CN113673867A - Method and system for evaluating long-term care requirement of old people - Google Patents

Method and system for evaluating long-term care requirement of old people Download PDF

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CN113673867A
CN113673867A CN202110962220.2A CN202110962220A CN113673867A CN 113673867 A CN113673867 A CN 113673867A CN 202110962220 A CN202110962220 A CN 202110962220A CN 113673867 A CN113673867 A CN 113673867A
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渠吉皊
刘永兵
戴明慧
徐勇
侯苹
孙慧平
薛孟欣
唐蕾
陈玉辉
钱琳
吴双
游佳淳
杨若寒
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Abstract

The invention discloses a method and a system for evaluating long-term care requirements of old people, which are characterized by comprising the following steps of: the method comprises the steps that characteristic information of a caregiver and a cared person is collected through a population characteristic collection module; establishing an old-age long-term care demand evaluation index and a care time evaluation index by using an index establishing module based on the characteristic information; evaluating and analyzing the evaluation index of the long-term care requirement of the old and the evaluation index of the care time through an expert function inquiry module, and establishing an evaluation standard system of the long-term care requirement of the old; according to the invention, the evaluation standard system of the long-term care requirement of the old people is established, so that the accuracy of the evaluation of the long-term care requirement of the old people is improved, and the physical health and psychological needs of the old people are met.

