JP2016032501A - Nursing and care support device, and nursing and care support method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To confirm an object person's safety with a high degree of accuracy without troubling persons around him/her.SOLUTION: A sensor installed near an object person and medical treatment facilities are connected together over a network. A calling voice is reproduced (step 4) depending on information detected (step 2) by the sensor. The object person's response (step 5) to the calling voice and the information detected by the sensor are determined (step 6), and emergency notification is provided when required (step 7). This enables the object person's safety to be confirmed with a high degree of accuracy, without troubling persons around him/her.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a nursing / care support apparatus and a nursing / care support method used for a subject sleeping on a bed.

  When a care recipient or person with a disability is on the floor outside a medical facility such as a home, or when an elderly person lives alone, the health status of those who are subject to nursing or nursing care deteriorates or some trouble occurs. , It may be difficult to cope with it, and it is dangerous. For this reason, family members could not take their eyes off, or medical staff regularly visited. Conventionally, in order to cope with such a situation, a system has been constructed in which a switch is arranged at the bedside of the subject and a message is sent to a family member or medical facility by pressing the switch in an emergency.

JP 2005-152616 A JP 2009-151473 A JP 2010-286971 A JP 2012-066579 A

However, depending on the condition of the subject, it may be difficult to press the switch, and the danger has not been sufficiently avoided.
An object of this invention is to confirm the safety | security of a subject with high precision, without bothering the surrounding person's hand.

  In order to achieve the above object, the nursing / care support apparatus of the present invention is a nursing / care support apparatus for performing nursing and care of a subject outside the medical facility from the medical facility, and the bed on which the subject sleeps, The sensor for detecting the condition of the target person, a speaker provided around the bed, and selecting one call voice from a plurality of call voices predetermined according to information detected by the sensor, A control device that determines whether or not an emergency call is required from information detected by a sensor and the content of the subject's response to the call voice, and a communication that is provided in the medical facility and that makes an emergency call under the control of the control device And the control device reproduces the calling voice through the speaker.

  The nursing / care support method of the present invention includes a step of detecting a condition of a subject sleeping on a bed with a sensor, a step of reproducing a call voice according to information detected by the sensor, and a method for responding to the call voice. The method includes a step of making an emergency call according to the answer of the subject and information detected by the sensor.

  As described above, the sensor installed in the vicinity of the subject and the medical facility are connected via a network, and the call voice is played according to the information detected by the sensor. By judging the information and making an emergency call when necessary, the safety of the target person can be confirmed with high accuracy without bothering the surrounding people.

Schematic which shows the structure of the nursing and care support apparatus in Embodiment 1. FIG. The figure which shows the flow of the nursing and care support method in Embodiment 1 Schematic which shows the structure of the nursing and care support apparatus in Embodiment 2. The figure which shows the flow of the nursing and care support method in Embodiment 2

  The nursing / care support apparatus and the nursing / care support method according to the present invention support nursing, care and safety confirmation for a subject who is sleeping on a bed outside a medical facility such as a bed at home or a care recipient. Is. Here, the target person is to deal with himself / herself when the health condition deteriorates or an unforeseen situation arises, such as a sick person, a care recipient, or an elderly person who lives alone, such as a disabled person. It refers to people who are difficult to do. Therefore, the target person needs to confirm safety and perform constant monitoring at all times or regularly.

  The nursing / care support apparatus of the present invention includes a sensor that detects the state of the subject, a speaker that reproduces sound for the subject, a microphone that receives the answer of the subject, and a call to the subject It consists of a control device that selects the voice, analyzes the answer of the subject and the information detected by the sensor, and makes an emergency call when necessary, and a network that connects the sensor, speaker and microphone to the control device. The

