CN110853753A - Cognitive dysfunction old man rehabilitation and nursing system at home - Google Patents

Cognitive dysfunction old man rehabilitation and nursing system at home Download PDF

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Publication number
CN110853753A
CN110853753A CN201911172145.9A CN201911172145A CN110853753A CN 110853753 A CN110853753 A CN 110853753A CN 201911172145 A CN201911172145 A CN 201911172145A CN 110853753 A CN110853753 A CN 110853753A
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rehabilitation
training
module
data
sensor
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郭琪
韩佩佩
蔡明�
刘悦文
马微波
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Shanghai University of Medicine and Health Sciences
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Shanghai University of Medicine and Health Sciences
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4076Diagnosing or monitoring particular conditions of the nervous system
    • A61B5/4088Diagnosing of monitoring cognitive diseases, e.g. Alzheimer, prion diseases or dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/36025External stimulators, e.g. with patch electrodes for treating a mental or cerebral condition
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L12/00Data switching networks
    • H04L12/28Data switching networks characterised by path configuration, e.g. LAN [Local Area Networks] or WAN [Wide Area Networks]
    • H04L12/2803Home automation networks
    • H04L12/2816Controlling appliance services of a home automation network by calling their functionalities
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/02Protocols based on web technology, e.g. hypertext transfer protocol [HTTP]
    • H04L67/025Protocols based on web technology, e.g. hypertext transfer protocol [HTTP] for remote control or remote monitoring of applications
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/12Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/50Network services
    • H04L67/52Network services specially adapted for the location of the user terminal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2503/00Evaluating a particular growth phase or type of persons or animals
    • A61B2503/08Elderly

Abstract

The invention discloses a home rehabilitation nursing system for old people with cognitive dysfunction, which comprises a wearable mobile monitoring device, a mobile phone terminal, intelligent household equipment, a cloud server and a medical rehabilitation management terminal, wherein the wearable mobile monitoring device is respectively in communication connection with the mobile phone terminal and the intelligent household equipment, the wearable mobile monitoring device is in communication connection with the medical rehabilitation management terminal through the cloud server, and the wearable mobile monitoring device comprises a wearable monitoring body, wrist bands extending from two sides of the wearable monitoring body and buckled with each other and a pair of electrode plates embedded into the surfaces of the wrist bands. The invention can collect the physical sign information and the limb electric signals of the old with cognitive dysfunction, perform on-line rehabilitation evaluation on the old with cognitive mental retardation, provide full-flow intelligent guidance, help the old with cognitive mental retardation to know the self health condition and provide a corresponding rehabilitation training scheme.

Description

Cognitive dysfunction old man rehabilitation and nursing system at home
Technical Field
The invention belongs to the technical field of cognitive rehabilitation, and particularly relates to a home rehabilitation nursing system for old people with cognitive dysfunction.
Background
Cognitive function is one of the high-level functions of the brain of a human body and is an important subject of modern medical research. Cognition broadly refers to the mental activities of the human brain reflecting, analyzing and recognizing the characteristics and connections of objective things and revealing the meaning and action of things on people. Specifically, cognition includes psychological processes such as sensory perception, attention, expression, learning and memory, thinking, language and the like; cognitive disorder refers to mental disorder caused by cognitive deficiency or abnormality, including sensory disorder, intellectual disorder, attention disorder, language disorder, memory disorder, thought disorder, etc. Specific survey shows that the proportion of moderate and severe physiological cognitive dysfunction in domestic old people over 60 years old in China is 21.92% and 15.94% respectively; meanwhile, 13.52% of the elderly have serious cognitive dysfunction although their physiological functions are still satisfactory. That is to say, 51.38% of the elderly at home have troubles in functional health, most of the elderly with dysfunction lack subjective power for maintaining functional health, and the requirements of disabled people are not considered in the current living room, community and city planning, and the functional health of the elderly is objectively adversely affected. Therefore, the old people at home eventually lose the most basic daily living ability along with the lapse of time, at present, effective drug therapy is not available, common drugs only have a relieving effect, and the family rehabilitation nursing is particularly important. The rehabilitation nursing method for the old with cognitive impairment is very important for maintaining the self-care capability of daily life of the old with cognitive impairment, delaying the phenomenon that the life of the patient cannot be self-care at all by adjusting the surrounding environment to be adaptive to the life capability of the patient and timely obtaining correct nursing and treatment.
