JPH08131409A - Nursing supporting device - Google Patents

Abstract

PURPOSE: To reduce mis-setting by simplifying the information setting of the terminal of a nursing supporting device. CONSTITUTION: Past health condition information, etc., transmitted from a personal computer 3a via a communication mechanism 6 and a communication interface 14 is stored in the information storage area 33 of memory 22. A control processing part 23 displays a picture including the past health condition information, etc., on a display part 12 based on the screen display data 32 in the memory 22 and the past health condition information, etc. A nurse sets the health condition information measured this time by depressing the instruction part of a screen (by a touch panel sensor 15) depending on the increment/ decrement of the past health condition information, etc., setting displayed past health condition information as reference. The control processing part 23 converts the information measured this time set based on the depressing instruction of the touch panel sensor 15 to an absolute value, and stores it in the memory 22. Set information stored in the memory 22 is outputted to the communication mechanism 6 by the control processing part 23, and supplied to the personal computer 3a.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to, for example, body temperature, heart rate, blood pressure, respiratory rate obtained by a nurse during temperature measurement of an inpatient.
The present invention relates to a nursing support device in which health condition information such as weight and meal amount is set in a terminal at a patient's bedside, the setting information is transmitted to a host computer, and the host computer collectively manages the setting information.

[0002]

2. Description of the Related Art In a hospital or the like, in order to grasp the health condition of an inpatient and use it for diagnosis and the like, a nurse makes a temperature measurement around the bed of the inpatient several times a day (for example, four times). Temperature, heart rate, blood pressure, respiratory rate, weight of inpatients,
The amount of food, etc. is measured and is collected by hearing from patients.

Conventionally, the information obtained by this temperature measurement is recorded by a nurse on a memo pad or the like at the bedside of the patient, and when the information collection of the patient in charge is completed, the patient management book provided in the nurse station or the like. The collected information is posted to

In addition, with the recent computerization, there are some hospitals in which the work of the hospital including the management of the health condition of inpatients is computerized. In such a hospital, information collected by a nurse through thermometry is input to a computer, for example, from a keyboard, and the computer stores the input information and performs various data processing and management.

However, in any of the above cases, the nurse has to transcrib or input the information collected by the temperature measurement or computer input, which poses a problem that the burden on the nurse is heavy.

Therefore, a nursing support device has been developed for the purpose of reducing the above-mentioned nurse's transcription work. This device is a computer (host computer) that manages the operations of the hospital, including management of the health condition of inpatients,
Multiple terminals consisting of a small portable computer for setting health condition information such as patient temperature, heart rate, blood pressure, respiration rate, weight, meal amount at the patient's bedside, It is configured by including a transmission mechanism for transmitting health condition information between the host computer and each terminal.

In this apparatus, each nurse carries a terminal device assigned to him / her around the patient's bed at the time of temperature measurement, obtains the patient's health condition information, and uses the information obtained at the bedside as a terminal. When the nurse completes the temperature measurement of the patient in charge, the nurse transmits the collected information set in the terminal to the host computer via the transmission mechanism and inputs it to the computer. As a result, the above-mentioned transcription work of the nurse is greatly reduced.

[0008]

However, the prior art having such a structure has the following problems. The information setting to the terminal of the conventional device is configured to be input by an absolute numerical value from a keypad unit or the like provided in the terminal. For example, if the body temperature is “36.5 ° C.”, the keys “3”, “6”, “.”, And “5” on the keypad section are sequentially pressed to set information.

[0009] However, for example, in the case of interacting with the patient to hear information from the patient, it is often obtained in a form compared with the previous temperature measurement. At this time, the nurse must specify the absolute value of this information based on the obtained information and set it in the terminal device, and it is troublesome to set the information at the patient's bedside. Easy to make setting mistakes.

Further, the health condition information rarely changes extremely with each temperature measurement, but in the conventional apparatus, information with little change must be set as an absolute value each time the temperature is measured, and the bedside of the patient must be set. Setting information in is troublesome.

The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a nursing support apparatus equipped with a terminal capable of reducing setting errors with simple information setting. To do.

[0012]

The present invention has the following configuration to achieve the above object. That is, the present invention, the patient's body temperature, heart rate, blood pressure, respiratory rate,
A terminal for inputting and setting the patient's health information consisting of all or part of the weight and the amount of food at the bedside of the patient, and for collectively managing the health information set by the terminal. In a nursing support device comprising a host computer and a transmission means for transmitting the health condition information between the terminal and the host computer, for displaying past health condition information transmitted from the host computer Display means, setting means for inputting and setting ambiguous information such as increase / decrease, lightness, and ratio based on the past health status information displayed on the display means as new health status information, and the input new setting And a data conversion means for converting the health condition information into an absolute numerical value.

[0013]

The operation of the present invention is as follows. The past health condition information transmitted from the host computer via the transmission means is displayed on the display means. The nurse refers to the past health status information displayed on the display means, and uses the setting means to set the new health status information obtained this time using ambiguous information such as increase / decrease, lightness, and ratio based on the past health status information. Enter and set. The data conversion means converts the set information into absolute numerical values. The converted information (absolute numerical value) is transmitted to the host computer via the transmission means and stored in the host computer. This information becomes the past health condition information in the above information setting at the time of the next information collection.