  In the nursing / care support apparatus and the nursing / care support method configured as described above, the state of the subject sleeping on the bed is constantly monitored by the sensor, and the information detected by the sensor is analyzed by the control device. First, when the control device detects a certain situation change of the target person from the analysis result, the control apparatus selects one calling voice from a plurality of predetermined calling voices, and automatically calls the target person through the speaker. Play and call. Next, an answer such as a reply of the subject to the call voice is input from the microphone, and the control device analyzes the information detected by the sensor, the call voice and the answer, and automatically makes an emergency call if necessary. In case of an emergency call, the information detected by the sensor, the call voice, and the response are analyzed, and it is judged that the subject's health condition has deteriorated or an unexpected situation such as falling off the bed has occurred. It is done automatically. Furthermore, in making this determination, it is possible to prompt a doctor or the like such as a doctor's diagnosis or a medical worker's determination and make an emergency call based on the doctor's determination. For emergency calls, nurses, caregivers, doctors, and other healthcare professionals are dispatched to the target person, or a specific person such as a family member is notified that the problem has occurred. To do. When a camera is included as a sensor, as an answer from the target person, a gesture gesture may be used as an answer in addition to a voice answer, and it may be one piece of information for analysis.

  In this way, when a change in the target person's situation is detected by the sensor, the call voice is played, the action of the target person is analyzed in consideration of the answer to the call voice, and the analysis of whether the target person is in an emergency state If there is an emergency call, the family or medical staff will rush to the target person to deal with it, so that you can always attend and trouble the surrounding people. It is possible to confirm the safety of the subject with high accuracy without making it. In particular, when an elderly person living alone suddenly died, it is possible to avoid being left unattended. In addition, when the subject has dementia or the like, it can be sensed that the subject is absent for a certain period of time, and can determine that the subject is performing a habit and make an emergency call.

Hereinafter, a specific configuration will be described as an embodiment with reference to the drawings.
(Embodiment 1)
First, a nursing / care support apparatus and a nursing / care support method according to Embodiment 1 will be described with reference to FIGS.

FIG. 1 is a schematic diagram illustrating a configuration of a nursing / care support apparatus according to the first embodiment, and FIG. 2 is a diagram illustrating a flow of a nursing / care support method according to the first embodiment.
As shown in FIG. 1, the nursing / care support apparatus according to the first embodiment is configured so that the subject 6 such as a care recipient is sleeping on the bed 7 outside the medical facility 14 such as the home 13. A sensor for detecting the situation of the user, a speaker 8 for reproducing sound to the target person 6, a microphone 9 to which the answer of the target person 6 is input, and a calling voice to be called to the target person 6, 6 is analyzed, and the information detected by the sensor is analyzed. When necessary, the control device 1 that makes an emergency call, the communication device 10 that makes an emergency call to a medical worker, and the emergency call from the control device 1 The server 15 is configured to receive an analysis result to the effect and notify the communication device 10 of the analysis result. The control device 1 is connected to the sensor, the speaker 8 and the microphone 9 by wire or wirelessly, and receives information detected by the sensor, call voice and the content of the answer. Among these, the sensor, the speaker 8, the microphone 9, and the control device 1 are provided in the home 13 where the subject 6 is sleeping. The server 15 and the communication device 10 are provided in the medical facility 14. At least the sensor, the speaker 8 and the microphone 9 may be disposed at the home 13, the communication device 10 may be disposed at the medical facility 14, the control device 1 is disposed at the medical facility 14, and the server 15 is disposed at the home 13. Also good. That is, the communication device 10 disposed in the medical facility 14 operates based on the information of the sensor, speaker 8 and microphone 9 disposed in the home 13, and the control device 1 disposed in any of the sensors, the speaker 8 and the microphone. The communication device 10 is controlled based on the information 9, and data transmission / reception between the home 13 and the medical facility 14 is performed by the server 15.

