CN112843363A - Procedure management system for dialysis patients - Google Patents

Procedure management system for dialysis patients Download PDF

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Publication number
CN112843363A
CN112843363A CN202011644194.0A CN202011644194A CN112843363A CN 112843363 A CN112843363 A CN 112843363A CN 202011644194 A CN202011644194 A CN 202011644194A CN 112843363 A CN112843363 A CN 112843363A
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patient
terminal
information
dialysis
module
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Inventor
陈靖
张敏敏
王梦婧
钱璟
黄碧红
王德银
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Huashan Hospital of Fudan University
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Huashan Hospital of Fudan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1601Control or regulation
    • AHUMAN NECESSITIES
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    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
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    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4803Speech analysis specially adapted for diagnostic purposes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1601Control or regulation
    • A61M1/1603Regulation parameters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
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    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
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    • AHUMAN NECESSITIES
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    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • A61M1/3639Blood pressure control, pressure transducers specially adapted therefor
    • 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
    • G16H40/20ICT 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 management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • 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
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    • A61M2205/00General characteristics of the apparatus
    • A61M2205/18General characteristics of the apparatus with alarm
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/35Communication
    • A61M2205/3546Range
    • A61M2205/3561Range local, e.g. within room or hospital
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00Measuring parameters of the user
    • A61M2230/04Heartbeat characteristics, e.g. ECG, blood pressure modulation
    • A61M2230/06Heartbeat rate only
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00Measuring parameters of the user
    • A61M2230/30Blood pressure

Abstract

The invention discloses a process management system for dialysis patients, which comprises: the system comprises a server, a plurality of patient terminals, a plurality of doctor terminals and a plurality of nurse terminals, wherein the server is respectively connected with each patient terminal, each doctor terminal and each nurse terminal; the server comprises a patient basic information acquisition module, a patient physiological information real-time monitoring module, an abnormality judgment module, an information receiving module, a received information processing module and an information sending module. The process management system for the dialysis patient can improve the safety of the dialysis process and prevent serious consequences. In a use scene of the invention, the invention can strictly monitor various vital signs and dialysis parameters in the dialysis process, and early warning, reminding and processing are realized; the invention changes the traditional passive intervention into active intervention, thereby ensuring the safety of dialysis treatment.

Description

Procedure management system for dialysis patients
Technical Field
The invention belongs to the technical field of electronic information, relates to a dialysis management system, and particularly relates to a process management system for dialysis patients.
Background
Acute complications in the hemodialysis treatment process are common, such as first-time use syndrome, hypertension, hypotension, unbalanced syndrome, nausea, vomiting, headache, spasm, arrhythmia and the like, mild patients can improve the treatment effect after active treatment, but the dialysis treatment effect is seriously influenced, and serious patients cannot continue dialysis after rescue, and even have coma, death and other consequences.
The flow of traditional medical practice typically includes: (1) measuring the vital signs, blood flow, arteriovenous pressure and the like of the patient every 30 minutes; (2) recording the measured data on a paper dialysis treatment record sheet by a nurse; (3) the patient has any uncomfortable symptoms, and a responsibility nurse is called; (4) the responsibility nurse checks the patient and judges whether the doctor needs to be called for treatment; (5) the responsibility nurse calls the doctor who receives the call to the patient's bedside for treatment.
Hemodialysis is the primary renal replacement therapy for end-stage renal failure patients relying on long-term survival, and shows that the number of hemodialysis patients has increased at an average 15% per year over the last 10 years according to national and Shanghai's dialysis registration data. In the treatment process of increasingly huge hemodialysis groups, hemodialysis patients can have various acute complications in the dialysis treatment process, and light patients can be improved after active treatment, but the dialysis treatment effect is seriously influenced, and serious patients cannot continue dialysis after rescue, and even have the consequences of coma, death and the like.
In view of the above, there is an urgent need to design a way to manage dialysis patients so as to overcome the above-mentioned drawbacks of the existing management ways.
Disclosure of Invention
The invention provides a process management system for dialysis patients, which can improve the safety of a dialysis process and prevent serious consequences.
