JP2005227534A - Human body fitting tool for scientific medical examination training - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a human body fitting tool for the training of scientific medical examination with which uneasy feeling of a patient is to be eliminated by properly developing a communication capability and the training is conducted to enhance medial examination technique for the scientific medical examination. <P>SOLUTION: The human body fitting tool is mainly provided with a wet suit type fitting tool body 3 which is formed so that a wearing person H can wear it, surface contacting type pressure sensors which are buried on the entire surface of the fitting tool body 3, detect the contact made on the outer surface of the fitting tool body 3 and detect a contact location L and a contact pressure P, an analytic processor 2 which is electrically connected to the surface contacting type pressure sensors through a wiring 5, receives sensor signals indicating the detected contact location L and the contact pressure P, recognizes and comprehends the stethoscopic operation of a trainee T to conduct an analytical process and a simulated stethoscope 6 which is formed to simulate the shape of an actual stethoscope so that the trainee T can execute simulated stethoscopic operations. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  [Technical Field] The present invention relates to a human body wearing device for physical medical training, and more particularly to a human body for physical medical training for the purpose of acquiring and improving various medical techniques related to auscultation, palpation, acupressure, and nursing care. It relates to a wearing tool.

  2. Description of the Related Art Conventionally, education and training of medical personnel such as doctors, nurses, physical therapists, and caregivers have been carried out in medical departments and medical technology colleges of universities. For example, in the case of a doctor, a doctor's license can be obtained by taking a doctor's national examination after taking a predetermined unit at the medical school and passing it.

  Here, in educational institutions such as the above-mentioned medical departments, classes such as lectures, experiments, and practical training are used as curriculums to allow students to acquire highly specialized medical knowledge required when engaging in medical activities. It is configured. Here, lectures can be held for a large number of students at once. On the other hand, the experiment can confirm the medical knowledge obtained in the lecture or can be experienced with the students' own eyes and ears, etc., so that the medical knowledge can be acquired more quickly. Furthermore, the practical training is to experience a method of using a medical device or to virtually experience diagnosis and medical treatment using a model imitating a patient (affected part). Also, in recent years, for the purpose of experiencing more practical training, there is also an education that uses simulated patients such as volunteers and communicates with patients while communicating with them to simulate diagnosis. Yes.

  However, the above-mentioned classes such as experiments and practical training have many physical restrictions such as the maintenance of experimental equipment and the number of experimental instruments, and time restrictions such as securing the time for experiments and practical training. There was something to be done. Further, even when a volunteer simulated patient is used to experience a diagnosis, it may take a lot of time to arrange a simulated patient. As a result, training institutions such as medical schools have limited time for experiments and practical training, and in particular, lecture-style classes have become the main subject.

  However, when a doctor actually diagnoses a patient, the first basic diagnostic method, that is, a medical examination technique such as an interview or palpation or auscultation, touches many patients and develops a wide variety of symptoms. It is something that can be gained empirically by experiencing it, and medical knowledge gained simply through lectures is rarely valid. Moreover, it was very difficult to learn these techniques of physical practice in practical training conducted in a limited time.

  Furthermore, it is very difficult for medical students to go to the actual medical site and use a stethoscope or perform palpation on patients from the viewpoint of protecting patient privacy. It has become increasingly difficult for medical students to learn the skills of clinical practice. As a result, medical students or inexperienced doctors, etc., learn these techniques for the first time in the medical field, and there may be some mistakes in medical care and diagnosis during the acquisition process.

  In addition, a class in which the above-described physical medical treatment is virtually performed using a human body model imitating a human body or an affected part is also employed. These were able to eliminate time constraints, etc., and to secure sufficient training time for medical technology. However, in training these human models, it is impossible to perform medical treatment and diagnosis while trying to communicate between doctors and patients, and to solve the lack of communication between doctors and patients, which has become a problem in recent years. I could not.

  In general, patients who visit hospitals because of illness or injury often feel great anxiety before medical treatment. However, when a doctor with inferior communication ability conducts medical care, these anxiety cannot be removed when the patient is treated, and the anxiety may be promoted.

  Therefore, in view of the above circumstances, the present invention can train a communication ability to remove a patient's anxiety in physical examination such as auscultation and palpation and improve the medical technique of the physical examination. It is an object to provide a human body wearing device for physical training.

  In order to solve the above-mentioned problems, the human body wearing device for physical training of the present invention includes the following: “the body of the wearable device formed so as to be worn on a human body or a human body model, and the human body in a state in which the body of the worn device is worn. Alternatively, the position of the medical instrument operated by the trainee's finger or the trainer who touched the body of the wearing tool is specified in the case of the physical examination simulated by the trainer for the human body model. Based on the identified contact position and the detected contact pressure based on the identified contact position and the detected contact pressure based on the position identifying means, the pressure detecting means for detecting the contact pressure of the contact position specified by the position specifying means It mainly comprises an analysis means for analyzing the medical technique of physical practice.

