JP6689735B2 - Care support system, control method and program - Google Patents

Description

  The present invention relates to a care support system, a control method and a program.

  Traditionally, care records are created by hand, and are written by relying on memory after care work is completed.Therefore, erroneous memory, entry errors, forgetting to enter, etc., and overtime work associated with care record creation, etc. Productivity was poor. For the purpose of eliminating such non-productivity at the nursing care site and inputting the care record accurately and easily, the caregiver inputs the work contents and confirmation items by touch method on the tablet terminal or inputs to the personal computer. By doing so, a care record is created, transferred to a host computer such as an office, and managed, and a care management system and the like have been proposed (for example, refer to Patent Document 1).

JP-A-7-114596

  However, even if the nursing care record input work is streamlined and accurately managed like the above-mentioned nursing care management system, the accumulated data can be analyzed and reflected in the care recipient's future care plan. There wasn't.

  An object of the present invention is to provide a care support system, a control method, and a program that can output a future care plan by using a care record of a care receiver.

A nursing care support system according to a first aspect of the present invention is an input unit for inputting nursing care information that is information on nursing care performed for a cared person, and a memory for storing the nursing care information input by the input unit. A nursing care support system including means and output means for outputting nursing care record information, which is information of a nursing care record created based on the nursing care information stored in the storage means, wherein the nursing care stored in the storage means Analysis means for analyzing the information, generating means for generating care plan information which is information on the care plan of the care recipient based on the analysis result of the analyzing means, and the care plan information generated by the generating means. a care plan output means for outputting the past information storage means for storing historical information in advance past care record information made to a plurality of the care, the past information storage means A decision tree creating means for creating a decision tree for deciding the nursing care plan based on the past information to be remembered, and the analyzing means is based on the nursing care information, the time of the information included in the nursing care information. Information indicating the state of the care-receiver created based on the calculation means for calculating the physical tendency, the temporal tendency calculated by the calculation means, and the current information which is the current information included in the care information. And a determination unit that determines whether the generation unit generates the care plan information by processing the state information that is the determination tree by the determination tree. When it is determined to generate information, the care plan information is generated .

  According to the first aspect, the care information input by the input unit is stored in the storage unit. Care record information is created based on the care information stored in the storage means and can be output by the output means. The care information stored in the storage means is analyzed by the analysis means, and based on the analysis result, the care means plans the care plan information of the care receiver. The generated care plan information is output by the care plan output means. By caring for the cared person according to the care plan information, the caregiver can provide an appropriate care service to the cared person without having specialized knowledge such as medical care and care.

To determine the care plans generated by the generate means, the relevance of the nursing information caregiver input by the input means, the decision tree generating means, made to advance past a plurality of the care-receiver Create a decision tree based on past information. Since the decision tree is created based on the past information, it is possible to analyze without bias due to individual differences in consideration of care cases of other cared persons. The analysis means calculates the temporal tendency of the information included in the care information based on the care information stored in the storage means. The temporal tendency is important information indicating, for example, the recovery tendency of the cared person. The analysis means processes the state information of the care-receiver created based on such temporal tendency and the current information with the decision tree to determine whether or not to generate the care plan information. When it is determined that the care plan information is generated, the generation unit generates the care plan information according to the generated decision tree. Accordingly, the first aspect can generate appropriate care plan information according to the recovery tendency of the care receiver.

  The decision tree creating means of the first aspect may create the decision tree based on the past information and the ID3 algorithm. Accordingly, in the first aspect, the decision tree for determining the care plan can be easily created based on the past information.

  The care information of the first aspect includes biometric information of the cared person, the calculation means calculates a time change rate as the temporal tendency of the biometric information, and the determination means is the calculation means. By processing the state information created based on the time change rate calculated by the above and the current information with the decision tree, it is determined whether the creating means creates the care plan information. May be. Examples of the biometric information include various data such as body temperature, blood pressure, body weight, meal amount, water retention amount, defecation and urination (number and amount). Since such biometric information is data generally represented by numerical values, the temporal change rate can be easily calculated. Accordingly, the determination unit can appropriately determine whether to generate the care plan information by processing the state information created based on the calculated temporal change rate and the current information with the decision tree.

  The care information of the first aspect further includes external information indicating an external state of the care receiver, and the analysis unit is a numerical value of the external information out of the care information stored in the storage unit. The calculating unit may include a digitizing unit that digitizes the biological information and the external information that is digitized by the digitizing unit, and calculates the time change rate. Examples of external information include mental and physical external data such as movements of limbs of a cared person, conversation (verbal behavior), walking (falling), and intention (action). Such extracorporeal mental and physical data is qualitative data, and is generally qualitatively represented data other than numerical values. Thereby, in the first aspect, the analyzing means can digitize the external information, and thus can calculate not only the biological information but also the temporal change rate of the digitized external information. Therefore, the determination unit can appropriately determine whether or not to generate the care plan information by processing the state information created based on the calculated respective temporal change rates and the current information with the decision tree.

  The calculation means of the first aspect may calculate the time change rate using a least squares method. Thereby, in the first aspect, the time change rate can be easily calculated.

  The first aspect may include a display unit capable of displaying various information, and the care plan output unit may display the care plan information generated by the generation unit on the display unit. Thereby, the caregiver can easily confirm the care plan displayed on the display unit.

  The first aspect may include a conversion unit that converts the various types of information displayed on the display unit into multiple languages. Accordingly, in the first aspect, for example, by converting the care plan information displayed on the display unit into multiple languages, even a foreign caregiver can confirm the care plan information.

  The input means of the first aspect may include a voice recognition means for recognizing a voice uttered by a user as a character, and the character recognized by the voice recognition means may be input as the care information. Thereby, the caregiver can input the care record information by voice while caring for the care receiver, for example, so that the workability can be improved.

A care support system according to a second aspect of the present invention is an input unit for inputting care information which is information on care provided to a cared person, and a memory for storing the care information input by the input unit. A nursing care support system including means and output means for outputting nursing care record information, which is information of a nursing care record created based on the nursing care information stored in the storage means, wherein the nursing care stored in the storage means Analysis means for analyzing the information, generating means for generating care plan information which is information on the care plan of the care recipient based on the analysis result of the analyzing means, and the care plan information generated by the generating means. a care plan output means for outputting, based on the nursing information stored in the storage means, and a decision tree generation means for generating a decision tree for determining the care plan, the analysis hand Is a calculation unit that calculates a temporal tendency of information included in the care information based on the care information, the temporal tendency calculated by the calculation unit, and current information included in the care information. Determination of whether or not the generation unit generates the care plan information by processing state information, which is information indicating the state of the care-receiver created based on current information, with the decision tree And generating means for generating the care planning information when the determining means determines to generate the care planning information .
According to the second aspect, the care information input by the input means is stored in the storage means. Care record information is created based on the care information stored in the storage means and can be output by the output means. The care information stored in the storage means is analyzed by the analysis means, and based on the analysis result, the care means plans the care plan information of the care receiver. The generated care plan information is output by the care plan output means. By caring for the cared person according to the care plan information, the caregiver can provide an appropriate care service to the cared person without having specialized knowledge such as medical care and care.
And long-term care plan that is generated by the raw formation means, for the caregiver to determine the relevance of the long-term care information to be input by the input means, the decision tree creating means, a decision tree based on the long-term care information that has been stored in the storage means create. The analysis means calculates the temporal tendency of the information included in the care information based on the care information stored in the storage means. The temporal tendency is important information indicating, for example, the recovery tendency of the cared person. The analysis means processes the state information of the care-receiver created based on such temporal tendency and the current information with the decision tree to determine whether or not to generate the care plan information. When it is determined that the care plan information is generated, the generation unit generates the care plan information according to the generated decision tree. Accordingly, the second aspect can generate appropriate care plan information according to the recovery tendency of the care receiver.

A control method according to a third aspect of the present invention is an input unit for inputting care information, which is information on care provided to a care receiver, and a storage unit for storing the care information input by the input unit. In the control method of the care support system, comprising: and an output unit that outputs care record information, which is information of a care record created based on the care information stored in the storage unit, stored in the storage unit. An analysis step of analyzing the care information, a generation step of generating care plan information which is information of a care plan of the care receiver based on an analysis result in the analysis step, and the care plan generated in the generation step based on the care plan output step for outputting information, said historical information historical information storage unit stores for storing historical information in advance past care record information made to a plurality of the care, before A decision tree creating step of creating a decision tree for determining a care plan, the analysis step, based on the care information, a calculation step of calculating a temporal tendency of information included in the care information; In the decision tree, the temporal tendency calculated in the calculation step and the state information that is the information indicating the state of the cared person created based on the current information that is the current information included in the care information. And a determination step of determining whether or not to generate the care plan information in the generation step by processing, the generation step, if the generation of the care plan information is determined in the determination step, the care It is characterized by generating plan information .

According to the third aspect, the effect described in the first aspect can be obtained by the care support system performing each of the above steps.
A control method according to a fourth aspect of the present invention is an input unit for inputting care information that is information on care provided to a care receiver, and a storage unit for storing the care information input by the input unit. In the control method of the care support system, comprising: and an output unit that outputs care record information, which is information of a care record created based on the care information stored in the storage unit, stored in the storage unit. An analysis step of analyzing the care information, a generation step of generating care plan information which is information of a care plan of the care receiver based on an analysis result in the analysis step, and the care plan generated in the generation step A care plan output step of outputting information, and a decision tree creating step of creating a decision tree for determining the care plan based on the care information stored in the storage unit, and the analyzing step, Based on the care information, a calculation step of calculating a temporal tendency of information included in the care information, the temporal tendency calculated in the calculation step, and current information which is current information included in the care information. A determination step of determining whether or not to generate the care plan information in the generation step by processing the state information, which is information indicating the state of the care-receiver created based on And the generation step generates the care plan information when it is determined in the determination step that the care plan information is to be generated.
According to the fourth aspect, the effects described in the second aspect can be obtained by the care support system performing each of the above steps.

A program according to a fifth aspect of the present invention includes an input unit for inputting care information that is information on care provided to a care receiver, and a storage unit for storing the care information input by the input unit. A program for causing a computer of a care support system including an output unit for outputting care record information, which is information of a care record created based on the care information stored in the storage unit, to be stored in the storage unit. An analysis step of analyzing the care information stored in the step of generating, and a generation step of generating care plan information, which is information of a care plan of the care recipient, based on the analysis result in the analysis step; the care plan and care planning output step information outputting, to store historical information in advance past information that are made care records for a plurality of the care was Based on the past information stored in the past information storage unit, a decision tree creating step of creating a decision tree for determining the care plan, the analysis step, based on the care information, to the care information. The cared person created based on a calculation step of calculating a temporal tendency of the included information, the temporal tendency calculated in the calculating step, and present information which is present information included in the care information. And a determination step of determining whether or not to generate the care plan information in the generation step by processing state information that is information indicating the state of the determination tree, the generation step including the determination step. When it is determined that the care plan information is generated in the step, the care plan information is generated .

