CN116646044A - Active management method and system for tumor patients based on WeChat ecological cycle - Google Patents
Active management method and system for tumor patients based on WeChat ecological cycle Download PDFInfo
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Abstract
An active management method for tumor patients based on WeChat ecological circles comprises a medical record forming process, an interaction process and a decision process; the medical record forming process comprises the following steps: s1: uploading information to a tumor patient management system by a patient; s2: the acquisition module acquires the information uploaded by the patient, and screens and formats the information; s3: storing the formatted information data to form a diagnosis and treatment medical record; the interaction process comprises the following steps: t1: establishing a contact channel between ports; t2: the ports are communicated with each other; the decision process comprises the following steps: e1: acquiring information of medical records; e2: selecting a decision model according to a decision purpose; e3: forming decision-making auxiliary opinion at the diagnosis and treatment end; e4: and after checking, the operator at the diagnosis and treatment end sends the result to the inquiry end. The medical records of a plurality of different hospitals can be formed into one medical record.
Description
Technical Field
The invention relates to the technical field of medical management, in particular to an active management method and system for tumor patients based on a WeChat ecological circle.
Background
Tumor diseases are major disease types that endanger public health safety of humans, and have become serious factors endangering human health, cancer is newly diagnosed by 1930 tens of thousands of people worldwide in 2020, and nearly 1000 tens of thousands of people die; every 5 people have 1 person who will have cancer during their lifetime; 1 out of every 8 men and every 11 women will die from cancer; the number of survival is about 5060 ten thousand 5 years after cancer diagnosis. With the development of science and technology, medical services, and the improvement of social health consciousness, the five-year survival time of tumor patients is gradually prolonged.
Currently, tumor disease has been defined by the world health organization as a chronic disease, and tumor diagnosis is a lengthy process. Since tumor patients mostly lack corresponding recuperation knowledge, medical resources are required to be sought, and in the long diagnosis and treatment process, part of requirements are simple, and the flow of off-line medical treatment will cause the contradiction between the scarcity of the medical resources and the medical requirements to be more prominent.
Therefore, when the tumor can not be radically cured, the disease can keep better life quality, and the method has important significance.
Disclosure of Invention
The invention aims to provide an active management method and system for tumor patients based on a WeChat ecological circle, and the method and the system can provide medical care services in multiple aspects, all directions and all processes for the tumor patients.
In order to achieve the above purpose, the present invention provides the following technical solutions.
The method is characterized by comprising a medical record forming process, an interaction process and a decision process; the medical record forming process comprises the following steps: s1: uploading information to a tumor patient management system by a patient; s2: the acquisition module acquires the information uploaded by the patient, and screens and formats the information; s3: storing the formatted information data to form a diagnosis and treatment medical record; the interaction process comprises the following steps: t1: establishing a contact channel between ports; t2: the ports are communicated with each other; the decision process comprises the following steps: e1: acquiring information of medical records; e2: selecting a decision model according to a decision purpose; e3: forming decision-making auxiliary opinion at the diagnosis and treatment end; e4: and after checking, the operator at the diagnosis and treatment end sends the result to the inquiry end. Medical records of hospitals are managed independently among different hospitals, diagnosis and treatment information (medical record information) among different hospitals cannot be checked on the same platform, patients often have the condition of visiting a doctor or the condition of changing the hospital, at the moment, a management system among different hospitals cannot acquire comprehensive diagnosis and treatment information, follow-up diagnosis and treatment work is not facilitated, or patients can be subjected to repeated examination without more defects. Under the technical scheme, the patient can upload information to the tumor patient management system by himself/herself, and the patient can upload diagnosis and treatment information of different hospitals to the tumor patient management system at the same time, so that the characteristic that medical records of different hospitals are mutually independent is effectively solved.
