JP2014121617A - Bed-leaving information management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a bed-leaving information management system for easily managing information on a subject's activity of leaving a bed.SOLUTION: A system 1 includes: a load detecting means 2 for detecting a load applied on a bed 51; a bed-leaving determining means 6 which determines whether a subject H exhibits an activity of leaving a bed or not based on a load value detected by the load detecting means 2; an operation signal transmitting means 26 for transmitting an operation signal of a notifying means 29 to the notifying means 29 when the bed-leaving determining means 6 determines that the subject H exhibits the activity of leaving a bed; a display control means 19 for displaying a plurality of events E on the subject H in a display part 22 when the bed-leaving determining means 6 determines that the subject H exhibits the activity of leaving a bed, or the operation signal transmitting means 26 transmits the operation signal; and a recording control means 24 for recording an event E1 selected out of the plurality of events E displayed in the display part 22 in a recording part 25.

Description

  The present invention relates to a bed information management system and a bed information management method for managing information related to bed removal from a bed of a subject lying on a bed (eg, a bed bed portion).

  As an apparatus for detecting that a subject (e.g., a cared person) on the bed part of the bed has left the bed part, for example, an apparatus disclosed in Japanese Patent Laid-Open No. 2005-152616 (Patent Document 1) is known. Yes. This device detects a subject's getting out of bed by a change in the electrical signal of a panel-type sensor placed under the mattress on the bed, and a caregiver (eg, nurse) through the nurse call device that the subject has left the bed. , The subject's family and relatives) are notified by an alarm sound or the like.

  Several other devices are known as devices for detecting a subject's bed (see, for example, Patent Documents 2 to 6).

  A caregiver who knows that the subject has left the floor with the above device goes to the place where the bed is installed, and performs necessary assistance to the subject. And after caregiver, in order to manage the information about the subject's getting out of bed, the caregiver has written care records such as the reason for getting out of the subject, the contents of care (helping content), and the time of getting out of the subject in the care diary.

JP 2005-152616 A JP 2006-305343 A JP 2007-175208 A JP 2007-330658 A JP 2007-330659 A JP 2008-264338 A

  However, caregivers are too busy to fill in care records. In particular, since the number of caregivers is reduced at night, caregivers need to assist more subjects than in the daytime, and it is therefore a very heavy burden to write care records.

  The present invention has been made in view of the above-described technical background, and an object thereof is to provide a bed leaving information management system and a bed leaving information management method capable of easily managing information related to the bed leaving of a subject.

  The present invention provides the following means.

[1] Load detection means for detecting a load applied to the bed where the subject is present;
Bed leaving determination means for determining whether or not the subject has made a bed leaving action based on the load value detected by the load detection means;
When it is determined by the bed leaving determination means that the subject has made a bed leaving action, an operation signal transmitting means for transmitting an operation signal of the notification means to a notification means for notifying a person to be notified of information related to getting out of the bed; Display control means for displaying a plurality of events related to the subject on the display unit when it is determined that the person has left the bed, or when the motion signal is transmitted by the motion signal transmission means,
A bed information management system, comprising: a recording control unit that causes a recording unit to record an event selected from a plurality of events displayed on the display unit.

  [2] The recording control means may further set the selected event as a time at which the test subject has determined that the subject has left the floor or the time at which the motion signal is transmitted by the motion signal transmission means. The bed leaving information management system according to claim 1, wherein the information is recorded in the recording unit in association with each other.

[3] The bed leaving determination means includes a plurality of determination criteria as to whether or not the subject has made a bed leaving action,
3. The bed leaving information management according to claim 1, wherein the recording control unit further causes the recording unit to record a determination criterion applied by the bed leaving determining unit to determine the bed leaving behavior of the subject in association with the selected event. system.

  [4] The display control means, when it is determined that the subject has made a bed leaving action by the bed leaving determination means, or when an operation signal is transmitted by the operation signal transmission means, the bed leaving among the plurality of events. 4. The bed leaving information management system according to claim 3, wherein an event associated in advance with a judgment criterion applied by the judging means to the judgment of the subject's bed leaving behavior is displayed on the display unit so as to stand out from the other events or at a higher level.

[5] The load detection means includes first and second load detection units that detect loads applied to the head side right end and the head side left end of the bed, respectively.
The load values detected by the first and second load detectors and subtracted with the bed as a tare are W1 and W2, respectively.
Let the subject's weight be WA,
A predetermined first threshold value within a range of 1/20 to 1/5 is T1,
When the current cranial load value obtained by summing W1 and W2 and the cranial load value t seconds ago are W _h and W _ht , respectively,
The bed leaving determination means has a plurality of determination criteria as to whether or not the subject has made a bed leaving action,
One of the plurality of determination criteria is:
W _ht −W _h > WA × T1 (1)
Whether or not the first judgment formula is satisfied,
5. The bed leaving information management system according to claim 1, wherein the bed leaving determination unit determines that the subject has made a bed leaving action when at least the first determination formula (1) is satisfied.

[6] The load detection means includes first to fourth load detection units for detecting loads applied to the head side right end portion, the head side left end portion, the foot side right end portion and the foot side left end portion of the bed, respectively. ,
The center of gravity position of the subject on the bed calculated based on the load value detected by the first to fourth load detectors is P,
The area from the respective edges in the width direction of the bed to the first set position that is a predetermined distance away from the bed center part side is defined as the extreme end area of the bed.
When a region from each first setting position to a second setting position that is a predetermined distance away from the bed center side is a region closer to the end of the bed,
The bed leaving determination means has a plurality of determination criteria as to whether or not the subject has made a bed leaving action,
One of the plurality of determination criteria is whether or not the center of gravity position P of the subject is in the region near the end of the bed,
The bed leaving information management system according to any one of claims 1 to 5, wherein the bed leaving determination means determines that the subject has made a bed leaving action when at least the subject's center of gravity position P is within a region near the edge of the bed.