According to the fifth aspect, the computer of the care support system executes the above steps, whereby the effect described in the first aspect can be obtained.
A program according to a sixth aspect of the present invention includes an input unit for inputting care information that is information on care provided to a care receiver, and a storage unit for storing the care information input by the input unit. A program for causing a computer of a care support system including an output unit for outputting care record information, which is information of a care record created based on the care information stored in the storage unit, to be stored in the storage unit. An analysis step of analyzing the care information stored in the step of generating, and a generation step of generating care plan information, which is information of a care plan of the care recipient, based on the analysis result in the analysis step; And a decision tree for determining the care plan based on the care plan output step of outputting the care plan information and the care information stored in the storage unit. A decision tree creating step of forming the decision tree, the analyzing step based on the care information, a calculating step of calculating a temporal tendency of information included in the care information, and the temporal tendency calculated in the calculating step. And the state information that is the information indicating the state of the care-receiver created based on the current information that is the current information included in the care information, by processing with the decision tree, the generating step A determination step of determining whether or not to generate care plan information, wherein the generation step generates the care plan information when it is determined to generate the care plan information in the determination step. .
According to the sixth aspect, the computer of the care support system executes the above steps, and thereby the effect described in the second aspect can be obtained.

  The present invention may arbitrarily combine the respective configurations of the first aspect.

It is a block diagram which shows the electric constitution of the care support system 1. 3 is a conceptual diagram showing various storage areas of a storage unit 24. FIG. FIG. 3 is a conceptual diagram showing various storage areas of a storage unit 34. It is a flow chart of data registration control processing. It is a flowchart which shows the continuation of FIG. It is a flowchart which shows the continuation of FIG. It is a figure which shows the login screen 451. It is a figure which shows a helper / cared person selection screen 452. FIG. 11 is a diagram showing a helper registration / edit selection screen 453. It is a figure which shows the helper registration screen 454. It is a figure which shows the helper selection screen 455. It is a figure which shows the care receiver registration / edition selection screen 456. It is a figure which shows the care receiver registration screen 457. It is a figure which shows the care receiver selection screen 458. It is a flow chart which shows tablet terminal control processing. It is a flowchart which shows the continuation of FIG. It is a flowchart which shows the continuation of FIG. It is a figure which shows the login screen 551. It is a figure which shows the care receiver selection screen 552. It is a figure which shows the large item selection screen 553. It is a figure which shows the inside item selection screen 554 of a life support record. It is a figure which shows the inside item selection screen 555 of a nursing record. It is a figure which shows the inside item selection screen 556 of rehabilitation recording. It is a figure which shows the inside item selection screen 557 of an accident and near miss. It is a figure which shows the small item input screen 558 of vital. It is a figure which shows the care record screen 559 of a life support record. It is a figure which shows the care plan screen 560. It is a flow chart of management terminal control processing. It is a flowchart of a Web server control process. It is a conceptual diagram of care record information 2451. It is a conceptual diagram of care plan list information 3471. It is a graph which shows an example of body temperature change for the past 7 days until it recovers from a cold. It is a graph which shows an example of the change at the time of a meal amount fall for the past 3 days. It is a table which shows an example of the care plan information output by the combination of the time change rate a of an item, and the present value of another item. It is a conceptual diagram of past training information 3481. It is an example of a decision tree created based on past training information 3481. It is a flow chart of decision tree creation processing. It is a flowchart of a care plan information creation process. It is a figure which shows the process of creating the item value information 332 from the time series information 331. It is a figure which shows the process of creating nursing care plan information based on each determination result of decision trees AZ. It is a figure (modification) which shows the care receiver selection screen 562. It is a figure (modification) which shows the small item selection screen 563. It is a figure which shows the body temperature input screen 564 (modification: body temperature is not input). It is a figure which shows the body temperature input screen 564 (modification: After body temperature input).

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. The drawings to be referred to are used for explaining the technical features that can be adopted by the present invention. The configurations, the processes, and the like described in the drawings are not intended to be limited thereto but merely illustrative examples.

  The configuration and outline of the care support system 1 will be described with reference to FIG. The care support system 1 can be used, for example, in a care facility (home-visit care station or the like), a hospital, a welfare facility, or the like. This embodiment will be described on the assumption that it is used in a nursing facility. The care support system 1 includes a Web server 2, an application server 3 (hereinafter, referred to as “app server 3”), a management terminal 4, a plurality of tablet terminals 5A, 5B, 5C (hereinafter, collectively referred to as “tablet terminal 5”). , And the family terminal 7 and the like.

  The Web server 2 stores and manages the information of each of the care recipients who use the care service of the care facility and the helpers who care for them, and also stores the care record information and the care plan information of the care recipients. To do. The care record information is information on past care records of the care receiver. The long-term care plan information is information on future long-term care plans generated by analyzing the long-term care information of the cared person in the past predetermined period. Nursing care information is, for example, data measured or determined through the care of the care receiver, such as body temperature, blood pressure, weight, meal amount, movement of limbs, conversation, and walking, and information indicating the health condition of the care receiver. Is. Nursing-care information means input data described later, and extracorporeal mental and physical data. The details of the care record information and the care plan information will be described later. The Web server 2 creates care record information based on a request for creation of care record information from the management terminal 4. Further, based on a request for generation of care plan information from the management terminal 4, the application server 3 is requested to generate care plan information.

  The application server 3 communicates with the web server 2 in a wired manner, analyzes the care information of the care-receiver in the past predetermined period according to the request from the web server 2, generates care plan information, and outputs the care plan information to the web server 2. To do.

  The management terminal 4 is installed in, for example, a care facility, and is used by a care provider who provides a care service. The management terminal 4 is a terminal communicably connected to the Web server 2 via the Internet 10. At the management terminal 4, the care receiver and the helper are registered, and the physical and physical data of the care receiver are input. The mental and physical external data are information about external changes of the physical and mental manifested in the behavior of the cared person, such as the movements of the cared person's limbs, conversation (verbal behavior), walking (falling), and intention display (activity). . The method of inputting the extracorporeal data will be described later. Based on the request from the tablet terminal 5, the management terminal 4 requests the Web server 2 to create care record information or transmit care plan information.

  The tablet terminal 5 is used by a helper who works in a care facility and wirelessly communicates with the management terminal 4. Each tablet terminal 5A, 5B, 5C is owned by each helper. The helper measures vital data (an example of “biological information” of the present invention) such as body temperature, blood pressure, and weight of the care receiver, and inputs it to the tablet terminal 5. The tablet terminal 5 transmits the input vital data to the management terminal 4.

  The family terminal 7 is, for example, a terminal installed in the home of the care-receiver's family, and is connected to the Internet 10 via the router 7A.

  In the care support system 1 having the above configuration, the tablet terminal 5 transmits input data such as vital data to the management terminal 4. The management terminal 4 transmits the input data received from the tablet terminal 5 and the care information including the mental and physical external data of the care receiver input to the management terminal 4 to the Web server 2 via the Internet 10. Using the tablet terminal 5, the helper can request the Web server 2 to transmit the care record information and care plan information of the care receiver via the management terminal 4. The tablet terminal 5 receives the care record information created by the Web server 2 and the care plan information created by the application server 3 via the Internet 10 and the management terminal 4. Therefore, the helper can confirm the care record information and care plan information of the care receiver on the tablet terminal 5. The family terminal 7 can request the management terminal 4 to transmit the care record information of the care receiver via the Internet 10. The family terminal 7 receives the care record information of the care receiver stored in the management terminal 4 via the Internet 10. Therefore, the family of the cared person can confirm the care record information of the cared person on the family terminal 7 while staying at home.

  The electrical configuration of the Web server 2 will be described with reference to FIG. The Web server 2 is a well-known Multi-point Control Unit (MCU), but may be a general-purpose server. The web server 2 includes a CPU 21 that controls the control. The CPU 21 is electrically connected to the ROM 22, RAM 23, storage unit 24, and communication unit 25. The ROM 22 stores a boot program, a BIOS, and various programs such as a Web server control program. The Web server control program is for executing a Web server control process (see FIG. 29) described later. The RAM 23 stores temporary data. The storage unit 24 is configured by a computer-readable non-transitory storage medium, for example, a non-volatile memory. The storage unit 24 includes various storage areas described later (see FIG. 2). The storage unit 24 may be composed of a hard disk and / or a ROM or the like. The communication unit 25 connects to the Internet 10. The CPU 21 transmits / receives data to / from the management terminal 4 via the Internet 10. The communication unit 25 connects to the application server 3 by wire. Therefore, the CPU 21 transmits / receives data to / from the application server 3 by wire.

  As shown in FIG. 2, the storage unit 24 includes a helper information storage area 241, a care receiver information storage area 242, an input data storage area 243, a mental and physical external data storage area 244, a care record information storage area 245, and care plan information. The storage area 246 and the like are provided. The helper information storage area 241 stores helper information including the name and the like of the helper. The care receiver information storage area 242 stores the care receiver information including the name and the like of the care receiver. The input data storage area 243 stores input data from the tablet terminal 5. The mind-body external data storage area 244 stores the mind-body external data input by the management terminal 4. The care record information storage area 245 stores care record information created for each care receiver. The care plan information storage area 246 stores care plan information generated for each care receiver.

  The electrical configuration of the application server 3 will be described with reference to FIG. The application server 3 is also a well-known MCU, but may be a general-purpose server. The application server 3 includes a CPU 31 that controls the same as the web server 2. The CPU 31 is electrically connected to the ROM 32, the RAM 33, the storage unit 34, and the communication unit 35. The ROM 32 stores a boot program, a BIOS, and various programs such as a decision tree creating program and a care plan information creating program. The decision tree creating program is for executing a decision tree creating process (see FIG. 37) described later. The care plan information creation program is for executing a care plan information creation process (see FIG. 38) described later. The RAM 33 stores temporary data. The storage unit 34 is configured by a computer-readable non-transitory storage medium, for example, a non-volatile memory. The storage unit 34 includes various storage areas described later (see FIG. 3). The storage unit 34 may be composed of a hard disk and / or a ROM or the like. The communication unit 35 connects to the Web server 2 by wire. Therefore, the CPU 31 transmits / receives data to / from the Web server 2 by wire.

  As shown in FIG. 3, the storage unit 34 includes a helper information storage area 341, a care receiver information storage area 342, an input data storage area 343, a physical / external external data storage area 344, a care record information storage area 345, and care plan information. A storage area 346, a care plan list information storage area 347, a past training information storage area 348, a decision tree storage area 349, and the like are provided. Note that the helper information storage area 341, the care receiver information storage area 342, the input data storage area 343, the extracorporeal and physical data storage area 344, the care record information storage area 345, and the care plan information storage area 346 are stored in the Web server 2. This is the same as the various storage areas of the unit 24. The care plan list information storage area 347 stores care plan list information 3471 (see FIG. 31) described later. The past training information storage area 348 stores past training information 3481 (see FIG. 35) described later. The decision tree storage area 349 stores information on the decision tree used to generate the care plan information.

