JP2021022401A - Rehabilitation plan creation support device, rehabilitation plan creation support system, rehabilitation plan creation support method, and rehabilitation plan creation support computer program - Google Patents

Abstract

To provide a rehabilitation plan creation support system and a rehabilitation plan creation support computer program capable of improving the accuracy and work efficiency of digitizing a document while suppressing an occurrence of useless cost in storing electronic data of the document.SOLUTION: In a rehabilitation plan creation support system 1, a support server 3 for performing creation support of a rehabilitation plan of a user needing rehabilitation includes a user information DB 20 for storing user information on a user, a target example DB 21 for storing a target example of the rehabilitation, a rehabilitation program DB 22 for storing a rehabilitation program, a target example extraction unit 23 for extracting a target example corresponding to the user information from the target example DB 20, a rehabilitation program extraction unit 24 for extracting a rehabilitation program corresponding to the user information from the rehabilitation program DB 22, and a rehabilitation plan proposal unit 25 for proposing the extracted target example and the rehabilitation program according to respective priorities.SELECTED DRAWING: Figure 1

Description

The present invention relates to a rehabilitation plan creation support device for supporting the creation of a rehabilitation plan (hereinafter referred to as rehabilitation) according to a user, a rehabilitation plan creation support system, a rehabilitation plan creation support method, and a rehabilitation plan creation support computer program.

As a form of rehabilitation service, there is outpatient care (day service). Outpatient long-term care is a one-day long-term care service in which users who receive rehabilitation go to the office to provide long-term care such as bathing, excretion, and meals, and functional training.

In such outpatient care, the individual function training addition can be calculated when the individual function training according to the user's problem is systematically performed after grasping the user's situation.

For individual function training addition, "individual function training addition I" aimed at maintaining the physical function of the user, improvement of ADL (activity of daily living), IADL (instrumental activity of daily living), hobbies, participation, etc. There are two types of "Individual Function Training Addition II" for the purpose of, but in each case, it is necessary to create a rehabilitation plan called an individual function training plan for each user and plan tasks and training contents.

However, such a rehabilitation plan needs to be described in appropriate expressions for each item that needs to be described, and it is not easy to prepare. In addition, the rehabilitation plan is mainly prepared by functional training instructors (nurses, associate nurses, physiotherapists, occupational therapists, speech therapists, judo rehabilitators, masseuse massagers). There is a problem that the quality of the content varies depending on the experience of the creator.

Therefore, a rehabilitation plan creation system that supports the creation of such a rehabilitation plan has been developed (see Patent Document 1). In the technique described in Patent Document 1, the difference between the user's goal and the current ability is specified for each ability element, and rehabilitation that can be performed with the user's current ability from among the rehabilitation candidates for eliminating the difference. Candidates are decided as the actual rehabilitation.

Patent No. 5620889

However, in the technique of Patent Document 1, although there are rehabilitation candidates that can be implemented with the current ability of the user, it is not known which rehabilitation program is the most effective among them, so the functional training instructor is also at a loss to select. In some cases.

In addition, in order to create a high-quality rehabilitation plan, it is important to set goals that are suitable for the user's issues and the surrounding environment, but setting goals depends on the ability of functional training instructors and is not always used. It may not reflect the issues of the person or the surrounding environment.

The present invention has been made to solve such a problem, and an object thereof is a rehabilitation plan creation support device, a rehabilitation plan, which can create a rehabilitation plan more easily and suitable for a user. The purpose is to provide a creation support system, a rehabilitation plan creation support method, and a rehabilitation plan creation support computer program.

In order to achieve the above object, the rehabilitation plan creation support device according to the present invention is a rehabilitation plan creation support device that supports the creation of a rehabilitation plan for a user who needs rehabilitation, and provides user information about the user. The user information storage unit to be stored, the target example storage unit in which the target example of the rehabilitation is stored, the rehabilitation program storage unit in which the rehabilitation program is stored, and the target example storage unit corresponding to the user information. The target example extraction unit extracted from the unit, the rehabilitation program extraction unit that extracts the rehabilitation program according to the user information from the rehabilitation program storage unit, the target example extracted by the target example extraction unit, and the rehabilitation It includes a rehabilitation plan proposal unit that proposes a rehabilitation program extracted by the program extraction unit according to each priority.

