WO2020067583A1 - System for managing dementia patients - Google Patents

System for managing dementia patients Download PDF

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Publication number
WO2020067583A1
WO2020067583A1 PCT/KR2018/011349 KR2018011349W WO2020067583A1 WO 2020067583 A1 WO2020067583 A1 WO 2020067583A1 KR 2018011349 W KR2018011349 W KR 2018011349W WO 2020067583 A1 WO2020067583 A1 WO 2020067583A1
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Prior art keywords
dementia
patient
provides
medication
unit
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PCT/KR2018/011349
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French (fr)
Korean (ko)
Inventor
전성숙
서보성
박세영
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(주)에프에스알엔티
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Priority to PCT/KR2018/011349 priority Critical patent/WO2020067583A1/en
Publication of WO2020067583A1 publication Critical patent/WO2020067583A1/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT 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

Definitions

  • the present invention relates to a dementia patient management system, and more specifically, dementia patient management that provides information to help the dementia patient through the self-diagnosis and grasp the severity of dementia and care for the dementia patient when the dementia patient is suspected It's about the system.
  • the social cost of caring for one dementia patient is 1968 million won per year, and the time required to care for one person with dementia is 6 to 9 hours a day.
  • the total social cost of caring for people with dementia is estimated to be astronomical cost of 1.3 trillion won per year.
  • the present invention provides a dementia patient management system capable of self-diagnosing the degree of dementia of an examiner through KDSQ examination.
  • the present invention provides a dementia patient management system in which a dependent and a caregiver recommends the use of an appropriate drug through a patient's administration time and medication guidance.
  • the present invention provides a dementia patient management system that helps rehabilitation and prevention of dementia in patients with dementia and suspected dementia.
  • the present invention provides a dementia patient management system that helps the caregiver of a patient to a caregiver and a caregiver by grasping the position and movement of the patient through a smart device.
  • Dementia patient management system self-diagnosis to distinguish the dementia progression stage of the examiner through the KDSQ test, the medication management unit providing the patient's dosing information to the caregiver and caregiver of the dementia patient, the dementia patient It includes a rehabilitation management unit that provides a rehabilitation training program and a safety management unit that identifies the movement of the dementia patient and determines whether falls and loitering in the bed, and provides notification information to the caregivers.
  • the present invention provides a dementia patient management system capable of self-diagnosing the degree of dementia progression by an examiner through a KDSQ test.
  • the present invention provides a dementia patient management system that encourages the caregivers and caregivers to use the appropriate drug through the patient's medication time and medication guidance.
  • a dementia patient management system is provided to help rehabilitation and prevention of dementia in patients with dementia and suspected dementia.
  • the present invention provides a dementia patient management system that helps the caregiver of a patient to a caregiver and a caregiver by grasping the position and movement of the patient through a smart device.
  • FIG. 1 is a block diagram showing a dementia patient management system according to an embodiment of the present invention.
  • FIG. 2 is a view showing the configuration of a KDSQ test according to an embodiment of the present invention.
  • FIG. 3 is a view showing an example of a rehabilitation program according to an embodiment of the present invention.
  • FIG. 4 is a diagram illustrating an example of using a smart device according to an embodiment of the present invention.
  • FIG. 5 is a view showing an example of utilizing Lora communication according to an embodiment of the present invention.
  • FIG. 1 is a block diagram showing a dementia patient management system 100 according to an embodiment of the present invention.
  • the dementia patient management system 100 of the present invention may include a self-diagnosis unit 110, a medication management unit 120, a rehabilitation management unit 130, a safety management unit 140, and an additional function 150. You can.
  • FIG. 2 is a view showing a platform of the dementia patient management system 100 according to an embodiment of the present invention.
  • the dementia patient management system through the user terminal 1000
  • the dementia patient management system When the system 100 (application) is executed and login is performed, the dementia patient management system
  • It can be composed of content.
  • the patient status recording content can record the patient's condition such as dementia test, blood pressure, blood sugar, and sleep time to check the overall health of the patient.
  • the medication check content may set a medication notification time to execute a notification according to the medication time, administer medication, and register with the dementia patient management system 100 to check the overall patient's medication status.
  • the self-diagnosis test content may perform KDSQ self-diagnosis, and compare and analyze scores and tendencies of the self-diagnosis with predetermined data to check the progress of the dementia of the examiner.
  • the safety management content may identify a patient's risk and location by transmitting a signal to a caregiver and caregiver when the patient senses the risk of falling in bed or when the patient is roaming.
  • the self-diagnosis unit 110 may distinguish a stage of dementia from the examiner through a KDSQ test.
  • the self-diagnostic unit 110 the inspector performs a KDSQ test through the KDSQ test unit 111, the test results are stored in the test result storage unit 1120, the severity of the GDS provider 113 As a result of the GDS as a measure, it is possible to self-diagnose the progress of dementia, and a step-by-step examination helps to receive appropriate treatment depending on the degree of dementia of the examiner.
  • FIG. 3 is a view showing the configuration of a KDSQ test according to an embodiment of the present invention.
  • the KDSQ test is an abbreviation of Korean Dementia Screening Questionnaire, and the clinical symptoms commonly seen in patients with dementia are divided into three parts: memory disorders, language disorders, behavioral disorders, and daily performance disorders. Consists of. It includes items to include vascular dementia and items to discriminate depression, and can be applied to illiterate patients except for reading and writing items. When the score is more than 6 out of 15, dementia can be diagnosed with a sensitivity of 79% and a specificity of 80%. KDSQ-H, which includes 5 questions to differentiate vascular dementia, suggests that a score of 3 or higher is highly associated with vascular factors.
  • the dementia patient management system of the present invention enables the examiner to perform the KDSQ test through the self-diagnosis unit 110 and is helpful in selecting dementia early because the ability to select dementia is targeted only to early patients.