The ambiguous information is set, for example, in the case of body temperature, heart rate, blood pressure, respiratory rate, past body temperature, heart rate,
It means increase / decrease based on blood pressure and breathing rate, and if it is weight, it is set as the past weight and light weight as a reference, and if it is a meal amount, it is set at the ratio based on the past meal amount. .

[0015]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described below with reference to the drawings. FIG. 1 is a diagram showing an overall configuration of a nursing support device according to an embodiment of the present invention, FIG. 2 is a diagram showing an appearance of a terminal device provided in the embodiment device, and FIG. 3 is an internal view of the terminal device. 3 is a block diagram showing a schematic configuration of FIG.

In FIG. 1, reference numeral 1 is a host computer for performing work management of the entire hospital. The host computer 1 includes a personal computer (hereinafter, abbreviated as a personal computer) 3 for performing work management for each ward (internal ward, surgical ward, pediatric ward, etc.) surrounded by the one-dot chain line in FIG.
Are connected via a predetermined communication cable (optical cable, extension telephone network, Ethernet cable, etc.) 4 so that bidirectional communication can be performed between the host computer 1 and each personal computer 3. Each ward 2 is equipped with a plurality of personal computers 3, one of which is a personal computer 3 (3a) for health management of patients admitted to each ward 2 and management of patient / nurse schedules, etc. I do.

Further, each ward 2 is equipped with a plurality of terminals 5. These terminals 5 are composed of small portable computers (for example, electronic notebooks and pocket computers), and at the time of temperature measurement, the nurse carries the terminal 5 around the patient's bed and Information (health status information) on the health status of the patient including all or part of body temperature, heart rate, blood pressure, respiration rate, body weight, and meal amount can be set / referenced at the bedside of the patient. The terminal 5 can also set and refer to schedules of patients and nurses.

Further, for each ward 2, the terminal 5 and the personal computer 3a which performs the health management work for the hospitalized patient receive health condition information, patient / nurse schedules, etc. via a predetermined communication mechanism 6. It is configured to allow two-way communication. The communication mechanism 6 connects, for example, a personal computer 3a and a communication base (not shown) via an RS-232C cable, mounts the terminal 5 on the communication base, and sets it between the terminal 5 and the personal computer 3a. It is configured for two-way communication. That is, during the period other than this communication, the terminal 5 is not connected to the personal computer 3a and can be carried.

In this embodiment, the host computer 1, the personal computer 3a, the communication cable 4 and the like constitute the host computer of the present invention, and the communication mechanism 6 corresponds to the transmission means of the present invention.

Next, the structure of the terminal 5 which is the main part of the present invention will be described with reference to FIGS. This terminal 5
As shown in FIG. 2, a switch 11 for turning on / off the power of the terminal device 5, a display unit (liquid crystal display) 12 for displaying each screen to be described later, a keypad unit 13 including alphabets and numeric keys, The communication interface 14 (see FIG. 3) and the like are provided. In addition, the touch panel sensor 15 is provided on the surface of the display unit 12.
Is provided, and by pressing the surface of the display unit 12, it is possible to set data and give instructions.

Further, as shown in FIG. 3, inside the terminal 5, a coordinate calculating section 21, a memory 22, a control processing section 23, etc. for converting the depressed position of the touch panel sensor 15 into the coordinates of the display section 12, etc. I have it.

The memory 22 displays on the display unit 12 a program 31 for causing the control processing unit 23 to execute processing such as display and setting described later, which is performed in the terminal unit 5, and various screens described later. The screen display data 32 for doing is stored in advance, and the information storage area 33 for storing the health condition information of the patient is also provided.

Although not shown in the information storage area 33,
Basic information on multiple patients managed by the terminal 5 (bed number, patient name, patient ID, daytime staff (nurse)
Area for storing codes, semi-night shift / midnight shift (nurse) code, area for storing patient information, area for storing vital signs (biological signals), area for storing food amount, area for storing water balance An area for storing a patient / nurse schedule and an area for storing a patient reference table in charge are provided.

In the area for storing the patient information, information such as the contact information of the patient and the disease name is stored, and in the area for storing the vital signs, body temperature, heart rate, blood pressure up / down, respiratory rate, etc. are stored. , In the area that stores the amount of food, breakfast (main meal, side meal), lunch (main meal, side meal), dinner (main meal,
(By-meal) is stored in the area that stores the water balance.
Area for storing patient / nurse schedules, including body weight, number of bowel movements, water intake (infusion, beverage, meal), water discharge (urine, bleeding, etc.), difference between water intake and water discharge (water balance), etc. The patient's schedule and the nurse's schedule for the patient are stored in the.

In addition, in each area for storing vital signs, food amount, and water balance, the information for the past two days and the information for today can be stored, and the area for storing the patient / nurse schedule can be stored. Can store schedules for the past two days, today's days, and future eight days.

The memory 22 is backed up by a battery and stores the information even when the power of the terminal 5 is turned off.

The control processing unit 23 follows the program stored in the memory 22, for example, the touch panel sensor 15
The display screen of the display unit 12 is updated or the touch panel sensor 1 is operated according to an instruction from the keypad unit 13 or the keypad unit 13.
According to the setting from 5, each information is converted into data as needed and stored in a predetermined area of the memory 22, and is also supplied from the personal computer 3a through the communication mechanism 6 and the communication interface 14 by download described later. Information stored in a predetermined area of the memory 22, or information stored in the memory 22 by uploading is stored in the communication interface 14
It is output to the communication mechanism 6 via the communication mechanism 6 and is supplied to the personal computer 3a via the communication mechanism 6 for control processing. The control processing unit 23 includes a CPU (central processing unit) (not shown), a memory for temporary storage, and the like.

