JP6975615B2 - A program that controls the task organization summary table creation support device, method, and issue summary table creation support device. - Google Patents

Description

The present invention relates to a problem rearranging summary table creation support device, a method, and a program.

In the long-term care insurance system, long-term care support specialists create a care plan in consideration of the physical and mental conditions of the user (person requiring long-term care), the environment in which they are placed, and the wishes of the user and his / her family, and provide medical care. ， The role of contacting and coordinating so that necessary services such as long-term care can be smoothly provided by the service provider is required.

When creating a care plan, it is necessary to understand the user's condition, etc., and to derive issues through the organization and analysis of information. While sharing the basic information of the user grasped by the care support specialist among multiple occupations, it expresses how the care support specialist came up with the problem to be solved in the user's life in general. Therefore, the task summary table is used.

The purpose of the problem summary table is to help users maintain and improve their quality of life while taking into consideration the current situation and abilities of users in deriving problems (needs) to be solved in general. By clarifying the problems that are being solved and what kind of thoughts the profession had in the process of analyzing the problems before extracting the problems to be solved in supporting the independent daily life. be. The task summary table is created at the timing before starting to create a care plan, and is useful for creating a fulfilling care plan. However, since each care support specialist has different experiences and ways of thinking, omissions and mistakes (judgment different from many other care support specialists) may occur in the task summary table.

In Patent Document 1, all groups or people related to long-term care, such as the Community Comprehensive Support Center, long-term care providers, and families of long-term care recipients, share long-term care information and provide appropriate long-term care services based on this shared long-term care information. We provide long-term care support systems and long-term care support programs. However, it does not support the preparation of the task summary table.

Japanese Unexamined Patent Publication No. 2010-205263

It is an object of the present invention to improve productivity in the field of long-term care by supporting the preparation of a task summary table.

Another object of the present invention is to improve the work efficiency of a care manager.

The task sorting summary table creation support device according to the present invention is a support device that supports the creation of a task sorting summary table created for each user, and is a plurality of task sorting summary table samples (created task sorting summary table). A storage means for memorizing The second reception means for accepting the selection of the factors that impede daily life corresponding to the above user, and the first reception means from among the plurality of task summary table samples stored in the storage means. A sample task summary table similar to the task summary table being created based on the care level for each of the multiple care support items and at least one of the factors that hinder daily life accepted by the second reception means. Using the extraction means for extracting It is equipped with recommended display means for recommending and displaying one or more factors that impede daily life, which should be associated with long-term care support items at the long-term care level.

The present invention also provides a method for controlling the above-mentioned problem rearranging summary table creation support device, and a program for causing a computer to execute this method.

The task summary table is created for each specific user, and includes the care level of the above users for each of the multiple care support items and the factors that hinder independent daily life (factors that hinder daily life). Is done. For example, long-term care support items include movement (indoor movement, outdoor movement), meal (meal content, meal intake, cooking), excretion (urination / defecation, excretion movement), oral cavity (oral hygiene, oral care), medication, and bathing. , Changing clothes, cleaning, washing, etc. are included, and one of multiple levels of care (current situation) is selected for each. Factors that hinder daily life include, for example, low back pain, depression, living environment, physical strength / muscle weakness, living alone, dementia, etc., among which the user is applicable, physical, mental, family, living environment. , Living environment, likes and dislikes, finance, medical history, and other factors that hinder daily life are selected.

In the task summary table, it is necessary to further specify which of the above-mentioned factors that impede daily life is the long-term care support item at the level of long-term care and the factor (reason) that causes the situation in which long-term care is required. For example, if the long-term care support item "bathing" is the long-term care level of "partial caregiving", the factor (reason) that causes the situation requiring partial caregiving for bathing is one of the above-mentioned factors that hinder daily life. Whether there is (or more than one), that is, care support items at the level requiring long-term care are associated with factors that impede daily life.

According to the present invention, a task sorting summary table sample similar to the task sorting summary table being created is extracted from a plurality of task sorting summary table samples (created task sorting summary table) stored in the storage means. ， Using the frequency of appearance of daily life obstruction factors associated with each care support item in the extracted task summary table sample, it should be associated with each care support item of the long-term care level in the task summary table being prepared above. One or more daily life-inhibiting factors are recommended and displayed. The recommended factors that impede daily life are based on multiple task summary table samples (past achievements) stored in the memory means, and were selected by many care support specialists in the past. Not only is it easier to select the above-mentioned factors that impede daily life that should be associated with care support items at the level of long-term care, but also errors in the factors that impede daily life to be associated can be greatly reduced. It is possible to improve the work efficiency of long-term care support specialists and improve productivity in the long-term care field.