In order to solve the technical problem, according to one aspect of the present invention, the following technical solutions are adopted:
a procedure management system for dialysis patients, the procedure management system comprising: the system comprises a server, a plurality of patient terminals, a plurality of doctor terminals and a plurality of nurse terminals, wherein the server is respectively connected with each patient terminal, each doctor terminal and each nurse terminal;
the main doctor can receive the information through the doctor terminal and can send a specific doctor order scheme to the corresponding nurse terminal through the doctor terminal on the system interface for the responsibility nurse to execute;
the responsibility nurse can receive a specific medical advice scheme through the nurse terminal and execute the medical advice; the nurse terminal can remotely talk with the corresponding doctor terminal;
the patient physiological information real-time monitoring module comprises a blood pressure acquisition unit, and the blood pressure acquisition unit is used for acquiring blood pressure information of a patient; the patient terminal is provided with a remote alarm key used for sending an alarm signal to a set nurse terminal or/and a set doctor terminal;
the flow management system further comprises at least one camera device and at least one voice acquisition device, wherein the camera device can be arranged towards the face position of the patient and used for acquiring the facial expression of the patient, and the voice acquisition device is used for acquiring the voice information of the patient;
the server includes: the system comprises a patient basic information acquisition module, a patient physiological information real-time monitoring module, an abnormality judgment module, an information receiving module, a received information processing module, a database module, a patient expression recognition module, a voice recognition module, a control command generation module and an information sending module;
the patient basic information acquisition module is used for acquiring basic information of a patient;
the patient physiological information real-time monitoring module is used for acquiring physiological information of a patient in real time;
the abnormality judgment module is used for judging whether abnormality exists according to the information monitored by the patient physiological information real-time monitoring module, and if the abnormality exists, generating abnormal information;
the information receiving module is used for receiving information sent by each patient terminal, each doctor terminal and each nurse terminal;
the received information processing module is used for sending information to the terminal of the addressee corresponding to the information according to the information received by the information receiving module; meanwhile, identifying the information category, and sending the received information to more corresponding terminals according to the information category;
the information sending module is used for sending the setting information to a corresponding patient terminal or/and a corresponding doctor terminal or/and a corresponding nurse terminal;
the control command generation module is used for generating a control command corresponding to the dialysis terminal according to the blood pressure information acquired by the patient physiological information real-time monitoring module when a patient is dialyzed; if the blood pressure of the patient belongs to hypertension, generating a control signal for controlling the dialysis terminal to give ultrafiltration with increased set volume; if the patient throws the patient in the hypertension state after the first time is set, generating a second warning signal to a set doctor terminal or/and a set nurse terminal; if the blood pressure of the patient is hypotension, generating a control signal for controlling the dialysis terminal to stop ultrafiltration and quickly supplement normal saline, and after a set second time, if the blood pressure is normal, generating a control signal for controlling the dialysis terminal to recover ultrafiltration; if the blood pressure still does not meet the setting requirement, generating a third warning signal to a set doctor terminal or/and a set nurse terminal;
the control command generation module is used for generating a control command corresponding to the dialysis terminal according to a signal sent by a patient during dialysis of the patient; if the information sent by the patient terminal through the remote alarm key is mild discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal to reduce the flow rate; if the information sent by the patient terminal through the remote alarm key is severe discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration;
the database module is used for storing image information of a set patient, each image information corresponds to one expression category of the patient, and the expression categories comprise normal expressions and uncomfortable expressions;
the patient expression recognition module is used for judging whether the expression of the patient belongs to a normal expression or not according to the patient face information acquired by the camera device; the patient expression recognition module compares the set image information acquired by the camera device in real time with the set image information of the patient in the database module to obtain whether the expression of the patient is normal or not; if the expression of the patient is found to be uncomfortable, judging that the set condition with potential harm exists in the dialysis process of the patient;
the voice recognition module recognizes the voice information acquired by the voice acquisition device, recognizes whether a voice which is set to represent discomfort exists, and sends an alarm signal to the control command generation module if the voice information exists;
the control command generation module is used for generating a control command corresponding to the dialysis terminal according to the judgment result of the patient expression recognition module; if the expression of the patient is uncomfortable, generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; if the expression of the patient is normal after the ultrafiltration is stopped, generating a control signal for controlling the dialysis terminal to recover the dialysis; the control command generation module is also used for generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration according to the warning signal of the user discomfort fed back by the voice recognition module;
the patient terminal comprises a first wireless communication module, can be in wireless communication with corresponding dialysis equipment through the first wireless communication module, and sends the received set control signal from the server to the dialysis equipment;
the real-time monitoring module for the physiological information of the patient comprises a heart rate acquisition unit, wherein the heart rate acquisition unit is used for acquiring the heart rate information of the patient; the server is used for generating a control signal sent to the corresponding dialysis terminal according to the heart rate information of the patient obtained by the heart rate obtaining unit and sending an alarm signal to the corresponding doctor terminal or/and nurse terminal when needed; and when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, sending an alarm signal to the corresponding doctor terminal or/and nurse terminal.
