JP2020004432A - Program, device, system and method for obesity patient - Google Patents

Abstract

To provide a program, a device, a system and a method for an obesity patient that enable timely execution of a required therapy at a required time.SOLUTION: A program causes a device to execute: a step for, at a patient interpretation information acquisition timing which is determined on the basis of at least one of input of information indicating a current physical condition of a patient and obesity medical examination history information, receiving patient interpretation information indicating interpretation of the patient about subjects related to obesity, from a patient-side electronic device as an electronic device used by a patient; a step for, on the basis of the received patient interpretation information and correct answer information for the subjects related to obesity, determining whether or not the interpretation of the patient about the subjects related to obesity is wrong; and a step for, when the interpretation of the patient is wrong, on the basis of the correct answer information, sending to the patient-side electronic device, cognitive behavior therapy information including information considered as being correct about the subjects related to obesity of the patient.SELECTED DRAWING: Figure 12A

Description

  The present invention relates to programs, devices, systems and methods for obese patients.

“Obesity” is a state in which body fat is excessively accumulated in the body, and refers to a state in which the BMI is 25 or more. “Obesity” is a disease that indicates medical conditions that require medical treatment for weight loss among “obesity”. According to the Japan Society for the Study of Obesity, obesity is defined as "a condition in which fat is excessively accumulated due to overnutrition or lack of exercise, has a disease caused by obesity, and requires weight loss". ing. Specifically, it is obesity (BMI 25 or more), and “visceral fat obesity” having a visceral fat area of 100 cm ² or more or 11 diseases caused by or related to obesity (dysfunction tolerance, cerebral abnormalities, hypertension, high blood pressure, Any of the following health conditions: uric acidemia, coronary artery disease, cerebral infarction, fatty liver (NAFLD), menstrual abnormalities, obesity-related kidney disease, orthopedic disease, sleep apnea syndrome (SAS)) Have been. For this disease, diet therapy, exercise therapy, psychotherapy (behavioral therapy, cognitive therapy and coaching), drug therapy, surgical treatment and the like are generally performed. Behavioral therapy is a therapy in which a healthcare worker encourages a patient to practice a behavior (= therapeutic behavior) that is considered to have a therapeutic effect by being performed. Among behavioral therapies, a therapy that avoids eating and drinking by performing other actions instead of eating and drinking when an appetite urge to eat or drink occurs is called compensation behavior therapy. Cognitive-behavioral therapy is a therapy that changes the behavior of a patient by correcting the difference between the interpretation (cognition) by the patient and the fact (scientific deviation) from a scientific point of view. Coaching refers to providing, educating, encouraging and complimenting patients about their illness.

  Prior Document 1 proposes a system that sends messages daily to assist individuals trying to improve bad health-related behaviors such as smoking cessation, weight control, and stress management.

JP-A-2001-92876

  Behavioral therapy, cognitive therapy, and coaching for obesity are performed by medical staff when a patient visits a hospital. At present, the frequency and time of outpatient medical care are often limited. For example, the outpatient frequency of obesity medical care is generally once every one to three months, and the medical care time is about three to ten minutes. In addition, even if an obese patient wants to consult a doctor, it often takes a long time to consult a doctor because he must go to a hospital. Outpatient hours are limited, so if you are outside of the outpatient hours, you will not be able to see a doctor in the first place. As described above, there is a problem that the time available for the health care worker to conduct the behavior therapy, the cognitive therapy, and the coaching is extremely limited, and there is a problem that an obese patient cannot consult the health care worker when he / she wants to consult the health care worker. That is, at present, it cannot be said that sufficient behavioral therapy, cognitive therapy, and coaching are being performed. Another problem is that the quality of obesity care varies depending on the medical institution or medical staff. Those who are simply obese who have not yet become obese are at high risk for future obesity and need to be improved. However, there is also a problem that obesity is not sufficiently treated because it is not treated by medical treatment.

  The system disclosed in the prior art document 1 discloses a system in which behavior change messages for improving bad health-related behavior are sequentially provided to an individual on a daily basis based on data collected from the individual. With such a system, a behavior change message can be received once a day, so that the patient can understand the behavior to be taken on that day. However, it is not possible to finely change the therapy to be performed according to the situation of the obesity treatment of a patient that changes every moment. In addition, for obese patients who cannot properly control the appetite impulses, the behavior change message sent once a day is not enough, and it is not possible to timely execute a therapy suitable for the patient's mental state each time . Further, the problem that a patient cannot consult when consulting a doctor is not solved.

  The present invention has been made in view of the above problems, and has the following features. That is, the program according to an embodiment of the present invention is a program used for an obese patient, in which a computer sends information indicating a current physical condition of a patient from a patient-side electronic device which is an electronic device used by the patient. Input and patient interpretation information acquisition timing determined based on at least one of obesity medical history information, the patient's interpretation information input by the patient to the patient-side electronic device, indicating the patient's interpretation of obesity-related items Receiving the patient interpretation information and the correct answer information on the obesity-related items received, and determining whether the interpretation of the patient-related obesity items is incorrect. And, if the interpretation of the patient is determined to be incorrect, based on the correct answer information, regarding the matter related to obesity of the patient And transmitting cognitive behavioral therapy information including information that is arbitrarily into the patient electronic apparatus, thereby executing.

  Reading the obesity medical history information from the database, and requesting the patient electronic device to transmit patient interpretation information including the patient's interpretation of a predetermined obesity-related matter based on the received obesity medical history information. Determining a request timing, and transmitting a patient interpretation information request to the patient-side electronic device requesting transmission of patient interpretation information including a patient's interpretation of the predetermined obesity-related matter at the request timing. And the step of causing the computer to further execute, wherein the patient interpretation acquisition information timing may be a timing at which patient interpretation information is received in response to the patient interpretation information request.

  The patient interpretation acquisition information timing is determined based on the timing at which the information indicating the current physical condition of the patient is input to the patient-side electronic device, and the information indicating the current physical condition of the patient is input to the patient-side electronic device. At a physical condition information acquisition timing determined based on the obtained timing, causing the computer to further execute a step of acquiring information indicating the current physical condition of the patient, wherein the patient interpretation information is a current value of the patient considered by the patient. Information indicating the association between physical condition and obesity may be included.

  When the acquired information indicating the current physical condition of the patient indicates an appetite impulse, the cause of the current physical condition considered by the patient, the obesity medical treatment history information and the current physical condition of the patient are determined at what point in time. Determining whether or not the patient's appetite urge should be suppressed, based on at least one of the times indicating whether there is, and determining whether or not the patient's appetite urge should be suppressed based on the result of the determination. Transmitting a patient interpretation input request for inputting patient interpretation information indicating the patient's interpretation of the obesity-related matter.

  The step of transmitting the patient interpretation input request may be performed when it is determined that the patient's appetite urge should be suppressed by determining whether the patient's appetite urge should be suppressed.

  At a first behavioral therapy execution timing in which the information indicating the current physical condition of the patient is determined based on the timing input to the patient-side electronic device, the patient is controlled based on the information indicating the current physical condition of the patient. Transmitting the first behavioral therapy information indicating an action to be taken by the patient in relation to the current physical condition of the patient.

  The information indicating the current physical condition of the patient may include a cause of the current physical condition considered by the patient.

  After transmitting the first behavioral therapy information, transmitting effect inquiry information indicating a message asking whether the physical condition has improved, and an effect indicating an answer input by the patient in response to the effect inquiry information. Receiving response information and transmitting second behavioral therapy information indicating an action to be taken by the patient in relation to the physical condition if the effect response information indicates that the physical condition is not improving. The steps and may be further executed by a computer.

  When the acquired information indicating the current physical condition of the patient indicates an appetite urge, the computer further includes a step of determining whether or not the appetite urge of the patient should be suppressed based on at least the effect answer information. And transmitting the second behavioral therapy information may be performed based on a determination based on at least the effect answer information.

  The step of transmitting the cognitive behavioral therapy information may be performed after the step of transmitting the first behavioral therapy information is performed.

  At the coaching timing in which information indicating the current physical condition of the patient is determined based on the timing input to the electronic device on the patient side, transmitting coaching information indicating a message for encouraging the patient in relation to the physical condition of the patient. May be further executed by a computer.

  The step of transmitting the cognitive behavioral therapy information may be performed after the step of transmitting the coaching information is performed.

  Third behavior therapy information indicating a behavior to be performed by the patient for obesity treatment, determining a second behavior therapy execution timing based on at least one of input of information indicating a current physical condition of the patient and obesity medical history information. And transmitting the third behavior therapy information to the patient-side electronic device at the second behavior therapy execution timing; and at least one of the cognitive behavior therapy information and the third behavior therapy information Updating the obesity medical treatment history information based on one of the information may be further executed by the computer.

  After transmitting the cognitive behavior therapy information, updating obesity medical history information based on the patient interpretation information and the cognitive behavior therapy information, and information on medication adjustment based on the updated obesity medical history information And transmitting to the at least one of the physician-side electronic device and the patient-side electronic device used by the physician.

  The program according to one embodiment of the present invention described above can be stored in a computer-readable storage medium.

  According to one embodiment of the present invention, a computer includes a processing device, a communication device, and a storage device for storing a program used for an obese patient. The program includes, in the computer, an electronic device used by the patient. From the patient-side electronic device, at the patient interpretation information acquisition timing determined based on at least one of the input of information indicating the current physical condition of the patient and obesity medical history information, the patient-side electronic device has been input to the patient-side electronic device Receiving patient interpretation information indicating a patient's interpretation of an obesity-related matter, and receiving the patient interpretation information and a correct answer information of the obesity-related matter based on the received patient interpretation information. Determining whether the interpretation of the matter to be performed is incorrect; and determining that the interpretation of the patient is incorrect, Based on the information, and transmitting the cognitive behavioral therapy information that contains the correct information to be on the matters associated with obesity of the patient to the patient electronic apparatus, thereby executing.

  Furthermore, a computer according to another embodiment of the present invention is a computer used for an obese patient, and inputs information indicating a current physical condition of the patient from a patient-side electronic device that is an electronic device used by the patient. And patient interpretation information acquisition timing determined based on at least one of obesity medical treatment history information, the patient interpretation information input by the patient to the patient-side electronic device and indicating the interpretation of the patient on matters related to obesity is received. If it is determined that the interpretation of the patient is incorrect, based on the correct answer information, the cognitive behavior therapy information including information considered to be correct about matters related to obesity of the patient, the patient-side electronic information. A communication unit that transmits to the device, and the information related to the obesity of the patient based on the received corrective information about the patient interpretation information and the information related to the obesity. For in interpretation and a control unit that determines whether an error.