With reference to the first aspect, in a first possible embodiment of the first aspect, the medical record forming process further includes the steps of: p1: the acquisition module automatically identifies and acquires information related to diagnosis and treatment conditions, which is sent by a consultation terminal in the interaction process; p2: screening and formatting information acquired in the interaction process; p3: and storing the formatted information data to form a diagnosis and treatment medical record. The applicant finds that many times, uploading data by the patient can lead to failure in uploading part of the data in time, doctors can miss the record of symptoms and self-description matters of part of the patient, so that the diagnosis and treatment medical record is incomplete, however, the patient usually exchanges diagnosis and treatment information and supplements the diagnosis and treatment information in the process of exchanging with the doctor or the patient, in the embodiment, the applicant fully considers the problem of missing uploading materials, so that the diagnosis and treatment information related in the interaction process is automatically identified and collected, and the diagnosis and treatment medical record with more complete diagnosis and treatment medical record is formed.
With reference to the first embodiment of the first aspect, in a second possible embodiment of the first aspect, in the step P2, formatting the information collected in the interaction process includes marking the information, and when the tag type includes the description information and the medical record information, and the same type of information of the formatted information includes the conflicting description information and medical record information, the medical record information is stored as effective information. In the diagnosis and treatment information described by the patient, the patient cannot accurately express the information, and even the situation that the expression is wrong due to the fact that the concepts with completely different meanings are mixed easily sometimes happens, so in the embodiment, the information is divided into the description information and the medical record information, the objectivity is better, the files formed by the hospital are used as the medical record information, the medical record information is used as the standard when the medical record information is in conflict, and the diagnosis and treatment medical record can be more scientific.
With reference to the second embodiment of the first aspect, in a third possible embodiment of the first aspect, if there is a conflict between the narration information and the narration information, the conflict situation is sent to the inquiry terminal, and the inquiry terminal user is required to confirm; and if the medical record information conflicts with the medical record information, the conflict situation is sent to the diagnosis and treatment end for the user of the diagnosis and treatment end to refer to. In this embodiment, when the description information conflicts with the description information, the user is given confirmation to avoid inaccurate medical records diagnosis and treatment caused by misstatement and other reasons, and meanwhile, the medical records information conflicts are informed to the diagnosis and treatment end, so that medical staff can further make corresponding suggestions, such as rechecking and the like, and the medical records diagnosis and treatment are more scientific.
With reference to the first aspect, in a fourth possible embodiment of the first aspect, the information stored in the medical record includes basic information and illness state information, and the illness state information includes fixed information and time dimension information. Tumor patients have a lengthy diagnosis and treatment process, and corresponding disease information is inconsistent at different stages. In this embodiment, the information of the medical record of diagnosis and treatment according to the tumor is stored according to the time dimension, which is favorable for reflecting the whole process of diagnosis and treatment of the tumor.
With reference to the fourth embodiment of the first aspect, in a fifth possible embodiment of the first aspect, the decision model includes a tumor management model, a combined disease management model, a complications management model; screening of the medical record forming process determines the information relevance acquired by the acquisition module according to the decision model. In this embodiment, the active management method of tumor patients based on the WeChat ecological cycle considers the specific types of tumors, corresponding combined diseases, complications and the like, and manages the tumor patients as a whole, which is more scientific.
With reference to the fifth embodiment of the first aspect, in a sixth possible embodiment of the first aspect, a feedback process is included, where the feedback process includes the following steps: f1: formatting unassociated information screened and determined in the medical record forming process, and storing and forming feedback information; f2: performing cluster analysis on the feedback information; f3: the analysis result can be fed back to the diagnosis and treatment end. In this embodiment, the information which is considered as irrelevant at the present stage is stored and subjected to cluster analysis, so that the corresponding tumor diseases can be further recognized, and new relevant factors can be found to be used as the further improvement direction of tumor disease diagnosis and treatment.
With reference to the second embodiment of the first aspect, in a seventh possible embodiment of the first aspect, a pairing process is included, where the pairing process includes the steps of: z1: acquiring information of a tracked patient, including tumor type, initial tumor stage, current tumor stage, symptoms, confusion and symptomology, and treatment period; z2: judging and marking the diagnosis and treatment effect of the patient according to the tumor effect model; z3: the user with better diagnosis and treatment effect is inquired in a pair intention way; z4: defining a patient which is a patient and willing to be paired and has better diagnosis and treatment effects as an assisting patient, comparing diagnosis and treatment information of the assisting patient with diagnosis and treatment information of other patient information, and acquiring port information of the assisted patient which has similar early symptoms but does not acquire good diagnosis and treatment effects; z5: an interaction path is formed between the assisted patient and the assisted patient, and an interaction process can be performed. The applicant finds that, through research, one key of having an important influence on the diagnosis and treatment effect of a tumor patient is that the mood and feeling of the tumor patient cannot be accurately sensed by family members of the tumor patient, an effective positive influence cannot be formed on the mood of the tumor patient, and the mood adjustment of the tumor patient is often dependent on the doctor due to limited contact time, so that the effect is difficult to ensure.
