CN111081385A - Human body excretion nursing machine data acquisition unit based on mobile internet home nursing service cloud platform - Google Patents

Human body excretion nursing machine data acquisition unit based on mobile internet home nursing service cloud platform Download PDF

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CN111081385A
CN111081385A CN201811275754.2A CN201811275754A CN111081385A CN 111081385 A CN111081385 A CN 111081385A CN 201811275754 A CN201811275754 A CN 201811275754A CN 111081385 A CN111081385 A CN 111081385A
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包家立
包家明
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Zhejiang University ZJU
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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
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • 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
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04BTRANSMISSION
    • H04B1/00Details of transmission systems, not covered by a single one of groups H04B3/00 - H04B13/00; Details of transmission systems not characterised by the medium used for transmission
    • H04B1/38Transceivers, i.e. devices in which transmitter and receiver form a structural unit and in which at least one part is used for functions of transmitting and receiving
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    • H04B1/401Circuits for selecting or indicating operating mode

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Abstract

A human body excretion nursing machine data acquisition device based on a mobile internet home nursing service cloud platform is composed of a mode combiner, a data selector, an embedded microprocessor, a miniUSB line and a communication unit. The output of the mode combiner is connected with the input of the data selector and is used for combining 13 nursing modes in the human body excretion nursing machine, the output of the data selector is connected with the I/O interface of the embedded microprocessor and is used for selecting one mode from the 13 nursing modes through a coding signal, the I/O interface of the embedded microprocessor is also connected with the data selection control end of the data selector, two serial communication interfaces of the embedded microprocessor are respectively connected with the miniUSB line and the communication unit, and one I/O interface is also connected with the communication unit. The human body excretion nursing mode information is transmitted to the mobile internet home nursing service cloud platform system through the two communication ports, and the human body excretion nursing mode is remotely identified and controlled under various communication environments.