Description

Method and system for evaluating long-term care requirement of old people
Technical Field
The invention relates to the technical field, in particular to a method and a system for evaluating long-term care requirements of old people.
Background
In the face of the growing huge old people, medical service and social care resources in China are extremely deficient, and the unmet long-term care requirement brings huge social risks. Investigation has shown that 88% of the elderly tend to be home-based, which is the preferred way for the elderly in our country. The policies of solitary children and the increase of population mobility reduce the family scale, the nursing ability is reduced, and the nursing requirements of the domestic old people in China are short. Research shows that the elderly are easily deceived by the outside because the physical health and psychological needs are not met, so that the physical and psychological health of the elderly (especially the elderly who do not have the ability to compensate the loss) is seriously damaged by economic loss, and the healthy development of families and society is further damaged. At present, China has no unified evaluation on the long-term care needs of the old people, and the problems that the evaluation flow of the long-term care needs of the old people is complicated and the standards are not unified generally exist.
Disclosure of Invention
This section is for the purpose of summarizing some aspects of embodiments of the invention and to briefly introduce some preferred embodiments. In this section, as well as in the abstract and the title of the invention of this application, simplifications or omissions may be made to avoid obscuring the purpose of the section, the abstract and the title, and such simplifications or omissions are not intended to limit the scope of the invention.
The present invention has been made in view of the above-mentioned conventional problems.
Therefore, the invention provides an old people long-term care demand evaluation method, which can solve the problems of complicated old people long-term care demand evaluation flow and non-uniform standard.
In order to solve the technical problems, the invention provides the following technical scheme: the method comprises the steps that characteristic information of a caregiver and a cared person is collected through a population characteristic collection module; establishing an old-age long-term care demand evaluation index and a care time evaluation index by using an index establishing module based on the characteristic information; and assigning and analyzing the evaluation index of the long-term care requirement of the old and the evaluation index of the care time through an expert function inquiry module, and establishing an evaluation standard system of the long-term care requirement of the old.
As a preferable scheme of the method for evaluating the long-term care requirement of the elderly, the method comprises the following steps: the characteristic information comprises the sex, age, education degree, disability time and disability degree of the old; wherein the disability degree comprises mild disability, moderate disability and severe disability; sex, age, education level of the caregiver, and relationship to the caregiver.
As a preferable scheme of the method for evaluating the long-term care requirement of the elderly, the method comprises the following steps: still include, set up the disability index and be: the people cannot eat, wear clothes, take a bath, go to the toilet and move; if the old people reach the disability index of not eating and not dressing, judging the disability degree as the mild disability; if the old people reach the disability index of incapability of independently eating, independently dressing and toileting, judging the disability degree to be the moderate disability; and if the old people reach the disability index of incapability of going to the toilet, moving and bathing, judging the disability degree as the severe disability.
As a preferable scheme of the method for evaluating the long-term care requirement of the elderly, the method comprises the following steps: the index for evaluating the long-term care requirement of the old people comprises a G1 index and a G2 index; the G1 index includes: g1 ═ physical activity, ability to live, mental and cognitive abilities, economic abilities }; constructing the G2 metric based on the G1 metric.
As a preferable scheme of the method for evaluating the long-term care requirement of the elderly, the method comprises the following steps: the nursing time evaluation index comprises a first-level index and a second-level index; the first-level indexes are as follows: daily care time, medical care time, tool daily life care time; the secondary indexes are as follows: t is less than 1h, T is more than or equal to 1h and less than 3h, T is more than or equal to 3h and less than 5h, T is more than or equal to 5h and less than or equal to 7h, and T is more than or equal to 7 h; wherein T is care time.
As a preferable scheme of the method for evaluating the long-term care requirement of the elderly, the method comprises the following steps: the assignment comprises the steps of setting index importance according to the Likert score, and setting the importance degree as follows: extremely unimportant, general, important, extremely important, and assign values respectively: 1, 2, 3, 4, 5; the familiarity degree of the content of the set index is as follows: extremely unfamiliar, less familiar, generally familiar, more familiar, extremely familiar, and are assigned the following values, respectively: 0.2, 0.4, 0.6, 0.8, 1.0; setting indexes to judge the influence degree as follows: no influence and influence are generated, and the values are respectively: 0,0.3.
As a preferable scheme of the method for evaluating the long-term care requirement of the elderly, the method comprises the following steps: the analysis comprises the steps of calculating an authority coefficient, a Kendall cooperation coefficient and a variation coefficient based on assignment setting, screening the G2 index through chi-square test, and establishing the old long-term care demand evaluation standard system.
As a preferable scheme of the system for evaluating the long-term care requirement of the elderly, the system comprises: the system comprises a population characteristic acquisition module, a population characteristic acquisition module and a population characteristic acquisition module, wherein the population characteristic acquisition module is used for acquiring characteristic information of a caregiver and a cared person; the index establishing module is connected with the population characteristic collecting module and is used for establishing an old-aged long-term care demand evaluation index and a care time evaluation index according to the characteristic information; and the expert function inquiry module is connected with the index establishing module and is used for assigning values to the old long-term care requirement evaluation index and the care time evaluation index and establishing an old long-term care requirement evaluation standard system.
The invention has the beneficial effects that: by establishing the old long-term care requirement evaluation standard system, the accuracy of the old long-term care requirement evaluation is improved, and the physical health and psychological needs of the old are met.
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In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on these drawings without inventive exercise. Wherein:
fig. 1 is a schematic block diagram of a system for evaluating a long-term care requirement of an elderly person according to a second embodiment of the present invention;
fig. 2 is a schematic network topology diagram of a method for evaluating a long-term care requirement of an elderly person according to a second embodiment of the present invention.
Detailed Description
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, specific embodiments accompanied with figures are described in detail below, and it is apparent that the described embodiments are a part of the embodiments of the present invention, not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without making creative efforts based on the embodiments of the present invention, shall fall within the protection scope of the present invention.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, but the present invention may be practiced in other ways than those specifically described and will be readily apparent to those of ordinary skill in the art without departing from the spirit of the present invention, and therefore the present invention is not limited to the specific embodiments disclosed below.
Furthermore, reference herein to "one embodiment" or "an embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one implementation of the invention. The appearances of the phrase "in one embodiment" in various places in the specification are not necessarily all referring to the same embodiment, nor are separate or alternative embodiments mutually exclusive of other embodiments.
The present invention will be described in detail with reference to the drawings, wherein the cross-sectional views illustrating the structure of the device are not enlarged partially in general scale for convenience of illustration, and the drawings are only exemplary and should not be construed as limiting the scope of the present invention. In addition, the three-dimensional dimensions of length, width and depth should be included in the actual fabrication.
Meanwhile, in the description of the present invention, it should be noted that the terms "upper, lower, inner and outer" and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of describing the present invention and simplifying the description, but do not indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation and operate, and thus, cannot be construed as limiting the present invention. Furthermore, the terms first, second, or third are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
The terms "mounted, connected and connected" in the present invention are to be understood broadly, unless otherwise explicitly specified or limited, for example: can be fixedly connected, detachably connected or integrally connected; they may be mechanically, electrically, or directly connected, or indirectly connected through intervening media, or may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Example 1
The embodiment provides an old people long-term care demand evaluation method, which comprises the following steps:
s1: the characteristic information of the caregiver and the cared person is collected by the demographic collection module 100.
The collected characteristic information comprises: gender, age, education level, disability time, disability level of the elderly; wherein the disability degree comprises mild disability, moderate disability and severe disability; sex, age, education level of the caregiver, and relationship to the caregiver.
The aged people in this example were 60 years old or older.
Setting a disability index to evaluate a disability degree, wherein the disability index is as follows: no food intake, no dressing (jacket/pants/zipper/shoes/socks), no bathing, no toileting, no mobility (walking/getting on/off bed);
firstly, if the old people reach the disability index of not eating and not dressing, judging the disability degree as mild disability;
secondly, if the old people reach the incapability indexes of incapability of independently eating, independently dressing and leaving the toilet, judging the incapability degree to be moderate incapability;
and thirdly, if the old people reach the disability index of incapability of going to the toilet, moving and bathing, judging the disability degree to be severe disability.
S2: an index establishing module 200 is used for establishing an old people long-term care requirement evaluation index and a care time evaluation index based on the characteristic information.
(1) The index of the long-term care requirement evaluation of the old people comprises a G1 index and a G2 index;
A) the G1 indexes include: g1 ═ physical activity, ability to live, mental and cognitive abilities, economic abilities };
wherein, the physical activity ability includes: hearing, vision, walking ability, standing ability, bathing status, digestive ability, excretory ability (bowel control, urinary control);
secondly, the life ability: food swallowing ability, oral cleaning, shopping, grooming (nail clipping, hair combing);
③ mental and cognitive abilities include: memory, attention, anxiety, depression, autism, mood swings, delusional disorders, making a lie;
fourthly, economic capacity: social support is not needed, and social support is needed;
B) the G2 index is constructed based on the G1 index, and the G2 index specifically comprises ═ hearing, vision, walking ability, standing ability, bathing condition, digestion ability, excretory ability, food swallowing ability, oral cavity cleaning, shopping, modification, telephone use, memory, attention, anxiety, depression, autism, emotional instability, delusional disorder, lying speech, no need for social support, and need for social support }.
(2) The nursing time evaluation index comprises a first-level index and a second-level index;
the first-level indexes are as follows: daily care time, medical care time, tool daily life care time;
wherein the daily care includes eating, dressing, bathing and toileting; the medical care time comprises massage, oxygen therapy, wound dressing and rehabilitation; the daily life of the tool comprises cooking, washing clothes, cleaning, shopping and hospitalizing;
the secondary indexes are as follows: t is less than 1h, T is more than or equal to 1h and less than 3h, T is more than or equal to 3h and less than 5h, T is more than or equal to 5h and less than or equal to 7h, and T is more than or equal to 7 h; wherein T is care time.
S3: the evaluation index of the long-term care requirement of the old people and the evaluation index of the care time are assigned and analyzed through the expert query module 300, and an evaluation standard system of the long-term care requirement of the old people is established.
(1) Assignment of value
And setting the importance of the index according to the Likert score (Likert scale), wherein the importance degree is set as follows: extremely unimportant, general, important, extremely important, and assign values respectively: 1, 2, 3, 4, 5;
the familiarity degree of the content of the set index is as follows: extremely unfamiliar, less familiar, generally familiar, more familiar, extremely familiar, and are assigned the following values, respectively: 0.2, 0.4, 0.6, 0.8, 1.0;
setting indexes to judge the influence degree as follows: no influence and influence are generated, and the values are respectively: 0,0.3.
(2) Analysis of
Because the setting of the index may deviate from the actual situation, the authority coefficient (Cr), the Kendall synergy coefficient (W value) and the variation Coefficient (CV) are calculated based on the assignment setting, and the G2 index is screened through chi-square test to establish the old long-term care demand evaluation standard system.