  Here, the wearing tool main body is preferably one that can be worn in close contact with the outer shape of a human body or a human body model (hereinafter simply referred to as “human body etc.”), for example, scuba diving. The thing of the rubber-made raw material which shows the aspect similar to the wet suit for an object is mentioned. Further, the wearing tool body may be worn so as to cover the whole body (whole body) such as the human body, or may be worn only on a part of the human body such as the upper body, lower body or abdomen. It does not matter.

  Furthermore, the wearing tool main body is not limited to a rubber material such as a wet suit, and may be formed of a mesh material and have air permeability, for example. In consideration of the ease of attachment when worn on the human body and the like, and the adhesion to the surface of the human body, it is preferable that the materials used for these attachment body have elasticity.

  Further, the position specifying means and the pressure detecting means can use pressure sensors (for example, a surface contact type) used in various industrial fields as well-known techniques, such as the wet suit described above. It can be attached so as to cover the surface of the mounting tool body or to be embedded inside. Thereby, a trainee's finger | toe and medical instrument which contact | connect a mounting tool main body can be detected, and the pressure (contact pressure) in a contact position specification and a contact position can be detected. Then, information relating to the contact position and the contact pressure can be converted into a signal and sent as a sensor signal to the analysis means. In addition to using the contact-type pressure sensor described above, the position specifying means and the pressure means use an IC or detect reflection of ultrasonic waves, lasers, infrared rays, etc. It is also possible to use a non-contact type sensor that can detect a position or the like even when a finger or the like is not in direct contact with the main body.

  Therefore, according to the human body wearing device for physical practice training of the present invention, it is possible to simulate the physical medical treatment on the human body or the like wearing the wearing device body. At this time, with respect to the wearer body mounted in close contact with the human body or the like, the contact of the fingers or the like that occurs in the course of physical diagnosis is specified by the position specifying means, and the contact pressure at the contact position is further detected by the pressure detecting means. It becomes possible to detect. Therefore, when a trainee such as a medical student performs physical training such as auscultation or palpation using the human body wearing device for physical practice training according to the present invention, the physical practice by the trainer is determined by the contact position and the contact pressure. Can be grasped. And after grasping | ascertaining (recognizing) this operation | movement, the analysis of whether these operation | movement is appropriate is performed. For example, when auscultation is performed in a simulated manner, whether or not the auscultation part of the stethoscope is hitting the body part (human body, etc.) suitable for listening to body sounds such as breathing sounds and heart sounds Can be evaluated.

  At this time, in the case where an actual person wears the wearing tool body, it is possible to perform physical training while exchanging conversations with the wearer. For this reason, it is possible to learn how to communicate in medical care as well as to acquire medical skills in physical medical care. Moreover, it is also possible to use the human body wearing device for physical examination training of the present invention as a practical test for judging the proficiency level of the medical skill of the medical practice of the trainee.

  In addition to the above-described configuration, the human body wearing device for physical examination training of the present invention is intended for auscultation in which the physical examination is performed by listening to body sounds including respiratory sounds and heart sounds emitted from the human body and performing diagnosis. The analysis means includes an auscultation unit that is in contact with the mounting tool body, a mock stethoscope that is formed so as to be inserted into the ear hole of the trainee and that reproduces the body sound, and a plurality of the stethoscopes. The body sound storage means for storing the body sound data related to the body sound corresponding to each part of the wearing tool main body, and the position specifying means for identifying the contact position of the auscultation unit in contact with the wearing tool body And an auscultation action recognition means for recognizing an auscultation action, and a body sound extraction means for extracting the body sound data corresponding to the contact position in contact with the auscultation unit by the recognized auscultation action from the body sound storage means. , Extraction A said body sound data intended to comprise the simulated stethoscope wherein the body sound reproduction control means for reproducing from the reproducing unit of "further may be.

  Here, the mock stethoscope is formed by imitating the shape of a stethoscope that is actually used for medical treatment. For example, the auscultation unit directly applied to the human body and the like, and extended from the auscultation unit, Is a Y-shaped pipe portion branched into a Y-shape, and a biological sound (biological body) that is installed at the tip of the Y-shaped pipe portion and can be inserted into the ear hole of the trainee and reproduced by the biological sound reproduction control means described later. And a playback unit with a built-in small speaker that plays back sound data. The biological sound reproduced from the reproduction unit is transmitted from an analysis processing device (for example, a personal computer) functioning as an analysis unit by a speaker code connected to a simulated stethoscope.

  Therefore, according to the human body wearing device for physical examination training of the present invention, the contact position to which the auscultation part of the simulated stethoscope is applied is specified by the position specifying means, and the body sound (for example, the place corresponding to the contact position) A heart sound or the like in the vicinity of the heart) is extracted from the body sound data stored in advance in the body sound storage means, and is reproduced through the reproduction unit of the simulated stethoscope. Thereby, the trainer can grasp the exact part of the human body where the body sound is heard. At this time, if the auscultation part is applied to a place other than the correct part, the body sound cannot be heard well, and an unclear body sound containing a lot of noise is reproduced.