  • the result of the KDSG test performed by the examiner through the dementia patient management system 100 is 4 or more, it is considered to be mild dementia, so go to the advanced test (KDSQ-H) for proper hospital treatment and prevention for dementia. You can present a program.
  • the dosage management unit 120 may provide dosage information of the patient to the caregivers and caregivers of the dementia patient.
  • the medication notification unit 121 provides a notification according to the patient's taking time
  • medication The leadership unit 123 provides information necessary for taking the medication, such as the dosage and the shape of the drug to be taken, and the resuscitation management unit 122 may record the date when the patient should be re-entered the hospital based on the dosing schedule.
  • the rehabilitation management unit 130 selects a suitable number of rehabilitation training programs suggested by medical staffs according to the degree of dementia progress of the patient through the rehabilitation program selection unit 131, and a plurality of rehabilitation programs through the rehabilitation program providing unit 132 You can choose one of them and run it.
  • rehabilitation management unit 130 An embodiment of the rehabilitation management unit 130 will be described in detail below with reference to FIG. 4.
  • FIG. 4 is a view showing an example of a rehabilitation program according to an embodiment of the present invention.
  • the patient's dementia evaluation area needs training in the cognitive area of memory, it may be input to the rehabilitation management unit 130.
  • verbal / visual stimuli eg, remembering words, remembering pictures and locations.
  • the patient's dementia evaluation area requires training of the cognitive area of the frontal lobe and executive function
  • a dementia prevention game that can improve the cognitive area of the frontal lobe and executive function, such as a memory improvement game using time-recall recall training.
  • the rehabilitation management unit 130 may assist the patient in rehabilitation by providing an appropriate rehabilitation program for the treatment process of the patient.
  • the safety management unit 140 includes a fall detection unit 141, a roaming detection unit 142, and a danger signal transmission unit 143.
  • the fall detection unit 141 determines the motion of the dementia patient through the smart device 1000 to determine the fall in the bed, and the loam detection unit 142 checks the location of the dementia patient in real time through Lora communication.
  • the danger signal transmission unit 143 may transmit a danger signal to the supporters and caregivers based on the information measured by the fall detection unit 141 and the loitering detection unit 142.
  • the safety management unit 140 checks the posture duration and position change time through the motion detection sensor of the smart device 1000 attached to the patient with dementia, identifies the patient's location through Lora communication, and When the set posture duration time has elapsed, a call signal may be transmitted to an adjacent medical personnel.
  • FIG. 5 is a view showing an example of utilizing Lora communication according to an embodiment of the present invention.
  • a call signal is transmitted to an adjacent medical practitioner to prevent the medical practitioner from falling into the patient's bed.
  • the additional function 150 may include an alternative method providing unit 151, a community unit 152, and a support system guide unit 153.
  • the alternative method providing unit 151 may provide a method for coping with various behaviors of the dementia patient.
  • the alternative method providing unit 151 can provide reliable information to the caregivers and caregivers of dementia patients by initiating an example of a response method for each situation in consultation with a medical institution.
  • the disclosed countermeasures can be largely presented.
  • the above illustrated method is presented so that the patient's caregivers and caregivers can respond.
  • the community providing unit 152 may provide a family-only community of dementia patients, as well as in the case of patients in a nursing facility, by sharing the patient's activity status, the guardian can check the patient's condition.
  • the community providing unit 152 may provide a family-only community, and the family of patients may share and notify a family event schedule of family travel, a first birthday party, a seventh birthday, and a marriage to the provided community.
  • health status and daily life can be posted to the community by the carers, and the posted data can be viewed by the family, thereby increasing the reliability between the hospital and the guardian.
  • the caregiver or professional counselor can leave an answer and the caregiver can obtain expert advice.
  • the support system guide 153 may provide information that may be helpful in treating dementia-related education, support systems, and dementia patients.
  • the support system guide 153 may support services such as medical expenses related to dementia, education, provision of promotional materials, connection to visiting health business, and products that are helpful for nursing patients with dementia.
  • the support system guide 153 provides patients with dementia by providing social support systems (eg, long-term care insurance, dementia base hospitals, day care facilities, in-house welfare center rehabilitation programs, dementia hospitals, etc.) It can broaden the scope of social support for dependents.
  • social support systems eg, long-term care insurance, dementia base hospitals, day care facilities, in-house welfare center rehabilitation programs, dementia hospitals, etc.
  • a dementia patient management system may be recorded on a computer-readable medium including program instructions for performing various computer-implemented operations.
  • the computer-readable medium may include program instructions, data files, data structures, or the like alone or in combination.
  • the media may be program instructions specially designed and constructed for the present invention or may be known and usable by those skilled in computer software.
  • Examples of computer readable recording media include magnetic media such as hard disks, floppy disks, and magnetic tapes, optical recording media such as CD-ROMs, DVDs, magnetic-optical media such as floptical discs, and ROM, RAM, flash memory, etc.
  • Hardware devices specifically configured to store and execute program instructions are included.
  • Examples of program instructions include high-level language code that can be executed by a computer using an interpreter, etc., as well as machine language codes produced by a compiler.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • Biomedical Technology (AREA)
  • Primary Health Care (AREA)
  • General Health & Medical Sciences (AREA)
  • Data Mining & Analysis (AREA)
  • Pathology (AREA)
  • Databases & Information Systems (AREA)
  • Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

The present invention discloses a system for managing dementia patients. A system for managing dementia patients according to one embodiment of the present invention comprises: a self-diagnosis unit which classifies the stage of dementia of an examinee through a KDSQ test; a medication management unit which provides a provider and caregiver of a dementia patient with medication information about the patient; a rehabilitation management unit which provides a rehabilitation training program for the dementia patient; and a safety management unit which comprehends the movements of the dementia patient to determine whether the patient has fallen from a bed or is wandering around, and provides notification information to the provider.

