CN118173285A - Intelligent assessment rehabilitation platform for disabled old people - Google Patents

Abstract

The invention provides an intelligent assessment rehabilitation software platform for disabled persons, and aims to provide customized medical and nursing schemes for disabled persons and semi-disabled persons by combining medical resources. The invention is composed of an information input and evaluation module, a medical service module, a health monitoring module and a patient archive module. The information input and evaluation module is used for collecting health information of a patient, and the algorithm model in the platform is used for judging and early warning an aged individual suffering from the senile disability risk in advance according to the collected information; the medical service module constructs an on-line consultation service channel of doctors, and realizes special treatment for the old people to diagnose difficult and complicated diseases rapidly. The health monitoring module collects relevant information of individuals through the wearable equipment, and uploads the relevant information to the data platform in real time by means of information communication means, and the patient archive module assists decision making and makes more scientific nursing service projects and schemes through holographic views.

Description

A smart assessment and rehabilitation platform for disabled elderly people

Technical Field

The present invention relates to a software platform for intelligent assessment and rehabilitation of disabled elderly people, and in particular to a realization by means of SOA, B/S technology and communication technology.

Background technique

With the acceleration of the aging process in my country, China has become one of the developing countries that entered an aging society earlier. Our country's policies encourage large and medium-sized medical institutions with conditions to open geriatric specialty departments or geriatric clinics, and actively provide special services for the elderly. However, the main task of medical rehabilitation for disabled elderly people is still undertaken by grassroots communities. Since the construction of the medical and nursing integration model system for the elderly in our society is still in its infancy, there are still problems that are not adapted to the new situation, new tasks, and new needs. According to existing literature, there is currently no relevant intelligent software platform to carry out one-to-one services for disabled elderly people, nor is there a software platform that is compatible with the data of disabled elderly people in the data information systems of major hospitals.

In this context, this platform is designed to customize medical and nursing plans for disabled elderly people and semi-disabled elderly people. With the help of contemporary information technology, combined with the hospital's traditional and modern mature health concepts and medical service standards, online consultation, automatic evaluation, medical data visualization and other medical and technical means are realized to improve the quality of life of disabled elderly people and alleviate the social problems caused by population aging.

Summary of the invention

The purpose of the present invention is to monitor and analyze the key information of the body systems of disabled elderly people with the help of SOA, B/S technology and communication technology, and evaluate their ability status in combination with medical data resources, so as to assist in formulating scientific nursing plans, meet the nursing service needs of disabled elderly people, and improve the health level and quality of life of the elderly population.

The platform is divided into four functional modules: information entry and evaluation module, medical service module, health monitoring module and patient archive module.

Information entry and evaluation module:

This module aims to establish an information-based intelligent nursing assessment system, based on the patient's medical records, health status, ability level, mental state and other health data, to derive the ability classification of the elderly, the number of geriatric syndromes and the level of nursing needs. The system then automatically generates rehabilitation treatment measures in four categories: life care, nursing and rehabilitation, psychological care, and traditional Chinese medicine care, to provide scientific rehabilitation treatment plans for disabled elderly people.

Health monitoring module:

This module supports the adaptation of mobile devices and establishes an efficient and accurate data transmission channel with the patient's wearable devices. Through the built-in motion sensors, blood pressure sensors, and temperature sensors of the wearable devices, the patient's movement information, vital signs, and sleep quality are transmitted to the patient's end. With the user's authorization, these data will also be transmitted to the doctor's holographic view of the patient, helping the doctor to understand the patient's health status more accurately.

Medical service module:

The medical service module builds a communication bridge between users and doctors. Users can contact online doctors at any time. Users can communicate with doctors in the form of text conversations or video calls. After obtaining the user's authorization, the doctor can assist the user in completing the patient's assessment and formulating a nursing service project plan.

Patient archive module:

The patient archive module allows doctors to view patients' health records and holographic views with user authorization. This module can help doctors understand patients' health conditions more comprehensively and provide patients with more scientific nursing service plans.

Detailed ways

The platform server will be deployed in the hospital. Accounts with the role of "doctor" can log in to the doctor's end through the PC web page to operate, and accounts with the role of "user" can log in to the patient end through the APP. (Users may be guardians of patients, etc.)

The information entry and evaluation module collects specific data information of elderly patients and integrates it into the ability evaluation system form to evaluate the functions of the patient population. The source of information collected is the existing data system in the hospital or community, such as the electronic medical record system, vital signs monitoring system, and other comprehensive assessment disability tables. The data is integrated into the ability evaluation system by using field fuzzy matching and filling.

The "capacity assessment system" in claim 1 is a set of form assessment systems developed by the existing medical community for the elderly population, which uses multiple mature evaluation forms to comprehensively assess and analyze the health risk factors of the elderly. It mainly includes four dimensions: biological medical history assessment, physical function assessment, mental and psychological assessment, and geriatric syndrome assessment. Through the comprehensive assessment of the scales of each dimension, it is helpful for medical staff and nursing staff to judge the current condition of the elderly suffering from disabling diseases and make recommended measures.