In the above-mentioned rehabilitation plan creation support device, the target example extraction unit extracts a plurality of high-priority target examples from the target example storage unit according to the user information, and the rehabilitation plan proposal unit extracts the target example. A plurality of target examples extracted by the extraction unit may be proposed according to the priority.

Further, in the above-mentioned rehabilitation plan creation support device, the target example extraction unit calculates the priority of the target example including at least one of the home visit information and the interest information included in the user information. You may.

Further, in the above-mentioned rehabilitation plan creation support device, the target example extraction unit may give higher priority to the extracted target examples related to the basic physical ability.

Further, in the above-mentioned rehabilitation plan creation support device, the rehabilitation program extraction unit extracts a plurality of high-priority rehabilitation programs from the rehabilitation program storage unit according to the target example, and the rehabilitation plan proposal unit performs the rehabilitation. A plurality of rehabilitation programs extracted by the program extraction unit may be proposed according to the priority.

Further, in the above-mentioned rehabilitation plan creation support device, if the disease information included in the user information includes a disease that affects the rehabilitation program, the rehabilitation plan proposal unit may risk the affected rehabilitation program. You may provide risk information to the effect that there is.

In addition, the above-mentioned rehabilitation plan creation support device may further include a plan creation unit that determines a target example and a rehabilitation program proposed by the rehabilitation plan proposal unit and creates a rehabilitation plan.

Further, the above-mentioned rehabilitation plan creation support device may further include an implementation record unit that proposes a rehabilitation program in line with the rehabilitation plan created by the plan preparation unit and records the implementation status of the rehabilitation program. Good.

Further, in the above-mentioned rehabilitation plan creation support device, the implementation recording unit may be able to modify the rehabilitation program according to the rehabilitation plan according to the change of the user information.

In order to achieve the above object, the rehabilitation plan creation support system according to the present invention includes the above-mentioned rehabilitation plan creation support device and a business office terminal capable of communicating with the rehabilitation plan creation support device.

In order to achieve the above object, the rehabilitation plan creation support method according to the present invention is a rehabilitation plan creation support method in which a computer supports the creation of a rehabilitation plan for a user who needs rehabilitation, and is used for the user. The target example according to the person information corresponds to the target example extraction step of extracting the target example of the rehabilitation from the stored target example storage unit, the target example extracted in the target example extraction step, and the user information. The rehabilitation program extraction step for extracting the rehabilitation program from the rehabilitation program storage unit in which the rehabilitation program is stored, the target example extracted in the target example extraction step, and the rehabilitation extracted in the rehabilitation program extraction step. It includes a rehabilitation plan proposal step that proposes a program according to each priority.

In order to achieve the above-mentioned object, the rehabilitation plan making support computer program according to the present invention causes a computer to execute the above-mentioned rehabilitation plan making support method.

According to the present invention using the above means, a rehabilitation plan suitable for the user can be created more easily.

It is a schematic block diagram of the rehabilitation plan making support system including the rehabilitation plan making support device which concerns on one Embodiment of this invention. It is explanatory drawing which showed a part of an example of interest interest check sheet. It is explanatory drawing which showed a part of an example of a home visit check sheet. It is explanatory drawing which showed an example of weighting of a target example. It is explanatory drawing which showed an example of the rehabilitation plan proposal display. It is a flowchart which showed the flow of the rehabilitation plan creation executed in the office terminal and the support server of this embodiment. It is explanatory drawing which showed a part of an example of a Barthel index.

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

FIG. 1 shows a schematic configuration diagram of a rehabilitation plan creation support system including a rehabilitation plan creation support device according to an embodiment of the present invention, and FIG. 2 is an explanatory diagram showing a part of an example of an interest check sheet. , FIG. 3 shows an explanatory diagram showing a part of an example of a home visit check sheet, FIG. 4 shows an explanatory diagram showing an example of weighting of a target example, and FIG. 5 shows an example of a rehabilitation plan proposal display. Explanatory drawings are shown respectively, and the configuration of the present embodiment will be described based on these figures.