  The body sound data of the body sound to be played back includes abnormal sounds such as when there is a disease in the respiratory system such as the lungs or when there is a heart disease, and the trainee can obtain these from the playback unit. You can listen. Therefore, not only abnormal sounds such as symptoms such as colds, but also rare cases, abnormal sounds in rare cases can be stored in advance as biological sound data in the biological sound storage means and can be heard by the trainee. As a result, even when encountering these abnormal sounds in actual medical practice, it is possible to make a quick diagnosis, as with an experienced doctor, and prompt and appropriate for symptoms. Treatment can then be taken.

  In addition to the above-described configuration, the human body wearing device for physical examination training according to the present invention includes the following: “The analysis means detects the contact pressure by the auscultation unit in contact with the body of the wearing device, and uses the contact pressure. Corresponding body sound changing means for changing the body sound data accordingly may be further included.

  Therefore, according to the human body wearing device for physical examination training of the present invention, the contact pressure with respect to the wearing device main body in contact with the wearing device main body is detected, and the body sound reproduced from the reproducing unit is changed accordingly. Cause it to occur. That is, when auscultation is performed using a stethoscope, in order to make a good diagnosis, how to apply (press) the auscultation part together with the abutment position of the auscultation part is an important factor. Therefore, it is possible to determine whether or not the auscultation unit is in contact within an appropriate range by detecting the contact pressure with respect to the mounting tool main body.

  For example, when the auscultation part is very weak or too strong (in other words, when the contact pressure is too low or too high), a low volume body sound or an unclear body sound including noise from the playback part Is controlled to be reproduced. On the other hand, when the auscultation part is properly applied (in other words, when the contact pressure is within a preset range), the reproduction part produces a body sound having the same volume as the body sound emitted from the actual human body. Control to be reproduced is performed. Thereby, the trainee can check whether his or her auscultation operation is appropriate based on the difference in the volume of the body sound to be heard. If it is not appropriate (such as when the volume to be played is low), it is possible to listen to a good body sound by changing the method of applying the auscultation unit and setting the contact pressure within a predetermined range. . As a result, the trainer can easily experience and learn how to apply the auscultation part.

  Further, in addition to the above-described configuration, the human body wearing device for physical examination training according to the present invention is intended for "the physical examination is for palpation in which diagnosis is performed by bringing the fingers into contact with and pressing against the human body." The analysis means uses the position specifying means to determine the contact position where the finger of the trainer touches by a palpation performed on the human body or the human body model in a state where the wearer body is worn. The palpation motion recognition means for identifying and further detecting the palpation motion by the trainee by detecting the contact pressure related to the compression applied by the finger by the pressure detection means, and the palpation motion classified according to various proficiency levels The palpation data stored in advance corresponding to each part of the wearing tool main body and the palpation operation recognized by the palpation operation recognition unit Comparing the palpation data stored in the fine said palpation data storage means, may be one further comprising, "and palpation evaluating means for evaluating the proficiency of the palpation operation.

  Therefore, according to the human body wearing device for physical training of the present invention, the palpation operation of the trainer is recognized, compared with the palpation data stored in advance according to the proficiency level, Evaluation (evaluation of proficiency) can be performed. For example, when performing training for diagnosing the abdomen by palpation, the trainee presses the abdomen of the wearer wearing the wearing tool body with his / her fingers and performs a palpation operation. At this time, the contact position where the finger touches and the contact pressure at the contact position are specified and detected by the position specifying means and the pressure detecting means connected to the wearing tool body, and the palpation operation is recognized.

  Then, the palpation data stored in advance for each degree of proficiency is compared with the recognized palpation operation, and the palpation operation is evaluated. In other words, the proficiency level of palpation is based on the appropriate position (contact position) where the fingers are pressed when diagnosing the symptoms, and the pressure applied by the pressure (the magnitude of the contact pressure and the change over time in how the force is applied). Can be judged. In addition, when breast cancer is diagnosed by palpation, the wearer of the wearing tool body does not feel the shame during training because the wearer cannot touch the skin directly. In this case, in order to more closely approximate the actual diagnosis environment, the surface of the wearing tool body is covered with artificial skin or the like so that the trainer feels similar when pressing, or the wearing tool body is placed on the human skin. The surface temperature may be kept at a certain level so that the trainer does not feel uncomfortable.