Preferably, it is a daily life inhibitory factor in which the frequency of appearance of the daily life inhibitory factor for each care support item exceeds a predetermined value in the task summary table sample extracted by the above extraction means, and is the second reception means. It is equipped with a warning means that outputs a warning when there is a factor that impedes daily life that has not been selected by. That is, when there is a daily life-inhibiting factor that is frequently input (selected) in the past in the extracted similar sample, but is not input (selected) in the task summary table being created. Because attention is drawn to, it is possible to notice the omission of input of the factors that hinder daily life in the task summary table being created.

Preferably, a third reception means for accepting selection of a daily life-inhibiting factor to be associated with a long-term care support item at a long-term care level from one or a plurality of daily life-inhibiting factors recommended and displayed by the recommended display means, and the above-mentioned first. It is provided with a storage control means for storing the task sorting summary table for which the selection by the receiving means of 3 is accepted as a task sorting summary table sample in the storage means. It is possible to enrich the task summary table sample stored in the storage means.

Preferably, the above-mentioned choices of the plurality of factors that inhibit daily life include options of factors that inhibit daily life derived from individuals and options of factors that inhibit daily life derived from the environment.

In one embodiment, the extraction means extracts from the storage means a task summary table sample having similar factors that inhibit daily life derived from an individual.

In another embodiment, the extraction means extracts from the storage means a task summary table sample having similar environmentally-derived factors that inhibit daily life.

For example, even if the long-term care level of the long-term care support item "bathing" is "partial caregiving", it may be due to the physical aspect of the individual user or the structure of the bathroom. .. By classifying the factors that hinder daily life into those derived from individuals and those derived from the environment, it is possible to extract more appropriate and similar task summary table samples.

The problem summary table is shown. It is a block diagram which shows the electric composition of the task summary table making support device. It is a flowchart which shows the flow of the problem arrangement summary table creation process. It is a flowchart which shows the flow of the problem arrangement summary table creation process. It is a flowchart which shows the flow of the problem arrangement summary table creation process. Shows a list window of factors that hinder daily life. Using a similar sample, we show how the frequency of occurrence of factors that interfere with daily life listed in the factor input field is counted for each long-term care support item.

FIG. 1 shows a summary table for organizing issues. FIG. 2 is a block diagram showing an electrical configuration of a support device for creating a task summary table shown in FIG. FIG. 1 shows an example of the completed task summary table.

The task summary table 1 is created for each specific user (care recipient) who should create a care plan, and the user maintains the quality of life while considering the current situation and ability of the user. ， What kind of care support specialist (care manager) is in the process of clarifying the problems that are occurring in improving and extracting the problems that should be solved in supporting independent daily life? It clarifies whether the problem analysis was performed based on the idea.

The task summary table 1 shows the long-term care level selection column 2, which accepts the selection of one of multiple levels of long-term care (nursing care support level) for each of multiple long-term care support items, and the obstacles to one or more independent daily lives ( For each of the daily life obstruction factor input field 3 and the long-term care support level care support item to be input by selecting (daily life obstruction factor), the factors of the daily life obstruction factor input field 3 are input. It is provided with a factor input field 4, an improvement / maintenance possibility selection field 5, and a remarks field 6 to be specified (associated) from the inside.

In the care level selection column 2, options (care level) (current situation) for selecting the care level of the user are prepared for each of the plurality of care support items. The long-term care support items in this example include indoor movement, outdoor movement, meal content, meal content, meal intake, cooking, urination / defecation, excretion movement, oral hygiene, oral care, medication, bathing, etc. For each long-term care support item, four levels of long-term care: independence, watching, partial assistance and full assistance, or two levels of long-term care with no hindrance and hindrance are prepared, and the care level of the user is selected from these. NS. Of the four levels of long-term care: independence, watching, partial caregiving, and full caregiving, "independence" is a long-term care level that does not require long-term care (nursing-free level), and the remaining "watching", "partial caregiving", and "partial caregiving". "All caregiving" is the level of long-term care that requires long-term care (level of long-term care required). Regarding the two levels of long-term care, no hindrance and hindrance, "no hindrance" is the level that does not require long-term care, and "with hindrance" is the level that requires long-term care.

