号を受信すると、介護対象者Obの氏名、判定結果(行動の異常有り)、および、アドバイスを表示する、これによって判定結果が報知され、前記判定結果は、ユーザに認識される。 When the terminal devices SP and TA receive this communication signal, they display the name of the care recipient Ob, the determination result (action abnormality present), and the advice, whereby the determination result is notified, and the determination result is Recognized by the user.
 なお、上述では、行動の異常有りのみ、端末装置SP、TAに通知されたが、行動の異常無しも端末装置SP、TAに通知されても良い。この場合では、前記処理S15の判定結果が行動の異常無しの場合(No)に、前記処理S17が実行される。この処理S17では、前記通信信号には、前記判定すべき介護対象者Obの氏名、および、前記処理S15で判定された判定結果(行動の異常無し)が収容される。 In the above description, only the abnormal behavior is notified to the terminal apparatus SP, TA. However, the abnormal behavior may also be notified to the terminal apparatus SP, TA. In this case, when the determination result of the process S15 indicates no abnormality of the action (No), the process S17 is performed. In the process S17, the communication signal contains the name of the care recipient Ob to be determined and the determination result (no abnormality in the behavior) determined in the process S15.
 以上説明したように、本実施形態における介護施設用行動異常検知システムMS、中央管理装置SVに含まれる介護施設用行動異常検知装置、および、これに実装された介護施設用行動異常検知方法は、過去に取得された時系列な複数の行動(本実施形態では移動速度(歩行速度))と、直近に取得された時系列な複数の行動とに基づいて、介護対象者Obの行動における異常の有無を判定する。したがって、前記介護施設用行動異常検知システムMS、介護施設用行動異常検知装置(中央管理装置SV)および介護施設用行動異常検知方法は、当日の突発的な行動によって検知するのではなく、日々の行動から、微小な日々の行動変化の検知が可能となり、認知症の発症が疑われる行動の異常をより早期に検知できる。このため、認知症のより早い段階で、その対策を講じることが可能となる。 As described above, the behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility included in the central management device SV, and the behavioral abnormality detection method for a nursing care facility implemented in this embodiment are: An abnormality in the action of the care recipient Ob based on a plurality of time-sequential actions (moving speed (walking speed in the present embodiment)) acquired in the past and a plurality of time-sequential actions acquired most recently Determine the presence or absence. Therefore, the behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV) and the behavioral abnormality detection method for a nursing care facility are not detected by the sudden behavior on the day, From the behavior, it is possible to detect minute daily behavioral changes, and it is possible to detect behavioral abnormalities suspected to develop dementia earlier. Therefore, it is possible to take measures in the early stage of dementia.
 前記介護施設用行動異常検知システムMS、介護施設用行動異常検知装置(中央管理装置SV)および介護施設用行動異常検知方法は、判定条件情報記憶部232を備えるので、第1および第2判定期間それぞれを適宜に設定可能となる。 The behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV), and the behavioral abnormality detection method for a nursing care facility include the determination condition information storage unit 232, so the first and second determination periods Each can be set appropriately.
 前記介護施設用行動異常検知システムMS、介護施設用行動異常検知装置(中央管理装置SV)および介護施設用行動異常検知方法は、前記時系列な複数の行動を統計処理するので、前記時系列な複数の行動に含まれる特異なデータ(データとして正しくないノイズデータ)を除去でき、前記時系列な複数の行動から表される統計的な特徴量で介護対象者Obの行動における異常の有無を判定できる。したがって、前記介護施設用行動異常検知システムMS、介護施設用行動異常検知装置(中央管理装置SV)および介護施設用行動異常検知方法は、介護対象者Obの行動における異常の有無をより適切に判定できる。 The behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV), and the behavioral abnormality detection method for a nursing care facility statistically process the plurality of behaviors in time series. It is possible to remove unique data (noise data that is not correct as data) included in a plurality of actions, and determine the presence or absence of an abnormality in the action of the care recipient Ob with statistical feature quantities represented from the plurality of actions in time series. it can. Therefore, the behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV) and the behavioral abnormality detection method for a nursing care facility more appropriately determine the presence or absence of an abnormality in the behavior of the care recipient Ob. it can.
 前記介護施設用行動異常検知システムMS、介護施設用行動異常検知装置(中央管理装置SV)および介護施設用行動異常検知方法は、アドバイス情報記憶部233を備えるので、異常判定部223で行動の異常有りと判定された場合に、例えば介護者等のユーザにアドバイスを提供できる。 The behavioral abnormality detection system MS for a nursing care facility, the behavioral abnormality detection device for a nursing care facility (central management device SV), and the behavioral abnormality detection method for a nursing care facility comprise an advice information storage unit 233. If it is determined that there is, for example, advice can be provided to the user such as a caregiver.