In this embodiment, the display unit 1
2 corresponds to the display unit in the present invention, the control processing unit 23 corresponds to the data conversion unit in the present invention, and the touch panel sensor 15 and the coordinate calculation unit 21 form the setting unit in the present invention.

Next, the overall operation and operation of the apparatus of this embodiment will be described. At the hospital, nurses work by two shifts, day shift and night shift, or by splitting the night shift into semi-night shift and late night shift, and three shifts. In addition, each nurse is assigned a patient in charge. The work schedule of each nurse and the information of the patient in charge of each nurse are managed by the host computer 1, and are supplied to each personal computer 3a for each ward 2 via the communication cable 4.

As described above, each ward 2 is equipped with a plurality of terminals 5, but each terminal 5 is preset with an identification number, and when communicating with the personal computer 3a. Then, based on this identification number, predetermined information is transmitted and received.

Further, each nurse has a predetermined terminal 5 to be used by the nurse, but if one terminal 5 is prepared for each nurse, the number of terminals 5 will increase.
Therefore, the same terminal 5 is used by the nurse A for day shift and the nurse B for night shift (or the nurse B for semi-night shift and the nurse C for late night shift). The nurse takes the temperature during his working hours. Before this temperature measurement, the nurse communicates with the personal computer 3a, and first, the setting information (vital sign,
Meal amount, water balance, patient / nurse schedule)
It is supplied (uploaded) to the personal computer 3a via the communication interface 14 and the communication mechanism 6. This upload is performed by the control processing unit 23 outputting information set in the terminal 5 and stored in the memory 22 to the communication mechanism 6 via the communication interface 14 as described later. In the personal computer 3a, new setting information (personal computer 3a
(Information not stored therein) is additionally stored in the personal computer 3a. Then, following the upload, from the personal computer 3a, the information of each patient (basic information, patient information, past health condition information, preset patient / nurse schedule) and the patient reference table in charge are used by the terminal 5 that the user uses. To receive (download). In the download, the control processing unit 23 stores the information supplied via the communication mechanism 6 and the communication interface 14 in a predetermined area of the memory 22.

The nurses A and B (or A, B and C) may have different patients in charge, but the identification of the patient in charge by each nurse is specified in the basic information of each patient. It is performed based on a patient ID, a day shift (nurse) code, a semi-night shift / midnight shift (nurse) code, a patient reference table in charge, and the like.

When the communication with the personal computer 3a is completed, the nurse goes around the bed of the patient in charge and measures the temperature,
Health condition information is measured (interacting with the patient to listen to the information if necessary), and the obtained information is set in the terminal device 5 at the patient's bedside. Note that the nurse may measure the temperature of the patient who is not in charge as necessary, and in this case, the information obtained is set in the terminal 5 as in the case of the patient in charge. In addition, at the time of this temperature measurement or other necessary,
The nurse also sets the schedule of the patient / nurse (details will be described later) in the terminal device 5.

The information set in the terminal 5 in this way is
It is reflected in the personal computer 3a by the above upload.

In the above operation, uploading and downloading are performed before the temperature measurement, but in addition to that, new information is added to the terminal device 5 after the temperature measurement is completed or the patient / nurse schedule is set, for example. It is also possible to upload every time the setting is made and to supply the new information set in the terminal 5 to the personal computer 3a.

By uploading, the personal computer 3a
When new information is additionally stored in the personal computer 3a, the personal computer 3a uses the free time to store the stored information in the communication cable 4
To the host computer 1 via. Of the information managed by the personal computer 3a or the host computer 1, the health condition information is, for example, edited in a predetermined format and printed out to be provided to a doctor or the like to be used for diagnosis and the patient's schedule is It is used to reserve facilities and equipment in hospitals, and the nurse's schedule is used to manage the work of the nurse during working hours.

Next, the details of the function of the terminal 5 will be described according to its operation. First, when the power switch 11 of the terminal device 5 is turned on, the control processing unit 23 creates an initial screen as shown in FIG. 4 based on the screen display data 32 in the memory 22 and predetermined data in the information storage area 33. It is displayed on the display unit 12. On this initial screen, the layout of the hospital room, the hospitalization status of the patient, the classification of the patient in charge and the patient not in charge of the nurse using this terminal 5, the instruction menu (“plan”, “nursing”, “vital”) , "Communication"), etc. are displayed. Numbers in the hospital room layout ("23" and "2
4 ”, ...,“ 44 ”) corresponds to the bed number, and the memory 2
The position of the patient in the hospital room layout on the screen is specified based on the bed number in the basic information of each patient of item 2. “■” and “□” in the hospital room layout on the screen indicate the hospitalization status of the patient, and there are no patients in the hospital room where “■” and “□” are not displayed. Further, “■” indicates a patient in charge of a nurse who is currently using the terminal 5, and “□” indicates a patient not in charge.