At present, the rehabilitation training has a plurality of modes, and the problems of cognitive dysfunction and the like of patients can be improved through artificial rehabilitation training, group life and the like. On one hand, the medical staff is lack, the rehabilitation center invites volunteers to participate, or the staff is overloaded to work, so that the specialty and the efficiency of the rehabilitation work are not high. On the other hand, since the rehabilitation method mainly uses a mechanical device, paper training or a mode of key operation by a computer, the rehabilitation method has great operability and limitation. Moreover, some patients sometimes cannot perform corresponding operations according to the operation instructions during training, but other more intuitive and easily-accepted ways for teaching the patients do not exist, so that the training cannot be carried out orderly, and the cognitive rehabilitation opportunity cannot be obtained by insisting on participating in the rehabilitation training method.
Disclosure of Invention
The invention aims to solve the technical problem of the prior art and provides a home rehabilitation nursing system for the old with cognitive dysfunction, which can perform online rehabilitation evaluation on the old with cognitive dysfunction and provide full-flow intelligent guidance according to the collected physical sign information of the old with cognitive dysfunction and/or limb electric signals (or rehabilitation training data) in the limb training movement process, help the old with cognitive dysfunction to know the health condition of the old and provide a corresponding rehabilitation training scheme. In order to achieve the purpose, the technical scheme adopted by the invention is as follows:
according to an aspect of the invention, the home rehabilitation nursing system for the old with cognitive dysfunction comprises a wearable mobile monitoring device, a mobile phone terminal, a smart home device, a cloud server and a medical rehabilitation management terminal, wherein the wearable mobile monitoring device is in communication connection with the mobile phone terminal and the smart home device respectively, the wearable mobile monitoring device is in communication connection with the medical rehabilitation management terminal through the cloud server, and the wearable mobile monitoring device comprises a wearable monitoring body, wrist bands extending out of two sides of the wearable monitoring body and buckled with each other, and a pair of electrode plates embedded into the surfaces of the wrist bands.
The wearable mobile monitoring device comprises a central processing unit, a data acquisition device, a communication module, a data storage device, a data display and a key module, wherein the data output end of the data acquisition device, the communication end of the communication module, the input and output end of the data storage device, the display control end of the data display device and the control output end of the key module are respectively connected with the central processing unit, the central processing unit is respectively in communication connection with the mobile phone terminal and the intelligent home equipment through the communication module, and the central processing unit is sequentially in communication connection with the cloud server and the medical rehabilitation management terminal through the communication module.
Further preferably in the above scheme, the wearable mobile monitoring device further includes a video input device, an audio input/output device, and a GPS positioning module, and the video input device, the audio input/output device, and the GPS positioning module are respectively connected to the central processing unit.
In a further preferred embodiment of the above solution, the data acquisition device at least includes a sensor module and a digital-to-analog converter, the digital-to-analog converter is used for converting analog signal sensing signals acquired and output by the sensor module into digital signals, and the sensor module includes, but is not limited to, a human body posture sensor, an infrared temperature measurement sensor, a respiration sensor, an electrocardiograph sensor, a blood oxygen sensor, a pulse rate detection sensor, a speed sensor, a displacement sensor, and an environment detection sensor.
Preferably, the communication module is a wifi communication module, a GPRS communication module or a 4G communication module.
Above-mentioned scheme is further preferred, still set up a pair of vibration strip in the wrist strap of wearable monitoring body's both sides, this vibration strip sets up along wrist strap extending direction.
According to a further preferred embodiment of the above scheme, a communication control module is arranged in the smart home device, and the communication control module is a wifi communication module or a bluetooth communication module.