Description

Human body excretion nursing machine data acquisition unit based on mobile internet home nursing service cloud platform
Technical Field
The invention belongs to the field of medical instruments, relates to a human body excretion nursing machine for home nursing service, and particularly relates to a human body excretion nursing machine data acquisition unit based on a mobile internet home nursing service cloud platform.
Background
Human waste care is a very demanding care task with a very harsh working environment. Generally, this work is performed at a relatively low rate. On the other hand, the old people in China are more and more, and most of bedridden people who can not take care of life, such as serious diseases, serious disabilities, mental retardation and the like, need to take care of human excrement at home. However, the nursing manpower resources in China are very short, and the proportion of human body excretion for home nursing is lower.
A human body excretion nursing machine is a machine for nursing human body by means of machine (Chinese patent invention, CN 101933857B), and is characterized in that the excretion collecting port is closely attached to the lower body of human body, the side leakage or back leakage of excrement is not easy to occur, and the working strength of nurses is reduced. An airtight detection device is arranged at the supporting part of the nursing machine to judge whether the defecation collecting seat is worn correctly [ Chinese patent of invention, CN102319136B ]. A detachable detection device (Chinese patent of invention, CN 102058460B) is designed at the detector position of the collection port of a nursing machine, which is convenient for cleaning the detector. The underpants of the nursing machine (Chinese patent application, CN 102743247A) are improved on the whole appearance and structure of the nursing machine, so that the nursing machine is comfortable and convenient to wear and has better washing and drying effects. A toilet (Chinese patent) is CN103142342B, and features that the leakproof and permeable structure is designed on the toilet in contact with lower body to reduce the risk of bedsore caused by the closed lower body. A sewage draining pipe (Chinese patent) CN102836043B is characterized by that a partition layer with pressure of 0.7-1.3 atm is designed for the pipe, and the pipe diameter can be changed by changing the pressure to prevent the excrement from blocking the pipe.
The invention of the human body excretion nursing machine provides a possibility for human body excretion home nursing, and has the advantages of supplementing and assisting human body excretion nursing under the condition of no nurse or insufficient nursing resources. The human body excretion nursing machine has strong use speciality and needs to be carried out under the help and guidance of a nurse with certain professional knowledge. The use of such machines is limited in the absence of on-site nurse instructions for home care.
With the development of internet technology, a novel medical service mode is provided by internet and medical treatment. The internet and medical treatment are roughly divided into a doctor-patient interactive type, a knowledge auxiliary type and a comprehensive service type. Doctor-patient interactive type is to providing self-diagnosis and inquiry service through smart mobile phone APP to doctor-patient both sides. The knowledge assistant type is a clinical decision support system based on knowledge base management for professional medical care personnel, and is a query and decision platform realized by a palm information system. The comprehensive service type is a medical service platform which utilizes a smart phone APP to provide intelligent diagnosis guide, self-help registration, examination result inquiry, health files and the like for patients through hospitals.
The mobile internet home care service cloud platform is a comprehensive nursing platform for providing nursing human resource allocation, nursing service reservation, nursing service project optimization and nursing consultation services. On this platform, the human body excretes nursing as one of the nursing service items, needs to set up the human body and excretes nursing machine data collection station on platform perception layer to carry out remote communication, realize that the nurse is not under the on-the-spot condition of living, also can help and guide the operation of human body and excrete nursing machine.
Disclosure of Invention
The invention aims to provide a data acquisition and communication mode of human body excretion nursing machine nursing mode data of a mobile internet home nursing cloud service platform system sensing layer. A human body excretion nursing machine data collector based on a mobile internet home nursing cloud service platform system sensing layer (1) is composed of a mode combiner (5), a data selector (6), an embedded microprocessor (7), a miniUSB (8) line and a communication unit (9). The output of the mode combiner (5) is connected with the input of the data selector (6), the output of the data selector (6) is connected with the I/O interface of the embedded microprocessor (7), the I/O interface of the embedded microprocessor (7) is also connected with the data selection control end of the data selector (6), two serial communication interfaces of the embedded microprocessor (7) are respectively connected with a miniUSB line (8) and a communication unit (9), and the I/O interface of the embedded microprocessor (7) is also connected with the communication unit (9).
The mode combiner (5) inputs 13 care modes in the human body excretion care machine to the data selector (6) according to the care mode truth table, the data selector (6) selects one mode from the 13 human body excretion care modes to input to the I/O interface of the embedded microprocessor (7), and the selected mode adopts I/H from the embedded microprocessor (7)Coding signal A of O interface0、A1、A2、A3. According to the coded signal A0、A1、A2、A3The selection of one of the 13 modes is realized. The data selector (6) is composed of 2 pieces of 1-by-8 selectors 1(10), 2(11) and 1 piece of 1-by-2 selectors 3 (12). The input of the number selector 1(10) and the number selector 2(11) is connected with the output of the mode combiner (5), and the output is connected with the input of the number selector 3 (12); the output of the selector 3(12) is connected to the I/O interface of the embedded microprocessor (7). A. the0、A1、A2Is the data selection signal of the number selector 1(10) and the number selector 2(11) and is connected to the control terminal A, B, C of the two number selectors. A. the3The data selection signal of the number selector 3(12) is accessed to the control end A of the number selector. A. the3The signal is 1 bit 2 states, which can distinguish number selector 1(10) and number selector 2 (11). A. the3Select selector 1(10) when equal to 0; a. the3The selector 2(11) is selected as 1. Output A of number selector 3(12)4The signal is a selected human body excretion nursing mode data signal and is a nursing mode signal selected by a mobile internet home nursing cloud service platform system sensing layer (1) to a human body excretion nursing machine. The embedded microprocessor (7) is a controller for controlling data acquisition and communication of the human body excretion nursing machine, and the input A of the I/O interface of the embedded microprocessor4Is connected with the output of the data selector (6) and is used as a nursing mode data signal of the data selector (6); output A of its I/O interface3、A2、A1、A0Is connected with the data selection control end of the data selector (6) and is used as a data selection signal of the data selector (6). The embedded microprocessor (7) is provided with two serial communication ports, the serial communication port 1 is connected with a miniUSB line (8), the serial communication port 2 is connected with a communication unit (9), and the embedded microprocessor (7) connects an obtained nursing mode signal to a mobile internet home nursing cloud service platform system through the miniUSB line (8) in a wired communication mode or is connected to the mobile internet home nursing cloud service platform system through the communication unit (9) in a wireless communication mode.