According to another aspect of the invention, the following technical scheme is adopted:
a procedure management system for dialysis patients, the procedure management system comprising: the system comprises a server, a plurality of patient terminals, a plurality of doctor terminals and a plurality of nurse terminals, wherein the server is respectively connected with each patient terminal, each doctor terminal and each nurse terminal;
the server includes:
the patient basic information acquisition module is used for acquiring basic information of a patient;
the patient physiological information real-time monitoring module is used for acquiring the physiological information of the patient in real time;
the abnormality judgment module is used for judging whether abnormality exists according to the information monitored by the patient physiological information real-time monitoring module, and if the abnormality exists, generating abnormal information;
the information receiving module is used for receiving information sent by each patient terminal, each doctor terminal and each nurse terminal;
the received information processing module is used for sending the information to the terminal of the addressee corresponding to the information according to the information received by the information receiving module; meanwhile, identifying the information category, and sending the received information to more corresponding terminals according to the information category;
and the information sending module is used for sending the setting information to the corresponding patient terminal or/and the corresponding doctor terminal or/and the corresponding nurse terminal.
As an embodiment of the invention, the real-time monitoring module for the physiological information of the patient comprises a blood pressure obtaining unit, and the blood pressure obtaining unit is used for obtaining the blood pressure information of the patient.
As an embodiment of the present invention, the server includes: the control command generation module is used for generating a control command corresponding to the dialysis terminal according to the blood pressure information acquired by the patient physiological information real-time monitoring module when a patient is dialyzed;
if the blood pressure of the patient belongs to hypertension, generating a control signal for controlling the dialysis terminal to give ultrafiltration with increased set volume; if the patient throws the patient in the hypertension state after the first time is set, generating a second warning signal to a set doctor terminal or/and a set nurse terminal;
if the blood pressure of the patient is hypotension, generating a control signal for controlling the dialysis terminal to stop ultrafiltration and quickly supplement normal saline, and after a set second time, if the blood pressure is normal, generating a control signal for controlling the dialysis terminal to recover ultrafiltration; and if the blood pressure still does not meet the setting requirement, generating a third warning signal to the setting doctor terminal or/and the nurse terminal.
As an embodiment of the invention, the patient terminal is provided with a remote alarm key for sending an alarm signal to a set nurse terminal or/and a doctor terminal.
As an embodiment of the present invention, the server includes: the control command generation module is used for generating a control command corresponding to the dialysis terminal according to a signal sent by a patient during dialysis of the patient;
if the information sent by the patient terminal through the remote alarm key is mild discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal to reduce the flow rate;
and if the information sent by the patient terminal through the remote alarm key is severe discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration.
As an embodiment of the present invention, the process management system further includes at least one camera device, and at least one voice acquiring device, wherein the camera device can be set towards the face position of the patient to acquire the facial expression of the patient, and the voice acquiring device is configured to acquire the voice information of the patient.