In a further preferred embodiment of the above scheme, the medical rehabilitation management terminal is provided with a rehabilitation management system, the rehabilitation management system comprises a patient identity management module, a nursing management module, a rehabilitation risk diagnosis module, a rehabilitation capability evaluation module and a rehabilitation training module, the patient identity management module is used for acquiring identity verification information and body health detection data of the disabled old, the nursing management module is used for storing rehabilitation training data records, and the rehabilitation training module is used for storing various rehabilitation training types; the rehabilitation risk diagnosis module is used for judging body health data, medical records and rehabilitation record data of the disabled old people, judging whether risks exist in rehabilitation training, and entering rehabilitation ability evaluation if the risks do not exist; the rehabilitation ability evaluation module is used for evaluating the ability of the disabled old people by combining the physical health data, the medical record and the rehabilitation record data of the disabled old people and providing a corresponding matching rehabilitation training scheme; the rehabilitation training module sends the rehabilitation training scheme to the mobile phone terminal, and after the mobile phone terminal receives the rehabilitation training scheme, the mobile phone terminal selects the rehabilitation training items and sends the rehabilitation training items to the rehabilitation training module to match with corresponding rehabilitation training types and online rehabilitation guiding doctors so as to provide online rehabilitation guidance.
Preferably, the rehabilitation training module stores rehabilitation training types including but not limited to literacy reading training, drawing training, reaction behavior training, computing ability training, attention concentration training, memory ability training, upright walking training, logical thinking ability training, visual motion training, muscle joint stretching training, self-release training, strength training, action execution training, posture training and game entertainment strengthening training.
In conclusion, the invention adopts the technical scheme, and has the advantages that:
(1) the rehabilitation nursing system can monitor the air quality parameters of the home rehabilitation environment of the disabled old people in real time, enables the disabled old people patient to operate various behaviors to perform training, and starts the intelligent home equipment to improve the air quality of the training environment of the disabled old people.
(2) The rehabilitation nursing system of the invention can guide the cognitive disorder elderly patients to carry out cognitive rehabilitation training according to the requirements of different cognitive disorder elderly patients, can reduce the rehabilitation cost of the cognitive disorder elderly, simultaneously improves the efficiency of industrial rehabilitation training, reduces the identification difficulty of trainees, improves the training efficiency,
(3) according to the cognitive rehabilitation training method and device, cognitive rehabilitation training is performed step by step, and the old people with cognitive impairment can keep real-time communication while training, so that the identification capability is improved, the interest of the old people with cognitive impairment is more easily aroused, the cognitive difficulty of the old people with cognitive impairment is reduced, and the training effect is improved.
(4) The invention can effectively stimulate various neurons of the old with cognitive impairment to be excited by electrical stimulation or vibration, can improve the channels and collaterals and blood circulation of skin and joint parts, and is beneficial to improving the rehabilitation effect; the diagnosis of cognitive impairment of the mentally impaired old people is improved in the rehabilitation process, so that various real-time rehabilitation training data can be collected, and the rehabilitation accuracy and the rehabilitation effect are improved.
(5) According to the invention, the on-line rehabilitation assessment can be carried out on the cognitive mentally impaired old people according to the acquired physical sign information and/or the limb electric signals (or rehabilitation training data) in the limb training movement process and the acquired information or the rehabilitation training data, and the full-process intelligent guidance is provided, so that the cognitive mentally impaired old people can be helped to know the health condition of the cognitive mentally impaired old people, a corresponding rehabilitation training scheme is provided, and the rehabilitation level of the cognitive mentally impaired old people is improved.
Drawings
In order to illustrate the embodiments of the present invention or the technical solutions in the prior art more clearly, the drawings required in the description of the embodiments or the prior art will be briefly introduced below, it is obvious that the drawings in the following description are only some examples of the present invention, and it is also possible for a person skilled in the art to obtain other drawings based on these drawings without inventive step.
FIG. 1 is a schematic diagram of a cognitive dysfunction elderly home rehabilitation and care system of the present invention;
fig. 2 is a schematic diagram of the wearable mobile monitoring device of the present invention;
in the attached drawing, wearable mobile monitoring device 1, mobile phone terminal 2, intelligent household equipment 3, cloud server 4, medical rehabilitation management terminal 5, wearable monitoring body 10, wrist strap 11, electrode slice 12, vibration bar 13
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 examples 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.
