JP3076001B2 - Home therapy support system - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a home therapy support system for medical information and medical equipment for various diseases that need to be treated at home for a long time, such as patients undergoing home oxygen therapy.

[0002]

2. Description of the Related Art Patients with chronic diseases such as respiratory diseases, hypertension, and diabetes that require long-term treatment are treated on a regular basis or according to their symptoms while continuing treatment based on a doctor's prescription. I manage my health by going to the hospital. In this case, there are considerable problems for the doctor to accurately grasp the health condition and compliance of the patient and to give appropriate guidance.

[0003] For example, a patient undergoing home oxygen therapy loses physical strength at a hospital visit and presents a lower blood oxygen saturation than normal at regular diagnosis. For patients living in mountainous areas and remote islands, the physical burden of going to hospital is a problem. It is also important for a physician to diagnose whether or not the patient is inhaling the high-concentration oxygen generated from the oxygen concentrator as prescribed, in compliance.

[0004] In order to solve such a problem, various systems have been proposed for managing the health condition of a patient and the use status of medical equipment by using computer communication.

As an example disclosed in the official gazette, Japanese Patent Laid-Open No.
No. 5035 (Home care support system), JP-A-2-
246463 (examination information transmission system), JP-A-63-252137 (electronic device for medical diagnosis) and JP-A-63-79643 (human health monitor).

[0006]

The patient who continues the treatment at home receives the measurement using a thermometer, a simple electrocardiograph, a blood oxygen saturation meter, etc., as necessary, in addition to the daily physical condition. Write it down in the medical journal. This will be presented to a doctor at the time of hospital visit to make a diagnosis, but in reality there are many problems as follows.

That is, it is necessary for a patient to keep writing a medical treatment diary every day accurately, to operate the above-mentioned measuring device correctly and to store the result, to go to the hospital, to deal with sudden changes in the condition, and the like.

The conventional system has problems such as difficulty in operation after system introduction.

An object of the present invention has been made in view of the above-mentioned conventional problems. It is an object of the present invention to reduce the number of patient visits, enter a medical treatment diary, reduce the burden of physical condition measurement, and reduce physical condition in home treatment of various diseases. It is an object of the present invention to provide a home therapy support system for emergency response in case of sudden change.

[0010]

[0011]

SUMMARY OF THE INVENTION The present invention relates to a measuring means arranged at each patient's home for measuring physiological information of a home patient, a medical information signal relating to measurement data , and the home patient.
Medical equipment for medical treatment and / or equipment information on its operation
A home communication device provided with a transmitting means for transmitting the signal of the home communication device to the information collection center; and a medical information and / or medical device arranged at the information collection center and transmitted from the home communication device.
Receiving means for receiving signals related to
Medical information comprising signal conversion means for converting received signals into charts and text information suitable for diagnosis, and transmission means for transmitting the charts and text information converted by the signal conversion means to a hospital A collecting device, a receiving device arranged in the hospital, and having a receiving unit for receiving charts and text information transmitted from the medical information collecting device, the home communication device, the medical information collecting device, a home treatment support system comprising a public telephone line connecting the receiver of the charts and text information, measurement capable said measuring means measures a measurement of a plurality of physiological information of the home patient at a plurality of detecting means a means, home treatment support system, wherein the medical information collecting device is a signal converting means for converting the charts and text information suitable for diagnosis by aggregating the plurality of physiological information It is intended to provide.

[0012] It is expected that the home therapy support system can easily transmit vital information from home patients to each hospital in a processed form.

[0013] The system of the present invention may include, in addition to the signal of the medical information, a signal of a medical device for treatment of the home patient and / or information on the operation thereof as necessary. A home therapy support system is included. With this home therapy support system, the operating state of the medical treatment equipment can be grasped together.
There is an advantage that a doctor can easily grasp the use situation of a device by a patient in home treatment using a respiratory gas supply device as described in JP-A-143451.

[0014]

1 and 2 show a preferred embodiment of the present invention. FIG. 1 shows an overall configuration, and FIG. 2 shows details of a communication device (10) installed at home.

In FIG. 1, (1) is a home where a patient lives, and the patient performs home oxygen therapy while inhaling high-concentration oxygen from an oxygen concentrator (3).

As will be described in detail later, the communication device captures medical information such as patient inquiry information, respiratory rate, blood oxygen saturation, pulse, electrocardiogram waveform, etc., in addition to the operation information of the oxygen concentrator. These pieces of information are transmitted by a modem (12) via a public telephone line (51) to a computer (31) installed in an information collection center (30). A modem (32) is connected to the computer so that medical information communication with each home can be performed. The medical information transmitted from each home is stored in a large-capacity storage device (3
Recorded and managed in 4).

Here, the stored medical information of each patient is
The following three types of reports are prepared according to the intended use. That is, an emergency report, a regular report, and a monthly report. Since the form of the information sent from the home is a character string or a numerical string obtained by quantizing an electrocardiographic waveform or the like, the information is image-converted into the above-mentioned report format and is sent to a computer. Connected facsimile (33)
Is sent to a facsimile (41) installed in a hospital (40) where a patient goes to a hospital via a public telephone line (52) and delivered to a doctor in charge.