This is because the current time is read from the internal calendar of the terminal 5 and if the time is the daytime work time, the daytime charge (nurse) code is stored in the memory 22 in the basic information storage area of each patient. Read out, night shift (semi-night shift, midnight shift)
If the time is, the code for the midnight shift / midnight shift (nurse) is read from the storage area of the basic information of each patient. In addition,
When the night shift is divided into semi-night shift and midnight shift, the semi-night shift (nurse) code and the midnight shift (nursing) A woman code is stored (for example, divided into upper byte and lower byte), and a responsible (nurse) code corresponding to the current time is read. Then, the read-out (nurse) code (the code of the nurse who is currently using this terminal 5) and the patient ID read from the storage area of the basic information of each patient in the memory 22 are used as keys for the memory. The data of whether each patient is in charge or not of the nurse who is currently using this terminal 5 is retrieved from the patient reference table in 22. The patient reference table in charge is information supplied at the time of downloading from the personal computer 3a, and the division data of the patient in charge / non-charge of each patient ID for each nurse (nurse) code ( For example, a table stored two-dimensionally.
In addition, the basic information of each patient such as the day duty (nurse) code, the semi-night shift / midnight duty (nurse) code, the patient ID, and the patient reference table are based on the identification number of the terminal device 5 The information of the machine 5 is downloaded from the personal computer 3a.

When the nurse presses the hospital room on the screen (touch panel sensor 15 on the surface of the display unit 12) on this initial screen, the coordinate calculation unit 21 causes the coordinates of the pressed position on the display unit 12 (for example, the figure 4) in the XY coordinate system) is calculated and given to the control processing unit 23. The control processing unit 23 is instructed which sickroom is based on the coordinates of each sickroom on the display screen (known coordinates determined when the layout of the display screen is designed) and the coordinates of the pressed position. )), The patient name and bed number are read from the memory 22 based on the bed number of the instructed room and displayed in the center of the screen. This means that the patient to be the target of subsequent information setting has been identified. In each subsequent process for the individual patient, information is read from or written in the information storage area of this patient in the memory 22. The patient can be changed by pushing the room again. Further, an inpatient can be designated regardless of the classification of the patient in charge and the patient not in charge, and various setting / reference processing can be executed for the patient.

When the display unit 12 (touch panel sensor 15) is pressed in each instruction or setting described later, the control processing unit 23 instructs the display screen based on the coordinates of the pressed position in the same manner as above. Since the setting contents are determined and the processing according to the instruction or the setting is executed, the detailed description of the internal operation will be omitted in the subsequent operations.

In addition, in the above, the patient in charge and the patient not in charge are
Although it is specified based on the current time, responsible (nurse) code, patient ID, responsible patient reference table, etc., for example, the personal computer 3a side distinguishes responsible and non-responsible, and the result is used as a code for basic information of each patient. In addition to the above, in the initial screen display by the control processing unit 23 after downloading, “■” and “□” may be displayed based on this code. When configured in this way, the personal computer 3a selects the nurse who is performing this communication (download) based on the download time, the identification number of the terminal 5, and the work schedule of the nurse in the personal computer 3a. It identifies and supplies the code of the patient in charge / non-charge of the nurse to the terminal device 5.

Next, on the screen in which the patient to be processed is specified (the patient name and the like are displayed), the processing item such as setting and reference to be executed next is selected by pressing the menu item. When "Communication" is pushed, the above-mentioned two-way communication with the personal computer 3a is executed. "Plan", "Nursing", "Vital"
When is pressed, the pressed item is highlighted (however, the highlighted display is shaded in the figure), the item is selected, and then the displayed patient name is pressed. Processing for setting and referring to selection items for the patient is executed.

When the patient name is pressed in the state where "plan" is highlighted, the schedule of the patient and the schedule setting / reference processing of the nurse for the patient (setting / reference processing of the patient / nurse schedule) are executed. To be done. When the patient name is pressed while "nursing" is highlighted, the reference processing of the patient information of the patient is executed. When the patient name is pressed in the state where "Vital" is reversed, the setting / reference process of the vital sign (biological signal), meal amount, and water balance of the patient is executed.

In this embodiment, when "K" (see FIG. 2) on the keypad section 13 of the terminal 5 is pressed on the above screen,
The control processing unit 23 is configured to display a patient list that displays a list of patients on the display unit 12.

By the way, the initial screen of the terminal of the conventional nursing support device is often composed of a patient list display screen. On such an initial screen, it is difficult to visually recognize the hospitalization status of patients, and if there are many hospitalized patients, it is not possible to display all patients on a single screen. bad. On the other hand, the above-mentioned inconvenience can be eliminated by configuring as in this embodiment. Furthermore, even if the patient's bed is changed, this embodiment allows the nurse to visually recognize the position of his / her patient.

Next, the operation of the vital sign, meal amount, and water balance setting / reference processing will be described. When the vital sign, meal amount, and water balance setting / reference processing is executed from the initial screen or the like, the control processing unit 23 causes the screen display data 32 in the memory 22 and the vital sign of the patient selected on the initial screen or the like. On the basis of the information stored in the storage area of FIG. 5, a vital sign setting / reference screen as shown in FIG. Here, when "meal" at the upper right of the screen is pressed, the control processing unit 2
3 displays a meal amount setting / reference screen as shown in FIG. 5B based on the screen display data 32 in the memory 22 and the information stored in the meal amount storage area of the selected patient. When "water" on the left side of "food" on the screen of FIG.
Displays the water balance setting / reference screen as shown in FIG. 5C based on the screen display data 32 in the memory 22 and the information stored in the water balance storage area of the selected patient. Display on 12. In addition, when “check” is pressed on the meal amount setting / reference screen, the control processing unit 23 displays the vital sign setting / reference screen of FIG. 5A on the display unit 12, and “water” is pressed. Then, the control processing unit 23 displays the water balance setting / reference screen of FIG. 5C on the display unit 12. Further, when “check” is pressed on the water balance setting / reference screen, the control processing unit 23 displays the vital sign setting / reference screen of FIG. 5 (a) on the display unit 12, and “food” is pressed. When
The control processing unit 23 displays the meal amount setting / reference screen of FIG. 5B on the display unit 12.

