JP2019096009A - Care support program, care support method and information processing device - Google Patents

Abstract

To provide a care support program, a care support method and an information processing device for reducing a risk that a caring side suffers from a mental disorder.SOLUTION: A computer is caused to execute: processing for calculating a first index showing the degree of similarity of a tendency between a mental state of a care receiver and a mental state of a care giver candidate with reference to care receiver information including an index showing the tendency of the mental state of the care receiver and care giver information including an index showing the tendency of the mental state of the care giver candidate; processing for calculating a second index showing the closeness of a relation between the care receiver and the care giver candidate with reference to the care giver information; and processing for selecting and outputting a care giver for giving care from among a plurality of care giver candidates on the basis of the first index and the second index.SELECTED DRAWING: Figure 10

Description

  The present invention relates to a care support program, a care support method, and an information processing apparatus.

  Conventionally, there has been known a system for accepting a request for care of a cared person and selecting a carer who cares in accordance with the desired time of the cared person, the whereabouts of the cared person, and the like.

Japanese Patent Application Laid-Open No. 2002-024493 JP, 2009-236158, A Unexamined-Japanese-Patent No. 2001-250003 JP, 2014-146137, A Japanese Patent Application Publication No. 2007-052612 JP, 2005-056188, A

  In recent years, when the care recipient suffers from a psychiatric disorder such as depression or schizophrenia, the close feeling with the patient etc. causes the risk of causing the same illness as the care recipient to the carer It is known that it can be. For this reason, when the care recipient suffers from the mental disease mentioned above, it is necessary to consider this risk in selecting a carer, but it is not considered in the conventional system mentioned above.

  In one aspect, the present invention is directed to reducing the risk of a caregiver suffering from a mental disorder.

In one embodiment, the care receiver information including the index indicating the tendency of the care subject's mental state and the care receiver information including the index indicating the tendency of the care candidate candidate's mental state are referred to A process of calculating a first indicator indicating the degree of similarity between the mental state and the tendency of the candidate's mental state;
A plurality of processings of referring to the carer information and calculating a second index indicating the closeness of the relationship between the cared person and the carer candidate, and based on the first index and the second index. It is the care support program which the process which selects the carer who cares about from the said carer candidate of, and which outputs a selection result, and makes a computer perform.

  Each of the above processes may be a functional unit that implements each of the above processes, or a procedure that implements each of the processes, or may be a computer readable storage medium storing a program that causes the computer to execute each of the processes.

  It is possible to reduce the risk of caring for the mental illness.

It is a figure showing an example of system configuration of a care support system. It is a figure showing an example of the hardware constitutions of an information processor. It is a figure which shows an example of a patient database. It is a figure which shows an example of a caregiver database. It is a figure explaining the function of a care support processing part. It is a figure explaining the process of a mental state calculation part. It is a figure which shows an example of calculation result information. It is a first flow chart explaining pre-processing. It is a 2nd flow chart explaining pre-processing. It is a flowchart explaining the process of a selection process part. It is a 1st figure which shows the example of a display. It is a 2nd figure which shows the example of a display.

  Embodiments will be described below with reference to the drawings. FIG. 1 is a diagram showing an example of a system configuration of a care support system.

  The care support system 100 of the present embodiment includes the information processing device 200 and the terminal devices 300-1 and 300-2. The information processing device 200 is connected to each of the terminal devices 300-1 and 300-2 via a network or the like.

  In the care support system 100, the terminal device 300-1 is, for example, a terminal device 300 that requests care. The side requesting care is, for example, a care manager who receives consultation about care from the patient himself, the patient's family, the patient, the patient's family, etc. That is, the terminal device 300-1 is a terminal device 300 that is mainly used by a user in a position requesting nursing care.

  The terminal device 300-2 is a terminal device 300 on the care side that cares for a patient. The care giver who cares is the care giver who actually cares for the patient. That is, the terminal device 300-2 is a terminal device 300 mainly used by a user of a position who takes care in response to a request for care. In addition, the position which cares does not need to be an actual carer, and may be a company etc. who introduce or dispatch a carer.

  The information processing apparatus 200 of the present embodiment includes a patient database 210, a caregiver database 220, and a care support processing unit 230.

  In the care support system 100 of the present embodiment, when the information processing apparatus 200 receives a care request from the terminal device 300-1, for example, the care support processing unit 230 refers to the patient database 210 and the carer database 220, and care is received. Select the Then, the information processing device 200 notifies the terminal device 300-2 that the care giver has been selected.

  Here, in the present embodiment, when the carer is similar in mental state to the cared person and has a close relationship with the cared person, it is noted that the care side is also likely to bear a mental disease. And select a caregiver who is less likely to suffer the same mental illness as the care recipient. In other words, in the present embodiment, a caregiver selects a caregiver in consideration of the possibility of suffering a sensitivity delusional disorder.

  Specifically, when the care recipient suffers from a psychiatric disorder such as depression or schizophrenia, the support processing unit 230 determines the similarity between the care recipient and the caregiver and the subject's mental state. Based on the relationship between the carer and the carer, select a low risk carer who suffers from the same disease as the cared person.

  Therefore, according to the present embodiment, it is possible to reduce the risk that the caring party suffers from a mental disease.

  In addition, although the terminal device of the side which requests care is made into the terminal device 300-1, and the terminal device of the side which cares is made into the terminal device 300-2 in the example of FIG. 1, it is not limited to this. The care support system 100 may include any number of terminal devices requesting care and terminal devices performing care. In the following description, when the terminal device 300-1 and the terminal device 300-2 are not distinguished, they are called a terminal device 300.

  Further, in the present embodiment, the patient database 210 and the caregiver database 220 are provided in the information processing apparatus 200 having the care support processing unit 230, but the present invention is not limited to this.

  In the present embodiment, for example, the patient database 210 and the caregiver database 220 may be provided in an external device of the information processing device 200.

