JP4646019B2 - Daily life / exercise support system for the elderly - Google Patents

Description

  The present invention, for example, is aimed at evaluating the daily life state of a facility user when performing a care service at an elderly facility, and based on the result, the care service implementer aims to provide appropriate daily life support and exercise support. It relates to the daily life and exercise support system for the elderly.

In Japan, with the enforcement of the public long-term care insurance system, the spread of facilities for the elderly covered by long-term care insurance has been rapidly expanding. In addition, while the increase in the elderly population has continually increased the demand for facility use, improving the quality of nursing care has become a major issue in the operation of these facilities. In order to provide a high-quality care service, it is necessary to accurately grasp the state of each user and to grasp the state change as an effect of the provided service over time.
As this conventional response, for example, the following care plan formulation support system is known. That is, a care plan development support system that formulates a care plan in a care facility that accepts elderly people as users and provides care for daily life assistance, etc., and satisfies the following requirements (1) to (4) I have.
(1) It has a facility basic information database in which a daily basic schedule of care facilities and daily and weekly sub-schedules including at least bathing, rehabilitation, and recreation as items are stored. It is organized in groups obtained by classifying people according to their severity.
(2) It has a user information database in which information about user attributes including at least a name, an identification code, and a group name is recorded for each user.
(3) Based on the information regarding the user attributes stored in the user information database, an evaluation form for evaluating the daily life behavior and mental state of a specific user is output. Specifically, it is performed by a care plan formulation evaluation report generated based on an evaluation result using an ADL checklist and a mental checklist.
(4) A daily care schedule table formulated according to the daily basic schedule of the care facility, the daily and weekly sub-schedule of the group to which the user belongs, and the status evaluation result of the user using the evaluation form is output. (For example, refer to Patent Document 1).

Japanese Patent Laid-Open No. 11-161725 (second page, FIG. 2 and FIG. 4)

  The conventional care plan development support system as described above unifies the flow from the care facility user's care plan formulation to the actual care provision, and is effective in improving the efficiency of office work on the facility side. The user's care plan has been developed based on an evaluation that qualitatively captures the state of the user using the daily life movement ability ADL or a mental checklist. For this reason, it was insufficient to provide detailed care services that take into account the amount of daily life activities of users.

  The present invention has been made to solve the above problems, and in addition to quantitatively evaluating the daily life physical strength, higher brain function, mental state, etc. of the elderly, The purpose is to provide appropriate care services to each individual by presenting life guidance and exercise programs that take into account the amount of daily life activities of each elderly person by quantitatively evaluating the degree of independence from physical fitness measurements. And

An elderly person's daily life / exercise support system according to the present invention periodically compares life activity ability evaluation data including a physical strength measurement value of an elderly person measured for a plurality of daily life physical fitness items and personal data as history information of the elderly person. to those entered, the personal data storage processing unit for storing processed as individual databases, life fitness aging function programs represent physical change due to aging in the function for each daily physical item, and, elderly history a program storage unit for storing the life guidance and exercise instruction program file that was created by combining the evaluation items to evaluate the independence degree in information, evaluate the subject's body force measurement values and life physical strength aging function program and the day-to-day life physical strength each item from the self-limit value determined, together with the evaluation seeking independence level indicating the degree of self-reliance capability of evaluation subjects, different for everyday life fitness items Compare the degree of change in the two physical strength measurements measured at the time point with the degree of change in the two aging function values obtained from the life strength aging function program at different points in time, and determine the degree of progress of physical strength decline due to aging a self evaluation processing unit for, based on the degree of progress of independence Measure and strength reduction obtained in the evaluation of the information from the personal database independence evaluation unit, with reference to the living guidance and exercise instruction program file, A life guidance / exercise program selection / presentation section for selecting and presenting a life guidance / exercise program to be improved is provided.

According to the daily life / exercise support system for the elderly of the present invention, it is the same as the evaluation target person based on the physical strength measurement value of the evaluation target person, the life physical strength aging function program, and the independence limit value determined for each daily life physical fitness item. Comparing the average value of the age with the independence limit value at that age to evaluate the degree of independence and the degree of progress of physical fitness , and based on the evaluation information and information from the personal database, the life guidance and exercise guidance program so was to be presented to select a life guidance and exercise program from a file, it is possible to quantitatively evaluate the degree to which can be self-supporting Rutotomoni, since it is possible to objectively evaluate the degree of change in life physical strength due to aging, on the evaluation Based on this, it is possible to provide each user of the facility with an appropriate and detailed care service commensurate with the ability of daily activities.

