CN106420347B - A kind of method and intelligent medicine box system for improving patient's drug compliance - Google Patents
A kind of method and intelligent medicine box system for improving patient's drug compliance Download PDFInfo
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Abstract
本发明涉及一种提高患者服药依从性的方法和智能药盒系统,其包括:设置智能药盒系统,其包括智能药盒装置、云端平台和手机APP,智能药盒装置包括中央处理模块、实时时钟模块、摄像头模块、无线通信模块、MP3播放模块、传感器模块、储存器模块以及扬声器;建立知识库,将知识库中的内容编排在疗程的不同时间点上,形成阶梯式的健康教育知识库;将知识库里知识内容录制成语音文件,再把文件翻译成不同的语言版本,分类分级存储;将语音文件连同目录拷贝至智能药盒装置的存储卡上,中央处理器在患者每次服药时计算服药时间,检索存储卡上知识库内对应目录下的与次数或天数同名的语音文件,播放或提示收听的方式实现患者服药过程中的同步健康教育。
The present invention relates to a method for improving patients' medication compliance and an intelligent medicine box system, which includes: setting up an intelligent medicine box system, which includes an intelligent medicine box device, a cloud platform and a mobile phone APP, and the intelligent medicine box device includes a central processing module, real-time Clock module, camera module, wireless communication module, MP3 player module, sensor module, storage module and speaker; establish a knowledge base, arrange the content in the knowledge base at different time points in the course of treatment, and form a stepped health education knowledge base ;Record the knowledge content in the knowledge base into a voice file, and then translate the file into different language versions, and store it in a classified and hierarchical manner; copy the voice file together with the directory to the memory card of the smart medicine box device, and the central processing unit Calculate the time of taking the medicine at any time, retrieve the voice file with the same name as the number of times or the number of days in the corresponding directory in the knowledge base on the memory card, and play or prompt to listen to realize the synchronous health education of the patient during the medicine taking process.
Description
技术领域technical field
本发明涉及一种医药领域,特别是关于一种提高患者服药依从性的方法和智能药盒系统。The invention relates to the field of medicine, in particular to a method for improving patients' medication compliance and an intelligent medicine box system.
背景技术Background technique
现阶段很多疾病的康复治疗都是采用长期服药化疗来完成,这要求整个疗程患者必须具有很高的服药依从性,否则不但不会康复甚至会造成很多其他不良的后果。为此国内外很多医疗机构及科研院所都在开展服药依从性的研究,研究结果显示影响患者服药依从性的因素主要有以下几个方面:患者自我感觉病情好转停药、副作用导致停药甚至抵触用药、患者健康意识薄弱导致服药行为不规律、患者康复信念不足放弃用药、医患关系紧张病人不信任医生医嘱、医疗服务资源匮乏造成随访跟踪不足、患者容易遗忘等等。At present, the rehabilitation treatment of many diseases is completed by taking long-term medication and chemotherapy, which requires patients to have a high degree of medication compliance throughout the course of treatment, otherwise not only will they not recover, but even cause many other adverse consequences. For this reason, many medical institutions and scientific research institutes at home and abroad are conducting research on medication compliance. The research results show that the factors that affect patients' medication compliance mainly include the following aspects: patients feel better and stop taking drugs, side effects lead to drug withdrawal or even Resistance to medication, weak health awareness of patients leads to irregular medication behavior, lack of recovery beliefs of patients giving up medication, tense doctor-patient relationship and patients' distrust of doctor's orders, lack of medical service resources resulting in insufficient follow-up and follow-up, patients are easy to forget, etc.
在现有技术中,提高患者服药依从性的产品大多仅关注“患者遗忘”这一因素,解决患者记忆失误造成的漏服、错服等问题,产品功能设计上多会采用闹铃方式提醒患者服药、传感器识别患者取药动作,然后通过取药动作是否发生来判断服药,最后通过发送通知消息给监护人实现漏服监督。例如:In the existing technology, most of the products that improve patients’ medication compliance only focus on the factor of “patient forgetting” to solve problems such as missed doses and wrong doses caused by patients’ memory errors. Most of the product function designs use alarm bells to remind patients Taking medicine, the sensor recognizes the patient's action of taking medicine, and then judges whether the medicine is taken according to whether the action of taking medicine occurs, and finally realizes the supervision of missed dose by sending a notification message to the guardian. E.g:
申请号为201310701504.1,申请日为2013.12.18的发明中公开了一种智能药盒,包括控制电路、药筒支架和至少一个药筒;所述药筒,置于所述药筒支架中,通过所述药筒的底部抵住所述控制电路的服药监控电路,以使所述服药监控电路处于开路状态;当所述药筒被拿起后,所述服药监控电路导通;其服药监控电路包括监控电路主体和断路连接件,且监控电路主体为断路结构,通过断路连接件一端连接于断路结构的一端、另一端在药筒被拿起后连接于断路结构的另一端这种简易的结构,实现了该服药监控电路的开路与导通,进而可使得控制电路实现判断患者是否已经服用对应药筒中的药物、取消间隔语音报警、取消间隔灯光报警、记录服药事件、变换灯光提示等一系列动作。The application number is 201310701504.1, and the application date is 2013.12.18, which discloses a smart medicine box, including a control circuit, a medicine cartridge holder and at least one medicine cartridge; the medicine cartridge is placed in the medicine cartridge holder, through The bottom of the cartridge is against the medication monitoring circuit of the control circuit, so that the medication monitoring circuit is in an open state; when the cartridge is picked up, the medication monitoring circuit is turned on; the medication monitoring circuit includes The main body of the monitoring circuit and the circuit breaker connector, and the main body of the monitoring circuit is a circuit breaker structure, one end of the circuit breaker connector is connected to one end of the circuit breaker structure, and the other end is connected to the other end of the circuit breaker structure after the cartridge is picked up. The open circuit and conduction of the medication monitoring circuit are realized, and then the control circuit can realize a series of actions such as judging whether the patient has taken the medicine in the corresponding cartridge, canceling the interval voice alarm, canceling the interval light alarm, recording the medication event, changing the light prompt, etc. .
申请号为201310272970.2,申请日为2013.07.02的发明中公开了一种智能药盒系统,包括药盒盒体和盒盖构成的药盒,在药盒盒体内分为储药室和控制室两部分;其中在储药室内至少有一个药仓,药仓的底部为半倒锥形设置在储药室内的检测装置,用于检测药盒盒体内的药品的状况,在药仓底部设置有发光装置。在控制室中,设置有控制器、控制按键、发声装置、震动装置和位置平衡传感器。控制器上集成有中央控制芯片,通过无线数据传输,实现药盒与智能终端的连接。本发明使用户有效地了解药盒中药品的状态,并可以容易设定服药时间且能够准确有效提醒用户。同时又能方便即时记录服药状态和补充新的药品,可以通过绑定功能来减少用户忘记携带紧急药盒的问题。The application number is 201310272970.2, and the application date is 2013.07.02, which discloses an intelligent medicine box system, which includes a medicine box body and a box cover. The medicine box body is divided into two parts: a medicine storage room and a control room. Part; wherein there is at least one medicine storehouse in the medicine storage room, the bottom of the medicine storehouse is a semi-inverted cone-shaped detection device arranged in the medicine storage room, which is used to detect the condition of the medicine in the medicine box body, and a light-emitting device is arranged at the bottom of the medicine storehouse device. In the control room, there are controllers, control buttons, sounding devices, vibration devices and position balance sensors. The controller is integrated with a central control chip, which realizes the connection between the medicine box and the smart terminal through wireless data transmission. The invention enables the user to know the state of the medicine in the medicine box effectively, and can easily set the time for taking the medicine, and can accurately and effectively remind the user. At the same time, it is convenient to record the status of medication and replenish new medicines in real time, and the binding function can be used to reduce the problem of users forgetting to carry emergency medicine boxes.
申请号为201210176315.2,申请日为2012.05.31的发明公布了一种智能药盒,包括PC机、中继器、多个智能药盒;所述PC机与中继器之间通过网线连接,中继器与多个智能药盒通过无线方式相互通信。本发明智能药盒和智能药盒系统可以实现对患者智能服药提醒,同时还能够实现对患者服药情况进行记录的功能。The application number is 201210176315.2, and the invention with the application date of 2012.05.31 discloses a smart medicine box, including a PC, a repeater, and multiple smart medicine boxes; the PC and the repeater are connected by a network cable, and the The repeater communicates with multiple smart medicine boxes wirelessly. The intelligent medicine box and the intelligent medicine box system of the present invention can realize the intelligent medicine reminder to the patient, and can also realize the function of recording the patient's medicine taking situation at the same time.
