CN108831534B - Tuberculosis integrated management system and mobile APP project - Google Patents
Tuberculosis integrated management system and mobile APP project Download PDFInfo
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- CN108831534B CN108831534B CN201710314025.2A CN201710314025A CN108831534B CN 108831534 B CN108831534 B CN 108831534B CN 201710314025 A CN201710314025 A CN 201710314025A CN 108831534 B CN108831534 B CN 108831534B
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Abstract
The application provides a tuberculosis comprehensive management system and a mobile APP project, in particular to the tuberculosis comprehensive management system which can remind a tuberculosis patient to take medicine, monitor the psychological condition of the tuberculosis patient in a psychological assessment mode, comprehensively analyze the obtained medicine taking record and psychological assessment data, output the data to a community tuberculosis prevention and treatment management doctor or a disease control center, and monitor the medicine taking compliance and psychological condition of the tuberculosis patient according to the analysis result by the community doctor or the disease control center.
Description
Technical Field
The application relates to a computer management system, in particular to a tuberculosis integrated management system and a mobile APP project.
Background
In the 'trinity' integrated management mode of tuberculosis in Shanghai city, communities bear the work responsibility of the most basic layer of tuberculosis management, and the Putuo district creates an integrated control mode of tuberculosis in communities through years of work practice, namely, the integrated control mode of 'five standardized' management specifications taking patient management as a core and tuberculosis health education based on communities are combined and effectively implemented. The community tuberculosis prevention and treatment standard standardizes the time, flow and requirement of each work in the community tuberculosis prevention and treatment work through a standardized management series manual. (1) Tuberculosis cases are found, namely tuberculosis suspicious persons are screened by depending on community general doctors, and tuberculosis non-centralized finding is realized. (2) Tracking suspected tuberculosis, namely, definitely tracking the mode and time requirement, and reporting the suspected tuberculosis in the form of an information feedback list. (3) In the definite diagnosis case management, in the practical manual of tuberculosis patients, the work content which should be completed by community doctors in the primary visit is defined, including identification and training of family supervising staff, government exemption subscription, health education and the like, the standard and comprehensive of the primary visit are ensured, and meanwhile, the work such as follow-up visit and the like is also explicitly required. (4) And (3) screening the close contact person, namely defining the close contact person including important people (such as students), and ensuring the screening to be timely and accurate. (5) Subscription management: a household supervisor agreement is signed, and obligations such as supervision of medicine taking, re-diagnosis, identification of adverse drug reactions and the like of the household supervisor in the treatment process of patients are specified; in addition, a deduction protocol is signed, the deduction content and implementation flow are described in detail, and policy is guaranteed to be in place through the form of signing the protocol. (6) Besides emphasizing national policy and standardizing medicine taking, the disinfection protection is taken as important working content, standardized disinfection protection articles are provided according to diagnosis classification of patients, correct use methods are guided, improvement of health behaviors of the patients is promoted, and spread is reduced. (7) And promoting community health, namely regularly developing activities, and expanding the community tuberculosis health promotion work connotation by utilizing a propaganda material resource library.
The main carrier of the current work is based on a standardized manual, and a community doctor carries out primary face-to-face disease home visit, signs a home supervisor agreement and a exemption agreement within 5 working days after the patient is diagnosed, and carries out visit 2 times a month in a treatment strengthening period (generally two months before treatment) and 1 time a month in a consolidation period; the patient is reminded of taking medicine manually, checking phlegm and carrying out re-diagnosis and corresponding recording; at the first visit, the patient carries out psychological condition self-assessment, and if abnormal conditions occur, the community doctor can recommend the patient to seek medical attention, but does not carry out subsequent psychological condition monitoring.
However, this management method has a number of disadvantages: (1) the manual recording mode of a unified patient and community doctor management information database (2) is not formed, the information real-time feedback and communication between doctors and patients cannot be realized (4) and intelligent reminding of the patients to take medicine and the review (5) cannot monitor and early warn the psychological health condition of the patients.
Therefore, the development of a comprehensive tuberculosis management system is urgently needed in the field, a doctor-patient management information database can be formed, information between doctors and patients can be communicated in real time, patients can be reminded of taking medicine and re-diagnosis intelligently, psychological health conditions of the patients can be monitored and early warned, and workload of community doctors can be standardized.