With reference to the seventh embodiment of the first aspect, in an eighth possible embodiment of the first aspect, the interaction procedure includes a filtering step, the filtering step examines the communication content between the assisted patient and the assisted patient, limits the communication content with part of the reverse guiding function, and may cancel the interaction path. In this embodiment, the assistance patient is considered to have a better diagnosis and treatment effect, but is limited to not being specially trained, so that the content with a negative effect is sent in the pairing communication process, and the filtering step can effectively filter the related content, so that the positive effect of the pairing is maintained and the negative effect is reduced.
In a second aspect, an active management system for tumor patients based on a micro-ecological ring adopts the active management method for tumor patients based on the micro-ecological ring.
Drawings
Fig. 1 is a flow chart of an active management method of tumor patients based on a WeChat ecological cycle.
Detailed Description
Fig. 1 illustrates an active management method of tumor patients based on a WeChat ecological cycle, which comprises a medical record forming process, an interaction process, a decision process, a feedback process and a pairing process.
The medical record forming process comprises the following S process step and P process step.
The S process comprises the steps of:
s1: uploading information to a WeChat tumor patient management system by a patient; such as discharge nodules, inspection reports, imaging reports, pathology reports, outpatient medical records, etc. that the patient actively uploads via WeChat.
S2: the acquisition module acquires the information uploaded by the patient and screens and formats the information. The acquisition process may be performed using a virtual medical Bot. The medical Bot can also set up and put in questionnaires, scientific popularization, scales and the like at regular time and orientation according to the background, and label labeling is carried out on patients. The medical Bot robot may be based on a WeChat tool.
S3: and storing the formatted information data to form a diagnosis and treatment medical record.
The P process comprises the steps of:
p1: the acquisition module automatically identifies and acquires information related to diagnosis and treatment conditions, which is sent by a consultation terminal in the interaction process; such as WeChat 1V 1/Community communication text information (WeChat, friend circle text), picture information uploaded during patient WeChat communication, active follow-up voice information (WeChat voice, telephone voice). Likewise, the acquisition process may employ a virtual Bot robot acquisition based on WeChat.
P2: screening and formatting information acquired in the WeChat interaction process; formatting information acquired in the WeChat interaction process comprises marking the information, wherein the label type comprises description information and medical record information, and when the same type of information of the formatted information comprises conflicting description information and medical record information, the medical record information is stored as effective information; the narration information and the narration information collide, the collision condition is sent to the inquiry terminal, and the inquiry terminal user is required to confirm; and if the medical record information conflicts with the medical record information, the conflict situation is sent to the diagnosis and treatment end for the user of the diagnosis and treatment end to refer to.
P3: and storing the formatted information data to form a diagnosis and treatment medical record.
The information stored in the medical record comprises basic information and illness state information, wherein the illness state information comprises fixed information and time dimension information. For example, the basic information includes name, gender, date of birth, contact, type of medical insurance; the disease information comprises primary diagnosis diseases, combined diseases, complications, date of primary diagnosis disease diagnosis, gene detection results, immune typing and the like; the time dimension information includes a hospital visit, an attending physician, a time of visit, a treatment regimen, an examination report, a treatment effect, a next treatment plan, etc. The granularity of different information is constrained by presentation forms, such as blood routine, liver and kidney functions, MRD and the like report through curve display of time dimension.
Screening of the medical record forming process determines the information relevance acquired by the acquisition module according to the decision model.
The interaction process comprises the following steps:
t1: and establishing a contact channel between the WeChat port and the WeChat port.
T2: and the micro-communication port communicates with the micro-communication port.