申请号为201320368681.8,申请日为2013.06.25的实用新型提供了一种监控服药情况并提供提醒服务的智能药盒系统,包括用于监控药盒的开关状态是否发生改变的开关监控装置,开关监控装置与网关设备模块无线连接,网关设备模块或者通过无线网络或有线网络直接连接用户终端,或者与后台服务器系统相连,后台服务器系统再通过无线网络或有线网络连接用户终端。本实用新型的优点是:通过后台系统与短信网关或者呼叫中心相结合的方式提供了更好更灵活的服务,也可以提供更多的功能,结合开关监控装置采用的近距离无线通信技术,在部署实施和维护上更简单方便易用,成本低廉。The utility model with the application number 201320368681.8 and the application date of 2013.06.25 provides an intelligent medicine box system that monitors the situation of taking medicine and provides reminder services, including a switch monitoring device for monitoring whether the switch state of the medicine box changes. The device is wirelessly connected to the gateway device module, and the gateway device module is directly connected to the user terminal through a wireless network or a wired network, or connected to a background server system, and the background server system is then connected to the user terminal through a wireless network or a wired network. The utility model has the advantages of providing better and more flexible services through the combination of the background system and the short message gateway or call center, and can also provide more functions, combined with the short-distance wireless communication technology adopted by the switch monitoring device, in the Deployment, implementation and maintenance are simpler, more convenient and easy to use, and the cost is low.
申请号为201220625359.4,申请日为2012.11.23的实用新型公开了一种远程网络可实时设定、互动、监控服药的管理装置,包括一盘形智能药盒以及多个无线远程提醒装置;该盘形智能药盒具有一盘形壳体及一药盒基座,而该盘形壳体内设有一微电脑中央处理单元、一供电单元与一网络摄影机;及与该微电脑中央处理单元相连接的一马达/药盘驱动装置、一安全锁匙、一警示单元、一通讯收发单元、一感测单元、一储存生理数据的储存单元、一储药温控装置的驱动单元及一状态切换控制单元;盘形智能药盒的盘形壳体内设有一具有多个呈放射状排列的扇形制药格,该微电脑中央处理单元用以设定、储存、时控多个用药中期,该警示单元藉由该微电脑中央处理单元的时控逻辑发出一服药提示以通知用药人。The utility model with the application number 201220625359.4 and the application date of 2012.11.23 discloses a remote network management device that can set, interact and monitor medication in real time, including a disc-shaped smart medicine box and multiple wireless remote reminder devices; The shaped smart medicine box has a disc-shaped housing and a medicine box base, and a microcomputer central processing unit, a power supply unit and a network camera are arranged in the disc-shaped housing; and a motor connected with the microcomputer central processing unit /medicine disk driving device, a safety key, a warning unit, a communication transceiver unit, a sensing unit, a storage unit for storing physiological data, a driving unit for a medicine storage temperature control device, and a state switching control unit; disk-shaped The disc-shaped casing of the smart medicine box is provided with a plurality of radially arranged fan-shaped pharmaceutical compartments. The microcomputer central processing unit is used to set, store, and time-control multiple mid-term medications. The warning unit is controlled by the microcomputer central processing unit. The time control logic of the system sends out a medicine reminder to notify the user of the medicine.
但是,这些现有技术主要通过不同的使用方式解决患者因遗忘带来的漏服、错服问题,而事实上长期服药化疗是一个漫长的治疗和恢复过程,这个过程中决定患者服药依从性高低的决定因素是患者自身的健康意识和健康管理能力,如何在疗程中持续为患者提供定制化的一对一的宣教和健康服务,包括治疗方案、用药知识、营养与保健等方面的宣教,复查复检提醒及用药提醒,还包括心理疏导、问题解答等随访问诊服务,成为目前亟需解决的技术问题,只有做到了这些,才能真正提高居家治疗患者的服药依从性。However, these existing technologies mainly solve the problem of missed doses and wrong doses caused by forgetting patients through different usage methods. In fact, long-term medication chemotherapy is a long process of treatment and recovery, which determines the patient’s medication compliance. The decisive factor is the patient's own health awareness and health management ability, how to continue to provide patients with customized one-on-one education and health services during the course of treatment, including education on treatment plans, medication knowledge, nutrition and health care, etc., review Re-examination reminders and medication reminders, as well as follow-up consultation services such as psychological counseling and question answers, have become technical problems that need to be solved urgently. Only by doing these can the medication compliance of patients treated at home be truly improved.
发明内容Contents of the invention
针对上述问题,本发明的目的是提供一种提高患者服药依从性的方法和智能药盒系统,其为患者的整个疗程提供服药监督与提醒、健康宣教、问诊与随访等功能,这些功能操作简单、使用方便而且市场化成本很低,可以帮助患者逐步实现改善、维持、提高服药依从性。In view of the above problems, the object of the present invention is to provide a method for improving patient medication compliance and an intelligent medicine box system, which provides functions such as medication supervision and reminder, health education, consultation and follow-up for the patient's entire course of treatment. It is simple, easy to use, and has a very low market cost, and can help patients gradually improve, maintain, and improve medication compliance.
为实现上述目的,本发明采取以下技术方案:一种提高患者服药依从性的方法,其特征在于包括以下步骤:1)设置一智能药盒系统,其包括智能药盒装置、云端平台和手机APP,智能药盒装置包括中央处理模块、实时时钟模块、摄像头模块、无线通信模块、MP3播放模块、传感器模块、电源充放电模块、储存器模块、按键与显示模块、扬声器与电池以及充电与通信接口;2)以疾病为中心建立知识库,知识库涵盖病理和治疗方案解读、用药知识、营养与保健、心理疏导、复查复检提醒等内容,然后将这些内容编排在疗程的不同时间点上,时间点可以是每次或每天服药后也可以是某次或某天的服药后,由此形成一个阶梯式的健康教育知识库;3)将每个时间点上编排的知识内容都录制成语音文件并以时间点来命名,并将语音文件录制成不同的语言版本,然后将这些语音文件按照疾病类型和语言类型分类分级存储;4)将语音文件连同目录拷贝至智能药盒装置的存储卡上,智能药盒装置的中央处理器在患者每次服药时会首先根据患者患病类型参数找到一级目录下对应编码的文件夹,然后根据患者语言类型参数找到二级目录下对应编码的文件夹,最后计算当次或当天是疗程的第几次或第几天服药,检索文件夹内与次数或天数同名的语音文件,最后中央处理器指令MP3模块自动播放或者提示患者收听的方式实现服药过程中同步进行健康教育。In order to achieve the above object, the present invention adopts the following technical solutions: a method for improving patient medication compliance, which is characterized in that it comprises the following steps: 1) an intelligent medicine box system is set, which includes an intelligent medicine box device, a cloud platform and a mobile phone APP , the intelligent medicine box device includes a central processing module, a real-time clock module, a camera module, a wireless communication module, an MP3 player module, a sensor module, a power supply charging and discharging module, a memory module, a button and a display module, a speaker and a battery, and a charging and communication interface ;2) Establish a knowledge base centered on the disease, which covers pathology and treatment plan interpretation, medication knowledge, nutrition and health care, psychological counseling, reexamination reminders, etc., and then arrange these contents at different time points in the course of treatment, The time point can be after taking the medicine every time or every day, or after taking the medicine for a certain time or day, thus forming a step-by-step health education knowledge base; 3) recording the knowledge content programmed at each time point into voice The files are named with time points, and the voice files are recorded into different language versions, and then these voice files are classified and stored according to the disease type and language type; 4) the voice files are copied to the memory card of the smart medicine box device together with the directory Above all, the central processor of the smart medicine box device will first find the corresponding coded folder in the first-level directory according to the patient's disease type parameter every time the patient takes medicine, and then find the corresponding coded file in the second-level directory according to the patient's language type parameter. Folder, finally calculate the times or days of the course of treatment or the number of days to take the medicine, retrieve the voice file with the same name as the number of times or days in the folder, and finally the central processor instructs the MP3 module to automatically play or prompt the patient to listen to the way to take the medicine Health education is carried out simultaneously in the process.