As an embodiment of the present invention, the server includes:
the database module is used for storing image information of a set patient, each image information corresponds to one expression category of the patient, and the expression categories comprise normal expressions and uncomfortable expressions;
the patient expression recognition module is used for judging whether the expression of the patient belongs to a normal expression or not according to the patient face information acquired by the camera device; the patient expression recognition module compares the set image information acquired by the camera device in real time with the set image information of the patient in the database module to obtain whether the expression of the patient is normal or not; if the expression of the patient is found to be uncomfortable, judging that the set condition with potential harm exists in the dialysis process of the patient;
the voice recognition module is used for recognizing the voice information acquired by the voice acquisition device, recognizing whether a voice which is set to represent discomfort exists or not, and if so, sending an alarm signal to the control command generation module; and
the control command generation module is used for generating a control command corresponding to the dialysis terminal according to the judgment result of the patient expression recognition module; if the expression of the patient is uncomfortable, generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; if the expression of the patient is normal after the ultrafiltration is stopped, generating a control signal for controlling the dialysis terminal to recover the dialysis; the control command generation module is also used for generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration according to the warning signal which is fed back by the voice recognition module and is uncomfortable to the user.
As an embodiment of the present invention, the patient terminal includes a first wireless communication module, and the patient terminal can wirelessly communicate with a corresponding dialysis device through the first wireless communication module and send a setting control signal received from the server to the dialysis device.
As an embodiment of the present invention, the real-time monitoring module for physiological information of a patient includes a heart rate obtaining unit, configured to obtain heart rate information of the patient;
the server is used for generating a control signal sent to the corresponding dialysis terminal according to the heart rate information of the patient obtained by the heart rate obtaining unit and sending an alarm signal to the corresponding doctor terminal or/and nurse terminal when needed;
and when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, sending an alarm signal to the corresponding doctor terminal or/and nurse terminal.
The invention has the beneficial effects that: the process management system for the dialysis patient can improve the safety of the dialysis process and prevent serious consequences.
In a use scene of the invention, the invention can strictly monitor various vital signs and dialysis parameters in the dialysis process, and early warning, reminding and processing are realized; the invention changes the traditional passive intervention into active intervention, thereby ensuring the safety of dialysis treatment.
Drawings
FIG. 1 is a block diagram of a process management system for dialysis patients according to an embodiment of the present invention.
Fig. 2 is a schematic diagram illustrating a server of the process management system according to an embodiment of the present invention.
Fig. 3 is a schematic diagram illustrating a server of the process management system according to an embodiment of the present invention.
Detailed Description
Preferred embodiments of the present invention will be described in detail below with reference to the accompanying drawings.
For a further understanding of the invention, reference will now be made to the preferred embodiments of the invention by way of example, and it is to be understood that the description is intended to further illustrate features and advantages of the invention, and not to limit the scope of the claims.
The description in this section is for several exemplary embodiments only, and the present invention is not limited only to the scope of the embodiments described. It is within the scope of the present disclosure and protection that the same or similar prior art means and some features of the embodiments may be interchanged.
The present invention discloses a process management system for dialysis patients, and fig. 1 is a schematic diagram of a process management system for dialysis patients according to an embodiment of the present invention; referring to fig. 1, in an embodiment of the present invention, the process management system includes: the medical system comprises a server 1, a plurality of patient terminals 3, a plurality of doctor terminals 5 and a plurality of nurse terminals 7, wherein the server 1 is respectively connected with each patient terminal 3, each doctor terminal 5 and each nurse terminal 7.
The main doctor can receive the information through the doctor terminal 5 and can send a specific medical advice scheme to the corresponding nurse terminal 7 through the doctor terminal 5 on the system interface for the responsibility nurse to execute; the responsibility nurse can receive a specific medical advice scheme through the nurse terminal 7 and execute the medical advice; the nurse terminal 7 can remotely talk with the corresponding doctor terminal.
FIG. 2 is a schematic diagram of a server of the process management system according to an embodiment of the present invention; referring to fig. 2, in an embodiment of the present invention, the server 1 includes a patient basic information obtaining module 101, a patient physiological information real-time monitoring module 103, an abnormality determining module 105, an information receiving module 107, a received information processing module 109, and an information sending module 111.
The patient basic information acquisition module 101 is used for acquiring basic information of a patient; the patient physiological information real-time monitoring module 103 is used for acquiring physiological information of a patient in real time; the abnormality determining module 105 is configured to determine whether there is an abnormality according to the information monitored by the patient physiological information real-time monitoring module, and if the abnormality occurs, generate abnormal information.
