CN110634562A - Management system and method for improving wear compliance of wearable medical devices - Google Patents
Management system and method for improving wear compliance of wearable medical devices Download PDFInfo
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- CN110634562A CN110634562A CN201910908654.7A CN201910908654A CN110634562A CN 110634562 A CN110634562 A CN 110634562A CN 201910908654 A CN201910908654 A CN 201910908654A CN 110634562 A CN110634562 A CN 110634562A
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Abstract
The invention discloses a management system for improving wearing compliance of wearable medical equipment, which comprises: the wearable medical equipment is worn by a patient, detects the wearing state of the equipment and the human body parameters of the patient in real time and sends the wearing state and the human body parameters to the cloud server; the cloud server is used for managing the use condition of the wearable medical equipment, and creating, receiving, modifying and sending corresponding medical events and/or alarm messages to the customer service client and the patient family client; the customer service client is used for customer service to process the medical events and/or the alarm messages, wherein the process comprises but is not limited to medical event type judgment, online communication, on-site processing and medical event forwarding; and the patient family member client is used for the patient family member to know the medical events and/or the alarm messages. The invention also discloses a management method for improving the wearing compliance of the wearable medical equipment, and the use safety of a patient is improved.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to a management system and a method for improving wearing compliance of wearable medical equipment.
Background
With the continuous development of medical science, a lot of medical equipment that can supply patient wearing formula to use has been produced, and it can detect patient's human body parameter, carries out certain medical treatment when necessary. Such as a Wearable Cardioverter Defibrillator (WCD), is a wearable external automatic defibrillator that self-administers shock therapy without bystander intervention, and a conscious patient can delay or terminate therapy by pressing a response button.
The WCD equipment comprises: 1. wearable vest (including electrocardio electrode and defibrillation electrode), 2.WCD host computer, 3. power adapter.
1. A wearable vest. The vest is worn in the clothes and is tightly attached to the skin, 4 electrocardio-electrodes are arranged in the electrode band surrounding the thorax in the vest and are directly contacted with the skin to form two bipolar lead acquisition systems which are used for recording body surface electrocardio-signals and detecting the spontaneous rhythm of a patient and the generated arrhythmia. The two sides of the back midline of the vest are respectively provided with 1 defibrillation electrode plate and the 1 defibrillation electrode plate in the front area of the left heart to form a defibrillation unit covering the surface of the heart. The electrodes are held in close contact with the chest wall by the pressure of the chest strap and the waist band.
The WCD host computer comprises battery, diphase wave module of defibrillating (electric capacity and high-voltage inverter), main control board, wireless network module, liquid crystal display and response button, carries on one's body through the baldric. The WCD is in wired connection with the vest through a plug and a socket.
3. The power adapter is used to charge the WCD host.
The WCD is used by the patient out of the hospital, and the wearing and use period is from 3 days to 6 months at most. The electrocardio electrode is used for carrying out 24-hour electrocardio monitoring in the working state of the machine, and the WCD host machine detects VF VT and switches to a defibrillation mode after confirming that the patient has no response. Since the WCD is used by the patient outside the hospital, there is no real-time supervision by medical personnel, and the effectiveness of its use depends on the patient's consciousness. Optimal results would be obtained if the patient were able to follow the physician's requirements and remain wearing the WCD 24 hours a day. If the patient has poor compliance, the wearing vest is taken off at will, and once VF VT occurs, the WCD cannot perform the defibrillation effect, so that the life of the patient is threatened. Other wearable medical devices are also the same, and are not described in detail.
Therefore, the present inventors have earnestly demanded to conceive a new technology to improve the problems thereof.
Disclosure of Invention
To solve the above technical problem, the present invention provides a management system and method for improving wearing compliance of a wearable medical device.
The technical scheme of the invention is as follows:
a management system for improving wear compliance of a wearable medical device, comprising:
the wearable medical equipment is worn by a patient, detects the wearing state of the equipment and the human body parameters of the patient in real time and sends the wearing state and the human body parameters to the cloud server;
the cloud server is used for managing the use condition of the wearable medical equipment, and creating, receiving, modifying and sending corresponding medical events and/or alarm messages to the customer service client and the patient family client;
the customer service client is used for customer service to process the medical events and/or the alarm messages, wherein the process comprises but is not limited to medical event type judgment, online communication, on-site processing and medical event forwarding;
and the patient family member client is used for the patient family member to know the medical events and/or the alarm messages.