进一步,所述步骤4)中,智能药盒装置的具体工作流程如下:4.1)先对药盒进行参数配置,参数配置完成后药盒开始进入工作状态,配置参数会存储在储存器模块的EEPROM中;4.2)判断药盒当前日期是否在疗程内,不在疗程内则休眠状态,反之,判断药盒当前时间是否在服药时间区间内,在服药时间区间内则进入下一步;反之,则进入步骤4.4)中;4.3)判断药盒当前时间是否到达提醒时间,若到达提醒时间,则判断服药值是否为已服,为已服则进入休眠状态,反之播放闹铃提醒患者服药,并进入步骤4.6);若没有到达提醒时间,则进入步骤4.5);4.4)当智能药盒实时时钟模块日期值位于疗程的开始和结束日期内且实时时钟模块时间值未进入服药时间区间,智能药盒里本次服药状态值默认为“未服”,此时患者打开药盒会上盖,传感器模块由于磁力变化引发中断,中央处理器会控制mp3模块播放语音提示患者“服药时间未到,请按医嘱服药”,并进入休眠状态;4.5)当智能药盒实时时钟模块日期值位于疗程的开始和结束日期内且实时时钟模块时间值位于服药时间区间,且位于服药时间区间,则患者打开药盒上盖,传感器模块由于磁力变化引发中断,中央处理器会依次指令摄像头模块拍摄照片、储存器模块记录中断时间、储存器模块存储数据到存储卡,然后中央处理器计算当次或当天是疗程的第几次或第几天服药得到次数或天数,检索存储卡上的知识库文件夹,找到对应目录下与计算的次数或天数同名的语音文件进行播放或者提示患者收听,播放闹铃提醒患者服药,并设置服药状态值为已服,进入步骤4.7);4.6)判断药盒是否打开,若已打开则进入步骤4.5);若没有打开则每隔5分钟播放闹铃一次,每次三遍,同时,不产生服药照片数据,药盒内的服药状态值仍为“未服”,进入步骤4.8);4.7)判断是否联网使用,若不联网则发送已服短信至医生或监护人员手机,药盒进入休眠状态;反之联网,则服药中断发生5分钟后经无线通讯模块发送存储卡内照片到云端平台,药盒进入休眠状态,并执行步骤4.8);4.8)云端平台在医嘱的服药提醒时间结束后25分钟开始检索数据文件,判断是否有数据文件且数据文件中的中断时间是否在服药提醒时间区间开始时间至服药提醒时间后20分钟内,是则发送已服通知消息至手机APP,反之发送漏服通知消息至手机APP。Further, in the step 4), the specific working process of the smart medicine box device is as follows: 4.1) First, configure the parameters of the medicine box, and after the parameter configuration is completed, the medicine box starts to enter the working state, and the configuration parameters will be stored in the EEPROM of the memory module Middle; 4.2) Judging whether the current date of the medicine box is within the course of treatment, if it is not within the course of treatment, it will be in a dormant state, otherwise, judge whether the current time of the medicine box is within the time interval of taking medicine, and enter the next step if it is within the time interval of taking medicine; otherwise, enter the next step 4.4) Medium; 4.3) Judging whether the current time of the medicine box has reached the reminder time, if it reaches the reminder time, then judge whether the medication value has been taken, if it has been taken, enter the dormant state, otherwise play an alarm to remind the patient to take the medicine, and enter step 4.6 ); if the reminder time is not reached, then enter step 4.5); 4.4) when the date value of the real-time clock module of the smart pill box is located in the beginning and end date of the course of treatment and the time value of the real-time clock module does not enter the time interval of taking medicine, the smart pill box The default value of the second dose status is "not taken". At this time, the patient opens the upper cover of the medicine box, and the sensor module is interrupted due to the change of magnetic force. The central processing unit will control the mp3 module to play a voice prompt to the patient "the time for taking the medicine is not up. Please take the medicine according to the doctor's advice." ", and enter the dormant state; 4.5) When the date value of the real-time clock module of the smart pill box is within the start and end dates of the course of treatment and the time value of the real-time clock module is in the time interval of taking medicine, and is in the time interval of taking medicine, the patient opens the upper cover of the medicine box , the sensor module is interrupted due to the change of magnetic force, the central processing unit will instruct the camera module to take pictures in sequence, the storage module to record the interruption time, the storage module to store the data to the memory card, and then the central processing unit calculates the number of days of the course or the day According to the number of times or days of taking medicine, search the knowledge base folder on the memory card, find the voice file in the corresponding directory with the same name as the calculated number of times or days to play or prompt the patient to listen, play an alarm to remind the patient to take the medicine, and Set the medicine taking status value as taken, enter step 4.7); 4.6) judge whether the medicine box is open, if it is opened, enter step 4.5); if not open, play the alarm once every 5 minutes, three times each time, at the same time, No photo data of taking medicine is generated, the medicine taking status value in the medicine box is still "not taken", enter step 4.8); 4.7) judge whether to use the network, if not, send a text message to the mobile phone of the doctor or guardian, and the medicine box enters Dormant state; on the contrary, if it is connected to the Internet, the photo in the memory card will be sent to the cloud platform via the wireless communication module after 5 minutes of medication interruption, and the medicine box will enter the dormant state, and step 4.8) will be executed; Start to retrieve the data file in 25 minutes, judge whether there is a data file and whether the interruption time in the data file is within 20 minutes from the start time of the medication reminder time interval to the medication reminder time, and if so, send a notification message of the taken medicine to the mobile APP, otherwise send a missed message. Service notification message to mobile APP.
进一步,所述步骤4.1)中,参数配置使用充电与通信接口连接上位机完成,或通过连接云端平台下载参数配置文件。Further, in the step 4.1), the parameter configuration is completed by connecting the host computer with the charging and communication interface, or downloading the parameter configuration file by connecting to the cloud platform.
进一步,所述步骤4.1)中,参数包括药盒ID、患者姓名、药盒时钟、疗程的开始和结束日期、服药总次数、每次服药的时间区间、提醒时间、服药间隔时间、患者的患病类型和语言种类、医生的联系电话以及监护人的联系电话。Further, in the step 4.1), the parameters include the medicine box ID, the patient name, the medicine box clock, the start and end dates of the course of treatment, the total number of times of taking medicine, the time interval of each medicine taking, the reminder time, the medicine taking interval, the patient's Disease type and language, doctor's contact number and guardian's contact number.
进一步,所述步骤4.3)中,当智能药盒实时时钟模块日期值位于疗程的开始和结束日期内且实时时钟模块时间值到达提醒时间,智能药盒内服药状态值如果已经为“已服”,则智能药盒中央处理器不会控制mp3模块播放提醒闹铃;如果智能药盒内服药状态值仍为“未服”,则智能药盒中央处理器控制mp3模块播放闹铃文件提醒患者服药,此时如果患者打开药盒触发传感器模块引发中断,中央处理器会依次指令mp3模块停止播放闹铃文件、摄像头模块拍摄照片、储存器模块记录中断时间、储存器模块存储数据到存储卡,然后中央处理器计算当次或当天是疗程的第几次或第几天服药得到次数或天数值,之后检索存储卡上的知识库文件夹,找到对应目录下与计算的次数或天数值同名的语音文件进行播放或者提示患者收听,然后更改药盒内服药状态值为“已服”;反之重复多次提醒铃声提醒患者服药。Further, in said step 4.3), when the date value of the real-time clock module of the smart medicine box is located in the start and end date of the course of treatment and the time value of the real-time clock module reaches the reminder time, if the medicine status value in the smart medicine box has been "taken" , then the central processor of the smart medicine box will not control the mp3 module to play a reminder alarm; if the medicine status value in the smart medicine box is still "not taken", the central processor of the smart medicine box will control the mp3 module to play an alarm file to remind the patient to take the medicine At this time, if the patient opens the medicine box and triggers the sensor module to cause an interruption, the central processing unit will instruct the mp3 module to stop playing the alarm file, the camera module to take pictures, the memory module to record the interruption time, the memory module to store data to the memory card, and then The central processor calculates the number of times or days of taking the medicine for the current time or day, and then searches the knowledge base folder on the memory card to find the voice in the corresponding directory with the same name as the calculated times or days. The file is played or the patient is prompted to listen, and then the status value of the medicine in the medicine box is changed to "taken"; otherwise, the reminder bell is repeated several times to remind the patient to take the medicine.
进一步,所述步骤4.8)中,数据文件包括智能药盒ID、中断时间和图像数据。Further, in the step 4.8), the data file includes the smart medicine box ID, interruption time and image data.