Description

치매 환자 관리시스템Dementia patient management system
본 발명은 치매 환자 관리 시스템에 관한 것으로, 보다 상세하게는 치매 환자가 의심되면 자가 진단을 통해 치매 중증도를 파악 및 치매 환자를 돌보는 부양자 및 간병인에게 치매 치료에 도움이 되는 정보를 제공하는 치매 환자 관리 시스템에 관한 것이다.The present invention relates to a dementia patient management system, and more specifically, dementia patient management that provides information to help the dementia patient through the self-diagnosis and grasp the severity of dementia and care for the dementia patient when the dementia patient is suspected It's about the system.
최근 인구 노령화가 급격하게 진행되면서, 치매와 같은 노인성 질환 환자가 급증하고 있는 추세이다. 특히, 노령 인구 증가율보다 치매의 발병률이 더욱 높아지고 있어 치매 환자의 보호와 관리가 사회적인 이슈로 대두되고 있는 실정이다.With the recent rapid progress of population aging, patients with senile diseases such as dementia are rapidly increasing. In particular, since the incidence of dementia is higher than the rate of increase in the aged population, the protection and management of patients with dementia is a social issue.
한 통계에 따르면 치매 환자 1인을 돌보는데 소요되는 사회 비용은 연간 1968 만원이며, 치매 환자 1인을 돌보는데 소요되는 시간은 하루에 6~9시간이다. 치매 환자를 돌보는데 드는 총 사회적 비용은 연간 10조 3000억원이라는 천문학적 비용이 소요되는 것으로 전망하였다.According to one statistics, the social cost of caring for one dementia patient is 1968 million won per year, and the time required to care for one person with dementia is 6 to 9 hours a day. The total social cost of caring for people with dementia is estimated to be astronomical cost of 1.3 trillion won per year.
이와 같이, 치매 환자를 돌보는 데는 치매 환자나 그 보호자의 개인적 비용과 시간이 소요될 뿐만 아니라 사회 적으로도 천문학적인 비용이 소요되는 것으로 치매 환자에 대한 더욱 세심하고 안전한 관리가 요구되고 있는 실정이다.As such, it is a situation that requires more careful and safe management of the patient with dementia, as it takes not only the personal cost and time of the dementia patient or its guardian to care for the patient with dementia, but also a socially astronomical cost.
본 발명은 KDSQ 검사를 통해 검사자의 치매 진행 정도를 자가진단 할 수 있는 치매 환자 관리시스템을 제공한다.The present invention provides a dementia patient management system capable of self-diagnosing the degree of dementia of an examiner through KDSQ examination.
또한, 본 발명은 부양자 및 간병인이 환자의 투약 시간 및 복약 지도 등을 통해 적절한 약의 사용을 권장하는 치매 환자 관리시스템을 제공한다.In addition, the present invention provides a dementia patient management system in which a dependent and a caregiver recommends the use of an appropriate drug through a patient's administration time and medication guidance.
또한 본 발명은 치매 환자 및 치매 의심 환자의 치매를 재활 및 예방할 수 있게 도움을 주는 치매 환자 관리시스템을 제공한다.In addition, the present invention provides a dementia patient management system that helps rehabilitation and prevention of dementia in patients with dementia and suspected dementia.
또한, 본 발명은 스마트 디바이스를 통해 환자의 위치 및 움직임을 파악하여 부양자 및 간병인에게 환자의 간병에 도움을 주는 치매 환자 관리시스템을 제공한다.In addition, the present invention provides a dementia patient management system that helps the caregiver of a patient to a caregiver and a caregiver by grasping the position and movement of the patient through a smart device.
본 발명의 일실시예에 따른 치매 환자 관리시스템은, KDSQ 검사를 통해 검사자의 치매 진행 단계를 구분하는 자가진단, 치매 환자의 부양자 및 간병인에게 상기 환자의 투약 정보를 제공하는 투약관리부, 상기 치매 환자의 재활훈련 프로그램을 제공하는 재활관리부 및 상기 치매 환자의 움직임을 파악하여 침대에서의 낙상 및 배회 여부를 판단하여 상기 부양자에게 알림 정보를 제공하는 안전관리부를 포함한다. Dementia patient management system according to an embodiment of the present invention, self-diagnosis to distinguish the dementia progression stage of the examiner through the KDSQ test, the medication management unit providing the patient's dosing information to the caregiver and caregiver of the dementia patient, the dementia patient It includes a rehabilitation management unit that provides a rehabilitation training program and a safety management unit that identifies the movement of the dementia patient and determines whether falls and loitering in the bed, and provides notification information to the caregivers.
본 발명의 일실시예에 따르면, KDSQ 검사를 통해 검사자의 치매 진행 정도를 자간진단 할 수 있는 치매 환자 관리시스템을 제공한다.According to an embodiment of the present invention, it provides a dementia patient management system capable of self-diagnosing the degree of dementia progression by an examiner through a KDSQ test.
또한 본 발명의 일실시예에 따르면, 부양자 및 간병인이 환자의 투약 시간 및 복약 지도 등을 통해 적절한 약의 사용을 권장하는 치매 환자 관리시스템을 제공한다.In addition, according to an embodiment of the present invention, it provides a dementia patient management system that encourages the caregivers and caregivers to use the appropriate drug through the patient's medication time and medication guidance.
또한 본 발명의 일실시예에 따르면, 치매 환자 및 치매 의심 환자의 치매를 재활 및 예방할 수 있게 도움을 주는 치매 환자 관리시스템을 제공한다.In addition, according to an embodiment of the present invention, a dementia patient management system is provided to help rehabilitation and prevention of dementia in patients with dementia and suspected dementia.
또한 본 발명의 일실시예에 따르면, 스마트 디바이스를 통해 환자의 위치 및 움직임을 파악하여 부양자 및 간병인에게 환자의 간병에 도움을 주는 치매 환자 관리시스템을 제공한다.In addition, according to an embodiment of the present invention, it provides a dementia patient management system that helps the caregiver of a patient to a caregiver and a caregiver by grasping the position and movement of the patient through a smart device.
