JP2007282822A - Medicine dosage management method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medicine dosage management method managing the dose of medicine, preventing a user from forgetting to take medicine or preventing double dose of medicine, reducing the manufacturing cost of an appliance and easily used. <P>SOLUTION: This medicine dosage management method is characterized in printing dosing date/hour indications 3 corresponding to a prescription on a calendar blank paper mounting formed with retaining slit parts 6a and 6b inclined mutually in opposite directions on the mounting 1 such as a cardboard, and the retaining slit parts 6a and 6b of the mounting are retained with split PTP (Press-Through Package) sheets 7 so that the user can take the medicine according to the printed indications. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a method for managing medication taking, and more specifically, a method for reliably managing medication taking using a calendar mount having a holding slit portion for holding a push-through package of a separated medication. About.

  In general, a medicine prescribed from a medical institution is often prescribed every day or every predetermined time by specifying a taking date and time. However, when taking medicine for a long period of time, you may forget to take the medicine or forget that you have taken it and take it twice. Forgetting to take such medicines or taking them twice adversely affects the user. Various devices have been developed to prevent this, but the structure is complicated and expensive, and it is easy to operate and handle when using it. However, there is a demand for a product that can be easily manufactured at a low cost.

  For example, in Patent Document 1, a plurality of bag-shaped medicine storage units corresponding to dates are provided on a calendar-shaped mount, and medicines are stored in these medicine storage units, forgetting to take medicines or taking double medications. There is something to prevent. However, such a product is still expensive to manufacture and troublesome in use.

  Moreover, what is shown to patent document 2 forms an adhesion layer on the surface of a calendar | calender, a memo etc. are stuck and hold | maintained here. If this medicine is pasted according to the date of this calendar, it seems that it is possible to prevent forgetting to take medicine and double-dose, but it is expensive to form an adhesive layer.

In addition, what is shown in Patent Document 3 includes a foldable mount that can accommodate a PTP sheet, and the date and the like are displayed on the mount corresponding to the tablet storage portion of the PTP sheet.
However, this product is costly to manufacture, and the date can only be displayed on the first and second days, so if you forget the number of days, forget to take it, make sure to take double It cannot be prevented.

  In order to solve these problems, the present inventor has proposed a medication administration tool previously filed as Japanese Patent Application No. 2006-028618. This product forms a pair of slits inclined in the opposite direction on thick paper, etc., and this is used as a holding slit, and the lower corner of the drug push-through package packaging (PTP sheet) separated into this holding slit is It is a medicine administration management calendar type in which the date and time of taking the medicine is displayed corresponding to these holding slit portions.

  Such a medication administration calendar is simple in structure and can be manufactured at low cost, but even if such a calendar is used, the use of this medication management calendar and the administration of the medication are at the discretion of the patient (administrator). I cannot help it.

For this reason, there is a possibility of misuse, such as a wrong position for inserting the PTP sheet or forgetting to insert. In particular, if such a calendar is formed into a general-purpose type common to all patients, the above-mentioned misuse is likely to occur. Therefore, it is necessary to prevent misuse of the user as much as possible.
JP 2001-258999 A Japanese Utility Model Publication No. 64-27264 JP 2001-70404 A

  The present invention has been made on the basis of the above circumstances, and uses a medicine administration calendar provided with a holding slit portion that can hold a PTP sheet, thereby ensuring that medicine is forgotten, doubled, or misused. It is intended to provide a medicine management method that can prevent the problem.

  The present invention according to claim 1 is a calendar in which at least a pair of holding slit portions inclined in opposite directions sandwiching the corners on both sides of a medicine push-through package separated into a mount made of an elastic sheet material are formed. It is a method of managing medication use using a mount, at least in the process of preparing a blank calendar mount that does not display the medication date and time, and in the part corresponding to the above holding slit part corresponding to the prescription The process of printing the taking date and time, the process of inserting the separated push-through package into the holding slit corresponding to the taking date and time of the printed calendar mount, and the process of taking the medicine according to the above taking date and time It is equipped.

  The present invention according to claim 2 is characterized in that in the process of printing the date and time of taking the medicine, the date of taking the medicine and the time of taking the medicine are printed.