一种实现上所述提高患者服药依从性的方法的智能药盒系统,其特征在于:该系统包括智能药盒装置、云端平台、手机APP和数据库;所述智能药盒装置经所述云端平台与所述手机APP进行信息交互,所述智能药盒装置实现自动化阶梯式宣教、服药监督和一键问诊功能,通过无线网络与所述云端平台连接,或单独使用;所述云端平台实现对患者的信息管理、知识库管理和数据分析;所述手机APP软件实现智能药盒参数配置、信息查询和接收云端平台发来的通知消息;所述云端平台还与所述数据库连接,所述数据库负责存储患者的档案信息、治疗方案及药盒配置信息和知识库文件信息;所述数据库通过所述云端平台接收和存储所述智能药盒装置上传的服药行为数据并对数据进行分析处理,并向所述智能药盒装置下发和推送新的配置信息及知识库语音文件;向所述手机APP及手机推送服药状态通知信息。An intelligent medicine box system for realizing the above-mentioned method for improving patient medication compliance, characterized in that: the system includes an intelligent medicine box device, a cloud platform, a mobile phone APP and a database; the intelligent medicine box device passes through the cloud platform Information interaction with the mobile phone APP, the smart medicine box device realizes the functions of automatic step-by-step education, medication supervision and one-key consultation, and is connected to the cloud platform through a wireless network, or used alone; Information management, knowledge base management and data analysis of patients; the mobile phone APP software realizes intelligent medicine box parameter configuration, information query and receiving notification messages sent by the cloud platform; the cloud platform is also connected with the database, and the database Responsible for storing the patient’s file information, treatment plan, medicine box configuration information and knowledge base file information; the database receives and stores the medicine-taking behavior data uploaded by the smart medicine box device through the cloud platform, and analyzes and processes the data, and Send and push new configuration information and knowledge base voice files to the smart medicine box device; push medicine status notification information to the mobile phone APP and mobile phone.
进一步,所述智能药盒装置包括壳体和设置在所述壳体内的中央处理模块、实时时钟模块、摄像头模块、无线通信模块、MP3播放模块、传感器模块、电源充放电模块、储存器模块、按键与显示模块、扬声器与电池以及充电与通信接口;所述实时时钟模块、摄像头模块、无线通信模块、MP3播放模块、传感器模块、电源充放电模块、储存器模块、按键与显示模块、扬声器与电池以及充电与通信接口均匀所述中央处理模块连接,与所述中央处理模块进行信息交互;且各模块都采用电子线路连接,所述电子线路位于所述壳体中、并与所述壳体通过螺丝固定连接。Further, the smart medicine box device includes a housing and a central processing module, a real-time clock module, a camera module, a wireless communication module, an MP3 player module, a sensor module, a power supply charging and discharging module, a storage module, and a central processing module arranged in the housing. Button and display module, speaker and battery, and charging and communication interface; the real-time clock module, camera module, wireless communication module, MP3 player module, sensor module, power supply charging and discharging module, memory module, button and display module, speaker and The battery and the charging and communication interface are evenly connected to the central processing module, and perform information interaction with the central processing module; and each module is connected by an electronic circuit, and the electronic circuit is located in the housing and connected The connection is secured by screws.
进一步,所述中央处理模块包括微控制器和存储器,所述微控制器用于控制整个药盒的工作流程;所述储存器模块包括一张内置的T-Flash存储卡和一片EEPROM芯片,所述T-Flash存储卡中储存健康宣传的音频文件及其他数据文件。Further, the central processing module includes a microcontroller and a memory, and the microcontroller is used to control the workflow of the entire medicine box; the memory module includes a built-in T-Flash memory card and an EEPROM chip, and the Audio files and other data files of health promotion are stored in the T-Flash memory card.
进一步,所述智能药盒装置的壳体具有一个上盖,所述上盖与所述壳体之间通过轴连接,所述上盖内设置有一粒永磁铁;当所述上盖处于闭合状态时,所述永磁体与所述传感器模块最近,此时所述永磁铁会吸引所述传感器模块,所述传感器模块处于闭合状态,所述传感器模块与所述中央处理模块连接,此时所述中央处理模块通过处理判断药盒处于关闭状态,控制药盒整体待机;当所述上盖打开时,所述永磁铁会远离所述传感器模块,此时磁力减弱所述传感器模块断开,所述中央处理模块控制各功能模块唤醒,药盒进入工作状态。Further, the housing of the intelligent medicine box device has an upper cover, the upper cover is connected to the housing through a shaft, and a permanent magnet is arranged in the upper cover; when the upper cover is in a closed state When the permanent magnet is closest to the sensor module, the permanent magnet will attract the sensor module, the sensor module is in a closed state, and the sensor module is connected to the central processing module. The central processing module judges that the medicine box is in a closed state through processing, and controls the whole medicine box to stand by; when the upper cover is opened, the permanent magnet will be far away from the sensor module, and at this time the magnetic force weakens and the sensor module is disconnected, and the The central processing module controls each functional module to wake up, and the medicine box enters a working state.
本发明由于采取以上技术方案,其具有以下优点:1、本发明将健康教育与服药行为进行有机结合,在患者服药过程中实施自动化的阶梯式宣教帮助患者提高自我健康管理的意识和能力,从而实现提高患者服药依从性的目标。2、本发明通过智能提醒功能只会在患者遗忘的时候才播放闹铃提醒,既能解决患者遗忘的问题又可以最大化的减少对患者的打扰。3、本发明通过随访与问诊实现医患沟通疏导医患矛盾,患者问诊功能采用发送预约短信方式实现,既能与医生快速建立联系,又不至于打扰到医生的工作。4、本发明的智能药盒装置既可以单机使用又可以联网使用5、本发明的智能药盒参数设置了疗程开始和结束日期,实现了药盒工作状态自动开始和结束;服药提醒时间设置了时间区间和提醒时间点,实现了服药行为的监督和提醒。6、本发明智能药盒记录医患通话数据并上传到云端平台,可以精确统计随访医生的工作量。7、本发明的小药盒分隔设计提供了多种药品收纳方式,可以按每次服药量收纳也可以按服药种类收纳。8、本发明操作简单,各年龄段、各民族、各语言的患者群体都可以简单方便的使用。Due to the adoption of the above technical solutions, the present invention has the following advantages: 1. The present invention organically combines health education and medication behavior, and implements automatic step-by-step education during the patient's medication process to help patients improve their awareness and ability of self-health management, thereby Achieve the goal of improving patient medication compliance. 2. The present invention only plays the alarm bell when the patient forgets through the intelligent reminder function, which can not only solve the problem of the patient forgetting but also minimize the disturbance to the patient. 3. The present invention realizes doctor-patient communication and eases doctor-patient conflicts through follow-up and consultation. The function of patient consultation is realized by sending appointment text messages, which can quickly establish contact with doctors without disturbing the work of doctors. 4. The intelligent medicine box device of the present invention can be used both stand-alone and networked. 5. The parameters of the intelligent medicine box of the present invention are set with the start and end dates of the course of treatment, which realizes the automatic start and end of the working state of the medicine box; the medicine reminder time is set The time interval and reminder time point realize the supervision and reminder of medication behavior. 6. The intelligent medicine box of the present invention records the doctor-patient call data and uploads it to the cloud platform, which can accurately count the workload of follow-up doctors. 7. The partition design of the small medicine box of the present invention provides a variety of medicine storage methods, which can be stored according to the amount of medicine taken each time or according to the type of medicine taken. 8. The present invention is simple to operate, and can be easily and conveniently used by patient groups of all ages, nationalities and languages.
附图说明Description of drawings
图1为本发明的智能药盒系统结构示意图;Fig. 1 is the structural representation of the intelligent medicine box system of the present invention;
图2为本发明的智能药盒装置结构示意图;Fig. 2 is the structural representation of the intelligent medicine box device of the present invention;
图3为本发明的自动化阶梯式宣教方法的知识库文件目录分级及文件命名方式的示意图;Fig. 3 is the schematic diagram of the knowledge base file directory classification and the file naming mode of the automatic step-by-step mission method of the present invention;
图4为本发明的智能药盒装置的工作流程示意图。Fig. 4 is a schematic diagram of the workflow of the smart medicine box device of the present invention.
具体实施方式detailed description
下面结合附图和实施例对本发明进行详细的描述。The present invention will be described in detail below in conjunction with the accompanying drawings and embodiments.