도 1은 본 발명의 실시예에 따른 치매 환자 관리시스템을 나타낸 블록도이다.1 is a block diagram showing a dementia patient management system according to an embodiment of the present invention.
도 2는 본 발명의 실시예에 따른 KDSQ 검사의 구성을 나타낸 도면이다.2 is a view showing the configuration of a KDSQ test according to an embodiment of the present invention.
도 3은 본 발명의 실시예에 따른 재활 프로그램 예시를 나타낸 도면이다.3 is a view showing an example of a rehabilitation program according to an embodiment of the present invention.
도 4는 본 발명의 실시예에 따른 스마트 디바이스 활용 예시를 나타낸 도면이다.4 is a diagram illustrating an example of using a smart device according to an embodiment of the present invention.
도 5는 본 발명의 실시예에 따른 Lora 통신 활용 예시를 나타낸 도면이다.5 is a view showing an example of utilizing Lora communication according to an embodiment of the present invention.
이하, 첨부된 도면들에 기재된 내용들을 참조하여 본 발명의　실시예들을 상세하게 설명한다. 다만, 본 발명이 실시예들에 의해 제한되거나 한정되는 것은 아니다. 각 도면에 제시된 동일한 참조부호는 동일한 부재를 나타낸다.Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the contents described in the accompanying drawings. However, the present invention is not limited or limited by the embodiments. The same reference numerals in each drawing denote the same members.
도 1은 본 발명의 실시예에 따른 치매 환자 관리시스템(100)을 나타낸 블록도이다.1 is a block diagram showing a dementia patient management system 100 according to an embodiment of the present invention.
도 1을 참고하면, 본 발명의 치매 환자 관리시스템(100)은 자가진단부(110), 투약관리부(120), 재활관리부(130), 안전관리부(140) 및 부가기능(150)을 포함 할 수 있다.Referring to FIG. 1, the dementia patient management system 100 of the present invention may include a self-diagnosis unit 110, a medication management unit 120, a rehabilitation management unit 130, a safety management unit 140, and an additional function 150. You can.
도 2는 본 발명의 실시예에 따른 치매 환자 관리시스템(100)의 플랫폼을 도시한 도면이다.2 is a view showing a platform of the dementia patient management system 100 according to an embodiment of the present invention.
도 2를 참고하면, 사용자 단말기(1000)을 통해 치매 환자 관리시스Referring to Figure 2, the dementia patient management system through the user terminal 1000
템(100)(어플리케이션)을 실행하고 로그인을 진행하면, 상기 치매 환자 관리시스템When the system 100 (application) is executed and login is performed, the dementia patient management system
(100)의 메인 화면에 환자상태기록, 투약체크, 자기진단검사, 안전관리 및 메뉴의On the main screen of (100), patient status record, medication check, self-diagnosis test, safety management and menu
콘텐츠로 구성 할 수 있다.It can be composed of content.
일예로, 환자상태기록 콘텐츠는 치매검사, 혈압, 혈당 및 수면시간 등과 같은 환자의 상태를 기록하여 전반적인 환자의 건강상태를 확인할 수 있다.As an example, the patient status recording content can record the patient's condition such as dementia test, blood pressure, blood sugar, and sleep time to check the overall health of the patient.
또 다른 일예로, 투약체크 콘텐츠는 투약알림시간을 설정하여 투약시간에 맞춰서 알림을 실행하고, 투약을 하고 치매 환자 관리시스템(100)에 등록하여 전반적인 환자의 투약상태를 확인할 수 있다.As another example, the medication check content may set a medication notification time to execute a notification according to the medication time, administer medication, and register with the dementia patient management system 100 to check the overall patient's medication status.
또 다른 일예로, 자가진단검사 콘텐츠는 KDSQ 자가진단을 실행할 수 있고, 상기 실행된 자가진단에 점수 및 성향을 기설정된 데이터와 비교 및 분석을 하여 검사자의 치매 진행 단계를 확인할 수 있다.As another example, the self-diagnosis test content may perform KDSQ self-diagnosis, and compare and analyze scores and tendencies of the self-diagnosis with predetermined data to check the progress of the dementia of the examiner.
또 다른 일예로, 안전관리 콘텐츠는 환자가 침대에서 낙상의 위험을 감지하거나 환자가 배회하고 있을 경우, 신호를 부양자 및 간병인에게 전송하여 환자의 위험 및 위치를 확인할 수 있다.As another example, the safety management content may identify a patient's risk and location by transmitting a signal to a caregiver and caregiver when the patient senses the risk of falling in bed or when the patient is roaming.
다시 도 1을 참고하면, 상기 자가진단부(110)는 KDSQ 검사를 통해 검사자의 치매 진행 단계를 구분할 수 있다.Referring back to FIG. 1, the self-diagnosis unit 110 may distinguish a stage of dementia from the examiner through a KDSQ test.
즉, 상기 자가진단부(110)는 검사자는 KDSQ 검사부(111)를 통해 KDSQ검사를 실시하고, 상기 실시한 검사 결과는 검사결과 저장부(1120)에 저장이 되어 GDS 제공부(113)를 통해 중증도 척도인 GDS 결과로 치매 진행 정도에 대해 자가진단할 수 있으며 단계별 검사로 상기 검사자의 치매 정도에 따라 알맞은 치료를 받을 수 있게 도움을 준다.That is, the self-diagnostic unit 110, the inspector performs a KDSQ test through the KDSQ test unit 111, the test results are stored in the test result storage unit 1120, the severity of the GDS provider 113 As a result of the GDS as a measure, it is possible to self-diagnose the progress of dementia, and a step-by-step examination helps to receive appropriate treatment depending on the degree of dementia of the examiner.
도 3을 참고하여 자가진단부(110)에 대한 실시예를 이하에서 상세하게 설명한다.An embodiment of the self-diagnosis unit 110 will be described in detail below with reference to FIG. 3.