  In the following description based on FIG. 1, the sensor, the speaker 8, and the microphone 9 are connected so as to communicate with the control device 1. The sensor, the speaker 8 and the microphone 9 are arranged in a room or the like where the bed 7 where the subject 6 is sleeping is placed, and preferably arranged around the bed 7 or the bed 7. The communication device 10 is disposed at a place where the subject person 6 such as a waiting room of a medical worker in the medical facility 14 is constantly monitored and confirmed remotely. The waiting room for medical staff is, for example, a nurse center packed by a nurse or a care center packed by a caregiver. Further, the control device 1 is not limited to being placed in a medical staff's waiting room or the like, and may be in a state where communication with the communication device 10, sensor, speaker 8 and microphone 9, and communication with the communication device 10 is possible. For example, it can be arranged in another place such as a server room. Moreover, a sensor can be used combining 1 or several sensors, and detects the condition of the subject 6 with the combination of sensors. For example, as a sensor, as shown in FIG. 1, one or a combination of a bed sensor 2, a sensor mat 3, a mat sensor 4, a silhouette sensor 5, and the like can be used. The bed sensor 2 is a pressure sensor, and is installed on the bed 7 so that the subject 6 sleeps on the bed sensor 2. The bed sensor 2 detects the pressure distribution of the subject 6 on the sensor and predicts the posture of the subject 6. The sensor mat 3 is disposed on the mat of the bed 7 and detects vitals such as the respiration rate and pulse of the subject 6. The mat sensor 4 is a pressure sensor arranged on the floor beside the bed 7. The subject 6 is standing by the feet of the subject 6 on the mat sensor 4 or the subject 6 falls down. Or that the subject 6 is about to leave the bed 7 is detected. The silhouette sensor 5 is a sensor that captures and verifies an image of the subject 6 such as an infrared camera, and directly detects the operation of the subject 6. Furthermore, snoring of the subject 6 can be detected by the microphone 9 and used as one of the detection information of the sensor. In particular, the inclusion of the sensor mat 3 is preferable because the health condition of the subject 6 can be detected more reliably. In other words, since the respiratory rate, pulse rate, etc. can be monitored at all times, it is possible to monitor in real time a serious deterioration of the health condition caused by a decrease in the respiratory rate or pulse rate.

  Communication between the server 15 and the control device 1 is performed via an existing or dedicated network, and is performed via the base station 16. As the network, a mobile phone network such as MVNO / LTE can be used.

  With such a configuration, a call voice is reproduced according to the situation of the target person 6 by the sensor, the situation of the target person 6 is analyzed in consideration of an answer to the call voice, and an emergency call is made if necessary. The emergency call allows family members and medical professionals to rush to the target person to deal with it, so that it is highly accurate without having to bother the surrounding person's hands, such as constantly paying attention to the target person 6 The safety of the subject can be confirmed. In particular, by including the sensor mat 3, when an elderly person living alone suddenly died, it can be detected in real time from the heart rate and respiratory rate, and it is possible to avoid being left unattended. .

  Before making an emergency call, a doctor or the like can make a determination remotely from a medical facility based on the analysis result of the situation of the subject person 6. This judgment can be performed mainly using the microphone 9 and the speaker 8. Furthermore, the sensor mat 3 can be used to confirm a more detailed situation, and by providing a camera together with the sensor, determination based on an image can be performed. Whether or not to make an emergency call can be determined based on the judgment of the doctor or the like. Emergency calls can also be made by calling medical personnel, calling family members, and requesting ambulances.

The operation of the nursing / care support apparatus and the nursing / care support method in Embodiment 1 will be described below.
As shown in FIGS. 1 and 2, the sensor constantly monitors the operation and status of the subject 6 sleeping on the bed 7 (step 1 in FIG. 2).

  Then, when the sensor detects a change or operation of the situation such as a decrease in vitals of the subject 6 (step 2 in FIG. 2), the information is sent to the control device 1, and the operation or status is detected from the detected content in the control device 1. The call voice corresponding to the determination result is automatically selected. For example, it is determined that the situation has changed when the respiratory rate or heart rate falls below a certain value, or when the respiratory rate or heart rate falls by a certain rate or more (step 3 in FIG. 2). A plurality of call voices are stored in the control device 1 or in the storage device 11 provided so that the control device 1 can access, and the call is most appropriate as a call for a change in operation or situation determined from the detection contents of the sensor. The control device 1 selects the sound. For example, if it is determined that you are trying to get up, select a call voice such as “What did you do?” And if it is determined that there is a change in your physical condition, such as a decrease in vitals, Is selected, and when action suppression is required, a call voice for action suppression is selected together with or instead of these. In the figure, the storage device 11 is disposed in the medical facility 14 and connected to the control device 1 via the server 15. However, even if the storage device 11 is disposed in the home 13 and directly connected to the control device 1. Alternatively, it may be built in the control device 1.