Disclosure of Invention
The application aims to provide a tuberculosis comprehensive management system which can form a doctor-patient management information database, can communicate information among doctors and patients in real time, can intelligently remind patients of taking medicine for review, can monitor and early warn psychological health conditions of the patients and the like, and can normalize workload of community doctors.
A first aspect of the present application provides a tuberculosis integrated management system, the system comprising:
the medicine taking reminding module is used for reminding a tuberculosis patient to take medicine;
the medicine taking record acquisition module is used for processing the information of the medicine taking reminding module so as to generate data acquired by the medicine taking record;
the psychological assessment module is used for assessing the psychological condition of the patient to be checked, so that data of psychological assessment results are generated; and
and the individual information analysis module is used for comprehensively analyzing the data acquired by the medicine taking record from the medicine taking record acquisition module and the data of the psychological assessment result from the psychological assessment module and generating a management instruction for the individual.
In another preferred embodiment, the system further comprises an integrated management module, the integrated management module comprising:
the psychological assessment result summarizing module is used for summarizing the data of the psychological assessment results from the psychological assessment module to obtain summarized psychological assessment data;
the medicine taking record summarizing module is used for summarizing the data of the medicine taking records from the medicine taking record collecting module to obtain summarized medicine taking record data; and
and the public health management module is used for processing (or analyzing) the summarized psychological assessment data and the summarized medicine taking record data and generating a public health management instruction (or alarm).
In another preferred embodiment, the system further comprises a public health safety warning device, and the public health safety warning device issues public health safety warning information based on the management instruction of the public health management module.
In another preferred embodiment, the system is provided with: a first user terminal (patient user terminal); a second user terminal (doctor terminal); and a third user terminal (disease control center client and/or hospital end); and the tuberculosis comprehensive management server.
In another preferred embodiment, in the system, the first, second and third user terminals are connected to the tuberculosis integrated management server through a wireless communication mechanism (50).
In another preferred embodiment, the system is further provided with a storage device and a public health safety warning device.
In another preferred embodiment, the storage device and the public health safety warning device are connected with the tuberculosis integrated management server.
In another preferred embodiment, the first user terminal (patient user terminal) is a cell phone terminal.
In another preferred embodiment, the second user terminal (doctor terminal) is a mobile phone terminal.
In another preferred embodiment, the third user terminal (disease control center client and/or hospital side) is a PC side.
In another preferred embodiment, the medicine taking reminding module is disposed at the first user terminal.
In another preferred embodiment, the medicine taking record collecting module is disposed at the first user terminal.
In another preferred embodiment, the psychological assessment module is arranged at the first user terminal, the second user terminal or the third user terminal (especially at the hospital end)
In another preferred embodiment, the individual information analysis module is disposed at the first user terminal, the second user terminal, the third user terminal, or the tuberculosis integrated management server.
In another preferred embodiment, the integrated management module is disposed on a tuberculosis integrated management server.
In another preferred embodiment, the management system is provided with a community doctor user side and a tuberculosis patient user side.
In another preferred embodiment, the management system is further provided with a hospital client and a disease control center client.
In another preferred embodiment, the doctor user terminal and the tuberculosis patient user terminal are mobile phone terminals.
In another preferred embodiment, the hospital client and the disease control center client comprise PC terminals.
In another preferred embodiment, the psychological assessment module includes:
the first psychological assessment module is used for assessing whether the tuberculosis patient is depressed or not and the degree of depression;
and the second psychological assessment module is used for assessing whether the tuberculosis patient is anxious or not and the anxiety degree.
In another preferred embodiment, the first psychological assessment module is used for giving a quantified value YY of the degree of depression of the patient suffering from tuberculosis.
In another preferred embodiment, the second psychological assessment module is configured to give a quantified value JL of the anxiety level of the patient suffering from tuberculosis.
In another preferred embodiment, the quantized value YY is 0-100 (preferably 20-100); and the quantized value JL is 0-100 (preferably 20-100).
In another preferred embodiment, when the quantitative value satisfies any one of the following formulas, it indicates that the psychological assessment of the tuberculosis patient is poor (at least mild depression and/or mild anxiety is present):
YY is greater than or equal to 53 type Q1a
JL is greater than or equal to 50 formula Q2a.
In another preferred embodiment, when the quantitative value satisfies any of the following formulas, it indicates that the psychological assessment of the tuberculosis patient is poor (at least moderate depression and/or moderate anxiety is present):
YY is greater than or equal to 63% and Q1b
JL is greater than or equal to 60 formula Q2b.