  In addition to the above-described configuration, the human body wearing device for physical examination training of the present invention includes the following: “The physical examination is targeted for acupressure treatment performed on the vase of the human body, and the analysis means includes the wearing The contact position where the finger of the trainee comes into contact with the human body or the human body model wearing the tool body is simulated by acupressure operation is simulated, and the acupressure applied by the finger The pressure detection means detects the contact pressure according to the acupuncture and recognizes the acupressure action by the trainee, and the acupressure data relating to the acupressure action classified according to various proficiency levels, Stored in the acupressure data storage means stored in advance corresponding to each part, the acupressure operation recognized by the acupressure operation recognition means, and the acupressure data storage means. It said comparing acupressure data, it may be one wherein the acupressure evaluation means for evaluating the proficiency of acupressure operation "further comprises.

  Therefore, according to the human body wearing device for physical training of the present invention, it is possible to evaluate the acupressure operation. Note that the specific training method is substantially the same as the above-described training in palpation, and thus the description thereof is omitted here. As a result, students studying acupressure treatment can learn whether or not the position of the vase of the human body is being accurately and moderately pressed by using the human body wearing device for physical training of the present invention. It becomes.

  Furthermore, in addition to the above-described configuration, the human body wearing device for physical examination training according to the present invention is “the analysis means analyzes a care operation related to care performed mainly for elderly people and physically disabled people”. It doesn't matter.

  Therefore, according to the human body wearing device for physical examination training of the present invention, it is possible to perform a nursing operation on a wearer wearing the wearing device body, and to analyze and evaluate the nursing operation. In general, people such as elderly people and persons with physical disabilities are inferior in physical strength compared with healthy people, and may feel pain due to an unreasonable care operation such as a caregiver holding a person with a strong force. Therefore, the trainer can learn how much power should be applied to the elderly or the like by using the human body wearing device for physical examination training of the invention.

  As an effect of the present invention, a trainer such as a medical student can carry out training related to various physical examinations such as auscultation and palpation using a human body or the like wearing the body of the wearing tool. In particular, when a person actually wears the wearer body, the trainee can perform operations related to medical treatment while communicating with the other person (human being) wearing the wearer body. Improve communication skills. Furthermore, since the contact position and contact pressure of fingers and the like are identified and detected by the analysis means, it is objectively determined whether or not the operation of the physical medical treatment is appropriate. Is possible.

  Furthermore, since fingers and the like do not come into direct contact with the human body during training, the wearer who wears the wearing tool body does not feel shame. Furthermore, since these techniques can be objectively determined, it is assumed that the human body wearing device for physical examination training of the present invention is used in practical tests such as medical departments or doctors' national examinations.

  Hereinafter, a human body wearing device 1 for physical examination training (hereinafter referred to as “human body wearing device 1”), which is a first embodiment of the present invention, will be described with reference to FIGS. 1 to 5. Here, FIG. 1 is an explanatory diagram showing a schematic configuration of the human body wearing tool 1 of the first embodiment, and FIG. 2 is a block diagram showing a functional configuration of the analysis processing device 2 in the human body wearing tool 1. FIG. 4 is an explanatory diagram showing a usage example of the human body wearing tool 1, and FIG. In addition, the human body wearing tool 1 of 1st embodiment has shown about what trains the technique regarding the auscultation which listens to the body sound S emitted from a human body, and diagnoses a symptom.

  As shown in FIGS. 1 to 3, the human body wearing device 1 of the first embodiment includes a wet suit type wearing device body 3 formed so that a human (wearer H) can actually wear, and the wearing device body 3. A surface contact pressure sensor 4 that is embedded over the entire surface of the device, detects contact with the outer surface of the mounting tool body 3, and can detect the contact position L and contact pressure P in the contact, and the surface contact pressure sensor 4 and wiring 5 is electrically connected through 5, receives sensor signals SG 1 and SG 2 indicating the detected contact position L and contact pressure P, recognizes and grasps the auscultation operation by the trainee T, and performs analysis processing to perform analysis processing It is mainly composed of a device 2 and a simulated stethoscope 6 that is connected to the analysis processing device 2 and is formed by imitating the shape of an actual stethoscope for the trainee T to perform an auscultatory operation in a simulated manner. Yes.

  Here, as shown in FIG. 3, the wearing tool main body 3 is formed in a shape that substantially covers the upper body of the wearer H, and is in close contact with the skin surface of the wearer H with almost no gap. It is installed with. Therefore, the wearing tool body 3 is formed like a wet suit with a highly stretchable rubber material in consideration of ease of wearing at the time of wearing and ease of movement after wearing. Thereby, the mounting tool main body 3 which adhered to the wearer H can be easily deformed along the movement of the wearer H. As a result, each position of the wearing tool main body 3 substantially coincides with the body part of the wearer H located below. That is, the contact position L (for example, the vicinity of the heart) of the wearing tool main body 3 with which the auscultation unit 7 of the simulated stethoscope 6 described later is in contact with the position of the body part (heart) of the wearer H can be matched.

