JP2003091591A - Tool and system for classifying subjective element into levels - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a tool and a system capable of being easily used in a actual medical site, and easily collecting data from a plurality of patients with respect to subjective elements such as pain. SOLUTION: Images of face expressions representing pain of each state of level obtained by classifying the pain level into ten stages, are displayed on a face scale input column 46. The pain level of the face expression picture at a left side is lowest, and the pain level of the face expression picture at a right side is highest. The higher the pain level is increased, the deeper the color of the face expression images F1-F10 is, whereby the gradation of the colors corresponding to the stages of level is created. Further each stage of the pain level is digitalized and displayed under the face expression as the level number.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a tool and a system capable of objectively measuring subjective factors such as pain and mood.

[0002]

2. Description of the Related Art A face scale is used for quantitatively measuring pain. Noriko Katagiri et al. "Assessment of Pain and Analgesic Effects Using Face Scale Method in Terminal Care" Clinical Nursing, Volume 2, No. 8, July 1996 The results of measuring the degree of pain using the represented sheet (face scale) have been reported.

Such reports are noteworthy in that they level and quantify pain. However, in this report, there are no problems or indications for obtaining the objective data by performing the face scale measurement for many patients.

The present inventors have made the present invention with the object of providing a tool and system that can be easily used in actual medical settings and facilitate data collection from a plurality of patients.

On the other hand, evaluation of clinical effects of drugs is usually conducted mainly by randomized double-blind comparative tests.
Mega trials are being conducted overseas for thousands of people. Moreover, medical treatment (E
As BM), original treatment guidelines are being created in various countries around the world.

[0006] In the field of treatment, the selection of drugs according to the individual patient's condition, the dose adjustment, the proper use of several types of drugs,
Also, a combination of a plurality of drugs is being used. For this reason,
It has been said that the EBM, which only shows the evaluation of a single agent, is not very useful in daily medical care.

In order to solve this, a mega trial may be performed on the combination of drugs and the like. However, it is practically impossible to implement it for all dozens of patterns.

[0008] Another object of the present invention is to provide a system capable of evaluating a drug in consideration of the present situation as described above, while also considering the combination of drugs.

[0009]

(1) A tool for leveling a subjective element according to the present invention divides a subjective element to be measured into a plurality of levels and expresses the level of the subjective element. The images to be displayed are displayed in order of level and for each level, and in association with each of the images, gradation is performed in order of each level according to each level.

Therefore, the level can be easily determined not only by the image in which the subjective element is expressed by level but also by the gradation applied in order of each level.

(2) The tool for leveling the subjective element according to the present invention is characterized in that the image of each level is a sheet printed on paper.

Therefore, by presenting this sheet to the measurement subject and having the measurement subject select the image that best represents the subjective element, the level of the subjective element can be obtained.

(3) The tool for leveling subjective elements according to the present invention has a display device, and is characterized in that the image of each level is displayed on the screen of the display device. .

Therefore, the level of the subjective element can be obtained by displaying the image on the screen and selecting the image that best represents the subjective element.

(4) The tool for leveling a subjective element according to the present invention is characterized in that each image is a facial expression corresponding to each level.

Therefore, it becomes easy to select an appropriate level by the facial expression and the color gradation which are different for each level.

(5) The tool for leveling a subjective element according to the present invention is characterized in that each image is also displayed with the level value corresponding to the image. Therefore, the level value of the subjective element can be clearly known.

(6) The tool for leveling subjective elements according to the present invention is characterized in that a scale indicating a level value is also displayed in association with an image.

Therefore, not only the level values directly shown by the images but also the intermediate level values associated between the images can be clearly recognized.

(7) A tool for leveling subjective elements according to the present invention is a sheet on which an image of each level is printed, and the sheet is subjected to a removable patch treatment. It is characterized by being.

Therefore, after marking the image selected by the person to be measured, the image is temporarily attached to the chart or the like of the person to be measured, and after that, analysis processing can be performed on many persons to be measured.

(8) A tool set for leveling a subjective element according to the present invention is a sheet set in which a plurality of types of sheets for leveling a subjective element to be measured are prepared. Is a display in which the subjective element to be measured is divided into a plurality of levels, and images expressing the levels of the subjective element are displayed in level order for each level. While the number of different levels is different, the same image is used for the same level.