The communication unit (9) is composed of a number selector (13), a transmitter (14) and an antenna (15). The input of the number selector (13) is connected with the output of WIFI, CDMA, GSM, 3G, 4G, 5G and Bluetooth communication modules, and the data selection control end of the number selector (13) is connected with the output of the I/O interface of the embedded microprocessor (7). Signal B output by embedded microprocessor (7)2、B1、B0And selecting one of WIFI, CDMA, GSM, 3G, 4G, 5G and Bluetooth for judging the wireless environment state (whether the wireless environment state is available or not and whether the wireless environment state is connected or not) in the environment. The connection mode can automatically detect the wireless network state (whether the wireless network state is available or not or whether the wireless network state is connected or not) of the environment in real time, and intelligent data wireless communication is realized.
The invention has the advantages that:
(1) the data selector (6) can output one of 13 care modes of the human body excretion care machine and can output the care mode through a coding signal A0、A1、A2、A3The method is provided for a system perception layer of a mobile internet home care cloud service platform to identify and control the human body excretion care mode.
(2) Under various communication environments such as WIFI, CDMA, GSM, 3G, 4G, 5G and bluetooth, the communication of human body excretion nursing machine data to mobile internet home nursing cloud service platform system is realized.
Drawings
FIG. 1 is a system diagram of a mobile internet home care cloud service platform.
Fig. 2 is a schematic diagram of a data collector of a human body nursing machine.
Fig. 3 is a schematic diagram of a data selector.
Fig. 4 is a schematic diagram of a communication unit.
Detailed Description
The present invention will be described in detail with reference to the accompanying drawings.
Example 1:
referring to fig. 1, a mobile internet home care cloud service platform system is an online-offline interactive O2O mobile internet home and care platform system, and a framework of the system is composed of a sensing layer (1), a network layer (2), a resource layer (3), a platform layer (4) and an application layer (5). The perception layer (1) is a sensor, a wearable device, a portable device (a sphygmomanometer, a blood glucose meter), a human body excretion nursing machine and the like for obtaining human body vital sign parameters, body state parameters and disease characteristic parameters. The network layer (2) comprises a mobile communication network, an Internet of things, the Internet and the like. The resource layer (3) includes data storage, computing services, load management, backup, and the like. The platform layer (4) comprises processing programs required by various nursing services, such as reception, registration, warehousing, payment and the like. The application layer (5) comprises three parts, namely an internet website, a mobile phone APP and WeChat. A client can search for human body excretion nursing on a platform through a website, APP (android version + IOS version) and WeChat; nurses can register and log in as nursing staff on the platform, and can provide online consultation and offline nursing services through the platform.
The human body excretion nursing machine is arranged in a perception layer (1) of a mobile internet home nursing cloud service platform system and used for obtaining modes and parameters of the human body excretion nursing machine, transmitting the modes and parameter information through a network layer (2), managing the platform layer (4), and realizing remote setting, remote modification and remote guidance of nurses on the mobile internet home nursing cloud service platform on the modes and parameters of the human body excretion nursing machine.
Example 2:
the parameters of the human body excretion nursing machine include drying wind speed, drying time (sec), washing water temperature (DEG C), washing time (sec), and the like, and 13 modes can be combined, as shown in Table 1. The observation indexes are five evaluation indexes of skin cleanliness, skin temperature, skin damage degree, human body comfort degree and side leakage, and the experience of the testee is inquired. Human perineum portion is put into to human U type trousers cover with nursing machine, opens a set of nursing mode, and the index is observed in the record, and the repeated n of every group mode of testee is 2 ~ 3 times, and the record is remained volume and skin condition after the experiment is accomplished. According to the cleaning and nursing of basic nursing science, the international CDC guideline standard and the medical institution disinfection technical specification, the skin cleanliness grade index is formulated; according to a skin pressure sore staging method and a skin injury scoring system, a skin injury scoring grade index is formulated; according to a Kolcaba GCQ (General comfort Questionaire, GCQ) comfort condition scale and a pain scoring scale, a human comfort scoring grade index is formulated; according to the valve side leakage grade standard and a Valsalava leak measurement method, a side leakage scoring grade index is formulated. The evaluation grade indexes adopt a 1-4 LikertScale scoring method, wherein 1 represents that the evaluation grade indexes are very effective, and 4 represents that the evaluation grade indexes are very ineffective. Setting a comprehensive scoring index according to a basic nursing theory, and expressing the comprehensive scoring index in the following form:
Y=α1x12x23x34x45x56x6
here: x is the number of1Cleanliness (water retention); x is the number of2Cleanliness (solid); x is the number of3Skin moisture; x is the number of4The human body is comfortable; x is the number of5Degree of skin damage; x is the number of6For side leakage, the weights of these 6 criteria are according to the basic theory of nursing science respectively cleanliness (water stagnation) α10.1, cleanliness (solid) α20.2, skin moisture α30.1, body comfort α4Is 0.1, skin damage degree α50.3, side leakage α6Is 0.2.
TABLE 1 nursing mode combination table
Figure BSA0000172984210000041
The results of the 13-group care pattern scores are shown in table 2. In 13 groups of care modes, three observation indexes of cleanliness (solid), skin humidity and skin injury degree are different (P is less than 0.01); the three observation indexes of cleanliness (water stagnation), human comfort and side leakage are not different (P is more than 0.01). Modes 2, 3, 4, 5, 7 and 9 with composite scores less than 1.2, and others greater than 1.2. In conjunction with the experience of the subject, 5 modes, mode 1, mode 8, mode 10, mode 11, and mode 13, are not ideal modes of operation.