如图1所示,本发明提供一种提高患者服药依从性的智能药盒系统,其包括智能药盒装置、云端平台、手机APP和数据库。智能药盒装置经云端平台与手机APP进行信息交互,智能药盒装置实现自动化阶梯式宣教、服药监督和一键问诊功能,可以通过无线网络与云端平台连接,也可以单独使用;云端平台实现对患者的信息管理、知识库管理和数据分析;手机APP软件实现智能药盒参数配置、信息查询和接收云端平台发来的通知消息。云端平台还与数据库连接,数据库负责存储患者的档案信息、治疗方案及药盒配置信息、知识库文件信息等;数据库通过云端平台接收和存储智能药盒装置上传的服药行为数据并对数据进行分析处理,并向智能药盒装置下发和推送新的配置信息及知识库语音文件;向手机APP及手机推送服药状态等通知信息。本发明的智能药盒系统在使用时,将健康教育与服药行为管理有机结合,通过自动化的阶梯式宣教帮助患者提高自我健康管理的意识和能力,通过智能提醒功能解决患者遗忘的问题,通过一键预约问诊实现医患沟通疏导医患矛盾,最终实现提高患者服药依从性。As shown in Figure 1, the present invention provides a smart medicine box system for improving patients' medication compliance, which includes a smart medicine box device, a cloud platform, a mobile APP and a database. The smart medicine box device conducts information interaction with the mobile phone APP through the cloud platform. The smart medicine box device realizes the functions of automatic step-by-step education, medication supervision and one-key consultation. It can be connected to the cloud platform through a wireless network or used alone; the cloud platform realizes Information management, knowledge base management and data analysis of patients; mobile phone APP software realizes intelligent medicine box parameter configuration, information query and receiving notification messages from the cloud platform. The cloud platform is also connected to the database, which is responsible for storing the patient’s file information, treatment plan and medicine box configuration information, knowledge base file information, etc.; the database receives and stores the medication behavior data uploaded by the smart medicine box device through the cloud platform and analyzes the data Processing, and sending and pushing new configuration information and knowledge base voice files to the smart medicine box device; pushing notification information such as medication status to the mobile phone APP and mobile phone. When in use, the intelligent medicine box system of the present invention organically combines health education and medication management, helps patients improve their awareness and ability of self-health management through automated step-by-step education, and solves the problem of patients forgetting through an intelligent reminder function. Key to make an appointment for consultation to achieve doctor-patient communication to ease doctor-patient conflicts, and ultimately improve patients' medication compliance.
上述实施例中,手机APP与云端平台连接,登陆用户可以是医护人员、患者监护人、患者本人等,用户注册登录成功后可以根据权限在云端平台上录入和修改患者相关的信息,为患者配置智能药盒参数,按照权限查看云端平台上的数据和报表,接收云端平台发来的服药状态等通知信息。In the above-mentioned embodiment, the mobile phone APP is connected to the cloud platform, and the login user can be a medical staff, a patient guardian, the patient himself, etc. After the user registers and logs in successfully, he can enter and modify patient-related information on the cloud platform according to the authority, and configure a smart phone for the patient. According to the parameters of the medicine box, you can view the data and reports on the cloud platform according to the authority, and receive notification information such as the status of taking medicine from the cloud platform.
上述实施例中,如图2所示,智能药盒装置包括壳体和设置在壳体内的中央处理模块、实时时钟模块、摄像头模块、无线通信模块、MP3播放模块、传感器模块、电源充放电模块、储存器模块、按键与显示模块、扬声器与电池以及充电与通信接口。实时时钟模块、摄像头模块、无线通信模块、MP3播放模块、传感器模块、电源充放电模块、储存器模块、按键与显示模块、扬声器与电池以及充电与通信接口均匀中央处理模块连接,与中央处理模块进行信息交互。且各模块都采用电子线路连接,电子线路位于壳体中、并与壳体通过螺丝固定连接。其中:In the foregoing embodiment, as shown in Figure 2, the smart medicine box device includes a housing and a central processing module, a real-time clock module, a camera module, a wireless communication module, an MP3 player module, a sensor module, and a power supply charging and discharging module arranged in the housing. , memory module, button and display module, speaker and battery, and charging and communication interface. Real-time clock module, camera module, wireless communication module, MP3 player module, sensor module, power supply charging and discharging module, storage module, button and display module, speaker and battery, and charging and communication interface uniform central processing module connection, and central processing module carry out information exchange. And each module is connected by electronic circuit, and the electronic circuit is located in the housing and fixedly connected with the housing by screws. in:
中央处理模块包括微控制器和存储器,微控制器采用高性能32位微控制器,用于控制整个药盒的工作流程;储存器模块包括一张内置的T-Flash存储卡和一片EEPROM芯片,T-Flash存储卡中储存健康宣传的音频文件及其他数据文件。The central processing module includes a microcontroller and a memory. The microcontroller uses a high-performance 32-bit microcontroller to control the workflow of the entire medicine box; the memory module includes a built-in T-Flash memory card and an EEPROM chip. Audio files and other data files of health promotion are stored in the T-Flash memory card.
智能药盒装置的壳体具有一个上盖,上盖与壳体之间通过轴连接,上盖内设置有一粒永磁铁。当上盖处于闭合状态时,永磁体与位于电路板上的传感器模块最近(传感器模块可以是干簧管或者霍尔传感器,本实例中优选为干簧管),此时永磁铁会吸引传感器模块,传感器模块处于闭合状态,传感器模块与中央处理模块连接,此时中央处理模块通过处理判断药盒处于关闭状态,控制药盒整体待机;当药盒上盖打开时,该永磁铁会远离传感器模块,此时磁力减弱传感器模块断开,中央处理模块控制各功能模块唤醒,药盒进入工作状态。The casing of the intelligent medicine box device has an upper cover, the upper cover and the casing are connected by a shaft, and a permanent magnet is arranged in the upper cover. When the upper cover is in a closed state, the permanent magnet is closest to the sensor module on the circuit board (the sensor module can be a reed switch or a Hall sensor, preferably a reed switch in this example), and the permanent magnet will attract the sensor module , the sensor module is in a closed state, and the sensor module is connected to the central processing module. At this time, the central processing module judges that the medicine box is in a closed state through processing, and controls the overall standby of the medicine box; when the upper cover of the medicine box is opened, the permanent magnet will be far away from the sensor module. At this time, the magnetic force weakening sensor module is disconnected, the central processing module controls each functional module to wake up, and the medicine box enters the working state.
在一个优选的实施例中,智能药盒装置内置程序可以定期向云端服务器发送设备运行状态数据,包括但不限于电池电量、各模块工作状态值、SIM卡注册基站数据。云端平台可以通过这些数据实现预警和提醒,比如电池电量数据可以用于提醒监护人及患者及时为设备充电,各模块工作状态可以用于监测设备运行,基站数据可以通过算法实现设备定位,由此知道患者位置及位置变化。In a preferred embodiment, the built-in program of the smart pill box device can periodically send device operation status data to the cloud server, including but not limited to battery power, working status values of each module, and SIM card registration base station data. The cloud platform can use these data to achieve early warning and reminders. For example, battery power data can be used to remind guardians and patients to charge the device in time. The working status of each module can be used to monitor the operation of the device. Base station data can be used to locate the device through algorithms. Patient position and position changes.
在一个优选的实施例中,智能药盒装置的壳体内设置有一个存放药物的腔体,由上盖掩盖,智能药盒装置附带多个可以放入腔体的小药盒,每个小药盒内都附带三个小挡板,患者可以不适用小药盒而将药物连同包装直接放入腔体内也可以根据自己的需要将不同的药品放入小药盒再放入腔体。其中:In a preferred embodiment, a cavity for storing medicines is provided in the casing of the smart medicine box device, which is covered by an upper cover. The smart medicine box device is accompanied by a plurality of small medicine boxes that can be put into the cavity, each small There are three small baffles in the box. Patients can put the medicine together with the packaging directly into the cavity without using the small medicine box, or put different medicines into the small medicine box and then put them into the cavity according to their own needs. in:
小药盒的使用方式分为两种,一种是按药品种类分开填装,即每个小药盒装一种药,患者服用时取出对应的小药盒打开服用即可;另一种是按每次服药药量填装,需要先使用小药盒内附带的挡板分隔小药盒,可以根据自身每天服药次数用挡板对小药盒进行分隔,分隔方式为1格(一日一次)、2格(一日两次)、3格(一日三次)、4格(一日四次),分隔后把每次所需吃的药品依次放入小格内并做好标识,患者服用时取出对应小格的药品服用即可,由此避免错服的发生。There are two ways to use the small pill boxes. One is to fill them separately according to the type of medicine, that is, each small medicine box contains a kind of medicine, and the patient takes out the corresponding small medicine box to open it when taking it; the other is To fill according to the amount of medicine taken each time, you need to use the baffle attached to the small medicine box to separate the small medicine box first. You can use the baffle to separate the small medicine box according to the number of times you take medicine every day. The separation method is 1 grid (once a day) ), 2 grids (twice a day), 3 grids (three times a day), 4 grids (four times a day). When taking it, just take out the medicine corresponding to the small box and take it, so as to avoid the occurrence of wrong dose.
在一个优选的实施例中,智能药盒装置的壳体上的摄像头模块由患者开盒时传感器模块引发中断触发,可以拍摄多张照片也可以拍摄连续视频,拍摄方式由药盒内置参数配置决定;充电与通信接口可以通过变压整流电源为智能药盒装置充电电池充电或者为装置供电,智能药盒的显示模块能够显示剩余电量,电量不足时会提示使用者充电,此接口还可以通过USB线与电脑连接,通过电脑上运行的上位机软件可以配置和调试智能药盒设备;麦克风用于患者接打电话沟通过程中采集患者声音;扬声器模用于智能药盒设备播放声音。In a preferred embodiment, the camera module on the casing of the smart medicine box device is triggered by an interruption caused by the sensor module when the patient opens the box, and can take multiple photos or continuous video, and the shooting method is determined by the built-in parameter configuration of the medicine box ;The charging and communication interface can charge the rechargeable battery of the smart pill box device or supply power to the device through a transformer and rectifier power supply. The display module of the smart pill box can display the remaining power, and will prompt the user to charge when the power is insufficient. The computer is connected with the computer, and the smart medicine box device can be configured and debugged through the host computer software running on the computer; the microphone is used to collect the patient's voice during the patient's call and communication; the speaker module is used to play the sound of the smart medicine box device.