Therefore, it is possible to ensure the objectivity in handling the data acquired by assigning different levels of level in an integrated manner.

(9) (10) (11) The input device according to the present invention is
An input device that presents a display for leveling a subjective element that is a measurement target and prompts an input, the input device having a display device for performing the display, and the display device Is a method for dividing a subjective element to be measured into a plurality of levels and displaying an image expressing the level of the subjective element for each level in order of level, and the display device simultaneously displays the images. While the number of levels can be changed, the same image is used for the same level even if the number of simultaneous display levels is changed.

Therefore, it is possible to ensure the objectivity in handling the data acquired by dividing the data into different levels in an integrated manner.

(12) (13) (14) The evaluation device of the present invention is for inputting the patient information input means for inputting information about the patient and the level value of the subjective effect obtained from the patient at the treatment site. Subjective effect input means, a drug input means for inputting the drug administered to the patient after the subjective effect was previously obtained from the patient, the input patient background information, the drug, and the level of the subjective effect It is characterized by comprising recording means for recording the value in association with each other, and output means for performing an output for evaluating the effect on the subjective side of the drug based on the level value and the administered drug.

Therefore, the relation between the administered drug and the subjective effect can be objectively evaluated based on the data obtained in the actual treatment. Further, the treatment plan for each patient can be modified based on such objective evaluation.

(15) The evaluation device of the present invention divides the subjective effect into a plurality of levels, and displays an image expressing the level of the subjective effect in order of level, using a tool for each level, It is characterized in that the level value of the subjective effect is inputted.

Therefore, with respect to the effect having a high subjective side, it is possible to select a level having objectivity and input a level value for evaluation.

(16) The evaluation device of the present invention is characterized by displaying an image representing the level of the subjective effect even in the output for evaluation.

Therefore, the subjective effect can be grasped by the image not only at the time of input but also at the time of evaluation.

(17) In the evaluation device of the present invention, the outputs for evaluation are a display showing a change in the administered drug and a display showing a change in the level of the subjective effect in association with the administration of the drug. It is characterized by having.

Therefore, it is possible to easily observe the temporal change of the drug administered to the patient and the level change of the subjective effect in comparison.

(18) The evaluation device of the present invention enables input of an objective effect in association with the subjective effect, and outputs for evaluating both the subjective effect and the objective effect of the drug. It has a feature.

Therefore, the subjective effect and the objective effect, which have been difficult to evaluate, can be compared and evaluated.

(19) The evaluation device of the present invention is characterized in that the objective effect is the main action of the drug and the subjective effect is the side effect of the drug.

Therefore, it is possible to objectively evaluate not only the main action of the drug but also the side effects.

(20) The evaluation device of the present invention has a data output function for outputting the recorded data to the higher-level evaluation device, and at the time of the data output, it relates to privacy in the patient background information. The feature is that information is removed and output.

Therefore, in each evaluation device,
It is possible to make judgments that take into account not only the evaluation results but also the privacy of the individual patient. On the other hand, in the high-level evaluation device, more objective data can be evaluated with more data without infringing on the individual patient privacy. It can be carried out.

(21) The clinical effect evaluation system of this invention is
It is provided with a plurality of evaluation input devices and a central evaluation device that receives data from the plurality of evaluation input devices and performs aggregation.
The evaluation input device, patient information input means for inputting information about the patient, subjective effect input means for inputting the level value of the subjective effect obtained from the patient at the treatment site, subjective effect last time And a drug input means for inputting a drug administered to the patient, a recording means for recording the input patient background information, the drug, and the level value of the subjective effect in association with each other; An input means for outputting data for evaluating the effect of the drug on the subjective side of the drug based on the value and the administered drug, wherein the central evaluation device inputs the data from each evaluation input device. It is characterized in that it is provided with means and means for collecting data from each evaluation input device to evaluate the administered drug and the effect of the drug on the subjective side.

At the site of treatment, selection of drugs according to individual patient's condition, adjustment of dose, proper use of several kinds of drugs, combined use of a plurality of drugs, and the like, and dozens of them are used. There is a pattern. According to this system, it is possible to verify which clinical treatment group is effective on the basis of the data of actual treatment sites with such various differences.