  In one embodiment of the present invention, the program used for the obese patient is determined based on at least one of input of information indicating the current physical condition of the patient and obesity medical history information of the patient in an electronic device used by the patient. Receiving input of patient interpretation information indicating the patient's interpretation of an obesity-related matter at the patient interpretation information acquisition timing to be performed; transmitting the input patient interpretation information to a server device; and If the interpretation is determined to be incorrect, receiving cognitive behavior therapy information from the server device, the cognitive behavior therapy information including information indicating information considered to be correct for matters related to obesity of the patient; Presenting to the patient correct information about matters related to the patient's obesity based on the cognitive behavioral therapy information obtained.

  The patient-side electronic device used by the patient in one embodiment of the present invention is an electronic device including a processing device, a communication device, an output device, and a storage device for storing a program used for an obese patient. The program may include, in the electronic device, information relating to obesity at a patient interpretation information acquisition timing determined based on at least one of input of information indicating a current physical condition of the patient and obesity medical treatment history information of the patient. Receiving input of patient interpretation information indicating the interpretation of the patient, transmitting the entered patient interpretation information to a server device, and determining that the interpretation of the patient is incorrect, the patient Receiving cognitive-behavior therapy information from the server device, the cognitive-behavior therapy information including information indicating information that is considered to be correct for an obesity-related item; Based on the therapy information, the method comprising presenting the information that is correct for the matters relating to the patient's obesity patients, to execution.

  The patient-side electronic device according to another embodiment of the present invention is an electronic device used for an obese patient, based on at least one of input of information indicating a current physical condition of the patient and obesity medical history information of the patient. An input unit that receives an input of patient interpretation information indicating the interpretation of the patient regarding an obesity-related matter at the patient interpretation information acquisition timing determined by the determination unit, and transmits the input patient interpretation information to a server device; When it is determined that the interpretation of is incorrect, a communication unit that receives cognitive behavior therapy information including information indicating information that is considered correct for matters related to obesity of the patient from the server device, An output unit for presenting, to the patient, information that is determined to be correct regarding matters related to the obesity of the patient based on the received cognitive behavioral therapy information.

  In one embodiment of the present invention, a system includes a server device as the above-mentioned computer, at least one electronic device used by the above-mentioned patient, and a database for storing obesity medical history information of the patient.

  The method used for an obese patient is determined based on at least one of input of information indicating a current physical condition of the patient and obesity medical history information from a patient-side electronic device that is an electronic device used by the patient. At the patient interpretation information acquisition timing that is input by the patient to the patient-side electronic device, receiving the patient interpretation information indicating the interpretation of the patient for matters related to obesity, the received patient interpretation information and Based on the correct information about the obesity-related items, determining whether the interpretation of the patient's obesity-related items is incorrect, and determining that the patient's interpretation is incorrect. In the case, based on the correct answer information, the cognitive behavior therapy information including information considered to be correct about matters related to the obesity of the patient to the patient-side electronic device. The method comprising: signal, thereby executing.

  The method used for an obese patient may include an electronic device that is associated with obesity at a timing of obtaining patient interpretation information determined based on at least one of inputting information indicating the current physical condition of the patient and obesity medical history information of the patient. Accepting input of patient interpretation information indicating the interpretation of the patient for the item to be transmitted, transmitting the input patient interpretation information to a server device, and determining that the interpretation of the patient is incorrect. Receiving, from the server device, cognitive behavioral therapy information including information indicating information considered to be correct regarding matters related to the obesity of the patient, and based on the received cognitive behavioral therapy information, Presenting the patient with information that is considered correct about matters related to obesity.

  By adopting the configuration of the present invention, the selection of an appropriate therapy and the execution timing of the selected therapy are finely changed in accordance with the situation of obesity treatment of a patient, which changes every moment, and necessary It is possible to execute the therapy in a timely manner. By using an electronic device, such as his or her smartphone, a patient can receive obesity treatment through the electronic device at all times and for a long time. By setting the system so that an appropriate therapy can be selected and executed, it is possible to realize an appropriate obesity instruction always without variation. In addition, it is possible to receive an appropriate therapy for obesity that has not been obese as in the case of obesity treatment.

  The patient can enter, via his electronic device, information indicative of the patient's current physical condition, such as appetite impulses. Based on this information, immediately identify and interpret the patient's interpretation of the physical condition, its causes and obesity-related issues when selecting and implementing the therapy, and correct any misinterpretations. This will improve your physical condition and give you the right knowledge in relation to obesity treatment. Thus, when a patient's erroneous thinking circuit is corrected and a similar physical condition is reached, thinking based on a correct interpretation can be taken. For example, based on correct knowledge, when an appetite urge occurs, the appetite urge can be well controlled. Further, if the cause of the current physical condition is further specified, the therapy suitable for the cause can be performed. If the current physical condition is an appetite urge, the appetite urge should be eliminated more effectively and immediately by using behavioral therapy such as compensation behavior therapy or coaching appropriate for the cause of the appetite urge identified. Can be.

It is a lineblock diagram of a system concerning one embodiment of the present invention. FIG. 2 is a hardware configuration diagram of a server device according to an embodiment of the present invention. FIG. 2 is a hardware configuration diagram of a database according to an embodiment of the present invention. It is a hardware block diagram of the patient side electronic device which concerns on one Embodiment of this invention. FIG. 2 is a hardware configuration diagram of a doctor-side electronic device according to an embodiment of the present invention. It is a functional block diagram of a server device concerning one embodiment of the present invention. It is a functional block diagram of a database concerning one embodiment of the present invention. It is a functional block diagram of a patient side electronic device concerning one embodiment of the present invention. It is a functional block diagram of a doctor side electronic device concerning one embodiment of the present invention. It is a patient information table concerning one embodiment of the present invention. 4 is a therapy list according to an embodiment of the present invention. 4 is a therapy list according to an embodiment of the present invention. 3 is a flowchart according to the first embodiment of the present invention. 3 is a flowchart according to the first embodiment of the present invention. 3 is a flowchart according to the first embodiment of the present invention. 3 is a flowchart according to the first embodiment of the present invention. 3 is a flowchart according to the first embodiment of the present invention. 3 is a flowchart according to the first embodiment of the present invention. 3 is a flowchart according to the first embodiment of the present invention. 6 is a flowchart according to a second embodiment of the present invention. 6 is a flowchart according to a second embodiment of the present invention.

  In the present specification, a patient refers to a person who tries to improve (treat) obesity or treat obesity using the present invention, and does not necessarily need to perform obesity treatment under the guidance of a healthcare professional. In the following embodiments, an obese patient will be described as an example, but the same applies to a patient who attempts to improve obesity.

  FIG. 1 shows an example of a system configuration diagram of the present invention. The system 100 is used for obese patients, and includes a server 102, a database 103, one or more patient-side electronic devices 104-1 to 104-N that are electronic devices used by the patient, and an electronic device used by a doctor. It includes one or more physician-side electronic devices 105-1 to 105N as devices. These are connected to each other by the network 101, but may be connected individually as needed. For example, the database 103 is not connected to the network 102 but is directly connected to the server 102, and the patient-side electronic devices 104-1 to 104-N and the physician-side electronic devices 105-1 to 105N connect to the database 103 via the server 102. It may be configured to be connected.

  FIG. 2 shows an example of a hardware configuration diagram of the server 102. The server 102 is a computer including a processing device 201, a display device 202, an input device 203, a storage device 204, and a communication device 205. These constituent devices are connected by the bus 210, but may be connected individually as needed. The display device 202 has a function of displaying information to a user. The input device 203 has a function of receiving an input from a user, such as a keyboard and a mouse. The storage device 204 stores a server program 206. The storage device 204 may be any device that can store information such as a hard disk, a nonvolatile memory, a volatile memory, and the like. The communication device 205 performs wired communication using an Ethernet (registered trademark) cable, wireless communication such as mobile communication, or wireless LAN, and connects to the network 101.

  FIG. 3 shows an example of a hardware configuration diagram of the database 103. The database 103 is a computer including a processing device 301, a display device 302, an input device 303, a storage device 304, and a communication device 305. These components are connected by the bus 310, but they may be individually connected as needed. The display device 302 has a function of displaying information to a user. The input device 303 has a function of receiving an input from a user, such as a keyboard or a mouse. The storage device 304 may be any device that can store information such as a hard disk, a non-volatile memory, and a volatile memory. The storage device 304 stores a database (DB) program 306. The communication device 305 performs wired communication using an Ethernet (registered trademark) cable, mobile communication, or wireless communication such as a wireless LAN, and connects to the network 101.

  In the present embodiment, the server 102 and the database 103 are realized by different computers, but may be realized by one computer.

  FIG. 4 shows an example of a hardware configuration diagram of a patient-side electronic device 104 which is an electronic device used by a patient. The patient-side electronic device 104 includes a processing device 401, a display device 402, an input device 403, a storage device 404, and a communication device 405. These components are connected by the bus 410, but may be connected individually as needed. The patient-side electronic device 403 may be a desktop computer or a notebook computer, a portable information terminal, a mobile phone, a smartphone, a tablet terminal, or a dedicated portable electronic device. In order for the patient to immediately input the current physical condition, a portable communication terminal is preferable. The display device 402 has a function of displaying information to a user. The input device 403 has a function of receiving an input from a user, such as a keyboard or a mouse. When the patient-side electronic device 104 is a smartphone or a tablet terminal, the display device 402 and the input device 403 may be a touch panel. The storage device 404 stores a patient program 406 for the patient electronic device. The storage device 404 may be any device that can store information such as a hard disk, a nonvolatile memory, a volatile memory, and the like. The communication device 405 performs wired communication using an Ethernet (registered trademark) cable, wireless communication such as mobile communication, or wireless LAN, and connects to the network 101.

  FIG. 5 shows an example of a hardware configuration diagram of a doctor-side electronic device 105 which is an electronic device used by a doctor. The physician-side electronic device 105 includes a processing device 501, a display device 502, an input device 503, a storage device 504, and a communication device 505. These components are connected by a bus 510, but may be individually connected as necessary. The doctor-side electronic device 104 may be a desktop computer or a notebook computer, a portable information terminal, a mobile phone, a smartphone or a tablet terminal, or a dedicated portable electronic device. The display device 502 has a function of displaying information to a user. The input device 503 has a function of receiving an input from a user, such as a keyboard or a mouse. When the doctor-side electronic device 104 is a smartphone or a tablet terminal, the display device 502 and the input device 503 may be configured as a touch panel. The storage device 504 stores a doctor program 506 for the doctor electronic device. The storage device 504 may be any device that can store information such as a hard disk, a nonvolatile memory, a volatile memory, and the like. The communication device 505 performs wired communication using an Ethernet (registered trademark) cable, wireless communication such as mobile communication, or wireless LAN, and connects to the network 101.