 なお、上述の実施形態では、介護対象者Obの行動は、移動速度(歩行速度)であるが、これに限定されるものではなく、認知症の発症の発見に関わる他の行動であって良い。例えば、介護対象者Obの行動は、寝返りや常道的な行動や夜間徘徊(ふらつき)等であっても良い。 In the above embodiment, the action of the care recipient Ob is the moving speed (walking speed), but is not limited to this, and may be another action related to the detection of the onset of dementia. . For example, the action of the care recipient Ob may be turning over, a normal action, a night shift, or the like.
 介護対象者Obの行動が寝返りである場合、前記移動速度(歩行速度)に代え、寝返り回数が求められる。寝返り回数は、例えば、次の各処理の実行によって求められる。まず、寝具の所在領域、右向きの横臥姿勢を表す右向き横臥姿勢パターンおよび左向きの横臥姿勢を表す左向き横臥姿勢パターンが予め用意される。そして、画像から、前記横臥姿勢パターンおよび前記左向き横臥姿勢パターンを用いたパターンマッチングによって、介護対象者Obにおける横臥姿勢の向き(人物領域の向き)が判定され、就寝の開始時点から終了時点までの間に、横臥姿勢の向きが変化するたびに、寝返り回数が1ずつカウントアップされる。就寝の開始時点は、例えば、寝具の所在領域内に介護対象者Ob(人物領域)が横臥姿勢になった入床の時点であり、就寝の終了時点は、寝具の所在領域内に介護対象者Obが座位姿勢になった起床の時点、あるいは、寝具の所在領域外に介護対象者Obが立位姿勢で出た離床の時点である。寝具の所在領域内における介護対象者Obの横臥姿勢、寝具の所在領域内における介護対象者Obの座位姿勢、および、寝具の所在領域外における介護対象者Obの立位姿勢は、それぞれ、画像での介護対象者Obの頭部の大きさによって判定される。介護対象者Obの上方から撮像した画像では、頭部の大きさは、立位姿勢、座位姿勢および横臥姿勢の順で小さくなるので、各判定閾値を予め用意することで、これら各姿勢は、判別できる。そして、過去の時点から第1判定期間内における寝返りの回数から第1平均値が求められ、直近の時点から第2判定期間内における寝返りの回数から第2平均値が求められ、この第1平均値から第2平均値を減算することによって差分値が求められ、この求められた差分値と閾値とが比較される。この比較の結果、前記差分値が前記閾値を超えていない場合には、行動の異常無しと判定され、一方、前記差分値が前記閾値を超えている場合には、行動の異常有りと判定され、所定のアドバイスと共にその判定結果が通知(報知)される。前記所定のアドバイスは、例えば、「寝返りの減少が見られます。股関節の可動域が低下している可能性がありますので、関節可動域訓練を開始してください。」等である。 When the action of the care recipient Ob is turning over, the number of times of turning over is found instead of the moving speed (walking speed). The number of times of turning is determined, for example, by execution of each of the following processes. First, a location area of bedding, a right-side lying posture pattern representing a right-side lying posture, and a left-side lying posture pattern representing a left-side lying posture are prepared in advance. Then, from the image, the orientation of the lying posture (direction of the person area) in the care recipient Ob is determined by pattern matching using the lying posture pattern and the left lying posture pattern, and from the start time to the end time of bedtime In the meantime, each time the orientation of the lying posture changes, the number of turns is incremented by one. The start time of bedtime is, for example, the time of admission when the care recipient Ob (person area) is in the lying position in the area where the bedding is located, and the time when bedtime is ended, the care target person is in the area where the bedding is located. At the time of getting up when Ob is in the sitting position, or at the time of leaving when the care recipient Ob stands out from the area where the bedding is located. The lying posture of the care recipient Ob in the area where the bedding is located, the sitting posture of the care recipient Ob in the area where the bedding is located, and the standing posture of the care subject Ob outside the region where the bedding is located are respectively images. It is judged by the size of the head of the care recipient Ob. In the image captured from the upper side of the care recipient Ob, the size of the head decreases in the order of the standing posture, the sitting posture, and the lying posture, so preparing each determination threshold in advance makes each of these postures It can be determined. Then, a first average value is obtained from the number of times of turning over in the first determination period from the past time point, and a second average value is obtained from the number of times of turning over in the second determination period from the most recent time point A difference value is determined by subtracting the second average value from the value, and the determined difference value is compared with the threshold value. As a result of this comparison, if the difference value does not exceed the threshold, it is determined that there is no abnormality in the action, while if the difference value exceeds the threshold, it is determined that there is an abnormality in the action. The determination result is notified (notified) together with the predetermined advice. The above-mentioned predetermined advice is, for example, "You can see a decrease in turning over. Since the range of motion of the hip joint may be reduced, please start joint range of motion training."