The WeChat port comprises a diagnosis and treatment end and a consultation end. The WeChat port where the patient or the family member of the patient is located is called a consultation terminal, and the WeChat port where the doctor or the medical server is located is called a diagnosis terminal.
The interaction process comprises a filtering step, wherein the filtering step is used for auditing WeChat communication contents between the aided patient and the aided patient, limiting part of communication contents with reverse guiding function and canceling the WeChat interaction path.
The decision process comprises the following steps:
e1: and acquiring information of WeChat diagnosis and treatment medical record.
E2: selecting a decision model according to a decision purpose; the decision model includes a tumor management model, a combined disease management model, and a complications management model.
Taking a complication management model as an example, cancer pain, chest/ascites, infection, spinal cord compression, metabolic disorder (hypercalcemia, hypoglycemia), kidney injury, hemorrhage, etc.; the tumor complication management model contains complication identification and coping advice. For example, wang XX, male, 62 years old, lung cancer, recently developed pain in the right lower limb. And (3) outputting: pain scale score: and 6 minutes. Complications identification advice: the leg pain of lung cancer is characterized by persistent pain and exacerbation of night pain. Bone metastasis of lung cancer is considered for leg pain. If pain is located at the leg joints, it is a pulmonary osteoarthropathy that may be considered to be caused by lung cancer. A bone scan test can be performed to verify whether bone metastases are caused, and if so, treatment in accordance with the bone metastases is required. If the examination is not bone metastasis, it is considered to be pulmonary-derived osteoarthropathy. The following should be suggested: (1) bone scanning clearly identifies the cause of pain; (2) etiology treatment: surgery, radiation therapy or chemotherapy, etc. (3) analgesic drug treatment: the non-steroidal anti-inflammatory drugs or opioid drugs are required to be administered under the direction of doctors (4) the non-drug treatment method mainly comprises the following steps: minimally invasive intervention therapy, physical therapy such as acupuncture and moxibustion, percutaneous electrical stimulation, and the like, cognition-behavior training, and psychosocial support therapy.
E3: and forming decision-making auxiliary opinion at the WeChat diagnosis and treatment end.
E4: and after checking, the operator of the WeChat diagnosis and treatment end sends the result to the WeChat inquiry end.
The pairing process comprises the following steps:
z1: acquiring information of a tracked patient, including tumor type, initial tumor stage, current tumor stage, symptoms, confusion and symptomology, and treatment period;
z2: judging and marking the diagnosis and treatment effect of the patient according to the tumor effect model;
z3: the users with better diagnosis and treatment effects are inquired in a pair of intention through WeChat;
z4: defining a patient which is a patient and willing to be paired and has better diagnosis and treatment effects as an assisting patient, comparing diagnosis and treatment information of the assisting patient with diagnosis and treatment information of other patient information, and acquiring port information of the assisted patient which has similar early symptoms but does not acquire good diagnosis and treatment effects;
z5: an interaction path is formed between the assisted patient and the assisted patient, and an interaction process can be performed. Such as sharing diaries, anti-cancer stories and cardiac histories through which to influence and encourage more companion patients. The interaction approach is mainly to establish a WeChat connection channel.
The feedback process comprises the following steps:
f1: formatting unassociated information screened and determined in the medical record forming process, and storing and forming feedback information;
f2: performing cluster analysis on the feedback information;
f3: the analysis result can be fed back to the WeChat diagnosis and treatment end.
By applying the active management method of the tumor patients based on the WeChat ecological ring, a corresponding active management system of the tumor patients based on the WeChat ecological ring can be formed.
By the active management method of tumor patients based on the WeChat ecological cycle of the embodiment, the follow-up review compliance is improved from 60% to 85% for example for patients with endocrine treatment after breast cancer operation; taking multiple myeloma as an example, the administration time of patients 'ib Sha Zuomi +dexamethasone+lenalidomide' is prolonged by 4.5 months, and the behaviors of medicine leakage and irregular medicine taking are greatly reduced.
In this embodiment, the WeChat-based ecological cycle refers to a management method, a management system, etc. refers to a method and a management system based on architecture on a WeChat server, for example, the interaction process is performed by communication through enterprise WeChat 1V1, establishing a WeChat group of a doctor-patient enterprise, performing the WeChat group of the doctor-patient enterprise, etc. Such as marking, may be based on statistically processing time limits for clicking or reading public numbers, video numbers, applets/HS (biosystems ecosphere-based means), etc.