When the "Cancer list" on each of the vital sign, meal amount and water balance setting / reference screens is pressed, the control processing unit 23 displays the initial screen of FIG. 4 on the display unit 12.

It should be noted that the bed number / patient name of each setting / reference screen for the vital signs, meal amount, and water balance are those selected in the above initial screen, etc. The date and time are the date and time read from the internal calendar of the terminal 5, and the measurement time at the upper right of the water balance setting / reference screen is the time at which the water balance was measured last time. The information stored in the storage area is read out.

On the vital sign setting / reference screen, the body temperature, heart rate, blood pressure (up and down), and respiration rate are set. The item to be set is selected by pressing "body temperature", "heartbeat", "blood pressure, up", "blood pressure, down", and "breathing" displayed on the screen. The selected item is displayed in reverse video (however, in the figure, the reverse display is simply drawn in a box, as shown in FIG.
(B), (c) and FIG. 6 are the same). Further, on the left side of each item, the information measured at the previous temperature measurement is displayed as an absolute numerical value. Further, on the left side of the screen, the measurement information of the selected item (highlighted), yesterday's day, and today's measurement information (already measured) is displayed in a graph. In addition, in this embodiment, the temperature is measured four times a day.

When the vital sign, meal amount, and water balance setting / reference processing is executed from the initial screen and the vital sign setting / reference screen is displayed, the body temperature is highlighted as shown in FIG. 5 (a). On the left side of the screen, the body temperature measured during the temperature measurement that has already been performed is displayed in a graph.
The region L on the left side of the graph is plotted with the body temperature measured during the four temperature measurements the day before yesterday, the region C in the middle of the graph is plotted with the body temperature measured during the four temperature measurements yesterday, and the right side of the graph is plotted. In the region R, the body temperature measured at the time of the temperature measurement already performed today (in FIG. 5A, it is shown that the first temperature measurement and the second temperature measurement are performed today) is plotted.

The body temperature displayed as a graph is read from the information of the vital sign of the selected patient in the memory 22 at each temperature measurement on each day. In addition, in the information at each temperature measurement of each day of the vital sign, for each temperature measurement of each day, a “temperature measurement code” indicating whether or not each temperature measurement is performed is stored. Information such as that up to the second temperature measurement is performed based on this "temperature measurement code". Further, for example, if the third temperature measurement of yesterday has not been performed, the body temperature at the time of temperature measurement is not plotted in the graph based on the “temperature measurement code” at the time of temperature measurement.

Note that the temperature is measured four times a day, for example, the first time is 0:00 to 7:30 and the second time is 7:31.
-11: 30, the third time is 11:31 to 15:30, and the fourth time is 15:31 to 19:30. Therefore, how many times the current temperature measurement is performed today is determined based on the time zone of the temperature measurement and the time read from the internal calendar of the terminal device 5. Here, it is assumed that the third temperature measurement is performed today.

By the way, the setting of the body temperature at this time of temperature measurement is made by setting the arrow YJ on the left side of the previous measured body temperature of the graph (in FIG. 5A, the measured body temperature at the second temperature measurement of today) to the right of the screen. Press "Increase" and "Decrease" below to move up and down on the graph.

In setting the body temperature, the control processing unit 23
Reads out the previously measured body temperature (the body temperature obtained at the previous temperature measurement) from the vital signs of the selected patient in the memory 22, and stores it in the temporary storage memory in the control processing unit 23, for example. Then, each time "increase" is pressed, the display of the arrow YJ on the graph is updated upward for each section (0.1 ° C), and the body temperature stored in the temporary storage memory is changed by 0.1 ° C. Increment in units, and display the body temperature (absolute value) in the temporary memory in the absolute value display field on the left side of the highlighted body temperature (the place where the absolute value of the previously measured body temperature is initially displayed) indicate.
When "decrease" is pressed, the arrow YJ on the graph is set to 0.
The display is updated downward every 1 ° C, the body temperature stored in the temporary storage memory is decremented by 0.1 ° C, and the body temperature in the temporary storage memory is decremented by the absolute value on the left side of the highlighted body temperature. Display in the display column of.

When the absolute value of the body temperature displayed on the left side of the highlighted body temperature reaches the body temperature measured this time by repeating the above-mentioned increase / decrease operation, the nurse presses the displayed absolute value to measure this time. Temporarily set the body temperature for minutes. As a result, the control processing unit 23 stores the temporarily set body temperature in the temporary storage memory and reversely displays the absolute value of the temporarily set body temperature. Then, the previously measured heart rate is read out from the vital signs of the selected patient in the memory 22, stored in another storage area of the temporary storage memory, the heart rate is displayed in reverse, and as in the case of body temperature, Heart rate yesterday, yesterday,
Graph display for today (measured already)
This is performed based on the heart rate in the information at each temperature measurement of the vital signs of the selected patient in the memory 22. Also in the graph display of the heart rate, and the blood pressure up / down and respiration rate below, only the temperature-measured one is displayed in a graph based on the “temperature-measurement code” as in the case of the body temperature.