The information receiving module 107 is configured to receive information sent by each patient terminal 3, each doctor terminal 5, and each nurse terminal 7. The received information processing module 109 is configured to send information to a terminal of an addressee corresponding to the information according to the information received by the information receiving module 107; and meanwhile, identifying the information type, and sending the received information to more corresponding terminals according to the information type. The information sending module 111 is used for sending the setting information to the corresponding patient terminal 3 or/and the corresponding doctor terminal 5 or/and the corresponding nurse terminal 7.
In an embodiment of the present invention, the real-time monitoring module 103 for physiological information of a patient includes a blood pressure obtaining unit 1031, which is used to obtain blood pressure information of the patient. The blood pressure acquisition unit can acquire data from a portable electronic sphygmomanometer of a patient (data are transmitted in a wireless communication mode), and can be carried by the patient; the electronic sphygmomanometer can set a reminding mechanism and send reminding information according to a set time interval, so that a patient can conveniently measure in time.
In an embodiment of the present invention, the server 1 includes a control command generating module 121, configured to generate a control command corresponding to the dialysis terminal 9 according to the blood pressure information obtained by the real-time monitoring module 103 for the patient physiological information when the patient performs dialysis. If the blood pressure of the patient is high, generating a control signal for controlling the dialysis terminal 9 to give ultrafiltration with increased set volume; when the patient is thrown in the hypertensive state after the first set time has elapsed, a second warning signal is generated to the set doctor terminal 5 or/and the nurse terminal 7. If the blood pressure of the patient is hypotension, generating a control signal for controlling the dialysis terminal 9 to stop ultrafiltration and quickly supplement normal saline, and after a set second time, if the blood pressure is normal, generating a control signal for controlling the dialysis terminal 9 to recover ultrafiltration; if the blood pressure does not meet the setting requirement, a third warning signal is generated to the setting doctor terminal 5 or/and the nurse terminal 7.
In an embodiment of the present invention, the patient terminal 3 is provided with a remote alarm button 301 for sending an alarm signal to the setting nurse terminal 7 or/and the doctor terminal 5. The server 1 comprises a control command generating module 121 for generating a control command for the dialysis terminal 9 according to a signal sent by the patient during dialysis. If the information sent by the patient terminal 3 through the remote alarm key is mild discomfort, the control command generating module 121 generates a control signal for controlling the corresponding dialysis terminal 9 to reduce the flow rate; if the information sent by the patient terminal 3 through the remote alarm key 301 is severe discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal 9 to stop ultrafiltration.
In an embodiment of the present invention, the process management system further includes at least one camera 11 and at least one voice acquiring device 13, the camera 11 can be set toward the face position of the patient to acquire facial expressions of the patient, and the voice acquiring device 13 is used to acquire voice information of the patient.
FIG. 3 is a schematic diagram of a server of the process management system according to an embodiment of the present invention; referring to fig. 3, in an embodiment of the present invention, the server includes: a database module 123, a patient expression recognition module 125, a voice recognition module 127, and a control command generation module 121.
The database module 123 is used for storing image information of a set patient, each image information corresponds to an expression category of the patient, and the expression categories include normal expressions and uncomfortable expressions.
The patient expression recognition module 125 is configured to determine whether the expression of the patient belongs to a normal expression according to the patient face information acquired by the camera device; the patient expression recognition module compares the set image information acquired by the camera device in real time with the set image information of the patient in the database module to obtain whether the expression of the patient is normal or not; and if the expression of the patient is found to be uncomfortable, judging that the set condition with potential harm exists in the dialysis process of the patient.
The voice recognition module 127 is configured to recognize the voice information acquired by the voice acquisition device, recognize whether there is a voice set to indicate discomfort, and send an alarm signal to the control command generation module 121 if there is a voice set to indicate discomfort.