According to an aspect of the invention, with reference to fig. 1 and fig. 2, a home rehabilitation and nursing system for the elderly with cognitive dysfunction is provided, which includes a wearable mobile monitoring device 1, a mobile phone terminal 2, a smart home device 3, a cloud server 4 and a medical rehabilitation and management terminal 5, wherein the wearable mobile monitoring device 1 is in communication connection with the mobile phone terminal 2 and the smart home device 3 respectively, the wearable mobile monitoring device 1 can be worn at a position where rehabilitation training is required, such as an arm, a leg, a waist or a head, so as to perform corresponding rehabilitation and nursing training monitoring conveniently, and the wearable mobile monitoring device 1 is in communication connection with the medical rehabilitation and management terminal 5 through the cloud server 4; a communication control module is arranged in the intelligent household equipment 3, and the communication control module is a wifi communication module or a Bluetooth communication module; the wearable mobile monitoring device 10 comprises a central processing unit, a data acquisition device, a communication module, a data storage device, a data display and a key module, wherein the central processing unit is an Arduino singlechip; the data output end of the data acquisition device, the communication end of the communication module, the input/output end of the data storage, the display control end of the data display and the control output end of the key module are respectively connected with the central processing unit, the central processing unit is respectively in communication connection with the mobile phone terminal 2 and the intelligent household equipment 3 through the communication module, and the central processing unit is sequentially in communication connection with the cloud server 4 and the medical rehabilitation management terminal 5 through the communication module; the data acquisition device at least comprises a sensor module and a digital-to-analog converter, wherein the digital-to-analog converter is used for converting analog signal sensing signals acquired and output by the sensor module into digital signals, and the sensor module comprises but is not limited to a human body posture sensor, an infrared temperature measurement sensor, a respiration sensor, an electrocardio sensor, a blood oxygen sensor, a pulse rate detection sensor, a speed sensor, a displacement sensor and an environment detection sensor; the sensor module is used for collecting body sign information or limb electric signals (or rehabilitation training data) in the limb training movement process, wherein the body sign information is as follows: heart rate, pulse, pupil, body temperature, respiration, blood pressure, etc.; the electrical signals of the limbs are as follows: the system comprises a human posture angle, tumble acceleration monitoring, body temperature, respiration, electrocardio, blood oxygen, pulse rate, moving speed, displacement information and other physiological parameters of rehabilitation training, wherein the acquired physiological parameters of the rehabilitation training are sent to a central processing unit for analysis and processing in real time, and processed data are sent to a mobile phone terminal 2 and intelligent home equipment 3 through a communication module; the communication module is a wifi communication module, a GPRS communication module or a 4G communication module. The nursing staff acquires the information of the medical rehabilitation management terminal 5 through the mobile phone terminal 2, the nursing staff starts the wearable mobile monitoring device 1 to detect the elderly with cognitive impairment by sending a control command through the mobile phone terminal 2 and sends the health data of the elderly with cognitive impairment to the medical rehabilitation management terminal 5, the nursing staff acquires the health diagnosis data sent by the medical rehabilitation management terminal 5 through the mobile phone terminal 2, the nursing staff wears the wearable mobile monitoring device 1 on the limbs of the elderly with cognitive impairment and assists the elderly with cognitive impairment to acquire body sign information and/or limb electric signals (or rehabilitation training data) in the limb training motion process through the wearable mobile monitoring device 1 according to the corresponding information and sends the body sign information and the limb electric signals (or rehabilitation training data) to the cloud server 4 and the rehabilitation management terminal 5 through the communication module, the medical instrument guides a doctor to judge physical sign and physical health data, medical history and rehabilitation record data of the disabled old man acquired by the rehabilitation management terminal 5, guides the doctor to issue a rehabilitation training instruction (scheme) through the rehabilitation management terminal 5, enables the disabled old man to perform rehabilitation training under the assistance of nursing staff (or family members of the disabled old man), and the data acquisition device acquires real-time rehabilitation training data and uploads the data to the rehabilitation management terminal 5 so as to guide the doctor to perform online rehabilitation guidance.