Preferably, the customer service client specifically includes:
the system comprises an online customer service client, an online customer service server and a service center, wherein the online customer service client is used for performing primary processing on a medical event by the online customer service server, and the primary processing comprises but is not limited to type judgment of the medical event, online communication, starting of on-site customer service and forwarding of the medical event;
and the on-site customer service client is used for on-site customer service to carry out on-site processing on the medical event and/or the alarm message.
Preferably, the cloud server specifically includes:
the user management module is used for creating, modifying and deleting the user, wherein the type of the user comprises but is not limited to a patient, a family member of the patient, an online customer service, a field customer service and a doctor;
the first event processing module is used for creating, modifying and sending medical event records;
the first network transmission module is used for communicating with the wearable medical equipment, the customer service client and the patient family client;
the message server module is used for receiving the medical event messages sent by the customer service client and the patient family client and forwarding the medical event messages to the customer service client and the patient family client which subscribe the topic according to the topic of the messages;
and the patient alarm detection module is used for analyzing the current risk level of the patient and sending an alarm message.
Preferably, the patient family client specifically includes:
the second positioning module is used for acquiring the current position information of the family members of the patient;
the second network transmission module is used for communicating with the cloud server;
the second message client module is used for receiving the alarm message sent by the cloud server;
and the second patient alarm module is used for displaying the patient alarm message and sending an alarm to remind the family members of the patient to handle.
Preferably, the online customer service client specifically includes:
the third event processing module is used for displaying the medical events, and the online customer service can check the detailed data of the medical events and perform primary processing on the detailed data; the preliminary treatment includes but is not limited to type judgment of medical events, online communication, starting of on-site customer service and forwarding of medical events;
a third network transmission module for communicating with the cloud server;
and the third message client module is used for receiving the medical event message and the patient alarm message sent by the cloud server and sending the medical event message of the online customer service client to the message server module of the cloud server.
And the third patient alarm module is used for displaying the patient alarm message and sending an alarm to remind the on-line customer service to process.
Preferably, the method further comprises the following steps:
and the doctor client is used for carrying out medical diagnosis processing on the medical events and/or the alarm messages by the doctor.
A management method for improving wear compliance of a wearable medical device, comprising the steps of:
a monitoring step: the wearable medical equipment is used for detecting the wearing state of the equipment and the human body parameters of the patient in real time and sending the wearing state and the human body parameters to the cloud server;
cloud server management: managing the use condition of the wearable medical equipment, and creating, receiving, modifying and sending corresponding medical events and/or alarm messages to the customer service client and the patient family client;
customer service step: the customer service processes the medical event and/or the alarm message, wherein the processing comprises but is not limited to medical event type judgment, online communication, field processing and medical event forwarding;
the patient family member client side comprises the following steps: the patient's family members learn about the medical events and/or alarm messages and process and feedback.
Preferably, the customer service step specifically includes:
an online customer service step, in which an online customer service performs primary processing on a medical event, wherein the primary processing comprises but is not limited to medical event type judgment, online communication, on-site customer service starting and medical event forwarding;
and a field customer service step, in which the field customer service carries out field processing on the medical event and/or the alarm message.
Preferably, the cloud server processing step includes:
Preferably, the patient family client step includes:
at step 830, the user processes the patient alert message.
By adopting the technical scheme, the invention at least comprises the following beneficial effects:
according to the management system and the method for improving the wearing compliance of the wearable medical equipment, the online customer service can monitor the wearing of the vest of the patient for 24 hours, if the patient does not wear the vest for a long time, the online customer service can communicate through the telephone to urge the patient to wear the vest, and the online customer service can inform the site customer service to communicate with the home of the patient in the same place under the condition that the telephone communication is invalid, so that the patient can wear the vest for a long time. And the system comprehensively judges the alarm level of the patient according to the wearing state of the patient and the distance between the patient and the family members, informs the patient of not following the wearing behavior, and informs the online customer service and the family members of the patient in time, so that the family members of the patient assist in supervising the wearing of the WCD by the patient. The patient wearing compliance is improved, and the safety of the patient using is improved.