The control command generating module 121 is configured to generate a control command corresponding to the dialysis terminal according to the judgment result of the patient expression recognizing module; if the expression of the patient is uncomfortable, generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; if the expression of the patient is normal after the ultrafiltration is stopped, generating a control signal for controlling the dialysis terminal to recover the dialysis; the control command generation module is also used for generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration according to the warning signal which is fed back by the voice recognition module and is uncomfortable to the user.
In an embodiment of the present invention, the patient terminal 3 includes a first wireless communication module, and the patient terminal 3 can wirelessly communicate with the corresponding dialysis equipment 9 through the first wireless communication module 303 to send the setting control signal received from the server to the dialysis equipment 9.
In an embodiment of the present invention, the real-time monitoring module 103 for physiological information of a patient includes a heart rate obtaining unit, which is configured to obtain heart rate information of the patient (which can obtain heart rate data of the patient by communicating with an electronic heart rate meter worn by the patient). The server 1 is used for generating a control signal sent to a corresponding dialysis terminal according to the heart rate information of the patient obtained by the heart rate obtaining unit, and sending an alarm signal to a corresponding doctor terminal or/and a nurse terminal when needed; when the heart rate of the patient acquired by the heart rate acquiring unit 1033 is greater than 100 times/minute or less than 60 times/minute, an alarm signal is sent to the corresponding doctor terminal or/and nurse terminal.
In conclusion, the process management system for dialysis patients provided by the invention can improve the safety of the dialysis process and prevent serious consequences. In a use scene of the invention, the invention can strictly monitor various vital signs and dialysis parameters in the dialysis process, and early warning, reminding and processing are realized; the invention changes the traditional passive intervention into active intervention, thereby ensuring the safety of dialysis treatment.
The description and applications of the invention herein are illustrative and are not intended to limit the scope of the invention to the embodiments described above. Variations and modifications of the embodiments disclosed herein are possible, and alternative and equivalent various components of the embodiments will be apparent to those skilled in the art. It will be clear to those skilled in the art that the present invention may be embodied in other forms, structures, arrangements, proportions, and with other components, materials, and parts, without departing from the spirit or essential characteristics thereof. Other variations and modifications of the embodiments disclosed herein may be made without departing from the scope and spirit of the invention.

Claims (10)

1. A procedure management system for dialysis patients, the procedure management system comprising: the system comprises a server, a plurality of patient terminals, a plurality of doctor terminals and a plurality of nurse terminals, wherein the server is respectively connected with each patient terminal, each doctor terminal and each nurse terminal;
the main doctor can receive the information through the doctor terminal and can send a specific doctor order scheme to the corresponding nurse terminal through the doctor terminal on the system interface for the responsibility nurse to execute;
the responsibility nurse can receive a specific medical advice scheme through the nurse terminal and execute the medical advice; the nurse terminal can remotely talk with the corresponding doctor terminal;
the patient physiological information real-time monitoring module comprises a blood pressure acquisition unit, and the blood pressure acquisition unit is used for acquiring blood pressure information of a patient; the patient terminal is provided with a remote alarm key used for sending an alarm signal to a set nurse terminal or/and a set doctor terminal;
the flow management system further comprises at least one camera device and at least one voice acquisition device, wherein the camera device can be arranged towards the face position of the patient and used for acquiring the facial expression of the patient, and the voice acquisition device is used for acquiring the voice information of the patient;
the server includes: the system comprises a patient basic information acquisition module, a patient physiological information real-time monitoring module, an abnormality judgment module, an information receiving module, a received information processing module, a database module, a patient expression recognition module, a voice recognition module, a control command generation module and an information sending module;
the patient basic information acquisition module is used for acquiring basic information of a patient;
the patient physiological information real-time monitoring module is used for acquiring physiological information of a patient in real time;
the abnormality judgment module is used for judging whether abnormality exists according to the information monitored by the patient physiological information real-time monitoring module, and if the abnormality exists, generating abnormal information;
the information receiving module is used for receiving information sent by each patient terminal, each doctor terminal and each nurse terminal;
the received information processing module is used for sending information to the terminal of the addressee corresponding to the information according to the information received by the information receiving module; meanwhile, identifying the information category, and sending the received information to more corresponding terminals according to the information category;