  The electrical configuration of the management terminal 4 will be described with reference to FIG. The management terminal 4 is a general-purpose personal computer (PC) and a laptop computer, but may be a terminal having a display unit, and may be, for example, a well-known smartphone, tablet terminal, dedicated terminal, or the like. The management terminal 4 includes a CPU 41 that controls the control. The CPU 41 is electrically connected to the ROM 42, the RAM 43, the storage unit 44, the display unit 45, the input unit 46, and the communication unit 47. The ROM 42 stores a boot program, a BIOS, an OS, and various programs such as a data registration control program. The data registration control program is for executing a data registration control process (see FIGS. 4 to 6) described later. The RAM 43 temporarily stores the data and the like input by the input unit 46. The storage unit 44 is configured by a computer-readable non-transitory storage medium, for example, a non-volatile memory. The storage unit 44 may be composed of a hard disk and / or a ROM or the like.

  The display unit 45 is a liquid crystal screen, for example, and displays various screens. The input unit 46 is, for example, a keyboard and receives various input operations. The communication unit 47 connects to the Internet 10. Therefore, the CPU 41 transmits / receives data to / from the Web server 2 via the Internet 10. In addition, the communication unit 47 connects to the tablet terminals 5A to 5C so that they can communicate wirelessly. Therefore, the CPU 41 wirelessly transmits and receives data to and from the tablet terminals 5A to 5C.

  An electrical configuration of the tablet terminal 5 will be described with reference to FIG. The tablet terminal 5 may be a terminal having a display unit, and may be, for example, a well-known smartphone, a dedicated terminal, a general-purpose PC, or the like. However, since it is a terminal used by the helper, it is preferable that it be portable. The tablet terminal 5 includes a CPU 51 that controls the tablet. The CPU 51 is electrically connected to the ROM 52, the RAM 53, the storage unit 54, the display unit 55, the input unit 56, the communication unit 57, the camera 58, the A / D converter 59, the D / A converter 61, and the like.

  The ROM 52 stores various programs such as a tablet terminal control program as well as a boot program, a BIOS and an OS. The tablet terminal control program is for executing a tablet terminal control process (see FIG. 15) described later. The RAM 53 stores temporary data and the like input by the input unit 56. The storage unit 54 is configured by a computer-readable non-transitory storage medium, for example, a non-volatile memory. The storage unit 54 may be composed of a hard disk and / or a ROM or the like.

  The display unit 55 is a liquid crystal screen, for example, and displays various screens. The input unit 56 is a touch pad superimposed on the display unit 55 and receives various input operations. Therefore, the display unit 55 and the input unit 56 form a known touch panel. The communication unit 57 connects to the management terminal 4 in a wirelessly communicable manner. Therefore, the CPU 51 wirelessly transmits and receives data to and from the management terminal 4. The A / D converter 59 is electrically connected to the microphone 60 via an analog amplification circuit (microphone amplifier or the like) not shown. The D / A converter 61 is electrically connected to the speaker 62 via an analog amplification circuit (speaker amplifier or the like) not shown.

  The family terminal 7 is a tablet terminal, but may be a terminal having a display unit, and may be, for example, a well-known smartphone, tablet terminal, dedicated terminal, general-purpose PC, or the like. The electrical configuration is the same as that of the management terminal 4, so description thereof will be omitted.

  The data registration control process executed by the CPU 41 of the management terminal 4 will be described with reference to the flowcharts of FIGS. 4 to 6 and FIGS. 7 to 14. When the power of the management terminal 4 is activated and a predetermined input operation is performed by the input unit 46, the CPU 41 reads the data registration control program from the ROM 42 and executes this process. The CPU 41 displays the login screen 451 on the display unit 45 (S1). As shown in FIG. 7, on the login screen 451, a field for inputting an administrator ID and a field for inputting a password are displayed side by side, and a login button is displayed below the field. The administrator inputs the ID and password in each field and selects the login button to log in. The CPU 41 determines whether or not it has logged in (S2). Until logging in (S2: NO), the CPU 41 returns to S2 and waits. When logged in (S2: YES), the CPU 41 displays the helper / cared person selection screen 452 on the display unit 45 (S3).

  As shown in FIG. 8, on the helper / cared person selection screen 452, a helper registration / edit button and a cared person registration / edit button are displayed side by side. The user selects the helper registration / edit button to register or edit the helper, and selects the care recipient registration / edit button to register or edit the care receiver. The CPU 41 determines whether the helper registration / edit button has been selected (S4). When the helper registration / edit button is selected (S4: YES), the CPU 41 displays the helper registration / edit selection screen 453 on the display unit 45 as shown in FIG. 5 (S7).

  On the other hand, if the helper registration / edit button has not been selected (S4: NO), the CPU 41 determines whether the care receiver registration / edit button has been selected (S5). When the care receiver registration / edit button is selected (S5: YES), the CPU 41 displays a care receiver registration / edit selection screen 456 on the display unit 45 as shown in FIG. 6 (S25). As shown in FIG. 4, until either the helper registration / edit button or the care receiver registration / edit button is selected (S4: NO, S5: NO), the CPU 41 returns to S3 and waits.

  As shown in FIG. 9, on the helper registration / edit selection screen 453, a new registration button and a helper information edit button are displayed side by side. When newly registering the helper, the user selects the new registration button. When the user wants to edit the helper information already registered, the user selects the helper information edit button. As shown in FIG. 5, the CPU 41 determines whether the new registration button has been selected (S8). When the new registration button is selected (S8: YES), the CPU 41 displays the helper registration screen 454 on the display unit 45 (S9). As shown in FIG. 10, on the helper registration screen 454, for example, an office name, a facility name, a family name, a first name, an age, a gender, a date of birth, a qualification input field, a registration button, and the like to which the helper belongs are displayed. To be done. The CPU 41 displays the input content in the input field (S10). The administrator confirms the input content regarding the displayed helper and selects the registration button. The CPU 41 determines whether the registration button has been selected (S11). Until the registration button is selected (S11: NO), the CPU 41 returns to S10 and displays the input content. When the registration button is selected (S11: YES), the CPU 41 transmits the registration data to the web server 2 (S12).

  The CPU 41 determines whether or not the user has logged out (S13). When the user performs the logout operation on the input unit 46 (S13: YES), the CPU 41 ends this processing. When the user performs an operation to return to the helper / care recipient selection screen 452 (see FIG. 8) through the input unit 46 without performing the logout operation (S13: NO), the procedure returns to S3 in FIG. A helper / cared person selection screen 452 is displayed on the display unit 45, and the above processing is repeated.

  On the other hand, returning to FIG. 5, when the helper information edit button is selected on the helper registration / edit selection screen 453 (see FIG. 9) (S15), the CPU 41 displays the helper selection screen 455 on the display unit 45 ( S16). As shown in FIG. 11, the helper selection screen 455 displays a list of names of helpers stored in the helper information storage area 241 (see FIG. 2) of the storage unit 24. The user selects, for example, by clicking the name field of the helper to edit. The CPU 41 determines whether the helper has been selected (S17). The CPU 41 waits until the helper is selected (S17: NO). When the helper is selected (S17: YES), the CPU 41 displays the selected helper registration screen 454 (see FIG. 10) on the display unit 45 (S18). In the helper registration screen 454, when a part of the information is corrected, the corrected information is input again in the input field. The CPU 41 displays the corrected input content in the input field (S19). The administrator confirms the displayed input contents and selects the registration button. The CPU 41 determines whether the registration button has been selected (S20). Until the registration button is selected (S20: NO), the CPU 41 returns to S19 and displays the input content. When the registration button is selected (S20: YES), the CPU 41 transmits the registration data to the web server 2 (S21).

  The CPU 41 determines whether or not the user has logged out (S22). When the administrator performs a logout operation on the input unit 46 (S22: YES), the CPU 41 ends this processing. When the administrator performs an operation to return to the helper / care recipient selection screen 452 (see FIG. 8) using the input unit 46 without performing the logout operation (S22: NO), the procedure returns to S3 in FIG. A helper / cared person selection screen 452 (see FIG. 8) is displayed on the display unit 45, and the process is repeated.

  If neither the new registration button nor the helper information edit button is pressed on the helper registration / edit selection screen 453 (see FIG. 9) (S8: NO, S15: NO), the CPU 41 returns to S7 and stands by.

  On the other hand, when the caregiver registration / edit button is selected on the helper / cared person selection screen 452 (see FIG. 8) (S5: YES), the CPU 41 causes the display unit 45 to display a message as shown in FIG. The caregiver registration / edit selection screen 456 is displayed (S25). As shown in FIG. 12, on the care receiver registration / edit selection screen 456, a new registration button and a care receiver information edit button are displayed side by side. When the care receiver needs to be newly registered, the user selects the new registration button. When the user wants to edit the registered information of the care receiver, the user selects the care receiver information edit button. As shown in FIG. 6, the CPU 41 determines whether the new registration button has been selected (S26). When the new registration button is selected (S26: YES), the CPU 41 displays the care receiver registration screen 457 on the display unit 45 (S27). As shown in FIG. 13, on the care receiver registration screen 457, the care receiver's basic information input field 4571 is displayed on the upper side, and the care receiver's mental and physical data input field 4572 is displayed on the lower side. , A registration button is displayed in the lower right corner.

  In the basic information input field 4571, for example, a business office name, a facility name, a family name, a surname, a first name, an age, a sex, a date of birth, a degree of long-term care, etc. to which the care recipient belongs are displayed. A plurality of check boxes are displayed in the mental / physical external data input field 4572, for example, regarding the chronic diseases that the cared person is currently having, and the check boxes of the corresponding chronic diseases are marked. Furthermore, regarding the physical function of the cared person (for example, visual acuity, hearing, relationship with other people, hand movement, walking, relationship with caregiver, etc.), the function level of each item can be selected by pull-down display. Has become. In addition, the sleep status is displayed step by step, and the check box of the corresponding sleep level is marked. Furthermore, with respect to hobbies, a plurality of examples are displayed, and a check box for each hobby is marked.

  The CPU 41 displays the input contents in the input fields 4571 and 4572 (S28). The administrator confirms the displayed input contents and selects the registration button. The CPU 41 determines whether the registration button has been selected (S29). Until the registration button is selected (S29: NO), the CPU 41 returns to S28 and displays the input contents input in the input fields 4571 and 4572. When the registration button is selected (S29: YES), the CPU 41 transmits the registration data to the web server 2 (S30).