Embodiment 1 FIG.
FIG. 1 is a schematic configuration diagram of an elderly person's daily life / exercise guidance support system according to the present invention. The elderly in the present invention refers to people who are relatively old and particularly need care in facilities, and are not classified by specific age, for example, 65 years or older.
As shown in the figure, this system is normally constructed on a server of a client / server type system. For example, the server 1 including a personal computer includes a server body 2, an input device 3 for inputting data, an output device 4 such as a printer, and a display device 5 for displaying various data. The server body 2 stores a main control unit 6 having a CPU for controlling the entire system and performing various calculations, a database storage unit 7 for storing personal data of elderly people who use the system, and various program files to be described later. A program storage unit 8, an input / output control unit 9, and a transmission / reception unit 10 are provided. The server 1 is connected to a client computer via a LAN.

  FIG. 2 is a basic block diagram showing the flow of processing of this system. First, the correspondence relationship with the schematic configuration diagram of FIG. 1 will be described. The main control unit 6 of FIG. 1 includes the personal data storage processing unit 13, the independence degree evaluation processing unit 16, the life guidance / exercise program selection shown in FIG. A presentation unit 18, a nutritional guidance program selection presentation unit 20, and a charge management processing unit 21 are provided. 1 is stored in the database storage unit 7 of FIG. 1, and the program storage unit 8 of FIG. 1 stores a life physical strength aging function program 15, a life guidance / exercise guidance program file 17, a nutrition management program file 19, and A customer billing program file 22 is stored. The personal data input unit 11 and the life activity ability evaluation data input unit 12 correspond to the input device 3 in FIG.

  First, at least one piece of information among personal medical history, occupation history, and living environment history is input from the personal data input unit 11. The medical history is a history of a person's past illness or medication. The occupation history is a history of occupations that have been experienced so far, and this is also related to the weaknesses of daily life physical strength. The living environment history includes family relationships, hobbies, and mental and physical backgrounds derived from the home environment.

  Next, the life activity ability evaluation data input unit 12 inputs life activity ability evaluation data. Daily living ability BPDL (Body Power of Daily Living, hereinafter referred to as BPDL), daily life movement ability ADL (Activity of DailyLiving, hereinafter referred to as ADL), peripheral life activity movement ability APDL (Activity Parallel to Daily Living) , Hereinafter abbreviated as APDL), quality of life (hereinafter abbreviated as QOL), mental state such as antidepressant degree, higher brain function such as dementia degree, etc. Select and enter the item. For items that can be measured quantitatively, such as BPDL, the measurement data is input as it is, but for items that are evaluated in question format, such as APDL, QOL, and mental state, points are scored according to the level of the content of the answer and the numerical values are used as data. handle.

A specific example will be described with reference to the drawings. FIG. 3 shows an example of APDL, in which (a) shows an answer level in question format and an example of scoring, and (b) shows an answer in a radar chart. For each of the 12 questions such as starting and changing clothes, 5 answer levels are prepared, and the answers are scored and input. Similarly, FIG. 4 shows an example of QOL, where (a) shows an example of an evaluation item in a question format, and (b) shows an answer in a radar chart. Similar to APDL, four answer levels are prepared for each of 12 questions such as physical behavior and living environment, and the answers are scored and input. The radar chart is shown as a reference example at the time of output.

  Returning to FIG. 2, the personal data storage processing unit 13 processes the above input data, and stores medical history, occupation history, living environment history, and life activity ability data as personal data in the personal database 14. These data are also accumulated as individual aging change data by inputting evaluation data for a certain period. Further, for example, the change with time can be read by inputting and accumulating every six months. Accumulated data is used as reference information when evaluating the degree of independence of individuals and selecting lifestyle and exercise guidance programs.

