JP2019082965A - Topic organizing and summarizing table creation supporting apparatus, method, and program for controlling topic organizing and summarizing table creation supporting apparatus - Google Patents

Abstract

To improve productivity in a care support field.SOLUTION: Selection of any one of a plurality of care support levels with respect to each of a plurality of care support items is received (step 31). Further, selection of a corresponding dairy life blocking factor selected from a plurality of diary life locking factors is received (step 32). From among a plurality of topic organizing and summarizing table samples stored in a storage device, a sample similar to a topic organizing and summarizing table being created is extracted based on the care support level and the dairy life blocking factor for each of the selected plurality of care support items (steps 33 and 34). By using a frequency of occurence of the dairy life blocking factor associated with each of the care support items in the extracted samples, one or a plurality of daily life blocking factors to be associated with care support items of care support required levels in the topic organizing and summarizing table being created are recommended and displayed (step 35).SELECTED DRAWING: Figure 3

Description

  The present invention relates to a task arrangement summary table creation support device, method and program.

  In the nursing care insurance system, a care plan is created in consideration of the physical and mental condition of the user (care recipient) and the environment where the user (carer needing care) is placed, the user himself or his family, etc. In order to ensure that necessary services such as nursing care are provided by the service provider smoothly, a role to communicate and coordinate is required.

  In creating a care plan, it is necessary to grasp the user's condition etc., and to derive issues through the arrangement and analysis of information. While sharing the basic information of the user who the care support specialist grasped among many types of occupation, express what kind of thought the care support specialist derived the problem to be solved of the life of the user in general Task summary tables are used.

  The purpose of the task arrangement summary table arises when the user maintains and improves the quality of life while taking into consideration the current situation and the ability of the user in deriving the problem (needs) to be solved in general life. In order to clarify the subject in question and to identify the problem to be solved in supporting independent daily life, it is necessary to clarify what kind of idea the task analysis was performed as a profession. is there. The task arrangement summary table is prepared at the timing before the preparation of the care plan, and is useful for the preparation of a well-developed care plan. However, since the care support specialists have different experiences and ways of thinking, omissions and errors in the entry on the task arrangement summary table (a different judgment from many other care support specialists) may occur.

  Patent document 1 shares appropriate care services based on the shared care information, while all groups or persons related to care share a care information such as a regional comprehensive support center, a care provider, a family member of a cared person, etc. Provide a care support system and a care support program that support However, it does not support the creation of the task arrangement summary sheet.

Unexamined-Japanese-Patent No. 2010-205263

  The object of the present invention is to improve the productivity in the field of care by supporting the creation of a task arrangement summary table.

  Another object of the present invention is to improve the work efficiency of a care support specialist (care manager).

  The task arrangement generalization table creation support device according to the present invention is a support device for supporting the creation of the task arrangement generalization table prepared for each user, and a plurality of task arrangement generalization table samples (the prepared task arrangement generalization table) Among the memory means for storing information, the first reception means for receiving the selection of the care level corresponding to the user from among the care levels of multiple stages for each of the plurality of care support items, and the options for the plurality of daily life impediment factors From the second accepting means for accepting the selection of the daily life impeding factor corresponding to the user from among the plurality of task arrangement generalization table samples stored in the storage means, accepted by the first accepting means Based on at least one of the care level for each of a plurality of care support items and the daily life impediment factor accepted by the second acceptance means And an extraction means for extracting a task arrangement generalization table sample similar to the task arrangement generalization table under preparation, and a daily life impediment factor associated with each care support item in the task arrangement generalization table sample extracted by the above extraction means The recommendation display means for recommending display of one or more daily life impediment factors to be associated with the care support item of the care requiring level in the above-mentioned task arrangement summary table using the appearance frequency of.

  The present invention also provides a method of controlling the above-described task summary management table creation support device, and a program that causes a computer to execute this method.

  The task arrangement summary table is prepared for each specific user, and includes the user's care level of the above-mentioned user for each of a plurality of long-term care support items, and an independent factor for daily life that has become independent (a daily life inhibitor). Be For example, care support items include moving (indoor movement, outdoor movement), eating (meal contents, eating and drinking, cooking), excretion (voiding / defecation, excretory movement), oral cavity (oral hygiene, oral care), medication, bathing , Changing clothes, cleaning, washing, etc., for each of which one of the multiple levels of care levels (current situation) is selected. For example, low back pain, depression, living environment, physical strength / weakness, living alone, dementia etc., among which the users fall under the physical condition, mental condition, family, living environment Daily living prevention factors are selected from each point of view, such as living environment, likes and dislikes, finances, and medical history.