In the daily life obstruction factor input field 3, objective facts collected by the care manager regarding the obstruction factors of the user's independent daily life are selected from a plurality of options of the daily life obstruction factors prepared in advance. Is entered in. The input factors that hinder daily life are individual-derived factors that hinder daily life (physical, mental, likes and dislikes, finances, medical history, etc.) and environment-derived factors that hinder daily life (family, living environment, living environment, etc.). And are included.

In the factor input field 4, the factors that bring about the situation are described above for the care support items in which the care level selected in the care level selection field 2 is the level requiring long-term care (other than "independence" and "no hindrance"). Which of the daily life-inhibiting factors input in the daily life-inhibiting factor input field 3 is selected (specified). For example, referring to the long-term care support item "bathing" in the task summary table 1 shown in Fig. 1, it is the level of long-term care (partial caregiving), and the factor input field 4 is "risk of infectious disease due to bladder fistula" (circle). The attached numbers 3) and "living environment (cleaning of the living room is not perfect)" (circled number 5) are selected. The factor input field 4 associates the long-term care support item, which is the level requiring long-term care, with the daily life-inhibiting factor input field 3 that is the factor thereof, and is very relevant to this association. It takes time and effort. That is, for each of the long-term care support items at the level requiring long-term care, the care manager checks one by one which of the daily life obstruction factors entered in the daily life obstruction factor input field 3 corresponds to the factor. There must be. As described below, the support device recommends and displays one or more candidate factors that impede daily life to be input in the factor input field 4, and executes a process to support the input of the factor input field 4 by the care manager. (Details will be described later).

Possibility of improvement / maintenance In the selection column 5, the possibility of the situation during the certification validity period is improved for the long-term care support items for which the long-term care level selection column 2 is the level requiring long-term care (other than "independence" and "no obstacle"). ， Selected by either maintenance or deterioration.

In the remarks column 6, the support contents and goals are entered for any care support item.

The task sorting summary table 1 shown in FIG. 1 is created by the task sorting summary table creation support device. With reference to FIG. 2, the task organizing summary table creation support device 10 is realized by a computer device, a CPU (central processing unit) 11 that controls its overall operation, an input device 12 such as a keyboard and a mouse, and a process of creation. And the display device 13 that displays the created task summary table 1 on the screen, the communication device 14 that sends and receives data through the network (not shown), the operating system program (OS), and the computer device the task summary table creation support device 10. It is equipped with a storage device 15 that stores a support program for functioning as an operating system, a database that stores a plurality of task sorting summary tables created in the past (hereinafter referred to as task sorting summary table samples), and the like.

3 to 5 are flowcharts showing the flow of the task rearranging summary table creation process using the task rearranging summary table creation support device 10.

First, in the above-mentioned long-term care level selection field 2, the user's long-term care level for each of the plurality of long-term care support items is input (selected) (step 31), and one or more daily activities are further entered in the daily life obstruction factor input field 3. The factors that impede life are input (selected) (step 32).

For the care level for each of the plurality of care support items, click one of the care levels using the input device 12 in the care level selection field 2 of the task summary summary table 1 (Fig. 1) displayed on the display device 13. It is input (selected) by doing. The factors that hinder daily life are input to the factor input field 3 that hinders daily life by selecting the corresponding factors from the factor list window described below, which is displayed on the display device 13.

FIG. 6 shows an example of the daily life obstruction factor list window 13A. Multiple factors that inhibit daily life prepared in advance are classified into factors that inhibit daily life derived from individuals and factors that inhibit daily life derived from the environment, and the factors that inhibit the user's independent daily life are selected from these factors. Will be done.

After inputting the nursing care level for each of the plurality of nursing care support items and inputting the factors that hinder daily life, extraction (narrowing down) processing is performed from the plurality of task summary table samples stored in the storage device 15. (Steps 33 and 34). This extraction (narrowing down) process is performed by the care level for each of the plurality of care support items input from the multiple task organizer sample (task organizer summary table created in the past) stored in the storage device 15. In addition, it is a process to extract a sample of the task summary table similar to the task summary table being created by using the factors that hinder daily life.