[7] The load detection means includes first to fourth load detection units for detecting loads applied to the head side right end, the head side left end, the foot side right end, and the foot side left end of the bed, respectively. ,
The center of gravity position of the subject on the bed calculated based on the load value detected by the first to fourth load detectors is P,
The area from the respective edges in the width direction of the bed to the first set position that is a predetermined distance away from the bed center part side is defined as the extreme end area of the bed.
When a region from each first setting position to a second setting position that is a predetermined distance away from the bed center side is a region closer to the end of the bed,
The bed leaving determination means has a plurality of determination criteria as to whether or not the subject has made a bed leaving action,
One of the plurality of determination criteria is whether or not the center of gravity position P of the subject is within the endmost region of the bed,
The bed leaving information management system according to any one of claims 1 to 6, wherein the bed leaving determination means determines that the subject has made a bed leaving action when at least the subject's center of gravity P is within the endmost region of the bed.

[8] The load detection means includes first to fourth load detection units for detecting loads applied to the head-side right end, the head-side left end, the foot-side right end, and the foot-side left end of the bed, respectively. ,
The load values detected by the first to fourth load detection units and subtracted with the bed as a tare are set as W1 to W4, respectively.
The total load value obtained by summing W1 to W4 is defined as Wa.
Let the subject's weight be WA,
The center of gravity position of the subject on the bed calculated based on the load value output from the first to fourth load detectors is P,
The area from the respective edges in the width direction of the bed to the first set position that is a predetermined distance away from the bed center part side is defined as the extreme end area of the bed.
An area from each first setting position to a second setting position that is a predetermined distance away from the bed center side is defined as an area near the end of the bed,
A predetermined second threshold value in the range of 0.1 to 0.5 is T2,
When a predetermined third threshold value in the range of 0.6 to 0.9 is T3,
The bed leaving determination means has a plurality of determination criteria as to whether or not the subject has made a bed leaving action,
One of the plurality of determination criteria is:
WA × T2 ≦ Wa ≦ WA × T3 (2)
Whether or not the second determination formula (2) is satisfied.
Another of the plurality of determination criteria is whether or not the center of gravity position P of the subject is in the region near the end of the bed,
The said bed leaving determination means determines that the subject has made a bed leaving action when at least the second determination formula (2) is satisfied and the center of gravity position P of the subject is within the edge of the bed. The bed information management system according to any one of the above.

[9] The load detection means includes first to fourth load detection units for detecting loads applied to the head side right end portion, the head side left end portion, the foot side right end portion, and the foot side left end portion of the bed, respectively. ,
The load values detected by the first to fourth load detection units and subtracted with the bed as a tare are set as W1 to W4, respectively.
The total load value obtained by summing W1 to W4 is defined as Wa.
Let the subject's weight be WA,
When the predetermined fourth threshold value in the range of 0.5 to 0.8 is T4,
The bed leaving determination means has a plurality of determination criteria as to whether or not the subject has made a bed leaving action,
One of the plurality of determination criteria is:
Wa <WA × T4 Formula (3)
Whether or not the third judgment formula (3) is satisfied.
The bed leaving information management system according to any one of claims 1 to 8, wherein the bed leaving determination unit determines that the subject has made a bed leaving action when at least the third determination formula is satisfied.

[10] A load detection step of detecting, by a load detection means, a load applied to the bed where the subject is present;
A bed leaving determination step of determining whether or not the subject has made a bed leaving action based on the load value detected by the load detecting means;
When it is determined that the subject has made a bed leaving action in the bed leaving determination step, an operation signal transmission step of transmitting an operation signal of the notification unit to a notification unit that notifies the notification target person of information related to getting out of bed,
When it is determined that the subject has made a bed leaving action in the bed leaving determination step, or when an operation signal is transmitted in the operation signal transmission step, a display control step for displaying a plurality of events related to the subject on the display unit,
A bed control information method comprising: a recording control step for causing a recording unit to record an event selected from a plurality of events displayed on the display unit.

  The present invention has the following effects.

  In the invention of [1], the bed leaving information management system displays a plurality of events related to the subject when it is determined by the bed leaving determining means that the subject has made a bed leaving action or when an operation signal is transmitted by the action signal transmitting means. Display control means for displaying on the display section, and recording control means for recording the event selected from the plurality of events displayed on the display section on the recording section. Therefore, if a caregiver who cares for a subject selects a corresponding event from a plurality of events displayed on the display unit, the selected event is automatically recorded in the recording unit. There is no need to fill out a care diary and the burden on caregivers can be reduced. Therefore, it is possible to easily manage information related to getting out of the subject.

  In the invention of [2], the recording control means further determines the time at which the subject is determined to be getting out of bed by the bed leaving determination means or the time at which the motion signal is transmitted by the motion signal transmission means as the selected event. The information is recorded in the recording unit in association with each other. Therefore, such a time can be automatically recorded in the recording unit as the subject's bed leaving time, so that it is not necessary to bother to leave the bed time in the care diary, and the burden on the caregiver can be further reduced. Therefore, it is possible to more easily manage information related to getting out of the subject. Furthermore, it becomes possible to analyze the relationship between the test subject's bed leaving time and the event at that time.

  In the invention of [3], the recording control unit further causes the recording unit to record the determination criterion applied by the bed leaving determination unit to the determination of the bed leaving action of the subject in association with the selected event. Therefore, it is possible to manage more information as information on the subject's getting out of bed. Furthermore, it becomes possible to analyze the relationship between the determination criteria and the event at that time.

  In the invention of [4], the display control means determines whether to get out of a plurality of events when it is determined that the subject has left the bed, or when an operation signal is transmitted by the operation signal transmission means. The event associated with the determination criterion applied by the means to the determination of the subject's bed leaving behavior is displayed on the display unit so as to stand out from the other events. Thereby, the caregiver can quickly select a corresponding event from a plurality of events.

  In the inventions [5] to [9], the test subject's bed leaving behavior can be reliably determined.

  In the invention of [10], it is possible to provide a bed leaving information management method capable of easily managing information related to bed leaving of a subject.

FIG. 1 is a schematic perspective view of a bed leaving information management system according to an embodiment of the present invention. FIG. 2 is a plan view of a bed portion of a bed to which the system is applied. FIG. 3 is a perspective view of the controller of the system. FIG. 4 is a block diagram showing a configuration of the entire system. FIG. 5 is a diagram showing an example of contents recorded in the recording unit of the system. FIG. 6 is a diagram showing a display example of an analysis result obtained by analyzing the recorded content. FIG. 7 is a diagram showing another display example of the analysis result obtained by analyzing the recorded contents. FIG. 8 is a flowchart showing the operation of the system.