Drawings
Fig. 1 is a schematic structural diagram of a management system for improving wearing compliance of a wearable medical device according to the present invention;
fig. 2 is a flow chart of WCD host detecting a wearing state of a patient;
FIG. 3 is a flow chart of a cloud server detection patient alarm;
FIG. 4 is a chart of patient alarm level determinations;
FIG. 5 is a flow chart of a patient's family client receiving an alert message;
FIG. 6 is a flow chart of an online customer service client receiving an alert message;
FIG. 7 is a flow chart of the online customer service client processing a medical event;
FIG. 8 is a flow chart of determining the patient's recent presence service.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
As shown in fig. 1, a management system for improving wearing compliance of a wearable medical device according to the present embodiment includes:
the wearable medical equipment is worn by a patient, detects the wearing state of the equipment and the human body parameters of the patient in real time and sends the wearing state and the human body parameters to the cloud server;
the cloud server is used for managing the use condition of the wearable medical equipment, and creating, receiving, modifying and sending corresponding medical events and/or alarm messages to the customer service client and the patient family client;
the customer service client is used for customer service to process the medical events and/or the alarm messages, wherein the process comprises but is not limited to medical event type judgment, online communication (preferably telephone communication), on-site processing and medical event forwarding;
and the patient family member client is used for the patient family member to know the medical events and/or the alarm messages.
Preferably, the customer service client specifically includes:
the system comprises an online customer service client, an online customer service server and a service center, wherein the online customer service client is used for performing primary processing on a medical event by the online customer service server, and the primary processing comprises but is not limited to type judgment of the medical event, online communication, starting of on-site customer service and forwarding of the medical event;
and the on-site customer service client is used for on-site customer service to carry out on-site processing on the medical event and/or the alarm message.
Preferably, the cloud server specifically includes:
the user management module is used for creating, modifying and deleting the user, wherein the type of the user comprises but is not limited to a patient, a family member of the patient, an online customer service, a field customer service and a doctor;
the first event processing module is used for creating, modifying and sending medical event records;
the first network transmission module is used for communicating with the wearable medical equipment, the customer service client and the patient family client;
the message server module is used for receiving the medical event messages sent by the customer service client and the patient family client and forwarding the medical event messages to the customer service client and the patient family client which subscribe the topic according to the topic of the messages;
and the patient alarm detection module is used for analyzing the current risk level of the patient and sending an alarm message.
Preferably, the patient family client specifically includes:
the second positioning module is used for acquiring the current position information of the family members of the patient;
the second network transmission module is used for communicating with the cloud server;
the second message client module is used for receiving the alarm message sent by the cloud server;
and the second patient alarm module is used for displaying the patient alarm message and sending an alarm to remind the family members of the patient to handle.
Preferably, the online customer service client specifically includes:
the third event processing module is used for displaying the medical events, and the online customer service can check the detailed data of the medical events and perform primary processing on the detailed data; the preliminary treatment includes but is not limited to type judgment of medical events, online communication, starting of on-site customer service and forwarding of medical events;
a third network transmission module for communicating with the cloud server;
and the third message client module is used for receiving the medical event message and the patient alarm message sent by the cloud server and sending the medical event message of the online customer service client to the message server module of the cloud server.
And the third patient alarm module is used for displaying the patient alarm message and sending an alarm to remind the on-line customer service to process.
Preferably, the method further comprises the following steps:
and the doctor client is used for carrying out medical diagnosis processing on the medical events and/or the alarm messages by the doctor.
An embodiment will be described below. The wearable medical device in this embodiment is a WCD host. The system consists of a cloud server, a WCD host, patient family client software, online customer service client software, field customer service client software, doctor client software, a wired broadband network and a mobile network.
The WCD host computer is carried by the patient and comprises a fourth network transmission module, a wearable detection module, an electrocardio detection module, a defibrillation module and a fourth positioning module.
The WCD host is always in operation. Wearing detection module regularly checks the undershirt state that drops, if detect the undershirt and drop, send the warning, remind the patient to wear the undershirt, wear detection module regularly to wearing data transmission to cloud ware.
The electrocardio detection module detects electrocardiosignals in real time, and sends electrocardio data to the cloud server if abnormal electrocardiograms are detected; if VF VT is detected and the patient is confirmed to have no response, a defibrillation module is called to defibrillate.
The defibrillation module is responsible for sending a gel releasing signal to the defibrillation electrode plate of the wearable vest to drive the defibrillation electrode plate to spray gel, and then the defibrillation module discharges to treat the patient. After treatment is finished, the defibrillation module sends the electrocardiogram data of the whole treatment process to the cloud server.
The fourth positioning module is responsible for acquiring the current position information of the WCD host.
The fourth network transmission module is responsible for adding the wearing data and the electrocardiogram data to the current position information of the patient and sending the position information to the cloud server through WiFi or 4G.