  Specifically, the caregiver database 220 may be provided in the terminal device 300-2 on the care side. In this case, the terminal device 300-2 may be the terminal device 300 of the business owner who dispatches a caregiver. If a business owner who dispatches a caregiver or a caregiver who actually performs nursing care, he or she may store information indicating the history of nursing care etc. in the caregiver database 220 when performing nursing care.

  The information processing apparatus 200 of the present embodiment will be described below. FIG. 2 is a diagram illustrating an example of a hardware configuration of the information processing apparatus.

  The information processing apparatus 200 according to this embodiment includes an input device 201, an output device 202, a drive device 203, an auxiliary storage device 204, a memory device 205, an arithmetic processing device 206, and an interface device 207, which are mutually connected by a bus B. Including.

  The input device 201 is a device for inputting various types of information, and is realized by, for example, a keyboard or a pointing device. The output device 202 is for outputting various information, and is realized by, for example, a display or the like. The interface device 207 includes a LAN card and the like, and is used to connect to a network.

  A care support program for realizing the care support processing unit 230 is at least a part of various programs for controlling the information processing apparatus 200. The care support program is provided, for example, by distributing the storage medium 208 or downloading from the network. A storage medium 208 storing a nursing care support program is a storage medium for optically, electrically or magnetically recording information such as a CD-ROM, a flexible disk, a magneto-optical disk, etc., an information such as a ROM, a flash memory, etc. Various types of storage media can be used, such as a semiconductor memory for electrically recording.

  The care support program is installed from the storage medium 208 to the auxiliary storage device 204 via the drive device 203 when the storage medium 208 storing the care support program is set in the drive device 203. The care support program downloaded from the network is installed in the auxiliary storage device 204 via the interface device 207.

  The auxiliary storage device 204 stores the installed care support program, and also stores necessary files, data and the like of the patient database 210, the caregiver database 220 and the like. The memory device 205 reads out and stores the care support program from the auxiliary storage device 204 when the information processing device 200 is activated. The arithmetic processing unit 206 implements various processes as described later according to the care support program stored in the memory unit 205.

  The hardware configuration of the terminal device 300 according to this embodiment is the same as that of the information processing device 200, and thus the description thereof is omitted. The terminal device 300 may be, for example, a tablet-type terminal device or a smartphone, and has a display / operation device realized by a touch panel or the like instead of the input device 201 and the output device 202. Also good.

  Next, each database of the information processing apparatus 200 will be described with reference to FIGS. 3 and 4. Each database illustrated in FIGS. 3 and 4 may be provided in a storage device or the like outside the information processing apparatus 200. When each database is provided in the information processing apparatus 200, the database may be provided in the auxiliary storage device 204, the memory device 205, or the like.

  FIG. 3 is a diagram showing an example of a patient database. The patient database 210 of the present embodiment is provided in advance in the information processing apparatus 200, and stores information related to a patient (caregee).

  The information processing apparatus 200 of the present embodiment has a patient ID, a patient name, a gender, a region, a date, a time zone, a questionnaire result, and a mental state score as items of information. In the patient database 210, the item "patient ID" is associated with other items. In the following description, information including the value of the item “patient ID” and the values of other items is referred to as patient information.

  The value of the item “patient ID” is identification information that identifies a patient. The value of the item "patient name" indicates the patient's name. The value of the item "sex" indicates the gender of the patient. The value of the item "area" indicates where the patient receives care. The place where the patient receives care is, for example, the whereabouts of the patient.

  The value of the item "date" indicates the day on which the patient receives care, and the value of the item "time zone" indicates the time zone on which the patient receives care. The values of the item “date” and the item “time zone” may be transmitted from the terminal device 300-1 to the information processing device 200 together with a care request, and may be stored in the patient database 210.

  The value of the item "questionnaire result" indicates the patient's response to the existing questionnaire etc. for checking the mental condition. In the item "questionnaire result", an answer is associated with each question included in the questionnaire. In the patient database 210, it is assumed that all the patients specified by the patient ID have answered the same questionnaire. Details of the questionnaire will be described later.

  The value of the item "mental state score" is a value calculated based on the answer for each question of the questionnaire, and is a point representing the mental state of the patient. The method of calculating the mental state score will be described later.

  The items of information included in the patient database 210 are not limited to the items shown in FIG. The patient database 210 may include items other than the items shown in FIG. For example, the patient database 210 may include, as an item of information, the name of a psychiatric disorder in which a patient suffers, a medical history, and the like.

  Next, the caregiver database 220 of the present embodiment will be described with reference to FIG. FIG. 4 is a diagram showing an example of a caregiver database.

  The carer database 220 of the present embodiment is provided in advance in the information processing apparatus 200, and stores information on a carer. In other words, the carer database 220 stores information on carers (carer candidates) as candidates to be selected as carers.

  The caregiver database 220 of the present embodiment has, as items of information, a caregiver ID, a caregiver name, an attribute, a patient family, a care history, a questionnaire result, a mental state score, an area, a date, a time zone, and a notification destination. In the caregiver database 220, the item "caregiver ID" is associated with other items. In the following description, information including the value of the item “caregiver ID” and the values of other items is referred to as carer information.

  The value of the item “caregiver ID” indicates identification information that identifies a carer. The value of the item "caregiver name" indicates the name of the carer.

  The value of the item "attribute" indicates the relationship between a carer and a patient. In other words, the value of the item "attribute" indicates the presence or absence of a blood relationship between the caregiver and the patient. Specifically, if the value of the item "attribute" is a family, it is known that this carer is a family of the patient. In addition, when the value of the item “attribute” is a business owner, it is understood that this carer is a carer who is registered with a care business company etc. and is not a family of the carer.

  The value of the item "family patient" indicates the patient of the caregiver and the family when the caregiver is the patient and the family. In the example of FIG. 4, for example, it can be seen that the caregiver of the caregiver ID “1” is the patient AAaa and the family.