  6 to 9 show examples of functional block diagrams of the server 102, the database 103, the patient-side electronic device 104, and the physician-side electronic device 105 of the present invention. The server 102 includes a control unit 601, a display unit 602, an input unit 603, a storage unit 604, and a communication unit 605. The database 103 includes a control unit 701, a display unit 702, an input unit 703, a storage unit 704, and a communication unit 705. The patient-side electronic device 104 includes a control unit 801, a display unit 802, an input unit 803, a storage unit 804, and a communication unit 805. The doctor-side electronic device 105 includes a control unit 901, a display unit 902, an input unit 903, and a storage unit. 904 and a communication unit 905. Each control unit has a function of executing control such as information processing. Each display unit has a function of displaying information so that the user can visually recognize the information. Each input unit has a function of receiving an input from a user. Each storage unit has a function of storing data and the like. The communication unit has a function of transmitting and receiving information to and from another device. In the present embodiment, these functions are realized by executing each program in the hardware described in FIGS. 2 to 5, but by configuring an electronic circuit or the like for realizing each function. It can also be realized by hardware.

  In the present embodiment, patient information is stored in the storage unit 704 of the database 103. The patient information is information on an obese patient associated with the patient identification number (ID). The information on the patient includes personal information of the patient, obesity medical treatment history information, and the like. In the present invention, the medical treatment need not be an act performed by a medical worker, but may be performed using the present invention. In the present embodiment, the patient's personal information is basically determined information, and the obesity medical treatment history information is information that can change every moment. The patient's personal information includes information such as the patient's name, date of birth, gender, proper weight, obesity treatment start date, and proper intake calories. The obesity medical treatment history information includes information on obesity medical treatment history such as the number of treatment days, patient physical condition history information, weight history information, intake calorie history information, medication history information, and therapy history information. The patient's physical condition history information is, for example, information in which the patient's daily physical condition and the like are recorded, and can be called diary information. The physical condition history information includes, for example, information on daily physical condition such as headache, irritation, feeling good, nausea, etc., blood data (AST (aspartate aminotransferase) / ALT (alanine aminotransferase)) and CT value. including. The AST / ALT has reference values of about 9 to 32 and about 4 to 37, respectively. If the reference values exceed these reference values, it is determined that the AST / ALT is an abnormal value. For example, when obesity leads to fatty liver, it often increases to around 50-100. The CT value is about 50 to 70 in a normal case, but is often 50 or less when obesity leads to fatty liver. The weight history information includes the daily weight of the patient from the start of obesity treatment. The intake calorie history information is information indicating the calorie intake. It may include the date and time of ingestion. The calories taken by the patient and the date and time can be recorded by inputting them into the patient-side electronic device 104. For example, “2014/3/11/0815: 524” shown in the item of calorie intake of the patient AAAA in FIG. 10 indicates that the user ate 524 kcal at 8:15 on March 11, 2014. . The medication history information includes information on the amount of medication for obesity treatment and the date of medication. The therapy history information includes the cognitive behavioral therapy performed by the system, the date and time and the date and time when the behavioral therapy was recommended, information indicating whether the patient actually performed a therapeutic action such as behavioral therapy, and coaching performed. It contains history information about the therapy given to it.

  The patient information in the present embodiment performs medical treatments such as hearing and blood collection by the medical treatment of the patient by the doctor, and may be input by the doctor-side electronic device 105 used by the doctor and registered in the database 103 or used by the patient. The information may be registered in the database 103 by the patient's input by the patient-side electronic device 104, or may be input in combination. Further, after the treatment of obesity is started, the method may be updated by these methods.

  In the embodiment described below, the patient information is stored in the database storage unit 704 in a format described in FIG. 10 in association with an identification number (ID) for identifying the patient. Other necessary information may be added as needed, and unnecessary information may not be used. Personal information includes name, age, gender, proper weight and proper intake calories. The appropriate weight is determined by gender, height, age, etc. and has a certain range. The appropriate intake calorie indicates an appropriate intake calorie to be taken daily based on sex, height, weight, age, and the like, and has a certain range. The obesity medical treatment history information includes the number of treatment days, intake calories, blood data (AST / ALT) as physical condition history, CT value, weight history, medication history, and therapy history. Obesity medical treatment history information may be stored together with the date and time. The medication history indicates the status of daily medication, where 1 means that medication has been taken, and 0 means that medication has not been taken. The therapy history indicates the history of the therapy performed on the patient. Each therapy is identified by a therapy ID, and an identification number (ID) of the performed therapy is recorded.

  Further, in the present embodiment, the therapy is stored in the storage unit 604 of the server 102 in the form of a therapy list described in FIGS. 11A and 11B in association with an identification number (ID) for identifying the therapy. The data may be stored in the database storage unit 704 and read out by the server 102 as appropriate. The therapy list includes messages, answer options, correct answer information, therapy type, physical condition / cause, follow-up, appetite suppression, and scores. These are merely examples, and may be a form that does not include these or a form that includes these other items. The message is displayed on the patient-side electronic device 104 and includes a message for treating obesity. The answer option is an option for an answer to be displayed on the patient-side electronic device 104 when the message is an inquiry to the patient and requires an answer. The inquiry to the patient is an inquiry for patient interpretation information indicating the interpretation of the patient on matters related to obesity. The correct answer information includes a correct answer branch and guidance information. The correct answer branch is the number of the option determined to be correct for the answer option. The guidance information indicates information considered to be correct for the inquiry to the patient as a message. Further, the guidance information may be a moving image such as an educational video instead of a message in a mere sentence. In this case, the guidance information of the therapy list may include an instruction to play the instructional video and information specifying the storage location of the educational video. If the message is not an inquiry to the patient, answer options and correct answer information are not necessarily required. These pieces of information may not only be displayed on the display unit 802 of the patient-side electronic device 104, but may be presented to the patient by outputting them as audio from an audio output unit such as a speaker. The display unit may be an output unit including a display unit and an audio output unit.

  The therapy type is information indicating whether each therapy is a cognitive behavior therapy, a behavior therapy, or coaching. In the present embodiment, “1” means cognitive behavior therapy, “2” means behavior therapy, and “3” means coaching. The physical condition / cause means the physical condition and its cause that triggers the therapy of the ID. Here, the part before “/” indicates the physical condition, and the part after “/” indicates the cause. In the present embodiment, the cause is set in combination with the physical condition. As the physical condition, “1” means a state in which an appetite urge is occurring, and “2” means a state in which the user is frustrated. "1" as the cause of appetite urge means that food is placed on the desk, "2" is stress, "3" is hungry, and "4" is recommended by acquaintance. means. In other words, “1/1” means that an appetite urge has occurred, and that the cause is that the user thinks that he / she has come to see the food and feels like to eat it. The cause “0” means that the cause is not specified by the patient. In the present invention, cause information is not always necessary. It is also possible to specify the therapy to be performed only based on the physical condition, and the present invention can be implemented even in an embodiment that does not include cause information. Multiple physical conditions / causes can be assigned to one therapy. In that case, if any physical condition / cause is applicable, the therapy can be executed. The follow-up observation indicates whether or not the follow-up observation processing needs to be executed after the therapy is executed, and, if necessary, the timing for executing the follow-up observation processing. For example, the follow-up observation of ID = 1 to 4 is set to “5”. This means that follow-up is required, and the follow-up process is performed 5 minutes after the execution of the therapy. Appetite suppression is information indicating whether the therapy can be performed to suppress appetite. Here, “1” is a therapy that can be performed to suppress appetite, and those that are not are indicated by “0”.

  In the step of creating a therapy list, therapies can be assigned to conditions / causes according to various criteria. For example, classification into therapies for suppressing appetite impulses and other therapies, assigning the physical condition / cause indicating the appetite impulses to be suppressed to therapies for suppressing appetite impulses, and assigning other physical conditions / causes to other therapies Can be assigned to therapy. Although some therapies have the effect of suppressing appetite, for example, some therapies are also used to relieve irritation. Such a therapy, even for the purpose of suppressing appetite urge, can be assigned to both the physical condition / cause indicating the appetite urge to be suppressed and other physical conditions / causes. The hunger that causes appetite is classified into psychological hunger and physical hunger, and it can be considered that the appetite urge due to psychological hunger should be suppressed. Physical hunger does not need to be suppressed when a proper range of calorie content is ingested at the right time, but otherwise, it is considered necessary to suppress it.

  In the present embodiment, a physical condition / cause indicating an appetite urge to be suppressed is assigned to a therapy for suppressing an appetite urge, and other physical conditions / causes are assigned to other therapies. For example, as shown in FIGS. 11A and 11B, the therapy ID = 1 to 6 is a therapy that can be executed to suppress the appetite urge, so that appetite suppression = 1. In addition, the current physical condition is a state in which an appetite urge is occurring (physical condition = 1), and the causes of the appetite urge are “1: food is placed on the desk”, “2: stress”, and “4: acquaintance” In the case of “recommendation”, it is considered that this is caused by a feeling of psychological hunger, so that it is possible to determine that the appetite should be suppressed. Assign to ~ 6. At this time, it is preferable to select and assign a therapy suitable for the physical condition / cause. For example, when the cause is “2: stress”, it is assigned to therapy ID = 3, 5, which is a therapy related to stress. In addition, since the therapy IDs = 3 and 5 are effective even when the physical condition is “irritated”, the physical condition / cause = 2/0 can also be assigned.

  On the other hand, if the cause of the appetite urge is “3: Hungry”, the appetite urge may be caused by physical hunger and psychological hunger. It cannot be determined whether or not it should be suppressed. Therefore, in this case, ID = 1/3 indicating appetite urge / hunger may be randomly assigned to the therapy ID, or may be regarded as an appetite urge to be suppressed and assigned to a therapy ID for appetite suppression. However, it may be regarded as not an appetite impulse to be suppressed, and may be assigned to an ID other than the therapy ID for suppressing appetite. Also, the assignment can be made by another predetermined method. Here, it is regarded as an appetite urge to be suppressed, and assigned to therapy ID = 4 for appetite suppression. With such a configuration, it is possible to select and execute an effective therapy for appetite urge to be suppressed.

  The score is information used when selecting a therapy to be performed for a patient, and reference scores are set for weight, AST, ALT, CT value, medication history, therapy history, and number of treatment days. . For example, a therapy history “−1” at therapy ID = 1 means that the therapy with ID = 1 (ie, this therapy itself) is not performed for a patient who has already performed the therapy. In addition, the weight of the therapy ID = 7 is set to “Tu <”. This means that the current weight is heavier than the upper limit value Tu of the target appropriate weight range (Tb to Tu) of the patient, which is a requirement for performing this therapy. The AST, ALT, and CT values for ID = 7 are set to “32 <”, “37 <”, and “<50”. This means that the process is executed when the AST, ALT, and CT values are abnormal values. Medication history = “1 * 3” means that taking the prescribed medication so far for three consecutive days is a requirement for execution. The therapy history = “12” means that the therapy of ID = 12 has already been executed, which is a requirement for executing the present therapy. Treatment days = “<14” means that the number of days from the start of treatment is shorter than 14 days, which is a requirement for execution. Here, the therapy that satisfies all the requirements defined by these scores is selected. However, the therapy may be executed if any of the requirements are satisfied, or the priority or weighting may be performed for each requirement. .