  The CPU 41 determines whether or not the user has logged out (S31). When the administrator performs the logout operation on the input unit 46 (S31: YES), the CPU 41 ends this processing. When the administrator performs an operation to return to the helper / care recipient selection screen 452 (see FIG. 8) using the input unit 46 without performing the logout operation (S31: NO), the procedure returns to S3 in FIG. The helper / cared person selection screen 452 is displayed on the display unit 45, and the process is repeated.

  On the other hand, when the care receiver information edit button is pressed on the care receiver registration / edit selection screen 456 shown in FIG. 12 (S33: YES), the CPU 41 displays the care receiver selection screen 458 on the display unit 45. Yes (S34). As shown in FIG. 14, on the care receiver selection screen 458, the names of care receivers stored in the care receiver information storage area 242 of the storage unit 24 of the Web server 2 are displayed as a list. For example, if there is a change in the physical function of the caregiver in charge of the helper, the helper needs to edit the mental and physical external data of the caregiver, so select the name field of the caregiver to edit. To do. The CPU 41 determines whether the cared person has been selected (S35). The CPU 41 waits until a cared person is selected (S35: NO). When the care receiver is selected (S35: YES), the CPU 41 displays the care receiver registration screen 457 (see FIG. 13) of the selected care receiver on the display unit 45 (S36).

  On the care receiver registration screen 457 of the selected care receiver, the information has already been input in the respective input fields 4571 and 4572, and the check boxes are also checked. The helper inputs the changed content, or adds or removes a check mark from or to the check box, for the item in which the physical function of the cared person has changed in the external and physical data input field 4572. The CPU 41 displays the changed input contents (S37). The helper confirms the input contents and selects the registration button. The CPU 41 determines whether the registration button has been selected (S38). Until the registration button is selected (S38: NO), the CPU 41 returns to S37 and displays the input content in the input field. When the registration button is selected (S38: YES), the CPU 41 transmits the registration data to the web server 2 (S39).

  It should be noted that the caregiver's mental and physical external data are less likely to change with time than the caregiver's vital data, so that the helper applies the corresponding data to the management terminal 4 only when the psychological and physical external data has changed. The care receiver registration screen 457 of the cared person to be displayed is displayed, and the input content of the psycho-physical external data input in the psycho-physical external data input field 4572 may be changed. For example, the physical and physical external data may be input in units of several months.

  The CPU 41 determines whether or not the user has logged out (S40). When the administrator performs the logout operation on the input unit 46 (S40: YES), the CPU 41 ends this processing. When the administrator performs an operation to return to the helper / care recipient selection screen 452 (see FIG. 8) using the input unit 46 without performing the logout operation (S40: NO), the procedure returns to S3 in FIG. The helper / cared person selection screen 452 is displayed on the display unit 45, and the process is repeated.

  The tablet terminal control processing executed by the CPU 51 of the tablet terminal 5 will be described with reference to the flowcharts of FIGS. 15 to 17 and FIGS. As described above, the tablet terminal 5 is owned by the helper and is used, for example, when caring for a care receiver. When the helper activates the power of the tablet terminal 5 and performs a predetermined input operation with the input unit 56, the CPU 51 reads the tablet terminal control program from the ROM 52 and executes this processing. The CPU 51 displays the login screen 551 on the display unit 55 (S51). As shown in FIG. 18, on the login screen 551, a column for inputting an administrator ID and a column for inputting a password are displayed vertically, and a login button is displayed below the column. The helper inputs the ID and password in each field and selects the login button to log in. The CPU 51 determines whether or not it has logged in (S52). Until logging in (S52: NO), the CPU 51 returns to S52 and waits. When logged in (S52: YES), the CPU 51 displays the care receiver selection screen 552 on the display unit 55 (S53).

  As shown in FIG. 19, on the care receiver selection screen 552, for example, the care receiver's name and residence stored in the care receiver information storage area 242 (see FIG. 2) of the storage unit 24 of the Web server 2 are displayed. The room number, group name, etc. to be set are displayed in a list as a set. The information such as the room number and the group name may be input on the management terminal 4 in the input field of the care receiver registration screen 457 (see FIG. 13), for example. By swiping the slider on the right side of the list in the vertical direction, the list is moved in the vertical direction and displayed. For example, when the helper measures the body temperature, blood pressure, etc. of the cared person, the name field of the cared person who has been cared for is selected in order to input such vital data. The CPU 51 determines whether the cared person is selected (S54). The CPU 41 waits until a cared person is selected (S54: NO). For example, in FIG. 19, when “Hanako Aichi” is selected from the list of cared persons (S54: YES), the CPU 51 displays the selected Hanako Aichi on the display unit 55, as shown in FIG. The large item selection screen 553 is displayed (S55).

  The name, age, and sex of the cared person are displayed at the top of the major item selection screen 553, and below that, there are buttons for selecting major items, such as a “life support record” button, a “rehabilitation record” button, "Nursing record" button and "accident / near" button are displayed side by side. A "care record" button is displayed below them, and a "care plan" button is displayed on the right side thereof. The helper selects the large item button of the data to be input.

  The CPU 51 determines whether the care record button is selected (S56). When the care record button is selected (S56: YES), the CPU 51 advances the process to S81 described later in FIG. When the care record button is not pressed (S56: NO), the CPU 51 determines whether the care plan button is pressed (S57). When the care plan button is pressed (S57: YES), the CPU 51 advances the process to S86 described later in FIG. When the care plan button is not pressed (S57: NO), the CPU 51 determines whether the major item button is selected (S58). When the major item button is not selected (S58: NO), the CPU 51 returns to S56 and waits until any one of the care record button, the care plan button, and the major item button is selected. When the large item selection button is selected (S58: YES), the CPU 51 displays the selected large item middle item selection screen 554 on the display unit 55 (S59).

  FIG. 21 shows a middle item selection screen 554 when the life support record button is selected as a major item. On the middle item selection screen 554, nine middle item buttons are displayed as middle items of the life support record. Specifically, the “vital” button, the “oral cavity” button, the “meal” button, the “excretion” button, A "snack" button, a "bath" button, a "water" button, a "recreation" button, and an "other" button are displayed. A "return" button is displayed below them. The helper selects the middle item button of the data to be input.

  FIG. 22 shows a middle item selection screen 555 when the nursing record button is selected as a major item. On the middle item selection screen 555, two middle item buttons are displayed as middle items of the nursing record, and specifically, a "medicine taking" button and a "nursing care" button are displayed. A "return" button is displayed below them. The helper presses the middle item button of the data to be input.

  FIG. 23 shows the middle item selection screen 556 when the rehabilitation recording button is selected as a major item. On the middle item selection screen 556, two middle item buttons are displayed as middle items for rehabilitation recording, and specifically, a “medicine” button and a “nursing care” button are displayed. A "return" button is displayed below them. The helper presses the middle item button of the data to be input.

  FIG. 24 shows a middle item selection screen 557 when the accident / close-up button is selected as a major item. On the middle item selection screen 557, two middle item buttons are displayed as middle items of the accident / miss, specifically, "accident" button and "close" button are displayed. A "return" button is displayed below them. The helper presses the middle item button of the data to be input.

  Returning to FIG. 15, on the middle item selection screen, the CPU 51 determines whether or not the middle item button is selected (S60). The CPU 51 waits until the middle item button is selected (S60: NO). When the return button is pressed, the CPU 51 returns the display to the large item selection screen 553. When the middle item button is pressed (S60: YES), the CPU 51 displays the small item input screen 558 of the selected middle item on the display unit 55 (S61).

  FIG. 25 shows a small item input screen 558 when the vital button (see FIG. 21) is selected as an item in the life support record. In the small item input screen 558, as the small items of vital data, input fields such as the date and time of measurement, body temperature (° C), pulse (bpm), blood pressure (mmHg: high and low), respiration (bpm), and comments are provided. It is displayed. The helper selects by pressing the input field of the small item to be input. Further down, a photograph button, a comment button, and a registration button are displayed side by side. Further, a "return" button is displayed below them. The photograph button is selected when it is desired to save the image data of the photograph as a part of the care record information. The comment button is selected when voice input is used for data input to each input field. The registration button is selected when the content entered in each entry field is confirmed.

  Returning to FIG. 15, the CPU 51 determines whether or not a small item input field is selected (S63). The CPU 51 waits until the small item input field is selected (S63: NO). When the input field of the small item is selected (S63: YES), the CPU 51 highlights the input field of the selected small item (S64). Thereby, the CPU 51 can make the helper easily recognize that the highlighted input field is selected.

  In addition, in the present embodiment, regarding data input to the input field, data input using the touch panel in the input unit 56 and voice input using the microphone 60 can be selected and performed. The CPU 51 determines whether the comment button has been selected (S65). When inputting data using the input unit 56, the helper inputs data using the touch panel without selecting the comment button. When the comment button is not selected (S65: NO), the CPU 51 displays the content of the data input by the input unit 56 in the input field (S66).

  On the other hand, when performing data input using voice input using the microphone 60, the helper selects the comment button and reads the input content into the microphone 60. When the comment button is selected (S65: YES), the CPU 51 performs voice recognition processing on the helper's voice acquired from the microphone 60 (S68) and converts the input content into text data. Note that well-known voice recognition software can be used for the voice recognition processing. The CPU 51 displays the content converted into text data by the voice recognition process in the input field of the selected small item (S69).

  The helper may sequentially input the measured vital data into the tablet terminal 5 while caring for the care receiver, for example. At this time, the data input work can be performed easily and in a short time by appropriately using the voice input. That is, since the manual input work on the tablet terminal 5 can be eliminated as much as possible, the workability of data input can be improved. Further, the nursing care work and the data input work can be performed at the same time.

  Next, the CPU 51 determines whether the registration button has been selected (S70). The CPU 51 waits until the registration button is selected (S70: NO). When the registration button is selected (S70: YES), the CPU 51 adds the care receiver information to the input data and sends it to the management terminal 4 (S71). The care receiver information may be any information that can identify the care receiver.

  Next, the CPU 51 determines whether or not there is an uninput item on the small item input screen 558 (S72). If there is an uninput item (S72: YES), the CPU 51 notifies that there is an uninput item (S74). The notification may be performed in any manner. For example, the display on the display unit 55 or the speaker 62 may output a sound such as an alarm to notify. The helper inputs data to the non-input items. If there is no uninput item (S72: NO), the CPU 51 determines whether or not a logout operation has been performed (S73). When the logout operation has not been performed (S73: NO), the CPU 51 returns to S55 and displays the care receiver major item selection screen 553 (see FIG. 20).

  In addition, for example, when the helper wants to check the care record information of the care receiver, the care record button may be pressed on the large item selection screen 553. The care record information can be created for each major item such as life support record, nursing record, rehabilitation record, and accident / nearness, and the operation method at this time is, for example, which one after pressing the care record button once. It may be made to input whether to create the care record information of the item.