  The value of the item “care history” indicates information indicating a history of care performed by the caregiver. In the example of FIG. 4, the value of the item “care history” includes the patient name and the number of times of contact. The number of contacts is the number of times the carer has been involved in patient care. Specifically, for example, the number of activities such as a carer visiting the patient's location, confirming the patient's safety, talking with the patient, and taking care of his / her surroundings is referred to as the number of contacts.

  In addition, the information contained in the value of item "care history" is not limited to the example shown in FIG. The information included as the value of the item “care history” may include, for example, the length of time the carer has been associated with the patient, the number of times the carer has touched the patient's body, and the like.

  In addition, for example, the caregiver may input the information included in the value of the item “care history” from the terminal device 300-2 after the patient is cared for.

  The value of the item "questionnaire result" is associated with an answer for each question of the questionnaire, and indicates the patient's answer to the existing questionnaire or the like for checking the mental state. In addition, the questionnaire which a caregiver answers is the same as the questionnaire which a patient answers.

  The value of the item "mental state score" is a point representing the mental state of the carer. In the present embodiment, the mental state score of the patient and the mental state score of the carer are calculated by the same method.

  The value of the item "area" indicates the place where the carer can take care. Specifically, the value of the item "area" indicates the area where the caregiver can work.

  The value of the item "date" indicates the day on which the caregiver can take care, and the value of the item "time zone" indicates the time zone on which the caregiver can take care. The value of the item "notification destination" indicates the contact point of the caregiver. Specifically, the value of the item "notification destination" is the e-mail address or the telephone number of the terminal device 300-2.

  Next, with reference to FIG. 5, the function of the care support processing unit 230 of the present embodiment will be described. FIG. 5 is a diagram for explaining the care support processing unit.

  The care support processing unit 230 of the present embodiment is realized by the arithmetic processing unit 206 reading out and executing a care support program stored in the memory device 205 or the like.

  The care support processing unit 230 of the present embodiment includes a pre-processing unit 240 that performs pre-processing before receiving a request for care, and a selection processing unit 250 that receives a request for care and performs selection processing of a caregiver.

  The pre-processing unit 240 of the present embodiment includes a patient information collection unit 241, a caregiver information collection unit 242, and a mental state calculation unit 243.

  The patient information collection unit 241 receives the input of the information on the patient, and stores the input information in the patient database 210 as the patient information. The information on the patient is, for example, part of patient information such as patient ID, patient name, gender, area, etc., and may be input from the terminal device 300. In addition, the patient information collection unit 241 is: When the information on the patient is input, the patient information collecting unit 241 executes a questionnaire for each patient, collects the result, and stores it in the patient database 210 as a part of the patient information.

  The caregiver information collection unit 242 receives an input of information related to a caregiver, and stores the input information in the caregiver database 220 as caregiver information. The information on the carer is part of the carer information such as a carer ID, a carer name, an attribute, a family patient, and a region, for example, and may be input from the terminal device 300. In addition, when information on a caregiver is input, the caregiver information collection unit 242 carries out a questionnaire for each caregiver, and stores the result in the caregiver database 220 as a part of the caregiver information. The details of the questionnaire of this embodiment will be described later.

  The mental state calculation unit 243 calculates the mental state score for each patient based on the questionnaire result for each patient collected by the patient information collection unit 241, and stores the mental state score in the patient database 210. Further, the mental state calculation unit 243 calculates the mental state score for each caregiver based on the questionnaire result for each caregiver collected by the caregiver information collection unit 242, and stores the mental state score in the caregiver database 220.

  The selection processing unit 250 of the present embodiment includes an input receiving unit 251, a caregiver extraction unit 252, a similarity calculation unit 253, a close relativeness acquisition unit 254, a risk coefficient calculation unit 255, a weighting score calculation unit 256, and a priority assignment unit 257. , A candidate selection unit 258, an inquiry unit 259, and a selection result output unit 260.

  The input accepting unit 251 of the present embodiment accepts a request for nursing care from the terminal device 300-1. The request for care is a request for selecting a carer. The request for selecting a carer includes the patient ID or the patient name of the patient to be the cared person, the area where the patient receives care, the date, and the time zone.

  Further, the input receiving unit 251 receives an answer to the inquiry from the terminal device 300-2.

  When the caregiver extraction unit 252 receives a request for selecting a caregiver, it refers to the caregiver database 220, and the caregiver information of the caregiver who can receive care from the area, date, and time zone included in the selection request. Extract

  Similarity calculation unit 253 is based on the mental state score included in the extracted caregiver information and the mental state score included in the patient information of the patient identified by the selection request of the caregiver, Calculate a value indicating.

  The close relativeness acquiring unit 254 acquires a value indicating the closeness of the relationship between the caregiver and the patient, based on the attribute included in the extracted caregiver information and the number of times of contact.

  Based on the value indicating the similarity of the mental state and the value indicating the closeness of the relationship between the carer and the patient, the risk factor calculation unit 255 determines that the carer may suffer the same mental disease as the patient. Calculate the index to show for each carer. In the following description, an index that is calculated by the risk coefficient calculation unit 255 and indicates the possibility that the carer suffers from the same mental disease as the patient is called a risk coefficient.

  The weighting score calculation unit 256 calculates a weighting score for the risk coefficient of each carer so that the higher the possibility that the carer suffers from the same mental disease as the patient, the larger the value.

  The priority assigning unit 257 assigns priorities in order from the caregiver having the smallest score calculated by the weighting score calculating unit 256. That is, the priority giving unit 257 gives the priority in the order in which the carer is less likely to suffer from the same mental disease as the patient.

  The candidate selection unit 258 holds operation result information 270 indicating the operation result generated by the processing of the close relativeness acquisition unit 254, the risk coefficient calculation unit 255, the weighting score calculation unit 256, and the priority assignment unit 257. Further, the candidate selecting unit 258 refers to the calculation result information 270 and selects a candidate of a carer who cares for a patient in order from the carer with the highest priority.