도 3은 본 발명의 실시예에 따른 KDSQ 검사의 구성을 나타낸 도면이다.3 is a view showing the configuration of a KDSQ test according to an embodiment of the present invention.
상기 KDSQ 검사는Korean Dementia Screening Questionnaire 의 약자로 치매 환자에게서 초기에 흔히 볼 수 있는 임상증상을 기억장애, 언어장애를 포함한 행동장애, 일상생활 수행 장애의 세 부분으로 나누어 각각 5개의 질문을 포함한 구조로 구성되어 있다. 혈관성 치매를 포함하기 위한 문항과 우울증을 감별하기 위한 문항을 따로 포함하고 있으며, 읽기와 쓰기 항목을 제외하여 문맹환자에게서도 적용할 수 있다. 15점 만점에 6점 이상일 때, 민감도 79%, 특이도 80%로 치매를 진단할 수 있다. 혈관성 치매를 감별하기 위한 5문항을 포함한 KDSQ-H에서는 3점 이상이면 혈관성 요인과 연관성이 높다고 제시하고 있다.The KDSQ test is an abbreviation of Korean Dementia Screening Questionnaire, and the clinical symptoms commonly seen in patients with dementia are divided into three parts: memory disorders, language disorders, behavioral disorders, and daily performance disorders. Consists of. It includes items to include vascular dementia and items to discriminate depression, and can be applied to illiterate patients except for reading and writing items. When the score is more than 6 out of 15, dementia can be diagnosed with a sensitivity of 79% and a specificity of 80%. KDSQ-H, which includes 5 questions to differentiate vascular dementia, suggests that a score of 3 or higher is highly associated with vascular factors.
본 발명의 치매 환자 관리시스템은 자가진단부(110)를 통해 검사자가 KDSQ 검사를 실시할 수 있게 하고, 조기 환자만을 대상으로 치매선별 능력을 판정하였기 때문에 치매를 조기에 선별하는데 도움이 된다.The dementia patient management system of the present invention enables the examiner to perform the KDSQ test through the self-diagnosis unit 110 and is helpful in selecting dementia early because the ability to select dementia is targeted only to early patients.
일예로 검사자가 치매 환자 관리시스템(100)을 통해 KDSG 검사를 실행한 결과가 4점 이상이면 경등도 치매로 사료되기 때문에 심화 검사(KDSQ-H)로 넘어가 상기 경등도 치매에 적절한 병원진료, 예방프로그램을 제시할 수 있다.As an example, if the result of the KDSG test performed by the examiner through the dementia patient management system 100 is 4 or more, it is considered to be mild dementia, so go to the advanced test (KDSQ-H) for proper hospital treatment and prevention for dementia. You can present a program.
다시 도 1를 참고하면, 상기 투약관리부(120)은 치매 환자의 부양자 및 간병인에게 상기 환자의 투약 정보를 제공할 수 있다.Referring back to FIG. 1, the dosage management unit 120 may provide dosage information of the patient to the caregivers and caregivers of the dementia patient.
일예로, 환자가 약을 처방 받으면 부양자 및 간병인이 약에 대한 정보를 치매 환자 관리시스템(100)에 입력하게 되면, 투약 알림부(121)에서 상기 환자의 복용시간에 맞춰 알림을 제공하고, 복약 지도부(123)에서 복용량, 복용해야하는 약의 모양 등 복약하는데 필요한 정보를 제공하고, 재진관리부(122)에서는 투약 스케줄에 의거하여 병원에 재진해야 되는 날짜를 기록할 수 있다. 상기 재활관리부(130)는 재활프로그램 선택부(131)를 통해 환자의 치매 진행 정도에 따라 의료진이 제안하는 적절한 다수의 재활 훈련 프로그램을 선택하고, 재활프로그램 제공부(132)를 통해 다수의 재활프로그램 중 하나의 선택하여 실행할 수 있다.For example, when a patient is prescribed medicine, when the caregivers and caregivers input information about the medicine into the dementia patient management system 100, the medication notification unit 121 provides a notification according to the patient's taking time, and medication The leadership unit 123 provides information necessary for taking the medication, such as the dosage and the shape of the drug to be taken, and the resuscitation management unit 122 may record the date when the patient should be re-entered the hospital based on the dosing schedule. The rehabilitation management unit 130 selects a suitable number of rehabilitation training programs suggested by medical staffs according to the degree of dementia progress of the patient through the rehabilitation program selection unit 131, and a plurality of rehabilitation programs through the rehabilitation program providing unit 132 You can choose one of them and run it.
도 4를 참고하여 재활관리부(130)에 대한 실시예를 이하에서 상세하게 설명한다.An embodiment of the rehabilitation management unit 130 will be described in detail below with reference to FIG. 4.
도 4는 본 발명의 실시예에 따른 재활 프로그램 예시를 나타낸 도면이다.4 is a view showing an example of a rehabilitation program according to an embodiment of the present invention.
일예로, 환자의 치매 평가 영역이 기억의 인지영역 훈련이 필요한경우, 이를 재활관리부(130)에 입력할 수 있다.For example, if the patient's dementia evaluation area needs training in the cognitive area of memory, it may be input to the rehabilitation management unit 130.
상기 입력된 정보를 통해 상기 재활관리부(130)에서 인식하여 언어적/시각적 자극에 대한 기억과정 훈련(예시. 단어 기억하기, 그림 및 위치 기억하기)등과 같은 기억의 인지영역을 향상 시킬 수 있는 프로그램을 제공한다.A program that can be recognized by the rehabilitation management unit 130 through the input information to improve the cognitive area of memory, such as memory / training for verbal / visual stimuli (eg, remembering words, remembering pictures and locations). Gives
또 다른 일예로 환자의 치매 평가 영역이 전두엽, 집행기능의 인지영역 훈련이 필요한 경우, 시간차 회상훈련을 적용한 기억력 향상 게임과 같은 전두엽, 집행기능의 인지영역을 향상 시킬 수 있는 치매 예방 게임을 제공한다.As another example, when the patient's dementia evaluation area requires training of the cognitive area of the frontal lobe and executive function, it provides a dementia prevention game that can improve the cognitive area of the frontal lobe and executive function, such as a memory improvement game using time-recall recall training. .