  According to a third aspect of the present invention, the process of printing the dosing date and time simultaneously prints the name of the drug to be held in the holding slit portion in the vicinity of the holding slit portion together with the date and time of taking the medicine. It is a feature.

  According to a fourth aspect of the present invention, the process of taking the medicine according to the date and time of taking includes a process of returning the empty push-through package after taking it back to the original holding slit and holding it on the calendar mount It includes the process of confirming the medication status with an empty push-through package.

  The present invention according to claim 1 prepares at least a blank calendar mount that does not display the medication date and time, and prints the medication date and time on a portion corresponding to the holding slit portion corresponding to the prescription. It is. Accordingly, a calendar mount dedicated to each patient is formed in which the number of days of medication taken, the number of tablets taken per day, etc. correspond to the prescription. In addition, the separated push-through package is held in correspondence with the above print in the holding slit portion of the calendar mount dedicated to each individual patient, and the medicine is taken according to the above indication of the date and time of use. Double dosing is reliably prevented, and medication can be reliably managed.

  The present invention according to claim 2 is characterized in that, in the process of printing the taking date and time, the taking date of the medicine and the taking time of the medicine are printed. Therefore, not only the date of taking but also the taking time such as before breakfast, after breakfast, before dinner, before sleeping, etc. corresponding to the prescription is specifically displayed corresponding to the PTP sheet to be held there Therefore, misuse such as mistaken insertion, forgetting to insert, forgetting to take, double taking, etc. are surely prevented.

  According to the third aspect of the present invention, in the process of printing the date and time of taking the medicine, the name of the medicine to be held in the holding slit portion can be printed simultaneously with the date and time of taking the medicine. It can be done. Therefore, it is specifically displayed which medicine should be held in which holding slit portion, and the divided PTP sheet is not held in the wrong position, and misuse is surely prevented.

  According to the present invention, the medicine is taken in accordance with the above-mentioned taking date and time, and the empty push-through package after taking is returned to the original holding slit part and held, and the empty remaining on the calendar mount later. The push-through package confirms the medication status. Therefore, even after taking a dose, it is possible to grasp the status of taking it, such as forgetting to take it, and it is possible to report it to a doctor to evaluate the impact, etc., and to manage medication more strictly. .

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. First, with reference to FIGS. 1-12, the structure of the medication management tool used in the present invention, that is, the medication management calendar mount will be described.

  A first embodiment of the calendar mount will be described with reference to FIGS. In this embodiment, the PTP sheet separated into two tablets is held.

  In the figure, reference numeral 1 denotes a mount, and the mount 1 is formed of an elastic sheet material, for example, a thick paper with a certain degree of stiffness, a plastic sheet, and other materials. A hanging hole 2 is formed in the center of the upper portion of the mount 1, and is configured to be hung on a hook or the like.

  Further, a date and time display unit 3 is formed on the mount 1. In the case of this embodiment, there are eight date and time display sections 3 arranged in the horizontal direction. In the case of this embodiment, a calendar day, that is, a month, a day, and a day of the week are printed on the date and time display portion. These date and time display parts are surrounded by a grid-like frame line 4, and each date and time display part 3 is clearly associated with the holding part 5 that is a part to hold the PTP sheet. Yes.

  And the holding | maintenance part 5a and 6b which make a pair are formed in the holding | maintenance part 5 in the frame line 4 corresponding to the downward direction of each date display part 3. FIG. In the case of this embodiment, the holding slit portions 6a and 6b are formed in five pairs arranged in the vertical direction, and can hold five PTP sheets. In the case of this embodiment, the pair of holding slit portions 6 a and 6 b are formed across two adjacent holding portions 5.

  As shown in FIG. 2, the holding slit portions 6 a and 6 b are linear cuts inclined in opposite directions to each other, and are arranged in a valley shape spreading upward. And as shown in FIG. 3, the lower corners on both sides of the thin plate-like portion 9 formed around the convex tablet accommodating portion 9 of the PTP sheet 7 divided into two tablets are these holding slit portions 6a, 6b is inserted. As a result, the PTP sheet 7 is held by the holding unit 5. The PTP sheet 7 is sandwiched on both sides by the elasticity of the mount 1, and does not fall off even if the mount 1 is shaken upside down. Further, since the holding slit portions 6a and 6b that form a pair are arranged in a valley shape that is inclined in the opposite direction, even if the dimensions of the separated PTP sheet 7 are different, they can be inserted without any problem.