  Furthermore, a surface contact type pressure sensor 4 for detecting contact by the auscultation unit 7 and detecting a contact pressure P at the contact position L is embedded in the wearing tool body 3 so as to be embedded in the rubber material. Installed. The surface contact type pressure sensor 4 uses a known sensor technology. As a result, the position of the auscultation unit 7 in contact with the mounting tool main body 3 and the strength of the auscultation unit 7 applied to the mounting instrument body 3 were measured and electrically connected as sensor signals SG1 and SG2. It can be sent to the analysis processing device 2. Here, the surface contact type pressure sensor 4 can detect the contact position L and the contact pressure P at a plurality of points of the wearing tool main body 3, and captures the contact point of the auscultation unit 7 as a pressure distribution. Can do. Here, the surface contact type pressure sensor 4 corresponds to the position specifying means and the pressure detecting means in the present invention.

  The simulated stethoscope 6 is extended from the auscultation unit 7 and an auscultation unit 7 for performing an auscultation operation that is brought into contact with the outer surface of the wearing tool body 3 while being held by the fingers of the trainee T. A small speaker 10a that is attached to one end of a pair of branch portions 9a and 9b of the Y-shaped branch portion 8 and that can reproduce the body sound S emitted from the human body. Built-in playback unit 10 that is inserted into the ear hole of trainer T and a small speaker 10a of playback unit 10, and transmits biological sound data SD of biological sound S sent from analysis processing device 2 as audio signal SS. And a speaker cord 11a. The Y-shaped branching portion 8 is urged so that the branching portions 9a and 9b are close to each other. When the trainee T inserts the reproduction unit 10 into the ear canal, the Y-shaped branching portions 8 are connected to each other. The simulated stethoscope 6 is mounted by the restoring force of the Y-shaped branching portion 8 by applying a force in the direction of separating and releasing the force applied to the Y-shaped branching portion 8 after being inserted into the ear canal.

  Further, the analysis processing apparatus 2 that is electrically connected to the wearing tool body 3 and the simulated stethoscope 6 and performs various processes related to training for auscultation operation has a functional configuration as shown in FIG. The interface unit 11 that receives the sensor signals SG1 and SG2 related to the contact position L and the contact pressure P sent from the contact-type pressure sensor 4, and the trainer T that is carried out in a simulated manner based on the received sensor signals SG1 and SG2. An auscultation action recognition means 12 for recognizing an auscultation action, a body sound storage means 13 for storing a body sound data SD in which a plurality of body sounds S including respiratory sounds and heart sounds emitted from a human body are converted into a database and stored; Based on the contact position L of the auscultation unit 7 of the simulated stethoscope 6 in contact with the instrument body 3, the body sound S emitted from the body part corresponding to the contact position L is specified, and the body sound recording Based on the body sound extraction means 14 for extracting the body sound data SD from the means 13 and the contact pressure P applied to the wearer body 3 by the auscultation unit 7, the extracted body sound data SD is changed according to a predetermined condition. The body sound changing means 15 to be added, and the extracted and changed body sound data SD are sent to the reproduction unit 10 of the simulated stethoscope 6 as an audio signal SS, and control for reproducing the body sound S from the reproduction unit 10 is performed. The main body sound reproduction control means 16 is mainly provided.

  Next, a usage example of the human body wearing tool 1 of the first embodiment and a flow of processing of the analysis processing apparatus 2 will be mainly described based on FIGS. 3 and 4. First, as shown in FIG. 3, first, the wearer H is caused to wear the mounting tool body 3 of the human body mounting tool 1. At this time, almost no gap is formed between the wearing tool main body 3 and the outer surface (skin surface) of the wearer H, and they are in close contact with each other. Thereby, the position of each part of the wearing tool main body 3 (for example, the vicinity of the heart) and the actual heart position of the wearer H can be substantially matched, and accurate auscultation operation training can be performed. It has become. Thereby, the wearer H side is ready. The surface contact type pressure sensor 4 embedded in the mounting tool main body 3 is connected to the analysis processing device 2 via the wiring 5.

  On the other hand, the trainer T prepares to take the same posture as a normal auscultation operation by inserting the pair of reproduction units 10 of the simulated stethoscope 6 into the left and right ear holes and holding the auscultation unit 7 with fingers. To do. In addition, since the specific example of mounting | wearing of the simulation stethoscope 6 was already described, detailed description is abbreviate | omitted here.

  Then, the trainer T applies the auscultation unit 7 of the simulated stethoscope 6 to a site to be diagnosed by the wearer H who wears the wearing tool body 3. Thereby, the contact position L and the contact pressure P at the contact position L are detected by the surface contact type pressure sensor 4 on the mounting tool body 3. Then, each sensor signal SG1, SG2 indicating that it has been detected is sent to the analysis processing device 2. At this time, the analysis processing device 2 is in a standby state for detecting whether or not the sensor signals SG1 and SG2 transmitted from the mounting tool body 3 are transmitted (step S1). When the sensor signals SG1 and SG2 are detected (YES in step S1), it is recognized that there is an auscultation operation for the wearing tool body 3 (step S2). On the other hand, when the sending of the sensor signals SG1 and SG2 is not detected, the process of step S1 is continued repeatedly.