在一个优选的实施例中,智能药盒装置的壳体上还设置有显示屏和控制面板。显示屏用于显示电量、信号量、时间、未接来电提示、未播放语音文件提示、当前播放文件名等信息;控制面板上设置有播放/暂停按键、上一首按键、下一首按键、帮助按键、下载医嘱按键、预约/接听按键。In a preferred embodiment, a display screen and a control panel are also arranged on the casing of the smart medicine box device. The display screen is used to display information such as battery power, semaphore, time, missed call prompt, unplayed voice file prompt, currently playing file name and other information; the control panel is provided with a play/pause button, a previous song button, a next song button, Help button, download doctor's order button, appointment/answer button.
在一个优选的实施例中,无线通信模块包括但不限于GSM/GPRS通信、WIFi通信和蓝牙通信。In a preferred embodiment, the wireless communication module includes but not limited to GSM/GPRS communication, WIFi communication and Bluetooth communication.
本发明还提供一种提高患者服药依从性的方法,其包括以下步骤:The present invention also provides a method for improving patient medication compliance, which comprises the following steps:
1)设置一智能药盒系统;1) Set up an intelligent medicine box system;
2)以疾病为中心建立知识库,知识库涵盖病理和治疗方案解读、用药知识、营养与保健、心理疏导、复查复检提醒等内容,然后将这些内容科学的编排在疗程的不同时间点上,时间点可以是每次(每天)的服药后也可以是某次(某天)的服药后,由此形成一个阶梯式的健康教育知识库。2) Establish a knowledge base centered on the disease. The knowledge base covers pathology and treatment plan interpretation, medication knowledge, nutrition and health care, psychological counseling, re-examination and re-examination reminders, etc., and then scientifically arrange these contents at different time points in the course of treatment , the time point can be after each (daily) medication or after a certain (certain day) medication, thus forming a stepped health education knowledge base.
3)将每个时间点上编排的知识内容都录制成语音文件并以时间点来命名,比如第十天服药时需要了解的健康教育内容录制成语音文件后取名为010.mp3,并将语音文件可以录制成不同的语言版本,然后将这些语音文件按照疾病类型和语言类型分类分级存储,文件存储目录结构及编码规则如图3所示;3) Record the knowledge content arranged at each time point into a voice file and name it after the time point. For example, the health education content that needs to be understood when taking medicine on the tenth day is recorded into a voice file and named 010.mp3, and the Voice files can be recorded into different language versions, and then these voice files are classified and stored according to disease type and language type. The file storage directory structure and coding rules are shown in Figure 3;
在本实施例中,一级目录是疾病分类,疾病分类用两位数字表示,01表示肺结核、02表示艾滋病、03表示布氏杆菌病,以此类推;二级目录是语言种类,语言种类用两位数字表示,01表示中文汉语、02表示维吾尔语、03表示藏语,以此类推。In this embodiment, the first-level directory is the disease classification, and the disease classification is represented by two digits, 01 represents tuberculosis, 02 represents AIDS, 03 represents brucellosis, and so on; the second-level directory is the language category, and the language category is represented by Two digits represent, 01 represents Chinese, 02 represents Uyghur, 03 represents Tibetan, and so on.
4)将语音文件连同目录拷贝至智能药盒装置的存储卡上,智能药盒装置的中央处理器在患者每次服药时会首先根据患者患病类型参数找到一级目录下对应编码的文件夹,然后根据患者语言类型参数找到二级目录下对应编码的文件夹,最后计算当次(或当天)是疗程的第几次(或第几天)服药,检索文件夹内与次数(天数)同名的语音文件,最后中央处理器指令MP3模块自动播放或者提示患者收听的方式实现服药过程中同步进行健康教育。4) Copy the voice file together with the directory to the memory card of the smart pill box device. The central processor of the smart pill box device will first find the corresponding coded folder in the first-level directory according to the patient's disease type parameters every time the patient takes medicine. , and then find the folder corresponding to the code in the secondary directory according to the patient's language type parameter, and finally calculate the number (or days) of taking the medicine for the current (or day) course of treatment, and search the folder with the same name as the number of times (number of days) Finally, the central processing unit instructs the MP3 module to automatically play or remind the patient to listen to the way to realize the synchronous health education in the process of taking medicine.
上述步骤4)中,如图4所示,智能药盒装置的具体工作流程如下:In the above step 4), as shown in Figure 4, the specific workflow of the smart medicine box device is as follows:
4.1)使用前,先对药盒进行参数配置,参数配置可以使用充电与通信接口连接上位机完成,也可以通过连接云端平台下载参数配置文件。参数配置完成后药盒开始进入工作状态,配置参数会存储在储存器模块的EEPROM中,在断电或者电池电量耗尽的情况下,配置信息不会丢失;4.1) Before use, configure the parameters of the pill box first. The parameter configuration can be completed by connecting the host computer with the charging and communication interface, or downloading the parameter configuration file by connecting to the cloud platform. After the parameter configuration is completed, the medicine box starts to enter the working state, and the configuration parameters will be stored in the EEPROM of the memory module, and the configuration information will not be lost when the power is cut off or the battery is exhausted;
其中,参数包括但不限于药盒ID、患者姓名、药盒时钟、疗程的开始和结束日期、服药总次数、每次服药的时间区间、提醒时间、服药间隔时间、患者的患病类型和语言种类、医生的联系电话、监护人的联系电话等。Among them, the parameters include but are not limited to the medicine box ID, patient name, medicine box clock, start and end dates of the course of treatment, total number of medicines taken, time interval of each medicine taken, reminder time, time interval between medicines taken, disease type and language of the patient Type, doctor's contact number, guardian's contact number, etc.