  When the care record button is pressed (S56: YES), the CPU 51 transmits a care record request signal to the management terminal 4 as shown in FIG. 16 (S81). Upon receiving the care record request signal from the tablet terminal 5, the management terminal 4 transmits the care record request signal to the Web server 2 as described later. Upon receiving the care record request signal, the Web server 2 creates care record information and transmits it to the management terminal 4. The management terminal 4 transmits the care record information received from the Web server 2 to the tablet terminal 5 that has transmitted the care record request signal. The CPU 51 determines whether or not the care record information is received from the management terminal 4 (S82). Until the care record information is received (S82: NO), the CPU 51 returns to S82 and stands by. When the care record information is received (S82: YES), the CPU 51 displays the care record screen 559 on the display unit 55 (S83).

  FIG. 26 shows a care record screen 559 in the life support record of Hanako Aichi. On the care record screen 559, the name, age, and sex of the cared person are displayed at the upper part, and care record information regarding the life support record is displayed below the care record screen 559. The date of the care record information being displayed is displayed in the center of the lower part of the care record screen 559, the next day button is displayed on the right side thereof, and the previous day button is displayed on the left side thereof. To display the nursing care record information of the previous day of the displayed date, the previous day button may be pressed. If you want to display the care record information for the day after the displayed date, you can press the next day button. Each time the previous day button or the next day button is pressed, the date is changed. A return button is displayed in the lower right corner of the care record screen 559.

  The care record information for each input time is displayed as a horizontally long rectangular selection button. The input date and time, the middle item, the name of the helper who input the data, and the like are displayed on the respective selection buttons. In a general nursing care facility, one care recipient takes care of a plurality of helpers by turns, so the helpers for inputting data differ depending on the time of day. Since the name of the helper who input the data is displayed on the selection button, the name of the helper in charge of the care can be confirmed on the care record screen 559. When the helper presses the selection button for the time to be confirmed, the contents input at the displayed time are all displayed on the display unit 55. In the example shown in FIG. 26, as the care record information of 10:43, a comment is entered regarding water content, and a photograph is also posted accordingly. This allows the helper to more specifically confirm the past water intake status of the cared person.

  On the care record screen 559, the CPU 51 determines whether or not the return button has been selected (S84). Until the return button is selected (S84: NO), the CPU 51 returns to S84 and waits. When the return button is selected (S84: YES), the CPU 51 returns to S55, displays the large item selection screen 553 (see FIG. 20) on the display unit 55, and repeats the above processing.

  If the helper wants to check the care plan information of the care receiver, he or she may press the care plan button on the large item selection screen 553. Here, regarding the caregiver's care plan, the caregiver's physical condition, physical function, etc. change daily, so it is possible to analyze the latest care record information and determine a future care plan. is necessary. However, a beginner helper who is inexperienced in nursing care generally lacks specialized knowledge, and therefore cannot independently determine a care plan for a care receiver. Therefore, in general practice, a nursing care plan is created by, for example, an experienced helper or a doctor with specialized knowledge, and a beginner helper who has little experience with nursing care follows the care plan created by an experienced helper. I was doing care work. However, if the number of veteran helpers is small, it may be difficult to quickly and properly create a care plan for each care recipient, and the care plan may be delayed. It was

  Therefore, in the present embodiment, the latest care plan information corresponding to the state of the care receiver can be displayed on the display unit 55 by simply pressing the care plan button on the large item selection screen 553. When the care plan button is pressed (S57: YES), the CPU 51 transmits a care plan request signal to the management terminal 4 as shown in FIG. 17 (S86). As will be described later, when the management terminal 4 receives the care plan request signal from the tablet terminal 5, the management terminal 4 transmits the care plan request signal to the Web server 2. Upon receiving the care plan request signal, the Web server 2 transmits the care plan request signal to the application server 3. The application server 3 analyzes the care information (input data and extracorporeal physical and physical data) of the care receiver sent from the Web server 2, generates care plan information, and transmits it to the Web server 2. The web server 2 transmits the care plan information received from the application server 3 to the management terminal 4. The management terminal 4 transmits the care plan information received from the Web server 2 to the tablet terminal 5 that has transmitted the care plan request signal.

  The CPU 51 determines whether or not the care plan information is received from the management terminal 4 (S87). The CPU 51 waits until it receives the care plan information (S87: NO). When the care plan information is received (S87: YES), the CPU 51 displays the care plan screen 560 on the display unit 55 and displays the content of the received care plan information (S88).

  FIG. 27 shows a care planning screen 560 displaying care planning information for Hanako Aichi. On the care plan screen 560, the name, age, and sex of the cared person are displayed in the upper part, and the care record information created by the application server 3 is displayed below the care support record for each item in the life support record. In the example shown in FIG. 27, the message "Let's consider the intake of thick foods and mousse foods" is displayed for the meal care plan. Also, regarding the nursing care plan for chronic illness, a message "I am in a tendency to recover from a cold." Is displayed. As will be described later, these pieces of care plan information are generated by the application server 3 by analyzing the care information of the care receivers based on the care record information of the past 300 care receivers. As a result, the helper can confirm the care plan of the cared person concretely and promptly for each medium item, so that appropriate care can be taken according to the current physical condition and physical function of the cared person. Can be provided to other people.

  In the center of the lower part of the care record screen 559, the date when the care plan information being displayed is generated is displayed, the next day button is displayed on the right side thereof, and the previous day button is displayed on the left side thereof. To display the care plan information generated on the day before the displayed date, the previous day button may be pressed. To display the care plan information generated on the day following the displayed date, the next day button may be pressed. Each time the previous day button or the next day button is pressed, the date is changed. A back button is displayed in the lower right corner of the care plan screen 560.

  On the care plan screen 560, the CPU 51 determines whether or not the return button has been selected (S89). Until the return button is selected (S89: NO), the CPU 51 returns to S89 and waits. When the return button is selected (S89: YES), the CPU 51 returns to S55, displays the large item selection screen 553 (see FIG. 20) on the display unit 55, and repeats the above processing. When the logout operation is performed by the helper (S73: YES), the CPU 51 ends this processing.

  The management terminal control processing executed by the management terminal 4 will be described with reference to the flowchart in FIG. When the power of the management terminal 4 is activated, the CPU 41 reads the management terminal control program from the ROM 42 and executes this processing. The CPU 41 determines whether or not input data such as vital data, a care record request signal, or a care plan request signal has been received from the tablet terminal 5 (S91). When the input data or each signal is received (S91: YES), the CPU 41 transfers the received input data or each signal to the Web server 2 (S96), and returns to S91 to repeat the process. When neither the input data, the care record request signal, nor the care plan request signal has been received from the tablet terminal 5 (S91: NO), the CPU 41 determines whether or not the extracorporeal physical and physical data has been input in the input unit 46 ( S92). When the mental and physical external data is input (S92: YES), the CPU 41 transfers the input mental and physical external data to the Web server 2 (S97), and returns to S91 to repeat the processing.

  When the extracorporeal mental and physical data is not input (S92: NO), the CPU 41 determines whether the care record information is received from the Web server 2 (S93). When the care record information is received (S93: YES), the CPU 41 stores the received care record information in the storage unit 44 for each care receiver (S98). Further, the CPU 41 transmits the received care record information to the tablet terminal 5 that has transmitted the care record request signal (S99), and returns to S91 to repeat the process.

  When the care record information is not received from the Web server 2 (S93: NO), the CPU 41 determines whether the care plan information is received from the Web server 2 (S94). When the care plan information is received (S94: YES), the CPU 41 stores the received care plan information in the storage unit 44 for each care receiver (S100). Further, the CPU 41 transmits the received care plan information to the tablet terminal 5 that has transmitted the care plan request signal (S101), and returns to S91 to repeat the process.

  When the care plan information is not received from the Web server 2 (S94: NO), the CPU 41 determines whether the care record request signal is received from the family terminal 7 (S95). When the care record request signal is received from the family terminal 7 (S95: YES), the CPU 41 transmits the care record information stored in the storage unit 44 to the family terminal 7 which has transmitted the care record request signal (S102). The care receiver information is added to the care record request signal transmitted by the family terminal 7. As a result, the CPU 41 extracts the care record information of the care receiver identified by the care receiver information from the care record information for each care receiver stored in the storage unit 44, and outputs it to the family terminal 7. Can be sent. As a result, as shown in FIG. 1, the family of the care receiver can confirm the care record information of the care receiver using the family terminal 7, so that the health status of the care receiver can be grasped while staying at home. The CPU 41 returns to S91 and repeats the processing. In addition, when neither various data nor various signals are received (S91-S95: NO), CPU41 returns to S91 and repeats a process.

  The Web server control processing will be described with reference to the flowchart of FIG. 29 and FIG. 30. When the power of the Web server 2 is activated, the CPU 21 reads the Web server control program from the ROM 22 and executes this processing. The CPU 21 determines whether the input data or the extracorporeal physical and physical data has been received from the management terminal 4 (S111). When the input data or the physical / emotional external data is received (S111: YES), the CPU 21 specifies the care receiver based on the care receiver information added to the input data or the physical / emotional external data (S115). For example, when receiving the input data from the tablet terminal 5, the CPU 21 stores the received input data in the input data storage area 243 (see FIG. 2) of the storage unit 24 (S116). When the psychosomatic external data is received, the CPU 21 stores the received psychosomatic external data in the psychosomatic external data storage area 244 (see FIG. 2) of the storage unit 24 (S116). The CPU 21 returns to S111 and repeats the processing.

  When the input data or the extracorporeal data is not received (S111: NO), the CPU 21 determines whether the care record request signal is received from the management terminal 4 (S112). When the care record request signal is received (S112: YES), the CPU 21 identifies the care receiver based on the care receiver information added to the care record request signal (S117). The CPU 21 creates care record information 2451 of the identified care recipient based on the input data for each care recipient stored in the input data storage area 243 of the storage unit 24 (S118). Here, the care record information 2451 shown in FIG. 30 is care record information of Hanako Aichi's life support record. The care record information 2451 stores, for example, the input date and time, the middle item, the input content, the registrant, and the like in time series.

  The CPU 21 stores the created care record information 2451 in the care record information storage area 245 (see FIG. 2) of the storage unit 24. The CPU 21 transmits the created care record information 2451 to the management terminal 4 (S119). As described above, the management terminal 4 transmits the care record information 2451 received from the Web server 2 to the tablet terminal 5 that has transmitted the care record request signal. Upon receiving the care record information 2451 from the management terminal 4, the tablet terminal 5 displays the care record screen 559 shown in FIG. 26 on the display unit 55 as described above. Thereby, the helper can easily and promptly check the care record information of the care receiver. The CPU 21 returns to S111 and repeats the processing.