Next, based on the personal database 14, a life physical strength aging function program 15 is introduced, and the independence degree evaluation processing unit 16 performs independence degree evaluation.
First, the life physical strength aging function program 15 will be described. The daily life physical strength BPDL decreases with age after the middle age. Therefore, we investigated how BPDL changes with aging and formulated it. That is, for each BPDL, the relationship between the physical strength measurement value Y and the age (time) t is expressed as a general formula as shown in the following formula (1).
Y = F (t) (1)
Here, six items of whole body adjustment ability, lower limb muscle strength, balance, grip strength, finger skill, and brain function were selected as measurement items of BPDL accompanied with aging. Specifically, for example, as an example, the whole body adjustment ability among the above six items is determined based on a walking distance of 6 minutes, that is, how much distance can be walked in 6 minutes. Similarly, the lower limb muscle strength is a lower limb weight test to see how much weight can be applied to the lower limb stretched by sitting on the desk, the balance is with one eye standing with closed eyes, the grip strength is with a rag, and the finger skill is a tapping test The brain function was judged by picking up the kana. Although it is desirable to use all these six items, at least two or more items are selected and used according to the situation. Then, the BPDL item to be input first may be determined according to the use item.

The formulating will be described more specifically. FIG. 5 is a diagram showing an aging change of “6-minute walking distance” which is an evaluation scale of whole body adjustment ability, that is, a relationship between age and walking distance. The vertical axis is the walking distance, the horizontal axis is the age, and the measured values of many subjects are plotted as black dots. When these measured data are represented by approximate curves, they become like the curves in the figure, and this was formulated into a quadratic function like equation (2).
Y _m = −A _m t ² + B _m t + C _m (2)
Here, Y _m is a walking distance, t is an age (time), and A _m , B _m , and C _m are constants. It was found that such a relation expressed by a quadratic function also applies to the case of “standing on one foot”, which is an evaluation scale of balance ability. Of course, the constant is a numerical value different from the case of walking distance for 6 minutes.
As another example, FIG. 6 is a case of lower limb muscle strength. The vertical axis is the weight applied to the lower limbs sitting on the chair and stretched sideways, and the horizontal axis is the age. The measured values for many subjects are plotted with black dots. If the measured data is represented by an approximate curve, in this case, it can be represented by a straight line as shown in the figure. This straight line was formulated into a linear function as shown in Equation (3).
Y _n = −A _n t + B _n (3)
Here, Y _n is a weight, t is an age (time), and A _n and B _n are constants. It has been found that the relationship expressed by such a linear function can be applied also to the grip strength (wiping the rag) and the balance (standing with one eye closed). These relational expressions are held as a life physical strength aging function program 15. Note that the measurement data from which the BPDL aging function program is obtained may be collected from the user in units of elderly facilities, or may be collected from other facilities and general people.

  Furthermore, the inventors have found that there is a linear relationship between the lower limb muscle strength and the grip strength in conducting the BPDL measurement survey as described above and analyzing the data. FIG. 7 is a diagram showing the relationship between lower limb muscle strength and grip strength. As shown in the figure, if this relationship is used, it is understood that the other function can be evaluated by measuring either the lower limb muscle strength or the grip strength. Therefore, as the life physical strength aging function program, the lower limb muscle strength and the grip strength do not necessarily need both data, and can be replaced with either data.

Next, a method for evaluating the degree of independence using the above-mentioned vitality aging function program will be described. A specific example of the independence degree evaluation process will be described by taking a 6-minute walking distance as an example. FIG. 8 is a diagram representing the average value at each age of the measurement data of the 6-minute walking distance by the aging function obtained above. In the figure, the walking distance is plotted on the vertical axis, and the age (time) is plotted on the horizontal axis, and the aging function curve of the 6-minute walking of the equation (2) described above is shown by a bold solid line. Moreover, horizontal lines are shown by broken lines to the position of the walking distance K ₀ is a self limits. The independence limit is 6 minutes walking. For example, if you cannot walk more than 200m, it is determined that the actual independence walking is impossible, and the walking distance (200m, for example) assumed as the independence limit is independence when walking for 6 minutes. Limit value. Therefore, the independent limit value is individually set for each item of BPDL to be measured.
Evaluation subjects A represents a 6-minute walking ability at the time of the age T ₁ in A1. The walking distance at this time is assumed to be _YA1 . Further, the intersection P1 between the vertical line and the aging function curve of age T ₁ is a point showing the average walking ability of the person of age T _1, to the walking distance Y _P1.