The cloud server is deployed on a public cloud and comprises a user management module, a renting and registering module, a data storage module, a first event processing module, a first network transmission module, an information server module and a patient alarm detection module.
The user management module is responsible for the creation, modification and deletion of the user. In the system, the user types are divided into patients, patient families, online customer service, on-site customer service and doctors, and the authority of each user type is different. When creating the patient user, the telephone, address, area and belonging hospital of the patient user are required to be filled in. When the patient family user is created, the telephone of the patient family user and the associated patient user need to be filled in, and one patient user can be associated with a plurality of patient family users. When the online customer service user is created, the region in charge of the online customer service user needs to be filled. When creating the on-site customer service user, the region in charge of the on-site customer service user needs to be filled. In the system of the present invention, a region refers to an administrative area at the city or county level, such as Beijing City. One region has one responsible on-line customer service and multiple responsible on-site customer services, which collectively serve all patients in the region.
The lease registration module is responsible for managing the lease and the lease withdrawal of the WCD equipment. The patient will have to go through the procedure of renting the WCD device first, the system creates the rental record, binds the patient user record with the WCD device, and the patient can take the WCD device home for use. When the patient finishes using the WCD equipment, the WCD equipment is returned to the hospital, meanwhile, the procedure of returning lease is handled, the system modifies the lease record, and the binding relationship between the patient user record and the WCD equipment is released.
The data storage module is responsible for storing all data including user records, renting records, patient wearing data and electrocardiogram data, and medical event records.
The first event processing module is responsible for creating and modifying medical event records. And after receiving the wearing data and the electrocardio data sent by the WCD host, the data center creates a medical event record in the database, creates a medical event message and sends the medical event message to the online customer service client.
The patient alarm detection module is responsible for analyzing the current risk level of the patient and sending an alarm message. The patient alarm detection module acquires wearing state and position information of a patient in a WCD host, acquires position information of a family client of the patient and an associated patient ID, analyzes the alarm level of the patient according to the data, creates a patient alarm message if the patient alarm needs to be sent out, and sends the patient alarm message to the cloud server message server module.
When a patient takes a bath, the WCD vest needs to be taken off and is taken care of by family members of the patient, and the condition belongs to a normal use range and does not need to send an alarm message. The patient alarm detection module needs to comprehensively analyze the alarm level of the patient according to the position information of the WCD host computer, the position information of the family members of the patient and the time length for taking off the WCD vest.
The first network transmission module is used for receiving the wearing data and the electrocardio data from the WCD host and receiving medical event data from the online customer service client, the on-site customer service client and the doctor client.
The message server module is responsible for receiving medical event messages sent by the cloud server, the online customer service client, the field customer service client, the doctor client and the patient family client, and forwarding the medical event messages to the online customer service client, the field customer service client, the doctor client and the patient family client which subscribe the topic according to the topic of the messages.
Further, a specific implementation of the message server module may be a RabbitMQ.
The online customer service client software runs on a computer of a customer service center, is used by an online customer service and comprises a third network transmission module, a third event processing module, a third message client module and a third patient alarm module.
The third event processing module is responsible for displaying the medical events, and the detailed data of the medical events can be viewed by the online customer service. The online customer service judges the type of the medical event, if the problem is in the aspect of product use, for example, the patient does not wear the vest for a long time, the online customer service can check the user information of the patient registered by the system, call the patient, confirm the event with the patient and urge the patient to insist on wearing the vest. If the telephone communication is invalid, the on-line customer service forwards the medical event to local on-site customer service, and the on-site customer service goes to the home of the patient for processing. The system automatically finds out the on-site customer service nearest to the patient according to the registered address of the patient user record, the patient position information contained in the medical event data and the position information of the on-site customer service, and sends the medical event message to the client software of the on-site customer service to remind the on-site customer service to process. If the on-line customer service judges that the medical event is a problem in diagnosis and treatment, the medical event is forwarded to the hospital to which the patient belongs, and the system sends the medical event message to client software of a doctor workstation of the hospital according to the hospital to which the patient user records and registers, so as to remind the doctor to handle.
The third network transmission module is responsible for acquiring medical event data from the cloud server and sending the medical event of the online customer service client to the cloud server.
The third message client module is responsible for receiving the medical event message and the patient alarm message sent by the message server module of the cloud server and sending the medical event message of the online customer service client to the message server module of the cloud server.