[First Embodiment]
The operation of the system according to the first embodiment will be described. In the present embodiment, a smartphone is used as the patient-side electronic device 104, and a notebook computer is used as the physician-side electronic device 105. In the following embodiments, the operation of one patient-side electronic device 104 and one physician-side electronic device 105 will be described for explanation, but in the present system, two or more patient-side electronic devices 104 and two or more physician-side devices are used. It may include the side electronic device 105.

  In the present embodiment, as shown in FIG. 12A, when the patient operates the patient-side electronic device 104, which is his / her own smartphone, information indicating the current physical condition of the patient is input, and the behavior therapy and the cognitive behavior therapy are performed. And at least one of coaching is performed.

  The patient is assumed to be AAAA with patient ID = 0. When the patient thinks that a physical problem related to the treatment of obesity such as an appetite urge has occurred after the start of the treatment for obesity, the patient is displayed on the display unit 802 of the smartphone as the patient-side electronic device 104. A nurse call button is touched (step 1201). Then, a physical condition input screen for inquiring about the current physical condition is displayed on the display unit 802 of the patient-side electronic device 104 (step 1202). Here, a message is displayed for prompting the patient to select one of two physical conditions, "What happened? 1: I want to eat, 2: I get irritated." In addition, options indicating other physical conditions, such as inability to concentrate or sleepiness, may be displayed. On the other hand, the patient inputs an option indicating the current physical condition considered by the patient to the patient-side input unit 803 (step 1204).

  When the patient-side electronic device 104 receives an input of information indicating the current physical condition from the patient, the control unit 801 detects the input, and then determines whether or not to input the cause of the physical condition based on the response. Is determined, and if necessary, a cause input screen corresponding to the physical condition is displayed (step 1206). Here, it is predetermined that the cause is inquired for "1: I want to eat" and the cause is not inquired for "2: I am irritated". An inquiry message is also prepared in advance for “1: I want to eat”. For example, here, a case is considered in which the patient's current physical condition is in a state of having an appetite urge to eat and drink, and "1: want to eat" is selected in step 1202. In response to this, the control unit 801 displays on the display unit 802 the message "Why did you want to eat? 1: There is food on the desk, 2: stress, 3: hungry, 4: recommended by acquaintance." Then, the patient is prompted for an input (step 1206). Suppose the patient thinks that the appetite urge is due to stress. Therefore, the patient selects “2: stress” and inputs an answer via the input unit 803 (step 1208). Information indicating the current appetite impulse as the current physical condition of the patient and the input cause is transmitted to the server 102 via the communication unit 805 together with the patient ID (0) for identifying the patient (step 1210). ). In steps 1201 to 1206, for example, the patient-side electronic device 104 transmits to the server 102 that the nurse call button has been touched, and the server 102 responds to the patient-side electronic device with information for displaying the physical condition input. It may be performed by an interaction such as sending to 104.

  When the communication unit 605 of the server 102 receives the patient ID, the current physical condition of the patient, and information indicating the cause thereof (step 1212), the communication unit 605 transmits a request for transmitting patient information for the patient based on the received patient ID to the database. The data is transmitted to the communication device 103 via the communication unit 605 (step 1214). When the communication unit 705 of the database 103 receives the transmission request (step 1216), the control unit 701 searches the storage unit 704 for patient information of the patient based on the patient ID received together with the patient information transmission request, Then, the communication unit 705 sends the data to the server 102 (step 1220).

  When the server communication unit 605 receives the patient information from the database 103 (step 1222), based on the received patient information and the cause of the appetite urge, the server control unit 601 reads the current patient from the therapy list stored in the storage unit 604. The right therapy for you. Here, it is considered that the patient AAAA has an appetite urge, and the cause is stress. The therapy history in the patient information indicates that therapy ID = 1 has not been executed. In the present embodiment, it is not used for appetite suppression. Therefore, in this case, therapy ID = 1 and 3 to 5 can be selected. Although all may be performed, the number of therapies may be limited to a predetermined number. In the present embodiment, the maximum is one for each of the cognitive behavior therapy, the behavior therapy, and the coaching. Here, ID = 1 is selected as cognitive behavioral therapy, ID = 3 as behavioral therapy, and ID = 5 as coaching. The behavior therapy corresponds to ID = 3 and 4, but was selected at random. The therapy may be selected based on other predetermined criteria.

  The server control unit 601 further determines the execution order of the selected three therapies based on a predetermined criterion. Here, based on the criteria that behavior therapy, coaching, and cognitive behavior therapy are performed in this order, behavior therapy with ID = 3, coaching therapy with ID = 5, and cognitive behavior therapy with ID = 1 are performed in this order. By executing in this order, the current physical condition can be effectively improved, and obesity treatment can be performed. For example, the current appetite urge can be resolved or diminished by performing a compensatory behavior therapy appropriate to the current appetite urge and cause. In addition, coaching can encourage the patient and lead to a mental state in which the appetite urge does not increase again. Then, after the appetite urge has settled down, cognitive behavioral therapy is performed, and if the patient's misinterpretation of items related to the appetite urge that has occurred so far can be corrected. Patients will have better understanding and realization than when cognitive behavioral therapy is performed after a long period of time after the appetite urge has occurred. For this reason, correct misinterpretation of matters related to physical condition and appetite urge, and effectively prevent the user from actually eating when the same appetite urge occurs. Falling can be effectively prevented.

  The server control unit 601 resets the counter N to 0 (Step 1226) and counts up N (Step 1228). Then, the therapy (ID = 3), which is the determined first (N-th) therapy, is executed.

  The execution procedure for behavior therapy and coaching is shown in FIG. First, the server control unit 601 transmits behavioral therapy information or coaching information indicating the selected Nth therapy to the patient-side electronic device 104 via the communication unit 605 (step 1301). Behavioral therapy information and coaching information include messages in the therapy list. Here, the case where the therapy (ID = 3) is executed since N = 1 will be described. Since the therapy (ID = 3) is the behavior therapy (2), it is executed according to the procedure of FIG. The server control unit 601 reads the therapy list from the storage unit 604, puts the message of therapy ID = 3 into the behavior therapy information, and transmits the message to the patient-side electronic device 104 (step 1301). The communication unit 805 of the patient-side electronic device receives this (step 1302), and displays a message “Let's take a shower to eliminate stress” on the display unit 802 based on the behavior therapy information (step 1304). This behavior therapy is a compensatory behavior therapy, and the appetite urge can be eliminated by having the patient perform other actions besides eating and drinking to eliminate the current appetite urge. Here, when the appetite urge of the patient occurs, the cause is immediately specified, and the appetite urge can be effectively eliminated by executing the compensation behavior therapy suitable for the cause. The patient-side electronic device 104 transmits therapy execution confirmation information indicating that the therapy execution process in the patient-side electronic device 104 has been completed (step 1306).

  Upon receiving the therapy execution confirmation information (step 1308), the server control unit 601 records, in the therapy history, an update instruction for recording and updating the execution of the therapy (ID = 3) in the therapy history together with the patient ID in the communication unit in the database 103. The transmission is performed via 605 (step 1310). The database 103 receives this (step 1312) and updates the patient history based on the patient ID and the therapy ID (step 1314). Thereafter, a follow-up observation execution setting process of performing a setting process for executing the follow-up observation is performed (step 1316). The update process may be performed without transmitting and receiving the therapy execution confirmation information after the behavior therapy information or the coaching information is transmitted from the server 102 to the patient-side electronic device 104. The update process may be performed after the follow-up observation execution setting process (step 1316).

  The follow-up observation execution setting process (step 1316) will be described with reference to FIG. First, the server control unit 601 determines whether the executed therapy requires follow-up, based on the therapy list stored in the storage unit 604 (step 1401). Referring to the therapy list, the follow-up parameter of the therapy executed (ID = 3) is “5”. Therefore, the server control unit 601 determines that the therapy requires follow-up observation, and the predetermined timing for the follow-up observation is five minutes later (steps 1401 and 1402). The server control unit 601 reserves execution of the follow-up observation processing after 5 minutes (step 1404). Such a process can be executed as a periodic execution process such as a cron job.

  Next, the follow-up observation execution processing will be described with reference to FIG. 15A. The server control unit 601 transmits, to the patient-side electronic device 104, an effect inquiry message indicating a message for inquiring whether the physical condition that has occurred has improved when the time reserved in the follow-up observation execution setting process has come. (Step 1501). The patient-side electronic device 104 receives this (step 1502) and displays it on the display unit 802. Here, the message "Did you want to eat? 1: Yes 2: No" is displayed. On the other hand, in the input unit 603 which is a touch panel of the smartphone, the patient touches one of the buttons “1: yes” or “2: no” to input an effect answer, and the input effect answer Is transmitted (step 1506). The server communication unit 605 receives this (step 1508), and the server control unit 601 determines whether the effect response is “1”. When the effect answer is 1, the appetite impulses that have occurred earlier have been resolved, and the follow-up observation processing ends. If the effect answer is 2, since the appetite urge that has occurred earlier has not been resolved, another therapy for eliminating this is selected (step 1512), and the selected therapy is executed (step 1514). . The selection of the therapy may be selected from those associated with the therapy already performed, the same therapy as the performed therapy may be performed again, or a procedure similar to the above steps 1214-1232 may be used. Accordingly, one or more therapies may be selected and executed. In the present embodiment, the therapy of ID = 4, which is another therapy for resolving the stress that is causing the appetite urge that is currently occurring, is selected, and the above-described steps 1301 to 1316 shown in FIG. This is performed according to the procedure described above, and the follow-up observation execution processing ends. In this way, after executing the selected therapy, the effect is checked at an appropriate timing as needed, and if the physical condition has not yet improved, an appropriate therapy for further improving the physical condition is performed. It is possible to do. The follow-up observation process may be repeated at predetermined intervals until the physical condition improves. Further, the effect inquiry message may be autonomously displayed on the patient-side electronic device 104 after a lapse of a predetermined period, the answer may be input, and the message may be transmitted to the server 102.

  When the follow-up observation execution setting process (step 1316) ends, the behavior therapy and coaching execution process in FIG. 13 ends, the therapy execution process in 1230 in FIG. 12A ends, and whether a therapy to be further executed is selected. Is determined (step 1232). K indicates the number of selected therapies. The set follow-up observation execution process is a process executed at a reserved predetermined timing, and it is not necessary to wait for the end of the follow-up observation process in order to execute the next therapy selected in step 1224.