The higher the authority coefficient is, the higher the authority of the inquiry result is proved; the larger the Kendall synergistic coefficient is, the higher the reliability is; the smaller the variation coefficient is, the higher the coordination degree is, and the screening standard is set as follows: the authority coefficient is more than 0.8, the Kendall synergy coefficient is more than 0.8, the variation coefficient is less than 0.25, and the chi-square test p is less than 0.05.
In the embodiment, expert inquiry is performed 3 times in total, and the system for obtaining the initial evaluation standard of the long-term care requirement of the elderly is shown in the following table.
Table 1: an initial elderly long-term care need assessment standard system.
Figure BDA0003222507520000061
Figure BDA0003222507520000071
The following criteria were excluded according to the results screening criteria of table 1: digestive ability, shopping, modification, anxiety, depression, mood swings, delusions, making a lie; thereby obtaining an evaluation standard system for the long-term care requirement of the old.
Preferably, the evaluation accuracy is improved by setting a screening standard by combining the authority coefficient, the Kendall synergistic coefficient, the variation coefficient and the chi-square test.
Example 2
Referring to fig. 1 to 2, a second embodiment of the present invention, which is different from the first embodiment, provides an elderly long-term care needs assessment system, including,
the population characteristic acquisition module 100 is used for acquiring characteristic information of a caregiver and a care recipient; wherein the characteristic information comprises sex, age, education degree, disability time and disability degree of the old; wherein the disability degree comprises mild disability, moderate disability and severe disability; sex, age, education level of the caregiver, and relationship to the caregiver.
The index establishing module 200 is connected with the population characteristic collecting module 100 and is used for establishing an old people long-term care demand evaluation index and a care time evaluation index according to the characteristic information;
and the expert function inquiry module 300 is connected with the index establishing module 200 and is used for assigning values to the old long-term care requirement evaluation index and the care time evaluation index and establishing a long-term care requirement evaluation standard system of the old.
It should be recognized that embodiments of the present invention can be realized and implemented by computer hardware, a combination of hardware and software, or by computer instructions stored in a non-transitory computer readable memory. The methods may be implemented in a computer program using standard programming techniques, including a non-transitory computer-readable storage medium configured with the computer program, where the storage medium so configured causes a computer to operate in a specific and predefined manner, according to the methods and figures described in the detailed description. Each program may be implemented in a high level procedural or object oriented programming language to communicate with a computer system. However, the program(s) can be implemented in assembly or machine language, if desired. In any case, the language may be a compiled or interpreted language. Furthermore, the program can be run on a programmed application specific integrated circuit for this purpose.
Further, the operations of processes described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The processes described herein (or variations and/or combinations thereof) may be performed under the control of one or more computer systems configured with executable instructions, and may be implemented as code (e.g., executable instructions, one or more computer programs, or one or more applications) collectively executed on one or more processors, by hardware, or combinations thereof. The computer program includes a plurality of instructions executable by one or more processors.
Further, the method may be implemented in any type of computing platform operatively connected to a suitable interface, including but not limited to a personal computer, mini computer, mainframe, workstation, networked or distributed computing environment, separate or integrated computer platform, or in communication with a charged particle tool or other imaging device, and the like. Aspects of the invention may be embodied in machine-readable code stored on a non-transitory storage medium or device, whether removable or integrated into a computing platform, such as a hard disk, optically read and/or write storage medium, RAM, ROM, or the like, such that it may be read by a programmable computer, which when read by the storage medium or device, is operative to configure and operate the computer to perform the procedures described herein. Further, the machine-readable code, or portions thereof, may be transmitted over a wired or wireless network. The invention described herein includes these and other different types of non-transitory computer-readable storage media when such media include instructions or programs that implement the steps described above in conjunction with a microprocessor or other data processor. The invention also includes the computer itself when programmed according to the methods and techniques described herein. A computer program can be applied to input data to perform the functions described herein to transform the input data to generate output data that is stored to non-volatile memory. The output information may also be applied to one or more output devices, such as a display. In a preferred embodiment of the invention, the transformed data represents physical and tangible objects, including particular visual depictions of physical and tangible objects produced on a display.
As used in this application, the terms "component," "module," "system," and the like are intended to refer to a computer-related entity, either hardware, firmware, a combination of hardware and software, or software in execution. For example, a component may be, but is not limited to being: a process running on a processor, an object, an executable, a thread of execution, a program, and/or a computer. By way of example, both an application running on a computing device and the computing device can be a component. One or more components can reside within a process and/or thread of execution and a component can be localized on one computer and/or distributed between two or more computers. In addition, these components can execute from various computer readable media having various data structures thereon. The components may communicate by way of local and/or remote processes such as in accordance with a signal having one or more data packets (e.g., data from one component interacting with another component in a local system, distributed system, and/or across a network such as the internet with other systems by way of the signal).
It should be noted that the above-mentioned embodiments are only for illustrating the technical solutions of the present invention and not for limiting, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications or equivalent substitutions may be made on the technical solutions of the present invention without departing from the spirit and scope of the technical solutions of the present invention, which should be covered by the claims of the present invention.