As in the case of body temperature, the nurse presses "increase" and "decrease" at the lower right of the screen to display the position of arrow YJ or the absolute value on the left side of the highlighted heart rate. According to the heart rate measured this time, press the absolute value to make a temporary setting. The control processing unit 23 operates in the same manner as in the case where the body temperature is temporarily set. Then, when the temporary setting of the heart rate is performed, the temporary setting of “blood pressure, upper” is performed similarly to the case of the body temperature, and thereafter, the temporary setting of “blood pressure, lower” and “breathing” are similarly performed. The temporary setting of is sequentially performed.

Then, when the temporary setting of all items is performed (the absolute numerical value of each item is highlighted), press "input" on the right side of the "changer list" to display the temporarily set information. It is set in the terminal 5. This is because when the "input" is pressed, each information (absolute numerical value at the time of temporary setting) stored in the temporary storage memory by the control processing unit 23 is stored in the memory 22.
It is performed by storing the vital sign of the selected patient in the current temperature measurement memory area and setting the "temperature measurement code" of that area to "already set". It should be noted that how many times the current temperature measurement is performed is determined based on the temperature measurement execution time zone and the time when "input" is pressed.

In the above description, the case where the measurement information from the body temperature to the respiratory rate is temporarily set has been described. For example, when it is desired to correct the temporarily set information, before pressing "input", By pressing the item to be corrected, the temporary setting process of the item can be redone.

As described above, the setting of the body temperature, the heart rate, the blood pressure up / down, and the respiration rate in the terminal 5 is referred to the past measurement information, and the ambiguous information by the increase / decrease based on the past (previous) measurement information is set. Since it can be set by, the setting of the measurement information becomes easy and the setting error can be reduced.

Next, the operation of the meal amount setting / reference process will be described. When the meal amount setting / reference process is executed, as described above, the control processing unit 23 displays the meal amount setting / reference screen shown in FIG. 5B on the display unit 12.
On this screen, breakfast (main, sub), lunch (main,
Sub), dinner (main, sub) selection items are displayed, today's meal amount is displayed in absolute numbers on the right side, and on the right side of the screen,
A bar graph BG for setting the amount of food is displayed between the absolute value and the bar graph BG in the form of a graph of the amount of food (the amount of food that has been ingested) of the day before yesterday, yesterday, and today. The black line BL in the bar graph BG indicates the previous meal amount. Also, "□" in the graph is the staple food, "◆"
Indicates a side dish. Further, the region L on the left side of the graph is the amount of food eaten the day before yesterday, the region C in the middle is the amount of food eaten yesterday, the region R on the right is the amount of food eaten today, and the left side of each region L, C, R is breakfast (main and sub). , The center shows lunch (main and sub), and the right side shows dinner (main and sub). The meal amount is set as a ratio when the meal amount to be given to the patient is "10" (for example, "5" if half the meal amount to be ingested is ingested).

The meal amount is set by "breakfast", "lunch",
Press "Dinner", select the meal you want to set, and then select the main meal or side meal of the selected breakfast or lunch or dinner,
Select by pressing "Main" and "Sub". The selected meal and main / sub are highlighted. Further, the black line BL displays the staple food of the previous meal when the staple food is selected, and displays the supplementary meal of the previous meal when the side meal is selected. Then, the bar graph BG is pressed to select the meal amount. For example, if the user has ingested ⅔ of the amount of meals provided, press “6” on the bar graph BG. Thereby, the control processing unit 23 plots the selected meal amount on the graph,
The above absolute value is displayed and updated to the set meal amount. Then, the user presses “input” on the right side of the “cancer list” to set the selected meal amount in the terminal device 5.

When the meal amount setting / reference process is executed,
The control processing unit 23 uses the information storage area 33 in the memory 22.
From the meal amount of the selected patient, the meal amount on the day before yesterday, yesterday, and today (already set) is read out, plotted on a graph, and the absolute value of the today's meal amount is displayed. At this time, "0" is displayed for the uncompleted meal for today.
Next, the amount of meal (main meal, which is the previous meal (lunch if the selection is dinner, breakfast if lunch, yesterday's dinner if breakfast)) of the meal (main or sub) selected by pressing the selection item If is selected, the meal amount of the main meal of the previous meal, and if the side meal is selected, the meal amount of the side meal of the previous meal) is displayed as a black line BL in the bar graph BG. Such a black line B
By displaying L, the nurse can set the present meal amount based on the previous meal amount, for example, with ambiguous information based on a ratio such as half.

Then, when the bar graph BG is pressed, the meal amount corresponding to the pressed position is plotted on the graph and the display of the absolute value is updated. The absolute value of the selected meal amount is stored in the temporary storage memory in the control processing unit 23. Then, when "Enter" is pressed, the meal amount stored in the temporary storage memory is changed to the
It is stored in the storage area of the selected meal for today and the amount of meal is set in the terminal device 5.