  Note that the candidate selection unit 258 may not hold the calculation result information 270, and may assign a priority according to the weighting score.

  The inquiring unit 259 inquires of the care giver selected by the candidate selecting unit 258 whether or not care can be provided. Specifically, the inquiry unit 259 notifies the terminal device 300-2 that it has been selected as a caregiver and an inquiry as to whether or not care can be provided.

  The selection result output unit 260 outputs the information on the selected caregiver to the terminal device 300-1 that has made the selection request of the caregiver in accordance with the response from the terminal device 300-2. That is, the selection result output unit 260 according to the present embodiment is an output unit that outputs the result of selecting a carer who is actually performing care among a plurality of carer candidates.

  The processes performed in each part of the mental state calculation unit 243, the similarity calculation unit 253, the close relativeness acquisition unit 254, the weighting score calculation unit 256, and the priority assignment unit 257 will be described below.

  First, the mental state calculation unit 243 will be described. FIG. 6 is a diagram for explaining the processing of the mental state calculation unit. FIG. 6 (A) shows an example of a questionnaire, and FIG. 6 (B) shows a mental state score.

  For example, in the patient database 210, the pre-processing unit 240 of the present embodiment causes a questionnaire to be performed on a patient in which only information related to a patient is stored and a questionnaire result is not stored. Specifically, the patient information collection unit 241 may urge the terminal device 300 to which the information on the patient has been input to carry out a questionnaire by the patient.

  In addition, the pre-processing unit 240 causes the carer information collection unit 242 to cause the carer, who has not stored the questionnaire result, to carry out the questionnaire as well. Specifically, the carer information collection unit 242 may urge the terminal device 300 to which the information on the carer has been input to carry out a questionnaire by the carer.

  In that case, the patient information collection unit 241 may cause the terminal device 300 to display a URL (Uniform Resource Locator) at which the questionnaire shown in FIG. 6A is displayed, for example. Further, in the present embodiment, the pre-processing unit 240 holds the questionnaire information for displaying the questionnaire shown in FIG. 6A, and the questionnaire information may be displayed on the terminal device 300 to carry out the questionnaire. .

  The questionnaire shown in FIG. 6A is, for example, an existing depression check questionnaire. In the present embodiment, the questionnaire performed on the patient and the caregiver is not limited to FIG. Any questionnaire may be used as long as it is for checking mental status. The pre-processing unit 240 causes both the caregiver and the patient to carry out the same questionnaire.

  In the example of FIG. 6 (A), a score is associated with each question by selecting an answer from the answer options provided for each question. This score is a score indicating the mental state of the person who answered the questionnaire. In the example of FIG. 6 (A), the answer options are associated with higher scores as the options indicate that they are closer to the depression state. Further, in FIG. 6A, for each question, a score from 1 to 5 is associated with the answer option. Therefore, in the questionnaire shown in FIG. 6A, the higher the score corresponding to the answer option, the closer the subject who has conducted the questionnaire is to depression.

In FIG. 6, questions Q1 to QN are provided in the questionnaire, and the response for each question of the questionnaire by the carer is X1Q, and the response for each question of the questionnaire by the patient is X2Q for the carer's questionnaire .

  Specifically, as shown in FIG. 6 (B), the score of the answer X1Q to the question Q1 of the caregiver is 3. That is, it is understood that the score indicating the mental condition of the carer indicated by the question Q1 is 3 points.

  In addition, the score of the answer X2Q for the patient's question Q1 is five. That is, it is understood that the score indicating the mental state of the patient indicated by the question Q1 is 5 points.

  The mental state calculation unit 243 of the present embodiment calculates the average value of the scores for each question for each of the carer and the patient, and uses this average value as the mental state score for each of the carer and the patient. That is, the mental state score of the present embodiment is a value serving as an index indicating the tendency of each of the patient and the caregiver.

  For example, when the number of questions is n, the score for each question based on the questionnaire result of the caregiver is X1Q = [X1Q1, X1Q2, ..., X1Qn] = [3, 1, ..., 3] Become. Therefore, the mental state calculation unit 243 stores the average value X1Qave of the points in the care giver database 220 as the mental state score of the carer who answered the questionnaire.

  The method of calculating the mental state score of the patient is the same. The mental state calculation unit 243 stores the average value X2Qave of the scores for each question of the patient who answered the questionnaire as the mental state score of this patient in the patient database 210.

  In the present embodiment, it is preferable to periodically conduct a questionnaire on patients and carers, and to update each mental state score every time a questionnaire is conducted. In this way, by periodically updating the mental status score, it is possible to cope with changes in the patient's and caregiver's respective mental status.

  Further, in the present embodiment, for example, when the information processing apparatus 200 receives a request for selecting a caregiver, each of the patient who made the request and the caregiver from which the caregiver information is extracted by the caregiver extraction unit 252. The questionnaire may be conducted to calculate the mental state score. In this way, it is possible to select a caregiver based on the patient's and the caregiver's mental condition when receiving a request for care.

  Next, processing of the similarity calculation unit 253 of the present embodiment will be described. The similarity calculation unit 253 of the present embodiment uses the patient's mental state score and the carer's mental state score to indicate the degree of similarity between the patient's mental state and the carer's mental state. Calculate the value to be In the following description, this value is called the similarity (first index). Also, the similarity calculation unit 253 is a first calculation unit that calculates a first index.

  Specifically, the similarity calculation unit 253 calculates the degree of similarity by the following equation (1).

Degree of similarity Y1 = √ ((X1Q1-X1Qave)-(X2Q1-X2Qave)) 2
+ · · (X1Qn-X1Qave)-(X2Qn-X2Qave)) 2 Formula (1)

  In the present embodiment, for example, when the similarity is high, the value of the similarity Y1 may be 3, and when the similarity is low, the value of the similarity Y1 may be 1. Specifically, a predetermined threshold is provided for the similarity Y1, and when the value of the similarity Y1 is equal to or greater than the threshold, it is determined that the patient's and the caregiver's mental state are similar, and the similarity is The value of Y1 may be set to 3. Further, when the value of the similarity Y1 is smaller than the threshold, it is determined that the mental states of the patient and the carer are not similar, and the value of the similarity Y1 may be set to 1.