  Furthermore, in the task arrangement generalization table, it is necessary to specify which of the above-mentioned daily life impeding factors is the care support item at the care requiring level and the factor (reason) causing the situation requiring the care requiring. For example, assuming that the care support item "bathing" is at a care level of "some assistance", the factor (reason) causing a situation requiring some assistance for bathing is any of the above-mentioned daily life inhibiting factors One or more (or more) items, that is, the care support items at the level of care need, and the daily life impediment factor are associated.

  According to this invention, the task arrangement summary table sample similar to the task arrangement summary table being created is extracted from among the plurality of task arrangement summary table samples (the prepared task arrangement summary table) stored in the storage means Using the appearance frequency of the daily life impediment factor associated with each care support item in the extracted task arrangement generalization table sample, the care support item of the care need level in the above task preparation general table should be associated One or more daily life impeding factors are recommended. The daily life inhibition factor recommended to be displayed is based on a plurality of task arrangement summary table samples (past results) stored in the storage means, and many nursing care specialists have selected in the past In addition to facilitating the selection of the daily life impediment factor to be associated with the care support item at the level of need of nursing care, errors in the daily life impeding factor to be associated can be greatly reduced. The work efficiency of the care support specialist can be improved, and the productivity in the care field can be improved.

  Preferably, the second receiving means is an everyday life inhibiting factor in which the appearance frequency of the daily life inhibiting factor for each care support item in the task arrangement generalization table sample extracted by the extracting means exceeds a predetermined value. A warning means is provided to output a warning when there is a daily life impediment factor that has not been selected by. That is, when there is a daily life impediment factor that is frequently interrupted in the past in the extracted similar samples but has not been entered (selected) in the task arrangement summary table being created Can be noticed that there is an input omission of the daily life impediment factor in the task arrangement summary table in preparation.

  Preferably, a third accepting means for accepting selection of an everyday life inhibiting factor to be associated with a care support item at a level requiring care among the one or more daily life impeding factors recommended by the recommendation display means, and the above third A storage control means is provided for storing, in the storage means, the task arrangement generalization table for which the selection by the reception means of 3 has been received as a sample task arrangement generalization table. The task arrangement summary table sample stored in the storage means can be enriched.

  Preferably, the plurality of options for the daily life impeding factor include options for daily life impeding factors derived from individuals and options for daily life impeding factors derived from the environment.

  In one embodiment, the extraction means is for extracting, from the storage means, sample task summary sheets having similar daily life impediment factors derived from individuals.

  In another embodiment, the extraction means is for extracting, from the storage means, sample task summary sheets having similar environmental life-related daily life inhibiting factors.

  For example, even if the care level of the care support item "bathing" is "some assistance", it may be caused by the physical surface of the user's individual or by the structure of the bathroom. . By classifying daily life impediment factors into those of individual origin and those of environment origin, it is possible to extract more appropriate similar task arrangement summary sheet samples.

Show the task summary chart. It is a block diagram which shows the electric constitution of a task arrangement generalization table preparation assistance apparatus. It is a flowchart which shows the flow of a task arrangement generalization table preparation process. It is a flowchart which shows the flow of a task arrangement generalization table preparation process. It is a flowchart which shows the flow of a task arrangement generalization table preparation process. The daily life impeding factor list window is shown. Using similar samples, it is shown how appearance frequency of the daily life impeding factor listed in the factor input column is counted for each care support item.

  Figure 1 shows the task summary chart. FIG. 2 is a block diagram showing an electrical configuration of a support device for creating the task arrangement summary table shown in FIG. FIG. 1 shows an example of the completed task summary table.

  Task arrangement generalization table 1 is made for every specific user (caretaker) who should make care plan, and the user maintains the quality of life in consideration of the user's current situation and ability to have , What is the care support specialist (care manager) in the process of clarifying the problems that have arisen in improving, and extracting the problems to be solved in supporting independent daily life It will be clarified if the problem analysis was done by thinking.

  The problem arrangement generalization table 1 is a care level selection column 2 that accepts selection of any of multiple levels of care level (care support level) for each of a plurality of care support items, and one or more factors that inhibit independent daily life ( The daily life impediment factor input field by choice 3) For each of the nursing care support items at the level of care required, the factor is the daily life impediment factor input in the above daily life impediment factor input field 3 It has the factor input column 4 which specifies (associates) from among them, the improvement / maintenance possibility selection column 5 and the remark column 6.