4.2)判断药盒当前日期是否在疗程内,不在疗程内则休眠状态,反之,判断药盒当前时间是否在服药时间区间内,在服药时间区间内则进入下一步;反之,则进入步骤4.4)中;4.2) Judging whether the current date of the medicine box is within the course of treatment, if not within the course of treatment, it will be in a dormant state, otherwise, determine whether the current time of the medicine box is within the time interval of taking medicine, and enter the next step if it is within the time interval of taking medicine; otherwise, enter step 4.4) middle;
4.3)判断药盒当前时间是否到达提醒时间,若到达提醒时间,则判断服药值是否为已服,为已服则进入休眠状态,反之播放闹铃提醒患者服药,并进入步骤4.6);若没有到达提醒时间,则进入步骤4.5);4.3) Judging whether the current time of the medicine box reaches the reminder time, if it reaches the reminder time, then judge whether the medication value is taken, if it is taken, enter the dormant state, otherwise play an alarm to remind the patient to take the medicine, and enter step 4.6); if not When the reminder time is reached, go to step 4.5);
4.4)当智能药盒实时时钟模块日期值位于疗程的开始和结束日期内且实时时钟模块时间值未进入服药时间区间,智能药盒里本次服药状态值默认为“未服”,此时患者打开药盒会上盖,传感器模块由于磁力变化引发中断,中央处理器会控制mp3模块播放语音提示患者“服药时间未到,请按医嘱服药”,并进入休眠状态;4.4) When the date value of the real-time clock module of the smart pill box is within the start and end dates of the course of treatment and the time value of the real-time clock module does not enter the medication time interval, the status value of this medication in the smart pill box defaults to "not taken". At this time, the patient Open the upper cover of the medicine box, the sensor module will be interrupted due to the change of magnetic force, and the central processing unit will control the mp3 module to play a voice prompting the patient "the time for taking the medicine is not up, please take the medicine according to the doctor's advice" and enter the dormant state;
4.5)当智能药盒实时时钟模块日期值位于疗程的开始和结束日期内且实时时钟模块时间值位于服药时间区间,则患者打开药盒上盖,传感器模块由于磁力变化引发中断,中央处理器会依次指令摄像头模块拍摄照片、储存器模块记录中断时间、储存器模块存储数据到存储卡,然后中央处理器计算当次(或当天)是疗程的第几次(或第几天)服药得到次数(天数),检索存储卡上的知识库文件夹,找到对应目录下与计算的次数(天数)同名的语音文件进行播放或者提示患者收听,之后设置服药状态值为已服,进入步骤4.7);4.5) When the date value of the real-time clock module of the smart medicine box is within the start and end dates of the course of treatment and the time value of the real-time clock module is within the time interval of taking medicine, the patient opens the upper cover of the medicine box, and the sensor module causes an interruption due to a change in magnetic force, and the central processing unit will Instruct the camera module to take pictures in sequence, the storage module to record the interruption time, and the storage module to store data to the memory card, and then the central processing unit calculates the number of times (or the number of days) of the course of treatment (or the number of days) that the current time (or the day) is the number of times the medicine is taken ( number of days), retrieve the knowledge base folder on the memory card, find the voice file with the same name as the calculated number of times (number of days) under the corresponding directory to play or prompt the patient to listen, then set the medication status value as taken, and enter step 4.7);
4.6)判断药盒是否打开,若已打开则进入步骤4.5);若没有打开则每隔5分钟播放闹铃一次,每次三遍,同时,不产生服药照片数据,药盒内的服药状态值仍为“未服”,进入步骤4.8);4.6) Judging whether the medicine box is opened, if it is opened, enter step 4.5); if it is not opened, the alarm will be played every 5 minutes, three times each time, at the same time, no photo data of taking medicine will be generated, and the medicine taking status value in the medicine box Still "not accepted", go to step 4.8);
4.7)判断是否联网使用,若不联网则发送已服短信至医生或监护人员手机,药盒进入休眠状态;反之联网,则服药中断发生5分钟后经无线通讯模块发送存储卡内数据文件到云端平台,药盒进入休眠状态,并执行步骤4.8);4.7) Judging whether to use the network, if not connected to the network, send the text message taken to the mobile phone of the doctor or guardian, and the medicine box enters a dormant state; otherwise, the data file in the memory card will be sent to the cloud via the wireless communication module after 5 minutes of interruption of taking the medicine platform, the medicine box enters the dormant state, and executes step 4.8);
4.8)云端平台在医嘱的服药提醒时间结束后25分钟开始检索数据文件,判断是否有数据文件且数据文件中的中断时间是否在服药提醒时间区间开始时间至服药提醒时间后20分钟内,是则发送已服通知消息至手机APP,反之发送漏服通知消息至手机APP;其中数据文件包括智能药盒ID、中断时间、图像数据等。4.8) The cloud platform starts to retrieve the data file 25 minutes after the end of the reminder time for taking the medicine prescribed by the doctor, and judges whether there is a data file and whether the interruption time in the data file is within 20 minutes from the start time of the reminder time interval of taking the medicine to the 20 minutes after the reminder time of taking the medicine. Send the notification message of the completed dose to the mobile APP, otherwise send the notification message of the missed dose to the mobile APP; the data files include the smart medicine box ID, interruption time, image data, etc.
上述步骤4.3)中,当智能药盒实时时钟模块日期值位于疗程的开始和结束日期内且实时时钟模块时间值到达提醒时间,智能药盒内服药状态值如果已经为“已服”,则智能药盒中央处理器不会控制mp3模块播放提醒闹铃。如果智能药盒内服药状态值仍为“未服”,则智能药盒中央处理器控制mp3模块播放闹铃文件提醒患者服药,此时如果患者打开药盒触发传感器模块引发中断,中央处理器会依次指令mp3模块停止播放闹铃文件、摄像头模块拍摄照片、储存器模块记录中断时间、储存器模块存储数据到存储卡,然后中央处理器计算当次(或当天)是疗程的第几次(或第几天)服药得到次数(天数)值,之后检索存储卡上的知识库文件夹,找到对应目录下与计算的次数(天数)值同名的语音文件进行播放或者提示患者收听,然后更改药盒内服药状态值为“已服”;反之重复多次提醒铃声提醒患者服药。In the above step 4.3), when the date value of the real-time clock module of the smart medicine box is within the start and end dates of the course of treatment and the time value of the real-time clock module reaches the reminder time, if the medication status value in the smart medicine box has been "taken", the smart The central processing unit of the medicine box will not control the mp3 module to play the reminder alarm. If the medicine status value in the smart medicine box is still "not taken", the central processor of the smart medicine box controls the mp3 module to play an alarm file to remind the patient to take the medicine. Instruct the mp3 module to stop playing the alarm file, the camera module to take photos, the memory module to record the interruption time, the memory module to store data to the memory card, and then the central processing unit calculates the number of times (or How many days) take the medicine to get the number of times (number of days) value, then search the knowledge base folder on the memory card, find the voice file in the corresponding directory with the same name as the calculated number of times (number of days) value to play or prompt the patient to listen, and then change the medicine box The status value of the internal medicine is "taken"; otherwise, the reminder bell will be repeated several times to remind the patient to take the medicine.
上述各步骤中,智能药盒装置的智能提醒功能只会在病人遗忘的时候才会播放闹铃提醒患者,如病人遵从遗嘱按时服药智能提醒功能则不再播放提醒闹铃打扰患者。In the above steps, the smart reminder function of the smart medicine box device will only play an alarm to remind the patient when the patient forgets. If the patient obeys the will and takes the medicine on time, the smart reminder function will no longer play the reminder alarm to disturb the patient.
本发明在使用时,智能药盒装置的问诊随访功能可以很方便的帮助病人与医生之间建立联系。患者疗程中如果有健康问题,可以按下智能药盒显示与控制模块上的预约/接听按键,智能药盒中央处理器接收到按键信息后可以指令无线通信模块通过GSM网络拨打医生电话或者向云端平台发送问诊请求格式的数据包,云端平台收到数据包后会立刻向患者账号关联的医生账号APP发送预约通知消息或者向医生手机发送预约短信,由此实现即时问诊或者预约问诊的功能;医生可以根据随访需要直接拨打药盒装置内SIM卡的电话号码,患者按下预约/接听按键即可接听医生随访电话,快速实现医患沟通。在通话的过程中智能药盒装置会将通话数据存储在储存器模块的存储卡上,通话记录数据包括:打接方向、打接开始时间、打接结束时间。When the present invention is in use, the inquiry and follow-up function of the intelligent medicine box device can conveniently help patients establish contact with doctors. If the patient has a health problem during the course of treatment, he can press the appointment/answer button on the display and control module of the smart medicine box. After receiving the button information, the central processor of the smart medicine box can instruct the wireless communication module to dial the doctor's phone through the GSM network or send a call to the cloud. The platform sends a data packet in the form of a consultation request. After receiving the data packet, the cloud platform will immediately send an appointment notification message to the doctor account APP associated with the patient account or send an appointment SMS to the doctor's mobile phone, thereby realizing instant consultation or appointment consultation. Function; doctors can directly dial the phone number of the SIM card in the medicine box device according to follow-up needs, and patients can answer the doctor's follow-up call by pressing the appointment/answer button, so as to quickly realize doctor-patient communication. During the call, the smart medicine box device will store the call data on the memory card of the storage module, and the call record data includes: call direction, call start time, and call end time.
本发明使用时,每天凌晨0点至2点之间智能药盒装置会在一个随机时间点检查是否有通话数据文件,如果有会立刻向服务平台发送,发送完毕后删除数据文件;随后智能药盒装置进行一次自检,获得各项运行状态数据,然后将数据发送至服务平台。When the present invention is used, the intelligent medicine box device will check whether there is a call data file at a random time point between 0:00 and 2:00 in the morning every day, and if there is, it will be sent to the service platform immediately, and the data file will be deleted after sending; The box device conducts a self-test to obtain various operating status data, and then sends the data to the service platform.
上述各实施例仅用于说明本发明,各部件的结构、尺寸、设置位置及形状都是可以有所变化的,在本发明技术方案的基础上,凡根据本发明原理对个别部件进行的改进和等同变换,均不应排除在本发明的保护范围之外。The above-mentioned embodiments are only used to illustrate the present invention, and the structure, size, location and shape of each component can be changed. On the basis of the technical solution of the present invention, all improvements to individual components according to the principles of the present invention and equivalent transformations shall not be excluded from the protection scope of the present invention.