 また、前記常道的な行動とは、例えば、タンスの前で、服を畳んで仕舞う行動を繰り返す等の、無意味な同じような行動を繰り返すことである。介護対象者Obの行動がこのような常道的な行動である場合、前記移動速度(歩行速度)に代え、例えばタンスの前における所定の領域等の、特定の領域(場所)に滞在する時間長(常道的な行動を継続している時間長)が求められる。より具体的には、前記特定の領域(例えばタンス前の領域)が予め記憶され、画像から、前記特定の領域内に介護対象者Ob(人物領域)が入った時点から出る時点までの時間長が求められる。なお、前記特定の領域内で介護対象者Ob(人物領域)が座位姿勢になったか否かも判定され、前記特定の領域内で介護対象者Obが座位姿勢になっている時間長(服を畳んで仕舞う行動を繰り返していると推定される時間長)が求められても良い。そして、過去の時点から第1判定期間内における前記時間長から第1平均値が求められ、直近の時点から第2判定期間内における前記時間長から第2平均値が求められ、この第1平均値から第2平均値を減算することによって差分値が求められ、この求められた差分値と閾値とが比較される。この比較の結果、前記差分値が前記閾値を超えていない場合には、行動の異常無しと判定され、一方、前記差分値が前記閾値を超えている場合には、行動の異常有りと判定され、所定のアドバイスと共にその判定結果が通知(報知)される。前記所定のアドバイスは、例えば、「常道的な行動が見られます。認知症の診断受診をお勧めします。」等である。 Further, the ordinary behavior is, for example, to repeat nonsensical similar behavior such as repeating the behavior of folding clothes and performing in front of the closet. When the action of the care recipient Ob is such a normal action, the length of time for staying in a specific area (place) such as a predetermined area in front of the chest instead of the moving speed (walking speed) (The length of time for which you have continued your normal behavior) is required. More specifically, the specific area (for example, the area before the closet) is stored in advance, and the length of time from the time when the care recipient Ob (person area) enters the specific area to the time when it comes out from the image Is required. In addition, it is also determined whether or not the care subject Ob (person area) is in the sitting posture in the specific area, and the length of time during which the care subject Ob is in the sitting posture (the clothes are folded) It may be required to have a length of time) which is estimated to repeat repetitive behavior. Then, a first average value is obtained from the time length in the first determination period from the past time point, and a second average value is obtained from the time length in the second determination period from the most recent time point. A difference value is determined by subtracting the second average value from the value, and the determined difference value is compared with the threshold value. As a result of this comparison, if the difference value does not exceed the threshold, it is determined that there is no abnormality in the action, while if the difference value exceeds the threshold, it is determined that there is an abnormality in the action. The determination result is notified (notified) together with the predetermined advice. The predetermined advice is, for example, "normal behavior is observed. A diagnosis consultation for dementia is recommended" or the like.
 介護対象者Obの行動が夜間徘徊(ふらつき)である場合、前記移動速度(歩行速度)に代え、夜間徘徊の回数あるいは夜間徘徊の時間長が求められる。より具体的には、寝具の所在領域が予め記憶され、夜間時間帯(例えば22時から翌4時までの時間帯等)において、画像から、前記寝具の所在領域内から前記寝具の所在領域外に出て前記寝具の所在領域外に介護対象者Ob(人物領域)が予め設定された所定時間以上居る回数が、夜間徘徊の回数として計数される。あるいは、夜間時間帯において、画像から、居室RMから外に出て介護対象者Ob(人物領域)が予め設定された所定時間以上不在の回数が、夜間徘徊の回数として計数される。あるいは、寝具の所在領域が予め記憶され、夜間時間帯(例えば22時から翌4時までの時間帯等)において、画像から、前記寝具の所在領域内から前記寝具の所在領域外に出て前記寝具の所在領域外に介護対象者Ob(人物領域)が予め設定された所定時間以上居る場合の時間長が、夜間徘徊の時間長として求められる。あるいは、夜間時間帯において、画像から、居室RMから外に出て介護対象者Ob(人物領域)が予め設定された所定時間以上不在の時間長が、夜間徘徊の時間長として求められる。そして、過去の時点から第1判定期間内における前記夜間徘徊の回数あるいは夜間徘徊の時間長から第1平均値が求められ、直近の時点から第2判定期間内における前記夜間徘徊の回数あるいは夜間徘徊の時間長から第2平均値が求められ、この第1平均値から第2平均値を減算することによって差分値が求められ、この求められた差分値と閾値とが比較される。この比較の結果、前記差分値が前記閾値を超えていない場合には、行動の異常無しと判定され、一方、前記差分値が前記閾値を超えている場合には、行動の異常有りと判定され、所定のアドバイスと共にその判定結果が通知(報知)される。前記所定のアドバイスは、例えば、「夜間徘徊が見られます。認知症の診断受診をお勧めします。」等である。 In the case where the action of the care recipient Ob is at night (wandering), instead of the moving speed (walking speed), the number of night depressions or the time length of night depression is obtained. More specifically, the location area of the bedding is stored in advance, and in the night time zone (for example, the time zone from 22 o'clock to the next 4 o'clock etc.), from the image, the area is outside the bedding area of the bedding. The number of times the care recipient Ob (person's area) is present for at least a predetermined time set in advance outside the area where the bedding is located is counted as the number of night wrinkles. Alternatively, in the night time zone, the number of times the care recipient Ob (person area) is absent for a predetermined time or more out of the room RM is counted as the number of night wrinkles from the image. Alternatively, the location area of the bedding is stored in advance, and in the night time zone (for example, the time zone from 22:00 to the next 4 o'clock etc.), the image is out of the location area of the bedding and out of the location area of the bedding The time length in the case where the care recipient Ob (person area) is beyond the area where the bedding is located is longer