The first extraction process is an extraction process using factors that hinder daily life (step 33). With reference to FIG. 4, since the input daily life inhibitory factors include individual-derived inhibitory factors and environmental request inhibitory factors, samples containing completely or partially matching daily life inhibitory factors are extracted for each of them. Is done (steps 41, 42). Of course, in the extraction process using the individual-derived inhibitory factor (step 41), a sample containing the completely matching inhibitory factor is extracted, and in the extraction process using the environmentally-derived inhibitory factor (step 42), the partially matching inhibitory factor is extracted. A sample containing the above may be extracted, and vice versa. Among the factors that hinder daily life entered in the task summary table being created, for example, a sample containing two or three or more identical factors that hinder daily life can be judged as partially matching samples. In any case, a sample containing only the factors that hinder daily life that are completely different from the factors that hinder daily life entered in the task summary table being created is not extracted, and as a result, a sample similar to the task summary table being created is obtained. Be extracted.

Of course, only the extraction process using the individual-derived inhibitory factor (step 41) may be executed, and the extraction process using the environment-derived inhibitory factor (step 42) may be skipped, or vice versa. ..

Next, a second extraction process is performed (step 34). As shown in FIG. 5, in the second extraction process, a care level pattern input for each of a plurality of care support items is used (step 51).

Various processes can be considered for the extraction process using the pattern of the long-term care level input for each of a plurality of long-term care support items.

The first is a sample in which the long-term care levels entered for each of multiple long-term care support items in the task summary table being created are completely the same, or the long-term care levels differ by only one level for only a small number of long-term care support items. It is a process to extract.

The second is an extraction process that focuses on the number of long-term care support items with different long-term care levels. Samples in which the number of long-term care support items with different long-term care levels is, for example, two or three are extracted.

The third is the process of extracting samples in which the long-term care support items for which "independence" or "no hindrance" (that is, the long-term care unnecessary level) are selected completely match or have only a small number of differences.

In any case, samples containing patterns that are completely different from the care level patterns entered for each of multiple care support items are not extracted from the task summary table being created, which is similar to the task summary table being created. Samples to be extracted.

By going through the above-mentioned extraction process, from the two viewpoints (either of them may be) of the input (selected) factors that hinder daily life and the input (selected) care level pattern, the task summary table being created can be used. Similar samples (hereinafter referred to as similar samples) will be extracted from a large number of samples stored in the storage device 15. For example, depending on the number of similar samples to be extracted, it is possible to determine whether one of the factors that hinder daily life and the care level pattern is used in the extraction process, or both are used in the extraction process.

Next, a similar sample is used, and one or more inhibitory factors to be input in the factor input field 4 are recommended and displayed according to the frequency of occurrence of the inhibitory factors for each care support item (step 35).

FIG. 7 shows how the frequency of appearance of the factors that inhibit daily life listed in the factor input field 4 is counted for each care support item in the extracted similar sample. It should be understood that the table shown in FIG. 7 is for making the appearance frequency easy to understand, and does not necessarily have to be created in the task organizing summary table creation process.

With reference to FIG. 7, for example, it is shown that the frequency of appearance of the daily life obstructive factor “back pain” is “450” for the long-term care support item “indoor movement”. This is because, among the similar samples extracted, the factor that causes the situation of the level requiring long-term care for the long-term care support item "indoor movement" is "back pain" (similar sample in which such data is input). It means that there are 450 samples.

As described above, in the factor input field 4 of the task summary table 1, the factors that impede daily life are input for the long-term care support items in which the long-term care level selection field 2 is the level requiring long-term care (other than "independence" and "no hindrance"). One or more of one or more daily life obstructive factors (numbers representing daily life obstructive factors (circled numbers)) entered in column 3 are input, thereby providing long-term care at the level requiring long-term care. The support item and the daily life obstruction factor input in the daily life obstruction factor input field 3, which is the factor thereof, are associated with each other. The candidates for the factors that impede daily life to be input are displayed in the factor input field 4 based on the above-mentioned frequency of appearance. For example, in the factor input field 4 of the task summary table 1 being created, a plurality of or all factors (numbers for specifying the factors) are displayed in descending order of frequency of appearance.

Since the recommended display of the factors displayed in the factor input field 4 according to the frequency of appearance uses a sample similar to the task summary table being created, it is unlikely that there is a big error, and according to the recommended display. By inputting one or more factors into the factor input field 4 (finally determining the inhibitory factor) (step 36), even an inexperienced care manager can determine the factors that inhibit daily life according to past cases. Can be correctly associated with long-term care support items. All of the recommended factors that hinder daily life (numbers that specify the factors) may be entered in the factor input field 4, or some of them may be entered. In any case, the time spent for data input in the factor input field 4 can be significantly reduced.