In the present invention, with reference to fig. 1 and fig. 2, the wearable mobile monitoring device 1 further includes a video input device, an audio input/output device, and a GPS positioning module, where the video input device, the audio input device, and the GPS positioning module are respectively connected to the central processing unit; the audio input/output device consists of a microphone and a loudspeaker, the microphone is used for inputting sound information of the disabled elderly patients, and the loudspeaker is used for playing audio information; the video input device collects responses of training instructions of the disabled elderly patients and environmental image information around the training, the GPS positioning module is used for acquiring geographical position information of the disabled elderly patients, the data storage device is used for storing various video images, audios, training execution schemes and health data of the disabled elderly patients, the data display is used for displaying detection data of the sensor module and also used for playing various rehabilitation training schemes through video playing and audio playing, the disabled elderly patients are enabled to carry out rehabilitation training through video playing, audio playing or conversation with nursing staff under the cooperation of the nursing staff, and therefore identification capability is improved, the key module is used for the disabled elderly patients to operate various behavior actions to carry out training, for example, the key module sends various control instructions to start the intelligent home equipment 3 to operate and work, for example, a network television and a video on demand are started to carry out game entertainment strengthening training and the like, or an air conditioner and an air purifier are started to quickly and automatically operate and adjust the temperature and the humidity of the training environment and purify pollutants and the like according to the indoor temperature and the air quality, so that the purposes of adjusting the temperature and the humidity, purifying the air, improving the PM2.5 particle concentration, the harmful gas concentration and the peculiar smell of the training environment and removing or sterilizing and disinfecting effects are achieved.
In the present invention, referring to fig. 1 and fig. 2, the wearable mobile monitoring device 1 includes a wearable monitoring body 10, a pair of electrode plates 12 embedded in and disposed on the surface of a wrist strap 11, and a pair of wrist straps 11 extending from two sides of the wearable monitoring body 10 and fastened to each other; a pair of vibration strips 13 are further arranged in the wrist bands 11 at two sides of the wearable monitoring body 10, and the vibration strips 13 are arranged along the extending direction of the wrist bands 10; the output end of the power supply module is connected to the input ends of the two electrode plates 12 through the constant current generation module, the central processing unit is connected with the control end of the constant current generation module through the optical coupling isolation module, the central processing unit outputs different PWM pulse waves to control the constant current generation module to generate micro current meeting the requirement of direct current stimulation, and the direct current on the electrode plates 12 is used for electric stimulation, so that the comfort level of the disabled old people is improved, the channels and collaterals and blood circulation of skin and joint parts can be improved, and the rehabilitation effect is improved; the vibration strip 13 can be controlled by the central processing unit to start vibration, and the skin or the joint part needing to be recovered is massaged and vibrated, so that the recovery effect is improved. Can transfer multiple neuron excitation through the electro photoluminescence or when vibrating the stimulation to the cognitive disorder diagnosis of the old man of mental retardation, data acquisition device detects and gathers various rehabilitation training data, thereby obtains better treatment.
In the present invention, with reference to fig. 1 and fig. 2, the medical rehabilitation management terminal 5 is used as a health assistant terminal (personal health aid), a medical care and rescue service system platform widely applying networking technology, and based on a personal health record, achieves providing personalized lifelong medical treatment, health awareness improvement, high quality and timely medical treatment for individuals or users, and is provided with a rehabilitation management system at the medical rehabilitation management terminal 5, the rehabilitation management system comprises a patient identity management module, a nursing management module, a rehabilitation risk diagnosis module, a rehabilitation ability evaluation module and a rehabilitation training module, the patient identity management module is used for acquiring identity verification information and body health detection data of the disabled elderly, the nursing management module is used for storing rehabilitation training data records, and the rehabilitation training module is used for storing various rehabilitation training types; the rehabilitation risk diagnosis module is used for judging body health data, medical records and rehabilitation record data of the disabled old people, judging whether risks exist in rehabilitation training, and entering rehabilitation ability evaluation if the risks do not exist; the rehabilitation ability evaluation module is used for evaluating the abilities of the disabled old people by combining physical signs, physical health data (or rehabilitation training data), medical records and rehabilitation recording data of the disabled old people, evaluating the adaptability of the rehabilitation training of the disabled old people according to the rehabilitation recording data (the selected part is correspondingly detected and evaluated, risk investigation is carried out, whether the disabled old people have the rehabilitation training ability or not is carried out, and if no risk exists, a rehabilitation training scheme is recommended), and providing a matched rehabilitation