  Further, in the present embodiment, the degree of similarity is calculated according to the answer for each question of the questionnaires of the carer and the patient, but the present invention is not limited to this. In the present embodiment, for example, a questionnaire is periodically sent to the carer and the patient, and the mental state score calculated each time is held, and for each of the carer and the patient, the fluctuation of the mental state score The tendency of this may be determined, and the degree of similarity may be determined using this tendency of fluctuation.

  Next, the process of the close relatives acquiring unit 254 of the present embodiment will be described. The close relatives acquiring unit 254 of the present embodiment acquires a value indicating the closeness of the relationship between the caregiver and the patient. In the following description, a value serving as an index indicating the closeness of the relationship between the two is called a close degree (second index). In addition, the close relativeness acquiring unit 254 serves as a second calculating unit that calculates a second index.

  For example, in psychiatric disorders such as depression, it is said that relatives genetically close to the patient will develop depression with a probability of 2 to 3 times the general incidence rate. Also, if the caregiver is a patient's family and is in frequent contact with the patient, the risk of the caregiver suffering from the same mental illness as the patient is further increased.

  Therefore, in the present embodiment, in selecting a carer, attention is also paid to the genetic relationship between the patient and the carer and the frequency of contact between the carer and the patient.

  Specifically, the close relatives acquiring unit 254 acquires the value of the close relative degree Y2 based on the attribute in the carer information of the carer database 220 and the number of contacts of the care history. The close relative degree Y2 is obtained by the following equation (2).

    Close degree Y2 = attribute value Y21 × contact frequency Y22 formula (2)

  Here, the attribute value Y21 is a value given depending on whether the carer is a patient's family or not. In the present embodiment, when the value of the item “attribute” of the caregiver information is “family caregiver”, that is, when the caregiver is a patient's family, the attribute value Y21 is set to “3”. Further, when the value of the item “attribute” of the caregiver information is other than “family carer”, that is, when the carer is not a patient's family, the attribute value Y21 is set to “1”.

  As described above, the close relativeness acquiring unit 254 of the present embodiment holds the attribute value Y21 associated with the value of the item “attribute”.

  In the present embodiment, the value of the attribute value Y21 is set in advance based on whether or not the carer is a patient's family, but the present invention is not limited to this.

  For example, when the carer is a family of a patient, the value of the attribute value Y21 may be set more finely according to the relationship with the patient. For example, even if the carer is a family living with the patient, there is no genetic relationship if the carer is a in-law family. Therefore, in such a case, the value of the attribute value Y21 may be 2 or the like. Moreover, it may be set according to the degree of the patient and the carer.

  Further, the contact frequency Y22 is a value that is given in advance according to the "number of contacts" of the item "care history" of the caregiver information. Specifically, for example, the contact frequency Y22 may be a value given in accordance with the number of visits to the whereabouts of the patient of the carer.

  In the present embodiment, for example, when the caregiver contacts the patient at least once a week, the value of the contact frequency Y22 is 2, and in the other cases, the value of the contact frequency Y22 is 1. . As described above, the close relativeness acquiring unit 254 of the present embodiment holds the attribute value Y21 associated with the value of the “number of contacts” of the item “care history”.

  In addition, how to give the value of the contact frequency Y22 of this embodiment is not limited to the method mentioned above. The value of the contact frequency Y22 varies depending on, for example, the length of contact time between the patient and the carer included in the value of the item "care history", the type of care (touching the body, giving assistance with medication, etc.) A value may be given.

  Next, the process of the risk coefficient calculation unit 255 will be described. The risk coefficient calculation unit 255 of the present embodiment calculates the risk coefficient based on the similarity Y1 between the patient and the carer and the degree Y2 of close relatives. The risk factor of the present embodiment is an index (third index) indicating the risk of the carer developing the same mental disease as that of the cared person. Specifically, the risk factor of the present embodiment is calculated by the following equation (3).

Risk factor Y = similarity Y1 × close degree Y2
= Similarity Y 1 × attribute value Y 21 × contact frequency Y 22 Formula (3)

  In this embodiment, by calculating the risk coefficient in this manner, it is given to the caregiver whose caregiver information is extracted by the caregiver extraction unit 252 to the caregiver who is at high risk of developing the same disease as the patient. Weight can be increased.

For example, among carers whose carer information is extracted, the risk factor Y of a carer who is similar in mental state to the patient, is a patient's family, and is in frequent contact with the patient is
Risk factor Y = 3 x 3 x 2 = 18
It becomes. Also, among carers from which carer information is extracted, the risk factor Y of a carer who is not similar in mental state to the patient, is not the patient's family, and does not contact the patient frequently
Risk factor Y = 1 × 1 × 1 = 1
It becomes. Therefore, according to the present embodiment, the weighting factor at the time of calculating the weight given to the caregiver when selecting the caregiver should be a larger value as the risk of developing the same disease as the patient is high. Can.

  Next, processing of the weighting score calculation unit 256 of the present embodiment will be described. The weighting score calculation unit 256 of the present embodiment calculates a weighting score given to each caregiver based on the caregiver's mental condition score and the risk coefficient. The weighting score of this embodiment is calculated by the following equation (4).

    Weighted score Z = Caregiver mental status score X 1 Qave x Risk coefficient Y Formula (4)

  In this embodiment, the weighting score Z is thus calculated for each carer. Then, in the present embodiment, the priority assigning unit 257 assigns a priority according to the weighting score Z for each carer.

  The candidate selection unit 258 of the present embodiment can select a caregiver having a low possibility of suffering from the same mental disorder as the patient by selecting a caregiver based on the priority for each caregiver.