than the predetermined time set in advance is determined as the time length of the night time. Alternatively, in the nighttime time zone, a time length of absence of the care target person Ob (person area) for a predetermined time or more, which is outside the living room RM, is obtained from the image as the nighttime habit time length. Then, a first average value is obtained from the number of night brows or the time length of the night brow in the first determination period from the past time point, and the number of night brows or night brow in the second determination period from the most recent time point The second average value is determined from the time length of the second average value, the difference value is determined by subtracting the second average value from the first average value, and the determined difference value is compared with the threshold value. As a result of this comparison, if the difference value does not exceed the threshold, it is determined that there is no abnormality in the action, while if the difference value exceeds the threshold, it is determined that there is an abnormality in the action. The determination result is notified (notified) together with the predetermined advice. The predetermined advice is, for example, "You can see a night-time acne. We recommend that you have a diagnosis for dementia."
 本明細書は、上記のように様々な態様の技術を開示しているが、そのうち主な技術を以下に纏める。 Although the present specification discloses various aspects of the technology as described above, the main technologies are summarized below.
 一態様にかかる介護施設用行動異常検知装置は、介護対象者の行動を取得する取得部と、前記取得部で取得した前記介護対象者の行動を取得時刻と対応付けて記憶する行動情報記憶部と、過去に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動と、直近に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動とに基づいて前記介護対象者の行動における異常の有無を判定する異常判定部と、前記異常判定部で判定された判定結果を外部に通知する通知処理部とを備える。好ましくは、上述の介護施設用行動異常検知装置において、前記取得部は、例えばセンサ装置等の外部機器から、前記介護対象者の行動を取得するインターフェース部を備える。好ましくは、上述の介護施設用行動異常検知装置において、前記取得部は、外部機器から、前記介護対象者の行動を表す情報(データ)を収容する通信信号を受信する通信インターフェース部と、前記通信信号に収容された前記情報に基づいて前記介護対象者の行動を求める行動処理部とを備える。好ましくは、上述の介護施設用行動異常検知装置において、前記取得部は、前記介護対象者の行動を取得するセンサを備える。好ましくは、上述の介護施設用行動異常検知装置において、前記取得部は、前記介護対象者の行動を取得するセンサとしてのカメラ、距離画像生成装置およびサーモグラフィー装置のうちのいずれかと、前記いずれかの装置の出力に基づいて前記介護対象者の行動を求める行動処理部とを備える。好ましくは、上述の介護施設用行動異常検知装置において、前記介護対象者の行動は、所定の2地点間(所定の2領域間)の移動(歩行)である。 The behavioral abnormality detection device for a nursing care facility according to one aspect includes an acquisition unit that acquires an activity of a care recipient, and an activity information storage unit that associates the activity of the care recipient acquired by the acquisition unit with an acquisition time and stores the activity. And a plurality of time-series actions of the care recipient acquired by the acquisition unit in the past and stored in the behavior information storage unit, and the action acquired by the acquisition unit and stored in the behavior information storage unit most recently. An abnormality determination unit that determines the presence or absence of an abnormality in the behavior of the care recipient based on a plurality of time-series actions of the care recipient, and a notification processing unit that notifies the determination result determined by the abnormality determination unit to the outside And Preferably, in the above-described behavioral abnormality detection apparatus for a care facility, the acquisition unit includes an interface unit that acquires an activity of the care recipient from an external device such as a sensor device. Preferably, in the above-described behavior abnormality detection apparatus for a nursing care facility, the acquisition unit is a communication interface unit that receives, from an external device, a communication signal containing information (data) representing the behavior of the care recipient. And an action processing unit for obtaining an action of the care recipient based on the information contained in the signal. Preferably, in the above-described behavioral abnormality detection apparatus for a nursing care facility, the acquisition unit includes a sensor that acquires an activity of the care recipient. Preferably, in the above-described behavioral abnormality detection apparatus for a nursing care facility, the acquisition unit is any one of a camera as a sensor for acquiring an activity of the care recipient, a distance image generation apparatus, and a thermographic apparatus. And an action processing unit for obtaining an action of the care recipient based on an output of the device. Preferably, in the above-described behavior abnormality detection apparatus for a nursing care facility, the behavior of the person to be treated is movement (walking) between a predetermined two points (a predetermined two areas).