  When the care record request signal has not been received (S112: NO), the CPU 21 determines whether or not the care plan request signal has been received from the management terminal 4 (S113). When the care plan request signal is received (S113: YES), the CPU 21 transmits the received care plan request signal to the application server 3 (S120). Further, the CPU 21 causes the care receiver's care record information 2451 stored in the care record information storage area 245 of the storage unit 24 and the care receiver's mind and body external data stored in the mind and body external data storage area 244. And are transmitted to the application server 3 (S121). The CPU 21 returns to S111 and repeats the processing.

  When the care plan request signal has not been received (S113: NO), the CPU 21 determines whether or not the care plan information has been received from the application server 3 (S114). When the care plan information is received (S114: YES), the CPU 21 transmits the received care plan information to the management terminal 4 (S122). The CPU 21 returns to S111 and repeats the processing. As described above, the management terminal 4 transmits the care plan information received from the Web server 2 to the tablet terminal 5 that has transmitted the care plan request signal. Upon receiving the care plan information from the management terminal 4, the tablet terminal 5 displays the care plan screen 560 shown in FIG. 27 on the display unit 55. Thereby, the helper can easily and promptly check the care plan information of the care receiver. The CPU 21 returns to S111 and repeats the processing.

Next, the algorithm of the care plan information creation process executed by the CPU 31 of the application server 3 will be described. The algorithm of the care plan information creating process (see FIG. 38) mainly has the following three features.
(1) Instructing the direction of care: A decision tree is created in advance based on the care memory information of the past 300 people (hereinafter referred to as “past training information”). Based on the created decision tree, the caregiver's optimal care direction is indicated.
(2) Instruct to change the rehabilitation method: Quantitatively evaluate limb movements and walking states, and if there is a change in the physical function of the cared person, instruct to change the rehabilitation method. Based on the time-series changes in the physical function of the cared person, it is possible to make a detailed response such as changing from autonomous rehabilitation to rehabilitation with care.
(3) Instruct to change daily care plan such as meal menu, hydration, bathing method, etc .: Comprehensively judge the relationship between multiple items such as weight loss, hydration amount and resistance to bathing. Then, improve daily care plan information such as meals, hydration, and bathing based on quantitative information.

Next, the introduction of the nominal scale and the replacement of qualitative variables using the ordinal scale will be described. Examples of vital data and extracorporeal physical data in the present embodiment include the following.
・ Vital data: body temperature, blood pressure, body weight, blood pressure, diet, water retention, defecation, urination (number and amount)
・ External mental and physical data: movement of limbs, conversation (verbal behavior), walking (fall), manifestation of intention (activity)
In this embodiment, 29 items of vital data and 71 items of external physical and mental data are available, but the number of these items can be freely changed. Here, vital data is quantitative data, but mental and physical external data are qualitative data. For qualitative data, by introducing the ordinal scale and the nominal scale, both vital data and extracorporeal data are replaced with quantitative data.

  For example, when a nominal scale is introduced into “intention expression” and replaced with quantitative data, for example, if the item value of the intention expression is “wandering”, it is 2, if it is “paranoid”, 1 is “aggressive”. If it is "word and action", it is replaced with 0. In the case of introducing an ordinal scale into “limb motion” and replacing it with quantitative data, for example, if the item value of the limb motion is “good”, it is 2, if it is “normal”, it is 1 and it is “bad”. Replace with 0. As described above, in this algorithm, by using the ordinal scale and the nominal scale, both vital data and psychosomatic external data are all replaced with quantitative data, so that the physical function of the cared person can be treated numerically. . For example, by adopting such an input method using a nominal scale and an ordinal scale in the mental and physical external data input field 4572 of the cared person registration screen 457 of FIG. 13, the physical and physical external data are digitized. Can be easily converted into quantitative data. Note that the CPU 41 that receives the input of the physical and physical external data digitized by such an input method is an example of the “digitizing means” of the present invention.

  Next, a specific example of automatically generated care plan information will be described. In the care plan list information storage area 347 (see FIG. 3) of the storage unit 34 of the application server 3, for example, care plan list information 3471 shown in FIG. 31 is stored. The care plan list information 3471 stores, for example, 190 pieces of care plan information in numerical order, and stores medium items and care plans in association with each other. For example, regarding the item “meal” in Nos. 1 and 2, memorize the care plans “Let's consider incorporating thickened foods and mousse foods” and “Let's incorporate your favorite foods”. Regarding the middle item "moisture", memorize the care plans of "Let's check if there is not enough water." And "Let's gatch up the bed and try to rehydrate with leaning forward". This algorithm can select and output appropriate care plan information from the care plan list information 3471 by analyzing the time series change of the physical function of the care receiver.

  Next, a method of approximating the time change of the item value indicating the physical function will be described. The rate of change over time over the past few days to several months may be important depending on the item indicating the physical function. For the following item values, it goes without saying that the values at the time of measurement are important, but the rate of change over time over the past several days is also important. The algorithm also considers the time change rate of these item values as one of the new items.

For example, item values such as body temperature, blood pressure, body weight, meal amount, water retention amount, and defecation amount are important not only at the time of measurement but also over time in the past several days. For the calculation of the time change rate of these item values, for example, the least squares method can be used. This algorithm determines the time rate of change from the slope of the first-order best approximation function determined using the least squares method. The least-squares method is a method in which a straight line that minimizes the sum of squares of errors with data is the best approximation function. The best approximation function is the following expression (1) using undetermined constants a and b.
E (a, b), which is the sum of the squares of the errors, is given by the following expression (2).
However, in the calculation of E (a, b), when paying attention to the change in the time-series data of the care-receiver over the past three days, n = 3, and the change over the past month in the time-series data of the care-receiver. When paying attention, n = 30, and when paying attention to changes in the time-series data of the cared person in the past three months, n = 90.

However, if it is assumed that E (a, b) has a minimum value, the undetermined constants a and b can be determined by combining the following equations (3) and (4).
Then, since the time change of the value of the item over the past few days is equal to the value of the constant a, the automatic generation algorithm calculates only the value of the constant a and not the value of b. The value of the constant a is calculated by the following equation (5). At this time, the constant a is the rate of change over time.

  For example, FIG. 32 shows an example of changes in body temperature over the past 7 days until recovery from a cold. The best approximation function for this change in body temperature was a = -0.04. In addition, FIG. 33 shows an example of changes in the past three days when the amount of food is reduced. When the best approximation function was calculated for this change in food amount, it was a = -0.5.

  By comprehensively analyzing the time change rate a of each item and the current values of other related items, the content of the care plan information to be generated can be determined. As shown in the table in FIG. 34, for example, for the item “body temperature”, the change over a week is analyzed, and when the time change rate a is −0.04 or less, it can be interpreted that the body temperature is decreasing. As another related item at this time, if the current value of "illness" is "cold", the fever is decreasing, so care plan information such as "I am in a tendency to recover from a cold" is generated. it can. In addition, regarding the item “appetite”, changes over 3 days are analyzed, and when the time change rate a is −0.5 or less, it can be interpreted that the appetite is decreased. As another related item at this time, when the current value of “meal amount” is “small”, for example, care plan information such as “Let's take in a favorite item” can be generated. In addition, regarding the item “blood pressure value”, a change for 3 days is analyzed, and when the time change rate a is 0, it can be interpreted that the blood pressure value is constant. If the current value of "blood pressure" is "140 or more" as another related item at this time, since the high blood pressure value is maintained, a care plan such as "there is a suspicion of hypertension" is generated. it can.

  Next, creation of a decision tree used to create care plan information will be described. The application server 3 creates a decision tree using, for example, the ID3 algorithm based on past training information (an example of “past information” of the present invention), and stores the decision tree in the decision tree storage area 349 (see FIG. 3) of the storage unit 34. Remember. The ID3 algorithm is suitable for creating care plan information because of high learning efficiency and definitive output. The application server 3 makes one decision in order to generate one care plan from various combinations of each item value of the past training information stored in the past training information storage area 348 (see FIG. 3) of the storage unit 34. Create a tree.

Here, the creation of a decision tree for deciding whether or not to output the nursing care plan “Let's take in favorite items.” Will be described. FIG. 35 shows past training information 3481. In the past training information 3481, whether the care plan information was generated for each care recipient for each state of body temperature (T), weight (W), time change of appetite ( _aw ), and appetite (B) Each result is recorded. The result is 1 when the care plan information is generated and 0 when it is not generated. For example, in the cared person A, when the body temperature is in the range of 37 ° C. or higher and 38 ° C. or lower, the weight is 70 kg or higher, the rate of time change _aw of appetite is −0.05 or lower, and the appetite is 0 (absent), Since the plan is 1, the care plan information is generated. For example, in the care receiver C, the body temperature is in the range of 36 ° C. or higher and 35.5 ° C. or lower, the weight is in the range of 60 kg or higher and 70 kg or lower, the rate of appetite change a _w is −0.05 or higher, and the appetite is 1 (normal). Since the care plan generation is 0, it is understood that the care plan information is not generated.

A decision tree is created based on such past training information 3481. FIG. 36 is an example of a decision tree created based on the past training information 3481. The purpose of the decision tree is to decide whether or not to output the corresponding nursing care plan information from the input of the combination of each item (node). As will be described later, the entropy is calculated for each item (T, W, _aw , B) of the past training information 3481, and the item having the smallest entropy is arranged from the upper part of the decision tree, so that the decision tree is small. be able to. When all the data in the finally generated node is divided into YES (or NO), the creation of the decision tree ends.

In the example shown in FIG. 36, when the current appetite is absent and the recent appetite tends to decrease ( _aw ≦ −0.05), the nursing care plan “incorporate favorite items is adopted so that the appetite tends to recover. Let's. "Is generated (see the dot-dash line arrow P1 in FIG. 36). In addition, regardless of whether or not the cared person has an appetite, the care plan “Let's take in your favorite items” is generated even when the weight is light (see the dashed-dotted line arrow P2 in FIG. 36). ).

  Here, when creating a decision tree, the order of items in the decision tree is important, as described above. If the order of the items is not properly selected, the decision tree becomes large and an extra calculation process occurs. Conversely, by creating an optimal decision tree, unnecessary items (nodes) can be deleted and the calculation process can be minimized. In the present embodiment, the simplest decision tree (requiring a small number of items) is generated using the ID3 algorithm, which is a type of supervised learning algorithm.

The decision tree creating process executed by the CPU 31 of the application server 3 will be described with reference to FIG. When the user performs a predetermined operation on the application server 3, the CPU 31 reads the decision tree creating program from the ROM 32 and executes this process. First, based on the ID3 algorithm, the entropy I is defined as the following expression (6) as an index indicating a group of data.
However, P _i is the ratio of the number of data items belonging to the i-th class to the total number of data items. n is the number of branches (edges) branched from the item of interest. The entropy I takes a value between 0 and 1, and items with a small entropy I (close to 0) are equivalent to collecting more information. Therefore, it is possible to make the decision tree small by calculating the entropy I of all the items and arranging the items having the smallest entropy I from the uppermost part of the decision tree. It is also possible to delete items that do not affect the output of the care plan information of interest.