As an independence degree evaluation index, it is expressed by absolute independence and relative independence. The degree of absolute independence is determined by the ratio of the current life physical strength of the evaluation subject to the independence limit value K ₀ (here, the ability to walk for 6 minutes), and the absolute independence γ (T ₁ ) of the evaluation subject A of age T ₁ is It represents like Formula (4).
On the other hand, the relative degree of independence is a comparison between the evaluation subject A and the average value of people of the same age, and in the figure, is a comparison between the A1 point and the P1 point. That is, the relative degree of independence δ (T ₁ ) of the evaluation subject A having the age T ₁ is expressed as in Expression (5).
γ (T ₁ ) = Y _A1 / K ₀ (4)
δ (T ₁ ) = Y _A1 / Y _P1 (5)

Then, the walking ability point when the evaluation target person A becomes age T ₂ and A2, the walking distance at this time is Y _A2. Further, the walking distance at the intersection P2 with the aging function curve is _YP2 . The absolute independence level γ (T ₂ ) and the relative independence level δ (T ₂ ) at the age T ₂ can be similarly calculated according to the equations (4) and (5).
Although it is desirable to evaluate both the degree of absolute independence and the degree of relative independence, only one of them may be evaluated.

Next, the change in the degree of independence due to aging of the evaluation subject A is evaluated in more detail by the following method. FIG. 9 is a diagram illustrating an evaluation method based on aging. The aging function curve is the same as in FIG. 8, and the same reference numerals indicate the same parts. A linear gradient connecting the point P2 at the point P1 and age T ₂ in age T ₁ and [alpha] 1, a linear gradient connecting the points A1 and A2 and .alpha.0, compare the degree of progress of physical strength decreases by comparing the slope of both Judgment. Point A21 shows the case where the gradient is the same as the gradient α1 of the aging function curve, and point A22 shows an example where the gradient is smaller than that. For example, in the case of α1, the gradient can be obtained by (Y _P1 −Y _P2 ) / (T ₂ −T ₁ ). (Because the purpose is to compare the slopes, the slope is positive.) The obtained slope is evaluated as follows.
(A) When α0> α1 as in point A2: Since the physical strength drop during this period is larger than the average value, the cause investigation and the introduction of an exercise program to prevent this are actively promoted.
(B) When the slope is almost equal to the slope α1 of the aging function curve as at point A21: It is assumed that the average aging ability decline has occurred while maintaining a high degree of independence, and a new exercise program should be introduced. Judging.
(C) When α2 <α1 as at point A22: The degree of improvement of the life activity ability by the current exercise program can be evaluated.
Also in the middle of the above (a), (b) and (c), an exercise program is prepared in several stages as necessary. The above evaluation is performed for all the BPDL measurement items.
Note that the above is an evaluation criterion when the point A1 is higher than the point P1, and another evaluation criterion when A1 is lower than P1, but the description thereof is omitted.

  As the next step, comprehensive evaluation is performed by combining multiple evaluation items. FIG. 10 is a radar chart diagram of BPDL for calculating the total degree of independence. As the evaluation items, all the 6 items of the BPDL measurement items described above, ie, whole body adjustment ability, lower limb muscle strength, balance, grip strength, finger skill, and brain function were used. The portion indicated by the inner broken line is a radar chart of the independent limit value of each item. A portion indicated by a dotted line on the outside is a radar chart of an aging function value obtained from an aging function curve of a person of the same age as the evaluation target person. That is, it shows the average value of people of the same age. A portion indicated by a solid line is a radar chart of physical strength measurement values of the evaluation subject. Here, the area surrounded by the polygonal line of the independence limit value is Dk, the area surrounded by the polygonal line of the aging function value is Dp, and the area surrounded by the polygonal line of the physical strength measurement value of the evaluation subject is Da.

The overall evaluation also evaluates both the overall absolute independence degree J and the overall relative independence degree S. The total absolute self-supporting degree J is obtained by the ratio of the area Da of the physical strength measurement value group of the evaluation subject to the area Dk of the self-supporting limit value group as shown in Expression (6). The total relative independence degree S is obtained by the ratio of the area Da of the physical strength measurement value group of the evaluation subject to the area Dp of the aging function value group, as shown in Expression (7).
J = Da / Dk (6)
S = Da / Dp (7)
Next, the values obtained by the above formulas (6) and (7) are classified and evaluated in accordance with the overall independence evaluation classification shown in FIG. For example, if the overall absolute independence degree J is greater than 1, it is considered that independence is not a problem, and if the overall relative independence degree S is greater than 1, it can be considered that the physical strength above the average of the same age is maintained. When J> 1 and S> 1, it is evaluated that “the degree of independence is higher than the age average”. Hereinafter, the evaluation is similarly performed according to the classification table. For example, when J <1 (in this case, inevitably S <1), it is evaluated as “incapable of being independent”.
Based on the above evaluation, a basic independence support care service program is selected, and a problem program for each individual evaluation item is selected.