  The candidate selection unit 258 in this embodiment uses the calculation results of the similarity calculation unit 253, the closeness acquisition unit 254, the risk coefficient calculation unit 255, the weighting score calculation unit 256, and the priority assignment unit 257 as the calculation result information 270. You may hold it. Then, the candidate selecting unit 258 may select a carer based on the priority with reference to the calculation result information 270.

  The calculation result information 270 will be described below with reference to FIG. FIG. 7 is a diagram showing an example of calculation result information.

  The calculation result information 270 of this embodiment includes, as items of information, carer name, mental state score, risk coefficient Y, similarity Y1, close degree Y2, attribute value Y21, contact frequency Y22, weighting score Z, priority Each item is associated with the item "caregiver name". Further, in the calculation result information 270, the close degree Y2 is associated with the attribute value Y21 and the contact frequency Y22.

  In the example of FIG. 7, the item “caregee name” is included in the calculation result information 270 as the information for specifying the carer whose carer information is extracted, but the information for specifying the carer is It may be the item "caregiver ID".

  The calculation result information 270 shown in FIG. 7 shows a case where carer information corresponding to carer names “CCcc”, “DDdd”, “EEee” and “FFff” is extracted.

  Here, in the case of the carer "CCcc", the mental state score X1 Qave is 5 points, the similarity Y1 with the patient specified by the patient ID accepted as the carer selection request is 3, and the attribute value Y21 is The contact frequency Y22 is 2, the risk factor Y is 18, and the weighting score Z is 90.

  Further, in the case of the carer "EEee", the mental state score X1 Qave is 2 points, the similarity Y1 with the patient specified by the patient ID accepted as the carer selection request is 1, and the attribute value Y21 is 1 The contact frequency Y22 is 1, the risk factor Y is 1, and the weighting score Z is 2.

  In the calculation result information 270, the weighting score Z of the caregiver "DDdd" calculated in the same manner is 18, and the weighting score Z of the caregiver "FFff" is 6.

  Therefore, among the 4 caregivers, the weighting score Z of the caregiver "CCcc" is the largest, the possibility of suffering from the same mental illness as the patient is the highest, and the weighting score Z of the caregiver "EEee" is the smallest. , It is found that the possibility of suffering from the same mental illness as the patient is the lowest.

  The priority assigning unit 257 of the present embodiment assigns priorities to carers in ascending order of the weighting score Z. Therefore, in the calculation result information 270, the priority of the caregiver "EEee" is first, and the priority of the caregiver "CCcc" is the fourth lowest.

  Therefore, the candidate selection part 258 of this embodiment selects as a candidate of a caregiver in order from a caregiver "EEee."

  In the present embodiment, by selecting candidates for the carer in this manner, it is possible to reduce the risk that the carer suffers from a mental disease.

  Hereinafter, processing of the care support processing unit 230 of the present embodiment will be described. First, with reference to FIG. 8 and FIG. 9, the process by the pre-processing part 240 which the care support processing part 230 has is demonstrated.

  FIG. 8 is a first flowchart illustrating the pre-processing. The process of FIG. 8 shows a process of registering patient information in the patient database 210.

  The pre-processing unit 240 of the present embodiment receives an input of information on a patient from the patient information collection unit 241, and registers this information in the patient database 210 (step S801). Subsequently, the patient information collecting unit 241 carries out a questionnaire on the patient, and collects an answer for each question as a questionnaire result (step S802). Subsequently, the pre-processing unit 240 causes the mental state calculation unit 243 to calculate the mental state score of this patient (step S803). The method of calculating the mental state score is as described above.

  Subsequently, the pre-processing unit 240 causes the patient information collection unit 241 to store the patient information in which the information on the patient, the questionnaire result, and the mental state score are associated with each other in the patient database 210 (step S804). Do.

  FIG. 9 is a second flowchart illustrating the pre-processing. The process of FIG. 9 shows the process of registering the caregiver information in the caregiver database 220.

  The pre-processing unit 240 of the present embodiment receives the input of the information related to the carer by the carer information collecting unit 242, and registers this information in the carer database 220 (step S901). Subsequently, the carer information collection unit 242 carries out a questionnaire for the carer, and collects an answer for each question as a questionnaire result (step S902). Subsequently, the pre-processing unit 240 causes the mental state calculation unit 243 to calculate the mental state score of this carer (step S903). The method of calculating the mental state score is as described above.

  Subsequently, the pre-processing unit 240 causes the carer information collection unit 242 to store in the carer database 220 the carer information in which the information on the carer, the questionnaire result, and the mental state score are associated (step S904). , End the process.

  Next, with reference to FIG. 10, processing of the selection processing unit 250 of the care support processing unit 230 will be described. FIG. 10 is a flowchart for explaining the processing of the selection processing unit.

  The selection processing unit 250 of the present embodiment determines whether or not a request for selecting a caregiver has been received from the terminal device 300 by the input receiving unit 251 (step S1001). In step S1001, when the selection request is not received, the selection processing unit 250 stands by until the selection request is received.

  In step S1001, when the selection request is received, the selection processing unit 250 refers to the patient database 210 by the caregiver extraction unit 252, and includes information (patient ID or patient name) specifying the patient received together with the selection request. Patient information is extracted (step S1002).

  Subsequently, the caregiver extraction unit 252 refers to the caregiver database 220, and includes the patient ID, the date and time for which care is desired, the area for which care is desired, and the like included in the patient information. Are extracted (step S1003). In other words, the caregiver extraction unit 252 extracts the caregiver information of the caregiver who can perform the care.

  Subsequently, the selection processing unit 250 selects certain caregiver information from the extracted caregiver information by the similarity calculation unit 253 (step S1004). Subsequently, similarity calculation unit 253 calculates similarity Y1 based on the mental state score included in the selected carer information and the mental state score included in the patient information extracted in step S1002 (step S1005). .