And the third patient alarm module is responsible for displaying patient alarm information and giving an alarm to remind an on-line customer service to process. The online customer service can check the user information of the patient registered by the system, dial the telephone of the patient, confirm the event with the patient and supervise the patient to keep wearing the vest. If the telephone communication is invalid, the on-line customer service can inform the on-site customer service nearest to the patient, and the on-site customer service can be carried out in the patient's home for processing.
The field customer service client software runs on a mobile phone of the field customer service, is used by the field customer service, and comprises a fifth network transmission module, a fifth event processing module, a fifth message client module and a fifth positioning module.
The fifth event processing module is responsible for displaying the medical events, and detailed data of the medical events can be checked by field customer service. The on-site customer service can check the patient user record and obtain the registered address of the patient. The on-site customer service can view the patient position information contained in the medical event to determine the current specific position of the patient. The on-site customer service finds the patient to communicate on the spot, confirms the medical event with the patient, and supervises and urges the patient to insist on wearing the vest. And after the field customer service finishes processing the medical event, filling a processing result and closing the medical event.
And the fifth positioning module is responsible for acquiring the current position information of the mobile phone.
And the fifth network transmission module is responsible for acquiring medical event data from the cloud server and sending the medical event of the on-site customer service client and the position information of the on-site customer service to the cloud server.
The fifth message client module is responsible for receiving the medical event message sent by the message server module of the cloud server and sending the medical event message of the on-site customer service client to the message server module of the cloud server.
The doctor client software runs on a doctor workstation computer of a hospital, is used by a doctor and comprises a sixth network transmission module, a sixth event processing module, a sixth message client module and a diagnosis report module.
The sixth event processing module is responsible for displaying the medical events, and doctors can view detailed data of the medical events. And after the doctor diagnoses the medical data, filling a diagnosis result and closing the medical event.
The diagnosis report module is responsible for assisting in analyzing the electrocardiogram data, and doctors can measure and label the electrocardiogram data, fill in diagnosis results and print electrocardiogram reports. The diagnostic reporting module sends the diagnostic reporting data to the cloud server.
And the sixth network transmission module is responsible for acquiring medical event data from the cloud server and sending the medical event and diagnosis report data of the doctor client to the cloud server.
The sixth message client module is responsible for receiving the medical event message sent by the message server module of the cloud server and sending the medical event message of the doctor customer service client to the message server module of the cloud server.
The patient family member client software runs on a mobile phone of the patient family member, is used by the patient family member, and comprises a second positioning module, a second network transmission module, a second message client module and a second patient alarm module.
The second positioning module is responsible for acquiring the current position information of the mobile phone.
And the second network transmission module is responsible for sending the position information of the family client of the patient to the cloud server.
The second message client module is responsible for receiving the patient alarm message sent by the message server module from the cloud server.
The second patient alarm module is responsible for displaying patient alarm information and giving an alarm to remind the family members of the patient to handle.
Further, the family members of the patients can also look at the total wearing time of the patients every day and a trend chart of the total wearing time of the patients every day in the last few days, so that the change trend of the wearing compliance of the patients can be known, and if the compliance of the patients is found to be poor, the family members of the patients can supervise the patients to strengthen wearing.
The advantages of this embodiment:
the patient wears the WCD outside the hospital, and a lot of situations with irregular use inevitably exist, through the system for improving the wearing compliance of the WCD patient, the online customer service can monitor the vest worn by the patient for 24 hours, if the patient is found not to wear the vest for a long time, the online customer service can communicate through the telephone, the patient is supervised to wear the vest, and the on-site customer service can be informed to communicate with the home of the patient in the face of the patient under the condition of invalid telephone communication, so that the patient is ensured to wear the vest for a long time.
The system comprehensively judges the alarm level of the patient according to the wearing state of the patient and the distance between the patient and the family members, informs the patient of noncompliance with the wearing behavior, and informs the online customer service and the family members of the patient in time, so that the family members of the patient assist in supervising the wearing of the patient on the WCD.
By combining the measures, the wearing compliance of the patient is improved, and the use safety of the WCD by the patient is improved.
Example 2
A management method for improving wear compliance of a wearable medical device, comprising the steps of:
a monitoring step: the wearable medical equipment is used for detecting the wearing state of the equipment and the human body parameters of the patient in real time and sending the wearing state and the human body parameters to the cloud server;
cloud server management: managing the use condition of the wearable medical equipment, and creating, receiving, modifying and sending corresponding medical events and/or alarm messages to the customer service client and the patient family client;
customer service step: the customer service processes the medical event and/or the alarm message, wherein the processing comprises but is not limited to medical event type judgment, online communication, field processing and medical event forwarding;
the patient family member client side comprises the following steps: the patient's family members learn about the medical events and/or alarm messages and process and feedback.