As shown in FIG. 1, the rehabilitation plan creation support system 1 according to the present embodiment is configured by connecting a business office terminal 2 and a support server 3 (rehabilitation plan creation support device) via a network N such as the Internet. ing. The business office terminal 2 and the support server 3 may be connected to each other via a communication network such as a VPN (Virtual Private Network) or an intranet, or a communication means such as wired or wireless, in addition to the Internet. Further, for simplification of the explanation, the support server 3 is connected to one business office terminal 2 in FIG. 1, but the support server 3 can be connected to a plurality of business office terminals 2.

In this embodiment, the person who uses the business office terminal 2 is a service provider of day service for day care, and the person who directly operates the business office terminal 2 is mainly a functional training instructor (nurse, associate nurse). , Physical therapist, occupational therapist, speech therapist, judo rehabilitator, or masseuse). The user of the business terminal 2 is not limited to this, and may be, for example, a provider of other rehabilitation services or nursing care services.

The office terminal 2 is a personal computer (hereinafter referred to as a PC), and has an input unit 10 such as a keyboard, a touch panel, a mouse, a scanner, and a camera, and an output unit 11 such as a display and a printer. Although not shown, the office terminal 2 also includes a storage device such as an HDD and a memory, and an arithmetic unit such as a CPU. The office terminal 2 is not limited to a personal computer, and may be a mobile terminal such as a smartphone, a tablet PC, or a mobile phone.

The office terminal 2 is also provided with a communication device (not shown), and can transmit the information input by the input unit 10 to the support server 3, receives the information from the support server 3, and outputs the information by the output unit 11. It is also possible.

The support server 3 is composed of one or a plurality of servers (computers) that support the rehabilitation plan based on the computer program. The support server 3 has a user information database 20 (user information storage unit), a target example database 21 (target example storage unit), and a rehabilitation program database 22 (rehabilitation program storage unit) (hereinafter, the database is referred to as "rehabilitation program storage unit"). Notated as "DB"). In addition, the support server 3 has a target example extraction unit 23, a rehabilitation program extraction unit 24, a rehabilitation plan proposal unit 25, a plan creation unit 26, and an implementation record unit 27. Hereinafter, each DB and each part will be described in detail.

The user information DB 20 is a DB that stores user information about users. User information includes basic information, disease information, interest information, home visit information, physical function information, plan information, health information, and rehabilitation implementation information.

The basic information includes basic personal information such as the user's name, gender, date of birth, age, and gender. The disease information is information about a disease possessed by the user, and includes a disease name, risk information caused by the disease, and the like.

The interest-interest information is information on the interest of the user, for example, questionnaire result information based on the interest-interest check sheet. For example, according to an example of the interest check sheet shown in FIG. 2, the interest check sheet is used for check items such as "go to the bathroom by yourself", "take a bath by yourself", and "get dressed by yourself". The questionnaire is in the form of answering the degree of interest, such as "doing", "want to try", and "interested".

The home visit information is information on the result of the user's home visit, for example, the information described in the home visit check sheet described by the functional training instructor. The home visit check sheet includes ADL items (meal, excretion, bathing, changing clothes, dressing, transfer), IADL items (indoor movement, outdoor movement, stair climbing, cooking, washing, cleaning), and items for getting up (getting up, getting up, cleaning). For each of the sitting, standing, and standing positions, level information consisting of independence, watching, partial assistance, and total assistance, and information on the presence or absence of tasks are linked. In addition, information on the environment, information on assistive devices, information on situations / living issues, and the like may be linked to the information on ADL, IADL, and moving up.

For example, in the example of the home visit check sheet shown in FIG. 3, the items of "meal" and "excretion" of ADL are shown, and level information and information on the presence or absence of a task can be selectively input by radio buttons, respectively. ..

In addition, information on the environment, information on assistive devices (articles used), and information on situations / living issues can be selected and input by checking boxes. Specifically, in FIG. 3, regarding "meal", "meal in bed" and "meal at the table" can be selected as environmental information, and "use self-help equipment" and "welfare equipment" as information such as assistive devices. You can select "need to consider", "risk of aspiration", "need assistance in preparation", "cannot manage medication", and "use of insulin" as information on the situation / life issues. For "excretion" in FIG. 3, selection items are set for information on the environment, information on assistive devices, and information on situations and living issues.

The physical function information is information on the physical function of the user, and includes, for example, information on the results of periodic physical checks such as weight, grip strength, standing / sitting test, and long-seat forward bending. The plan information is information on a completed or incomplete rehabilitation plan, specifically, individual function training additions I and II.