  Next, the control device 1 controls the speaker 8 to reproduce the selected call voice, and automatically calls the target person 6 (step 4 in FIG. 2). In response to this call, the target person 6 gives various answers (step 5 in FIG. 2). The answer includes an answer by voice and an answer by gesture, and may not be answered at all depending on the situation.

  And the control apparatus 1 judges the condition of the subject 6 from the answer from the subject 6, the detected content of the sensor, and the calling voice called (step 6 in FIG. 2), and the medical condition of the subject 6 has deteriorated. If it is determined that a dangerous operation is being performed, an emergency call is automatically made (step 7 in FIG. 2). Note that before making an emergency call, the control device 1 may perform a process for prompting a doctor or the like to make an emergency call according to the doctor's or the like. A doctor or the like can determine a vital from the detection result of the sensor mat 3, can make a voice inquiry, or can make a visual determination if a camera is provided.

  Emergency calls are made to inform nurses, caregivers, and other healthcare professionals to the target person 6, request ambulances, and notify family members. This is done by notifying a specific person, such as contacting a committee member. An emergency call to a medical worker is made by notifying that the medical device is urgent by the control device 1 under the control of the control device 1 and that a doctor or the like needs to be judged. A report may be sent to a portable terminal held by a medical worker. An emergency call to a family member, a welfare officer, etc. may be made by the control device 1 under control of the contact device 10 installed in advance, or by e-mail, telephone, etc. at home or on a portable terminal You may make it contact.

  By making such an emergency call as necessary, it is possible to cope with a worsening or unexpected situation of the subject 6 without constantly nursing or nursing the subject 6, so that the subject can be accurately targeted. The safety of the person 6 can be confirmed. In addition, when an elderly person living alone or the like dies, no one notices it and may be left for a long time. In this way, even if an elderly person living alone suddenly dies, sudden death can be confirmed by constantly detecting vitals and the like, and it is possible to avoid being left unattended. In addition, as a result of detecting an abrupt change in physical condition and making an emergency call, it may be possible to take appropriate measures or prevent sudden death itself.

  Moreover, it can detect that the subject person 6 is absent for a long time, and can make an emergency call. For example, when the target person 6 is an elderly person or a dementia patient, hesitation may be performed. If it is detected that such a subject 6 is not in bed 7 for a certain period of time, it may be determined that there is a possibility of hesitation and an emergency call can be made. This makes it possible to quickly determine that the subject person 6 is hesitant and to take measures such as quickly searching for the subject person 6.

  Furthermore, when it is determined that leaving the bed 7 is dangerous, the protective fence 12 may be automatically set around the bed 7 under the control of the control device 1 simultaneously with the emergency call. The protective fence 12 is normally stored in the bed 7 and does not protrude from the mat, and protrudes from the mat under the control of the control device 1. Thereby, the danger of the subject 6 can be avoided more reliably.

Next, an example of determining whether or not to make an emergency call from the sensor, call voice, and answer will be described with reference to FIG.
First, the relationship between the detection information of the sensor and the situation of the target person 6 will be exemplified.

  The bed sensor 2 detects whether or not the subject 6 is moving, and the state of the subject 6 cannot be clarified with the bed sensor 2 alone. However, the fact that this sensor is reacting indicates that the subject 6 is at least on the bed 7.

The sensor mat 3 is a sensor that detects vitals such as the heart rate and respiratory rate of the subject 6.
By the mat sensor 4 reacting, it can be seen that the subject 6 is sitting at the end of the bed 7 or standing by the bed 7. That is, when the mat sensor 4 is reacting, it is possible that the subject 6 is about to stand and it can be determined that the urgency is high.

  The silhouette sensor 5 is a sensor capable of recognizing the posture of the subject 6 even in a room that is turned off at night. For example, image analysis using an infrared sensor is performed. It is possible to detect that the head is separated from the bed 7 or protrudes from the bed 7. For this reason, the silhouette sensor 5 can detect the change in the risk level with a single sensor with high accuracy.

  Note that a camera (not shown) may be provided as a sensor, and the state of the target person 6 may be detected by judging an image of the camera. Further, the voice or snoring of the subject person 6 can be detected through the microphone 9 and can be used as one of judgment materials.