In the above, as a method for obtaining the comprehensive evaluation, the area ratio of the radar chart capable of evaluating the comprehensive balance was used. However, the area ratio is not necessarily required. For example, the total absolute independence degree J is obtained from an average value of a plurality of absolute independence degrees γ (T ₁ ), and the total relative independence degree S is a plurality of relative independence degrees δ (T ₁ ) May be obtained from the average value. In this way, comprehensive evaluation can be performed with a minimum of two BPDL measurement items.
Although it is desirable to evaluate both the overall absolute independence degree J and the overall relative independence degree S, either one may be used.

  Returning to the basic block diagram of FIG. The life guidance / exercise program file 17 includes the life guidance / execution program corresponding to the evaluation items evaluated by the independence degree evaluation processing unit 16 and the evaluation items when various medical histories and living environment histories are combined from the data of the personal database 14. An exercise program is prepared and stored in advance.

  The life guidance / exercise program selection / presentation unit 18 selects and presents a life / exercise program based on the evaluation data from the evaluation processing unit 16, and the details will be described with reference to the flowchart of FIG. First, based on the evaluated independence degree evaluation data and personal data information from the personal database 14, it is comprehensively determined which part should be improved, and an improvement target is set (S121). As the independence degree evaluation data, the absolute independence degree γ and the relative independence degree δ, the total absolute independence degree J and the overall relative independence degree S, and data on the degree of progress of physical strength decrease due to aging are appropriately combined and used.

For example, when the total absolute independence J of the evaluation subject is J> 1, the exercise program is selected based on the total relative independence S. When the overall relative independence S of the subject of evaluation is S> 1, but the degree of aging after that is larger than the degree of decrease in the aging function value during the same period, anaerobic exercise and aerobic exercise In combination with the above, the program takes more exercise time and frequency. In addition, if the degree of decrease is the same or less than that, a target is set such that aerobic exercise is the center and exercise time is maintained. In addition, if the person to be evaluated needs lifestyle-related disease countermeasures, devise such as assembling mainly aerobic exercise. On the other hand, if the initial overall relative independence S <1, it is assumed that the relative independence S = 1, and a program for maintaining the current physical strength is selected, or until the relative independence S = 1. Set a target period of exercise and select an exercise program with an exercise intensity suitable for it.
If the overall absolute independence J <1, the care should be switched such as selecting a program centered on life guidance that is possible at that level, or a shift to a care facility appropriate for that level should be taken.

  Next, using the life guidance / exercise guidance program file 17 prepared in advance for the set improvement items, an improvement program corresponding to the improvement items is automatically selected from the file, and how much of them are implemented. Whether to do (exercise intensity / exercise time) is calculated (S122). FIG. 13 is a diagram showing an example of data for selecting an exercise program for improving daily activity ability. For example, if it is necessary to improve the whole body adjustment function in the physical strength, select from dance, tai chi / qi gong, yoga,.

When setting a target, for example, in the case of an exercise instruction program, if the cardiopulmonary function related to endurance is improved, the menu is mainly selected from aerobic exercise. In the case of improvement focusing on instantaneous power, agility, muscle strength, or bone density, it is effective to add anaerobic exercise.
When selecting an exercise guidance program, set what kind of exercise conditions (exercise intensity, time, frequency) should be used. As a general method for selecting exercise intensity, the Calhounen method, the maximum oxygen uptake ability, the shuttle walking test method, the subjective exercise intensity (RPE) method, and the like are known, but may be an original method. In addition, as a life guidance program, it is possible to enhance the rhythm of life by preparing menus that improve the degree of mental activity such as social participation programs such as shopping and day trips, hobby programs such as gardening and painting.

  Next, a daily menu, weekly schedule, etc. are selected from the selected program (S123). This is checked against the schedule of equipment and personnel on the facility side that is the service provider, and it is determined whether or not implementation is possible (S124). If not feasible, the goal is reset, and if possible, the life guidance / exercise program is presented (S125).