  After confirming that the behavioral therapy has been executed in the patient-side electronic device in step 1310, the server 102 transmits a message inquiring whether or not the patient has actually performed the behavioral therapy, and transmits the message to the patient-side electronic device 104. May be presented to the patient and inquired. In response, the patient selects an answer as to whether or not the execution has been performed, and the response is transmitted to the server 102 via the patient-side input device 105. The server 102 sends this information to the database 103. For example, in addition to the ID of the therapy performed in the therapy history item of the obesity medical history, an item regarding whether or not the patient has actually performed the therapy is also provided, and based on information from the server 102, Can be updated. The process of confirming whether or not the patient has actually performed the therapy may be executed as a cron job, for example, five minutes after the execution of the therapy, as in the follow-up observation execution process. Information on when to execute the therapy may be stored in the therapy list. Similar processing can be performed in coaching as needed.

  In the present embodiment, K = 3 because three therapies have been selected, and K = 3 and N = 1 since the first processing has been executed so far. Therefore, K> N is satisfied, and the process returns to step 1228, where N = 2, and the selected second therapy (ID = 5) is executed (steps 1228, 1230). As described above, the therapy with ID = 5 is coaching, and is executed in the same procedure as the behavior therapy by the procedure of steps 1301 to 1316 shown in FIG. In step 1304, instead of the behavior therapy information, a coaching message for encouraging the patient “Mr. Thereby, the patient whose appetite impulses have been eliminated or reduced by the compensated behavior therapy can be further encouraged and mentally stabilized. When the coaching execution process is completed, since K (= 3)> N (= 2), the process returns to step 1228, where the counter N is counted up to 3, and the selected third therapy, that is, the cognitive behavior therapy (ID) = 1) is executed.

  The procedure of the therapy execution process (step 1230) for cognitive behavior therapy will be described with reference to FIG. First, in step 1601, the server control unit 601 issues a patient interpretation information request that requests transmission of patient interpretation information including a patient's interpretation of an obesity-related item designated by the selected Nth therapy. Transmit to the patient electronic device 104. The patient interpretation information request includes a therapy list message. The patient-side electronic device 104 receives this (step 1602), and displays a message on the display unit 802 based on the received patient interpretation information request (step 1604). Here, based on the message information of the selected cognitive behavioral therapy (ID = 1), "How long do you think your current desire to eat will last? 1: Unless you eat, you need to eat I feel like 2: It takes about 5 minutes. ", A message asking the patient about the appetite urge and its resolution related to obesity.

  In response to this, the patient inputs an option that he / she considers correct to the patient-side electronic device 104 via the input unit 803 as an answer, and the input answer is transmitted to the server 102 (step 1606). The server communication unit 605 receives this, and upon receiving this (step 1608), the server control unit 601 compares the correct answer information described in the therapy list with the answer information input by the patient, and obtains the obesity of the patient. It is determined whether the interpretation of the item related to is incorrect (step 1610). Then, based on the correctness information based on the correct answer information if correct, the cognitive behavior therapy information including the guidance information indicating the correct information is transmitted based on the correct answer information (step 1612). The patient-side electronic device 104 receives the cognitive-behavioral therapy information (step 1614), and displays information indicating a correct answer based on the received cognitive-behavioral therapy information on the display unit 802 (step 1616). ).

  Here, regarding the matter related to obesity, which indicates that the appetite urge lasts for a long time and is resolved only by eating and drinking, in step 1606, the patient determines in step 1606 that "1: Continue unless eaten, and that one needs to eat. Is input as an answer and transmitted to the server 102. The server control unit 601 reads the correct answer information “2” with reference to the correct answer information of ID = 1 in the therapy information list. The patient's answer "1" is compared with the correct answer information "2", the two are determined to be different, and the interpretation of the patient is determined to be incorrect (step 1610). Then, the cognitive behavior therapy information including the guidance information indicating the guidance information included in the correct answer information of the therapy list is transmitted (step 1612). The patient-side electronic device 104 receives the cognitive-behavioral therapy information and, based on the guidance information contained therein, states that "the feeling of wanting to eat is actually settled in about 5 minutes, and can be settled by passing a little. There is no need to be particular about this. "On the display unit 802. In this way, when an appetite urge occurs, the cause of the appetite urge, the cause of the appetite urge, and the misinterpretation of the patient regarding matters related to obesity are also identified and corrected, so that the appetite urge can be corrected. And to better control the same appetite impulses in the future. The closer the timing of the appetite impulses and the timing of the execution of the cognitive behavioral therapy, the easier it is for the patient to recognize the mistake of the self-interpretation as a real feeling, and the effect of the cognitive behavioral therapy can be enhanced.

  If the patient's interpretation is correct, for example, "correct, you understand well!" The message in the case of a correct answer may be included in the therapy list, or a message list for the correct answer may be separately provided, selected from the list based on predetermined criteria, included in the cognitive behavior therapy, and transmitted to the patient-side electronic device 104. You may. In addition, any method may be used as long as it can be displayed to the patient in a form that can be recognized as a correct answer.

  After performing the cognitive behavioral therapy in step 1616, the patient-side electronic device 104 transmits therapy execution confirmation information indicating that the therapy has been completed (step 1618). Upon receiving this, the server control unit 601 (step 1620) transmits an update command for recording and updating the execution of the Nth therapy in the therapy history to the database 103 (step 1622). Upon receiving this (step 1624), the database 103 updates the therapy history based on the update command (step 1626). Thereafter, the follow-up observation execution setting is executed (step 1628). The update process may be executed without transmitting / receiving the therapy execution confirmation information after the cognitive behavior therapy information is transmitted from the server 102 to the patient-side electronic device 104, or the follow-up observation execution setting (step 1628) may be executed. It may be executed after being performed. The follow-up observation execution setting (step 1628) is the same as that described with reference to FIG.

  In step 1622, it was confirmed that the cognitive behavioral therapy was performed in the patient-side electronic device 104 in the same manner as described above as a process for determining whether or not the patient actually performed the behavioral therapy in connection with the behavioral therapy. Later, the cognitive behavioral therapy may be used to send an inquiry message to confirm that the misinterpretation has been corrected and the correct understanding has been obtained, and to obtain an answer from the patient. The server 102 can transmit this information to the database 103 and update the obesity medical treatment history.

  When the follow-up observation execution setting (Step 1628) ends, the cognitive behavioral therapy execution processing ends, and in Step 1232, it is confirmed whether or not the selected therapy still remains. Here, since K = 3 and N = 3, and K> N is false, it is determined that all the selected therapies have been executed, and the processing procedure started by the act of touching the patient's nurse call button ends. I do.

  The selected plurality of therapies may be configured such that the next therapy is performed after a certain time has elapsed after one therapy is performed.

  In the above-described example, a case has been described in which three treatments, behavior therapy, coaching, and cognitive behavior therapy, are selected one by one, and three therapies are executed as a whole. However, any one of these, or any combination thereof, may be used, and even if a plurality of therapies, for example, three behavioral therapies are selected from the respective therapies, it is possible to operate similarly. it is obvious.

  The entire process of the present embodiment can be repeatedly performed, and when information indicating an appetite urge from a patient is input at a certain timing, only cognitive behavior therapy is executed, and then, at another timing, another When the information indicating the urge is input, only the behavior therapy can be executed.

  According to the above-described embodiment according to the present invention, when a patient reaches a predetermined physical condition related to obesity, the physical condition and the cause are identified, and a therapy for an appropriate obesity for the physical condition and the cause is timed. Because it can be performed in an effective manner, an effective obesity treatment can be performed. Even higher effects can be obtained by performing a combination of behavioral therapy, coaching and cognitive behavioral therapy. For example, by providing a compensatory behavior therapy suitable for the current appetite urge, the appetite urge can be eliminated or reduced, and coaching can support the patient's willingness for obesity and provide a stable mental state. When cognitive-behavioral therapy was implemented, the appetite urge that had just occurred, its cause, and the misunderstanding of the patient related to obesity were corrected. It can help you better control your appetite and encourage you to avoid the same appetite urge again. Similar effects can be obtained by a combination of behavioral therapy and cognitive behavioral therapy, or a combination of coaching and cognitive behavioral therapy.

  Further, a notebook computer, which is a doctor-side electronic device 105 used by a doctor, is also connected to the server 102 via the network 101. Then, an information transmission request accompanied by patient identification information from the physician-side electronic device 105 is transmitted from the physician-side electronic device 105, and when the server 102 receives this, the information is stored in the database 103 based on the information transmission request. The patient information associated with the patient identification information is extracted and transmitted to the physician-side electronic device 105. Thereby, the doctor can check the obesity medical treatment history information of the patient, which is updated every moment.

  Further, when obesity medical treatment history information is updated after behavioral therapy, cognitive behavioral therapy, and coaching are executed, or when obesity medical treatment history information is updated by a patient, the server control unit 601 detects this. Then, the medication adjustment process may be executed. For example, when the server control unit 601 detects the update of the obesity medical treatment history information, the server control unit 601 receives the obesity medical treatment history information from the database 103 based on the identification ID for identifying the patient of the updated history information. Based on the medical treatment history information, it is possible to determine information on medication adjustment and transmit this to the doctor-side electronic device 105 and the patient-side electronic device 104 used by the doctor.

  According to the present embodiment, since the appropriate therapy is performed according to the situation that changes every moment of the patient, a great difference easily occurs in the progress of the obesity treatment among the patients. Patients who take appropriate actions in accordance with appropriate therapy are more effective in treating obesity, but patients who eat and drink without pressing a nurse call even when an appetite urge is occurring Is not very effective. Therefore, when the present embodiment is used, the individual difference in the effect of the obesity treatment becomes larger than before. Therefore, if the medication adjustment is performed based on the obesity medical treatment history information that changes from moment to moment, it is possible to perform medication according to the progress of the obesity treatment of each patient, and it is possible to enhance the effect of the obesity treatment. . In addition, the risk of side effects can be minimized by including the side effect history information of the medicine in the obesity medical treatment history information and adjusting the medication based on the information.

  Further, it is not necessary to specify the cause of the physical condition. For example, when the physical condition of “2: frustrated” is selected in the physical condition input step 1204, steps 1206 to 1208 for specifying the cause are not performed. In this case, in step 1210, only the current physical condition information that is frustrating is transmitted to the server 102. Then, in step 1224, a therapy to be executed is selected based on the physical condition information of being irritated and the patient information. For example, when the condition is frustrating and the cause is not specified, the display in the executable therapy list is when the item “physical condition / cause” is “2/0”. Therefore, the behavioral therapy corresponding to ID = 3 is executed, and a message “let's take a shower to eliminate stress” is displayed on the patient-side electronic device 104, and the behavioral therapy can be executed. By the same procedure, cognitive behavior therapy and coaching can be executed without specifying the cause.