 このような介護施設用行動異常検知装置は、過去に取得された時系列な複数の行動と、直近に取得された時系列な複数の行動とに基づいて、介護対象者の行動における異常の有無を判定する。したがって、上記介護施設用行動異常検知装置は、日々の行動から、微小な日々の行動変化の検知が可能となり、認知症の発症が疑われる行動の異常を検知できる。 Such a behavior abnormality detection apparatus for a nursing care facility is based on a plurality of time-series multiple actions acquired in the past and a plurality of time-series multiple actions acquired most recently. Determine Therefore, the behavioral abnormality detection device for a nursing care facility can detect minute daily behavioral changes from daily behavior, and can detect behavioral abnormalities in which onset of dementia is suspected.
 他の一態様では、上述の介護施設用行動異常検知装置において、所定の第1および第2判定期間を記憶する判定期間情報記憶部をさらに備え、前記異常判定部は、過去の時点から前記第1判定期間内に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動と、直近の時点から前記第2判定期間内に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動とに基づいて前記介護対象者の行動における異常の有無を判定する。 In another aspect, the above-described behavioral abnormality detection apparatus for a nursing care facility further includes a determination period information storage unit that stores predetermined first and second determination periods, and the abnormality determination unit is configured to determine whether the first or the second determination period is stored. Acquired by the acquisition unit within the second determination period from the most recent time point and a plurality of time-series actions of the care recipient acquired by the acquisition unit and stored in the behavior information storage unit within one determination period; The presence or absence of abnormality in the action of the care recipient is determined based on the plurality of time-series actions of the care subject stored in the action information storage unit.
 このような介護施設用行動異常検知装置は、判定期間情報記憶部を備えるので、前記第1および第2判定期間それぞれを適宜に設定可能となる。例えば、前記第2判定期間を前記第1判定期間と異なる期間とすることで、連続的に変化する行動をより明確に判定することがきる。特に、認知症における行動変化は、重症化に伴い急激に変化し易くなるという観点から、前記第1判定期間は、前記第2判定期間より、長いことが好ましい。 Since such a care facility behavior abnormality detection device includes the determination period information storage unit, each of the first and second determination periods can be appropriately set. For example, by setting the second determination period to a period different from the first determination period, it is possible to more clearly determine continuously changing behavior. In particular, it is preferable that the first determination period is longer than the second determination period, from the viewpoint that behavior change in dementia is likely to change rapidly as the disease becomes severer.
 他の一態様では、これら上述の介護施設用行動異常検知装置において、前記異常判定部は、前記過去における前記時系列な複数の行動を統計処理することによって得られた第1値と、前記直近における前記時系列な複数の行動を前記統計処理することによって得られた第2値との差分値と所定の閾値と比較することによって、前記介護対象者の行動における異常の有無を判定する。好ましくは、上述の介護施設用行動異常検知装置において、前記介護対象者の行動は、所定の2地点間(所定の2領域間)の移動(歩行)であり、前記第1および第2値は、それぞれ、前記所定の2地点間(所定の2領域間)の移動速度(歩行速度)の平均値である。 In another aspect, in the behavior abnormality detection apparatus for a care facility described above, the abnormality determination unit may calculate a first value obtained by statistically processing the plurality of time-series actions in the past, and the latest value. The presence or absence of abnormality in the care target person's behavior is determined by comparing the difference value with the second value obtained by performing the statistical processing on the plurality of time series actions in the above and a predetermined threshold. Preferably, in the above-described behavioral abnormality detection apparatus for a nursing care facility, the behavior of the person to be treated is movement (walking) between a predetermined two points (a predetermined two areas), and the first and second values are Each is an average value of the moving speed (walking speed) between the predetermined two points (between the predetermined two areas).