  Subsequently, the selection processing unit 250 acquires the close degree Y2 from the attribute value Y21 corresponding to the attribute included in the selected carer information and the contact frequency Y22 corresponding to the care history by the close relativeness acquiring unit 254. (Step S1006). Subsequently, the selection processing unit 250 causes the risk coefficient calculation unit 255 to calculate a risk coefficient using the similarity degree Y1 and the close degree Y2 (step S1007).

  Subsequently, the selection processing unit 250 causes the weighting score calculation unit 256 to calculate the weighting score Z using the risk coefficient and the mental state score included in the caregiver information (step S1008).

  Subsequently, the selection processing unit 250 determines whether or not the processing from step S1004 to step S1008 has been performed for all the caregiver information extracted in step S1003 (step S1009). In step S1009, when the process has not been performed on all the carer information, the selection processing unit 250 returns to step S1004.

  In step S1009, when processing has been performed on all carer information, the selection processing unit 250 causes the priority assigning unit 257 to assign a priority based on the weighting score Z calculated for each caregiver information ( Step S1010). The information generated in the process from step S1005 to step S1010 may be temporarily held in the candidate selection unit 258 as the calculation result information 270.

  Subsequently, the selection processing unit 250 causes the candidate selection unit 258 to select a caregiver specified by the high priority caregiver information as a candidate of a caregiver (Step S1011). Subsequently, the selection processing unit 250 causes the inquiry unit 259 to notify a care request to the notification destination included in the caregiver information of the caregiver selected in step S1011 (step S1012).

  Subsequently, the selection processing unit 250 determines whether the notification indicating that care is possible is received from the notification destination by the input reception unit 251 (step S1013). That is, the selection processing unit 250 determines whether or not the carer selected as the care candidate has received a notification indicating that the care should be performed.

  In step S1013, when the carer selected as a candidate receives a notification indicating that care can not be performed, the selection processing unit 250 returns to step S1011, and sets a carer with the next highest priority as a candidate. Select

  In step S1013, when the care worker selected as the candidate receives a notification indicating that the care is to be performed, the selection processing unit 250 has determined by the selection result output unit 260 to be the care receiver who receives the requested care. Is output to the terminal device 300 that has made a selection request for a caregiver (step S1014), and the process ends. At this time, the selection result output unit 260 may output the determined information on the caregiver to the terminal device 300 that has made the selection request.

  Below, the example of a display of terminal unit 300 at the time of performing selection request of a caregiver is explained. FIG. 11 is a first diagram showing a display example. The display example illustrated in FIG. 11 is an example of a screen displayed on the terminal device 300-1.

  The terminal device 300-1 is a terminal device that requests nursing care, and in the example of FIG. 11, a screen for requesting nursing care to the terminal device 300-1 (a screen for requesting a selection of a caregiver) 101 is displayed.

  The screen 101 displays an input field 102 in which information on a patient is input and an operation button 103 for making a request.

  In the example of FIG. 11, by operating the operation button 103 in this state, a request for selecting a caregiver for the patient whose condition is the input field 102 is transmitted from the terminal device 300-1 to the information processing device 200.

  FIG. 12 is a second diagram showing a display example. The display example illustrated in FIG. 12 is an example of a screen displayed on the terminal device 300-2.

  The terminal device 300-2 is a terminal device on the care side, and in the example of FIG. 12, the terminal device 300-2 can provide care to a caregiver selected as a candidate of a caregiver A screen 111 inquiring whether or not is displayed.

  Displayed on the screen 111 is a display column 112 in which the patient entered on the screen 101 of the terminal device 300-1 and the condition of care are displayed, and a message inquiring whether or not care can be performed. 113 and operation buttons 114 and 115 are displayed.

  In the screen 111, when the operation button 114 is operated, the terminal device 300-2 transmits, to the information processing apparatus 200, a notification indicating that the selected caregiver can perform nursing care. In addition, when the operation button 115 is operated on the screen 111, the terminal device 300-2 transmits, to the information processing device 200, a notification indicating that the selected caregiver can not perform nursing care.

  As described above, according to the present embodiment, it is based on the index indicating the degree of similarity of the mental state of the carer and the cared person, and the index indicating the closeness of the relation between the carer and the cared person , Carers can be selected. For this reason, for example, like a carer who is similar in mental state to the cared person, and is particularly related, it is possible to respond to the caring person's psychiatric disease and to develop the same mental disease as the cared person It is possible to avoid the selection of highly sexual carers.

  Therefore, according to the present embodiment, it is possible to reduce the risk that the care recipient suffers from a mental disease.

  An example of the usage scene of the present embodiment described below will be described.

  There are cases where family members and friends bother mental illness and request nursing care. In this case, the client makes a request for care, for example, to a care manager (qualified person) or the like of the care station. When the care manager receives the request, it is assumed that the client will be given an explanation of the various systems and an introduction of a care facility. In this case, the care manager may make a request for selecting a carer and propose the carer selected according to the present embodiment to the client.

  In other words, in this case, the care manager transmits the information on the care recipient and the condition of care, etc. to the information processing apparatus 200 by the terminal device 300, and it is determined from the information processing apparatus 200 that the caregiver In response to the notification, the result may be proposed to the client.

  Also, as another usage scene, for example, when a requester makes a selection request of a caregiver to a server providing a portal site or the like of a local government or a country, this server sends a request to the information processing apparatus 200. Make a request to select a caregiver. Then, the server may receive a notification indicating that the caregiver has determined from the information processing apparatus 200, and notify the client of the notification.

  Further, as another usage scene, the requester may directly request the information processing apparatus 200 to select a caregiver from the terminal device 300 of the client.

  In addition, the information processing apparatus 200 according to the present embodiment not only executes the process when a request for selecting a caregiver is received from the client, but also, for example, a time zone in which patient care stored in the patient database 210 is desired Depending on the situation, etc., the process may be performed periodically, a carer may be selected, and the result may be notified to the client.