After receiving the sent sensor signals SG1 and SG2, when the auscultation operation is recognized, the contact position L is specified based on the sensor signal SG1 including information on the contact position L (step S3). When the body sound data SD corresponding to the specified contact position L is in the body sound storage means 13 stored in advance (YES in step S4), the corresponding body sound data SD is extracted (step S5). That is, in a normal auscultation operation, when the auscultation unit 7 is applied to a position corresponding to the respiratory organ, heart, and abdomen where the body sound S can be heard, corresponding body sound data SD is extracted. On the other hand, when the biological sound data SD corresponding to the contact position L is not present in the biological sound storage means 13 (NO in step S4), that is, corresponding to the position of a bone or the like, the auscultation unit is originally located where the biological sound S is not heard. If 7 is applied, the subsequent steps are canceled, the process returns to step S1, and the presence / absence of transmission of the sensor signals SG1, SG2 due to the contact with the new auscultation unit 7 is continued.

  When the body sound data SD is extracted in step S5, then, the body sound data SD to be reproduced is changed according to the contact pressure P based on the sensor signal SG2 (step S6). In the case of a normal auscultation operation, the body sound S cannot be correctly heard if the auscultation part is pressed too strongly against the body or the force applied to the auscultation part is biased. Therefore, according to the human body wearing tool 1 of the first embodiment, by detecting the contact pressure P, the contact state of the auscultation unit 7 with respect to the wearing tool body 3 can be grasped, and an appropriate contact state (contact) It is determined whether the pressure is P). Note that when the contact pressure P is included in the predetermined range and the pressure distribution is appropriate, there is almost no amount of change added to the body sound data SD, and the amount of change increases when the frequency of deviating from the appropriate state is high. .

  Then, the body sound data SD extracted and further subjected to the change process according to the contact pressure P is transmitted as a sound signal SS to the reproduction unit 10 of the simulated stethoscope 6 by the body sound reproduction control means 16, and the ear hole of the trainee T To be recognizable by hearing (step S7). Thereafter, it is detected whether or not the auscultation part 7 of the simulated stethoscope 6 is located at the same contact position L of the mounting part main body 3 (step S8), and when it is in the state of contact with the same contact position L (in step S8) YES), it is determined whether or not the reproduction of the body sound S is continued (step S9). On the other hand, when the auscultation unit 7 is not located at the contact position L (NO in step S8), in other words, when the auscultation unit 7 is separated from the wearing tool body 3 and is not in contact, or different at different contact positions L ′. If the contact pressure P ′ is in contact, the process proceeds to step S2, where a new auscultation operation is recognized, and a process of reproducing the body sound S at the location is performed.

  Thereafter, whether or not to continue the reproduction of the body sound S is instructed, and if the reproduction of the body sound S is not continued (YES in step S9), the reproduction is ended (step S10). On the other hand, when the reproduction is continued (NO in step S9), the process returns to step S7, and the process of continuing the reproduction of the body sound S is performed.

  Thereby, the trainer T can listen to the body sound S reproduced from the simulated stethoscope 6 according to the auscultation operation performed on the wearing tool body 3 in a simulated manner. At this time, the body sound S reproduced from the simulated stethoscope 6 corresponds to the contact position L of the wearing tool main body 3 to which the trainer T applies the auscultation unit 7, and thus the heart, the respiratory organ, the abdomen, and the like. It is possible to virtually experience the body sound S heard at a plurality of locations. Furthermore, the reproduced body sound S stores not only a body sound S of a healthy person but also body sounds S indicated by a plurality of medical conditions (respiratory system diseases, heart diseases, digestive system diseases, etc.). Therefore, the trainer T can effectively improve the medical technique for diagnosing these cases. Furthermore, the biological sound storage means 13 can store the biological sound S for rare symptoms that are difficult to encounter in normal medical practice, and the auscultation can be performed together with a physical medical technique related to auscultation. A wide range of knowledge can be obtained.

  Furthermore, the human body wearing tool 1 of the first embodiment can be worn by the wearer H wearing the wearing tool main body 3, and the trainer T can perform an auscultation operation. For this reason, in the process of physical medical treatment related to auscultation, the physical medical care can be performed while speaking to the wearer H and conducting communication including an inquiry. As a result, the ability to communicate and communicate with the patient is improved. Further, since the auscultation unit 7 of the simulated stethoscope 6 does not need to actually touch the skin or skin for the wearer H, it is less likely to feel shame during training, and the role of the wearer H for training Do not hesitate to fulfill.