In another preferred embodiment, when the quantified value satisfies any of the following formulas, it indicates that the psychological assessment of the tuberculosis patient is severely worsened (at least major depression and/or major anxiety is present):
YY is greater than or equal to 73 type Q1c
JL is more than or equal to 70 formula Q2c.
When the quantitative value satisfies the following formulas Q3 and Q4, it indicates that the psychological assessment of the tuberculosis patient has a tendency to depression and/or anxiety:
YY is more than or equal to 40 and less than or equal to 52 type Q3
JL is more than or equal to 40 and is less than or equal to 49 and is represented by the formula Q4.
When the quantized value satisfies the following formulas Q5 and Q6, it indicates that the psychological assessment of the tuberculosis patient is normal or substantially normal:
YY is less than or equal to 39 type Q5
JL is less than or equal to 39 formula Q6.
In another preferred embodiment, the management system further comprises a positioning module for positioning the location of the tuberculosis patient.
In another preferred embodiment, the management system further includes: and the public health safety monitoring module is used for analyzing the position data of the tuberculosis patient so as to give out a predicted risk degree and/or risk prompt of tuberculosis transmission risk in public places.
In another preferred embodiment, the management system is further provided with a compliance risk assessment module that assesses the risk of medication compliance of the tuberculous patient and generates risk assessment data.
In another preferred embodiment, the individual information analysis module performs the comprehensive analysis based on the following formula:
in the method, in the process of the application,
TR is the total risk;
rf is a medication compliance score;
rx is the psychological assessment status score.
In another preferred embodiment, the Rf is assigned as follows:
wherein x is the integral of the patient taking medicine every week, and the patient clicks the integral of 'taken medicine' 10 minutes before 5 am every day;
clicking the 'taken medicine' at 5-8 am for 5 points;
clicking the product of 'taken medicine' for 2 points at 8-10 am;
the "taken medicine" is not clicked until 12 am for an integral of 0.
In another preferred embodiment, R is x The assignments were as follows:
if the YY score is less than 53, the method indicates that anxiety scale evaluation is not needed for the tuberculosis patient, so that a JL value does not exist, and only the YY value is taken for grading; if the YY score is more than or equal to 53 points, the fact that anxiety scale assessment is needed to be continuously carried out on the tuberculosis patient is indicated, and JL values are selected for classification (at the moment, the YY score is more than or equal to 53 points).
In another preferred embodiment, the intervention is as follows:
for example, when Rf is 1 or 2 and Rx is 1, 2 or 6, the corresponding intervention (or recommended intervention) is "visit patient as prescribed".
When Rf is 1 or 2 and Rx is 7, the corresponding intervention (or recommended intervention) is "enhance psychological grooming, prevent mental health deterioration".
When Rf is 1 or 2 and Rx is 8, 9 or 10, the corresponding intervention (or recommended intervention) is "recommended patient as early as the mental health professional visit".
When Rf is 3 or 4, the grading of Rx and the intervention mode are analogized.
In a second aspect the application provides a method of controlling public health safety comprising the steps of:
(a) Registering a tuberculosis patient in a certain jurisdiction by using the tuberculosis integrated management system of the first aspect of the present application; and
(b) The tuberculosis comprehensive management system is used for managing registered tuberculosis patients in the jurisdiction area, so that public health safety control is realized.
In another preferred embodiment, the jurisdiction is province, city (including direct jurisdiction), district, county, street, or a combination thereof.
In another preferred embodiment, the registration is performed by an App on the mobile phone side of the tuberculosis patient or its family.
In another preferred embodiment, the management in step (b) comprises counting and analyzing the taking condition of the patient suffering from tuberculosis and feeding back the taking condition and the corresponding treatment advice to the relevant manager.
In another preferred embodiment, the management in step (b) comprises counting and analyzing the psychological condition of the tuberculosis patient and feeding back the psychological condition and the corresponding treatment advice to the relevant management personnel.
In another preferred embodiment, the relevant manager is selected from the group consisting of: staff at the disease control center, medical staff at the hospital, family members of tuberculosis patients, or combinations thereof.
In another preferred embodiment, the method is non-therapeutic and non-diagnostic.
It is understood that within the scope of the present application, the above-described technical features of the present application and technical features specifically described below (e.g., in the examples) may be combined with each other to constitute new or preferred technical solutions. And are limited to a space, and are not described in detail herein.