  Next, an embodiment of the present invention will be described below with reference to the drawings.

  As shown in FIG. 1, the bed leaving information management system 1 according to an embodiment of the present invention manages information related to bed leaving of a subject H on a bed, such as a medical facility (eg, a hospital), a nursing facility, and an elderly person. It is used in elderly person facilities, general households, etc. In the present embodiment, the system 1 is used in a medical facility, for example.

  In the present embodiment, the bed is the bed 51 of the bed 50. The bed 50 is installed on a bed installation surface 54 such as a floor surface. As shown in FIG. 2, the bed portion 51 of the bed 50 has a planar view shape, and more specifically, a rectangular shape in plan view that is long in the height direction of the subject H. In the present embodiment, in the bed portion 51, the head side and the foot side of the subject H in the supine posture (ie, the supine posture) are respectively the head side and the foot side of the bed portion 51, and the right side and the left side of the subject H are the bed portion 51, respectively. The right side and left side of Furthermore, in order to display an arbitrary position of the bed 51 in the two-dimensional orthogonal coordinate system (X, Y coordinates), the center of the bed 51 is set as the origin O (0, 0), and the head direction of the bed 51 is set to “+ X “Axial direction”, foot direction is defined as “−X axis direction”, right direction is defined as “+ Y axis direction”, and left direction is defined as “−Y axis direction”.

  The bed 50 has four legs that horizontally support the bed 51 at a predetermined height, that is, a head-side right leg 52, a head-side left leg 52, a foot-side right leg 52, and a foot-side left leg. 52. The head side right leg part 52, the head side left leg part 52, the foot side right leg part 52 and the foot side left leg part 52 are respectively a head side right end part, a head side left end part, a foot side right end part and a foot side right end part of the bed part 51. The left end of the foot side is supported from below the bed 51. In the present invention, a bed moving caster (not shown) may be provided at the lower end of each leg 52.

  On the bed 51 of the bed 50, a person such as a sick person, a patient with dementia, an elderly person, a healthy person, an infant, etc., lay down in a supine posture, etc. for lying down, for examination, examination, etc. .

  As shown in FIGS. 1 and 4, the system 1 of this embodiment includes a load detection unit 2, a controller 3, a notification unit 29, an analysis unit 27, a printing unit 28, and the like.

  The notification means 29 notifies the subject of notification about the subject H's getting out of bed with sound, light, text, or the like. The notification target person is a monitor who is monitoring the subject H, a caregiver who cares for the subject H (including assistance) (eg, nurse, subject family, relatives), and the like. In the present embodiment, the notification target person is, for example, a caregiver. This notification means 29 is installed at a place where a caregiver is present (eg, a nurse station, a place where a caregiver is placed) or mounted on a mobile phone. In this embodiment, the notification means 29 is installed in a nurse station, for example. Moreover, the information regarding the getting-off of the test subject H is information that the test subject H has made a get-off action.

  Although not shown, the notification unit 29 includes a notification speaker, a notification lamp, a display unit, and the like. The notification speaker notifies the subject H of information related to getting out of bed by voice or an alarm sound, and in this embodiment, the alarm sound is notified as a “bed-out alarm”. The notification lamp notifies information about getting out of bed by lighting or blinking the lamp. A display part alert | reports the information regarding a leaving bed by display of a character, a symbol, a figure, etc.

  In the present embodiment, the notification means 29 is also used as the notification means 42 provided in advance in the nurse call device 40, and notifies the caregiver (that is, nurse, etc.) of information related to getting out of bed with an alarm sound. is there. In FIG. 1, reference numeral 41 denotes a call terminal that receives a nurse call request in the nurse call device 40. The calling terminal 41 is disposed on the head board portion 53 (or the vicinity thereof) of the bed 50.

  The load detection means 2 detects continuously the load applied to the bed part 51 where the subject H is present every predetermined time. In the present embodiment, the load detection means 2 has four first to fourth load detection units 2a to 2d. As shown in FIG. 1, the first load detection unit 2 a detects a load applied to the right end of the bed 51 and is disposed between the head right leg 52 and the bed setting surface 54. ing. The second load detection unit 2 b detects a load applied to the head side left end portion of the bed portion 51, and is disposed between the head side left leg portion 52 and the bed installation surface 54. The third load detection unit 2 c detects a load applied to the right side end portion of the bed portion 51 and is disposed between the foot side right leg portion 52 and the bed installation surface 54. The fourth load detection unit 2d detects a load applied to the left side end of the bed 51, and is disposed between the foot left leg 52 and the bed installation surface 54. Each load detection part 2a-2d is mutually the same structure. Moreover, the detection period (namely, sampling period) of each load detection part 2a-2d is set in the range of 0.005-10s, for example, and is specifically 0.5s, for example.

  Each of the load detection units 2a to 2d is basically of a load cell type, and a communication unit (not shown) provided in each of the load detection units 2a to 2d is a load value detected by each of the load detection units 2a to 2d. ) Is transmitted to the controller 3. In this embodiment, the communication unit is a wireless communication unit, and transmission to the controller 3 is performed using a wireless signal. In the present invention, the communication unit may be a wired communication unit.

  Each load detection part 2a-2d incorporates the power supply (not shown) which operates each load detection part 2a-2d. The power source is, for example, a battery, and specifically a dry battery (eg, single to single 5 dry battery), a secondary battery (eg, storage battery, rechargeable battery), or the like.

  As shown in FIG. 1, the controller 3 is separate from the load detection means 2, the notification means 29, the analysis means 27, and the printing means 28, and is arranged for each bed. In the present embodiment, the controller 3 is detachably attached to the headboard portion 53 (or the vicinity thereof) of the bed 50. FIG. 3 shows a perspective view of the controller 3.