  In addition, using the margin of the mount 1, the name of the medication management tool 10, the year 11, the precautions 12 regarding the medication, and the medication management tool together with the medicine at the dispensing pharmacy In the case of distribution, a display 13 such as a pharmacy name is printed. In addition, a pattern 14 imitating a state in which the PTP sheet is inserted is printed on a part or all of the holding slit portions 6a and 6b forming a pair in order to show how to insert the PTP sheet.

  When using this medication management tool, the PTP sheet is divided into two tablets along the perforation, and the divided PTP sheet 7 corresponds to the date and time of administration as shown in FIG. It is inserted and held in the holding slit portions 6a and 6b. Even when the number of medicines to be taken per day is plural, up to five PTP sheets can be held. The PTP sheet 7 divided into two tablets is held over two adjacent holding parts 5, that is, the holding parts 5 for two days. Therefore, the two tablet storage portions 9 of the PTP sheet 7 divided into two tablets are positioned in the holding portions 5 corresponding to the two date and time display portions 3, respectively.

  Therefore, if this medicine administration tool holding the PTP sheet 7 is hung on a wall or the like, whether the medicine to be taken on that day, or the medicine to be taken on that day is being taken, or has not been taken yet , Etc. become obvious. Therefore, forgetting to take medicine and double-dose are reliably prevented.

  In this embodiment, for the convenience of carrying, the size of the mount 1 is set small, and only the medicine for 8 days can be held. However, when taking medicine for 8 days or more, the date is continuous. It is only necessary to prepare a plurality of dose management tools, hold a PTP sheet on these, and hang them on a wall or the like.

  In addition, as described above, when the PTP sheet is separated into one tablet, there is an example of accidental swallowing by the elderly or the like, and in order to prevent this, two tablets are used in recent PTP sheets. Perforated so that it can only be separated. Therefore, if you use this medication management tool, divide the PTP sheet into two tablets along the perforation with your hands without using scissors and insert it into this medication management tool. Because it can be managed, it can be used easily. In addition, when the PTP sheet is cut into small pieces one by one, it can be inserted only on one side of the holding slit portions 6a and 6b, so that the holding is unstable and cannot be used. In this way, even in the case of elderly people and the like, by using this medication management tool, if it is customary to divide the PTP sheet into two tablets, it is possible to prevent such accidental ingestion.

  In addition, if you put the empty PTP sheet into the medication management tool without throwing it away, you can identify the past state of medication at a glance, and later separate and discard the empty PTP sheet as plastic waste. Convenient to do.

  FIGS. 5 to 7 show a second embodiment of the calendar mount. In this embodiment, the PTP sheet 7 separated for each tablet is held, and is provided with one week, that is, seven date and time display sections 3, frame lines 4, holding sections 5 and the like. Similar to the first embodiment, the corresponding parts are denoted by the same reference numerals and the description thereof is omitted.

  In this embodiment, a pair of holding slit portions 26a and 26b are formed in each holding portion 5 corresponding to each date and time display portion 3. These holding slit portions 26a and 26b are cuts arranged in a valley shape opened upward and inclined in opposite directions as in the above-described embodiment. As shown in FIG. 6, the interval between the holding slit portions 26a, 26b is configured to insert and hold the lower corners on both sides of the PTP sheet 17 divided into one tablet. These holding slit portions 26a and 26b are formed in five pairs in the vertical direction in the holding portion 5 for one day, and are configured to hold a maximum of five divided PTP sheets 17 in one day. Yes.

  In this embodiment, the PTP sheet is cut into one tablet, and each cut PTP sheet is held and held one by one for each holding part 5 of each date and time display part 3 as shown in FIG. Since one PTP sheet 17 is held for each date, medication administration can be managed more clearly. It is also convenient for irregular administration, for example, when a medicine taken every day and a medicine taken every other day are used together.