In the disclosed technology, forms such as those described below can be considered.
(Supplementary Note 1)
The care receiver information including the index indicating the tendency of the care subject's mental state and the care receiver information including the index indicating the tendency of the care candidate candidate's mental state and the care subject's mental state and the care Calculating a first index indicating the degree of similarity of the mental state tendency of the candidate
A process of referring to the carer information and calculating a second index indicating the closeness of the relationship between the cared person and the carer candidate;
A process of selecting a carer who cares from a plurality of the carer candidates based on the first index and the second index, and outputting a selection result;
A care support program that causes a computer to execute.
(Supplementary Note 2)
The carer information is
Including information indicating presence or absence of a blood relationship between the carer and the cared person, and information indicating a care history of the carer with respect to the cared person,
The second indicator is
The care support program according to appendix 1, calculated based on the presence or absence of a blood relationship between the cared person and the carer and the contact frequency between the cared person and the carer.
(Supplementary Note 3)
A process of calculating, using the first index and the second index, a third index indicating a high risk of the carer developing a mental disease similar to that of the cared person;
A process of weighting each candidate carer candidate based on the index indicating the tendency of the candidate carer's mental state and the third index;
A process of giving priority to the candidate carer according to the weight given by the weighting;
The care support program according to any one of Appendices 1 or 2, wherein the carer is selected based on the priority and the computer is caused to execute a process.
(Supplementary Note 4)
The index indicating the tendency of the mental state of the cared person and the index indicating the tendency of the mental state of the carer candidate are the results of the same questionnaire performed on the cared person and the carer candidate The care support program according to any one of appendices 1 to 3, which is calculated based on.
(Supplementary Note 5)
The questionnaire is
Including multiple questions regarding the mental condition associated with the patient's mental illness,
The index indicating the tendency of the mental state of the cared person and the index indicating the tendency of the mental state of the carer candidate are values obtained by averaging the scores for each question indicated by the answers for each question. 4 care support program described.
(Supplementary Note 6)
A computer-aided care support method comprising:
The care receiver information including the index indicating the tendency of the care subject's mental state and the care receiver information including the index indicating the tendency of the care candidate candidate's mental state and the care subject's mental state and the care First index showing the degree of similarity of mental state tendency of candidate
Referring to the carer information and calculating a second index indicating the closeness of the relationship between the cared person and the carer candidate;
The care support method which selects the caregiver who cares from several said candidate carers based on said 1st parameter | index and said 2nd parameter | index, and outputs a selection result.
(Appendix 7)
The care receiver information including the index indicating the tendency of the care subject's mental state and the care receiver information including the index indicating the tendency of the care candidate candidate's mental state and the care subject's mental state and the care Refers to the first calculation unit that calculates the first index indicating the degree of similarity of the mental state tendency of the elderly candidate and the carer information, and indicates the closeness of the relationship between the cared person and the carer candidate A second calculation unit that calculates a second index;
An information processing apparatus comprising: an output unit configured to select a caregiver who cares from a plurality of the candidate caregivers based on the first index and the second index, and to output a selection result.

  The present invention is not limited to the specifically disclosed embodiments, and various modifications and changes are possible without departing from the scope of the claims.

100 Care Support System 200 Information Processing Device 210 Patient Database 220 Caregiver Database 230 Care Support Processing Unit 240 Pre-Processing Unit 241 Patient Information Collection Unit 242 Caregiver Information Collection Unit 243 Mental Condition Calculation Unit 250 Selection Processing Unit 253 Similarity Calculation Unit 254 Similarity acquisition part 255 Risk factor calculation part 256 Weighted point calculation part 257 Priority assignment part 270 Calculation result information 300 Terminal device

Claims (5)

The care receiver information including the index indicating the tendency of the care subject's mental state and the care receiver information including the index indicating the tendency of the care candidate candidate's mental state and the care subject's mental state and the care Calculating a first index indicating the degree of similarity of the mental state tendency of the candidate
A process of referring to the carer information and calculating a second index indicating the closeness of the relationship between the cared person and the carer candidate;
A process of selecting a carer who cares from a plurality of the carer candidates based on the first index and the second index, and outputting a selection result;
A care support program that causes a computer to execute. The carer information is
Including information indicating presence or absence of a blood relationship between the carer and the cared person, and information indicating a care history of the carer with respect to the cared person,
The second indicator is
The care support program according to claim 1, which is calculated based on the presence or absence of a blood relationship between the cared person and the carer and the contact frequency between the cared person and the carer. A process of calculating, using the first index and the second index, a third index indicating a high risk of the carer developing a mental disease similar to that of the cared person;
A process of weighting each candidate carer candidate based on the index indicating the tendency of the candidate carer's mental state and the third index;
A process of giving priority to the candidate carer according to the weight given by the weighting;
The care support program according to claim 1 or 2, wherein the computer is caused to execute a process of selecting the carer based on the priority. A computer-aided care support method comprising:
The care receiver information including the index indicating the tendency of the care subject's mental state and the care receiver information including the index indicating the tendency of the care candidate candidate's mental state and the care subject's mental state and the care First index showing the degree of similarity of mental state tendency of candidate
Referring to the carer information and calculating a second index indicating the closeness of the relationship between the cared person and the carer candidate;
The care support method which selects the caregiver who cares from several said candidate carers based on said 1st parameter | index and said 2nd parameter | index, and outputs a selection result. The care receiver information including the index indicating the tendency of the care subject's mental state and the care receiver information including the index indicating the tendency of the care candidate candidate's mental state and the care subject's mental state and the care Refers to the first calculation unit that calculates the first index indicating the degree of similarity of the mental state tendency of the elderly candidate and the carer information, and indicates the closeness of the relationship between the cared person and the carer candidate A second calculation unit that calculates a second index;
An information processing apparatus comprising: an output unit configured to select a caregiver who cares from a plurality of the candidate caregivers based on the first index and the second index, and to output a selection result.

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