 このような介護施設用行動異常検知装置は、前記時系列な複数の行動を統計処理するので、前記時系列な複数の行動に含まれる特異なデータ(データとして正しくないノイズデータ)を除去でき、例えば平均値や標準偏差等の、前記時系列な複数の行動から表される統計的な特徴量で前記介護対象者の行動における異常の有無を判定できる。したがって、上記介護施設用行動異常検知装置は、前記介護対象者の行動における異常の有無をより適切に判定できる。 Since such a behavior abnormality detection apparatus for a nursing care facility statistically processes the plurality of time-series actions, it is possible to remove unique data (noise data as incorrect data) included in the plurality of time-series actions, For example, it is possible to determine the presence or absence of an abnormality in the care target person's behavior from statistical feature quantities expressed from the plurality of time-series actions such as average value and standard deviation. Therefore, the behavioral abnormality detection apparatus for a nursing care facility can more appropriately determine the presence or absence of an abnormality in the behavior of the care recipient.
 他の一態様では、これら上述の介護施設用行動異常検知装置において、行動の異常有りの場合に提示されるアドバイスを記憶するアドバイス情報記憶部をさらに備え、前記通知処理部は、前記異常判定部で行動の異常有りと判定された場合に、前記アドバイス情報記憶部に記憶されたアドバイスを通知する。 In another aspect, the above-described behavior abnormality detection apparatus for a nursing care facility further includes an advice information storage unit that stores an advice presented when there is an abnormality in the behavior, the notification processing unit including the abnormality determination unit If it is determined that there is an abnormality in the action, the advice stored in the advice information storage unit is notified.
 このような介護施設用行動異常検知装置は、アドバイス情報記憶部をさらに備えるので、前記異常判定部で行動の異常有りと判定された場合に、例えば介護者等のユーザにアドバイスを提供できる。 Since such a care facility behavior abnormality detection device further includes an advice information storage unit, when the abnormality determination unit determines that there is an abnormality in the behavior, for example, it is possible to provide advice to a user such as a carer.
 他の一態様にかかる介護施設用行動異常検知方法は、介護対象者の行動を取得する取得工程と、前記取得工程で取得した前記介護対象者の行動を取得時刻と対応付けて行動情報記憶部に記憶する行動情報記憶工程と、過去に前記取得工程で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動と、直近に前記取得工程で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動とに基づいて前記介護対象者の行動における異常の有無を判定する異常判定工程と、前記異常判定工程で判定された判定結果を外部に通知する通知処理工程とを備える。 The behavior abnormality detection method for a care facility according to another aspect includes an acquisition step of acquiring an action of a care recipient, and an action information storage unit by associating the action of the care recipient acquired in the acquisition step with an acquisition time. And a plurality of time-series actions of the care target person obtained in the acquisition step in the past and stored in the action information storage unit, and the action information acquired most recently in the acquisition step An abnormality determining step of determining presence or absence of an abnormality in the action of the care recipient based on a plurality of time-series actions of the care subject stored in the storage unit; and a determination result determined in the abnormality determination step And a notification processing step of notifying the outside.
 このような介護施設用行動異常検知方法は、過去に取得された時系列な複数の行動と、直近に取得された時系列な複数の行動とに基づいて、介護対象者の行動における異常の有無を判定する。したがって、上記介護施設用行動異常検知方法は、日々の行動から、微小な日々の行動変化の検知が可能となり、認知症の発症が疑われる行動の異常を検知できる。 Such a behavioral abnormality detection method for a nursing care facility is based on a plurality of time-series multiple actions acquired in the past and a plurality of time-series multiple actions acquired most recently, whether or not there is an abnormality in the care target person's behavior Determine Therefore, the above-described behavioral abnormality detection method for a nursing care facility can detect minute daily behavioral changes from daily behavior, and can detect behavioral abnormalities in which onset of dementia is suspected.
 他の一態様にかかる介護施設用行動異常検知システムは、介護対象者の行動を取得するセンサ装置と、前記センサ装置と通信可能に接続され前記介護対象者の行動を管理し、前記介護対象者の行動に基づいて前記介護対象者の行動における異常の有無を判定する中央管理装置と、前記中央管理装置と通信可能に接続され前記中央管理装置で判定された判定結果を出力する端末装置とを備える介護施設用行動異常検知システムであって、前記中央管理装置は、これら上述のいずれかの介護施設用行動異常装置を含む。 A behavioral abnormality detection system for a care facility according to another aspect comprises a sensor device for acquiring a behavior of a care recipient, and communicably connected to the sensor device to manage the behavior of the care recipient, the care recipient A central management apparatus that determines presence or absence of an abnormality in the action of the care recipient based on the behavior of the care recipient, and a terminal apparatus communicably connected to the central management apparatus and outputting a determination result determined by the central management apparatus; It is an action abnormality detection system for nursing homes provided, and the said central-management apparatus contains the behavior abnormality apparatus for any of these above-mentioned care institutions.