  When introducing an exercise program, it will be more effective if implemented together with a nutritional management program. If nutrition management is not accompanied, the exercise effect is also reduced. Therefore, as a next step, the nutritional guidance program selection and presentation unit 20 in FIG. 2 selects and presents a guidance program that also considers the medical aspect and psychosomatic state of the evaluation subject. FIG. 14 is a flowchart showing details of the nutritional guidance program selection presentation unit 20. In the figure, first, plan values of exercise intensity, exercise time, and exercise frequency are input (S141), and a supply nutrition menu corresponding to exercise is selected (S142). From the data file of the intake menu of protein, fat, and sugar in the nutrition management program file 19 prepared in advance, for example, the exercise intensity corresponds to the training of the instantaneous force and the muscle strength, so the necessary energy source for this Select a protein-based intake menu. Exercise time corresponds to the training of muscle endurance, and select a carbohydrate-based intake menu, which is a necessary nutrient. The exercise frequency selects the protein-based intake menu which is the core nutrient corresponding to this.

As the next step, a lifestyle-related nutrition menu is selected (S143). We focus on the fact that lifestyle-related diseases are a common problem for many elderly people and are improved by exercise and nutritional management. As management nutrients, pay attention to calcium, fiber, salinity and antioxidants, and prepare their data files. As the data file, the management nutrient amount and calorie data for each packaged food such as food material, cooking menu or nursing food are prepared. Calcium is used to prevent osteoporosis and progression, fiber is used to prevent colorectal cancer and constipation, salt is used to prevent high blood pressure and progression, and antioxidant is a component that increases immunity and helps prevent cancer. is there.
Next, calorie calculation is performed for the selected menu (S144). If this menu is linked to the exercise frequency, it is possible to comprehensively guide meal management for a week or meal management for a certain period, and nutrition management can be performed while enjoying taste changes due to menu variations. . If the calorie calculation is OK, the process proceeds to the next step (S145).

  Furthermore, this system can also perform remote guidance and charge management using a communication network. An example of the network configuration of the remote use system is shown in FIG. Data accumulated in the local database 32 of each elderly facility management establishment 31 is transmitted from the transmission unit 34 to the data management center 36 via the communication network 35 via the input / output control unit 33. In the data management center 36, the client-server type system described in FIG. 1 is constructed, and based on the received data received there, a life guidance / exercise program, etc. is selected and transmitted to each office 31. And charge management.

  FIG. 16 is a flowchart showing details of the billing processing unit 21 of FIG. 2, which will be described based on the figure. First, the independence level evaluation data implemented this time is input, and evaluation is performed from this data and past independence level evaluation data. The living activity ability improvement rate is calculated in the processing unit (S161). In accordance with the improvement rate, the charging rate calculation unit automatically sets the charging rate with reference to the charging management program file 22 (S162), and the charging amount determination unit calculates and determines the charging amount based on the charging rate (S163). The data is transmitted to the data management center 36 through the transmission unit 34.

  When targeting the elderly, it is common for life activity ability to decline with aging, so of course the activity ability improves regardless of aging, but if the activity ability is maintained, the content Can be evaluated as improved. The improvement result may be motivated by, for example, lowering the charge amount, or may be motivated by providing some prize or other service according to the improvement result instead of changing the charge amount. In addition, as a method of billing, a billing service according to the improvement rate for each individual may be provided, but for elderly facilities, a billing service according to the improvement rate of the average value of the group data for each facility It is also possible to provide. However, since there is a limit associated with aging in the maintenance of life activity ability, an additional service may be provided such that an upper age limit for charging is set in advance and no charge is charged if the upper limit is exceeded.

  As described above, according to the invention of the present embodiment, in addition to the personal database, the life strength aging function program is provided and the degree of independence is compared with the average life strength value of the same age as the evaluation target person. Evaluation and presentation of life guidance and exercise programs using the information in the life guidance / exercise guidance program file, so objective and detailed evaluation of the life activity ability of each user of the elderly facility It is possible to easily select and provide an appropriate care service program for each person. Accordingly, it is possible to provide a service that appropriately supports the independence of an elderly person who needs care without causing problems such as excessive care intervention or under-care of the caregiver.