The frequency of occurrence of daily life-inhibiting factors for each long-term care support item using the above-mentioned similar sample is used to check for omission of input of daily-life-inhibiting factors in the daily-life-inhibiting factor input field 3 of the task summary table 1 under preparation. You can also do it. For example, the frequency of appearance in similar samples is very high (exceeding the predetermined value), however, the care manager is responsible for the factors that hinder daily life that are not entered in the daily life hindrance factor input field 3 of the task summary table 1 that is being created. It may be presented (displayed on the display screen to warn) to prompt the user to check for omission of input.

The completed task summary table is stored in the storage device 15, and then used as a task summary table sample.

In the above-mentioned embodiment, an example in which the task organizing summary table creation support device 10 is composed of a so-called stand-alone computer device has been described, but a plurality of computer devices connected via a network may be used. For example, a mode in which a database in which a sample of a problem summary table is stored is stored in a storage device of a server device, and the database of the server device is used through a network (file sharing type), and a mode in which the above-mentioned extraction process is performed by the server device. (Client / server type) can also be used to realize the task organization summary table creation support device 10.

1 Problem summary table 2 Nursing care level selection field 3 Daily life obstruction factor input field 4 Factor input field
10 Problem arrangement summary table creation support device
11 CPU (extraction means)
12 Input device (first reception means, second reception means)
13 Display device (recommended display means)
15 Storage device (storage means)

Claims (8)

It is a support device that supports the creation of an issue summary table created for each user.
A storage means for storing multiple task summary table samples,
The first reception means that accepts the selection of the care level corresponding to the above user from the care levels of multiple stages for each of the multiple care support items.
A second reception means for accepting the selection of the daily life-inhibiting factor corresponding to the above-mentioned user from the options of the daily life-inhibiting factors
From the multiple task summary table samples stored in the storage means, the care level for each of the plurality of care support items received by the first reception means, and the second reception means are accepted. Based on at least one of the factors that hinder daily life, the extraction means for extracting the task arrangement summary table sample similar to the task arrangement summary table being created, and the long-term care in the task arrangement summary table sample extracted by the above extraction means. Using the frequency of occurrence of daily life-inhibiting factors associated with each support item, we recommend and display one or more daily-life-inhibiting factors that should be associated with the long-term care support items at the level of long-term care in the task summary table being created above. Recommended display method,
Is equipped with
Problem organization summary table creation support device. In the task summary table sample extracted by the above-mentioned extraction means, the appearance frequency of the daily life-inhibiting factors for each care support item exceeds a predetermined value, and is selected by the above-mentioned second reception means. It is equipped with a warning means to output a warning when there is a factor that hinders daily life.
The problem rearranging summary table creation support device according to claim 1. A third reception means for accepting selection of a daily life obstruction factor associated with a long-term care support item from among one or more daily life obstruction factors recommended and displayed by the above recommended display means, and the above third reception. It is provided with a storage control means for storing the task sorting summary table for which selection by means is accepted as a task sorting summary table sample in the above storage means.
The problem rearranging summary table creation support device according to claim 1 or 2. The above-mentioned choices of a plurality of factors that inhibit daily life include options of factors that inhibit daily life derived from individuals and options of factors that inhibit daily life derived from the environment.
The problem rearranging summary table creation support device according to any one of claims 1 to 3. The above extraction means
A sample of the task summary table with similar factors that inhibit daily life derived from individuals is extracted from the above memory means.
The problem rearranging summary table creation support device according to claim 4. The above extraction means
A sample of the task summary table with similar factors that inhibit daily life derived from the environment is extracted from the above memory means.
The problem rearranging summary table creation support device according to claim 4 or 5. It is a method of controlling the support device that supports the creation of the task summary table created for each user.
Store multiple task summary table samples in a storage means,
For each of the multiple long-term care support items, the selection of the applicable long-term care level of the above user from the multiple levels of long-term care is accepted by the first reception means.
From the options of multiple factors that hinder daily life, the selection of factors that hinder daily life corresponding to the above user is accepted by the second reception means.
From the multiple task summary table samples stored in the storage means, the care level for each of the plurality of care support items received by the first reception means, and the second reception means are accepted. Based on at least one of the factors that hinder daily life, a sample of the task summary table similar to the task summary table being created was extracted.
Using the frequency of occurrence of factors that impede daily life associated with each care support item in the extracted task summary table sample, it should be associated with the care support item at the level requiring long-term care in the task summary table being prepared above. Recommended display of multiple factors that hinder daily life,
How to control the task arrangement summary table creation support device. Let the computer execute the control method of the task sorting summary table creation support device according to claim 7.
program.

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