Next, the selection of the calling voice according to the detection information of the sensor will be exemplified.
For example, as a result of judging the detection information of the sensor, if it is judged that the degree of risk is low, a call voice of “Mr. XX, what's wrong” is selected, and if it is judged that the degree of risk is high, Select and play the call voice saying “What did you do, please, Mr. ○○?” These calling voices can store various patterns according to dialect, locality, and personality.

  When judging the answer to the call voice and selecting whether or not to make an emergency call, extract the character string included in the answer and make an emergency call based on whether or not the pre-registered character string is included Judge whether. If it is determined that the degree of risk is high, or if it is determined that the degree of risk is low, an emergency call is made. Before making a decision to make an emergency call, the detection information of the sensor and the exchange of the call voice and the answer may be transmitted to a doctor or the like, and the doctor or the like may make a remote decision.

  Specifically, if the answer to the call voice saying “What's wrong with Mr. XX” is “Ah, Uh, Tummy”, there is a body part of “Tummy” in the sentence. Make an emergency call by judging that there was. At this time, prior to the emergency call, a voice message such as “I understand, I ’ll keep talking to Mr. Kango-fu” may be played to contact a doctor or the like.

  In addition, if the answer to the call voice saying “What's wrong?” Is “I want to do, want to crush, I want to”, the text contains “I want to” Determine that something has changed and make an emergency call. At this time, prior to the emergency call, a voice message such as “I understand, I ’ll keep talking to Mr. Kango-fu” may be played to contact a doctor or the like.

  In addition, all the responses to the call voice “Mr. XX, please do it, what did you do?” Are recorded in a certain time. In this case, what you are saying is not important, and confirmation of what you are saying is important. After this, it is preferable that a nurse, a doctor, or the like confirms the image of the camera and the telephone by a communication method or the like.

Further, the exchange of the calling voice and the answer by these voices may be converted into text, and the determination may be made based on the converted text.
(Embodiment 2)
Next, a nursing / care support apparatus and a nursing / care support method according to Embodiment 2 will be described with reference to FIGS.

FIG. 3 is a schematic diagram illustrating the configuration of the nursing / care support apparatus according to the second embodiment, and FIG. 4 is a diagram illustrating a flow of the nursing / care support method according to the second embodiment.
As shown in FIG. 3, the nursing / care support apparatus according to the second embodiment is different from the nursing / care support apparatus according to the first embodiment in that the camera 17 always shoots the target person 6, the call voice, and the contents of the answer. When a remote determination is made, it further includes a record creation device 18 that automatically creates a nursing / nursing care record based on the contents, presence / absence of an emergency call, and the like.

  The nursing / care support apparatus and the nursing / care support method according to the second embodiment are provided with such a configuration, so that, as in the first embodiment, an emergency call is made when necessary so that a family member or a medical worker can be engaged. Because the person can rush to the target person and deal with it, the safety of the target person can be confirmed with high accuracy without bothering the surrounding person's hand and always paying attention to the target person 6 However, along with the necessary camera 13 images, it is possible to automatically create nursing / nursing care records including sensor detection information, call voices and responses, whether or not doctors make judgments, and the results of emergency calls. it can.

The nursing / care record creation process will be described with reference to FIGS.
Here, as in the first embodiment, the steps from the determination of the situation of the subject 6 to the execution of an emergency call are performed (steps 1 to 7 in FIG. 4).

  In the present embodiment, after determining the condition of the subject (step 6 in FIG. 4), the control device 1 determines whether it is necessary to create a nursing / care record (step 8 in FIG. 4). Judgment of whether it is necessary or not is based on the detection information of the sensor, the call voice, and the contents of the response. It is judged that it is necessary to make a nursing / nursing care record. Note that the image capturing and recording by the camera 13 continues even if it is determined that the creation is necessary or not.

  Next, when it is determined that it is necessary to create a nursing / nursing care record, the record creating device 18 detects the detection information of the sensor, the call voice and the content of the answer, and if the determination is made, When the sensor detection information or call voice and the contents or judgment of the answer, which are the basis for determining that an emergency call should be made, the contents of the judgment result of the doctor or the like, the image in between and the date and time between them are extracted (FIG. 4). Step 9). Here, the calling voice and the contents of the answer may be extracted and recorded in the state of voice, but when the voice is converted into text, it is preferable to extract and record the text.