Drawings
Fig. 1 shows a schematic configuration of a tuberculosis integrated management system in an example of the present application.
Fig. 2 shows the operation of the integrated tuberculosis management system in one example of the present application. The system is provided with a PC end and a mobile phone end, and the mobile phone is divided into a patient end and a doctor end according to different role functions. The main processes include medicine taking, sputum checking, re-diagnosis, close contact screening, adverse reaction, psychological self-evaluation and interactive question answering. The real-time interactive feedback is realized between the patient end and the doctor end in the whole operation process.
Reference numerals:
10: a first user terminal (patient user terminal);
20: a second user terminal (doctor terminal);
30: a third user terminal (disease control center client and/or hospital end);
40: a storage device;
50: a wireless communication mechanism;
60: public health safety warning equipment;
100: and the tuberculosis comprehensive management server.
Detailed Description
The inventor has developed a comprehensive management system for tuberculosis for the first time through extensive and intensive research, the system can remind tuberculosis patients to take medicine, monitor psychological conditions of the tuberculosis patients in a psychological assessment mode, comprehensively analyze obtained medicine taking records and psychological assessment data, output the data to community doctors or disease control centers, and monitor medicine taking compliance and psychological conditions of the tuberculosis patients according to analysis results. On this basis, the present inventors have completed the present application.
Terminology
Patient APP: comprises ios and android2 mobile phone APP and a patient-specific platform.
Doctor APP: special platform for community doctors and containing ios and android2 mobile phone APP
Doctor PC end: a web page system for community doctors to operate on a computer. All functional operations on the APP of the doctor and more convenient system operation can be completed.
Background management system: a management system aiming at the whole system platform can manage the background systems of the whole systems such as a patient APP, a doctor PC end and the like.
System and method for controlling a system
In the present application, the structure of the tuberculosis integrated management system is shown in fig. 1.
In the application, the integrated tuberculosis management system comprises a first user terminal (patient user terminal), a second user terminal (doctor terminal), a third user terminal (disease control center client and/or hospital terminal), a storage device, public health safety warning equipment, an integrated tuberculosis management server and a wireless communication mechanism, wherein the first user terminal, the second user terminal and the third user terminal are connected with the integrated tuberculosis management server through the wireless communication mechanism, and the storage device and the public health safety warning equipment are connected with the integrated tuberculosis management server.
In a preferred embodiment, the tuberculosis integrated management system of the present application comprises:
the medicine taking reminding module is used for reminding a tuberculosis patient to take medicine;
the medicine taking record acquisition module is used for processing the information of the medicine taking reminding module so as to generate data acquired by the medicine taking record;
the psychological assessment module is used for assessing the psychological condition of the patient to be checked, so that data of psychological assessment results are generated; and
and the individual information analysis module is used for comprehensively analyzing the data acquired by the medicine taking record from the medicine taking record acquisition module and the data of the psychological assessment result from the psychological assessment module and generating a management instruction for the individual.
In a preferred embodiment, the system further comprises an integrated management module, the integrated management module comprising:
the psychological assessment result summarizing module is used for summarizing the data of the psychological assessment results from the psychological assessment module to obtain summarized psychological assessment data;
the medicine taking record summarizing module is used for summarizing the data of the medicine taking records from the medicine taking record collecting module to obtain summarized medicine taking record data; and
and the public health management module is used for processing (or analyzing) the summarized psychological assessment data and the summarized medicine taking record data and generating a public health management instruction (or alarm).
In a preferred embodiment, the system further comprises a public health safety warning device, and the public health safety warning device issues public health safety warning information based on the management instruction of the public health management module.
In a preferred embodiment, the first user terminal and the second user terminal are mobile phone terminals, and the third user terminal is a PC terminal.
In a preferred embodiment, the medicine taking reminding module is disposed at the first user terminal.
In a preferred embodiment, the medicine taking record collecting module is disposed at the first user terminal.
In a preferred embodiment, the psychological assessment module is disposed at the first user terminal, the second user terminal, or the third user terminal (especially at the hospital end).
In a preferred embodiment, the individual information analysis module is disposed at the first user terminal, the second user terminal, the third user terminal, or the tuberculosis integrated management server.
In a preferred embodiment, the integrated management module is disposed on a tuberculosis integrated management server.
Patient APP
The main functions of the patient-side APP of the application include: the patient can perform self-management through account numbers and passwords sent by the disease control center for logging in.