  First, the CPU 31 calculates the entropy I in the initial state (S121). Next, the CPU 31 acquires items from the past training information 3481 (S122) and calculates entropy I for each result of the acquired items (S123). The CPU 31 calculates the data number ratio corresponding to each result with respect to the total data number assigned to the item (S124). The CPU 31 calculates the total sum of the entropy I for each item result multiplied by the calculated data number ratio (S125). The CPU 31 calculates the score obtained by subtracting the total from the entropy I in the initial state (S126). The CPU 31 determines whether or not the scores of all items have been calculated (S127). When there is an item for which the score has not been calculated (S127: NO), the CPU 31 returns to S122 and repeats the processing. When the scores of all the items are calculated (S127: YES), the CPU 31 determines the item with the highest score as the node (S128). The CPU 31 adds the next node (S129). The CPU 31 calculates the entropy of the data corresponding to the condition of the next node (S130).

  Next, the CPU 31 acquires an item that has not been added as a node (S131). The CPU 31 calculates the entropy I for each result of all items not added as a node (S132). The CPU 31 calculates the data number ratio corresponding to each result with respect to the total data number assigned to the item (S133). The CPU 31 calculates the sum of the entropy I for each item result multiplied by the calculated data number ratio (S134). The CPU 31 calculates the score obtained by subtracting the sum from the entropy I of the immediately preceding node (S135). The CPU 31 determines whether or not the scores of all items not added as nodes have been calculated (S136). If there is an item for which the score has not been calculated (S136: NO), the CPU 31 returns to S131 and repeats the processing. Then, when the scores of all the items have been calculated (S136: YES), the CPU 31 determines the item with the largest score as the next node (S137). The CPU 31 determines whether or not the entropy I of each result of all the end nodes is 0 (S138). If there is an end node whose entropy I is not 0 (S138: NO), the CPU 31 returns to S129 and repeats the processing. When the entropy I of each result of all the end nodes is 0 (S138: YES), the CPU 31 stores the completed decision tree data in the decision tree storage area 349 of the storage unit 34 (S139), and this process finish.

  It should be noted that the above decision tree creation process may be executed only once based on the past training information 3481 for the past 300 people. In addition, a decision tree must be created for each instruction of nursing care plan information. Therefore, in this embodiment, since there are 190 types of care plan information set in the care plan list information 3471, a total of 190 decision trees are created and stored in advance in the decision tree storage area 349 of the storage unit 34. Is good.

  The care plan information creation process executed by the CPU 31 of the application server 3 will be described with reference to the flowchart of FIG. 38 and FIGS. 39 and 40. In the application server 3, the CPU 31 periodically reads out the care plan information creation program from the ROM 32 and executes this process at predetermined intervals.

  First, the CPU 31 determines whether or not a care plan request signal has been received from the Web server 2 (S141). If the care plan request signal has not been received (S141: NO), the CPU 31 ends this processing. When the care plan request signal is received (S141: YES), the CPU 31 identifies the care receiver based on the care receiver information added to the care plan request signal (S142). The CPU 31 determines whether or not the specified input data of the care receiver and the extracorporeal physical and physical data have been received from the Web server 2 (S143). The CPU 31 waits until the input data and the extracorporeal data are received (S143: NO). When the input data and the psychosomatic external data are received (S143: YES), the CPU 31 stores the received input data and the psychosomatic external data in the input data storage area 343 and the psychosomatic external data storage area 344 of the storage unit 34. It is stored (S144).

  Next, the CPU 31 creates the time-series information 331 of the care-receiver based on the care-receiver's input data and the psychosomatic external data stored in the storage unit 34 (S145). As shown in FIG. 39, the time-series information 331 is a time-series collection of various data regarding chronic illness, weight, excretion, tone, body temperature, etc. in the past one week from 7/1 to 7/8. is there. The period is not limited to one week, and can be freely changed, for example, several days or one month. The weight, excretion, and body temperature are input data input in the tablet terminal 5. The chronic illness and tone are mental and physical external data input at the management terminal 4. The CPU 31 stores the created time series information 331 in the RAM 33.

  Next, the CPU 31 creates item value information 332 based on the created time series information 331 (S146). As shown in FIG. 39, the item value information 332 is a numerical representation of the content of each item determined by the decision tree. For example, item 1 is chronic disease, item 2 is weight, item 3 is excretion, item 4 is tone, item 5 is body temperature, item 6 is body weight (time change rate a), item 7 is tone (time change rate a), item 8 is a body temperature (time change rate a). In items 1 to 5, the latest date value of the time series information 331 is set. The latest date values are current values and are examples of the “current information” in the present invention. For items 6 to 8, the time change rate a of each item value in the past 3 days is set. For example, the weight (time change rate a) of item 6 is the time change rate a = 0 because the weight of the item 2 in the last 3 days is 64 kg and has not changed. The CPU 31 stores the created item value information 332 in the RAM 33. The item value information 332 is an example of the “state information” of the present invention.

  Next, the CPU 31 reads one nursing care plan from the nursing care plan list information 3471 (see FIG. 31) in the storage unit 34 to determine whether to output it (S147). The CPU 31 reads the decision tree corresponding to the read care plan from the decision tree storage area 349 (see FIG. 3) of the storage unit 34 (S148). As shown in FIG. 40, the decision tree storage area 349 stores, for example, decision trees A to Z ... (190 in this embodiment). As described above, the decision trees AZ have different node items and the order thereof depending on the type of care plan to be generated. The CPU 31 processes the created item value information 332 with the read decision tree (S149).

  For example, if the nursing care plan for determining whether to output is “Let's consider intake of thickened food or mousse food.”, The item value information 332 is processed by the decision tree A corresponding to this. The CPU 31 determines whether to generate a nursing care plan based on the result of processing with the decision tree A (S150). Since the care plan is generated as a result of the processing (S150: YES), the CPU 31 stores the care plan information to be generated in the care plan information storage area 346 (see FIG. 3) of the storage unit 34 (S151). If the nursing care plan to be judged is “I have a tendency to recover from a cold.”, The item value information 332 is processed by the decision tree Z corresponding to this. The CPU 31 determines whether or not to generate a care plan based on the result of processing with the decision tree Z (S150). Since the care plan is generated as a result of the processing (S150: YES), the CPU 31 stores the care plan information to be generated in the care plan information storage area 346 of the storage unit 34 (S151). The CPU 31 determines whether or not all the nursing care plan determinations have been completed (S152). If there is an undetermined nursing care plan (S152: NO), the CPU 31 returns to S147 and repeats the above processing for the undetermined nursing care plan.

  On the other hand, for example, when the care tree plan is not generated as a result of processing with the decision tree B (S150: NO), the CPU 31 determines whether all the care plan determinations are completed without doing anything (S152). When the determination of all the care plans is completed (S152: YES), the CPU 31 transmits the care plan information stored in the care plan information storage area 346 of the storage unit 34 to the Web server 2 (S153).

  As described above, when the web server 2 receives the care plan information from the application server 3, the web server 2 transmits the care plan information to the management terminal 4. When receiving the care plan information from the Web server 2, the management terminal 4 transmits the care plan information to the tablet terminal 5 that has transmitted the care plan request signal. Upon receiving the care plan information from the management terminal 4, the tablet terminal 5 displays the care plan information on the display unit 55. With this, the helper can determine the current state of the care receiver by checking the care plan information displayed on the display unit 55 without having any specialized knowledge such as care and medical care, and in that state. Accordingly, an appropriate care service can be provided to the care receiver. In addition, since the physical function of the cared person is analyzed with quantitative data, it is possible to execute an optimal care plan without doubt. After transmitting the care plan information to the Web server 2, the CPU 31 ends this processing.

  In addition, in the care plan information storage area 346 of the storage unit 34 of the application server 3, in addition to the care plan information generated on the current day, the care plan information generated in the past is also stored. Therefore, when it is desired to check the care plan information generated in the past on the tablet terminal 5, the care plan information generated in the past can be viewed by selecting the date (see FIG. 27).

  In the above description, the input unit 56 of the tablet terminal 5 and the input unit 46 of the management terminal 4 are examples of the “input means” in the present invention. The storage unit 24 of the Web server 2 is an example of the “storage unit” in the present invention. CPU51 of the tablet terminal 5 which performs the process of S83 of FIG. 16 is an example of the "output means" of this invention. The CPU 31 of the application server 3 that executes the processes of S145 to S150 of the care plan information creation process of FIG. 38 is an example of the “analysis unit” of the present invention. The CPU 31 of the application server 3 that executes the process of S151 of FIG. 38 is an example of the “generation unit” of the present invention. The CPU 31 of the application server 3 that executes the process of S153, the CPU 21 of the web server 2 that executes the process of S122 of FIG. 29, the CPU 41 of the management terminal 4 that executes the process of S101 of FIG. 28, and the process of S88 of FIG. The CPU 51 that operates is an example of the “care plan output means” of the present invention.

  The storage unit 34 of the application server 3 is an example of the “past information storage unit” of the present invention. The CPU 31 that executes the decision tree creating process of FIG. 37 is an example of the “decision tree creating unit” of the present invention. The CPU 31 that executes the process of S145 in FIG. 38 is an example of the “calculating means” in the present invention. The CPU 31 that executes the processing of S150 is an example of the "determination means" in the present invention. The mental and physical external data is an example of the “external information” of the present invention. The display unit 55 of the tablet terminal 5 and the display unit 45 of the management terminal 4 are examples of the “display unit” in the present invention.

  As described above, the care support system 1 of this embodiment includes the Web server 2, the application server 3, the management terminal 4, and the tablet terminal 5. The helper owns the tablet terminal 5 and inputs into the tablet terminal 5 vital data such as body temperature and blood pressure measured during the care given to the care receiver. The physical and physical external data such as the movements of the cared person's limbs and conversation are input to the management terminal 4. The input data of the tablet terminal 5 and the mental and physical external data input to the management terminal 4 are stored in the Web server 2 as the care information of the care receiver. The helper can request the Web server 2 to transmit the care record information from the tablet terminal 5 via the management terminal 4. The Web server 2 creates care record information based on the care information of the care receiver, and transmits it to the tablet terminal 5 via the management terminal 4. The helper can confirm the care record information on the tablet terminal 5. Further, the application server 3 analyzes the care information transmitted from the Web server 2 and generates care plan information based on the analysis result. The generated nursing care plan information is transmitted from the application server 3 to the tablet terminal 5 via the Web server 2 and the management terminal 4. Thereby, the helper can provide the care recipient with an appropriate care service of a certain level or higher, by caring for the care recipient according to the care plan information, regardless of experience values such as medical care and care.