The meal amount is often obtained by the nurse interacting with the patient. At this time, for example, the patient declares that he ate half or one-third of the meal, Often, they are declared to have eaten half or one-third of their meals. In the case of the former declaration, the nurse can set the meal amount for this time by using the barglass BG's number from "0" to "10" as a guide, and in the latter case, the nurse can set the meal amount. Can set the meal amount this time using the black line BL in the bar graph BG as a guide, which simplifies the setting of the meal amount and reduces setting mistakes.

Next, the operation of the water balance setting / reference process will be described. When the water balance setting / reference process is executed, the control processing unit 23 displays a water balance setting / reference screen for today as shown in FIG. 5C. Setting items on the screen ("weight", "feces", "infusion" which is the water intake,
The absolute values on the right side of "drinking water", "meal" and discharged water "urine", "bleeding", "other") are the integrated values of the values set today (for example, the measurement setting has already been made twice today). If is performed, the integrated value of the set values for two times) is displayed. The numerical value on the right side of the “water balance” is the difference between the sum of the numerical values of the setting items of the intake water and the sum of the numerical values of the setting items of the discharged water. Each of these numerical values is read from the today's water balance of the selected patient in the memory 22 and displayed. The bar graph BG on the lower side of the screen is for setting the water balance for this measurement, as described later.

By pressing the arrow on the left side of "Today" displayed under "Eating" on the screen,
The water balance reference screen for the day before yesterday can be displayed on the display unit 12. In the water balance reference screens yesterday and yesterday, only the reference can be made, and the bar graph BG for information setting on the lower side of the screen is not displayed.

To set the water balance on the water balance setting / reference screen for today, first press the item to be set to select the setting item, and use the scale of the bar graph BG for information setting at the bottom of the screen as a guide. Set the moisture content of the selected item. By this setting operation, the control processing unit 23 displays and updates the absolute numerical value of the water content on the left side of the selected setting item according to the nurse's operation of pressing the bar graph BG, and the numerical value is stored in the control processing unit 23. It is stored in the temporary storage memory of.

Regarding the weight setting, the bar graph BG is set only at the first setting, and after the second setting (when the weight is already set), the bar graph BG is set as shown in FIG. "Light" and "heavy" are displayed instead of, and light, heavy (1
It can be set in units of 00 g). Control processing unit 23
With this light weight setting, the currently displayed weight is read from the moisture balance of the day in the memory 22 and stored in the temporary storage memory, and the weight stored in the temporary storage memory each time light or heavy is pressed. Is incremented in increments of 100 g and the result is displayed on the screen. The scale of the bar graph BG can be changed by changing the bar graph B
This can be done by pressing the left and right triangles of G.

When all necessary setting items have been set,
By pressing "input" on the right side of the "changer list", the control processing unit 23 causes each numerical value for the present setting stored in the temporary storage memory and today's water balance of the selected patient in the memory 22. Is added to each numerical value (total of the set values for the current day) (to calculate the integrated value including the current set value for today), and stored in each storage area of today's moisture balance in the memory 22, Further, the time when the “input” is pressed is read out from the terminal device 5 and the time is stored in the memory 22 as the current time of measuring the moisture balance. This measurement time becomes the measurement time at the upper right of the screen of FIG. 5C in the next water balance setting process.

When the weight is set for the second time and thereafter, it is possible to set the weight based on the ambiguity information based on the previous set value, so that the setting is simple and the setting error can be reduced.

Further, in the above embodiment, the second and subsequent weights are set to be light and light based on the previously measured weight. However, for example, "0" (K
g) may be set to perform the first weight setting with the light weight.

Next, the operation of the patient information reference process will be described. When the reference processing of the patient information is executed from the initial screen or the like, the control processing unit 23 determines the patient based on the screen display data 32 in the memory 22 and the patient information (contact information, disease name, etc.) of the selected patient. A screen for displaying information is displayed on the display unit 12. Since this processing is not an essential part of the present invention, its detailed description is omitted.

The patient information is information that is obtained when the patient is hospitalized or according to the progress of treatment, and is information that is set and managed in the host computer 1 or the personal computer 3 (3a). In this embodiment, this information is supplied from the personal computer 3a to the terminal 5 at the time of the download in order to refer to this information on the terminal 5.

Next, the patient / nurse schedule setting /
The operation of the reference process will be described. When this schedule setting / reference processing is executed from the initial screen or the like, the control processing unit 23 determines the current day's schedule of the patient / nurse schedule in the memory 22 to the current day's schedule of the patient and the patient. The nurse's today's schedule is read and the information and screen display data 3 in the memory 22 are read.
2, the display unit 12 displays a schedule reference screen that displays a list of read schedules in time series.
To be displayed.

The patient / nurse schedule in the memory 22 is provided with a storage area for storing the schedules for the past two days and the future eight days in addition to today's schedule. It is also configured so that the contents of schedules for the day and the future 8 days can be referred to.

Further, a screen for setting a new schedule can be called up from this screen. The operation of the setting process of this new schedule will be described below. A new schedule is set by setting items and setting date / time.

When the setting of a new schedule is instructed,
First, a list of schedule items is displayed on the display unit 12. The items of this schedule include the patient's schedule (for example, various tests and rehabilitation),
There is a nurse's schedule for the patient (e.g., patient education, bathing assistance, etc.). The nurse selects an item from the list (presses the desired item). As a result, the control processing unit 23 stores the selected item in the temporary storage memory and displays the date / time setting screen as shown in FIG. 7 on the display unit 12.