  The controller 3 includes a computer having a storage unit (ROM, RAM, etc.), a CPU, etc. As shown in FIG. 4, the communication unit 4, the time measuring unit 5, the bed leaving determination unit 6, and the display control unit 19 are provided. , A display unit 22, a selection unit 23, a recording control unit 24, a recording unit 25, an operation signal transmission unit 26, and the like are incorporated. A computer is preinstalled with a program for performing predetermined determinations and calculations.

  The communication means 4 communicates with each load detection part 2a-2d. In this embodiment, the communication means 4 is a wireless communication means, and wirelessly communicates with each of the load detection units 2a to 2d. The load value transmitted from each of the load detectors 2a to 2d is received by the communication means 4. In the present embodiment, the load value transmitted from each of the load detection units 2 a to 2 d includes a voltage value corresponding to the magnitude of the load applied to each predetermined part of the bed 51.

  The bed leaving determination means 6 determines whether or not the subject H has made a bed leaving action based on the load values detected by the four load detection units 2a to 2d.

  The calculation performed when the bed leaving determination means 6 makes the determination will be described in detail as follows.

  The bed leaving determination unit 6 includes a load value calculation unit 7 that calculates a load value that is detected by the load detection units 2a to 2d and is subtracted with the bed 51 as a tare, and a load value storage unit 8 that stores each load value. And have. The load value of the bed part 51 as a tare is a load value when the subject H is not on the bed part 51. That is, the load values detected in advance by the load detection units 2a to 2d when the subject H is not on the bed 51 are set as the load values of the bed 51 alone (ie, the tare). Then, in the load value calculation unit 7, each load value of the bed part 51 alone is subtracted from the load values detected by the load detection parts 2 a to 2 d when the subject H is on the bed part 51. Thus, each load value of the subject H itself is calculated. Among the four load values calculated in this way, the load value detected by the first load detection unit 2a and subtracted from the load value of the bed 51 alone is “W1”, and is detected by the second load detection unit 2b. The load value obtained by subtracting the load value of the bed part 51 alone is “W2”, the load value detected by the third load detector 2c and the load value of the bed part 51 alone is subtracted is “W3”, The load value detected by the 4-load detection unit 2d and subtracted from the load value of the single bed 51 is defined as “W4”. W1 to W4 are stored in the load value storage unit 8 in association with the load detection time for each detection cycle of the load detection units 2a to 2d, and are further recorded in the recording unit 25 in association with the load detection time. The

  Furthermore, the bed leaving determination unit 6 includes a total load value calculation unit 9 that calculates a total load value Wa obtained by adding W1 to W4.

  Furthermore, the bed leaving determination unit 6 includes a weight storage unit 10 in which the weight WA of the subject H is stored in advance. The WA is measured in advance by a weight scale (not shown) and stored in the weight storage unit 10. In the present invention, when the subject H is on the bed 51, the total load value obtained by summing W1 to W4 is calculated in advance by the total load value calculation unit 9, and the total load value is calculated by the subject H. May be stored in the weight storage unit 10 as the weight WA.

Further, the bed leaving determination means 6 calculates the current head side load value W _{h obtained} by summing W 1 and W 2 and the head side load value W _ht before t seconds stored in the load value storage unit 8. A load value calculation unit 11 is included. That is, W _h = W1 + W2. The time before t seconds is selected from the range of, for example, 3 to 30 seconds ago, specifically, for example, 5 seconds before or 15 seconds ago.

  Furthermore, the bed leaving determination unit 6 includes a threshold storage unit 12 in which a plurality of predetermined thresholds are stored in advance. The plurality of threshold values include a first threshold value T1, a second threshold value T2, a third threshold value T3, and a fourth threshold value T4.

  T1 is a preset value within a range of 1/20 to 1/5. Specifically, T1 is, for example, 1/10.

  T2 is a preset value within a range of 0.1 to 0.5. Specifically, T2 is 0.5, for example.

  T3 is a preset value within the range of 0.6 to 0.9. Specifically, T3 is, for example, 0.85.

  T4 is a preset value within a range of 0.5 to 0.8. Specifically, T4 is, for example, 0.5.

  Furthermore, the bed leaving determination unit 6 includes a determination formula determination unit 13 that determines whether or not the following first determination formula (1), second determination formula (2), and third determination formula (3) are satisfied.

W _ht −W _h > WA × T1 (1)
WA × T2 ≦ Wa ≦ WA × T3 (2)
Wa <WA × T4 Formula (3)

  Furthermore, the bed leaving determination unit 6 includes a bed determining unit 14 that determines whether or not Wa satisfies the following fourth determination formula (4). The bed determining unit 14 determines that the subject H has been bedded when the fourth determination formula (4) is satisfied.

  WA × T5 ≦ Wa ≦ WA × T6 Formula (4)

  In the fourth determination formula (4), T5 is a fifth threshold value, which is a preset value within a range of 0.7 to 0.9. Specifically, T5 is, for example, 0.8. T6 is a sixth threshold and is a preset value within a range of 1.1 to 1.3. Specifically, T6 is 1.2. T5 and T6 are stored in advance in the threshold storage unit 12.

  Further, the bed leaving determination unit 6 includes a center-of-gravity position calculation unit 15 that calculates the center-of-gravity position P of the subject H on the bed 51. When the X coordinate of the gravity center position P is Xp, the Y coordinate of the gravity center position P is Yp, the width of the bed 51 is BW, and the length of the bed 51 is BL (see FIG. 2), Xp and Yp are calculated by the following equations (5X) and (5Y), respectively.

Xp = (W1 + W2-W3-W4) × (1 / WA) × (BL / 2) Equation (5X)
Yp = (W1 + W3-W2-W4) × (1 / WA) × (BW / 2) Expression (5Y)

  BW is usually in the range of 300 to 1200 mm, for example. BL is usually in the range of 600 to 2500 mm, for example. In the present embodiment, Xp is not used as a criterion to be described later. Therefore, Xp does not necessarily need to be calculated.