  FIG. 8 shows a third embodiment of the calendar mount. This is the same configuration as the second or first embodiment described above except that the date and time display unit 33 is blank, and the same reference numerals are used for the same parts as in the second and first embodiments. The description is omitted.

  In the third embodiment, the date and time etc. are printed or entered later in the blank date and time display section 33 for use. For example, if the date and time starting from the start date of taking the medicine is printed or entered in the date and time display unit 33, all the holding units 5 can be used without waste, which is economical. Further, in the case of a medicine to be taken every predetermined time, if the date and time to be taken are calculated and printed or entered on the date and time display section 33, the medicine can be reliably managed.

  9 and 10 show a fourth embodiment of the calendar mount. In this case, the above-mentioned holding slit portions are not merely cuts, but are formed as long and narrow holding slit portions 46a and 46b having a certain width as shown in the figure. As in the above-described embodiment, this is sandwiched by inserting the lower corners on both sides of the PTP sheet 7 into these holding slit portions 46a and 46b as shown in FIG. In this case, since these holding slit portions 46a and 46b are gap-like, it is easy to insert the lower corners on both sides of the PTP sheet 7.

  Further, FIG. 11 shows a fifth embodiment of the calendar mount. In this case, two adjacent slits form a pair, and four holding slit portions 56a, 56b, 56c, and 56d form a pair. This can be inserted even when the width of the various cut PTP sheets varies greatly.

  FIG. 12 shows a sixth embodiment of the calendar mount. In this device, the lower end portions of the pair of holding slit portions 66a and 66b are connected to each other by a horizontal slit 66c, and these slits 66a, 66b and 66c have a U-shape as a whole. This can be inserted deeply until the tablet accommodating portion 9 of the PTP sheet 27 hits the slit 66c, the interval between the PTP sheets 27 held adjacent to each other in the vertical direction can be narrowed, and the area required for holding these PTP sheets can be reduced. .

  The fourth to sixth embodiments described above have the same configurations as those of the first to third embodiments except for the parts described above, and the same parts are denoted by the same reference numerals. Description is omitted.

  Furthermore, the calendar mount is not limited to the above-described embodiments. For example, the number of date and time display units and holding units and the like is not limited to 8 or 7, but may be any number, and the arrangement thereof is not limited to one horizontal row, and may be arranged in a vertical direction, and more than one stage You may arrange in multiple rows. In addition, in the vicinity of each pair of holding slit portions, for example, morning, noon, evening, before meals, after meals, etc., a display of a taking mode may be printed, printed, or filled in.

  Further, the shape of the holding slit portion is not limited to the above, and may be a curved shape instead of a linear shape, for example. Further, the mount may be configured to be folded. A plurality of mounts may be bound like a calendar book. Further, when the holding slit portions are arranged symmetrically, a date / time display portion, a holding portion, and the like may be printed on the back surface of the mount.

  Further, the shape of the mount is not limited to the rectangle as described above, and may be a trapezoid, a circle, an ellipse or other shapes. In addition, the configuration of the association between the date and time display unit and the holding unit is not limited to the one surrounded by the frame line as described above, and may be associated by, for example, color coding, association by pattern, or simple positional relationship.

  Next, an embodiment of a medicine administration management method using the medicine administration management calendar as described above will be described with reference to FIGS. In this embodiment, the medication management calendar is handed over to a patient via a pharmacist (dispensing pharmacy) together with the prescription of the medicine.

  First, a blank calendar mount 71 as shown in FIG. 13 is prepared. The blank calendar mount 71 is formed of thick elastic paper or synthetic paper, and paper that can be printed by a printer such as an inkjet printer is selected. The calendar mount 71 is formed with holding slit portions 6a and 6b as described above at predetermined positions. Further, the above-described hanging hole 2 is also formed. This blank calendar mount 71 is prepared in advance in a dispensing pharmacy or the like.