Preferably, the customer service step specifically includes:
an online customer service step, in which an online customer service performs primary processing on a medical event, wherein the primary processing comprises but is not limited to medical event type judgment, online communication, on-site customer service starting and medical event forwarding;
and a field customer service step, in which the field customer service carries out field processing on the medical event and/or the alarm message.
Preferably, the cloud server processing step includes:
Preferably, the patient family client step includes:
at step 830, the user processes the patient alert message.
An embodiment will be described below. The wearable medical device in this embodiment is a WCD host.
Referring to fig. 2, a flow chart of the WCD host detecting the wearing state of the patient is as follows:
and 105, acquiring current position information. The WCD host positioning module obtains the longitude and latitude of the current position, the specific positioning method is GPS, if the WCD host is indoors and the GPS has no signal, the result of the last outdoor positioning is used. Step 110 is then performed.
And step 110, detecting the wearing state of the vest. The WCD host computer wears the detection module and reads the vest connection state. Step 115 is then performed.
And step 115, judging that the vest falls off. The WCD host computer wearing detection module judges the vest connection state, if the vest falls off, step 120 is executed, otherwise step 125 is executed.
And step 120, sending out an alarm prompt. The WCD host wears the detection module to display the information of vest drop on the screen, plays the alarm sound to remind the patient to wear the vest, and then executes step 125.
Referring to fig. 3, a flow chart of the cloud server detection patient alarm specifically includes the following.
In step 405, WCD host patient wear status and location information are obtained. And the cloud server network module receives the wearing state and the position information of the patient, which are sent by the WCD host network module. Step 410 is then performed.
At step 410, location information of the patient's family client and associated patient ID are obtained. And the cloud server network module receives the patient family position information and the associated patient ID sent by the patient family client network module. Step 415 is performed.
At step 415, the patient alarm level is analyzed.
The patient alert level is determined by 2 factors:
first, vest drop time T. The longer the shedding time, the greater the risk. The off-time length is set to an alert value of T1, and the range of T1 can be 10-20 minutes, considering that the WCD vest must be taken off when the patient takes a bath. Setting the detachment time length risk value to T2, for whatever reason, if the patient does not wear the WCD vest for a long time, which is considered a dangerous condition, an alarm message must be sent, and the T2 range can take 50-60 minutes.
Second, the closest family distance D to the patient. The further the patient's family members are, the greater the risk. The distance alarm value of the family members of the patient is set to be D1, the time for the family members of the patient to reach the patient is not more than 1 minute in the range of D1, and the range of D1 can be 50-100 meters.
The specific method for calculating the distance D from the family nearest to the patient is as follows:
the patient position information is described in latitude and longitude coordinates and is noted as (PX, PY).
Acquiring the position information of all the family members of the patient, judging the associated patient ID of the patient family member client, and if the associated patient ID is equal to the patient ID, determining that the user of the patient family member client is the family member of the patient. The location information of the first patient's family is described in latitude and longitude coordinates as (FX1, FY1), the second as (FX2, FY2), and so on.
Calculating the distance between the patient's location and the location of all the family members can be achieved by calling a third-party Web service, such as an open platform of a Baidu map, and the distance between the patient and the first family member is denoted as FD1, the distance between the patient and the second family member is denoted as FD2, and so on.
The minimum of the distances FD1 and FD2 … … between the patient and all the family members is found, which is the distance D between the patient and the closest family member.
The patient alarm level is divided into three levels: high, medium, low. The specific determination conditions are shown in fig. 4.
The cloud server patient alarm detection module judges the vest falling time T and the family distance D closest to the patient by adopting a numerical value comparison method, and then the alarm grade of the patient can be obtained.
Step 420 is then performed.
Referring to fig. 5, a flow chart for receiving an alert message for a patient's family client is described in detail below.
The method specifically comprises the step that a message client module of a patient family client establishes network connection with a message server module of a cloud server. The message client module subscribes to a message entitled "XX patient vest out time too long", where XX is the patient ID, and each patient ID is unique for receiving alarm messages associated with the patient, e.g., a family member of a patient with ID 12345 subscribes to a message entitled "12345 patient vest out time too long".
Step 810 is performed.
At step 820, a patient alert message is received. After the patient family client subscribes to the message of the theme of 'XX patient vest falling for too long', the message server of the cloud server sends the message of the theme to the patient family client in real time. Step 825 is then performed.