The APP of the patient has the main function of reminding the patient to take medicine, and after community doctors input medicine dispensing information for the patient, the APP can remind the patient by alarm clock type vibration according to the taking time, and the patient can close the reminding after clicking 'taking medicine'. If the patient still does not take the medicine after the medicine taking time exceeds two hours, reminding the patient again; after the medicine taking time exceeds three hours, the patient still does not take medicine, and the system automatically sends information to the community doctor APP signed up with the patient to remind the community doctor to prompt the patient to take medicine.
The sputum-checking reminding is another important function of the patient APP, and community doctors set the date of sputum checking in the mobile phone of the smear positive patient when visiting for the first time. Patient side APP alerts the patient to make a sputum smear test 10 days before, on the day, and 10 days after the day of the setting (e.g., still unchecked). If the patient is not checked in the hospital on the day of the set date or 10 days later, the system can send a message to the contracted community doctor APP at the same time to remind the community doctor to prompt the patient to check phlegm. After the patient is checked, the result of positive or negative can be recorded in the APP, and the uploading attachment is photographed, so that community doctors can check and manage conveniently.
In addition, the patient can carry out psychological state self-evaluation in the APP, two standard scales are shared, the score is automatically calculated by the background after the grading, the score and the result analysis are displayed, and the evaluator with the score higher than 50 points in the first scale automatically enters the second scale to continue to evaluate. The evaluation results are displayed in different colors according to the score, and are pushed to community doctors of patients for reference, psychological intervention schemes are designed in advance, and the evaluation can be performed by the side surfaces of families, so that the psychological condition of the patients can be tracked more objectively.
The patient side APP provides a convenient and quick communication mode simultaneously, a patient can check common questions and answers in a patient's BAIBAO book' when encountering problems, and can also initiate questions to community doctors in real time on a consultation page, if adverse drug reactions occur, specific adverse reaction types can be filled in an uncomfortable time report module in the APP, and the system can send a prompt to the doctor side APP, so that community doctors can conveniently grasp the patient conditions in real time.
Doctor APP
The doctor terminal APP is mainly used for managing patients, and comprises signing, follow-up visit, close-contact screening, managing the administration of the patients, sputum checking and review records, monitoring psychological assessment conditions of the patients, and receiving questions of the patients in real time and giving solutions in time.
When the community doctor visits the patient to be diagnosed for the first time, the community doctor signs up with the patient, guides the patient to use the patient end APP, inputs the medicine taking type and time of the patient into the patient end APP, and in the follow-up visit, the community doctor uses a visit record module to fill out a visit condition. For people in close contact with the patient, community doctors can assist the patient to fill in the screening application of the close contact person, and perform symptom screening and X-ray examination, and the result can be filled in a form, so that system management is facilitated.
In the whole treatment process, the medicine taking condition and the sputum-checking and re-diagnosis condition of the patient are displayed in the APP interface of the doctor end, and community doctors can receive prompt that the sputum of the patient is checked or the medicine is taken untimely, so that the patient is helped to establish standard treatment behaviors, and the patient is actively treated.
APP psychological assessment block
Because of the longer treatment course, more adverse reactions of antitubercular drugs, the influence of factors such as discrimination of surrounding people, patients often generate abnormal psychological states and emotional reactions such as tension, anxiety, fear, negative, pessimistic, suspicious and the like, and the compliance of the patients in treatment is directly influenced. Psychological condition self-assessment tables 1 and 2 provide psychological support if necessary for timely understanding of the psychological condition of a patient, and improving treatment compliance will have a positive impact. Psychological condition self-evaluation table 1 is a depression scale, and psychological condition self-evaluation table 2 is an anxiety scale. Self-evaluation table 1 the patients with depression were required to be self-evaluated table 2, both of which consisted of 20 questions.
Psychological condition self-assessment table 1 (SDS) scoring method: 2. 5, 6, 11, 12, 14, 16, 17, 18, 20 questions scoring order 4 3 2 1, the remaining questions scoring order 12 3 4; total coarse score = individual scores of 20 items added, standard score = total coarse score x integer part of 1.25; standard scores 53-62, slightly depressed, 63-72 moderately depressed, > 72 severely depressed. Psychological condition self-assessment table 2 (SAS) scoring method: 5. the scoring sequence of the questions 9, 13, 17 and 19 is 4 3 2 1, and the scoring sequence of the rest questions is 12 3 4; rough score = individual scores of 20 items added, SAS standard score = rough score x integer part of 1.25; standard score 50-59, mild anxiety, moderate anxiety 60-69, severe anxiety greater than or equal to 70.