  Next, the patient (medicine taker) hands the prescription of the medicine delivered from the doctor to the dispensing pharmacy, that is, the pharmacist in the process indicated by st1 in FIG. Next, in step st2, the pharmacist performs dispensing based on the prescription, and also takes the medication information, that is, the medication name of the medication, the starting date of the medication, the time taken before breakfast, after dinner, the name of the patient, etc. Type in the keyboard.

  In the memory of this personal computer, a print pattern to be printed on the blank calendar mount 71 is input in advance. This print pattern is, for example, as shown in FIG. 14, and common items such as the frame line 4, the calendar name display 10, the year display 11, the pharmacy name display 13, and the medicine picture 14 as described above Is entered. Further, since the holding slit portions 6a and 6b described above are thin slits, it is difficult to determine the position of the slits as they are, and a pattern for printing the slit display line 75 is input from above.

  In addition, a program for printing a display pattern corresponding to the prescription as described above is input to this memory. This pattern corresponds to the display 72 of the name of the patient taking the medicine, the display 73 of the date of taking the medicine, the display 75 of the time of taking before breakfast, after breakfast, before dinner, before sleeping, etc. A drug name display 74 of the medicine to be taken is programmed in advance. The date display 73 is printed on the date and time display section, and the dosing time display 75 and the drug name display 74 are printed in the vicinity of the holding slit sections 6a and 6b. These displays do not need to be input for each display. For example, in the date display 73, if a start date and a period for taking a dose are input, the date during that period is automatically printed, and a display of the time for taking is also provided. 75. The medication name display 74 is programmed to automatically print in the vicinity of each holding slit when a medication name and the medication time are input.

  At the same time, information such as the prescription drug name, patient name, taking period, and taking time is input to the memory of the personal computer and stored as a medication record for each patient.

  Using the print pattern set in this way, in step st3, a calendar such as an ink jet printer is printed on a calendar mount 71 as shown in FIG. 13 to create a medicine dosing calendar as shown in FIG. This is handed to the patient, ie the user, together with the medicine. In this case, the pharmacist explains the kind of medicine or the like to the patient verbally or in writing, and the patient divides and holds the PTP sheet of the medicine displayed on the holding slit portions 6a and 6b into two tablets. When the above-mentioned work cannot be performed, such as when the patient is an elderly person, etc., as shown in step st4, the PTP sheet divided by the pharmacist is inserted and held in a predetermined holding slit and handed to the patient. May be.

  Then, in the process st5, the patient takes the medicine as displayed on the dosing calendar, and keeps the PTP sheet taken only one tablet in the original position. If you take this medication calendar holding this PTP sheet on a wall or place it on a suitable holder and place it in an easy-to-see place, it will be obvious at what time and on what date you took the medicine. Forgetting to take or taking double is definitely prevented.

  In this case, even after taking two tablets of the PTP sheet divided into two tablets, the empty PTP sheet is not discarded but is inserted and held in the original holding slit portion. In addition, when the medicine is forgotten to be taken, the tablet forgotten to be taken is left as it is and inserted into the original holding slit portion to be held.

  And after taking all the medicines, this taking calendar mount is returned to the dispensing pharmacy, that is, the pharmacist while holding an empty PTP sheet. At this time, the pharmacist confirms the taking state as shown in process st6. If this patient is taking the medicine correctly or not taking it correctly, because he / she has forgotten to take it, misplaced the medicine (PTP sheet), and other information is left in the returned medication calendar Can grasp the wrong taking situation.

  Next, the pharmacist removes the empty PTP sheet from the calendar mount and discards it as plastic waste in a lump, and the calendar mount is discarded as combustible waste. In general, an empty PTP sheet is discarded as it is in a waste basket and mixed into combustible waste, so that it can be collected separately by collecting in this way.

  Further, in st8, the pharmacist reports to the doctor what the patient has taken the medicine correctly or if he / she did not take it correctly, and the doctor judges the condition of the patient. If necessary, the patient is examined again or necessary treatment is performed at the next visit.

  As described above, since the patient specifically takes the medicine, and takes the medicine according to the instructions of the medication calendar prepared for each individual patient, misuse, forgetting to take, double taking, and the like are prevented. In addition, since the medication status is reported or fed back to the doctor via a pharmacist, strict medication management is possible.