  As shown in FIG. 2, a region (indicated by dot hatching) from the respective edges Q0 in the width direction of the bed portion 51 to the first set position Q1 that is a predetermined distance away from the bed portion center portion side When it is referred to as “end region A1”, the bed leaving determination unit 6 further includes an end region storage unit 16 in which the range of the Y coordinate corresponding to the end region A1 is stored in advance. Further, an area (indicated by cross-hatching) from each first setting position Q1 of the bed 51 to the second setting position Q2 that is a predetermined distance away from the bed center is referred to as an “edge area A2” of the bed 51. When doing so, the bed leaving determination means 6 has an edge area storage unit 17 in which the range of the Y coordinate corresponding to the edge area A2 of the bed 51 is stored in advance.

  Specifically, the first set position Q1 is, for example, a distance of (BW / 2) × (1/5) in parallel with the end side Q0 from each end side Q0 in the width direction of the bed 51 to the center of the bed. It is a distant position. The second set position Q2 is, for example, a position that is separated from each first set position Q1 by a distance of (BW / 2) × (1/5) in parallel to the end side Q0 from the first set position Q1. Note that the first set position Q1 is included in the endmost region A1 or the end region A2, and in this embodiment, for example, is included in the end region A2.

  Furthermore, in detail, the bed leaving determination means 6 has a plurality of determination criteria as to whether or not the subject H has left the bed, and in this embodiment, has five first to fifth determination criteria.

  The first determination criterion is whether or not the first determination expression (1) is satisfied. The bed leaving determination means 6 determines that the subject H has made a bed leaving action when at least the first determination formula (1) is satisfied. In this case, it means that the subject H has raised his upper body.

  The second determination criterion is whether or not the first determination equation (1) is satisfied and the center of gravity position P of the subject H is in the end region A2 of the bed 51. The bed leaving determination means 6 determines that the subject H has made a bed leaving action when at least the first determination formula (1) is satisfied and the center of gravity position P of the subject H is within the end region A2 of the bed 51. In this case, it means that the subject H raises his / her upper body and is in the area near the end A2 of the bed 51. Specifically, the fact that the center of gravity position P of the subject H is within the end region A2 of the bed 51 indicates that, for example, the Y coordinate Yp of the center of gravity position P of the subject H is (BW / 2) × (3/5) <| Yp | ≦ (BW / 2) × (4/5) is satisfied.

  The third determination criterion is whether or not the center of gravity position P of the subject H is within the endmost region A1 of the bed 51. The bed leaving determination means 6 determines that the subject H has made a bed leaving action when at least the center of gravity P of the subject H is within the endmost region A1 of the bed 51. In this case, it means that the subject H is present in the endmost region A1 of the bed 51. Specifically, if the center of gravity position P of the subject H is in the endmost region A1 of the bed portion 51, for example, the Y coordinate Yp of the center of gravity position P of the subject H is (BW / 2) × (4/5). <| Yp | ≦ (BW / 2) × (5/5). In the present invention, in this determination formula, it is not always necessary to set the upper limit value (BW / 2) × (5/5) of | Yp |.

  The fourth determination criterion is whether or not the second determination formula (2) is satisfied and the center of gravity position P of the subject H is in the end region A2 of the bed portion 51. The bed leaving determination means 6 determines that the subject H has made a bed leaving action when at least the second determination formula (2) is satisfied and the center of gravity position P of the subject H is in the end region A2 of the bed 51. In this case, it means that the subject H is in the end sitting position with his / her foot on the bed installation surface 54.

  The fifth determination criterion is whether or not the third determination formula (3) is satisfied. The bed leaving determination means 6 determines that the subject H has made a bed leaving action when at least the third determination formula (3) is satisfied. In this case, it means that the subject H has almost completely left the bed 51.

  The operation signal transmission unit 26 transmits the operation signal of the notification unit 29 to the notification unit 29 wirelessly or by wire when the subject determination unit 6 determines that the subject H has left the bed. In this embodiment, the operation signal is transmitted by wire. That is, the operation signal from the operation signal transmission unit 26 is transmitted to the notification unit 29 through the signal line 43 that transmits a call signal from the call terminal 41 in the nurse call device 40 to the notification unit 29. In the present invention, the operation signal may be transmitted wirelessly in addition to wired communication.

  Further, when it is determined that the subject H has made a bed leaving action, the bed leaving determination unit 6 promptly transmits a command signal to the operation signal transmission unit 26 to transmit the operation signal of the notification unit 29 to the notification unit 29. It is configured. When receiving the command signal, the operation signal transmitting unit 26 transmits the operation signal of the notification unit 29 to the notification unit 29 wirelessly or by wire according to the command. The time lag between the time when the bed leaving determination unit 6 determines that the subject H has left the bed and the time when the operation signal transmission unit 26 transmits the operation signal of the notification unit 29 is very small. Can be regarded as approximately the same time.

  The time measuring means 5 measures the time when the test subject H is determined to get out of bed by the bed leaving determination means 6, the time when the operation signal of the notification means 29 is transmitted by the operation signal transmission means 26, and the like. For example, it consists of a quartz oscillation type watch.

  As shown in FIG. 3, the display unit 22 includes a liquid crystal display, an organic EL display, and the like provided on the operation surface of the controller 3. It is. The plurality of events E are stored in advance in the display control means 19 described later.

  In the present embodiment, the plurality of events E displayed on the display unit 22 include assistance contents for the subject H. Specifically, for example, “diaper exchange”, “toilet guidance”, “徘徊”, “ “Wake up” and “Others” are displayed on the display unit 22 one by one in this order from top to bottom.

  The display control unit 19 relates to the subject H when it is determined that the subject H has made a bed leaving action by the bed leaving determination unit 6 or when the operation signal of the notification unit 29 is transmitted to the notification unit 29 by the operation signal transmission unit 26. A plurality of events E are displayed on the display unit 22.

  Further, the display control means 19 includes a selection determination unit 20 that determines whether one event is selected from the plurality of events E, and a predetermined time has elapsed since the plurality of events E are displayed on the display unit 22. It has the elapsed time determination part 21 which determines whether it was done. The predetermined time is a preset time within a range of 0.5 to 10 minutes, specifically 10 minutes, for example, and is stored in advance in the display control means 19. When the elapsed time determination unit 21 determines that the predetermined time has elapsed, the display of the plurality of events E is turned off on the display unit 22.