  The present invention is not limited to the above embodiment, and various modifications can be made. In the care support system 1 of the above embodiment, the Web server 2 and the management terminal 4 are connected via the Internet 10, but any network means capable of communication is not limited to the Internet but may be connected via a LAN, for example. The Web server 2 and the application server 3 may be connected wirelessly or may be built in the same personal computer. Although the helper inputs vital data such as body temperature and blood pressure on the tablet terminal 5, it may be input on the management terminal 4.

  Further, in the above embodiment, the application server 3 generates the care plan information, but the Web server 2 may generate the care plan information. In that case, the application server 3 may be omitted. By causing the application server 3 to generate the care plan information, the storage capacity of the Web server 2 and the load associated with the processing can be reduced.

  In addition, in the above-described embodiment, the care data is input to the care giver individually for each care recipient, but a plurality of care data may be input collectively. For example, as shown in FIG. 41, in the care receiver selection screen 562 displayed on the display unit 55, an individual selection button and a plurality of selection buttons are displayed side by side in the upper part. When the individual selection button is pressed, the care data is input for each care receiver as in the above embodiment. When the multiple selection button is pressed, the care receivers displayed in the list may be tapped to allow multiple selection. After that, when a large item is selected on the large item selection screen 553 in FIG. 20 and a medium item is selected in FIG. 21, for example, as shown in FIG. 42, the display unit 55 displays the small item selection screen 563. Good. The small item selection screen 563 is displayed when vital is selected as the middle item. As vital items, various buttons for body temperature, pulse, blood pressure, and respiration are displayed in the approximate center of the screen.

  When the body temperature button is selected on the small item selection screen 563, a body temperature input screen 564 may be displayed as shown in FIG. 43. On the body temperature input screen 564, body temperature input fields of a plurality of care receivers selected on the care receiver selection screen 562 are displayed. The helper taps the text box displayed next to the care recipient's name to enter the body temperature. By repeating tapping and input, continuous input of body temperature can be easily performed as shown in FIG. Then, after inputting the body temperature of all the cared persons, the input is confirmed by tapping the registration button. As a result, it is possible to collectively input care data of a plurality of cared persons, so that workability of data input can be improved.

  In addition, the tablet terminal 5 of the above embodiment may include a translation application that translates the text data displayed on the display unit 55 into multiple languages. The translation application means software that performs machine translation on a computer, for example. Well-known translation software can be applied. Furthermore, the display unit 55 may be provided with a keyboard application that allows multilingual input. Thereby, even a foreign helper can use the tablet terminal 5 to input nursing care data and check nursing care record information and care plan information without worrying about the language.

  Further, when the CPU 31 of the application server 3 of the above embodiment creates a decision tree, the decision tree is created based on the past training information 3481 (see FIG. 35) stored in advance in the storage unit 34. The caregiver plan information may be generated by using a decision tree for the caregiver information (input data, mental and physical external data) that is measured daily for the cared person. In that case, the CPU 31 determines the care-receiver's input data stored in the input-data storage area 343 of the storage unit 34 and the care-receiver's psycho-physical external data stored in the psycho-physical external data storage area 344. You can use wood.

  Further, in the above-described embodiment, the user who uses the tablet terminal 5 has been described by taking the “helper” as an example, but it may be any person who performs a nursing task, such as a caregiver, a physical therapist, or a trainer. It may be.

  Further, in the above embodiment, the decision tree is created using the ID3 algorithm, but a decision tree may be created using a pattern extraction method other than this, for example, using an algorithm such as C4.5 or CART. Good.

1 Nursing support system 2 Web server 3 Application server 4 Management terminal 5 Tablet terminal 10 Internet 21 CPU
24 storage unit 31 CPU
34 storage unit 41 CPU
51 CPU
55 display unit 56 input unit 331 time series information 332 item value information 2451 care record information 3471 care plan list information 3441 past training information

Claims (10)

An input means for inputting care information, which is information on care provided to the care receiver,
Storage means for storing the care information input by the input means,
In a care support system including: an output unit that outputs care record information, which is information of a care record created based on the care information stored in the storage unit,
Analysis means for analyzing the care information stored in the storage means,
Generating means for generating care plan information, which is information on the care plan of the cared person, based on the analysis result of the analyzing means;
A care plan output means for outputting the care plan information generated by the generation means ;
A past information storage means for storing past information which is information of a nursing care record made in advance for a plurality of cared persons in the past;
Decision tree creating means for creating a decision tree for determining the care plan based on the past information stored in the past information storage means
Equipped with
The analysis means is
Calculation means for calculating a temporal tendency of information included in the care information based on the care information;
The state information, which is information indicating the state of the cared person, which is created based on the temporal tendency calculated by the calculating unit and the current information that is the current information included in the care information, is the decision tree. And a determination unit that determines whether or not the generation unit generates the care plan information.
Equipped with
The generating means is
A nursing care support system , wherein the nursing care plan information is generated when the determination unit determines to generate the nursing care plan information . The decision tree creating means,
Care support system according to claim 1, characterized in that the basis of the historical information and ID3 algorithm to create the decision tree. The care information includes biological information of the care receiver,
The calculating means calculates the rate of change over time as the temporal tendency for the biological information,
Said determining means, said time rate of change calculated by the calculating means, wherein based on the current information, according to claim 1 wherein said generating means and judging whether or not to generate the care plan information or care support system as set forth in 2. The care information further includes external information indicating an external state of the care receiver,
The analysis means is
A digitizing means for digitizing the external information among the care information stored in the storage means;
The calculating means calculates the time change rate for each of the biological information and the external information digitized by the digitizing means,
Said determining means, said time rate of change calculated by the calculating means, wherein based on the current information, according to claim 3 wherein said generating means and judging whether or not to generate the care plan information The care support system described in. The care support system according to claim 3 or 4 , wherein the calculating means calculates the time change rate by using a least squares method. An input means for inputting care information, which is information on care provided to the care receiver,
Storage means for storing the care information input by the input means,
Output means for outputting care record information which is information of care record created based on the care information stored in the storage means;
In a care support system equipped with
Analysis means for analyzing the care information stored in the storage means,
Generating means for generating care plan information, which is information on the care plan of the cared person, based on the analysis result of the analyzing means;
A care plan output means for outputting the care plan information generated by the generation means;
Based on the care information stored in the storage means comprises a <br/> a decision tree generation means for generating a decision tree for determining the care plan,
The analysis means is
Calculation means for calculating a temporal tendency of information included in the care information based on the care information;
The state information, which is information indicating the state of the cared person, which is created based on the temporal tendency calculated by the calculating unit and the current information that is the current information included in the care information, is the decision tree. And a determination unit that determines whether or not the generation unit generates the care plan information,
The generating means is
When said determination means determines that generates the care plan information, Mamoru support system through you and generates the care plan information. An input unit for inputting care information, which is information on care provided to the care receiver,
A storage unit that stores the care information input by the input unit,
In a control method of a care support system, comprising: an output unit that outputs care record information, which is information of a care record created based on the care information stored in the storage unit,
An analysis step of analyzing the care information stored in the storage unit;
A generation step of generating nursing care plan information, which is information on the nursing care plan of the cared person, based on the analysis result in the analysis step;
A care plan output step of outputting the care plan information generated in the generation step ;
Based on the past information stored in the past information storage unit that stores the past information, which is the information of the care records performed in advance for a plurality of cared persons in the past, based on the past information, a decision tree for determining the care plan. The decision tree creation process to create
Equipped with
The analysis step is
A calculation step of calculating a temporal tendency of information included in the care information based on the care information;
State information that is information indicating the state of the care-receiver created based on the temporal tendency calculated in the calculation step and current information that is current information included in the care information is the decision tree. And a determination step of determining whether to generate the care plan information in the generation step.
Equipped with
The generation step is
The control method characterized by generating the said care plan information, when it determines with generating the said care plan information in the said determination process . An input unit for inputting care information, which is information on care provided to the care receiver,
A storage unit that stores the care information input by the input unit,
An output unit for outputting care record information, which is information of care record created based on the care information stored in the storage unit.
In the control method of the care support system including
An analysis step of analyzing the care information stored in the storage unit;
A generation step of generating nursing care plan information, which is information on the nursing care plan of the cared person, based on the analysis result in the analysis step;
A care plan output step of outputting the care plan information generated in the generation step;
A decision tree creating step of creating a decision tree for deciding the care plan based on the care information stored in the storage unit;
Equipped with
The analysis step is
A calculation step of calculating a temporal tendency of information included in the care information based on the care information;
State information that is information indicating the state of the care-receiver created based on the temporal tendency calculated in the calculation step and current information that is current information included in the care information is the decision tree. And a determination step of determining whether to generate the care plan information in the generation step.
Equipped with
The generation step is
If it is determined that the care plan information is generated in the determination step, the care plan information is generated.
Control method characterized by . An input unit for inputting care information, which is information on care provided to the care receiver,
A storage unit that stores the care information input by the input unit,
A program to be executed by a computer of a care support system comprising an output unit for outputting care record information, which is information of care record created based on the care information stored in the storage unit,
An analysis step of analyzing the care information stored in the storage unit;
A generation step of generating care plan information, which is information on the care plan of the cared person, based on the analysis result in the analysis step;
A care plan output step of outputting the care plan information generated in the generation step ;
Based on the past information stored in the past information storage unit that stores the past information, which is the information of the care records performed in advance for a plurality of cared persons in the past, based on the past information, a decision tree for determining the care plan. The decision tree creation step to create
Equipped with
The analysis step is
A calculation step of calculating a temporal tendency of information included in the care information based on the care information;
State information that is information indicating the state of the cared person created based on the temporal tendency calculated in the calculating step and current information that is current information included in the care information is the decision tree. And a determination step of determining whether to generate the care plan information in the generation step.
Equipped with
The generating step includes
A program for generating the long-term care plan information when it is determined to generate the long-term care plan information in the determining step .   An input unit for inputting care information, which is information on care provided to the care receiver,
  A storage unit that stores the care information input by the input unit,
  An output unit for outputting care record information, which is information of care record created based on the care information stored in the storage unit.
A program to be executed by a computer of a care support system including:
  An analysis step of analyzing the care information stored in the storage unit;
  A generation step of generating care plan information, which is information on the care plan of the cared person, based on the analysis result in the analysis step;
  A care plan output step of outputting the care plan information generated in the generation step;
  A decision tree creating step of creating a decision tree for determining the care plan based on the care information stored in the storage unit;
Equipped with
  The analysis step is
  A calculation step of calculating a temporal tendency of information included in the care information based on the care information;
  State information that is information indicating the state of the cared person created based on the temporal tendency calculated in the calculating step and current information that is current information included in the care information is the decision tree. And a determination step of determining whether to generate the care plan information in the generation step.
Equipped with
  The generating step includes
  If it is determined that the care plan information is generated in the determination step, the care plan information is generated.
A program characterized by.