  In addition, as an independence degree to be evaluated by the independence degree evaluation processing unit, with regard to daily life physical fitness items, using the absolute independence degree expressed by the ratio of the physical strength measurement value of the evaluation subject to the independence limit value, and the life physical strength aging function program Since the evaluation was made using at least one of the relative independence expressed as a ratio of the physical strength measurement value to the obtained physical strength aging function value, an objective evaluation can be made, and appropriate life guidance and exercise based on the evaluation A program can be provided.

  In addition, as the degree of independence evaluated by the independence degree evaluation processing unit, for a plurality of daily life physical fitness items, the total absolute independence level that comprehensively represents the ratio of the physical strength measurement value of the evaluation subject to the independence limit value, Since the evaluation was made using at least one of the relative relative independence that comprehensively expressed the ratio of the physical strength measurement value to the physical strength aging function value obtained using the age function program, the evaluation target is more comprehensive It is possible to evaluate the degree of independence of the person and provide an appropriate life guidance / exercise program based on the evaluation.

  In addition, in addition to the evaluation of the independence degree, the independence degree evaluation processing unit calculates the degree of change in the two physical strength measurement values measured at different time points for the daily life physical strength items, and two life force aging function programs obtained at different time points. Compared with the degree of change of the aging function value and judged the degree of progress of physical fitness decline, so that the degree of change of life physical strength due to aging can be objectively evaluated, life guidance and exercise guidance that takes into account the degree of change A program can be provided.

  In addition, the life activity ability evaluation data is selected by combining at least two items including BPDL from the life activity action ability ADL, the peripheral life activity action ability APDL, the quality of life QOL, and the daily life physical fitness BPDL. This makes it possible to construct a personal database that accurately grasps the daily life physical strength and living conditions of each elderly person.

  In addition, since personal data is used by selecting at least one or more items from the medical history, occupation history, and living environment history of the individual of the elderly, the life history of each of the elderly is daily. The influence on life can be taken into consideration, and a more detailed personal database can be constructed.

  In addition, as for daily life physical fitness items used in the life physical strength aging function program, at least two or more items should be selected and used from whole body adjustment ability, lower limb muscle strength, balance, grip strength, finger skill, and brain function. Therefore, it is possible to comprehensively determine physical strength changes due to aging.

  In addition, the exercise program to be presented in the life guidance / exercise program selection / presentation section includes at least one information of exercise intensity, exercise time, and exercise frequency. Can be presented.

  In addition, based on the exercise program presented by the life guidance / exercise program presentation unit, the nutritional guidance program that selects and displays the nutrition menu linked to the exercise program using the nutrition management program file prepared in advance and calculates the calories Since the selection presenting section is provided, in practicing the exercise program, it is possible to support a diet suitable for it from the nutritional aspect, and to improve dietary habits and further enhance the effect of exercise.

  Furthermore, since the billing processing unit that performs billing processing according to the improvement effect of the degree of independence is provided, the billing processing can be performed quickly, and the billing is associated with the degree of physical fitness improvement and used for the motivation for improving the activity ability. Can do.

  It can be applied to a system for formulating and supporting a care service plan for facility users in a facility that provides care for the elderly, and can also be used for a home therapy support system.

BRIEF DESCRIPTION OF THE DRAWINGS It is a schematic block diagram of the elderly person's daily life and exercise guidance support system by Embodiment 1 of this invention. It is a basic block diagram which shows the flow of a process of the elderly person's daily life and exercise | movement guidance assistance system by Embodiment 1 of this invention. It is an example of the APDL data input into the life activity evaluation data input part of FIG. It is an example of the QOL data input into the life activity evaluation data input part of FIG. It is a figure which shows the relationship between the age of 6-minute walk distance, and walk distance. It is a figure which shows the relationship between the age of leg muscle strength, and weighting. It is a figure which shows the relationship figure of a leg muscular strength and grip strength. It is the figure which represented the measurement data of 6-minute walk by an aging function. It is a figure explaining the evaluation method by aging. It is a radar chart figure of daily life physical strength for evaluating total independence. It is a figure which shows the evaluation classification | category of total independence. It is a detailed flowchart figure of the life guidance / exercise program selection presentation part of FIG. It is a figure which shows an example of the data which select the exercise program for life activity ability improvement. It is a detailed flowchart figure of the nutrition guidance program selection presentation part of FIG. 1 is a network configuration diagram of an elderly person's daily life / exercise guidance support system according to Embodiment 1 of the present invention; FIG. FIG. 3 is a detailed flowchart of the charging processing unit in FIG. 2.