The score is automatically calculated by a background, the score and the result analysis are displayed, the evaluation result is displayed in different colors according to the score (table 3), an early warning function is added in the system, the psychological evaluation result is pushed to community doctors responsible for the management of the patient, the psychological health condition of the patient is monitored and early warned, and a psychological intervention scheme is designed in advance; the evaluation can also be performed by the side of the tuberculosis home supervisor, so that the psychological condition of the patient can be tracked more objectively. The psychological self-scoring number is less than 40, which indicates that the recent psychological health state of the patient is good, and community doctors give encouragement to the patient to continue treatment in the visit process; when the self-evaluation score of the patient is more than 40, the system pushes the result to a community doctor in charge of patient management, and the doctor timely gives psychological support to the community doctor to avoid the deterioration of psychological health state; when the patient self-evaluation score of the psychological condition self-evaluation table (table 1) is greater than 52 or the patient self-evaluation score of the psychological condition self-evaluation table (table 2) is greater than 49, the system pushes the result to a community doctor responsible for the management of the patient, and the doctor immediately contacts the disease prevention control center to recommend the family members of the patient to visit the mental health professional as early as possible. The system can realize early monitoring and early warning of the psychological health state of the tuberculosis patient.
TABLE 1
Form filling notice: twenty characters are below, please read each carefully, understand the meaning, then draw a hook in the appropriate square according to your last week's practice, four squares behind each character, represent: little or no time; a fraction of the time; considerable time; most or all of the time.
TABLE 2
Form filling notice: twenty characters are below, please read each carefully, understand the meaning, then draw a hook in the appropriate square according to your last week's practice, four squares behind each character, represent: little or no time; a fraction of the time; considerable time; most or all of the time.
TABLE 3 Table 3
| Black color | Green colour | Blue color | Yellow colour | Red color | |
| Table 1 Standard components | <40 | 40-52 | 53-62 | 63-72 | >72 |
| TABLE 1 meanings | Mental health | Tendency to depression | Mild depression | Moderate depression | Major depression |
| Table 2 Standard components | <40 | 40-49 | 50-59 | 60-69 | ≥70 |
| TABLE 2 meanings | Mental health | Anxiety tendency | Mild anxiety | Moderate anxiety | Severe anxiety |
The main advantages of the application include:
(1) The system can realize intelligent personalized reminding of patients to take medicine and review.
(2) The system monitors the psychological health condition of the patient, early warns the psychological intervention scheme in advance.
(3) The system combines personalized reminding patients to take medicine, re-diagnosis and monitoring and early warning of psychological health conditions of the patients for the first time, and designs psychological intervention schemes for tuberculosis patients.
(4) The application improves the treatment compliance of patients and reduces the risk of tuberculosis transmission.
The application is further described below in conjunction with the specific embodiments. It is to be understood that these examples are illustrative of the present application and are not intended to limit the scope of the present application.
Examples
The application forms a unified tuberculosis patient and doctor management information database (namely the tuberculosis comprehensive management system of the application is shown in figure 1), and in the process of the tuberculosis patient management, the world health organization recommends that non-hospitalized tuberculosis patients carry out comprehensive supervision chemotherapy (DOTS), thereby ensuring regular medication of the patients and improving the cure rate. The system can select two modes of reminding before the scheduled medicine taking and review time or reminding when medicine taking and review missing occurs. Analyzing the collected background data, and setting low-frequency reminding for patients taking medicine regularly and carrying out re-diagnosis; setting normal frequency reminding for patients who occasionally leak medicine and are subjected to re-diagnosis; for patients with severe irregular administration and re-diagnosed tuberculosis, high-frequency reminding is set, and patient compliance is improved.
The application can monitor and pre-warn the psychological health condition of the patient. During the treatment period of phthisis, due to the fact that treatment courses of some patients are longer, adverse reactions of antitubercular drugs are more, and influence of factors such as discrimination of surrounding groups, the patients often generate abnormal psychological states and emotional reactions such as tension, anxiety, fear, negative, pessimistic, suspicious and the like, and the compliance of the treatment of the patients is directly influenced.