  The selection means 23 is for selecting an appropriate event from among a plurality of events E displayed on the display unit 22, and has a plurality of selection buttons provided at the lower part of the operation surface of the controller 3. Yes. Of the plurality of selection buttons, the “right foot / ↓” button 23 a is for moving the cursor 23 c indicating one event out of the plurality of events E displayed on the display unit 22 downward. The event E indicated by the cursor 23c is shaded. When the caregiver presses the “right foot / ↓” button 23a, the cursor 23c is moved downward. When the caregiver presses the “YES” button 23b, the event E1 designated by the cursor 23c among the plurality of events E is selected and determined. If the “right foot / ↓” button 23a is pressed while the cursor 23c indicates the bottom event (ie, “others”), the cursor 23c moves to the top event (ie, “diaper exchange”). Go back and indicate the event.

  The recording unit 25 records the event E1 selected by the selection unit 23, and includes a removable recording medium such as an SD (including SDHC) memory card or a memory stick. In the present embodiment, the recording unit 25 is, for example, an SD memory card. The SD memory card 25 is removably inserted into a recording / writing unit (not shown) provided inside the controller 3 from a card insertion slot 3a provided on the side surface of the controller 3.

  The recording control unit 24 includes a recording writing unit, a writing control unit, and the like. The recording control unit 24 records the time and W1 to W4 on the SD memory card 25 every predetermined time. The time when it is determined that the user has left the floor or the time when the operation signal of the notification unit 29 is transmitted by the operation signal transmission unit 26, W1 to W4, the state (status) of the subject H, and the determination criterion are selected. The event E1 is associated with each other and recorded on the SD memory card 25.

  FIG. 5 is a diagram showing the recording contents recorded on the SD memory card 25 by the recording control means 24 in a table format.

  The unit of W1 to W4 recorded on the SD memory card 25 is “kg”. However, in the present invention, W1 to W4 recorded on the SD memory card 25 may be voltage values corresponding to the load values detected by the load detection units 2a to 2d, for example.

  In the same figure, a status column 31 is a column indicating the state of the subject H. In this column 31, when the subject H is determined not to be out of bed by the bed leaving determination means 6, “bedbed” is displayed. It is recorded, and when it is determined that the subject H has made a bed leaving action, “leave bed” is recorded.

  The determination criterion column 32 is a column in which the determination criterion applied by the bed leaving determination means 6 to the determination of the bed leaving behavior of the subject H is recorded. That is, in this column 32, any one of “first determination criterion”, “second determination criterion”, “third determination criterion”, “fourth determination criterion”, and “fifth determination criterion” is recorded. The

  The event column 33 is a column in which the selected event E1 is recorded. That is, in this column 33, any one of “diaper exchange”, “toilet guidance”, “claw”, “wake-up”, and “other” is recorded. When no event is selected from the plurality of events E, the determination criterion column 32 and the event column 33 are blank.

  As shown in the figure, the time at which the subject H has determined that the subject H has made a bed leaving action or the time at which the operation signal from the notification means 29 has been transmitted to the SD memory card 25 by the operation signal transmission means 26 is shown. W1 to W4, the state of the subject H, the determination criterion, and the selected event E1 are recorded in association with each other.

  Further, the display control unit 19 is configured to display a plurality of events E when the subject determination unit 6 determines that the subject H has made a bed leaving action or when the operation signal transmission unit 26 transmits an operation signal to the notification unit 29. Among these, the event that is associated with the determination criterion applied in advance to determine the bed leaving behavior of the subject H by the bed leaving determination unit 6 is configured to be displayed on the display unit 22 such that the event stands out from the other events. .

  That is, in this display control means 19, corresponding events are associated in advance with the first to fifth determination criteria, respectively. For example, diaper exchange is associated with the first criterion, and toilet guidance is associated with the second criterion. When the determination criterion applied by the bed leaving determination unit 6 is, for example, the first determination criterion, the diaper exchange is displayed on the display unit 22 so that it is more conspicuous than other events. As a method of displaying the associated event more conspicuously than other events, when a plurality of events E are displayed on the display unit 22, the event is first indicated by the cursor 23c. For example, a shaded state, a character of the associated event is displayed in bold, or a character of the associated event is blinked. Displaying an associated event higher than other events includes, for example, displaying the associated event among a plurality of events E at the top.

  The controller 3 has a built-in power supply (not shown) for operating the controller 3. The power source is, for example, a battery, and specifically a dry battery (eg, single to single 5 dry battery), a secondary battery (eg, storage battery, rechargeable battery), or the like. In the present invention, the controller 3 may be configured to be operated by an external power supply in addition to the built-in power supply.

  The analysis unit 27 and the printing unit 28 are installed in, for example, an analysis room or a nurse station.

  The analyzing means 27 is generally composed of a commercially available personal computer, and is equipped with a card reader (not shown) for reading the recorded contents recorded on the SD memory card (recording unit) 25 taken out from the controller 3. Yes. Furthermore, the analysis means 27 is preinstalled with predetermined analysis software for analyzing the recorded content read by the cart reader and displaying the analysis result on the display 27a of the personal computer.

  The printing means 28 comprises a printer such as a commercially available laser printer or ink jet printer, and prints the analysis result of the analysis means 27 on paper. The paper on which the analysis result is printed is filed in the care diary of the subject H as care record paper on which the care record of the subject H is written.

  6 and 7 each show a screen on which the analysis result by the analysis means 27 is displayed on the display 27a. The screen shown in FIG. 6 is an analysis result obtained by analyzing the recorded contents by day. The screen shown in FIG. 7 shows the analysis result of analyzing the recorded contents and displaying a list of one week.

  In FIG. 6, “event time” 35 is the time at which the subject H has determined that he / she has left the bed, or the time at which the operation signal of the notification unit 29 has been transmitted by the operation signal transmission unit 26. That is, it means the time when the subject H gets out of bed. The “event content” 36 is the event E1 selected by the selection means 23. As shown in the figure, the event time (the bed leaving time) and the selected event E1 are displayed side by side in association with each other.

  In the middle of FIG. 7, the hatched area 37 indicates a time zone (bed time zone) in which the subject H was lying. A non-hatched area (white area) 38 indicates a time zone (bedout time zone) in which the subject H was getting out of bed. “▼” 39 indicates the time at which the subject H has determined that he / she has left the bed, or the time at which the operation signal of the notification unit 29 has been transmitted by the operation signal transmission unit 26. In the same figure, “▼” 39 is displayed as “getting out alarm” notified by the notification means 29.