Health information is information on the results of health checks on the user's rehabilitation date, such as blood pressure, weight, and muscle strength.

The rehabilitation implementation information is information on the results of the rehabilitation program implemented by the user, and includes, for example, information such as the rehabilitation program name, the rehabilitation implementation date, and the rehabilitation implementation content.

The target example DB 21 stores rehabilitation target examples, and specifically, a plurality of target examples corresponding to the individual function training additions I and II are stored. Goal examples are stored hierarchically in relation to each other. For example, classifications such as basic movements, floor movements, meals, toilets, and bathing are stored in the upper hierarchy, long-term goals in the middle hierarchy, and short-term goals in the lower hierarchy. Is remembered. For example, in the classification of "toilet", there are long-term goals "to be able to excrete in the toilet" and "to be able to excrete in the portable toilet", and short-term goals linked to the long-term goal "to be able to excrete in the toilet". "You will be able to feel the urge to urinate and defecate," "you will be able to move to the toilet," and "you will be able to enter and exit the toilet safely."

The rehabilitation program DB 22 stores a rehabilitation program according to the above target example. For example, for the target example related to "toilet", "to be able to open and close the toilet door, do standing balance training", "to be able to open and close the toilet door" Rehabilitation programs such as "practice pushing / pulling the door" and "practicing wheelchair operation to be able to go in and out of the toilet with a wheelchair" are stored.

The target example extraction unit 23 has a function of extracting target examples according to user information from the target example DB 21. For example, the target example extraction unit 23 associates each item of the interest check sheet and the home visit check sheet with the target example, and weights (scores) according to the answer contents of each item to determine a predetermined value. Narrow down to target examples for items with points that exceed the threshold. Then, the narrowed down target examples are weighted according to the related physical abilities to extract high priority target examples.

For example, to explain the correspondence between each item of the interest check sheet and the home visit check sheet and the target example, "go to the toilet by yourself" in the interest check sheet shown in FIG. 2 and the home visit check shown in FIG. The "excretion" of the sheet is associated with a target example (target classification) related to "excretion".

As a specific example of weighting according to the answer contents of each item, as shown in the explanatory diagram of FIG. 4, the target example extraction unit 23 weights the items on the interest check sheet and confirms them on the interest check sheet. It has different weighting settings in two forms of weighting for content that cannot be done. As for the weighting of the items on the interest check sheet, as an index based on the interest check sheet, a point is given for the item that the answer of the interest check sheet is "does", and b for the item that "wants to try". Set point (a> b) and point c (b> c) for the item of answer "none". In addition, as an index based on the home visit check sheet, items that have problems and require assistance (non-independence) are point d, items that have problems and do not require assistance (independence) are points e (d> e), and problems. Items that are non-independent without a problem are set at point f (e> f), and items that are independent without a problem are set at point g (f> g). Then, the points of the corresponding items in the interest check sheet and the home visit check sheet are added to calculate the points of the items.

On the other hand, for the contents that cannot be confirmed by the interest check sheet, the score is set by combining the index of the presence or absence of the problem and the index of the degree of independence based on the home visit check sheet. As an index of the presence or absence of a task, the item with a task "Yes" is set to h points, and the item with a task "No" is set to i points (h> i). As an index of the degree of independence, j points are for items that are non-independent and require the use of items such as assistive devices and handrails (with items), k points (j> k) for items that are non-independent and do not have items, and items that are independent. Items with items are set at l points (k> l), and items that are independent and have no articles are set at m points (l> m). Then, the score of the item is calculated by adding the score of the task and the degree of independence.

For example, as shown in FIG. 2, "I want to go to the toilet" is selected for the item "Go to the toilet by myself" in the interest check sheet, and the level of "excretion" in the home visit check sheet shown in FIG. 3 is ". When "total assistance" (non-independence) and "task" is "yes", the score of the target example of "excretion" is b + d points.

In this embodiment, two types of weighting are performed, but the weighting type is not limited to this. For example, for the contents that cannot be confirmed by the home visit check sheet, the weighting based on the interest check sheet is performed. It may be set. Further, for example, weighting based on physical function information may be added.