The application comprises two psychological condition self-evaluation tables, wherein the psychological condition self-evaluation table (table 1) is a depression table, and the psychological condition self-evaluation table (table 2) is an anxiety table. The depression scale scores: mild depression: 53-62; moderate depression: 63-72; major depression: > 72; the anxiety scale scores: mild anxiety: 50-59; moderate anxiety: 60-69; severe anxiety: and more than or equal to 70.
The system can record the self-evaluation of the patient, and when the self-evaluation of the patient is more than 40, the system automatically contacts a community tuberculosis prevention doctor, plays a role in early warning, and can provide psychological support for the patient when necessary, so that positive influence can be generated on improving treatment compliance.
The system reminds patients of taking medicine, checking phlegm and re-diagnosing in a software mode, can reduce the actual contact time of a community tuberculosis prevention doctor and a tuberculosis patient, reduces the face-to-face contact of the doctor and the patient because the tuberculosis is a chronic respiratory infectious disease, can reduce the infection risk of medical staff, and plays a certain role in controlling the tuberculosis epidemic situation.
The use of the system according to the application is illustrated in fig. 2. Specifically, the system of the application comprises a computer PC end (which can carry out data management, export and quality control in the background) and a mobile phone end, wherein the mobile phone end is divided into a patient end and a doctor end.
The specific functions are as follows: 1. the tuberculosis patient is diagnosed, and after the community doctor obtains the related information, the community doctor signs up with the patient appointment face to face. 2. In the process of taking medicine, a patient side reminds the patient to take medicine on time, and when the patient is not taking medicine after reminding, the doctor side receives the reminding of not taking medicine and can send reminding to the patient again according to the situation. 3. In the sputum checking process, the patient side reminds the patient to check sputum on schedule, and when the doctor side still does not check sputum after the expiration of the patient, the doctor side receives the reminding of not checking sputum and can send the reminding to the patient again according to the situation. 4. In the re-diagnosis process, the patient records the diagnosis condition at the patient end after the patient makes a diagnosis, or the doctor takes a picture to upload the diagnosis information, and the doctor holds the diagnosis condition of the patient after receiving the diagnosis information of the patient, and can perfect the diagnosis information of the patient according to the picture. 5. In the close contact screening process, after the patient is diagnosed, the basic information of the close contact person can be recorded at the patient end, and after the close contact person is checked, the doctor end inputs the checking result, so that the screening information of the close contact person is perfected. 6. In the adverse reaction process, the patient has adverse reaction in the treatment process, the result is recorded through the patient end, and symptoms such as rash and the like can be photographed and uploaded; after the doctor receives the adverse reaction prompt, the adverse reaction of the patient can be primarily judged according to specific conditions, and medical advice is given. 7. In the psychological assessment process, the patient end can record psychological assessment carried out by the patient each time, once abnormality or early warning occurs, the system can automatically push information to the doctor end, and the doctor can intervene on the patient according to specific conditions. 8. In the interactive question-answering process, the patient encounters a question related to treatment or policy in the treatment process, consultation can be initiated to a doctor through the interactive question-answering process, and the doctor receives the consultation reminding of the patient and can give a reply.
The tuberculosis comprehensive management system of the application is used for managing tuberculosis patients in a certain area, and results show that compared with tuberculosis patients in the same area which are not managed by the system, the tuberculosis comprehensive management system of the application can remarkably improve the medication compliance of the tuberculosis patients and monitor the psychological condition of the tuberculosis patients, wherein the proportion of the tuberculosis patients who do not take the medicine on time is reduced by 2/3, therefore, the tuberculosis comprehensive management system of the application can effectively control the course of tuberculosis and reduce the public transmission risk of tuberculosis.
All documents mentioned in this disclosure are incorporated by reference in this disclosure as if each were individually incorporated by reference. Further, it will be appreciated that various changes and modifications may be made by those skilled in the art after reading the above teachings, and such equivalents are intended to fall within the scope of the application as defined in the appended claims.
Claims (20)
1. A tuberculosis integrated management system, the system comprising:
the medicine taking reminding module is used for reminding a tuberculosis patient to take medicine;
the medicine taking record acquisition module is used for processing the information of the medicine taking reminding module so as to generate data acquired by the medicine taking record;
the psychological assessment module is used for assessing the psychological condition of the patient to be checked, so that data of psychological assessment results are generated; and
the system comprises an individual information analysis module, a comprehensive management module and a comprehensive management module, wherein the individual information analysis module is used for comprehensively analyzing the data acquired by the medicine taking record from the medicine taking record acquisition module and the data of the psychological assessment result from the psychological assessment module, generating a management instruction aiming at the individual, the management comprises the statistics and analysis of the medicine taking condition of a tuberculosis patient, and the feedback of the medicine taking condition and corresponding treatment advice to related management staff, the management comprises the statistics and the analysis of the psychological condition of the tuberculosis patient, and the feedback of the psychological condition and the corresponding treatment advice to the related management staff, and the comprehensive management module comprises:
and the public health management module is used for processing (or analyzing) the summarized psychological assessment data and the summarized medicine taking record data and generating a public health management instruction (or alarm).