The system's automatic recommendation is implemented by pre-establishing a corresponding disability measure library according to the patient's disability level, and the disability level signal triggers the search for measures in the measure library and returns them.

The health monitoring module is relatively independent from the information entry and evaluation module. In the process of treatment of disabled patients, with the help of smart watches or other wearable PPG devices, photoelectric instruments are used to collect vital signs and convert them into electrical signals to assist in monitoring the heartbeat, pulse, movement and other physical signs of disabled patients, and record physiological health indicators, life status, etc. The monitoring data is synchronized to the patient end using cellular base stations or Internet technology, and with the user's authorization, the monitoring data is synchronized to the patient's holographic view. Remind users of abnormal physical conditions of patients. The ability evaluation system form in the platform is used to determine whether the indicators of the disabled elderly per unit time period meet the set standards. If the model detects an abnormality or fails to meet the standard, the platform will send a prompt message to the caregiver to supplement the nutrients for the disabled elderly or remind them to improve the care measures. The wearable device itself is more of a signal transmitter and receiver. It does not participate in the judgment operation itself, avoiding the shackles of the portability, size and heating problems of wearable devices that limit their computing power.

The medical system module itself implements auxiliary consultation and recommendation functions. It works together with the health monitoring module and is also used in the stage where disabled patients receive treatment and complete at least one disability assessment. Through the disability degree data reflected by the health monitoring module, the corresponding recuperation plan is intelligently formulated. In addition to collecting the vital signs data of disabled elderly people through the health monitoring module, the platform supports the connection of smart nursing beds, especially for completely disabled elderly people. The data collection system of the nursing bed can upload physiological parameters such as blood pressure, blood oxygen, and body temperature to the designated hospital in a timely manner, support the integration of medical resources, and provide patients with health data collection, health prediction, telemedicine and other intelligent services.

The patient archive module allows physicians to view patients' health records and holographic views with user authorization.

In order to make the technical means, creative features, objectives and effects achieved by the present invention easy to understand, the software technical means of the platform are further explained in conjunction with specific implementation methods below.

The entire platform is based on the SOA structure system, which connects the different functional units of the application (called services) through well-defined interfaces and contracts between these services; it adopts the MVC architecture to represent a software architecture model, dividing the software system into three basic parts: model, view and controller; based on XML interface standards; and uses middleware technology to support application software development and system software operation. This design builds an information management platform.

The platform adopts a B/S structured network application, which enables different people to access and operate a common database from different locations using different access methods; it can effectively protect data consistency and manage access rights, solving problems such as slow data timeliness, poor consistency, and difficult system maintenance.

The system in this embodiment is an application system that combines real-time online processing (OLTP) with real-time online analytical processing (OLAP). The characteristics of the two processing modes are completely different. OLTP involves a small amount of data, a short submission processing time, a high request frequency, and consumes relatively few system resources; OLAP is just the opposite, involving a large amount of data, a long online processing time, a low request frequency, and consumes a lot of system resources. In the system deployment, the differences between the two types of processing modes are fully considered, and the currently internationally advanced and mature multi-layer system Microsoft DoNet FrameWork framework technology is adopted to realize the processing of multiple businesses and typical models, and to ensure the operation of key businesses.

The SOA architecture of this embodiment is a component model that connects different functional units of applications (called services) through well-defined interfaces and contracts between these services. The interface is defined in a neutral way and should be independent of the hardware platform, operating system, and programming language that implements the service. This allows services built in a variety of systems to interact in a unified and universal way.

The SOA system is to deploy, combine and use loosely coupled coarse-grained application components in a distributed manner through the network according to needs. The service layer is the foundation of SOA and can be directly called by applications, thereby effectively controlling the human dependencies in the system that interact with software agents.

SOA is a coarse-grained, loosely coupled service architecture, where services communicate through simple, precisely defined interfaces, without involving underlying programming interfaces and communication models. SOA can be seen as a natural extension of the B/S model and XML (a subset of the Standard Generalized Markup Language)/Web Service technology.

SOA will help software engineers understand the development and deployment of various components in the enterprise-level architecture from a new perspective. It will help system architects build the entire business system more quickly, more reliably, and more reusably. Compared with the past, the SOA-based system can face the rapid changes in the business more calmly.

This embodiment adopts the MVC architecture: (Model-View-Controller, Model/View/Controller mode) is used to represent a software architecture mode. It divides the software system into three basic parts: Model, View and Controller. The purpose of the Model/View/Controller mode is to achieve a dynamic program design, simplify the subsequent modification and expansion of the program, and make it possible to reuse a part of the program. In addition, this mode makes the program structure more intuitive by simplifying the complexity.

This embodiment is based on the XML interface standard. In the system, a large amount of information and data exchange is used. It is very necessary to establish a unified interface standard. This interface standard must meet the requirements of generality, standardization, security, and scalability. The secure XML technology combined with PKI technology is a powerful weapon for establishing interface standards.