(22) The subjective element level determination method according to the present invention divides the subjective element to be measured into a plurality of levels, and obtains an image expressing the level of the subjective element.
For each level in order of level, and in association with each image, according to each level, the gradation is displayed in the order of each level, and the plurality of images displayed at the same time are used as clues to determine the subjective element. It is characterized in that the level value of the subjective element is obtained by directly or indirectly selecting the level value of.

Therefore, it is possible to facilitate the selection and determination of the level by not only the image in which the subjective element is expressed by level but also the gradation applied in order of each level.

(23) The subjective element level determination method according to the present invention is performed by selecting from among the plurality of simultaneously displayed images,
It is characterized in that the level value of the subjective element is obtained by selecting the image that most matches the subjective element and acquiring the level value corresponding to the selected image.

Therefore, the level value can be obtained without making the level value noticeable.

(24) In the subjective element level determining method according to the present invention, the position on the scale indicating the level value provided in association with the plurality of simultaneously displayed images is selected to determine the subjective element level value. It is characterized by getting.

Therefore, the level value can be determined from the scale using a plurality of images as clues.

In the present invention, "effect of drug" means
Not only the positive effect that the drug originally expected,
It is a concept that includes negative effects such as side effects.

The "patient background information" is information unique to the patient, such as the patient's name and date of birth, which basically does not change. In the following embodiment, not only the patient's name and date of birth, but also initial information at the start of treatment, such as the presence or absence of a fracture, is used as patient background information.

The phrase "gradation is applied in order of each level according to each level in association with each image" means that the gradation is applied according to each level of the image, for example, the image itself. This is a concept that includes not only the case where the gradient is applied to the background but also the case where the background of the image is subjected to the gradation and the case where the gradation is performed in the vicinity of the image. In addition, “to apply“ gradation ”means to change at least one of lightness, saturation or hue stepwise.

"Data output" means not only the case of outputting data to a portable recording medium (flexible disk, CD-ROM, etc.), but also displaying on a display, printing out by a printer or the like, online. It is a concept including a case where data is transmitted to another computer by.

The "recording medium recording the program" means
A recording medium such as a ROM, a RAM, a flexible disk, a CD-ROM, a memory card, and a hard disk recording a program. The concept also includes communication media such as telephone lines and carrier paths. Not only a recording medium such as a hard disk that is connected to a CPU and directly executes a recorded program, but a CD-R that records a program to be executed after once installed in a hard disk or the like.
It is a concept including a recording medium such as OM.

The term "program" is a concept that includes not only a program directly executable by the CPU but also a source format program, a compressed program, an encrypted program, and the like.

[0054]

1 shows an example in which a tool for determining the level of a subjective element according to an embodiment of the present invention is realized as a sheet for leveling pain in osteoporosis. 1A shows the surface and FIG.
B shows the back surface.

As shown in FIG. 1A, the pain level is 10
The pain at each level is expressed as facial expressions F1 to F10. In this embodiment, the level of pain is expressed as a facial expression by combining the shapes of eyebrows, eyes, mouth, presence of sweat, and presence of tears. In the figure, the facial expression F1 has the lowest pain level, and the facial expression F10 has the highest pain level.

Further, the higher the pain level, the darker the colors applied to the facial expressions F1 to F10 are, so that the gradation of the colors corresponding to the levels is applied.
Furthermore, the level of each pain is digitized and expressed as a level number under the facial expression.

Guidance 2 for selection is displayed above the facial expressions F1 to F10. Further, in the lower left, an entry field is provided for entering the level number corresponding to the selected facial expression.

As shown in FIG. 1B, the back side is provided with columns for entering the date of entry, the chart number, the date of birth, the gender, and the like. In addition, there are columns for entering information on the presence or absence of fragile fractures at the start of medical treatment, osteoporosis of the spine, reduction of bone mineral content, therapeutic agents, and the like. In the therapeutic drug entry field, enter the therapeutic drug that was given to the patient last time.

A sticking agent is applied to the upper portion 6 so that the uppermost portion can be peeled off. Therefore, the completed sheet can be attached to a medical record or the like, and can be stored after being peeled from the medical record after the data is input to the computer.

By using the sheet shown in FIG. 1, the degree of pain of the patient can be objectively recorded.