  In the care level selection column 2, options (care level) (current situation) for selecting the care level of the user are prepared for each of a plurality of care support items. The care support items in this example include indoor movement, outdoor movement, meal contents, meal contents, meal intake, cooking, urination and defecation, excretion movements, oral hygiene, oral care, medication, bathing, etc. For each item of care support items, four levels of care levels of independence, watching over, partial assistance and total assistance, or two levels of care without interference and with obstacles are prepared, and among them, the care level of the user is selected Ru. Of the four levels of care levels of independence, watching, partial assistance and total assistance, "independent" is the level of care that does not require nursing care (care-free level), and the remaining "watching", "partial assistance" and " "All assistance" is the care level (care requiring level) that requires care. About no trouble and two levels of care levels with trouble, "no trouble" is a care unnecessary level and "with trouble" is a care required level.

  In the daily life impediment factor input column 3, objective facts collected by the care manager about the impediment factors of the user's independent daily life are selected from among a plurality of options for daily life impediment factors prepared in advance Is entered. The daily life impediment factor to be input is an individual life impediment factor (physical aspect, mental aspect, liking, dislike, finance, medical history etc) and environmental origin daily life impediment factor (family, living environment, living environment etc) And are included.

  The factor which brings about the situation about the care support item whose care level selected in the care level selection column 2 is a need-for-care level (other than "independent" and "no trouble") was mentioned in the factor input column 4 It is selected (specified) which one of the daily life impeding factors entered in the daily life impeding factor input column 3. For example, referring to the care support item “Bath” in the task arrangement summary table 1 shown in FIG. 1, it is the level of need of nursing care (partly assistance), and the factor input column 4 “risk of infection due to bladder fistula” (round The number 3) and "living environment (room cleaning is not enough)" (circled number 5) is selected. The factor input column 4 relates the care support item at the level of need of nursing care to the daily life impediment factor input in the daily life impediment factor input column 3 that is the factor. It takes time and effort. That is, the care manager checks, for each of the nursing care support items at the level of needing care, which one of the daily life impediment factors corresponding to the daily life impediment factor input column 3 falls under, There must be. As described below, the support device displays a recommendation for one or more everyday life impediment factors as candidates to be input in the factor input field 4 and executes processing for assisting the care manager to input the factor input field 4 (Details will be described later).

  In the improvement / maintenance possibility selection column 5, the possibility of the situation in the accredited validity period is improved for the care support item whose care level selection column 2 is the care requiring level (other than "independent" and "no trouble"). , Selected by either maintenance or deterioration.

  In remarks column 6, assistance contents and goals are entered for any care support item.

  The task arrangement generalization table 1 shown in FIG. 1 is created by the task arrangement generalization table creation support device. Referring to FIG. 2, the task arrangement general table creation support device 10 is realized by a computer device, and has a CPU (central processing unit) 11, an input device 12 such as a keyboard, a mouse, etc., which controls its overall operation. And a display device 13 for displaying the created task arrangement summary table 1, a communication device 14 for transmitting and receiving data through a network (not shown), an operating system program (OS), and a computer device. A storage device 15 stores a support program for functioning as a database, a database storing a plurality of task arrangement summary tables (hereinafter referred to as task arrangement summary table samples) created in the past, and the like.

  FIGS. 3 to 5 are flowcharts showing the flow of the task arrangement general table making process using the task arrangement general table making support device 10. FIG.

  First, in the care level selection column 2 described above, the user's care level for each of a plurality of care support items is input (selected) (step 31), and one or more everyday items in the daily life impediment factor input box 3 A life inhibition factor is input (selected) (step 32).

  In the care level selection column 2 of the task arrangement summary table 1 (FIG. 1) displayed on the display device 13, the care level for each of a plurality of care support items is clicked using one of the care levels using the input device 12 It is input (selected) by doing. The daily life impediment factor is input to the daily life impediment factor input field 3 by selecting the appropriate factor from the factor list window described below, which is displayed on the display device 13.

  FIG. 6 shows an example of the daily life impeding factor list window 13A. The multiple daily life inhibition factors prepared in advance are classified into the daily life hindrance factors derived from individuals and the daily life hindrance factors derived from the environment, and among these, the inhibition factors of the user's independent daily life are selected Be done.

  When the input of the care level for each of the plurality of care support items and the input of the daily life impediment factor are finished, the extraction (refinement) processing from the plurality of task arrangement generalization table samples stored in the storage device 15 is performed (Steps 33, 34). This extraction (reduction) process is a care level for each of a plurality of nursing care support items input from among the plurality of task arrangement generalization table samples (the task arrangement generalization table created in the past) stored in the storage device 15 And it is processing to extract the task arrangement generalization table sample similar to the task arrangement generalization table under preparation using the daily life impediment factor.