  Next, the operation of the system 1 of the present embodiment will be described below with reference to the flowchart shown in FIG. Here, in this system 1, for convenience of explanation, the case where the subject H determines that the subject H has left the bed is determined by the bed determination unit 6, and the case where the operation signal of the notification unit 29 is transmitted by the operation signal transmission unit 26. Among them, in the latter case, a plurality of events E are displayed on the display unit 22 by the display control unit 19 and the transmission time of the operation signal is recorded on the SD memory card (recording unit) 25 by the recording control unit 24. And

  In step S1, the load is detected by the load detectors 2a to 2d of the load detector 2.

  In step S2, a predetermined calculation is performed by various calculation units of the bed leaving determination unit 6.

  In step S3, the bed determining unit 14 determines whether or not the subject H has been bedded. And when it determines with the test subject H having been bedded (that is, in the case of YES), it progresses to step S4. When it is determined that the subject H is not bedded (ie, NO), the process returns to step S1.

  In step S <b> 4, it is determined whether or not the subject H has made a bed leaving action by the bed leaving determination unit 6. Then, when it is determined that the subject H has made a bed leaving action (that is, YES), the process proceeds to step S5. If it is determined that the subject H is not getting out of bed (ie, NO), the process returns to step S1.

  In step S <b> 5, the operation signal transmission unit 26 transmits the operation signal of the notification unit 29 to the notification unit 29. Then, an alarm sound or the like is notified to the caregiver by the notification means 29 that has received this operation signal.

  In step S <b> 6, the recording control unit 24 records the transmission time of the operation signal of the notification unit 29 on the SD memory card 25. At this time, the transmission time of the motion signal is recorded in association with the determination criterion applied by the bed leaving determination unit 6 to the bed H movement determination of the subject H.

  In step S <b> 7, the display controller 19 displays a plurality of events E on the display unit 22.

  In step S8, the selection determining unit 20 determines whether or not the event E has been selected. If it is determined that the event E is selected (that is, YES), the process proceeds to step S10. If it is determined that the event E is not selected, the process proceeds to step S9.

  In step S <b> 9, the elapsed time determination unit 21 determines whether or not a predetermined time has elapsed since a plurality of events E are displayed on the display unit 22. If it is determined that the predetermined time has not elapsed since the plurality of events E are displayed (ie, NO), the process returns to step S8. When it is determined that a predetermined time has elapsed since the plurality of events E are displayed (that is, in the case of YES), the display of the plurality of events E disappears on the display unit 22 and the process returns to step S1.

  In step S10, the selected event E1, the judgment criteria applied by the leaving judgment means 6 to the judgment of the leaving action of the subject H, W1 to W4, and the state of the subject H are recorded by the recording control means 24 on the SD memory card. 25 to record in association with each other. Here, since the transmission time of the operation signal is recorded in association with the determination criterion in step S6, as a result, the transmission time of the operation signal, the selected event E1, the determination criterion, and W1 to W4. The state of the subject H is recorded in association with each other as shown in FIG.

  Thereafter, the SD memory card 25 is taken out from the controller 3 by the caregiver and inserted into the card reader of the analyzing means 27. Then, the recorded content recorded on the SD memory card 25 is analyzed by the analyzing means 27. Next, the analysis result is printed on paper by the printing means 28. Then, this paper is filed in the care diary of the subject H by the caregiver as the care record paper in which the care record of the subject H is written.

  Next, the bed information management method used in the system 1 of the present embodiment will be described below.

  The load applied to the bed 51 is detected by the load detectors 2a to 2d of the load detector 2 [load detection step].

  And based on the load value detected by each load detection part 2a-2d, it is determined by the bed leaving determination means 6 whether the test subject H did the bed leaving action. This process is referred to as a “bed leaving determination process”.

  When it is determined in the bed leaving determination step that the subject H has made a bed leaving action, the operation signal transmission unit 26 transmits the operation signal of the notification unit 29 to the notification unit 29. This process is called an “operation signal transmission process”.

  When it is determined that the subject H has made a bed leaving action in the bed leaving determination process, or when the operation signal of the notification means 29 is transmitted in the operation signal transmission process, the display control means 19 displays a plurality of events E related to the subject H. 22 is displayed. This process is called a “display control process”.

  Then, the event E1 selected by the selection unit 23 from the plurality of events E displayed on the display unit 22 is recorded on the SD memory card 25 by the recording control unit 24. This process is called a “recording control process”.

  Here, in the recording control step, the time at which it is determined that the subject H has made a bed leaving action in the bed leaving determination step, or the time at which the operation signal of the notification means 29 is transmitted in the operation signal transmission step is the selected event E1. The data is recorded in the SD memory card 25 in association with each other.

  Further, in the recording control step, the determination criterion applied to the determination of the leaving action of the subject H in the leaving bed determination step is recorded in the SD memory card 25 in association with the selected event E.

  In the display control process, when it is determined that the subject H has made a bed leaving action in the bed leaving determination process, or when it is determined that the operation signal of the notification unit 29 is transmitted in the operation signal transmission process, among the plurality of events E, The event associated in advance with the determination criterion applied to the determination of the leaving action of the subject H in the getting-off determination step is displayed on the display unit 22 such that the event is more conspicuous than the other events.

  Thereafter, the care giver removes the SD memory card 25 from the controller 3 and inserts it into the card reader of the analyzing means 27. Then, the recorded contents of the SD memory card 25 are analyzed by the analyzing means 27. Next, the analysis result is printed on paper by the printing means 28. Then, this paper is filed in the care diary of the subject H as a care record paper in which the care record of the subject H is entered.

  Next, the usage method of the system 1 of this embodiment is demonstrated below.

  By starting the system 1, the load applied to the bed 51 is detected by the load detectors 2 a to 2 d of the load detector 2.