FIG. 2 shows a hardware configuration of the evaluation device according to the embodiment of the present invention. This evaluation device is C
PU10, memory 12, display 14, printer 1
5, hard disk 16, keyboard / mouse 18, C
A D-ROM drive 20 and a flexible disk drive (FDD) 22 are provided. The hard disk 16 includes an operating system (Microsoft Wi
In addition to ndows (trademark), an evaluation program for performing evaluation processing is recorded. This evaluation program is CD-
It is installed from the CD-ROM 24 via the ROM drive 20. Further, this evaluation program exhibits its function in cooperation with the operating system. The input data is also stored in the hard disk 16.

FIG. 3 shows a flowchart of the input processing portion of the evaluation program recorded on the hard disk 16. The flow of processing will be described below according to this flowchart. Here, description will be given assuming that data has been recorded for each patient using the sheet of FIG. 1 and data is input from this sheet.

The operator uses the facility code (I for each doctor).
Enter D) to call up the input screen. FIG. 4 shows a data input screen displayed on the display 14. Looking at this screen, the operator operates the keyboard / mouse 18 to input the chart number in the chart number input field 30 (step S1). The CPU 10 searches for the chart number from the already stored data. When the medical record number is found, the CPU 10 determines that the patient is an existing patient and displays the recorded patient background information in the patient background information display field 32. If there is no change in the displayed patient background information, the process proceeds to step S5 and subsequent steps for inputting the face scale. Further, if there is a change in the patient background information, the data is corrected, and then the face scale input process in step S5 and the subsequent steps is performed.

If the chart number input in step S1 is new, it is determined that the patient is a new patient, and the process proceeds to step S3 and subsequent steps for inputting patient background information. When inputting the patient background information, the name input field 3
Enter the name in 4, the gender in the gender input field 36, and the date of birth in the date of birth input field 38.

Further, in step S4, the presence or absence of a fragile fracture is input. Also, if there is a fragile fracture, enter that part as well. If there is no record of the presence or absence of fragile fracture at the start of treatment, enter “not performed”.

Similarly, the presence or absence of osteoporosis of the spine at the start of treatment is entered. In this embodiment, the selection is made from four choices: "none", "with suspicion (I degree)", "with suspicion (II degree or more)", and "not implemented".

Furthermore, the presence or absence of a decrease in bone mineral content at the start of treatment is entered. In this embodiment, “none” “yes”
I am trying to select from three choices: "Do not implement."

When the input of the patient background data is completed as described above, the process proceeds to the input of the face scale (step S5 and thereafter). First, in step S5, the data acquisition date / time (entry date in FIG. 1) is entered in the data acquisition date / time input field 40.

Then, the therapeutic drug is entered in the therapeutic drug input field 42 (step S6). Considering that multiple therapeutic agents may be administered in combination, this therapeutic agent input field 4
In 2, a plurality of therapeutic drugs can be input.

Next, the presence / absence of a new fracture is entered in the new fracture input field 44 (step S7). Since the presence or absence of this new fracture is not described in the sheet of FIG. 1, it is input based on the chart. If there is a new fracture, enter whether it is due to a strong impact or a weak impact. Also, enter the part.

Subsequently, the face scale is input (step S9). In the face scale input field 46,
The same facial expression as the sheet of FIG. 1 is displayed. The operator selects one facial expression with the mouse and inputs it.

As described above, the data can be input based on the data written on the sheet of FIG.

If data for another sheet is input for the same patient, the button 48 is clicked and steps S5 and thereafter are repeated.

If there is an input for another patient, the button 50 is clicked and steps S1 and thereafter are repeated.

When all the inputs are completed, the end button is clicked to end the input processing.

The data input as described above is
It is recorded on the hard disk 16. 5 and 6 show examples of recorded data. In this embodiment, basically unchanged data for one patient (patient background data)
And the data that changes according to the course of treatment are recorded separately. This makes it possible to save the recording capacity.

FIG. 5 shows the recorded background data.
The “facility code” represents the ID of each doctor.
The "input order" is a number assigned to the patient in the order of input. The “chart number” is the chart number given to the patient. Hereinafter, data input in the input process such as "name" and "sex" are recorded.

FIG. 6 shows the recorded treatment data.
The “chart number” is used to link the j with the variant data. The “card order” indicates the order of input data for the patient.
For example, in FIG. 6, it is shown that there is input data from the first to the twelfth for the patient with medical record number 1. The "face number" is a level value selected on the face scale.