  Next, the human body wearing tool 30 according to the second embodiment of the present invention will be described with reference to FIGS. 5 and 6. Here, FIG. 5 is an explanatory diagram showing a schematic configuration of the human body wearing tool 30 in the second embodiment, and FIG. 6 is a block diagram showing a functional configuration of the analysis processing device 31 of the human body wearing tool 30. In addition, the human body mounting tool 30 of 2nd embodiment has illustrated as an object what trains the palpation technique which palpates a patient by the trainer T in physical treatment. Moreover, in the human body wearing tool 30 of 2nd embodiment, what shows the structure and function substantially the same as the human body wearing tool 1 of 1st embodiment attaches | subjects the same number, and omits detailed description here. To do.

  As shown in FIG. 5, the human body wearing tool 30 according to the second embodiment is electrically connected to the wearing tool main body 3 that can be worn by a wearer (not shown), the wearing tool main body 3, and the wiring 5. It is mainly composed of an analysis processing device 31 connected thereto.

  Here, the mounting tool body 3 is substantially the same as that already described in the human body mounting tool 1 of the first embodiment, and is attached to the mounting tool body 3 by the surface contact type pressure sensor 4 embedded therein. The contact of a finger or the like in the operation related to the medical care performed on the hand (here, the contact of the finger in the palpation operation) can be detected by the contact position L and the contact pressure P. That is, the simulated stethoscope 6 is removed from the configuration of the human body wearing tool 1 of the first embodiment.

  Furthermore, as shown in FIG. 6, the analysis processing device 31 in the human body wearing tool 30 of the second embodiment has an interface unit that receives sensor signals SG <b> 1 and SG <b> 2 sent from the surface contact pressure sensor 4 as its functional configuration. 32 and palpation motion recognition means 33 for recognizing the palpation motion by the trainer T based on the received sensor signals SG1 and SG2, and palpation for storing palpation data TD related to the palpation motion classified according to various proficiency levels The palpation evaluation means 35 for comparing the palpation action recognized by the palpation action recognition means 33 and the palpation data TD stored in the palpation data storage means 34 to evaluate the proficiency level of the palpation action of the trainee T. And an evaluation display control means 37 for displaying the evaluated proficiency level of the trainee T on the monitor display 36 so as to be visually recognizable. It is configured.

  Thus, by performing a simulated palpation of physical practice on a wearer wearing the wearing tool body 3 by a trainer (not shown), the contact position L of the trainee's fingers in palpation and The palpation operation can be recognized based on the contact pressure P at the contact position L. At this time, for example, whether or not the contact position L and the contact pressure P of the palpation operation with respect to the abdomen are appropriate is evaluated based on the palpation data TD classified and stored in advance according to the degree of proficiency. Here, the evaluation method is evaluated by 1) determination of the contact position L in the palpation operation (whether or not the correct location has been palpated), 2) the strength of the contact pressure P, and 3) the temporal change of the contact pressure P. These are displayed on the monitor display 36. At this time, the correct contact position L, the range of the contact pressure P, the pressure waveform of the contact pressure P with respect to time change, and the like can be displayed together as comparison targets. It should be noted that various processes performed by the analysis processing device 31 such as finger contact detection and palpation motion recognition are substantially the same as the analysis processing device 2 that performs the above-described analysis and processing of the auscultation motion. Detailed description is omitted. As a result, the trainee can perform a palpation operation training using the human body wearing device 30 of the present invention, and can objectively receive an evaluation of the proficiency level of the medical technique related to the palpation. Even in this case, the communication ability can be improved by performing a simulated palpation operation while interacting with the wearer.

  The present invention has been described with reference to preferred embodiments. However, the present invention is not limited to these embodiments, and various modifications can be made without departing from the spirit of the present invention as described below. And design changes are possible.

  That is, in the human body wearing devices 1 and 30 according to the first embodiment and the second embodiment of the present invention, the techniques related to the physical diagnosis related to auscultation and palpation are analyzed and trained, respectively. For example, the present invention may be applied to a technique related to acupressure or a nursing technique for nursing an elderly person. In addition, since it is possible by the method similar to the human body mounting tools 1 and 30 of 1st embodiment mentioned above and the recognition of the operation | movement of each physical medical care about the contact to the mounting tool main body 3, and here, Then, explanation is omitted.

  Furthermore, although the thing of the structure of the wet suit type which coat | covers the whole upper body of the wearer H was shown as the mounting tool main body 3, it is not limited to this, The wearer H is coat | covered the whole body, or a wearer These may be appropriately selected according to the physical medical treatment to be trained, such as those covering a part of H. Further, the wearing tool main body 3 is not limited to a wet suit type, and may be one that can be worn by the wearer H like normal clothes.

  Furthermore, although the thing with which the actual human (wearer H) wears the mounting tool main body 3 was shown, it is not limited to this, You may mount | wear with a human body model, such as what is called a "mannequin." . Thereby, at the time of the first school, you may wear it on a human body model and learn by self-learning techniques related to auscultation, palpation, etc., and based on that, you may train a physical practice with the wearer H. Furthermore, it is also possible to use the human body wearing devices 1 and 30 of the present invention for practical tests related to physical medical care.