위와 같이 재활관리부(130)에서는 환자의 치료과정 적절한 재활 프로그램을 제공함으로써, 환자의 재활에 도움을 줄 수 있다.As described above, the rehabilitation management unit 130 may assist the patient in rehabilitation by providing an appropriate rehabilitation program for the treatment process of the patient.
다시 도 1을 참고하면, 상기 안전관리부(140)는 낙상 감지부(141), 배회 감지부(142) 및 위험신호 전송부(143)를 포함한다.Referring back to FIG. 1, the safety management unit 140 includes a fall detection unit 141, a roaming detection unit 142, and a danger signal transmission unit 143.
상기 낙상 감지부(141)은 스마트 디바이스(1000)을 통해 치매 환자의 움직임을 파악하여 침대에서의 낙상 판단하고, 상기 배회 감지부(142)는 Lora 통신을 통해 상기 치매 환자의 위치를 실시간으로 확인할 수 있고, 상기 위험신호 전송부(143)는 부양자 및 간병인에게 상기 낙상 감지부(141) 및 배회 감지부(142)에서 측정된 정보를 기반으로 위험신호를 전송할 수 있다.The fall detection unit 141 determines the motion of the dementia patient through the smart device 1000 to determine the fall in the bed, and the loam detection unit 142 checks the location of the dementia patient in real time through Lora communication. The danger signal transmission unit 143 may transmit a danger signal to the supporters and caregivers based on the information measured by the fall detection unit 141 and the loitering detection unit 142.
즉, 상기 안전관리부(140)는, 상기 치매 환자에 부착된 스마트 디바이스(1000)의 모션 감지 센서를 통해 자세 지속 시간 및 체위변경 시간을 확인하고, Lora 통신을 통해 환자의 위치를 파악하고, 기설정된 자세 지속 시간이 경과하면 인접 의료인에게 호출신호를 전송할 수 있다.That is, the safety management unit 140 checks the posture duration and position change time through the motion detection sensor of the smart device 1000 attached to the patient with dementia, identifies the patient's location through Lora communication, and When the set posture duration time has elapsed, a call signal may be transmitted to an adjacent medical personnel.
도 5를 참고하여 안전관리부(140)에 대한 실시예를 이하에서 상세하게 설명한다.An embodiment of the safety management unit 140 will be described in detail below with reference to FIG. 5.
도 5는 본 발명의 실시예에 따른 Lora 통신 활용 예시를 나타낸 도면이다.5 is a view showing an example of utilizing Lora communication according to an embodiment of the present invention.
일예로, 환자의 스마트 디바이스(1000)가 침대 끝에 있는 센서와 거리가 가까워 지면 인접 의료인에게 호출신호를 송신하여 상기 의료인이 환자의 병실로 방문해 상기 환자가 침대에서 낙상하는 것을 방지할 수 있다.As an example, when the patient's smart device 1000 is close to the sensor at the end of the bed, a call signal is transmitted to an adjacent medical practitioner to prevent the medical practitioner from falling into the patient's bed.
또 다른 일예로, 환자가 소지하고 있는 스마트 디바이스(1000)의 모션 감지 센서를 통해 환자의 움직임이 기설정된 시간동안 움직이지 않을 시, 환자의 상태에 이상이 있다 판단하고, 인접 의료인에게 호출신호를 전송함으로써, 환자의 위급사항 시 신속하게 치료를 받을 수 있다.As another example, when the motion of the patient does not move for a predetermined time through the motion detection sensor of the smart device 1000 owned by the patient, it is determined that there is an abnormality in the patient's condition, and a call signal is sent to the adjacent medical personnel. By sending, patients can be treated promptly in case of emergency.
또 다른 일예로, 치매 환자는 자신의 방을 인지를 못하고, 병원 밖 또는 집 밖으로 나가려고 하는 경우가 많다. 그래서 간병인 및 부양자가 잠시 환자에게 관심을 갖지 못하고 병원 밖 또는 집 밖으로 나가는 경우 환자가 소지하고 있는 스마트 디바이스(1000)의 Lora 통신을 통해 환자의 위치를 실시간으로 확인할 수 있다.As another example, people with dementia often don't recognize their room, and often try to go out of the hospital or out of the house. So, if the caregiver and caregiver are not interested in the patient for a while and go out of the hospital or out of the house, the patient's location can be checked in real time through Lora communication of the smart device 1000 owned by the patient.
다시 도 1을 참고하면, 부가기능(150)는 대체방법 제공부(151), 커뮤니티부(152) 및 지원제도 안내부(153)를 포함할 수 있다.Referring back to FIG. 1, the additional function 150 may include an alternative method providing unit 151, a community unit 152, and a support system guide unit 153.
대체방법 제공부(151)는 치매 환자의 다양한 행동에 대한 대처방법을 제공할 수 있다.The alternative method providing unit 151 may provide a method for coping with various behaviors of the dementia patient.
즉, 대체방법 제공부(151)는 상황 별 대처요령에 대한 예시를 의료기관에 자문을 받아 개시함으로써, 치매 환자의 부양자 및 간병인이 신뢰할 수 있는 정보를 제공할 수 있다.In other words, the alternative method providing unit 151 can provide reliable information to the caregivers and caregivers of dementia patients by initiating an example of a response method for each situation in consultation with a medical institution.
일예로, 치매환자가 무감동 증상을 보인 경우 개시된 대처방법은 크게 3가지를 제시할 수 있다.As an example, when the patient with dementia exhibits insensitivity symptoms, the disclosed countermeasures can be largely presented.
첫째, 지속적으로 활동에 참여시킨다.First, engage in activities continuously.