Next, the process of displaying and printing for evaluation based on the data thus recorded will be described. FIG. 7 shows a flowchart of the treatment progress information graph display process of the evaluation program. First, in step S11, the operator selects a desired patient by inputting a chart number or the like. As a result, the CPU 10 displays the latest input data of the patient (that is, the data with the largest card order) on the display 14.

An example of this display screen is shown in FIG. The face scale information registration screen is also a data input screen, and a new entry can be made by entering a new entry date in the entry date input field 40. To display the treatment progress information graph, click the button 80 (step S13). In response to this, the CPU 10 executes the processing shown in FIG. 1 based on the data recorded in the hard disk.
The display shown in 0 is displayed on the display 14 (step S14).

In FIG. 10, the patient background information of the selected patient is displayed in the area 60. Also, the area 62
In the graph, the change in pain level selected by the face scale is shown. This is shown in FIG.
It is displayed based on the treatment data of. Also, area 6
4 shows the drugs administered in each period. This is also displayed based on the treatment data in FIG. In this embodiment, in order to clearly show changes in the drug during each period, the period during which the drug is administered is represented by a bar. In FIG. 10, it is intuitively and easily shown that the administration drug was changed from “ethidronade 200” “calcium” “anti-inflammatory analgesic” to “ethidronade 400” “calcium” at the time point α.

In the area 66, the date is shown. Further, when there is a fracture, a display is made in the area 68. In FIG. 10, it is indicated by a mark.

As described above, by displaying the administered drug, the pain level, and the presence / absence of a fracture in association with each other, it is possible to present effective reference information in making a future treatment plan.

On this screen, the print button 70
When is clicked, the CPU 10 prints this treatment progress information graph screen from the printer 15 (step S1).
5). Also, when the return button 72 is clicked, FIG.
The screen returns to step S16.

Next, FIG. 8 shows a flowchart of the treatment progress information face display processing. The process is the same as the above until the process of selecting the patient (step S11) and displaying the face scale information registration screen of FIG. When the button 82 is pressed on the screen of FIG. 9, the CPU 10 causes the CPU 10 of FIG.
The treatment progress information face such as is displayed on the display 14 (step S24). This display is also performed based on the recording data shown in FIGS.

As shown in FIG. 11, "number of times", "medicine", "bone fracture", and "face scale" are shown for each data acquisition date (entry date). Here, the “number of times” indicates the number of consecutive administrations of the same drug (or the same drug combination). The "face scale" shows facial expressions. Therefore, the change in the patient's pain can be obtained more intuitively.

When the button 76 is clicked, the screen returns to the first face scale information registration screen of FIG. 9 (step S
25). Further, by moving the reversing cursor 78 with a mouse or the like to the desired data acquisition date and then clicking the button 74, it is possible to move to the face scale information registration screen of the acquisition date (step S26).

In the above, the analysis is performed for each individual patient, but in this embodiment, the analysis for the entire input patient can also be performed. In this embodiment, the administered drug is configured to collect data of the same patient and show the progress thereof, or to show the frequency of newly generated fractures.

FIG. 12 shows a flowchart of the processing for displaying such a group-based graph. When the graph display command 90 is selected on the face scale information registration screen of FIG. 9 (step S32), the CPU 10 displays the graph display drug group setting screen on the display 14 (step S33).

The operator operates the keyboard / mouse 18 to select a drug combination to be evaluated (step S33). Multiple drug combinations may be selected for comparison. It is also possible to register a new drug combination. A mark is displayed in the check box 92 of the selected combination.

Next, the operator selects a graph and inputs the display period in the graph type selection field 94 (step S34). When the button 96 is clicked after making the selection, the CPU 10 displays the selected graph.

When the treatment progress graph by administration group is selected, the display as shown in FIG. 14 is performed (step S
35). The CPU 10 searches for data having a combination of the selected medicines, calculates the number of administration days of the medicines, and shows a change in average pain level value as a graph (graph display area 102). At each point in the line graph, the number of patients and the number of bone fractures are also displayed. Further, the combination of medicines is shown in the display field 100. In this screen, when the button 104 is clicked, the printer 15 prints, and when the button 106 is clicked, the screen shown in FIG.
Is displayed (steps S36 and S37).

From such a graph, it is possible to easily know which combination of drugs is effective.

When the new spine fracture frequency graph is selected in step S34, the display as shown in FIG. 15 is performed (step S38). The CPU 10 retrieves and extracts data having the selected drug combination, and then calculates the new fracture occurrence frequency according to the following formula.