Claims (8)

1. A method for evaluating the long-term care requirement of the old people is characterized by comprising the following steps: comprises the steps of (a) preparing a mixture of a plurality of raw materials,
collecting characteristic information of a caregiver and a cared person through a population characteristic collecting module (100);
establishing an old age long-term care demand evaluation index and a care time evaluation index by using an index establishing module (200) based on the characteristic information;
and assigning and analyzing the evaluation index of the long-term care requirement of the old and the evaluation index of the care time through an expert function inquiry module (300), and establishing an evaluation standard system of the long-term care requirement of the old.
2. The method for evaluating the need for long-term care of elderly persons according to claim 1, wherein: the characteristic information includes, for example,
gender, age, education level, disability time, disability level of the elderly; wherein the disability degree comprises mild disability, moderate disability and severe disability;
sex, age, education level of the caregiver, and relationship to the caregiver.
3. The method for evaluating the need for long-term care of elderly according to claim 2, wherein: also comprises the following steps of (1) preparing,
setting the incapability index as follows: the people cannot eat, wear clothes, take a bath, go to the toilet and move;
if the old people reach the disability index of not eating and not dressing, judging the disability degree as the mild disability;
if the old people reach the disability index of incapability of independently eating, independently dressing and toileting, judging the disability degree to be the moderate disability;
and if the old people reach the disability index of incapability of going to the toilet, moving and bathing, judging the disability degree as the severe disability.
4. The method for evaluating the need for long-term care of elderly according to claim 1 or 2, wherein: the index for evaluating the long-term care requirement of the old people comprises a G1 index and a G2 index;
the G1 index includes: g1 ═ physical activity, ability to live, mental and cognitive abilities, economic abilities };
constructing the G2 metric based on the G1 metric.
5. The method of assessing need for long-term care of the elderly according to claim 4, wherein: the nursing time evaluation index comprises a first-level index and a second-level index;
the first-level indexes are as follows: daily care time, medical care time, tool daily life care time;
the secondary indexes are as follows: t is less than 1h, T is more than or equal to 1h and less than 3h, T is more than or equal to 3h and less than 5h, T is more than or equal to 5h and less than or equal to 7h, and T is more than or equal to 7 h; wherein T is care time.
6. The method for assessing the need for long-term care for elderly persons according to claim 1 or 5, wherein: the assignment may include a value of one of,
and setting the importance of the index according to the Likert score, wherein the importance degree is set as follows: extremely unimportant, general, important, extremely important, and assign values respectively: 1, 2, 3, 4, 5;
the familiarity degree of the content of the set index is as follows: extremely unfamiliar, less familiar, generally familiar, more familiar, extremely familiar, and are assigned the following values, respectively: 0.2, 0.4, 0.6, 0.8, 1.0;
setting indexes to judge the influence degree as follows: no influence and influence are generated, and the values are respectively: 0,0.3.
7. The method of assessing need for long-term care of the elderly according to claim 6, wherein: the analysis includes the steps of analyzing the data of the object,
and calculating an authority coefficient, a Kendall synergistic coefficient and a variation coefficient based on assignment setting, screening the G2 index through chi-square test, and establishing the old people long-term care demand evaluation standard system.
8. The utility model provides an old age long-term care demand evaluation system which characterized in that: comprises the steps of (a) preparing a mixture of a plurality of raw materials,
the population characteristic acquisition module (100) is used for acquiring characteristic information of the care giver and the care receiver;
the index establishing module (200) is connected with the population characteristic collecting module (100) and is used for establishing an old people long-term care demand evaluation index and a care time evaluation index according to the characteristic information;
and the expert function inquiry module (300) is connected with the index establishing module (200) and is used for assigning values to the old long-term care requirement evaluation index and the care time evaluation index and establishing an old long-term care requirement evaluation standard system.
CN202110962220.2A 2021-08-20 2021-08-20 Method and system for evaluating long-term care requirement of old people Pending CN113673867A (en)

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CN112635059A (en) * 2020-12-24 2021-04-09 浙江质子医疗科技有限公司 Old people care requirement evaluation system and method

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