Then, the target example extraction unit 23 narrows down the target examples to or more than a predetermined threshold value, and further weights the target examples according to the physical abilities related to the target examples to extract the target examples having high priority. The weighting according to the physical ability related to this target example is given a higher score (higher priority) as the target example related to the basic physical ability. For example, the target examples related to "muscle strength" and "sense" have the highest score (A point), and the target examples related to basic movements and combined movements of "turning over" and "getting up" are B points (A> B), "meal" and ADL such as "changing clothes" is C point (B> C), ADL such as "excretion" and "stair climbing" is D point (C> D), and ADL such as "cleaning" and "cooking" is E point ( APDLs such as D> E), "outdoor movement" and "shopping" weight target examples such as point F (E> F). Specifically, it is the most basic when the target examples that exceed the predetermined threshold value by weighting based on the interest check sheet and the home visit check sheet are "cleaning", "excretion", and "muscle strength". “Muscle strength” (point A) related to physical ability has the highest priority, followed by “excretion” (point D) and “cleaning” (point E).

Further, the target example extraction unit 23 may extract target examples from information on the environment of the home visit check sheet, information on auxiliary tools and the like (articles used), and information on situations and living issues. For example, "risk of falling" is associated with "muscle strength" of the target example as information on the situation / life task, and when "risk of falling" is selected, the goal of "muscle strength". An example may be added and weighting may be performed according to the above-mentioned physical ability. In addition, the target example extraction unit 23 has a function of adding target examples necessary for the user based on the disease information, physical function information, and health information of the user information, and excluding target examples that are difficult for the user to achieve. Also has.

The rehabilitation program extraction unit 24 has a function of extracting the rehabilitation program according to the target example extracted by the target example extraction unit 23 from the rehabilitation program DB 22 according to the user information. For example, the rehabilitation program extraction unit 24 sets the priority of the rehabilitation program higher as the rehabilitation program corresponds to the target example having a higher priority. Furthermore, the rehabilitation program extraction unit 24 uses the information on the environment and the information on the situation / life issues of the home visit check sheet to exclude the rehabilitation programs that are difficult for the user to realize, or to add the rehabilitation program necessary for the user. You may do it.

The rehabilitation plan proposal unit 25 has a function of proposing a target example extracted by the target example extraction unit 23 and a rehabilitation program extracted by the rehabilitation program extraction unit 24 according to their respective priorities.

Specifically, as shown in the rehabilitation plan proposal display example of FIG. 5, the rehabilitation plan proposal unit 25 has a target classification selection column A, a long-term target selection column B, and a short-term target in the output unit 11 of the business establishment terminal 2. In each of the target selection fields C, each target example with the highest priority extracted by the target example extraction unit 23 is displayed. Further, the rehabilitation plan proposal unit 25 displays the rehabilitation programs extracted by the rehabilitation program extraction unit 24 in the three selection fields D1, D2, and D3 of the rehabilitation program in descending order of priority. In FIG. 5, the priority is expressed by the number of stars, and the larger the number of stars, the higher the priority. In addition, the rehabilitation program extraction unit 24 displays a plurality of candidates in the pull-down menu in descending order of priority by clicking each selection field, and can change to another target example or another rehabilitation program.

For example, the rehabilitation plan proposal unit 25 displays the target example of the upper hierarchy regarding the target example having the highest priority in the target example extraction unit 23 in the target classification selection column A. In addition, an example of a high-priority middle-level goal based on weighting according to the response contents of each item of the interest check sheet and the home visit check sheet is displayed in the long-term goal selection column B. Further, an example of a lower-level goal with a high priority based on weighting according to physical ability is displayed in the short-term goal selection column C.

In addition, the rehabilitation plan proposal unit 25 can display the target example displayed in each selection column and the basis of the rehabilitation program in the comment column E.

For example, in FIG. 5, “strength up” with a priority of 5 stars is displayed in the selection column A of the target classification. In addition, in the long-term goal selection column B, a high priority (5 stars) among the long-term goals for increasing muscle strength is displayed, "Preventing muscle weakness in the limbs and trunk and enabling a healthy life." There is. In the short-term goal selection column C, "Prevent muscle weakness of the trunk and maintain / improve the stability of the trunk" is displayed, which has a high priority among the short-term goals for increasing muscle strength (5 stars). .. Then, in the selection column D1 of the rehabilitation program, "Train muscle strength training (backward edition) of the trunk to prevent muscle weakness of the trunk", which has a high priority among the rehabilitation programs for increasing muscle strength, is displayed. The sitting position is displayed in the selection column D2, and the standing position is displayed in the selection column D3.