Frequency of new spinal fractures per patient / year =
Number of new spinal fracture patients / (Σ (treatment period of each patient) /
12) The frequency of vertebral fractures calculated in this way
As shown in FIG. 15, each combination of drugs is displayed as a bar graph. At this time, when the treatment is started, it is classified and displayed depending on whether or not there is a vertebral fracture.
Below each bar, the number of patients included is also shown. Further, the combination of medicines is shown in the display field 100. On this screen, if the button 104 is clicked, the printer 15 prints, and the button 1
If 06 is clicked, the screen of FIG. 9 is displayed (steps S39 and S40).

When a bone fracture frequency graph other than the new spine is selected in step S34, the same processing is performed for bone fractures other than the spine, and the same graph is displayed (steps S41 to S43). .

In this embodiment, the recorded data is transferred to the flexible disk 2 for sending to the secretariat or the like.
It has a function to output to 6 and so on. This allows the secretariat to compile a large amount of data and perform a larger scale evaluation. As shown in FIGS. 16 and 17,
When outputting to the flexible disk 26, the CPU 10
Tries to output data excluding patient privacy data. For example, the name and chart number are not recorded on the flexible disk 26. This enables both large-scale data collection and protection of patient privacy.

Further, in the above-described embodiment, the recording is once performed on the sheet and then input to the computer. However, you may make it input directly on the screen of FIG.

In the above embodiment, the face scale has 10 stages, but other numbers of stages may be used. Also, face scales having different numbers of stages such as 10 stages and 5 stages may be used together. In this case, as shown in FIGS. 1 and 18, although the number of stages is different,
It is preferable to keep the same facial expression (and color gradation) at each level. Further, it is preferable to attach the same level numbers. By doing so, it is possible to maintain the uniformity of the acquired data even if the unified number of stages cannot be used due to various circumstances. This can be applied not only to the printed sheet but also to the input screen displayed on the display.

Further, in the above embodiment, the computer is operated by a stand-alone computer. However, as shown in FIG. 19, many terminal devices 200 (evaluation input device) are connected via a network such as the Internet.
May be connected to the server device 300 (central evaluation device) for operation. In this case, the terminal device 200 of each hospital has the same function as that of the above embodiment. Furthermore, the terminal device 2
The data input at 00 is transmitted to the server device 300 after the data regarding privacy is removed. As a result, nationwide data is collected in the server device 300.

When the patient's progress data is transmitted from the terminal device 200, the server device 300 refers to the accumulated data to search for an example of a similar progress, and gives a preferable treatment policy to the terminal device 200. Can be sent back.

In the above description, the data is sent to the server device 300 by data communication, but it may be passed to the server device 300 using a recording medium or the like.

FIG. 20 shows a face scale (smile scale) according to another embodiment. In this embodiment, a smile scale is used to obtain the degree of stress. The one shown in FIG. 1 is adapted to select a stepwise level value (digital value), but the one shown in FIG. 20 is configured to be able to select a continuous level value (analog value). There is.

As shown in FIG. 20, the stress level is divided into nine levels, and each level is expressed as facial expression images F1 to F9. In this embodiment, eyebrows, eyes, mouth shapes,
By combining the presence or absence of sweat and the presence or absence of tears, the stress level is expressed as a facial expression. In the figure, the facial expression F1 has the highest stress level, and the facial expression F9 has the lowest stress level.

Further, a scale 500 indicating a stress level value is printed in parallel with the facial expression images F1 to F9. Facial expression F1 corresponds to a stress value of 10, and facial expression F9 corresponds to a stress value of 0.

Furthermore, the facial expressions F1 to F9 and the scale 5
In the background of 00, a gradation centering on the facial expression F5 is applied. On the left side of facial expression F5, a gradation is applied to make the green color gradually darker,
On the right side of the display image F5, a gradation is provided such that the pink color is gradually darkened. In addition, in this embodiment, the stepwise (discrete) gradation is applied, but continuous gradation may be applied.

At the time of use, the level value can be obtained from the scale 500 while referring to the facial expression images F1 to F9.
This smile scale can be used to determine continuous level values (such as 9.5) rather than discrete level values.

Further, in this embodiment, a column 600 for recording the administration of the drug and the level value (smile scale score) is provided.