In the screen shown in FIG. 7, the date (today and the future 8 days) and the time (hour and minute, where the minute is set in units of 10 minutes)
And other settings. The "alarm" is for setting whether or not to sound the alarm of the terminal 5 owned by the nurse in charge of the patient at the date and time of the set schedule. Further, the selected item (“ECG” in the figure) is displayed on the screen.

When the date, hour and minute are pressed, the control processing unit 2
3 indicates the date, hour, and minute that have been pressed in reverse video (note that the reverse display is shaded in the figure) and controls it.
It is stored in the temporary storage memory. Also, when the "alarm" on the screen is pressed, the "alarm" is highlighted.
The fact that the alarm has been set is stored in the temporary storage memory. Then, when “Register” in the screen is pressed, the control processing unit 23 causes the newly set schedule item stored in the temporary storage memory to be stored in the schedule storage area in the memory 22 for the set date. And the time (hour and minute), whether or not an alarm is set, etc. are stored. In the setting of this new schedule, the schedule is sorted using the time as a key, and the storage of the new schedule in the storage area is adjusted. When the storage of the new schedule in the memory 22 is completed, the control processing unit 23 displays the above-mentioned schedule reference screen. When "Return" on the left side of "Registration" on the screen of FIG. 7 is pressed, the screen returns to the item list screen, and the item selection can be redone.

By the way, in the hospital, it is sometimes said that the examination should be performed "first in the morning" or the education should be performed "first in the day". This "morning first", "lunch first"
Is information on the time conventionally used in the hospital, for example, "morning first" means "8:30",
“Lunch No. 1” means “12:00”. In this embodiment, the time can be set at "am" and "afternoon" at the lower left of the screen of FIG. 7 so that the time of the above schedule can be set with such an idiomatic expression. Has been done. In this setting, when “AM” is pressed, the control processing unit 23 stores the time (for example, “8:30”) corresponding to “AM” (“AM first”) in the temporary storage memory as the schedule time. Similarly, when "afternoon" is pressed, the time (for example, "12:00") corresponding to "afternoon"("daytimefirst") is stored in the temporary storage memory.

In the above modification, "morning first" and "daytime first" can be set. However, for example, "morning second" (equivalent to "9:30") or " No.2 daytime
(Corresponding to “13:00”) or the like may be set.

The screen layout and the instruction setting method in each processing described above are merely examples, and all or part of the health condition information is ambiguous information based on past health condition information. The screen layout and the instruction setting method are not limited to those described above as long as they can be set by.

Further, in the above-mentioned embodiment, the setting means is constituted by the touch panel sensor or the like. However, for example, by using a predetermined key of the keypad portion 13 (for example, a cursor key or a ten-key pad), the display portion 12 is displayed. The information for the current measurement may be set by ambiguous information such as increase or decrease based on the displayed past health condition information.

For example, as a method of setting the ratio of the previous meal amount in setting the meal amount, for example, the percentage of the previous meal amount is set by the keypad unit 13 (for example, half of the previous meal amount (50 %) May be set by pressing "5" and "0". In such a setting method, the control processing unit 23
Will store the previous meal amount in the temporary storage memory, calculate the set percentage of the meal amount, and convert it into an absolute value.

Further, the increase / decrease of the previous setting information and the setting of the weight can be performed by pressing the cursor key.

[0086]

As is apparent from the above description, according to the present invention, ambiguous information such as increase and decrease or ratio based on the past health condition information is set as new health condition information while referring to the past health condition information. Since it was configured so that, for example,
Even if you obtain information based on past health condition information from the dialogue with the patient, you can easily set the information,
It is possible to reduce the setting error. Further, as for setting information with little change, it is possible to perform information setting more easily than setting similar information with an absolute value each time temperature is measured.

[Brief description of drawings]

FIG. 1 is a diagram showing an overall configuration of a nursing support device according to an embodiment of the present invention.

FIG. 2 is a diagram showing an appearance of a terminal provided in the apparatus of the embodiment.

FIG. 3 is a block diagram showing a schematic configuration inside a terminal.

FIG. 4 is a diagram showing an initial screen.

[Fig. 5] Setting of vital signs, food amount, and water balance
It is a figure which shows a reference screen.

FIG. 6 is a diagram showing a screen for setting the weight for the second time and thereafter.

FIG. 7 is a diagram showing a date / time setting screen of a patient / nurse schedule.

[Explanation of symbols]

 1 ... Host computer 3 (3a) ... Personal computer 4 ... Communication cable 5 ... Terminal 6 ... Communication mechanism 12 ... Display unit 13 ... Keypad unit 15 ... Touch panel sensor 21 ... Coordinate calculation unit 22 ... Memory 23 ... Control processing unit 33 ... Information storage area

Claims (1)

[Claims] 1. A terminal for inputting and setting patient's health condition information including all or part of a patient's body temperature, heart rate, blood pressure, respiration rate, body weight, and meal amount at the bedside of the patient, In a nursing support device comprising a host computer for collectively managing the health condition information set in the terminal device, and a transmission means for transmitting the health condition information between the terminal device and the host computer, Display means for displaying past health condition information transmitted from the host computer, and ambiguous information such as increase / decrease, lightness, and ratio based on the past health condition information displayed on the display means as a new health condition. It is characterized by comprising a setting means for inputting and setting as state information and a data converting means for converting the newly input and set health condition information into an absolute numerical value. Nursing support device.