At step 830, the user processes the patient alert message. After the family members of the patient hear the alarm prompt, the alarm information can be checked, and the alarm is turned off to show that the family members of the patient know the condition. Step 805 is then performed.
Referring to fig. 6, it is a flowchart of the online customer service client receiving the alarm message, which is basically consistent with the flow of the patient family client and is not described herein.
Of course, the present embodiment also includes a method for processing medical events.
Preferably, referring to fig. 7, it is a flowchart of the online customer service client processing medical events, and specifically includes the following steps:
s21: viewing medical event detail data;
s22: judging the type of the medical event, and if the medical event is not a product use problem, forwarding the medical event to a doctor client of a hospital to which the patient belongs through a cloud server; if the product is in use, the step S23 is carried out;
s23: communicating with the patient online;
s24: judging whether on-site processing is needed, if not, closing the medical event, and if so, entering step S25;
s25: and forwarding the medical event to the on-site customer service client closest to the patient through the cloud server.
Preferably, referring to fig. 8, the step S25 (i.e. determining the nearest live customer service flowchart of the patient) specifically includes:
in step S251, the server software obtains the patient position information contained in the medical event, which is described in a longitude and latitude coordinate manner and is recorded as (PX, PY). The administrative region of the position information can be determined through longitude and latitude coordinates, and the position information can be achieved by calling a third-party Web service, such as a Baidu map open platform. The administrative area in which the patient is located is denoted PR. Then, step S252 is executed.
Step S252, the server software obtains information of all local field customer service clients, including the network connection channel ID of the client and the location information of the client. The client position information is described in a longitude and latitude coordinate mode, the position information of the first field customer service is recorded as (SX1, SY1), the position information of the second field customer service is recorded as (SX2, SY2), and the like. The system firstly determines an administrative region SR1 of the on-site customer service according to the longitude and latitude coordinates, judges whether the administrative region SR1 of the on-site customer service is consistent with the administrative region PR of the patient, and executes step S253 if the administrative region SR1 of the on-site customer service is consistent with the administrative region PR of the patient. Otherwise, continuing to judge the administrative region of the next field customer service until all the field customer service is judged completely.
Step S253, the server software calculates the distance between the patient position and the on-site customer service position, and may be implemented by invoking a third-party Web service, for example, a Baidu map open platform, where the distance between the first on-site customer service and the patient is recorded as D1, the distance between the first on-site customer service and the patient is recorded as D2, and so on. Then, step S254 is performed.
In step S254, the server software determines the field customer service client corresponding to the minimum distance. The server software finds out the minimum value of the distances D1 and D2 … … between the customer service and the patient, records the minimum value as Dmin, and determines the network connection channel IDmin of the client corresponding to the minimum value. Then, step S255 is performed.
And step S255, the server software forwards the medical event to the nearest field customer service client, and the server software sends the medical event record to the client software through a network connection channel IDmin to remind the field customer service client to process.
The advantages of this embodiment:
the patient wears the WCD outside the hospital, and a lot of situations with irregular use inevitably exist, through the system for improving the wearing compliance of the WCD patient, the online customer service can monitor the vest worn by the patient for 24 hours, if the patient is found not to wear the vest for a long time, the online customer service can communicate through the telephone, the patient is supervised to wear the vest, and the on-site customer service can be informed to communicate with the home of the patient in the face of the patient under the condition of invalid telephone communication, so that the patient is ensured to wear the vest for a long time.
The system comprehensively judges the alarm level of the patient according to the wearing state of the patient and the distance between the patient and the family members, informs the patient of noncompliance with the wearing behavior, and informs the online customer service and the family members of the patient in time, so that the family members of the patient assist in supervising the wearing of the patient on the WCD.
By combining the measures, the wearing compliance of the patient is improved, and the use safety of the WCD by the patient is improved.
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
Claims (10)
1. A management system for improving wear compliance of a wearable medical device, comprising:
the wearable medical equipment is worn by a patient, detects the wearing state of the equipment and the human body parameters of the patient in real time and sends the wearing state and the human body parameters to the cloud server;
the cloud server is used for managing the use condition of the wearable medical equipment, and creating, receiving, modifying and sending corresponding medical events and/or alarm messages to the customer service client and the patient family client;
the customer service client is used for customer service to process the medical events and/or the alarm messages, wherein the process comprises but is not limited to medical event type judgment, online communication, on-site processing and medical event forwarding;
and the patient family member client is used for the patient family member to know the medical events and/or the alarm messages.