Further, as in the case of FIG. 1 described above, such a screen may be displayed on the display and used as an input tool. FIG. 21 shows a display screen on the display. In this case, the mouse cursor 700 moves the scale 5
It is possible to input a level value by designating a position on 00 and clicking the mouse. In the case of FIG. 21, 3.3 is input as the level value from the position of the mouse cursor 700.

In the above embodiment, although the level of pain and stress is leveled, joy, surprise, sadness,
Refreshing feeling, anxiety, itching, nausea, discomfort, drowsiness, malaise,
Other subjective factors such as glare and bitterness can also be applied. Also, not only your sense of yourself but also your impression of others and things (discomfort, familiarity, luxury,
It can also be applied to subjective elements such as texture.

Although the level is expressed by the facial expression, it is possible to use a direct or indirect expression of human emotions such as scenery and patterns.

Further, in the above embodiment, only the subjective element is evaluated, but it is also possible to evaluate both the objective element and the subjective element. For example, in the antipyretic agent, the lowered body temperature (objective factor) and the side effect (subjective factor) such as drowsiness thereof may be simultaneously measured to perform an overall evaluation.

[Brief description of drawings]

FIG. 1 is a diagram showing a face scale sheet.

FIG. 2 is a diagram showing a hardware configuration of an evaluation device according to an embodiment.

FIG. 3 is a diagram showing a flowchart of a data input process.

FIG. 4 is a diagram showing a data input screen.

FIG. 5 is a diagram showing input data.

FIG. 6 is a diagram showing input data.

FIG. 7 is a diagram showing a flowchart of a treatment progress information graph display process.

FIG. 8 is a diagram showing a flowchart of treatment progress information face display processing.

FIG. 9 is a diagram showing a face scale information registration screen.

FIG. 10 is a diagram showing a treatment progress information graph.

FIG. 11 is a diagram showing a treatment progress information face.

FIG. 12 is a diagram illustrating a flowchart of group-by-group graph display processing.

FIG. 13 is a diagram showing a drug pattern selection screen.

FIG. 14 is a view showing a treatment progress graph by administration group.

FIG. 15 is a diagram showing a new fracture occurrence frequency graph.

FIG. 16 is a diagram showing anonymization of patient data.

FIG. 17 is a diagram showing anonymization of patient data.

FIG. 18 is a diagram showing another face scale sheet.

FIG. 19 is a diagram showing another embodiment.

FIG. 20 is a diagram showing a smile scale according to another embodiment.

FIG. 21 is a diagram showing an example in which the smile scale of FIG. 20 is displayed on a display and used as an input tool.

[Explanation of symbols]

F1-F10 ... facial expressions 42 ... Drug input field 46 ... Face scale input field

Claims (24)