 このような介護施設用行動異常検知システムは、これら上述のいずれかの介護施設用行動異常装置を含むので、日々の行動から、認知症の発症が疑われる行動の異常を検知できる。 Such a behavioral abnormality detection system for a nursing care facility includes any of the above-described behavioral abnormality devices for a nursing care facility, so that it is possible to detect from the daily behavior the behavioral abnormality in which the onset of dementia is suspected.
 他の一態様では、上述の介護施設用行動異常検知システムにおいて、前記センサ装置は、前記介護対象者に非接触で前記介護対象者の行動を取得するセンサを備える。 In another aspect, in the above-described behavioral abnormality detection system for a nursing home, the sensor device includes a sensor that acquires the activity of the care recipient without contact with the care recipient.
 このような介護施設用行動異常検知システムは、センサ装置が非接触で介護対象者の行動を取得するので、前記介護対象者を拘束することなく、前記介護対象者の行動を取得できる。 In such a behavior abnormality detection system for a care facility, since the sensor device acquires the behavior of the care recipient without contact, the behavior of the care recipient can be acquired without restraining the care recipient.
 この出願は、2017年12月25日に出願された日本国特許出願特願2017-247394を基礎とするものであり、その内容は、本願に含まれるものである。 This application is based on Japanese Patent Application No. 2017-247394 filed on Dec. 25, 2017, the contents of which are included in the present application.
 本発明の実施形態が詳細に図示され、かつ、説明されたが、それは単なる図例及び実例であって限定ではない。本発明の範囲は、添付されたクレームの文言によって解釈されるべきである。 Although embodiments of the present invention have been illustrated and described in detail, it is merely illustrative and not restrictive. The scope of the present invention should be interpreted by the terms of the appended claims.
 本発明を表現するために、上述において図面を参照しながら実施形態を通して本発明を適切且つ十分に説明したが、当業者であれば上述の実施形態を変更および/または改良することは容易に為し得ることであると認識すべきである。したがって、当業者が実施する変更形態または改良形態が、請求の範囲に記載された請求項の権利範囲を離脱するレベルのものでない限り、当該変更形態または当該改良形態は、当該請求項の権利範囲に包括されると解釈される。 While the present invention has been properly and sufficiently described above through the embodiments with reference to the drawings in order to express the present invention, those skilled in the art can easily change and / or improve the above embodiments. It should be recognized that it is possible. Therefore, unless a change or improvement implemented by a person skilled in the art is at a level that deviates from the scope of the claims set forth in the claims, the change or the improvement is the scope of the rights of the claim It is interpreted as being included in
 本発明によれば、介護対象者における行動の異常を検知する介護施設用行動異常検知装置、介護施設用行動異常検知方法および介護施設用行動異常検知システムが提供できる。 According to the present invention, it is possible to provide a behavioral abnormality detection device for a nursing care facility, a behavioral abnormality detection method for a nursing care facility, and a behavioral abnormality detection system for a nursing care facility, which detect a behavioral abnormality in a care recipient.

Claims (7)

  1.  介護対象者の行動を取得する取得部と、
     前記取得部で取得した前記介護対象者の行動を取得時刻と対応付けて記憶する行動情報記憶部と、
     過去に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動と、直近に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動とに基づいて前記介護対象者の行動における異常の有無を判定する異常判定部と、
     前記異常判定部で判定された判定結果を外部に通知する通知処理部とを備える、
     介護施設用行動異常検知装置。
    An acquisition unit for acquiring the behavior of the subject of care;
    An action information storage unit that stores the action of the care recipient acquired by the acquisition unit in association with the acquisition time;
    A plurality of time-series multiple actions of the care recipient acquired by the acquisition unit in the past and stored in the behavior information storage unit, and the care target acquired most recently by the acquisition unit and stored in the behavior information storage unit An abnormality determination unit that determines the presence or absence of an abnormality in the action of the person to be cared for based on a plurality of time-series actions of the elderly person;
    And a notification processing unit configured to notify the determination result determined by the abnormality determination unit to the outside.
    Behavioral anomaly detector for nursing homes.