Also, if you click the goal classification selection field A, multiple high-priority goal classifications (for example, "toilet" with 4 stars) will be displayed following "strengthening up", and if you select a goal example other than "strengthening up" , The display of each selection column B, C, D1 to D3 of the long-term goal, the short-term goal, and the rehabilitation program according to the selected goal classification is also automatically changed to the one corresponding to the selected goal example.

In addition, in the comment column E, as the basis for the above-mentioned goal example and rehabilitation program, "A program related to strengthening muscles has been proposed because there is a problem in standing. I am also interested in the item of changing clothes." Has been done. The comment may be based on an interest check sheet or a home visit check sheet, or may be based on weighting in the target example extraction unit 23.

Furthermore, the rehabilitation plan proposal unit 25 uses the disease information, physical function information, and health information stored in the user information DB 20, and if there is a disease or the like that affects the rehabilitation program, the rehabilitation program is affected. It is also possible to provide risk information that the affected rehabilitation program is at risk so that is not selected. The risk information may be presented in the comment column E in FIG. 5, or another column may be provided. For example, for a user who has "backache" as disease information, it is additionally displayed in the comment column E as risk information that the user has "backache". As a result, it is possible to warn the person using the business office terminal 2 not to select the rehabilitation program for back pain. Furthermore, the rehabilitation plan proposal unit 25 may display alert information indicating that it cannot be implemented when a target example or a rehabilitation program that cannot be implemented is selected from the user's disease information or physical function information. It is possible. For example, if a rehabilitation program for the lower back is selected in the selection field D1 of the rehabilitation program even though there is back pain as a disease, the color of the selection field D1 changes or a warning mark is displayed next to the selection field D1. To display.

In addition, the rehabilitation plan proposal unit 25 displays "details" buttons F1, F2, and F3 next to the selection fields D1, D2, and D3 of the rehabilitation program, and when the button is clicked, the rehabilitation program DB 22 is displayed. It is possible to display the specific contents of a certain rehabilitation program.

The plan preparation unit 26 has a function of determining a target example and a rehabilitation program and creating a rehabilitation plan. Specifically, it has a function of reflecting user information, a fixed goal, and a rehabilitation program in a format according to the individual function training addition I or II. For example, the plan creation unit 26 displays the “Post to plan” button G in FIG. 4, and creates a rehabilitation plan when the button G is clicked. Then, the plan preparation unit 26 can transmit the created rehabilitation plan to the business establishment terminal 2 or store it in the user information DB 20 as the plan information.

The implementation record unit 27 has a function of transmitting the rehabilitation program to be performed on the rehabilitation implementation date to the business office terminal 2 in accordance with the created rehabilitation plan. Further, the implementation recording unit 27 has a function of receiving the implementation result of the rehabilitation program transmitted from the business establishment terminal 2 and storing it in the user information DB 20 as rehabilitation implementation information.

Further, the implementation record unit 27 also has a function of acquiring the health information of the user on the rehabilitation implementation date from the user information DB and modifying the rehabilitation program according to the rehabilitation plan into a rehabilitation program according to the health condition. doing. In addition, if the rehabilitation program to be implemented cannot be implemented based on the user's disease information or the user's health information on the rehabilitation implementation date, the implementation record unit 27 will include an explanation to that effect and risks. It is also possible to display alert information.

The support server 3 configured in this way can automatically propose a high-priority target example and a rehabilitation program by inputting necessary user information by the business office terminal 2. Furthermore, it is possible to automatically create a rehabilitation plan according to the established target example and the rehabilitation program, and keep an implementation record according to the rehabilitation plan.

Here, with reference to FIG. 6, a flowchart showing a flow of creating a rehabilitation plan executed by the business office terminal 2 and the support server 3 of the present embodiment is shown, and the following will be described with reference to the same flowchart.

First, in step S1, for example, a functional training instructor operates the input unit 10 of the business establishment terminal 2 to input user information. The input user information is stored in the user information DB 20 of the support server 3. Then, when at least the basic information of the user, the disease information, the home visit information, the interest information, and the physical function information are input, the process proceeds to the next step S2.