둘째, 적당한 환경자극을 제공하며, 자극형태 및 수준을 상황에 맞게 변경한다.Second, it provides suitable environmental stimulation and changes the stimulus type and level to suit the situation.
셋째, 지속적으로 활동 참여를 유도하되, 좌절감이 느껴지는 경우 활동을 즉시 중지한다.Third, continue to induce participation in the activity, but if you feel frustrated, stop the activity immediately.
상기 예시된 방법을 제시하여 환자의 부양자 및 간병인이 대응 할 수 있도록 한다.The above illustrated method is presented so that the patient's caregivers and caregivers can respond.
상기 커뮤니티 제공부(152)는 치매 환자들의 가족 전용 커뮤니티를 제공할 수 있고, 뿐만 아니라 요양시설에 있는 환자의 경우, 환자의 활동 상황 등을 공유하여 보호자가 환자의 상태를 확인할 수 있다.The community providing unit 152 may provide a family-only community of dementia patients, as well as in the case of patients in a nursing facility, by sharing the patient's activity status, the guardian can check the patient's condition.
일예로, 커뮤니티 제공부(152)는 가족 전용 커뮤니티를 제공하고, 제공된 커뮤니티에 환자의 가족들이 가족 여행, 돌잔치, 칠순, 결혼 등의 가족행사 스케줄을 공유 및 알림 할 수 있다.For example, the community providing unit 152 may provide a family-only community, and the family of patients may share and notify a family event schedule of family travel, a first birthday party, a seventh birthday, and a marriage to the provided community.
또한 요양시설의 있는 환자의 경우 건강상태, 일상생활들을 간병인들이 커뮤니티에 게시하고, 상기 게시된 자료들을 가족들은 열람할 수 있으므로, 병원과 보호자간의 신뢰도를 높일 수 있다.In addition, in the case of a patient in a nursing facility, health status and daily life can be posted to the community by the carers, and the posted data can be viewed by the family, thereby increasing the reliability between the hospital and the guardian.
또한 부양자가 의료인에게 질문을 입력하면 의료인이나 전문상담사가 답변을 남겨 상기 부양자는 전문가의 자문을 얻을 수 있다.In addition, when the caregiver enters a question to the caregiver, the caregiver or professional counselor can leave an answer and the caregiver can obtain expert advice.
상기 지원제도 안내부(153)는 치매관련 교육, 지원제도 및 치매 환자에 치료에 도움이 될 수 있는 정보를 제공할 수 있다.The support system guide 153 may provide information that may be helpful in treating dementia-related education, support systems, and dementia patients.
일예로, 지원제도 안내부(153)에서는 치매관련 검진비지원, 교육, 홍보물제공, 방문보건사업연계, 치매 환자 간호에 도움이 되는 제품 등의 서비스를 지원할 수 있다.For example, the support system guide 153 may support services such as medical expenses related to dementia, education, provision of promotional materials, connection to visiting health business, and products that are helpful for nursing patients with dementia.
또 다른 일예로, 지원제도 안내부(153)에서는 치매 환자와 관련된 사회적 지원제도(예시. 장기요양보험, 치매거점병원, 주간보호시설, 관내복지관 재활 프로그램, 치매전문병원 등)을 제공함으로써 환자 및 부양자가 사회적으로 지원받을 수 있는 범위를 넓혀줄 수 있다.As another example, the support system guide 153 provides patients with dementia by providing social support systems (eg, long-term care insurance, dementia base hospitals, day care facilities, in-house welfare center rehabilitation programs, dementia hospitals, etc.) It can broaden the scope of social support for dependents.
또한 본 발명의 일실시예에 따른, 치매 환자 관리시스템은 다양한 컴퓨터로 구현되는 동작을 수행하기 위한 프로그램 명령을 포함하는 컴퓨터 판독가능 매체에 기록될 수 있다. 상기 컴퓨터 판독 가능 매체는 프로그램 명령, 데이터 파일, 데이터 구조 등을 단독으로 또는 조합하여 포함할 수 있다. 상기 매체는 프로그램 명령은 본 발명을 위하여 특별히 설계되고 구성된 것들이거나 컴퓨터 소프트웨어 당업자에게 공지되어 사용 가능한 것일 수도 있다. 컴퓨터 판독 가능 기록 매체의 예에는 하드 디스크, 플로피 디스크 및 자기 테이프와 같은 자기 매체, CD-ROM, DVD와 같은 광기록 매체, 플롭티컬 디스크와 같은 자기-광 매체 및 롬, 램, 플래시 메모리 등과 같은 프로그램 명령을 저장하고 수행하도록 특별히 구성된 하드웨어 장치가 포함된다. 프로그램 명령의 예에는 컴파일러에 의해 만들어지는 것과 같은 기계어 코드뿐만 아니라 인터프리터 등을 사용해서 컴퓨터에 의해서 실행될 수 있는 고급 언어 코드를 포함한다.Also, according to an embodiment of the present invention, a dementia patient management system may be recorded on a computer-readable medium including program instructions for performing various computer-implemented operations. The computer-readable medium may include program instructions, data files, data structures, or the like alone or in combination. The media may be program instructions specially designed and constructed for the present invention or may be known and usable by those skilled in computer software. Examples of computer readable recording media include magnetic media such as hard disks, floppy disks, and magnetic tapes, optical recording media such as CD-ROMs, DVDs, magnetic-optical media such as floptical discs, and ROM, RAM, flash memory, etc. Hardware devices specifically configured to store and execute program instructions are included. Examples of program instructions include high-level language code that can be executed by a computer using an interpreter, etc., as well as machine language codes produced by a compiler.