[Second embodiment]
In the present embodiment, when it is detected that the patient's physical condition is in a state of having an appetite urge, it is determined whether or not the appetite urge should be suppressed based on the nurse call time and the patient information. However, the second embodiment differs from the first embodiment in that a therapy to be performed is selected based on the result of this determination in addition to the cause of appetite urge and patient information. The other points are the same as in the first embodiment. Hereinafter, only differences from the first embodiment will be described with reference to FIG. 12B.

  First, in step 1201, the patient-side electronic device 104 acquires a time at which a touch on the nurse call button is detected as a nurse call time. Next, in the physical condition input screen for inquiring about the current physical condition displayed on the display unit 802 of the patient-side electronic device 104 in step 1202, "1: I want to eat" is selected, and the patient's condition is selected. It is detected that the current physical condition has an appetite urge (step 1204). Further, as a response to the cause input display for appetite impulses (step 1206), "2: stress" is input (step 1208), and the nurse call time is transmitted together with information indicating the current physical condition and cause of the patient (step 1210). ). Here, the nurse call time is the time at which the nurse call button is touched, but any information may be used as long as the information indicates the current physical condition of the patient as of when. Good. For example, in step 1204 or 1210, the time may be the time at which the patient has input an answer, or the time at which information indicating the current physical condition and cause of the patient has been transmitted in step 1210 may be used. The time at which the server 102 receives the information indicating the current physical condition and cause of the patient may be used.

  In the present embodiment, when the server communication unit 605 receives the patient information from the database 103 (step 1222), it detects that the current physical condition is an appetite impulse, and based on the cause of the appetite impulse and the received patient information. Then, it is determined whether or not the appetite impulses currently occurring in the patient should be suppressed (step 1223). As described above, hunger that causes appetite is classified into psychological hunger and physical hunger, and it is considered that the appetite impulses due to psychological hunger should be suppressed. In addition, it is considered that physical hunger does not need to be suppressed when a proper range of calorie content is ingested at an appropriate timing, but otherwise, it is necessary to suppress it. As in the case of assigning the therapy in the first embodiment, the cause of the appetite urge is “1: food is placed on the desk”, “2: stress”, and “4: recommendation by acquaintance” Is considered to be caused by a feeling of psychological hunger, so it is determined that the appetite should be suppressed.

  On the other hand, if the cause of the appetite urge is “3: Hungry”, the appetite urge may be caused by physical hunger and psychological hunger. It cannot be determined whether or not it should be suppressed. Therefore, in the present embodiment, the nurse call time and the calorie intake of the day stored in the patient information are less than the upper limit of the predetermined appropriate range, and the nurse call time is within the appropriate time range for eating. It is determined whether it is within. For example, the upper limit value of the calorie intake and the range of the meal time can be determined in advance by a doctor and included in the patient information. From the patient information received in step 1222, the range of calorie intake, appropriate calorie intake, and meal time for the day is acquired. In step 1223, based on the information and the nurse call time, the calorie intake for the day is appropriate. If it is determined that the calorie intake is less than the upper limit value and the nurse call time is within the proper meal time range, it is determined that the appetite urge is appropriate and does not need to be suppressed. If the calorie intake for the day is outside the prescribed range or if the nurse call time is not within the proper time to eat, this appetite urge is not appropriate and should be suppressed Is determined. For example, it is assumed that the appropriate eating time of the patient AAAA is until 20:00, and the upper limit of the prescribed calorie intake per day is 2700 kcal. If the nurse call time is 23:45 and the calorie intake so far on this day is 2900 kcal, it is determined that this appetite urge should be suppressed.

  Next, in step 1225, one or more (K) therapies to be executed are selected from the therapy list based on the appetite urge suppression determination result, cause and patient information, and the order of execution is determined. If the result of the appetite urge suppression determination in step 1223 is a determination result that this appetite urge should be suppressed, the first embodiment is selected from the therapies of appetite suppression = 1 in the therapy list. And select a therapy based on the cause and patient information. Subsequent processing is the same as in the first embodiment.

  On the other hand, if it is determined that the appetite impulses do not need to be suppressed, a message such as “You have a proper appetite, so you may eat a proper meal” is displayed on the display unit 802 in step 1225. Therefore, it is not necessary to permit the diet and perform other therapies, and based on the physical condition / cause = 1/3 and this determination result, the therapy other than the therapy for suppressing the appetite urge, that is, the physical condition / The therapy of appetite suppression = 0 among the therapies for the cause = 1/3 may be selected and executed. In the example of the patient AAAA described above, if the nurse call time is 18:00 and the calorie intake of the day is 1500 kcal, the nurse call time is within an appropriate time range for a meal, Since the calorie intake is equal to or less than the predetermined reference value, it is determined that the appetite urge is appropriate and does not need to be suppressed. In this case, the behavior therapy ID = 10 is selected as the behavior therapy with appetite suppression = 0, and the message “You may eat a meal, but slowly eat well when eating” is displayed. The information may be displayed on the unit 802. Further, the content of the message may be changed based on the difference between the upper limit of the calorie intake and the calorie intake of the day. For example, a message such as "You may eat a meal only with XX calories, but when you eat it, slowly eat well" may be displayed. In addition, by taking a difference from the lower limit, a behavioral therapy in which a patient who has not taken necessary calories due to excessive dietary restriction can be alerted and eat a meal can be executed.

  By using the present embodiment, even if the physical condition and the cause obtained from the patient's input alone cannot sufficiently determine whether or not the current appetite urge should be suppressed, the nurse call time and the day Based on the calorie intake, a more accurate determination can be made, and a more appropriate therapy can be selected. Despite proper appetite urges, if only therapies for appetite suppression are given, it can lead to excessive dietary restrictions and adverse health effects. According to the present embodiment, an appropriate appetite urge can be accurately grasped.

  In the present embodiment, the physical condition, the cause, the nurse call time and the calorie intake were used for determining whether or not the appetite urge should be suppressed. Elements may be used.

[Third Embodiment]
In the present embodiment, in the follow-up observation execution processing, it is determined whether or not the appetite urge should be suppressed, and the therapy after the follow-up observation is selected and executed based on the determination result. Is different from the embodiment. The other points are the same as in the first embodiment. Hereinafter, only differences from the first embodiment will be described with reference to FIG. 15B.

  In the follow-up observation execution process of the present embodiment, if the answer to the effect inquiry about the executed therapy is “1”, that is, if the current physical condition has not improved, the appetite urge should be suppressed. A determination step is performed to determine whether or not. According to the example described in FIG. 15B, the current physical condition is a state in which an appetite urge is occurring. In step 1504, in response to the question “Did you want to eat?”, “2: No” Is input, in step 1511, a step of determining whether or not the current appetite urge should be suppressed is executed.

  As described above, it is considered that the appetite urge due to psychological hunger should be basically suppressed, and the appetite urge based on appropriate hunger among physical hunger should be suppressed. Generally, it is considered that psychological hunger disappears after a certain period of time without eating, and if hunger does not resolve after a certain period of time, it is based on physical hunger. Appetite urge is likely. Therefore, if any of the therapies is performed and a response to the effect inquiry message after a predetermined period of time has been given that the appetite urge has not been resolved, the generated appetite urge is It is highly likely that it is based on a sense of hunger.

  As described in relation to the first embodiment, when the appetite urge occurs and the patient inputs that the cause is “3: hungry”, the appetite urge is caused by psychological hunger. It is not possible to judge whether the cause is due to physical hunger or just from the cause recognized by the patient. Therefore, in the first embodiment, for the time being, a therapy for suppressing appetite impulses assigned as being regarded as psychological hunger is selected and executed. However, if a response to the effect inquiry message after the elapse of a predetermined period of time indicates that the appetite urge has not been resolved, the appetite urge that has occurred is actually a feeling of physical hunger. Likely to be based on

  More specifically, in the present embodiment, it is determined whether or not the occurring appetite urge should be suppressed based on the effect answer input by the patient in response to the effect inquiry message (step 1511). Here, the step of transmitting the effect inquiry message (step 1501) is executed after a lapse of a fixed time from the execution of the therapy to the disappearance of the psychological hunger, for example, 5 minutes which is a follow-up observation time for the executed therapy. Is set to Then, a therapy to be executed is selected based on the result of the appetite urge suppression determination (step 1512). Here, if the answer to the effect inquiry message is “2: No”, it is determined that the appetite urge is based on physical hunger and is not an appetite urge to be suppressed (step 1511). Based on this determination result, a therapy other than the therapy for suppressing appetite urge, that is, a therapy having an appetite suppression score ≠ 1 among the therapy for physical condition / cause = 1/3 is selected and executed. For example, the therapy ID = 10 is executed, a message “You may eat a meal, but slowly eat it” is displayed on the display unit 802 of the patient-side electronic device 104, and the behavior therapy is executed. Then, the follow-up observation processing is terminated. Further, in step 1224, it is checked whether or not there is any unexecuted therapy in the selected therapy for suppressing appetite urge, and if so, the execution of those therapies may be stopped.

  In step 1511, as in the second embodiment, it may be determined whether or not the appetite urge to be suppressed is based on the nurse call time and the calorie intake in the received patient information. This makes it possible to determine whether or not the appetite urge based on the feeling of physical hunger is an appetite urge to be suppressed.

  In addition, although the appetite urge that should not be suppressed is not actually suppressed, treatment performed for appetite suppression based on the cause of the appetite urge interpreted by the patient is regarded as an appetite urge that does not need to be suppressed. This makes it possible to make a correct determination and execute an appropriate therapy again. For example, in step 1206, a therapy for suppressing the appetite urge was selected because the cause of the appetite urge interpreted by the patient was "1: food is placed on the desk". However, in reality, the appetite urge may be caused not only by the fact that the food is placed on the desk, but also because of the fact that the person is physically hungry. In such a case, a therapy for suppressing appetite is performed, and the appetite urge is not resolved even if a certain period of time has elapsed. Therefore, the patient's answer received in step 1508 is “2: No”, indicating that the appetite urge has not been resolved. In step 1511, based on the answer, it is determined again whether the current appetite urge should be suppressed. For example, since the appetite urge has not been resolved even after a certain period of time, it is determined not to be due to psychological hunger but to physical hunger, and it is necessary to reduce nurse call time and calorie intake. Appetite impulses to be suppressed are re-determined based on these.