  The first extraction process is an extraction process using an everyday life impediment factor (step 33). Referring to FIG. 4, since the input daily life impediment factor includes an inhibition factor derived from an individual and an impediment factor of an environmental request, a sample including an identical or partially matched daily life impediment factor is extracted for each of them. (Steps 41 and 42). Of course, in the extraction process using an inhibition factor derived from an individual (step 41), a sample containing a completely identical inhibition factor is extracted, and in the extraction process using an inhibition factor derived from an environment (step 42) A sample containing H may be extracted, and vice versa. Among the daily life impediment factors input in the task arrangement summary table under preparation, for example, a sample containing two or more same daily life impediment factors can be judged as a partially consistent sample. In any case, samples containing only daily life inhibiting factors that are completely different from the daily life inhibiting factors entered in the task organizing summary table being created are not extracted, and as a result, a sample similar to the task organizing summary table being created It is extracted.

  Of course, only the extraction process (step 41) using the inhibition factor derived from the individual may be executed, and the extraction process (step 42) using the inhibition factor derived from the environment may be skipped, or vice versa .

  Next, a second extraction process is performed (step 34). As shown in FIG. 5, in the second extraction process, a care level pattern input for each of a plurality of care support items is used (step 51).

  Various processes can be considered for the extraction process using a care level pattern input for each of a plurality of care support items.

  The first is a sample in which the care levels entered for each of the multiple care support items in the task arrangement summary table being created completely match or only one care level difference occurs for only a few care support items. It is a process to extract.

  The second is extraction processing that focuses on the number of care support items that differ in care level. For example, samples in which the number of care support items having different care levels remains at two or three are extracted.

  The third is a process of extracting samples in which care support items for which “independent” or “no problem” (ie, no care need level) is selected completely match or remain at a small number of differences.

  In any case, a sample including a pattern completely different from the care level pattern input for each of the plurality of nursing care support items in the task arrangement summary table being created is not extracted, thereby being similar to the task arrangement summary table being prepared Samples are extracted.

  By going through the above-mentioned extraction processing, from the two viewpoints of the input (selected) daily life impediment factor and the input (selected) care level pattern (any one may be used) Similar samples (hereinafter referred to as similar samples) will be extracted from a large number of samples stored in the storage unit 15. For example, according to the number of similar samples to be extracted, it can be determined whether one of the daily life impediment factor and the care level pattern is used for the extraction process or both are used for the extraction process.

  Next, a similar sample is used, and one or more inhibition factors to be input in the factor input field 4 are recommendedly displayed according to the inhibition factor appearance frequency for each care support item (step 35).

  FIG. 7 shows how the appearance frequency of the daily life impeding factor listed in the factor input column 4 is counted for each care support item in the extracted similar samples. It should be understood that the table shown in FIG. 7 is for the purpose of making the frequency of occurrence easy to understand, and is not necessarily created in the task organization summary table creation process.

  Referring to FIG. 7, for example, it is shown that the occurrence frequency of the daily life impeding factor "backache" is "450" for the care support item "indoor movement". Among the similar samples that were extracted, those whose low back pain is the factor that brings about the situation at the care requiring level for the care support item "indoor movement" (similar samples for which such data are input), It means that there are 450 samples.

  As described above, in the factor input column 4 of the task arrangement generalization table 1, the daily life impediment factor input for the care support item whose care level selection column 2 is the level requiring care (other than "independent" and "no trouble"). Any one or more of one or more everyday life impediment factors (numbers representing everyday life impeding factors (circled numbers)) entered in column 3 are entered, whereby the care requiring care level is taken. The support item and the factor that inhibits the daily life that is the factor that interferes with the daily life that is input to the daily life factor input column 3 are associated. The candidate for the daily life impeding factor to be input is displayed in the factor input field 4 based on the appearance frequency described above. For example, in the factor input column 4 of the task arrangement summary table 1 under creation, a plurality or all factors (numbers specifying the factors) are displayed in the order of high appearance frequency described above.

  Since the recommendation display of the factor displayed in the factor input column 4 according to the appearance frequency is using a sample similar to the task arrangement generalization table under preparation, it is difficult to think that there is a large error, and according to the recommendation display By inputting one or more factors in the factor input column 4 (finally determining the inhibition factors) (step 36), even if the care manager is not experienced, the daily life inhibition factors along the past cases, Can be correctly associated with care support items. All of the daily life impeding factors (numbers specifying factors) recommended to be displayed may be entered in the factor entry field 4, or a part of them may be entered. In any case, the time spent for data input in the factor input column 4 can be significantly reduced.