이상과 같이 본 발명의 일실시예는 비록 한정된 실시예와 도면에 의해 설명되었으나, 본 발명의 일실시예는 상기 설명된 실시예에 한정되는 것은 아니며, 이는 본 발명이 속하는 분야에서 통상의 지식을 가진 자라면 이러한 기재로부터 다양한 수정 및 변형이 가능하다. 따라서, 본 발명의 일실시예는 아래에 기재된 특허청구범위에 의해서만 파악되어야 하고, 이의 균등 또는 등가적 변형 모두는 본 발명 사상의 범주에 속한다고 할 것이다.As described above, although one embodiment of the present invention has been described by a limited embodiment and drawings, one embodiment of the present invention is not limited to the above-described embodiment, which is a general knowledge in the field to which the present invention pertains. Various modifications and variations can be made by those who have this description. Accordingly, one embodiment of the present invention should be understood only by the claims set forth below, and all equivalent or equivalent modifications thereof will be said to fall within the scope of the spirit of the present invention.
1000: 사용자 단말기1000: user terminal
100: 치매 환자 관리시스템100: dementia patient management system
110: 자가진단부110: self-diagnosis
111: KDSQ 검사부111: KDSQ inspection department
112: 검사결과 저장부112: inspection result storage unit
113: GDS 제공부113: GDS provider
120: 투약관리부120: dosage management department
121: 투약 알림부121: medication notification
122: 재진관리부122: Jaejin Management Department
123: 복약지도부123: medication leadership
130: 재활관리부130: Rehabilitation Management Department
131: 재활프로그램 선택부131: rehabilitation program selection unit
132: 재활프로그램 제공부132: rehabilitation program provider
140: 안전관리부140: safety management department
141: 낙상 감지부141: fall detection unit
142: 배회 감지부142: roaming detection unit
143: 위험신호 전송부143: dangerous signal transmission unit
150: 부가기능150: additional functions
151: 대체방법 제공부151: alternative method provider
152: 커뮤니티 제공부152: Community providing department
153: 지원제도 안내부153: Information on support system

Claims (5)

  1. KDSQ검사를 통해 검사자의 치매 진행 단계를 구분하는 자가진단부;A self-diagnosis unit that distinguishes the stage of dementia from the examiner through the KDSQ test;
    치매 환자의 부양자 및 간병인에게 상기 환자의 투약 정보를 제공하는 투약관리부;A medication management unit that provides the patient's medication information to the dementia patient's caregivers and caregivers;
    상기 치매 환자의 재활훈련 프로그램을 제공하는 재활관리부; 및A rehabilitation management unit providing a rehabilitation training program for the dementia patient; And
    상기 치매 환자의 움직임을 파악하여 침대에서의 낙상 및 배회여부를 판단하여 상기 부양자에게 알림정보를 제공하는 안전관리부;A safety management unit that grasps the movement of the patient with dementia, determines whether falls and loitering in the bed, and provides notification information to the supporter;
    를 포함하는 치매 환자 관리시스템.Dementia patient management system comprising a.
  2. 제 1항에 있어서,According to claim 1,
    상기 자가진단부는,The self-diagnosis unit,
    상기 KDSQ 검사를 통한 결과를 통해 상기 검사자의 치매 정도를 단계별로 검사하여, 상기 검사자의 조기 치매 정도를 진단하고 적절한 치료방법을 제시하는 것을 특징으로 하는 치매 환자 관리시스템.Dementia patient management system characterized by examining the degree of dementia of the examiner step by step through the results through the KDSQ test, diagnosing the degree of early dementia of the examiner and suggesting an appropriate treatment method.
  3. 제1항에 있어서,According to claim 1,
    상기 투약관리부는,The dosage management unit,
    상기 부양자 및 간병인이 상기 치매 환자의 처방 받은 약의 이름 및 투약 스 케줄을 입력하면, 상기 환자의 약 복용량, 복용시간, 약의 정보 및 재진 일정 등 다양한 정보를 제공하는 것을 특징으로 하는 치매 환자 관리시스템.Dementia patient management, characterized in that when the caregiver and caregiver enters the name and medication schedule of the prescribed medication for the patient with dementia, provides various information such as the patient's medication dose, time taken, medication information and rescheduling schedule system.
  4. 제1항에 있어서,According to claim 1,
    상기 재활관리부는,The rehabilitation management unit,
    상기 환자의 치매 진행 정도에 따라 의료진이 제안하는 적절한 재활 훈련 프로그램을 제공하는 것을 특징으로 하는 치매 환자 관리시스템.Dementia patient management system characterized in that it provides an appropriate rehabilitation training program suggested by the medical staff according to the degree of dementia progress of the patient.
  5. 제1항에 있어서,According to claim 1,
    상기 치매 환자의 다양한 행동에 대한 대처방법을 제공하는 대처방법 제공부;A coping method providing unit that provides a coping method for various behaviors of the dementia patient;
    치매 환자들의 가족 전용 커뮤니티를 제공하고 요양시설에 있는 환자의 경우, 환자의 상태 및 생활을 보호자와 공유하는 커뮤니티 제공부; 및A community providing unit that provides a family-only community of dementia patients and, in the case of patients in nursing homes, shares the patient's condition and life with the caregiver; And
    치매관련 교육, 지원제도 및 상기 치매 환자에 치료에 도움이 될 수 있는 정보를 제공하는 지원제도 안내부;를 더 포함하고,It further includes a dementia-related education, support system, and a support system guide that provides information that may be helpful in treating dementia patients.
    상기 안전관리부는,The safety management unit,
    상기 환자에 부착된 스마트 디바이스의 모션 감지 센서를 통해 자세 지속 시간 및 체위변경 시간을 확인하고, Lora 통신을 통해 환자의 위치를 파악하고, 기설정된 자세 지속 시간이 경과하면 인접 의료인에게 호출신호를 전송하는 것을 특징으로 하는 치매 환자 관리시스템.Check the posture duration and position change time through the motion detection sensor of the smart device attached to the patient, locate the patient through Lora communication, and send a call signal to the adjacent medical personnel when the preset posture duration elapses Dementia patient management system, characterized in that.
PCT/KR2018/011349 2018-09-27 2018-09-27 System for managing dementia patients WO2020067583A1 (en)

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