The parameters of the human body excretion nursing machine 6 can form a nursing mode through various combinations, the number of the combinations is too large, the operation is complex, and the phenomena of unclean washing, skin injury, human body discomfort and the like are caused by improper combinations. Human experience testification shows that the comprehensive scores of 5 modes such as the mode 1, the mode 8, the mode 10, the mode 11 and the mode 13 are all more than 1.2. The combined score of the mode 1 and the mode 6 is also more than 1.2, although the human comfort of the two modes is not different from that of the other modes, the skin damage degree is higher, and the two modes are not ideal working modes. Therefore, the composite score of 1.2 can be used as a criterion for judging the best mode. As can be seen from table 1, the 6 modes of the mode 2, the mode 3, the mode 4, the mode 5, the mode 7 and the mode 9 have the same drying wind speed, cleaning time and rinsing time, which indicates that the drying wind speed, cleaning time and rinsing time of any one mode do not affect the care effect, and the main factors affecting the care effect are the drying time and the rinsing temperature. As can be seen from table 2, the drying time in the above 6 modes has little effect on the skin humidity; the drying time is short, and the damage degree to the skin is low; the rinsing temperature is preferably 38 ℃, and may be supercooled at 36 ℃, and the rinsing temperature may be selected and adjusted according to the sensitivity of the individual to the water temperature.
Table 213 nursing mode score table (N1400, x ± s)
Figure BSA0000172984210000051
The human body excretion nursing is a basic nursing work with high labor intensity and large workload. In clinic, due to shortage of nursing staff, a patient who excretes is often not timely and effectively nursed, so that the quality of life of the patient is reduced, and heavy burden is brought to families and society. The automatic nursing mode of the human body excretion nursing machine can help the incontinent patient to better realize self-nursing and improve the life quality. Meanwhile, the labor intensity of nurses can be greatly reduced, the workload of nurses is reduced, the working environment of nurses is improved, and the nursing quality problems and nursing complaints brought by shortage of nursing staff, insufficient supply and demand of medical resources and the like in hospitals, communities and families can be relieved. Therefore, automatic excretion nursing realized by means of the human excretion nursing machine is the direction of developing future nursing technology.
Example 3:
referring to fig. 2, a human body excretion nursing machine data collector based on a mobile internet home nursing cloud service platform system sensing layer (1) is composed of a mode combiner (5), a data selector (6), an embedded microprocessor (7), a miniUSB line (8) and a communication unit (9). The output of the mode combiner (5) is connected with the input of the data selector (6), the output of the data selector (6) is connected with the I/O interface of the embedded microprocessor (7), the I/O interface of the embedded microprocessor (7) is also connected with the data selection control end of the data selector (6), two serial communication interfaces of the embedded microprocessor (7) are respectively connected with a miniUSB line (8) and a communication unit (9), and the I/O interface of the embedded microprocessor (7) is also connected with the communication unit (9).
The mode combiner (5) combines the drying wind speed, drying time, washing water temperature, washing time and washing time in the human body excretion nursing machine into 13 modes according to the nursing mode combination table of the table 1, and the output of the mode combiner is connected to the input of the data selector (6). The data selector (6) selects one mode from the 13 modes to be input into the I/O interface of the embedded microprocessor (7) by adopting a coding signal A from the I/O interface of the embedded microprocessor (7)0、A1、A2、A3The truth table is shown in table 3. From the coded signal A0、A1、A2、A3One of the 13 modes is selected.
TABLE 3 care mode truth table
Figure BSA0000172984210000061
Referring to fig. 3, the data selector (6) is composed of 2 pieces of 1-by-8 number selectors 1(10), 2(11) (model numbers 74151, 74LS151, 74251, 74LS152) and 1 piece of 1-by-2 number selectors 3 (12). The input of the number selector 1(10), the number selector 2(11) and the number selector 3(12) is 1I, 2I, 3I, 4I, 5I, 6I, 7I and 8I, wherein the input of the number selector 1(10) and the number selector 2(11) is connected with the output of the mode combiner (5), and the output is connected with the input of the number selector 3 (12); the output of the number selector 3(12) is connected to the embedded microprocessor (7)) I/O interface(s). A. the0、A1、A2Is the data selection signal of the number selector 1(10) and the number selector 2(11) and is connected to the control terminal A, B, C of the two number selectors. A. the3The data selection signal of the number selector 3(12) is accessed to the control end A of the number selector. A. the3The signal is 1 bit 2 states, which can distinguish number selector 1(10) and number selector 2 (11). A. the3Select selector 1(10) when equal to 0; a. the3The selector 2(11) is selected as 1. Output A of number selector 3(12)4The signal is a selected human body excretion nursing mode data signal and is a nursing mode signal selected by a mobile internet home nursing cloud service platform system sensing layer (1) to a human body excretion nursing machine.
The embedded microprocessor (7) is a controller for controlling data acquisition and communication of the human body excretion nursing machine, and the input A of the I/O interface of the embedded microprocessor4Is connected with the output of the data selector (6) and is used as a nursing mode data signal of the data selector (6); output A of its I/O interface3、A2、A1、A0Is connected with the data selection control end of the data selector (6) and is used as a data selection signal of the data selector (6). The embedded microprocessor (7) is provided with two serial communication ports, the serial communication port 1 is connected with a miniUSB line (8), the serial communication port 2 is connected with a communication unit (9), and the embedded microprocessor (7) connects an obtained nursing mode signal to a mobile internet home nursing cloud service platform system through the miniUSB line (8) in a wired communication mode or is connected to the mobile internet home nursing cloud service platform system through the communication unit (9) in a wireless communication mode.
Referring to fig. 4, the communication unit (9) is composed of a number selector (13), a transmitter (14) and an antenna (15). The input of the number selector (13) is connected with the output of WIFI, CDMA, GSM, 3G, 4G, 5G and Bluetooth communication modules, and the data selection control end of the number selector (13) is connected with the output of the I/O interface of the embedded microprocessor (7). Signal B output by embedded microprocessor (7)2、B1、B0And selecting one of WIFI, CDMA, GSM, 3G, 4G, 5G and Bluetooth for judging the wireless environment state (whether the wireless environment state is available or not and whether the wireless environment state is connected or not) in the environment. The connection mode can automatically detect the station in real timeThe intelligent wireless data communication is realized by the wireless network state (whether available or not and whether connection is available or not) of the environment.