[Fourth embodiment]
It is also possible to implement the present invention in a form in which the second embodiment and the third embodiment are combined. That is, before selecting the therapy to be executed, it is determined whether or not the appetite urge is to be suppressed (step 1223), and the therapy is selected and executed based on the result (steps 1225-1232). ), Together with the follow-up observation processing, it is determined whether or not it is an appetite urge to be suppressed (step 1511). With such a configuration, it is possible to make a more accurate determination for suppressing appetite.

[Fifth Embodiment]
In the present embodiment, the treatment execution process for obesity is not started by the input of information indicating the current physical condition by the patient, but at the timing determined by the server 102 based on the obesity medical treatment history information of the patient. The first embodiment is different from the first embodiment in that it is started based on the first embodiment. Other points are the same as in the first embodiment. Hereinafter, only different points from the first embodiment will be described.

  With reference to FIG. 17, a description will be given of a process for reserving execution of a predetermined therapy at a predetermined timing by the server 102 based on patient information. First, the server 102 transmits a patient information transmission request to the database 103 at a predetermined timing (step 1701). The predetermined timing may be performed for a predetermined period, for example, every 24 hours, may be performed for a predetermined time, for example, at midnight, or may be performed when the patient information is updated. And a combination thereof. The update of the patient information is performed when some kind of therapy is performed as described above, or when the patient transmits information such as daily physical condition, calorie intake, weight, and medication status to the server 102, There is a case where it is executed by the database 103 on the basis of this.

  Upon receiving this patient information transmission request, the database control unit 701 retrieves the patient information from the storage unit 704 and transmits it to the server 102. The extracted patient information may be performed collectively for all patients, or may be performed for one or more patients specified by the patient ID transmitted from the server 102 together with the patient information transmission request. Upon receiving the patient information (step 1708), the server 102 reserves execution of a predetermined therapy at a predetermined timing based on the received information (step 1710), and the therapy reservation process ends. This reservation process can be set as a periodic execution process such as a cron job, similarly to the above-described elapsed process execution reservation (step 1404). The reserved therapy may be stored as a therapy reservation table in the server storage unit 604, for example. There may be more than one therapy scheduled to be performed at the same time. This reservation process is executed based on at least the obesity medical treatment history information in the patient information. That is, based on the ever-changing physical condition history, intake calorie history, weight history, medication history, therapy history, obesity medical treatment history information such as the number of medical treatment days, the optimal therapy is performed at the optimal timing for the patient. It becomes possible. In addition to this, it is also possible to consider the confirmed personal information. In addition, the reservation timing may be set to be executed immediately after 0 seconds, that is, immediately, may be set one hour later, or may be set at 9:00 in the morning of the next day. The therapy list may include information for determining an appropriate timing, and may be determined based on the information.

  For example, if the AAAA of the patient ID = 1 updates the weight of 75 kg on March 13, 2014 via the server 102 as a part of the daily update of the obesity treatment diary, the server 102 Transmits a request to update the obesity medical treatment history information of the patient AAAA recorded in the database 103 based on the update request. After the update in the database 103 is completed, the server control unit 601 requests the database 103 to transmit the patient information on the patient AAAA together with the patient ID = 1 (step 1701). Upon receiving this (step 1702), the database 103 extracts the patient information of the patient ID = 1 (step 1704) and transmits it to the server 102 (step 1706). The server control unit 601 selects a therapy to be performed based on the received patient information, and reserves execution at a predetermined timing.

  In the treatment of obesity, the stage of treatment can be divided into (1) a phase of losing weight and (2) a phase of maintaining weight. And the therapy to be performed in each phase is different. For example, at the stage of March 13, 2014, based on the fact that the weight of the patient AAAA is heavier than the upper limit Tu (65 kg) of the target weight and that the latest AST, ALT, and CT values are out of the appropriate range, It is determined that the AAAAA treatment stage is a weight loss phase. If the number of treatment days is three, an effective therapy ID = 7 is selected in the initial stage of the weight loss phase, and a reservation is made one minute later to immediately execute this therapy. In the present embodiment, since there is no input of the current physical condition and its cause by the patient, a therapy that is not limited by the physical condition / cause item is selected. The therapy may be selected ignoring the physical condition / cause item.

  As shown in FIG. 18, the server control unit 601 waits until the scheduled execution of the therapy (step 1801), and when the scheduled time comes, the server control unit 601 determines L therapies whose execution is scheduled in the scheduled time. (Step 1802). For example, it can be determined based on the therapy reservation table stored in the server storage unit 604. Then, the execution order of the determined one or more therapies is determined based on a predetermined standard. This can be determined by the same method as in the first embodiment. Also, this order may be determined in the reservation process. In that case, the first therapy is determined according to the determined order. The counter M is set to 0 (step 1804) and one is incremented for the execution of the first determined therapy (step 1806). Then, the determined first therapy is executed (step 1808). This therapy execution process is the same as the process described based on FIG. 13 for the behavior therapy and coaching, and the same as the process described based on FIG. 16 for the cognitive behavior therapy. The number L of therapies determined when the first therapy is performed is compared with the number M of the performed therapies (Step 1808). If the determined number of therapies is larger, the process returns to Step 1806, and the remaining therapies are deleted. If M is equal to or greater than L, it is determined that all the determined therapies have been executed, and the execution of the reserved therapy is terminated.

  For example, when the execution time of the therapy (ID = 7) reserved for the patient AAAA comes, the server control unit 601 reads the therapy ID reserved at that time from the therapy reservation table stored in the server storage unit 604. = 7 is read, and it is determined that the therapy ID = 7 is to be executed (step 1802). Since one therapy is performed, L = 1. Then, after resetting the counter M (step 1804), it counts up for executing the first therapy (step 1806). Then, in step 1808, the therapy specified by therapy ID = 7 is executed. Since the therapy ID = 7 is a cognitive behavior therapy, it is executed by the processing described based on FIG. The cognitive-behavioral therapy identified by this therapy ID = 7 obtains the patient's interpretation of the matter related to obesity, such as thinking that overeating is useless evidence, If you are misinterpreting that you think it is bad proof, you can say, "I don't care how much I eat, I don't care. I just need control and I'm working on weight loss. At this point, you are much better than before! "

  According to the present embodiment, it is possible to select an appropriate therapy in a timely manner based on the patient's condition that changes from moment to moment and execute it at an appropriate timing, so that a more effective obesity treatment can be performed. Can be. For example, if you start obesity treatment and the treatment phase shifts smoothly from a weight loss phase to a weight maintenance phase, you try to lose weight further beyond the healthy weight target weight range Tend. Taking the patient AAAA as an example, at the stage of April 3, 2015, the weight history of the patient AAAA was within the target weight range (63 kg to 65 kg), and the latest AST, ALT, and CT values were within the appropriate range. She has reached a medically healthy state and has entered the phase of maintaining weight. However, since the patient AAAA had weighed 60 kg before becoming obese, he was determined to reduce the weight beyond the target range of 63 to 65 kg set by the doctor. The server control unit 601 detects that the weight, AST, ALT, and CT values of the patient AAAA are within appropriate ranges based on the patient information received in step 1706, and selects a therapy ID suitable for the phase of maintaining weight. = 8 is selected and executed. That is, it is detected whether or not the appropriate weight recognized by the patient AAAA is less than the lower limit of 63 kg of the appropriate weight set by the doctor, and if the erroneous recognition is performed, “your appropriate weight is 63 to It is 65 kg. Weight loss from 63 kg puts a heavy burden on the body and is rather unhealthy. " As a result, it is possible to correct a misinterpretation of a matter relating to obesity of a patient, and effectively prevent obesity treatment based on an erroneous interpretation that is easy for a patient to perform at this time.

  As described above, according to the present embodiment, by monitoring the daily obesity medical treatment history of the patient and performing an appropriate therapy each time, it is possible to perform a detailed obesity treatment that is in the patient's condition. Can be.

  Further, for example, after confirming that the patient's cognition has changed, the effect of the behavioral therapy can be enhanced by performing the behavioral therapy in a state where the cognitive change has occurred.

  For example, a case where “4: recommendation by an acquaintance” is selected as the cause of the patient's appetite urge in step 1206 will be taken as an example. Obesity patients who eat and drink at the recommendation of an acquaintance often mistakenly recognize that refusing the recommended food will offend the acquaintance of the acquaintance. When the cognitive behavioral therapy with the therapy ID = 2 is executed, and it is confirmed in steps 1604 to 1610 that such erroneous cognition is performed, “it is offended even if the recommendation of food is refused” There are few people. Rather, they often support me. "(Step 1616) to correct the patient's misinterpretation. If the cognitive-behavioral therapy (therapy ID = 2) is set in the therapy list as a condition for performing therapy ID = 9, the therapy ID = 2 is executed at a predetermined timing thereafter. This is confirmed from the obesity medical treatment history information, and the therapy ID = 9 is executed at that timing. In the therapy list, add the item of the effect of the executed therapy to the therapy history, and in addition to the fact that the cognitive behavioral therapy was executed, if the effect of changing the cognition according to the above procedure was confirmed, the change in the cognition Behavioral therapy suitable for the subject can also be performed. After the cognitive behavioral therapy of therapy ID = 2 is performed, and the patient understands that few people are offended even if he declines the recommendation of food, in step 1304, "When the food is specifically recommended" Please prepare in advance how to refuse. " Thereby, based on correct recognition, it is possible to create an environment in which when the food is recommended, the person is refused well and the other party cheers.

  When the effect of the behavioral therapy is performed alone, the effect may be limited, but using the present embodiment, after the cognitive change due to the cognitive behavioral therapy occurs, it is suitable for the cognitive change. The effect can be enhanced by performing behavioral therapy.

[Sixth Embodiment]
The system for obesity patients in the present embodiment includes a procedure for determining a start timing for performing a therapy for obesity treatment according to the first to fourth embodiments, and a start timing according to the fifth embodiment. And a function of executing both. The first to fourth embodiments and the fifth embodiment differ in the method of determining the start timing for executing the therapy for obesity treatment. However, by combining the first to fourth and fifth embodiments, the start timing determination processing of any of these therapies can be performed, and the therapy can be performed at the timing determined by any of the start timing determination processings. Is clear. Other configurations are the same as those of the first to fourth and fifth embodiments. In addition, a therapy started at a certain timing is, for example, only a cognitive behavior therapy, and a therapy performed at another timing is only a behavior therapy. May be done.

[Seventh embodiment]
In the present embodiment, the patient inputs a sentence in the patient-side electronic device 104, transmits the sentence to the server 102, and performs a syntax analysis process or the like on the control unit 601 of the server 102, thereby analyzing and acquiring the response of the patient. Then, by comparing with the correct answer information, the same information processing as in the first to sixth embodiments is executed. Other configurations are the same as those of the first to sixth embodiments.

  The embodiments described above are examples for describing the present invention, and the present invention is not limited to these embodiments. The present invention can be implemented in various forms without departing from the gist thereof.