2. The management system for improving the wear compliance of a wearable medical device of claim 1, wherein the customer service client specifically comprises:
the system comprises an online customer service client, an online customer service server and a service center, wherein the online customer service client is used for performing primary processing on a medical event by the online customer service server, and the primary processing comprises but is not limited to type judgment of the medical event, online communication, starting of on-site customer service and forwarding of the medical event;
and the on-site customer service client is used for on-site customer service to carry out on-site processing on the medical event and/or the alarm message.
3. The management system for improving the wear compliance of a wearable medical device of claim 1 or 2, wherein the cloud server specifically comprises:
the user management module is used for creating, modifying and deleting the user, wherein the type of the user comprises but is not limited to a patient, a family member of the patient, an online customer service, a field customer service and a doctor;
the first event processing module is used for creating, modifying and sending medical event records;
the first network transmission module is used for communicating with the wearable medical equipment, the customer service client and the patient family client;
the message server module is used for receiving the medical event messages sent by the customer service client and the patient family client and forwarding the medical event messages to the customer service client and the patient family client which subscribe the topic according to the topic of the messages;
and the patient alarm detection module is used for analyzing the current risk level of the patient and sending an alarm message.
4. The management system for improving the wear compliance of a wearable medical device of any of claims 1-3, wherein the patient family client specifically comprises:
the second positioning module is used for acquiring the current position information of the family members of the patient;
the second network transmission module is used for communicating with the cloud server;
the second message client module is used for receiving the alarm message sent by the cloud server;
and the second patient alarm module is used for displaying the patient alarm message and sending an alarm to remind the family members of the patient to handle.
5. The management system for improving the wearing compliance of a wearable medical device of any of claims 1-4, wherein the online customer service client specifically comprises:
the third event processing module is used for displaying the medical events, and the online customer service can check the detailed data of the medical events and perform primary processing on the detailed data; the preliminary treatment includes but is not limited to type judgment of medical events, online communication, starting of on-site customer service and forwarding of medical events;
a third network transmission module for communicating with the cloud server;
and the third message client module is used for receiving the medical event message and the patient alarm message sent by the cloud server and sending the medical event message of the online customer service client to the message server module of the cloud server.
And the third patient alarm module is used for displaying the patient alarm message and sending an alarm to remind the on-line customer service to process.
6. The management system for improving the wear compliance of a wearable medical device of any of claims 1-5, further comprising:
and the doctor client is used for carrying out medical diagnosis processing on the medical events and/or the alarm messages by the doctor.
7. A management method for improving wear compliance of a wearable medical device, comprising the steps of:
a monitoring step: the wearable medical equipment is used for detecting the wearing state of the equipment and the human body parameters of the patient in real time and sending the wearing state and the human body parameters to the cloud server;
cloud server management: managing the use condition of the wearable medical equipment, and creating, receiving, modifying and sending corresponding medical events and/or alarm messages to the customer service client and the patient family client;
customer service step: the customer service processes the medical event and/or the alarm message, wherein the processing comprises but is not limited to medical event type judgment, online communication, field processing and medical event forwarding;
the patient family member client side comprises the following steps: the patient's family members learn about the medical events and/or alarm messages and process and feedback.
8. The management method for improving the wearing compliance of a wearable medical device of claim 7, wherein the customer service step specifically includes:
an online customer service step, in which an online customer service performs primary processing on a medical event, wherein the primary processing comprises but is not limited to medical event type judgment, online communication, on-site customer service starting and medical event forwarding;
and a field customer service step, in which the field customer service carries out field processing on the medical event and/or the alarm message.
9. The management method for improving the wear compliance of a wearable medical device of claim 7 or 8, wherein the cloud server processing step comprises:
step 405, acquiring wearing state and position information of a patient of a WCD host;
step 410, obtaining the position information of the patient family client and the associated patient information;
step 415, analyzing the patient alarm level;
step 420, judging whether to send out a patient alarm; if yes, go to step 425;
step 425, create a patient alert message;
step 430, a patient alarm message is sent.
10. The management method for improving the wear compliance of a wearable medical device of any of claims 7-9, wherein the patient family client step comprises:
step 805, subscribing to patient alarm messages;
step 810, acquiring current position information;
step 815, sending the position information to a cloud server;
step 820, receiving patient alarm messages;
step 825, sending out an alarm prompt;
at step 830, the user processes the patient alert message.
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