training scheme which is sequentially and gradually; the rehabilitation training module sends the rehabilitation training scheme to the mobile phone terminal 2, and after the mobile phone terminal 2 receives the rehabilitation training scheme, the mobile phone terminal selects a rehabilitation training item and sends the rehabilitation training item to the rehabilitation training module to match with a corresponding rehabilitation training type and an online rehabilitation guiding doctor for online rehabilitation guidance; the rehabilitation training type stored by the rehabilitation training module comprises but is not limited to literacy reading training, drawing training, reaction behavior training, computing ability training, attention concentration training, memory ability training, upright walking training, logic thinking ability training, visual motion training, muscle joint stretching training, self-releasing training, strength training, action execution training, action posture training and game entertainment strengthening training. The working process of the rehabilitation nursing system comprises the following steps that a nursing person (or a family member of an impaired old man) wears a wearable mobile monitoring device 1 on the limb of the impaired old man, the nursing person registers the impaired old man through a cloud server 4 through a mobile phone terminal 2 and sends the registration information of the impaired old man to a rehabilitation management terminal 5, the rehabilitation management terminal 5 verifies and stores the registration information of the impaired old man, a data acquisition device acquires body sign information and/or limb electric signals (or rehabilitation training data) in the limb training movement process and sends the body sign information and the limb electric signals (or rehabilitation training data) to the cloud server 4 and the rehabilitation management terminal 5 through a communication module, and the rehabilitation management system of the medical rehabilitation management terminal 5 judges according to the identity verification information and the body health detection data of the impaired old man, whether risks exist in rehabilitation training is judged, if no risks exist, rehabilitation capacity evaluation is carried out, a matched rehabilitation training scheme which is gradual is given, the rehabilitation training module sends the rehabilitation training scheme to the mobile phone terminal 2, a doctor is guided to judge physical sign and body health data, medical history and rehabilitation record data of the disabled old man, which are acquired by the rehabilitation management terminal 5, the doctor is guided to issue a rehabilitation training instruction (scheme) through the rehabilitation management terminal 5, the disabled old man carries out rehabilitation training under the assistance of nursing staff (or family members of the disabled old man), and the data acquisition device acquires real-time rehabilitation training data and uploads the real-time rehabilitation training data to the rehabilitation management terminal 5 so as to guide the doctor to carry out on-line rehabilitation guidance.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, as any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.

Claims (9)

1. The utility model provides a cognitive dysfunction old man rehabilitation and nursing system at home which characterized in that: including wearable mobile monitoring device, cell-phone terminal, intelligent home equipment, cloud ware and medical treatment rehabilitation management terminal, wearable mobile monitoring device respectively with cell-phone terminal and intelligent home equipment carry out communication connection, wearable mobile monitoring device pass through the cloud ware with medical treatment rehabilitation management terminal carries out communication connection, wearable mobile monitoring device includes wearable monitoring body, follows the wrist strap and the embedding setting of mutual lock joint are stretched out to the both sides of wearable monitoring body are at a pair of electrode slice on the wrist strap surface.
2. The cognitive dysfunction elderly home rehabilitation and care system according to claim 1, wherein: wearable mobile monitoring device includes central processing unit, data acquisition device, communication module, data memory, data display and button module, data acquisition device's data output end, communication module's communication end, data memory's input/output end, data display's display control end and button module's control output end respectively with central processing unit connects, central processing unit pass through communication module respectively with cell-phone terminal and intelligent home equipment carry out communication connection, central processing unit pass through communication module in proper order with cloud server and medical rehabilitation management terminal carry out communication connection.
3. The cognitive dysfunction elderly home rehabilitation and care system according to claim 2, wherein: the wearable mobile monitoring device further comprises a video input device, an audio input/output device and a GPS positioning module, wherein the video input device, the audio input/output device and the GPS positioning module are respectively connected with the central processing unit.
4. The cognitive dysfunction elderly home rehabilitation and care system according to claim 2, wherein: the data acquisition device at least comprises a sensor module and a digital-to-analog converter, wherein the digital-to-analog converter is used for converting analog signal sensing signals acquired and output by the sensor module into digital signals, and the sensor module comprises but is not limited to a human body posture sensor, an infrared temperature measurement sensor, a respiration sensor, an electrocardio sensor, a blood oxygen sensor, a pulse rate detection sensor, a speed sensor, a displacement sensor and an environment detection sensor.
5. The cognitive dysfunction elderly home rehabilitation and care system according to claim 2, wherein: the communication module is a wifi communication module, a GPRS communication module or a 4G communication module.