  In the above-described embodiment, the calendar mount capable of holding 6 tablets per day is used. However, when the number of tablets per day is small, for example, 3 tablets or less, as shown in FIG. There is no waste if calendar mounts with slits arranged in two stages are used.

  In addition, this invention is not limited to said embodiment. The above-described embodiment is a case where administration is managed via a dispensing pharmacy, that is, a pharmacist. For example, in the case where administration of medication of an inpatient is managed in a hospital, a nurse or the like uses this medication calendar. Inpatient doses may be managed.

  In addition, when the patient himself / herself has considerable attention, or a person with considerable attention is assisting the patient, the patient himself / her assistant creates this medication calendar under the guidance of a pharmacist or the like. May be.

  In the above embodiment, the blank paper mount of the calendar is not printed at all. However, in some cases, the above-described common display, that is, the frame 4 as described above, the display 10 of the name of the calendar, the year, is used. A calendar mount preprinted with a display 11, a pharmacy name display 13, a medicine pattern 14, a slit display line 75 and the like may be used.

  Moreover, if a photograph of the PTP sheet of the medicine to be held in each holding slit portion is printed on each holding slit portion, a mistake in inserting the medicine is more reliably prevented. In this case, the photograph of the PTP sheet to be printed may be lightened in color, or may be superposed with characters such as “sample” so as not to be mistaken for a real PTP sheet.

The top view of 1st Embodiment of the dosing calendar used for this invention. The top view of the part of a holding | maintenance slit part. The top view of the holding | maintenance slit part of the state which inserted the PTP sheet. The top view which shows the use condition of 1st Embodiment. The top view of 2nd Embodiment of a dosing calendar. The top view of the holding | maintenance slit part of the state which inserted the PTP sheet. The top view which shows the use condition of 2nd Embodiment. The top view of 3rd Embodiment of a dosing calendar. The top view of the holding | maintenance slit part of 4th Embodiment of a dosing calendar. The top view of the holding | maintenance slit part of the state which inserted the PTP sheet. The top view of the holding | maintenance slit part of 5th Embodiment of a dosing calendar. The top view of the holding | maintenance slit part of 6th Embodiment of a dosing calendar. The top view of the calendar blank paper mount used for the embodiment of the present invention. The top view of the printed calendar mount used for the embodiment of the present invention. A top view of another printed calendar mount. The figure which shows the process of embodiment of the management method of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Mount 2 Hanging hole 3 Date display part 4 Frame line 5 Holding part 6a, 6b Holding slit part 7 PTP sheet 8 Thin plate part 9 Tablet storage part 10 Name display 11 Year display 12 Instructions display 13 Pharmacy name 14 Picture 26a, 26b Holding slit part 27 PTP sheet 33 Date and time display part 46a, 46b Holding slit part 56a, 56b, 56c, 56d Holding slit part 66a, 66b Holding slit part 71 Calendar blank paper mount 72 Patient name display 73 Display of date 74 Display of drug name 75 Display of taking time

Claims (4)

  Administration of medicine is controlled by using a calendar mount on which at least a pair of holding slit portions inclined in opposite directions sandwiching the corners on both sides of the push-through package of medicine separated by a mount made of elastic sheet material A method of preparing a blank calendar mount that does not display at least the medication date and time, and a process of printing the date and time on a portion corresponding to the holding slit corresponding to the prescription. Taking a push-through package into a holding slit corresponding to the date and time of taking the printed calendar mount and taking the medicine according to the date and time of taking the medicine Management method.   2. The medicine administration management method according to claim 1, wherein in the step of printing the taking date and time, a medicine taking date and a medicine taking time are printed.   2. The medicine taking according to claim 1, wherein in the process of printing the taking date and time, the medicine name to be held in the holding slit portion is simultaneously printed in the vicinity of the holding slit portion together with the taking date and time of the medicine. Management method.   The process of taking the medicine according to the date and time of taking includes the process of holding the empty push-through package after taking it back to the original holding slit, and taking the medicine by the empty push-through package remaining on the calendar mount. The method for taking medication according to claim 1, further comprising a step of confirming the situation.

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