In this embodiment, middleware is system software that supports the development and operation of application software on top of computer hardware and operating system. It can make application software relatively independent of computer hardware and operating system platform, build a standard platform for today's large-scale distributed applications, combine large and medium-sized distributed systems and technologies, and realize the integration of large and medium-sized application software systems.

The above shows and describes the basic principles and main features of the present invention and the advantages of the present invention. It is obvious to those skilled in the art that the present invention is not limited to the details of the above exemplary embodiments, and the present invention can be implemented in other specific forms without departing from the spirit or basic features of the present invention. Therefore, no matter from which point of view, the embodiments should be regarded as exemplary and non-restrictive. The scope of the present invention is defined by the appended claims rather than the above description, and it is intended that all changes that fall within the meaning and scope of the equivalent elements of the claims are included in the present invention.

In addition, it should be understood that although the present specification is described according to implementation modes, not every implementation mode contains only one independent technical solution. This narrative method of the specification is only for the sake of clarity. Those skilled in the art should regard the specification as a whole. The technical solutions in each embodiment can also be appropriately combined to form other implementation modes that can be understood by those skilled in the art.

Claims (18)

1. A smart assessment and rehabilitation platform for disabled elderly people, the platform consists of (1) information entry and assessment module, (2) medical service module, (3) health monitoring module and (4) patient archive module. 2. The information entry and evaluation module according to claim 1 is characterized in that: the user is required to choose to authorize the association of the patient's historical medical information, the user can enter the patient information by filling out a form, and if the user believes that he or she is unable to accurately evaluate the patient's health status, he or she can request an online consultation, remotely contact medical staff via video, and request the medical staff to conduct a remote evaluation for the patient. 3. According to the information entry and evaluation module of claim 1, the ability evaluation system is formulated by the WHO International Classification of Functioning, Disability and Health (ICF), the Activities of Daily Living (ADLs) Rating Scale, the Instrumental Activities of Daily Living (IADLs) Rating Scale, the Mini-Mental State Examination (MMSE), the Clinical Dementia Rating Scale (CDR), the Bathel Index Rating Scale, the Nursing Grading, the Elderly Ability Assessment forms and expert consensus. 4. According to the information entry and assessment module described in claim 1, the final nursing needs levels are: Level 0 (intact ability); Level 1 (mild disability); Level 2 (moderate disability); Level 3 (severe disability); Level 4 (extremely severe disability). 5. According to the information entry and evaluation module of claim 1, the evaluation dimensions should include: the elderly's daily living activities ability, mental state and social participation ability, perception and communication ability, and the patients being evaluated are recommended to be elderly people aged 60 and above who need nursing services. 6. The medical service module according to claim 1 is characterized in that: a communication channel is built for users and doctors, and users can contact online doctors through text conversations or video calls at any time. 7. After obtaining the user's authorization, the doctor can assist the user in completing the patient assessment and formulating a nursing service project plan. 8. The medical service module according to claim 1 is characterized in that: when a patient uses this function for the first time, he needs to select an online doctor and select the doctor's viewing permissions. If the selected doctor is temporarily unable to respond, the online doctor can be changed or the doctor's consultation permissions can be modified at any time. 9. The medical service module according to claim 1 is characterized in that it is connected to the outpatient registration system, and the user can directly jump to the hospital appointment registration or follow-up appointment interface on the patient's homepage. 10. The health monitoring module according to claim 1 is characterized in that: the system will remind the user in the form of mobile phone notifications that the patient needs to take medicine on time, and the notification frequency and content can be changed at any time in the patient file. 11. The health monitoring module according to claim 1 supports connecting to wearable devices to perform motion monitoring, vital sign monitoring and sleep monitoring on patients. 12. The monitoring content will recommend monitoring items based on the evaluation results and nursing problems, nursing goals, and nursing service items. Users can also select other monitoring items in other detection modules based on the actual situation of the patient. 13. According to the health monitoring module of claim 1, the monitoring data obtained through the wearable device is mainly transmitted to the patient end through the cellular network or the Internet. The user can choose whether to share the monitoring data to the server according to the patient's condition. The monitoring data shared to the server can be viewed by the doctor in the patient's holographic view on the doctor's end. 14. The health monitoring module according to claim 1 supports the following functions of adapting wearable devices: anti-lost positioning, fall alarm, exercise monitoring, vital signs monitoring, sleep monitoring, and sedentary reminder. 15. The patient archive library module according to claim 1 is aimed at medical staff. 16. Its features include: enabling doctors to provide diagnosis and treatment services to patients through video or conversation. 17. According to the patient archive module described in claim 1, the platform supports docking and integration of the data platform of the medical institution or HIS, EMR, medical records and other businesses to complete the system patient holographic view. After obtaining the patient's authorization, the doctor can also directly participate in the patient's health status assessment and generate or modify the patient's nursing problems, nursing goals, and nursing service project plans. 18. The holographic view of the patient includes information such as the patient's vital signs monitoring, diagnosis, surgical records, medical prescriptions and medications, and conversation records.