Claims (2)

1. A human body excretion nursing machine data collector based on a mobile internet home nursing service cloud platform is composed of a mode combiner (5), a data selector (6), an embedded microprocessor (7), a miniUSB line (8) and a communication unit (9); the output of the mode combiner (5) is connected with the input of the data selector (6), the output of the data selector (6) is connected with the I/O interface of the embedded microprocessor (7), the I/O interface of the embedded microprocessor (7) is also connected with the data selection control end of the data selector (6), two serial communication interfaces of the embedded microprocessor (7) are respectively connected with a miniUSB line (8) and a communication unit (9), and the I/O interface of the embedded microprocessor (7) is also connected with the communication unit (9); the mode combiner (5) inputs 13 care modes in the human body excretion care machine to the data selector (6), and the data selector (6) selects one mode from the 13 human body excretion care modes to input to an I/O interface of the embedded microprocessor (7); the selected mode adopts an encoding signal A from an I/O interface of an embedded microprocessor (7)0、A1、A2、A3(ii) a Input A of I/O interface of embedded microprocessor (7)4Connected to the output of the data selector (6) as a care mode data signal of the data selector (6), the output A of the I/O interface3、A2、A1、A0Is connected with the data selection control end of the data selector (6); the embedded microprocessor (7) is provided with two serial communication ports, the serial communication port 1 is connected with a miniUSB line (8), and the serial communication port 2 is connected with a communication unit (9).
2. The human body excretion nursing machine data collector based on the mobile internet home nursing service cloud platform as claimed in claim 1, wherein the communication unit (9) is composed of a number selector (13), a transmitter (14) and an antenna (15); the input of the number selector (13) is connected with the output of WIFI, CDMA, GSM, 3G, 4G, 5G and Bluetooth communication modules, and the data selection control end of the number selector (13) is connected with the embedded microprocessor(7) The output connection of the I/O interface; signal B output by embedded microprocessor (7)2、B1、B0One of WIFI, CDMA, GSM, 3G, 4G, 5G and Bluetooth is selected.
CN201811275754.2A 2018-10-19 2018-10-19 Human body excretion nursing machine data acquisition unit based on mobile internet home nursing service cloud platform Pending CN111081385A (en)

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