  2.  所定の第1および第2判定期間を記憶する判定期間情報記憶部をさらに備え、
     前記異常判定部は、過去の時点から前記第1判定期間内に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動と、直近の時点から前記第2判定期間内に前記取得部で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動とに基づいて前記介護対象者の行動における異常の有無を判定する、
     請求項1に記載の介護施設用行動異常検知装置。
    It further comprises a determination period information storage unit that stores predetermined first and second determination periods,
    The abnormality determination unit is a plurality of time-series actions in the care target person, which are acquired by the acquisition unit and stored in the behavior information storage unit in the first determination period from a past time, and the most recent time The presence or absence of abnormality in the action of the care recipient is determined based on the plurality of time-series actions of the care subject acquired by the acquisition unit and stored in the action information storage unit within the second determination period.
    The behavioral abnormality detection apparatus for a care facility according to claim 1.
  3.  前記異常判定部は、前記過去における前記時系列な複数の行動を統計処理することによって得られた第1値と、前記直近における前記時系列な複数の行動を前記統計処理することによって得られた第2値との差分値と所定の閾値と比較することによって、前記介護対象者の行動における異常の有無を判定する、
     請求項1または請求項2に記載の介護施設用行動異常検知装置。
    The abnormality determination unit is obtained by statistically processing a first value obtained by statistically processing the plurality of time-series actions in the past, and the plurality of time-series plurality of actions in the most recent. It is determined whether or not there is an abnormality in the action of the care recipient by comparing the difference value with the second value with a predetermined threshold value.
    The behavioral abnormality detection device for a nursing home according to claim 1 or 2.
  4.  行動の異常有りの場合に提示されるアドバイスを記憶するアドバイス情報記憶部をさらに備え、
     前記通知処理部は、前記異常判定部で行動の異常有りと判定された場合に、前記アドバイス情報記憶部に記憶されたアドバイスを通知する、
     請求項1ないし請求項3のいずれか1項に記載の介護施設用行動異常検知装置。
    The system further comprises an advice information storage unit for storing advice presented when there is an abnormality in behavior,
    The notification processing unit notifies the advice stored in the advice information storage unit when the abnormality determination unit determines that the behavior is abnormal.
    The behavioral abnormality detection device for a nursing home according to any one of claims 1 to 3.
  5.  介護対象者の行動を取得する取得工程と、
     前記取得工程で取得した前記介護対象者の行動を取得時刻と対応付けて行動情報記憶部に記憶する行動情報記憶工程と、
     過去に前記取得工程で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動と、直近に前記取得工程で取得され前記行動情報記憶部に記憶された前記介護対象者における時系列な複数の行動とに基づいて前記介護対象者の行動における異常の有無を判定する異常判定工程と、
     前記異常判定工程で判定された判定結果を外部に通知する通知処理工程とを備える、
     介護施設用行動異常検知方法。
    An acquisition process for acquiring the action of the subject of care;
    An action information storage step of storing the action of the care recipient acquired in the acquisition step in the action information storage unit in association with the acquisition time;
    A plurality of time-series actions of the care recipient acquired in the acquisition step and stored in the behavior information storage unit in the past, and the care object acquired in the acquisition step and stored in the behavior information storage unit most recently An abnormality determining step of determining the presence or absence of an abnormality in the action of the person to be cared for based on a plurality of time-series actions of the elderly person;
    And a notification processing step of notifying the outside of the determination result determined in the abnormality determination step.
    Behavioral anomaly detection method for nursing homes.
  6.  介護対象者の行動を取得するセンサ装置と、前記センサ装置と通信可能に接続され前記介護対象者の行動を管理し、前記介護対象者の行動に基づいて前記介護対象者の行動における異常の有無を判定する中央管理装置と、前記中央管理装置と通信可能に接続され前記中央管理装置で判定された判定結果を出力する端末装置とを備える介護施設用行動異常検知システムであって、
     前記中央管理装置は、請求項1ないし請求項4のいずれか1項に記載の介護施設用行動異常装置を含む、
     介護施設用行動異常検知システム。
    A sensor device for acquiring an action of a care recipient, and a communicable connection with the sensor device to manage the action of the care recipient, and presence or absence of abnormality in the action of the care recipient based on the action of the care recipient A care facility behavior abnormality detection system comprising: a central management device that determines the communication state; and a terminal device communicably connected to the central management device and outputting a determination result determined by the central management device,
    The central management device includes a behavior abnormality device for a nursing home according to any one of claims 1 to 4.
    Behavioral anomaly detection system for nursing homes.
  7.  前記センサ装置は、前記介護対象者に非接触で前記介護対象者の行動を取得するセンサを備える、
     請求項6に記載の介護施設用行動異常検知システム。
    The sensor device includes a sensor for acquiring the action of the care recipient without contacting the care recipient.
    The behavioral abnormality detection system for a nursing home according to claim 6.
PCT/JP2018/033966 2017-12-25 2018-09-13 Abnormal behavior detection device, method, and system for nursing facility WO2019130674A1 (en)

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