  The appearance frequency of the daily life impediment factor for each care support item using the similar sample mentioned above is used to check the input omission of the daily life impediment factor in the daily life impediment factor input column 3 of the task arrangement generalization table 1 under preparation It can also be done. For example, a care manager who has a large number of occurrences in similar samples (exceeds a predetermined value) but has not been input in the daily life impediment factor input column 3 of the task arrangement summary table 1 under preparation is a care manager May be presented (warning displayed on the display screen) to prompt for an input omission check.

  The completed task arrangement summary table is stored in the storage unit 15, and then used as a sample task arrangement summary table.

  In the embodiment described above, an example was described in which the task arrangement summary table creation support device 10 is configured by a so-called stand-alone computer device, but a plurality of computer devices connected through a network may be used. For example, the database storing the task summary table is stored in the storage device of the server apparatus, and the database system of the server apparatus is used through the network (file sharing type), and the server apparatus performs the extraction process described above. The task organization summary table creation support device 10 can also be realized by (client / server type).

1 Problem arrangement generalization table 2 Care level selection column 3 Daily life inhibition factor input column 4 Factor input column
10 task arrangement generalization table making support device
11 CPU (extraction means)
12 input device (first accepting means, second accepting means)
13 Display Device (Recommended Display Means)
15 Storage device (storage means)

Claims (8)

A support device that supports creation of a task arrangement summary table created for each user,
Storage means for storing multiple task arrangement summary sheet samples,
A first accepting means for accepting selection of a care level corresponding to the user from among multiple care levels for each of a plurality of care support items,
A second accepting means for accepting selection of the daily life impeding factor corresponding to the user from among a plurality of options for daily life impeding factors,
Out of the plurality of task arrangement generalization table samples stored in the storage means, the care level for each of the plurality of care support items accepted by the first acceptance means, and the second acceptance means Extraction means for extracting a task arrangement generalization table sample similar to the task arrangement generalization table under creation based on at least one of the daily life inhibiting factors, and care in the task arrangement generalization table sample extracted by the above extraction means Using the frequency of occurrence of the daily life impediment factor associated with each support item, recommend one or more daily life impediment factors to be associated with the care support item at the level of needing care in the task arrangement summary table being created above Recommended display method,
Equipped with
Problem arrangement generalization table creation support device. It is an everyday life inhibiting factor in which the appearance frequency of the daily life inhibiting factor for each item of nursing care support items exceeds the predetermined value in the task organization summary table sample extracted by the extracting means, and is selected by the second accepting means It has warning means to output a warning when there is a factor that hinders daily life,
The task arrangement generalization table preparation support device according to claim 1. Third acceptance means for accepting selection of an everyday life impediment factor to be associated with a nursing care support item at a level requiring care out of one or more everyday life impediment factors recommended to be displayed by the above recommendation display means, and the above third acceptance A storage control means is provided for storing the task arrangement summary table, the selection of which is accepted by the means, as the sample task arrangement summary table sample, in the above storage means,
The task arrangement generalization table preparation support device according to claim 1 or 2. The options for the plurality of everyday life impeding factors include the option of daily life impeding factors derived from individuals and the option of daily life impeding factors derived from environment,
The task arrangement generalization table preparation assistance device according to any one of claims 1 to 3. The above extraction means
A sample of the task arrangement summary table having similar daily life impediment factors derived from individuals is extracted from the above storage means,
The task arrangement generalization table preparation support device according to claim 4. The above extraction means
A sample of the task summary summary table with similar environment-derived daily life inhibition factors is extracted from the above storage means,
The task arrangement generalization table preparation support device according to claim 4 or 5. A method of controlling a support device that supports creation of a task arrangement generalization table created for each user,
Store multiple task arrangement summary sheet samples in storage means,
The first reception means receives the selection of the corresponding care level of the user from among the multiple care levels for each of a plurality of care support items,
From the multiple choices of daily life impediment factors, the second acceptance means accepts the selection of the daily life impeding factors applicable to the above user,
Out of the plurality of task arrangement generalization table samples stored in the storage means, the care level for each of the plurality of care support items accepted by the first acceptance means, and the second acceptance means Based on at least one of the daily life impediment factors, extract a task arrangement summary table sample similar to the task arrangement summary table under creation,
Use the frequency of occurrence of the daily life impediment factor associated with each nursing care support item in the extracted task organization generalization table, and associate it with the nursing care support item in the care need level in the above-mentioned task organization generalization table, Recommend to display multiple daily life inhibition factors,
Control method of the problem arrangement general table preparation support device. Allowing the computer to execute the control method of the task organization general table preparation support device according to claim 7,
program.

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