It is explanatory drawing which shows schematic structure of the human body mounting tool of 1st embodiment. It is a block diagram which shows the functional structure of the analysis processing apparatus of a human body mounting tool. It is explanatory drawing which shows the usage example of a human body mounting tool. It is a flowchart which shows the flow of a process of an analysis processing apparatus. It is explanatory drawing which shows schematic structure of the human body mounting tool of 2nd embodiment. It is a block diagram which shows the functional structure of the analysis processing apparatus of a human body mounting tool.

Explanation of symbols

1,30 Human body wearing equipment (Human body wearing equipment for physical training)
2,31 Analysis processing device (analysis means)
3 Wearing tool body 4 Surface contact type pressure sensor (position specifying means, pressure detecting means)
6 Mock Stethoscope 12 Auscultation Recognition Unit 13 Biological Sound Storage Unit 14 Biological Sound Extraction Unit 15 Biological Sound Change Unit 16 Biological Sound Reproduction Control Unit 33 Palpation Operation Recognition Unit 34 Palpation Data Storage Unit 35 Palpation Evaluation Unit 37 Evaluation Display Control Unit H Wearer (human body, human body model)
L Contact position P Contact pressure S Body sound SD Body sound data T Trainer TD Palpation data

Claims (6)

An attachment body formed so as to be worn on a human body or a human body model;
The trainee's finger or the training that touched the mounting tool body during a physical medical treatment carried out by a trainer on the human body or the human body model in a state in which the mounting tool body is worn. Position specifying means for specifying a contact position of a medical instrument operated by a person,
Pressure detecting means for detecting a contact pressure at the contact position specified by the position specifying means;
A human body wearing device for physical examination training, comprising: analysis means for analyzing a medical technique of the physical practice by the trainer based on the identified contact position and the detected contact pressure . The physical practice is
Listening to body sounds including breathing sounds and heart sounds emitted from the human body, for auscultation to make a diagnosis,
The analysis means includes
An auscultation unit that is in contact with the wearing tool main body, and a mock stethoscope that is formed so as to be inserted into the ear hole of the trainee and that reproduces the biological sound;
Biological sound storage means for storing biological sound data related to a plurality of biological sounds in association with each part of the wearing tool main body;
An auscultation action recognition means for identifying the contact position of the auscultation part in contact with the wearing tool body by the position specifying means and recognizing an auscultation action;
A body sound extraction means for extracting from the body sound storage means the body sound data corresponding to the contact position with which the auscultation unit is in contact by the recognized auscultation operation;
The physical wear training human body wearing device according to claim 1, further comprising a biological sound reproduction control means for reproducing the extracted biological sound data from the reproduction unit of the simulated stethoscope. The analysis means includes
The biological sound changing means for detecting the contact pressure by the auscultation unit in contact with the wearing tool body and changing the biological sound data according to the contact pressure is further provided. The human body wearing device for physical medical training as described. The physical practice is
Targeting palpation to make a diagnosis by bringing the finger into contact with the human body and pressing it,
The analysis means includes
The position specifying means specifies the contact position where the finger of the trainee comes into contact with the human body or the human body model in a state in which the wearing tool body is worn, and further, the finger Palpation operation recognition means for detecting the contact pressure related to the compression applied by the pressure detection means and recognizing the palpation action by the trainee;
Palpation data storage means for pre-stored palpation data related to the palpation operation classified according to various proficiency levels corresponding to each part of the wearing tool body,
And further comprising palpation evaluation means for comparing the palpation action recognized by the palpation action recognition means and the palpation data stored in the palpation data storage means to evaluate the proficiency level of the palpation action. The human body wearing device for physical medical training according to claim 1. The physical practice is
Targeting acupressure treatment performed on the acupuncture points of the human body,
The analysis means includes
The position specifying means specifies the contact position where the finger of the trainee is in contact with the human body or the human body model wearing the wearing tool body by acupressure operation performed in a simulated manner, and further adds the position by the finger. Detecting the contact pressure related to the finger pressure to be detected by the pressure detection means, and the finger pressure action recognition means for recognizing the finger pressure action by the trainee;
Acupressure data storage means for storing acupressure data related to the acupressure operation classified according to various proficiency levels in advance corresponding to each part of the wearing tool body,
It further comprises acupressure evaluation means for comparing the acupressure action recognized by the acupressure action recognition means and the acupressure data stored in the acupressure data storage means to evaluate the proficiency level of the acupressure action. The human body wearing device for physical medical training according to claim 1. The analysis means includes
The human body wearing device for physical examination training according to claim 1, wherein a nursing care operation related to nursing care performed mainly for elderly people and physically disabled people is analyzed.

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