Next, the communication device (10) will be described with reference to FIG. The communication device includes a modem (12) for performing data communication between the CPU (11) and a computer at the information center via a public telephone line, and a communication interface (13) for receiving device operation information from the oxygen concentrator (3). An interface (14) for connecting a sensor (4) for detecting a patient's respiration rate, and a detection probe (5) to be worn on a patient's finger.
A measuring unit (15) for measuring blood oxygen saturation and pulse rate by connecting the ECG, an interface (16) for receiving electrocardiographic waveform data measured by a simple electrocardiograph (6) by optical transmission,
LCD graphic display (1) for dialogue with patients
7) and a touch panel (18), a calendar function unit (19) for time management, a sound generator (20) such as a buzzer, and a push button (21) for starting medical data measurement.
Consists of

The communication device informs the patient that the measurement time has come from the sound generator when the regular time comes by the calendar function, and prompts the user to input medical inquiry data on physical condition and to carry out physical condition measurement using a measuring instrument. do. The patient operates the touch panel from among the questions about appetite and body temperature and the prepared answer items displayed on the liquid crystal display, and inputs the results of the interview. Thereafter, the respiration rate, blood oxygen saturation, pulse rate, and electrocardiogram are continuously measured according to the instructions on the liquid crystal display screen. Finally, by inputting whether or not the measurement result is urgently delivered to the doctor, one medical data measurement is completed. On the other hand, the operation information from the oxygen concentrator is always taken into the communication device, and usage time information for each set flow rate effective for confirming patient compliance is generated. If the patient is inconvenient at a fixed time, the same medical data measurement as described above can be performed temporarily by the push button (21). Performing all items such as ECG measurements and medical interviews several times a day using a measuring device will greatly increase the burden on the patient, so necessary items will be required according to the patient's convenience. Measurement procedures that are performed at a high frequency are considered in the program.

Next, a report to a doctor will be described. The emergency report is for a case where a patient wants to urgently send a measurement result to a doctor. When the information collection center computer receives this measurement result,
Immediately after recording in the storage device, the measurement result is converted into an emergency report and transmitted to the doctor via a facsimile.
At this time, the doctor can perform more appropriate diagnosis and treatment by creating a report by adding the immediately preceding measurement result for several days.

In the periodic report, the measurement results from the patient are collected for a certain period, compiled into a report, and transmitted to the doctor during the doctor's working hours (usually in the morning of the next morning). The period is individually determined according to the patient's condition, but is usually a one-day cycle, and a stable patient may have a three to seven-day cycle.

The monthly report is a report in which measurement results from a patient are collected for one month, and includes a trend graph of blood oxygen concentration, for example, so that changes over time for one month can be grasped. It is a book.

[0023]

As described above, according to the present invention,
Patients can carry out physical examinations at home using medical interviews and measuring instruments, which could only be done in hospitals in the past. This means that the physical strength consumption due to going to the hospital is reduced, and the doctor can know the measurement data in a normal state. Also, when the physical condition changes, the doctor can determine the prescription based on the emergency report. As described above, the present system can be said to be an indispensable device and system today, as patients are aging and the number of patients who are undergoing home therapy is increasing more and more in the future, because patients can perform home therapy with greater peace of mind.

[Brief description of the drawings]

FIG. 1 illustrates a preferred specific embodiment of the overall configuration of a home therapy support system of the present invention.

FIG. 2 is an illustration of a preferred specific embodiment of a home communication device installed at home in the home therapy support system of the present invention.

 ──────────────────────────────────────────────────続 き Continuation of the front page (72) Inventor Minamimitsu Ohba 3-4-1, Amihara, Ibaraki-shi, Osaka Teijin Limited Osaka Research Center (56) Reference JP-A-4-371134 (JP, A) JP-A-57-139322 (JP, A) JP-A-2-21841 (JP, A) JP-A-1-91834 (JP, A) JP-A-4-158869 (JP, A) JP-A-4-104649 ( JP, A) JP-A-4-42653 (JP, A) JP-A-62-189703 (JP, U) JP-A-2-130605 (JP, U)

Claims (2)

(57) [Claims] 1. A measuring means arranged at each patient's home for measuring physiological information of a home patient, a medical information signal relating to measurement data, and a medical device for treatment of the home patient and / or device information relating to its operation. A home communication device comprising a transmission unit for transmitting a signal to the information collection center,
A receiving unit disposed at the information collection center for receiving a signal related to medical information and device information transmitted from the home communication device, and converting the received signal into a chart and text information suitable for diagnosis; Signal conversion means for
A medical information collection device including a transmission unit for transmitting the chart and text information converted by the signal conversion unit to a hospital, and a chart and text transmitted from the medical information collection device arranged in a hospital A receiving device comprising a receiving means for receiving information, a home therapy support system comprising a public telephone line connecting the home communication device, the medical information collecting device, and the chart and text information receiving device,
A measuring means capable of said measuring means measures a measurement of a plurality of physiological information of the home patient at a plurality of detecting means, the medical information collecting apparatus suitable for diagnosis by aggregating the plurality of physiological information A home therapy support system, which is a signal conversion unit for converting into charts and text information. 2. The home according to claim 1, wherein said measuring means comprises a plurality of detecting means selected from respiratory rate, blood oxygen saturation, pulse rate, and electrocardiogram data. Therapy support system.