Explanation of symbols

11 Personal data input unit 12 Life activity ability evaluation data input unit 13 Personal data storage processing unit 14 Personal database 15 Life physical strength aging function program 16 Independence evaluation processing unit 17 Life guidance / exercise guidance program file 18 Life guidance / exercise program selection Presentation section 19 Nutrition management program file 20 Nutrition guidance program selection presentation section 21 Billing management processing section 22 Customer billing program file.

Claims (8)

A plurality of those regularly enter the personal data is daily activity capacity evaluation data and history information of the elderly, including a physical measurement of the elderly measured for everyday life fitness item, storing processed as individual database A personal data storage processing unit ;
Above Symbol everyday life life physical strength aging function program that shows every physical item the physical changes due to aging in the function, and, life guidance and movement that was created by combining the evaluation items to evaluate the independence degree in the history information of the elderly A program storage unit for storing instruction program files;
From the above physical measurements and the life fitness aging function program and self limit value determined for each of the daily life fitness scores of the evaluation subject, to assess seeking independence level indicating the degree of independence ability of the evaluation subject In addition, the degree of change of the two physical strength measurement values measured at different time points for the daily life physical strength items is compared with the degree of change of the two aging function values obtained from the life physical strength aging function program at the different time points. , An independence degree evaluation processing unit that determines the progress of physical strength decline due to aging ,
Based on the progress of the degree of independence and the physical strength decreases obtained in the above evaluation subject of information and the degree of independence evaluation processing unit from the personal database, refer to the raw active guidance and exercise instruction program files, improved to A life guidance / exercise program selection and presentation section for selecting and presenting a life guidance / exercise program;
Daily life / exercise support system for elderly people, characterized by having   2. The elderly person's daily life / exercise support system according to claim 1, wherein the degree of independence obtained by the independence degree evaluation processing unit is the value of the physical strength measurement value of the evaluation subject with respect to the independence limit value for the daily life physical fitness item. It is at least one of the degree of absolute independence expressed as a ratio and the relative degree of independence expressed as a ratio of the physical strength measurement value to the physical strength age function function value obtained using the above-mentioned physical fitness age function program Elderly people's daily life and exercise support system.   2. The elderly person's daily life / exercise support system according to claim 1, wherein the independence degree calculated by the independence degree evaluation processing unit is the physical strength measurement of the evaluation subject with respect to the independence limit value for a plurality of the daily life physical fitness items. The total absolute independence that comprehensively represents the ratio of the value and the overall relative independence that comprehensively represents the ratio of the physical strength measurement value to the physical strength aging function value obtained using the above-mentioned physical fitness aging function program The daily life / exercise support system for the elderly, characterized by being at least one of the above. The daily activity / exercise support system for an elderly person according to any one of claims 1 to 3 , wherein the life activity ability evaluation data includes life activity movement ability ADL, peripheral life activity movement ability APDL, and quality of life QOL. And an everyday life / exercise support system for the elderly, wherein at least two or more items including the daily life physical strength BPDL are selected from the daily life physical strength BPDL and used in combination. The elderly person's daily life / exercise support system according to any one of claims 1 to 4 , wherein the personal data is from among the elderly person's medical history, occupational history, and living environment history. An elderly person's daily life / exercise support system characterized by selecting and using at least one item. The daily life / exercise support system for an elderly person according to any one of claims 1 to 5 , wherein the daily life physical strength items used for the life physical strength aging function program are: whole body adjustment ability, lower limb muscle strength, balance A system for assisting daily life and exercise guidance for the elderly, characterized by selecting and using at least two items from among grip strength, finger skill, and brain function. The elderly person's daily life / exercise support system according to any one of claims 1 to 6 , wherein the exercise program presented in the life guidance / exercise program selection and presentation unit includes exercise intensity, exercise time, and exercise An elderly person's daily life / exercise guidance support system characterized by including at least one or more pieces of information. The elderly person's daily life / exercise support system according to any one of claims 1 to 7 , wherein a nutrition menu corresponding to the exercise program is stored as a nutrition management program file in the program storage unit, based on the presented exercise program in the life guidance and exercise program selection presentation unit, with reference to the nutritional management program file, select a nutritional menu corresponding to the exercise program, nutrition guidance program for presenting performed calorie counting An elderly person's daily life / exercise support system characterized by having a selection and presentation section.

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