the information sending module is used for sending the setting information to a corresponding patient terminal or/and a corresponding doctor terminal or/and a corresponding nurse terminal;
the control command generation module is used for generating a control command corresponding to the dialysis terminal according to the blood pressure information acquired by the patient physiological information real-time monitoring module when a patient is dialyzed; if the blood pressure of the patient belongs to hypertension, generating a control signal for controlling the dialysis terminal to give ultrafiltration with increased set volume; if the patient throws the patient in the hypertension state after the first time is set, generating a second warning signal to a set doctor terminal or/and a set nurse terminal; if the blood pressure of the patient is hypotension, generating a control signal for controlling the dialysis terminal to stop ultrafiltration and quickly supplement normal saline, and after a set second time, if the blood pressure is normal, generating a control signal for controlling the dialysis terminal to recover ultrafiltration; if the blood pressure still does not meet the setting requirement, generating a third warning signal to a set doctor terminal or/and a set nurse terminal;
the control command generation module is used for generating a control command corresponding to the dialysis terminal according to a signal sent by a patient during dialysis of the patient; if the information sent by the patient terminal through the remote alarm key is mild discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal to reduce the flow rate; if the information sent by the patient terminal through the remote alarm key is severe discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration;
the database module is used for storing image information of a set patient, each image information corresponds to one expression category of the patient, and the expression categories comprise normal expressions and uncomfortable expressions;
the patient expression recognition module is used for judging whether the expression of the patient belongs to a normal expression or not according to the patient face information acquired by the camera device; the patient expression recognition module compares the set image information acquired by the camera device in real time with the set image information of the patient in the database module to obtain whether the expression of the patient is normal or not; if the expression of the patient is found to be uncomfortable, judging that the set condition with potential harm exists in the dialysis process of the patient;
the voice recognition module recognizes the voice information acquired by the voice acquisition device, recognizes whether a voice which is set to represent discomfort exists, and sends an alarm signal to the control command generation module if the voice information exists;
the control command generation module is used for generating a control command corresponding to the dialysis terminal according to the judgment result of the patient expression recognition module; if the expression of the patient is uncomfortable, generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; if the expression of the patient is normal after the ultrafiltration is stopped, generating a control signal for controlling the dialysis terminal to recover the dialysis; the control command generation module is also used for generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration according to the warning signal of the user discomfort fed back by the voice recognition module;
the patient terminal comprises a first wireless communication module, can be in wireless communication with corresponding dialysis equipment through the first wireless communication module, and sends the received set control signal from the server to the dialysis equipment;
the real-time monitoring module for the physiological information of the patient comprises a heart rate acquisition unit, wherein the heart rate acquisition unit is used for acquiring the heart rate information of the patient; the server is used for generating a control signal sent to the corresponding dialysis terminal according to the heart rate information of the patient obtained by the heart rate obtaining unit and sending an alarm signal to the corresponding doctor terminal or/and nurse terminal when needed; and when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, sending an alarm signal to the corresponding doctor terminal or/and nurse terminal.
2. A procedure management system for dialysis patients, the procedure management system comprising: the system comprises a server, a plurality of patient terminals, a plurality of doctor terminals and a plurality of nurse terminals, wherein the server is respectively connected with each patient terminal, each doctor terminal and each nurse terminal;
the server includes:
the patient basic information acquisition module is used for acquiring basic information of a patient;
the patient physiological information real-time monitoring module is used for acquiring the physiological information of the patient in real time;
the abnormality judgment module is used for judging whether abnormality exists according to the information monitored by the patient physiological information real-time monitoring module, and if the abnormality exists, generating abnormal information;
the information receiving module is used for receiving information sent by each patient terminal, each doctor terminal and each nurse terminal;
the received information processing module is used for sending the information to the terminal of the addressee corresponding to the information according to the information received by the information receiving module; meanwhile, identifying the information category, and sending the received information to more corresponding terminals according to the information category;
and the information sending module is used for sending the setting information to the corresponding patient terminal or/and the corresponding doctor terminal or/and the corresponding nurse terminal.