In step S2, the target example extraction unit 23 of the support server 3 extracts target examples (target classification, long-term target, short-term target) according to user information from the target example DB 21 (target example extraction step).

Subsequently, in the next step S3, the rehabilitation program extraction unit 24 of the support server 3 extracts the rehabilitation program according to the target example from the rehabilitation program DB 22 (rehabilitation program extraction step).

In the next step S4, the rehabilitation plan proposal unit 25 determines whether or not there is a risk for rehabilitation from the user's disease information and the like. If the determination result is true (Yes), that is, if the user has a risk for rehabilitation, the process proceeds to step S5. On the other hand, if the determination result is false (No), that is, if the user does not have a risk for rehabilitation, the process proceeds to step S6 without going through step S5.

In step S5, the rehabilitation plan proposal unit 25 displays the user's risk information on the rehabilitation plan proposal screen for the output unit 11 of the business establishment terminal 2.

In step S6, the rehabilitation plan proposal unit 25 extracts the target example extracted in step S2 and the target example in step S3 with respect to the output unit 11 of the office terminal 2 as in the rehabilitation plan proposal screen example shown in FIG. Propose the rehabilitation program that has been completed according to each priority (rehabilitation plan proposal step). At this time, the rehabilitation plan proposal unit 25 displays the presented target example and the reason for the rehabilitation program in the comment column.

In step S7, for example, the functional training instructor operates the input unit 10 of the business establishment terminal 2 to take into consideration the proposed target example, rehabilitation program, comment display, risk display, etc., and finally the target example and the rehabilitation program. To determine.

Then, for example, when the “Post to plan” button G in FIG. 4 is clicked, in step S8, the plan creation unit 26 of the support server 3 determines the determined target example and the rehabilitation program, and performs the rehabilitation plan. Create a book. The created rehabilitation plan is transmitted to the business office terminal 2 and stored as plan information in the user information DB 20.

When the business establishment terminal 2 receives the rehabilitation plan, as step S9, the output unit 11 of the business establishment terminal 2 displays or prints the rehabilitation plan sent from the plan creation unit 26 of the support server 3. To do.

As described above, in the rehabilitation plan creation support system 1 in the present embodiment, when the user information is input, the support server 3 extracts a target example according to the user information and rehabilitates according to the target example. Extract the program. Then, the support server 3 proposes the extracted target example and the rehabilitation program to the business establishment terminal 2 according to their respective priorities.

As a result, the functional training instructor can easily determine the target example and the rehabilitation program because the selection work can be performed based on the priority even when a plurality of target examples and a plurality of rehabilitation programs are proposed. It can be carried out.

Further, the priority of the target example is set according to the interest information and the home visit information of the user information, so that the priority is suitable for the user's condition and request.

In addition, since the priority of the target example is set to be higher according to the required basic physical ability, the priority is more suitable for the user's request.

Furthermore, if there is a disease that affects the rehabilitation program in the user's disease information, by presenting risk information, the rehabilitation program is appropriate from the viewpoint of disease information other than home visit information and interest information. It is possible to ensure the safety of the proposed rehabilitation program.

Then, by confirming the proposed target example and the rehabilitation program and creating a rehabilitation plan such as individual function training additions I and II, a rehabilitation plan that easily meets the user's request is created. be able to.

In addition, the implementation record unit 27 can improve the feasibility of the rehabilitation plan by proposing a rehabilitation program in line with the rehabilitation plan after creating the rehabilitation plan and recording the implementation status of the rehabilitation program. it can.

From the above, the rehabilitation plan creation support system 1 and the support server 3 according to the present embodiment can more easily create a rehabilitation plan suitable for the user.

Although the description of the embodiment of the present invention is completed above, the aspect of the present invention is not limited to this embodiment.

For example, the rehabilitation plan creation support system 1 of the above embodiment is composed of two computers, a business office terminal 2 and a support server 3, but for example, it may be composed of only one computer (for example, a PC). The functions may be divided and configured by three or more computers. In addition, a part or all of the functions of the support server may be processed by the business terminal.