Claims (10)
1. An active management method for tumor patients based on a WeChat ecological circle is characterized by comprising a medical record forming process, an interaction process and a decision process; the medical record forming process comprises the following steps:
s1: uploading information to a tumor patient management system by a patient;
s2: the acquisition module acquires the information uploaded by the patient, and screens and formats the information;
s3: storing the formatted information data to form a diagnosis and treatment medical record;
the interaction process comprises the following steps:
t1: establishing a contact channel between ports;
t2: the ports are communicated with each other;
the decision process comprises the following steps:
e1: acquiring information of medical records;
e2: selecting a decision model according to a decision purpose;
e3: forming decision-making auxiliary opinion at the diagnosis and treatment end;
e4: and after checking, the operator at the diagnosis and treatment end sends the result to the inquiry end.
2. The method for actively managing a tumor patient based on a micro-communication ecological cycle according to claim 1, wherein the medical record forming process further comprises the steps of:
p1: the acquisition module automatically identifies and acquires information related to diagnosis and treatment conditions, which is sent by a consultation terminal in the interaction process;
p2: screening and formatting information acquired in the interaction process;
p3: and storing the formatted information data to form a diagnosis and treatment medical record.
3. The method for actively managing tumor patients based on the WeChat ecological cycle according to claim 2, wherein in the step P2, formatting the information collected in the interaction process includes marking the information, the tag type includes description information and medical record information, and when the same type of information of the formatted information includes conflicting description information and medical record information, the medical record information is stored as effective information.
4. The method for actively managing tumor patients based on the micro-communication ecological cycle according to claim 3, wherein the conflict between the narration information and the narration information is sent to a consultation terminal, and the user of the consultation terminal is required to confirm; and if the medical record information conflicts with the medical record information, the conflict situation is sent to the diagnosis and treatment end for the user of the diagnosis and treatment end to refer to.
5. The method of claim 1, wherein the information stored in the medical record includes basic information and illness state information, and the illness state information includes fixed information and time dimension information.
6. The method for proactive management of a tumor patient based on a micro-ecological cycle according to claim 5, wherein the decision model comprises a tumor management model, a combined disease management model, and a complications management model; screening of the medical record forming process determines the information relevance acquired by the acquisition module according to the decision model.
7. The method for actively managing tumor patients based on a micro-communication ecological cycle according to claim 6, comprising a feedback process, wherein the feedback process comprises the following steps:
f1: formatting unassociated information screened and determined in the medical record forming process, and storing and forming feedback information;
f2: performing cluster analysis on the feedback information;
f3: the analysis result can be fed back to the diagnosis and treatment end.
8. The method for actively managing tumor patients based on a WeChat ecological cycle according to claim 3, wherein the method comprises a pairing process, wherein the pairing process comprises the following steps:
z1: acquiring information of a tracked patient, including tumor type, initial tumor stage, current tumor stage, symptoms, confusion and symptomology, and treatment period;
z2: judging and marking the diagnosis and treatment effect of the patient according to the tumor effect model;
z3: the user with better diagnosis and treatment effect is inquired in a pair intention way;
z4: defining a patient which is a patient and willing to be paired and has better diagnosis and treatment effects as an assisting patient, comparing diagnosis and treatment information of the assisting patient with diagnosis and treatment information of other patient information, and acquiring port information of the assisted patient which has similar early symptoms but does not acquire good diagnosis and treatment effects;
z5: an interaction path is formed between the assisted patient and the assisted patient, and an interaction process can be performed.
9. The method for actively managing tumor patients based on a micro-communication ecological cycle according to claim 8, wherein the interaction process comprises a filtering step, the filtering step examines the communication contents between the assisted patient and the assisted patient, limits the communication contents with part of the reverse guiding function, and can cancel the interaction path.
10. A micro-communication ecological cycle-based active management system for tumor patients, characterized in that the micro-communication ecological cycle-based active management method for tumor patients is adopted according to any one of claims 1-9.
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