Claims (9)
- A kind of 1. method for improving patient's drug compliance, it is characterised in that comprise the following steps:1)One intelligent medicine box system is set, and it includes intelligent medicine box device, high in the clouds platform and cell phone application, intelligent medicine box device bag Include central processing module, real-time clock module, camera module, wireless communication module, MP3 playing modules, sensor assembly, electricity Source charge-discharge modules, reservoir module, button and display module, loudspeaker and battery and charging and communication interface;2)Disease-based learning to establish knowledge base, knowledge base covers pathology and therapeutic scheme deciphering, knowledge on drug abuse, nutrition and guarantor Reminded contents are rechecked in strong, psychological counseling, check, and then by these content arrangements in the different time points of the course for the treatment of, time point can To be after can also being certain or the medication of certain day, to be consequently formed a stepped health education and know after each or daily medication Know storehouse;3)The knowledge content of upper layout of each time point is recorded into voice document and named with time point, and by voice text Part is recorded into different language versions, then by these voice documents according to disease type and language form classification classification storage;4)Voice document is copied on the storage card of intelligent medicine box device together with catalogue, the central processing unit of intelligent medicine box device The file of corresponding coding under first class catalogue can be found according to patient's type parameter first when patient per takes medicine, then The file of corresponding coding under second-level directory is found according to patient's language form parameter, it is the course for the treatment of finally to calculate when the secondary or same day Which time or which day medication, the interior voice document of the same name with number or number of days of retrieval file folder, last central processing unit instruction The mode that MP3 modules play automatically or prompting patient listens to, which is realized, synchronously carries out health education in drug administration process;The specific workflow of intelligent medicine box device is as follows:4.1)Parameter configuration first is carried out to medicine box, medicine box initially enters working condition after the completion of parameter configuration, and configuration parameter can be deposited Storage is in the EEPROM of reservoir module;4.2)Medicine box current date is judged whether in the course for the treatment of, the then resting state not in the course for the treatment of, conversely, when judging that medicine box is current Between whether in medicine time section, then enter in next step in medicine time section;Conversely, then enter step 4.4)In;4.3)Judge medicine box current time whether the arriving reminding time, if the arriving reminding time, judge whether medication value is Clothes, then enter resting state to have taken, otherwise play clock alarming patient medication, and enter step 4.6);Carried if not reaching Wake up the time, then into step 4.5);4.4)When intelligent medicine box real-time clock module date value is located in the beginning and end date of the course for the treatment of and real-time clock module Time value is introduced into medicine time section, and this medication state value is defaulted as " not taking " in intelligent medicine box, and now patient opens medicine Box can go up lid, and sensor assembly interrupts because magnetic force change triggers, and central processing unit can control mp3 modules to play voice message trouble Person's " medicine time does not arrive, please by medication ", and enter resting state;4.5)When intelligent medicine box real-time clock module date value is located in the beginning and end date of the course for the treatment of and real-time clock module Time value is located at medicine time section, and is located at medicine time section, then patient opens medicine box cover, and sensor assembly is due to magnetic Power change, which triggers, to be interrupted, central processing unit can instruct camera module to shoot photo successively, reservoir module records the break period, Reservoir module stores data into storage card, and then central processing unit is calculated when the secondary or same day is which time or which day of the course for the treatment of Medication obtains number or number of days, retrieves the knowledge Base article folder on storage card, finds number or day with calculating under corresponding catalogue Number voice document of the same name plays out or prompts patient to listen to, and plays clock alarming patient medication, and set medication state It is worth to have taken, into step 4.7);4.6)Judge whether medicine box is opened, step 4.5 is entered if having opened);If being not turned on quarter-bell was played every 5 minutes Once, every time three times, meanwhile, do not produce medication picture data, the medication state value in medicine box is still " not taking ", into step 4.8);4.7)Judge whether networking, sent if not networking and taken short message to doctor or care provider's mobile phone, medicine box entrance Resting state;Otherwise networking, then medication send photo in storage card through wireless communication module after interrupting generation 5 minutes and put down to high in the clouds Platform, medicine box enters resting state, and performs step 4.8);4.8)High in the clouds platform starts to retrieve data file for 25 minutes after in the medication alert time of doctor's advice terminating, and determines whether to count According to the break period in file and data file whether 20 after the medication alert time interval time started to medication alert time It is to send to have taken notification message to cell phone application, otherwise send and miss notification message to cell phone application in minute.
- A kind of 2. method for improving patient's drug compliance as claimed in claim 1, it is characterised in that:The step 4.1) In, parameter configuration is connected host computer with communication interface using charging and completed, or by connecting high in the clouds platform download parameters configuration text Part.
- A kind of 3. method for improving patient's drug compliance as claimed in claim 1, it is characterised in that:The step 4.1) In, parameter includes medicine box ID, patient's name, medicine box clock, the beginning and end date of the course for the treatment of, every time medication total degree, medication Time interval, reminder time, the dosing interval time, the ill type and category of language of patient, the telephone number of doctor and The telephone number of guardian.
- A kind of 4. method for improving patient's drug compliance as claimed in claim 1, it is characterised in that:The step 4.3) In, when intelligent medicine box real-time clock module date value is located in the beginning and end date of the course for the treatment of and real-time clock module time value The arriving reminding time, if intelligent medicine box medicine for oral administration state value has been " clothes ", intelligent medicine box central processing unit will not be controlled Mp3 modules processed, which play, reminds quarter-bell;If intelligent medicine box medicine for oral administration state value is still " not taking ", intelligent medicine box central processing unit Mp3 modules are controlled to play quarter-bell document reminding patient medication, now if patient is opened in the initiation of medicine box trigger sensor module Disconnected, central processing unit can instruct mp3 modules to stop playing quarter-bell file, camera module shooting photo, reservoir module successively Record break period, reservoir module store data into storage card, and it is the course for the treatment of that then central processing unit, which was calculated when the secondary or same day, Which time or which day medication obtain number or day numerical value, retrieve the knowledge Base article folder on storage card afterwards, find corresponding mesh The lower voice document of the same name with the number of calculating or day numerical value of record plays out or prompted patient to listen to, and then changes in medicine box State value of taking medicine is " clothes ";Otherwise the tinkle of bells is repeatedly reminded to remind patient's medication.
- A kind of 5. method for improving patient's drug compliance as claimed in claim 1, it is characterised in that:The step 4.8) In, data file includes intelligent medicine box ID, break period and view data.
- 6. a kind of intelligent medicine box system for realizing the method that patient's drug compliance is improved as described in any one of claim 1 to 5, It is characterized in that:The system includes intelligent medicine box device, high in the clouds platform, cell phone application and database;The intelligent medicine box device warp The high in the clouds platform carries out information exchange with the cell phone application, and the intelligent medicine box device realizes automation staged propaganda and education, clothes Medicine is supervised and a key interrogation function, is connected by wireless network with the high in the clouds platform, or is used alone;The high in the clouds platform is real The now information management to patient, knowledge base management and data analysis;The cell phone application software realize intelligent medicine box parameter configuration, The notification message that information inquiry and reception high in the clouds platform are sent;The high in the clouds platform is also connected with the database, the data It is responsible for storing archive information, therapeutic scheme and the medicine box configuration information and knowledge Base article information of patient in storehouse;The database leads to The high in the clouds platform is crossed to receive and store the drug administration behavior data that the intelligent medicine box device uploads and carry out at analysis data Reason, and issue and push new configuration information and knowledge base voice document to the intelligent medicine box device;To the cell phone application and Mobile phone push medication state notification information.
- A kind of 7. intelligent medicine box system for improving patient's drug compliance as claimed in claim 6, it is characterised in that:The intelligence Energy medicine box device includes housing and the central processing module being arranged in the housing, real-time clock module, camera module, nothing Line communication module, MP3 playing modules, sensor assembly, power supply charge and discharge module, reservoir module, button and display module, raise Sound device and battery and charging and communication interface;The real-time clock module, camera module, wireless communication module, MP3 are played Module, sensor assembly, power supply charge and discharge module, reservoir module, button and display module, loudspeaker and battery and charging Uniformly the central processing module is connected with communication interface, and information exchange is carried out with the central processing module;And each module is all Connected using electronic circuit, the electronic circuit, which is located in the housing and is screwed with the housing, to be connected.
- A kind of 8. intelligent medicine box system for improving patient's drug compliance as claimed in claim 7, it is characterised in that:In described Centre processing module includes microcontroller and memory, and the microcontroller is used for the workflow for controlling whole medicine box;The storage Buffer module includes the T-Flash storage cards and a piece of eeprom chip built in one, is stored in the T-Flash storage cards strong Kang Xuanchuan audio file and other data files.
- A kind of 9. intelligent medicine box system for improving patient's drug compliance as claimed in claim 7, it is characterised in that:The intelligence The housing of energy medicine box device has a upper lid, and by axis connection between the upper lid and the housing, the upper lid is interior to be set There is a permanent magnet;When the upper lid is in closure state, the permanent magnet and the sensor assembly are nearest, now described Permanent magnet can attract the sensor assembly, and the sensor assembly is in closure state, the sensor assembly with it is described in Processing module connection is entreated, now the central processing module judges that medicine box is closed by processing, and control medicine box is overall It is standby;When the upper lid is opened, the permanent magnet meeting weakens the sensor die away from the sensor assembly, now magnetic force Block disconnects, and the central processing module controls each functional module to wake up, and medicine box enters working condition.
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