Further, in the above embodiment, the home visit information is acquired from the information described in the home visit check sheet, but it may be acquired by an evaluation method other than the home visit check sheet. For example, the Barthel index may be used in place of the home visit check sheet or in addition to the home visit check sheet. As shown in FIG. 7, the Barthel index scores 10 movements of meal, wheelchair-to-bed movement, dressing, toilet movement, bathing, walking, stair climbing, changing clothes, defecation control, and urination control. It is an evaluation index that evaluates activities of daily living. Therefore, the score of this Barthel index may be used for weighting for extracting the target example.

1 Rehabilitation plan creation support system 2 Business office terminal 3 Support server 10 Input unit 11 Output unit 20 User information DB (user information storage unit)
21 Target example DB (target example storage unit)
22 Rehabilitation program DB (rehabilitation program storage unit)
23 Target example extraction department 24 Rehabilitation program extraction department 25 Rehabilitation plan proposal department 26 Plan preparation department 27 Implementation record department

Claims (12)

It is a rehabilitation plan creation support device that supports the creation of rehabilitation plans for users who require rehabilitation.
A user information storage unit that stores user information related to the user,
A target example storage unit in which the rehabilitation target example is stored,
The rehabilitation program storage unit where the rehabilitation program is stored and
A target example extraction unit that extracts a target example according to the user information from the target example storage unit,
A rehabilitation program extraction unit that extracts a rehabilitation program according to the user information from the rehabilitation program storage unit, and a rehabilitation program extraction unit.
A rehabilitation plan proposal unit that proposes a target example extracted by the target example extraction unit and a rehabilitation program extracted by the rehabilitation program extraction unit according to their respective priorities.
Rehabilitation planning support device equipped with. The target example extraction unit extracts a plurality of high-priority target examples from the target example storage unit according to the user information.
The rehabilitation plan creation support device according to claim 1, wherein the rehabilitation plan proposal unit proposes a plurality of target examples extracted by the target example extraction unit according to priority. The rehabilitation plan creation support device according to claim 2, wherein the target example extraction unit calculates the priority of the target example including at least one of the home visit information and the interest information included in the user information. .. The rehabilitation plan creation support device according to claim 2, wherein the target example extraction unit has a higher priority as a target example related to basic physical ability among the extracted target examples. The rehabilitation program extraction unit extracts a plurality of high-priority rehabilitation programs from the rehabilitation program storage unit according to the target example.
The rehabilitation plan creation support device according to any one of claims 1 to 4, wherein the rehabilitation plan proposal unit proposes a plurality of rehabilitation programs extracted by the rehabilitation program extraction unit according to priority. If the disease information included in the user information includes a disease that affects the rehabilitation program, the rehabilitation plan proposal department presents risk information indicating that there is a risk for the affected rehabilitation program. The rehabilitation plan creation support device according to any one of 1 to 5. Further, the rehabilitation plan preparation support according to any one of claims 1 to 6, further comprising a plan preparation unit for determining a target example and a rehabilitation program proposed by the rehabilitation plan proposal department and creating a rehabilitation plan. apparatus. The rehabilitation plan creation support device according to claim 7, further comprising an implementation record unit that proposes a rehabilitation program in line with the rehabilitation plan created by the plan preparation unit and records the implementation status of the rehabilitation program. The rehabilitation plan creation support device according to claim 8, wherein the implementation recording unit can modify a rehabilitation program according to the rehabilitation plan according to a change in the user information. The rehabilitation plan creation support device according to any one of claims 1 to 9.
A business terminal capable of communicating with the rehabilitation plan creation support device,
Rehabilitation planning support system equipped with. A computer is a rehabilitation plan creation support method that supports the creation of a rehabilitation plan for users who require rehabilitation.
A target example extraction step for extracting a target example according to the user information regarding the user from the target example storage unit in which the target example for rehabilitation is stored, and
A rehabilitation program extraction step of extracting a target example extracted in the target example extraction step and a rehabilitation program corresponding to the user information from the rehabilitation program storage unit in which the rehabilitation program is stored,
A rehabilitation plan proposal step that proposes a target example extracted in the target example extraction step and a rehabilitation program extracted in the rehabilitation program extraction step according to their respective priorities.
Rehabilitation plan creation support method equipped with. A rehabilitation plan creation support computer program for causing a computer to execute the rehabilitation plan creation support method according to claim 11.

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