[Claims] 1. A subjective element to be measured is divided into a plurality of levels, and an image expressing the level of the subjective element is displayed.
To display each level in order of level, and to associate with each of the images, grade the subjective elements characterized in that the gradation is applied in order of each level according to each level. Tools. 2. The tool according to claim 1, wherein the image of each level is a sheet printed on paper. 3. The tool according to claim 1, which has a display device, and displays the image of each level on the screen of the display device. 4. The tool according to claim 1, wherein each image is a facial expression corresponding to each level. 5. The tool according to claim 1, wherein the level value corresponding to the image is also displayed on each of the images. 6. The tool according to claim 1, wherein a scale indicating a level value is also displayed in association with the image. 7. The tool according to claim 1, wherein the tool is a sheet on which an image of each level is printed, and the sheet is provided with a removable patch treatment. Characterized by being applied. 8. A sheet set comprising a plurality of types of sheets for leveling a subjective element as a measurement object, wherein the sheet divides the subjective element as a measurement object into a plurality of levels, An image expressing the level of the subjective element is displayed for each level in order of level, and the number of displayed levels is different on different types of sheets, but for the same level, Characterized by the same image being used. 9. An input device for presenting a display for leveling a subjective element to be measured and urging an input, wherein the input device has a display device for performing the display. The display device divides a subjective element that is a measurement target into a plurality of levels, and displays an image expressing the level of the subjective element, in order of level, for each level. Is capable of changing the number of levels to be displayed at the same time, while using the same image for the same level even if the number of simultaneous display levels is changed. 10. A program for realizing an input device for presenting a display for leveling a subjective element, which is an object of measurement, by using a computer, and for prompting an input, comprising: The elements are divided into a plurality of levels, and images expressing the levels of the subjective elements are sorted in order of level.
Each level is displayed on the screen, and the number of levels displayed at the same time can be changed so that the same image is displayed for the same level even if the number of simultaneous display levels is changed. , A program that causes a computer to perform processing. 11. A recording medium on which the program according to claim 9 is recorded. 12. An evaluation device for evaluating the effect of a drug on the subjective side, comprising patient information input means for inputting information about a patient, and a level value of the subjective effect obtained from the patient at a treatment site. The subjective effect input means for inputting the drug, the drug input means for inputting the drug administered to the patient after acquiring the subjective effect from the patient last time, the input patient background information, drug and subjectivity A recording means for recording the level value of the physical effect in association with each other, and an output means for performing an output for evaluating the effect on the subjective side of the drug based on the level value and the administered drug. Characteristic evaluation device. 13. A program for realizing an evaluation device for evaluating the effect of a drug on a subjective side by using a computer, wherein the information on the patient is input and the subjective effect obtained from the patient at the treatment site. Enter the level value of, the previous subjective effect was obtained from the patient, then the drug administered to the patient was entered, and the entered patient background information and the level value of the subjective effect were recorded in association with each other. A program for causing a computer to perform a process of performing an output for evaluating an effect on a subjective side of a drug, based on the level value and the administered drug. 14. A recording medium on which the program according to claim 13 is recorded. 15. The apparatus, program or recording medium according to claim 12, wherein the subjective effect is divided into a plurality of levels, and images expressing the level of the subjective effect are displayed in order of level. It is characterized in that the level value of the subjective effect is input using a tool displayed for each. 16. The apparatus, program or recording medium according to claim 15, wherein an image representing the level of the subjective effect is displayed even in the output for evaluation. 17. The apparatus, program or recording medium according to any one of claims 12 to 16, wherein the output for evaluation is a subjective indication in association with a display showing changes in the administered drug and the administration of the drug. And a display showing a change in effect level. 18. The apparatus, program, or recording medium according to claim 12, wherein an objective effect can be input in association with the subjective effect, and both the subjective effect and the objective effect of the drug can be input. What is characterized by performing an output for evaluating. 19. The apparatus, program or recording medium according to claim 18, wherein the objective effect is a main action of the drug and the subjective effect is a side effect of the drug. 20. The apparatus, program or recording medium according to any one of claims 12 to 19, wherein the evaluation device has a data output function for outputting recorded data to a higher-level evaluation device, and the data output In this case, the information about the privacy of the patient background information is removed and output. 21. A clinical effect evaluation system for evaluating at least the effect of a drug on a subjective side, comprising a plurality of evaluation input devices and a central evaluation device for receiving data from the plurality of evaluation input devices and totaling the data. The evaluation input device comprises: a patient information input means for inputting information about the patient; and a subjective effect input means for inputting a level value of the subjective effect obtained from the patient at the treatment site. , After recording the subjective effect from the patient in the previous time, record the drug input means for inputting the drug administered to the patient, the input patient background information, the drug and the level value of the subjective effect in association with each other. A recording means, and an output means for outputting data for evaluating an effect on a subjective side of the drug based on the level value and the administered drug, The central evaluation device comprises input means for inputting data from each evaluation input device, and evaluation means for totaling the data from each evaluation input device to evaluate the drug administered and the effect of the drug on the subjective side. The clinical effect evaluation system characterized by 22. A subjective element to be measured is divided into a plurality of levels, and an image expressing the level of the subjective element is level-wise for each level and associated with each of the images. Gradation is applied in order of each level according to each level, and multiple images displayed at the same time are used as clues to directly or indirectly select the level value of the subjective element, and A method for determining the level of a subjective element characterized by obtaining the level value of the element. 23. The subjective element level determining method according to claim 22, wherein an image that best matches the subjective element is selected from the plurality of images that are displayed at the same time, and the image that corresponds to the selected image is selected. Characterized by obtaining the level value of a subjective element by obtaining the level value. 24. The subjective element level determination method according to claim 22, wherein a position on a scale indicating a level value provided in association with the plurality of simultaneously displayed images is selected to determine the subjective element level value. Characterized by getting.