  When the subject H on the bed 51 performs a bed leaving action, the bed determining unit 6 determines that the subject H has performed a bed leaving action, and an operation signal of the notification unit 29 is transmitted to the notification unit 29 by the operation signal transmission unit 26. . Then, an alarm sound or the like is notified by the notification unit 29 and a plurality of events E are displayed on the display unit 22.

  The caregiver who heard the alarm sound goes to the place where the bed 50 is installed, and asks the subject H who has left the bed about the reason for getting out.

  When the reason for leaving the bed is because the subject H has defecates or urinates, the caregiver exchanges diapers for the subject H, and then places the subject H in bed. Thereafter, the caregiver selects and decides “diaper exchange” from among a plurality of events E displayed on the display unit 22.

  When the reason for leaving the bed is for the subject H to go to the toilet, the caregiver guides the subject H to use the toilet, and then places the subject H on the bed. Thereafter, the caregiver selects and determines “toilet guidance” from among the plurality of events E displayed on the display unit 22.

  When the reason for leaving the bed is the subject H's trap, the caregiver puts the subject H on the bed. Thereafter, the caregiver selects and determines “徘徊” from the plurality of events E displayed on the display unit 22.

  When the reason for getting out is to wake up in the morning, the caregiver performs assistance for placing the subject H on a wheelchair, for example. Thereafter, the caregiver selects and determines “wake up” from the plurality of events E displayed on the display unit 22.

  When the reason for getting out of bed is other than the reason for getting out of bed, the caregiver selects and determines “Other” from the plurality of events E displayed on the display unit 22.

  Thereafter, while the subject H is getting up in the daytime, the caregiver removes the SD memory card 25 from the controller 3 and inserts it into the card reader of the analyzing means 27. Then, the recorded contents of the SD memory card 25 are analyzed by the analyzing means 27. Next, the analysis result is printed on paper by the printing means 28. Then, this paper is filed in the care diary of the subject H as a care record paper in which the care record of the subject H is entered.

  Thus, the system 1 of the present embodiment has the following advantages.

  The system 1 displays a plurality of events E related to the subject H when it is determined that the subject H has made a bed leaving action by the bed leaving determination unit 6 or when the operation signal of the notification unit 29 is transmitted by the operation signal transmission unit 26. Display control means 19 to be displayed on the section 22, and recording control means 24 to record an event E1 selected from a plurality of events displayed on the display section 22 in the SD memory card (recording section) 25. Yes. Therefore, if the caregiver selects the corresponding event E1 from the plurality of events E displayed on the display unit 22, the selected event E1 is automatically recorded in the SD memory card 25. This eliminates the need to fill out the care diary and reduce the burden on the caregiver. Therefore, it is possible to easily manage information related to getting out of the subject H.

  The recording control means 24 further selects the time when the subject H is determined to have left the floor by the bed leaving determination means 6 or the time when the operation signal of the notification means 29 is transmitted by the operation signal transmission means. And recorded on the SD memory card 25. Therefore, such a time can be automatically recorded in the SD memory card 25 as the time when the subject H gets out of bed, so that it is not necessary to bother to leave the time in the care diary, further reducing the burden on the caregiver. Can do. Therefore, it is possible to more easily manage information related to getting out of the subject H. Furthermore, it becomes possible to analyze the relationship between the time when the subject H gets out of bed and the event E1 at that time.

  Further, the recording control unit 24 records the determination criteria applied by the bed leaving determination unit 6 to the determination of the bed leaving action of the subject H on the SD memory card 25 in association with the selected event E1. Therefore, more information can be managed as information related to the getting-off of the subject H. Furthermore, it becomes possible to analyze the relationship between the determination criterion, the event E1 at that time, and the bed leaving time.

  The display control means 19, when it is determined that the subject H has made a bed leaving action by the bed leaving determination means 6, or when the operation signal of the notification means 29 is transmitted by the operation signal transmission means 26, among the plurality of events E. The event associated with the determination criteria applied to the determination of the bed leaving behavior of the subject H by the bed leaving determination unit 6 is displayed on the display unit 22 such that the event is more conspicuous than the other events. Thereby, the caregiver can quickly select the corresponding event E1 from the plurality of events E.

  The bed leaving information management method of the present embodiment has the same advantages as the above-described advantages in the system 1 of the present embodiment.

  Although one embodiment of the present invention has been described above, the present invention is not limited to the embodiment described above, and various modifications can be made without departing from the scope of the present invention. .

  In the above embodiment, the number of determination criteria of the bed leaving determination means 6 is five. However, in the present invention, the number of determination criteria is not limited to five, and may be other than five. Further, in the present invention, whether or not the center of gravity position P of the subject H is within the edge region A2 of the bed 51 is determined regardless of whether or not the second determination criterion satisfies the first determination formula (1). Or just.

  Further, in the present invention, the bed is not limited to the bed part 51 of the bed 50.

  INDUSTRIAL APPLICABILITY The present invention can be used for a bed information management system and a bed information management method for managing information related to bed removal from a bed of a subject who is on a bed (eg, a bed bed portion).

1: System 2: Load detection means 2a: First load detection section 2b: Second load detection section 2c: Third load detection section 2d: Fourth load detection section 3: Controller 6: Bed leaving determination means 19: Display control means 22 : Display unit 23: Selection unit 24: Recording control unit 25: SD memory card (recording unit)
26: operation signal transmitting means 27: analyzing means 28: printing means 29: notifying means 50: bed 51: bed part (bed)
Q0: each edge in the width direction of the bed part Q1: first set position Q2: second set position A1: extreme end area A2: edge side area

Claims (1)

A load detecting means for detecting a load applied to the bed where the subject is present;
Bed leaving determination means for determining whether or not the subject has made a bed leaving action based on the load value detected by the load detection means;
An operation signal transmitting means for transmitting an operation signal of the notifying means to a notifying means for notifying the person to be notified of information related to getting out of the bed when it is determined by the leaving determination means that the subject has made a bed leaving action;
When it is determined that the subject has made a bed leaving action by the bed leaving determination unit, or when an operation signal is transmitted by the operation signal transmission unit, a display control unit that displays a plurality of events related to the subject on the display unit;
A bed information management system, comprising: a recording control unit that causes a recording unit to record an event selected from a plurality of events displayed on the display unit.

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