2. The integrated management system for tuberculosis according to claim 1, wherein the integrated management module further comprises:
the psychological assessment result summarizing module is used for summarizing the data of the psychological assessment results from the psychological assessment module to obtain summarized psychological assessment data; and
and the medicine taking record summarizing module is used for summarizing the data of the medicine taking records from the medicine taking record collecting module to obtain summarized medicine taking record data.
3. The integrated management system for tuberculosis according to claim 1, further comprising a public health safety warning device for issuing public health safety warning information based on the management instructions of the public health management module.
4. The integrated management system for tuberculosis according to claim 1, wherein the system is provided with: a first user terminal; a second user terminal; and a third user terminal; and the tuberculosis comprehensive management server.
5. The integrated management system for tuberculosis according to claim 4, wherein the first, second and third user terminals are connected to the integrated management server for tuberculosis through a wireless communication mechanism.
6. The integrated management system for tuberculosis according to claim 1, wherein the system is further provided with a storage device and a public health safety warning device.
7. The integrated management system for tuberculosis according to claim 6, wherein the storage device and the public health safety warning device are connected to the integrated management server for tuberculosis.
8. The integrated management system for tuberculosis according to claim 4, wherein the first user terminal is a mobile phone terminal.
9. The integrated management system for tuberculosis according to claim 4, wherein the second user terminal is a mobile phone terminal.
10. The integrated tuberculosis management system of claim 4, wherein the third terminal is a PC terminal.
11. The integrated management system for tuberculosis according to claim 1, wherein the psychological assessment module comprises:
the first psychological assessment module is used for assessing whether the tuberculosis patient is depressed or not and the degree of depression;
and the second psychological assessment module is used for assessing whether the tuberculosis patient is anxious or not and the anxiety degree.
12. The integrated management system for tuberculosis according to claim 11, wherein the first psychological assessment module is used for giving a quantified value YY of the degree of depression of the patient suffering from tuberculosis.
13. The integrated management system for tuberculosis according to claim 11, wherein the second psychological assessment module is configured to give a quantified value JL of anxiety level of the patient suffering from tuberculosis.
14. The integrated management system for tuberculosis according to claim 12 or 13, wherein the quantized value YY is 0 to 100; and the quantized value JL is 0-100.
15. The integrated management system for tuberculosis according to claim 1, wherein the management system further comprises a positioning module for positioning the location of the tuberculosis patient.
16. The integrated management system for tuberculosis according to claim 1, wherein the management system further comprises: and the public health safety monitoring module is used for analyzing the position data of the tuberculosis patient so as to give out a predicted risk degree and/or risk prompt of tuberculosis transmission risk in public places.
17. The integrated management system for tuberculosis according to claim 1, wherein the management system is further provided with a compliance risk assessment module that assesses the risk of medication compliance of the tuberculosis patient and generates risk assessment data.
18. A method of controlling public health safety comprising the steps of:
a. registering a tuberculosis patient in a jurisdiction with the tuberculosis integrated management system of claim 1; and
b. the tuberculosis comprehensive management system is used for managing registered tuberculosis patients in the jurisdiction area, so that public health safety control is realized.
19. The method of claim 18, wherein the managing in step b includes counting and analyzing the taking of the patient with a tuberculosis and feeding back the taking and corresponding treatment advice to the associated manager.
20. The method of claim 18, wherein the management in step b includes statistics and analysis of psychological conditions of the tuberculosis patient and feeding back psychological conditions and corresponding treatment advice to the relevant manager.
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| CN109785974A (en) * | 2018-12-14 | 2019-05-21 | 广东省结核病控制中心 | A kind of disease information based reminding method, system and device |
| CN111461677A (en) * | 2020-04-27 | 2020-07-28 | 深圳市城市公共安全技术研究院有限公司 | Method, device, terminal and storage medium for managing personnel in epidemic situation period |
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