6. The cognitive dysfunction elderly home rehabilitation and care system according to claim 2, wherein: still set up a pair of vibration strip in the wrist strap of the both sides of wearable monitoring body, this vibration strip sets up along wrist strap extending direction.
7. The cognitive dysfunction elderly home rehabilitation and care system according to claim 1, wherein: the intelligent household equipment is internally provided with a communication control module which is a wifi communication module or a Bluetooth communication module.
8. The cognitive dysfunction elderly home rehabilitation and care system according to claim 1, wherein: the medical rehabilitation management terminal is provided with a rehabilitation management system, the rehabilitation management system comprises a patient identity management module, a nursing management module, a rehabilitation risk diagnosis module, a rehabilitation capacity evaluation module and a rehabilitation training module, the patient identity management module is used for acquiring identity verification information and body health detection data of the disabled old, the nursing management module is used for storing rehabilitation training data records, and the rehabilitation training module is used for storing various rehabilitation training types; the rehabilitation risk diagnosis module is used for judging body health data, medical records and rehabilitation record data of the disabled old people, judging whether risks exist in rehabilitation training, and entering rehabilitation ability evaluation if the risks do not exist; the rehabilitation ability evaluation module is used for evaluating the ability of the disabled old people by combining the physical health data, the medical record and the rehabilitation record data of the disabled old people and providing a corresponding matching rehabilitation training scheme; the rehabilitation training module sends the rehabilitation training scheme to the mobile phone terminal, and after the mobile phone terminal receives the rehabilitation training scheme, the mobile phone terminal selects the rehabilitation training items and sends the rehabilitation training items to the rehabilitation training module to match with corresponding rehabilitation training types and online rehabilitation guiding doctors so as to provide online rehabilitation guidance.
9. The cognitive dysfunction elderly home rehabilitation and care system of claim 8, wherein: the rehabilitation training type stored by the rehabilitation training module comprises but is not limited to literacy reading training, drawing training, reaction behavior training, computing ability training, attention concentration training, memory ability training, upright walking training, logic thinking ability training, visual motion training, muscle joint stretching training, self-releasing training, strength training, action execution training, posture training and game entertainment strengthening training.
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CN111477316A (en) * 2020-04-03 2020-07-31 西华大学 Internet-based home-use doctor-patient care intelligent system
CN111493882A (en) * 2020-06-02 2020-08-07 上海健康医学院 Old people falling prediction and exercise rehabilitation intervention guidance system and method
CN113160930A (en) * 2021-04-08 2021-07-23 广东省人民医院 Diagnosis and rehabilitation system and method for Parkinson disease mild cognitive impairment based on VR
CN113244067A (en) * 2021-06-03 2021-08-13 江西应用科技学院 Intelligent horizontal exercise assisting device and health monitoring and rehabilitation management method
CN113288082A (en) * 2021-05-31 2021-08-24 黄大芽 Medical rehabilitation system based on human body diagnosis data
CN117809849B (en) * 2024-02-29 2024-05-03 四川赛尔斯科技有限公司 Analysis method and system for walking postures of old people with cognitive dysfunction

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111402545A (en) * 2020-03-24 2020-07-10 华中科技大学协和深圳医院 Patient activity monitoring system and method thereof
CN111477316A (en) * 2020-04-03 2020-07-31 西华大学 Internet-based home-use doctor-patient care intelligent system
CN111493882A (en) * 2020-06-02 2020-08-07 上海健康医学院 Old people falling prediction and exercise rehabilitation intervention guidance system and method
CN113160930A (en) * 2021-04-08 2021-07-23 广东省人民医院 Diagnosis and rehabilitation system and method for Parkinson disease mild cognitive impairment based on VR
CN113288082A (en) * 2021-05-31 2021-08-24 黄大芽 Medical rehabilitation system based on human body diagnosis data
CN113244067A (en) * 2021-06-03 2021-08-13 江西应用科技学院 Intelligent horizontal exercise assisting device and health monitoring and rehabilitation management method
CN113244067B (en) * 2021-06-03 2023-06-20 江西应用科技学院 Intelligent horizontal exercise assisting device and health monitoring and rehabilitation management method
CN117809849B (en) * 2024-02-29 2024-05-03 四川赛尔斯科技有限公司 Analysis method and system for walking postures of old people with cognitive dysfunction

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