  Finally, the record creation device 18 adds the detection information of the extracted sensor, the call voice and the content of the answer and the judgment result of the doctor, etc., the presence / absence of an emergency call, the date and image, and nursing. -It records in the memory | storage device 19 in the record preparation apparatus 18 as a care record. The image may be a still image or a moving image, and may be selected and recorded as necessary.

DESCRIPTION OF SYMBOLS 1 Control apparatus 2 Bed sensor 3 Sensor mat 4 Mat sensor 5 Silhouette sensor 6 Target person 7 Bed 8 Speaker 9 Microphone 10 Contact apparatus 11 Memory | storage device 12 Guard fence 13 Home 14 Medical facilities 15 Server 16 Base station 17 Camera 18 Record creation apparatus 19 Storage device

Claims (13)

A nursing / nursing support device for performing nursing and nursing of a subject outside the medical facility from the medical facility,
The bed where the subject sleeps,
A sensor for detecting the condition of the subject;
Speakers provided around the bed;
One of the calling voices is selected from a plurality of predetermined calling voices according to information detected by the sensor, and an emergency call is made from the information detected by the sensors and the content of the subject's answer to the calling voice. A control device for determining whether or not it is necessary;
A nursing / care support apparatus, comprising: a communication device provided in the medical facility for making an emergency call under the control of the control device, wherein the control device reproduces the calling voice through the speaker.   The emergency call is a message prompting a medical worker of the medical facility to be dispatched to the target person, a request for an ambulance, or a report to a predetermined specific person. Item 1. The nursing / care support apparatus according to Item 1.   The nursing / care support apparatus according to claim 1, wherein the sensor is configured by any one of a bed sensor, a sensor mat, a mat sensor, a silhouette sensor, or a camera, or a combination thereof. .   The nursing / care support apparatus according to any one of claims 1 to 3, further comprising a protective fence projecting under the control of the control device at a peripheral portion of the bed.   The nursing / care support apparatus according to any one of claims 1 to 4, wherein the medical worker makes a determination before making the emergency call. Including a camera that constantly shoots the subject as the sensor;
A record creation device that automatically creates nursing and care records;
Images taken by the camera from the detection of the sensor detection information, the calling voice and the content of the answer, and the basis for making the emergency call, from the date and time when the sensor detects a change until the emergency call is made The nursing / care support apparatus according to claim 1, further comprising a storage device that records the nursing / care record as the nursing / care record. Including a camera that constantly shoots the subject as the sensor;
A record creation device that automatically creates nursing and care records;
The detection information of the sensor, the content of the call voice and the response, the presence or absence of the judgment of the medical staff and the content and the basis for making the emergency call, after detecting the change with the sensor and the emergency The nursing / care support apparatus according to claim 5, further comprising a storage device that records the nursing / care record together with an image taken by the camera before making a report.   The nursing / care support apparatus according to any one of claims 1 to 7, wherein the call voice and the answer are converted into text. A process of detecting the condition of the subject sleeping on the bed with a sensor;
A step of playing a call voice according to the information detected by the sensor;
A nursing / nursing care support method comprising a step of making an emergency call according to an answer of the subject to the call voice and information detected by the sensor.   The subject is always photographed, and as nursing / nursing records, the detection information of the sensor, the contents of the call voice and the answer, and the grounds, date and time for the emergency call, and the change are detected by the sensor. The nursing / care support method according to claim 9, wherein an image taken before the emergency call is made is recorded.   The nursing / nursing care support method according to claim 9, wherein the medical staff makes a judgment before making the emergency call.   Shooting the subject at all times, as nursing / nursing records, detection information of the sensor, the content of the call voice and its answer, the presence or absence of the judgment of the health care worker and the grounds for the emergency notification, 12. The nursing / nursing care support method according to claim 11, wherein the date and time and an image taken from when a change is detected by the sensor to when the emergency call is made are recorded.   The nursing / care support method according to any one of claims 9 to 12, wherein the call voice and the answer are converted into text.

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