3. The procedure management system for dialysis patients according to claim 2, characterized in that:
the patient physiological information real-time monitoring module comprises a blood pressure obtaining unit, and the blood pressure obtaining unit is used for obtaining blood pressure information of a patient.
4. The procedure management system for dialysis patients according to claim 3, wherein:
the server includes: the control command generation module is used for generating a control command corresponding to the dialysis terminal according to the blood pressure information acquired by the patient physiological information real-time monitoring module when a patient is dialyzed;
if the blood pressure of the patient belongs to hypertension, generating a control signal for controlling the dialysis terminal to give ultrafiltration with increased set volume; if the patient throws the patient in the hypertension state after the first time is set, generating a second warning signal to a set doctor terminal or/and a set nurse terminal;
if the blood pressure of the patient is hypotension, generating a control signal for controlling the dialysis terminal to stop ultrafiltration and quickly supplement normal saline, and after a set second time, if the blood pressure is normal, generating a control signal for controlling the dialysis terminal to recover ultrafiltration; and if the blood pressure still does not meet the setting requirement, generating a third warning signal to the setting doctor terminal or/and the nurse terminal.
5. The procedure management system for dialysis patients according to claim 2, characterized in that:
the patient terminal is provided with a remote alarm key for sending an alarm signal to a set nurse terminal or/and a doctor terminal.
6. The procedure management system for dialysis patients according to claim 5, wherein:
the server includes: the control command generation module is used for generating a control command corresponding to the dialysis terminal according to a signal sent by a patient during dialysis of the patient;
if the information sent by the patient terminal through the remote alarm key is mild discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal to reduce the flow rate;
and if the information sent by the patient terminal through the remote alarm key is severe discomfort, the control command generation module generates a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration.
7. The procedure management system for dialysis patients according to claim 2, characterized in that:
the flow management system further comprises at least one camera device and at least one voice acquisition device, wherein the camera device can be arranged towards the face position of the patient and used for acquiring the facial expression of the patient, and the voice acquisition device is used for acquiring the voice information of the patient.
8. The procedure management system for dialysis patients according to claim 7, wherein:
the server includes:
the database module is used for storing image information of a set patient, each image information corresponds to one expression category of the patient, and the expression categories comprise normal expressions and uncomfortable expressions;
the patient expression recognition module is used for judging whether the expression of the patient belongs to a normal expression or not according to the patient face information acquired by the camera device; the patient expression recognition module compares the set image information acquired by the camera device in real time with the set image information of the patient in the database module to obtain whether the expression of the patient is normal or not; if the expression of the patient is found to be uncomfortable, judging that the set condition with potential harm exists in the dialysis process of the patient;
the voice recognition module is used for recognizing the voice information acquired by the voice acquisition device, recognizing whether a voice which is set to represent discomfort exists or not, and if so, sending an alarm signal to the control command generation module; and
the control command generation module is used for generating a control command corresponding to the dialysis terminal according to the judgment result of the patient expression recognition module; if the expression of the patient is uncomfortable, generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; if the expression of the patient is normal after the ultrafiltration is stopped, generating a control signal for controlling the dialysis terminal to recover the dialysis; the control command generation module is also used for generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration according to the warning signal which is fed back by the voice recognition module and is uncomfortable to the user.
9. The procedure management system for dialysis patients according to any one of claims 4 to 8, wherein:
the patient terminal comprises a first wireless communication module, the patient terminal can be in wireless communication with the corresponding dialysis equipment through the first wireless communication module, and received setting control signals from the server are sent to the dialysis equipment.
10. The procedure management system for dialysis patients according to claim 2, characterized in that:
the real-time monitoring module for the physiological information of the patient comprises a heart rate acquisition unit, wherein the heart rate acquisition unit is used for acquiring the heart rate information of the patient;
the server is used for generating a control signal sent to the corresponding dialysis terminal according to the heart rate information of the patient obtained by the heart rate obtaining unit and sending an alarm signal to the corresponding doctor terminal or/and nurse terminal when needed;
and when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, sending an alarm signal to the corresponding doctor terminal or/and nurse terminal.
CN202011644194.0A 2020-12-31 2020-12-31 Procedure management system for dialysis patients Pending CN112843363A (en)

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