REFERENCE SIGNS LIST 100 system 101 network 102 server 103 database 104 patient-side electronic device 105 physician-side electronic device 201 processing device 202 display device 303 input device 204 storage device 205 communication device 206 server program 301 processing device 302 display device 303 input device 304 storage device 305 Communication device 306 DB program 401 Processing device 402 Display device 403 Input device 404 Storage device 405 Communication device 406 Patient program 501 Processing device 502 Display device 503 Input device 504 Storage device 505 Communication device 506 Doctor program 601 Processing unit 602 Display unit 603 input unit 604 storage unit 605 communication unit 701 processing unit 702 display unit 703 input unit 704 storage unit 705 communication unit 801 processing unit 802 Radical 113 803 Input unit 804 storage unit 805 communication unit 901 processing unit 902 display unit 903 input unit 904 storage unit 905 communication unit

Claims (23)

A program used for obese patients, which stores
At the patient interpretation information acquisition timing determined based on at least one of input of information indicating the current physical condition of the patient and obesity medical treatment history information from the patient-side electronic device which is an electronic device used by the patient, Receiving patient interpretation information input to the electronic device indicating the patient's interpretation of an obesity-related matter;
Based on the received patient interpretation information and the correct answer information on the matter related to obesity, determining whether the interpretation of the matter related to obesity of the patient is incorrect,
If it is determined that the interpretation of the patient is incorrect, based on the correct answer information, the patient-side electronic device transmits cognitive behavior therapy information including information considered to be correct regarding matters related to obesity of the patient. Sending to
A program that executes Reading obesity medical history information from the database;
Based on the received obesity medical history information, determining a request timing to request the patient-side electronic device to transmit the patient interpretation information including the interpretation of the patient for a predetermined obesity related items,
At the request timing, transmitting a patient interpretation information request to request transmission of patient interpretation information including the interpretation of the patient about the predetermined obesity related matter, to the patient-side electronic device,
And let the computer run
The program according to claim 1, wherein the patient interpretation acquisition information timing is a timing at which patient interpretation information is received as a response to the patient interpretation information request. The patient interpretation acquisition information timing is determined based on the timing when information indicating the current physical condition of the patient is input to the patient-side electronic device,
At the physical condition information acquisition timing in which the information indicating the current physical condition of the patient is determined based on the timing input to the electronic device on the patient side, the computer further executes a step of obtaining information indicating the current physical condition of the patient. ,
The patient interpretation information includes information indicating the relationship between the current physical condition and obesity of the patient that the patient is thinking,
The program according to claim 1. When the acquired information indicating the current physical condition of the patient indicates an appetite impulse, the cause of the current physical condition considered by the patient, the obesity medical history information and the current physical condition of the patient are determined at what point in time. Based on at least one of the time indicating whether there is, the step of determining whether the appetite urge of the patient should be suppressed,
Based on the determination result of whether or not the patient's appetite impulse should be suppressed, transmitting a patient interpretation input request to prompt the input of patient interpretation information indicating the interpretation of the patient for the matter related to the obesity,
4. The program according to claim 3, further causing a computer to execute:   The step of transmitting the patient interpretation input request is performed when it is determined that the patient's appetite urge should be suppressed by determining whether the patient's appetite urge should be suppressed. 4. The program according to 4. At a first behavioral therapy execution timing in which the information indicating the current physical condition of the patient is determined based on the timing input to the patient-side electronic device, the patient is notified based on the information indicating the current physical condition of the patient. Transmitting further first behavioral therapy information indicating an action to be taken by the patient in relation to the current physical condition of the computer,
The program according to any one of claims 3 to 5.   The program according to any one of claims 3 to 6, wherein the information indicating the current physical condition of the patient includes a cause of the current physical condition considered by the patient. After transmitting the first behavioral therapy information, transmitting effect inquiry information indicating a message for inquiring whether or not the physical condition has improved;
Receiving effect answer information indicating an answer entered by the patient in response to the effect inquiry information;
Transmitting the second behavioral therapy information indicating an action to be taken by the patient in relation to the physical condition, if the effect response information indicates that the physical condition has not improved;
The program according to any one of claims 6 to 7, further causing the computer to execute: When the acquired information indicating the current physical condition of the patient indicates an appetite urge, the computer further includes a step of determining whether or not the appetite urge of the patient should be suppressed based on at least the effect response information. Let it run
The step of transmitting the second behavioral therapy information is performed based on at least a determination based on the effect answer information,
The program according to claim 8. The step of transmitting the cognitive behavioral therapy information is performed after the step of transmitting the first behavioral therapy information is performed;
The program according to claim 9. At the coaching timing in which information indicating the current physical condition of the patient is determined based on the timing input to the patient-side electronic device, transmitting coaching information indicating a message for encouraging the patient in relation to the physical condition of the patient. Causing the computer to further perform the step of
The program according to any one of claims 3 to 10. The step of transmitting the cognitive behavioral therapy information is performed after the step of transmitting the coaching information is performed.
The program according to claim 11. Third behavior therapy information indicating a behavior to be performed by the patient for obesity treatment, determining a second behavior therapy execution timing based on at least one of input of information indicating a current physical condition of the patient and obesity medical history information. Determining
Transmitting the third behavioral therapy information to the patient-side electronic device at the second behavioral therapy execution timing;
Updating obesity medical history information based on at least one of the cognitive behavior therapy information and the third behavior therapy information;
The program according to any one of claims 1 to 12, further causing a computer to execute: After transmitting the cognitive behavioral therapy information, based on the patient interpretation information and the cognitive behavioral therapy information, updating obesity medical treatment history information,
Based on the updated obesity medical history information, transmitting information on medication adjustment to at least one of the doctor-side electronic device and the patient-side electronic device used by a doctor,
The program according to any one of claims 1 to 13, further causing a computer to execute:   A computer-readable storage medium storing the program according to claim 1. A computer comprising a processing device, a communication device, and a storage device for storing a program used for an obese patient,
The program, the computer,
At the patient interpretation information acquisition timing determined based on at least one of input of information indicating the current physical condition of the patient and obesity medical treatment history information from the patient-side electronic device which is an electronic device used by the patient, Receiving patient interpretation information input to the electronic device indicating the patient's interpretation of an obesity-related matter;
Based on the received patient interpretation information and the correct answer information on the matter related to obesity, determining whether the interpretation of the matter related to obesity of the patient is incorrect,
If it is determined that the interpretation of the patient is incorrect, based on the correct answer information, the patient-side electronic device transmits cognitive behavior therapy information including information considered to be correct regarding matters related to obesity of the patient. Sending to
Let the computer run. A computer used for obese patients,
At the patient interpretation information acquisition timing determined based on at least one of input of information indicating the current physical condition of the patient and obesity medical treatment history information from the patient-side electronic device which is an electronic device used by the patient, Electronic patient, received patient interpretation information indicating the patient's interpretation of the matter related to obesity, if the interpretation of the patient is determined to be incorrect, based on the correct answer information, the patient A communication unit that transmits cognitive behavior therapy information including information considered to be correct for matters related to obesity to the patient-side electronic device,
A control unit that determines whether or not the interpretation of the matter related to obesity of the patient is incorrect based on the received interpretation information of the patient and the correct answer information of the matter related to obesity. . A program used for obese patients, wherein the electronic devices used by the patient include:
Input of information indicating the current physical condition of the patient and input of patient interpretation information indicating the interpretation of the patient regarding matters related to obesity at the patient interpretation information acquisition timing determined based on at least one of the obesity medical treatment history information of the patient Accepting,
Transmitting the input patient interpretation information to a server device;
If the interpretation of the patient is determined to be incorrect, receiving from the server device cognitive behavioral therapy information including information indicating information that is considered to be correct for matters related to obesity of the patient,
Based on the received cognitive behavioral therapy information, presenting to the patient information that is considered correct about matters related to obesity of the patient,
A program that executes An electronic device comprising a processing device, a communication device, an output device, and a storage device for storing a program used for an obese patient,
The program is stored in the electronic device,
Input of information indicating the current physical condition of the patient and input of patient interpretation information indicating the interpretation of the patient regarding matters related to obesity at the patient interpretation information acquisition timing determined based on at least one of the obesity medical treatment history information of the patient Accepting,
Transmitting the input patient interpretation information to a server device;
If the interpretation of the patient is determined to be incorrect, receiving from the server device cognitive behavioral therapy information including information indicating information that is considered to be correct for matters related to obesity of the patient,
Based on the received cognitive behavioral therapy information, presenting to the patient information that is considered correct about matters related to obesity of the patient,
An electronic device that runs. An electronic device used for obese patients,
Input of information indicating the current physical condition of the patient and input of patient interpretation information indicating the interpretation of the patient regarding matters related to obesity at the patient interpretation information acquisition timing determined based on at least one of the obesity medical treatment history information of the patient An input unit for receiving
The input patient interpretation information is transmitted to a server device, and when it is determined that the interpretation of the patient is incorrect, a recognition including information indicating information considered to be correct regarding matters related to the obesity of the patient. A communication unit that receives behavior therapy information from the server device;
Based on the received cognitive behavioral therapy information, an output unit that presents to the patient information that is to be correct about matters related to the obesity of the patient,
An electronic device having:   A server device which is a computer according to any one of claims 16 and 17, an electronic device used by at least one patient according to any one of claims 19 and 20, and a medical treatment for obesity of the patient. A database for storing historical information, the system being used for obese patients. A method used for obese patients, comprising:
At the patient interpretation information acquisition timing determined based on at least one of input of information indicating the current physical condition of the patient and obesity medical treatment history information from the patient-side electronic device which is an electronic device used by the patient, Receiving patient interpretation information input to the electronic device indicating the patient's interpretation of an obesity-related matter;
Based on the received patient interpretation information and the correct answer information on the matter related to obesity, determining whether the interpretation of the matter related to obesity of the patient is incorrect,
If it is determined that the interpretation of the patient is incorrect, based on the correct answer information, the patient-side electronic device transmits cognitive behavior therapy information including information considered to be correct regarding matters related to obesity of the patient. Sending to
How to make it work. A method used for obese patients, wherein the electronic device comprises:
Input of information indicating the current physical condition of the patient and input of patient interpretation information indicating the interpretation of the patient regarding matters related to obesity at the patient interpretation information acquisition timing determined based on at least one of the obesity medical treatment history information of the patient Accepting,
Transmitting the input patient interpretation information to a server device;
If the interpretation of the patient is determined to be incorrect, receiving from the server device cognitive behavioral therapy information including information indicating information that is considered to be correct for matters related to obesity of the patient,
Based on the received cognitive behavioral therapy information, presenting to the patient information that is considered correct about matters related to obesity of the patient,
How to make it work.

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