JPH11282933A - Nursing process supporting system, control method therefor and computer readable memory - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a nursing process supporting system capable of improving the efficiency of the development of a nursing process and improving the evaluation of the quality of nursing and communication. SOLUTION: A personal computer 1 divides the nursing process into the stages of assessment, nursing diagnosing, planning, execution and evaluation and stores database groups M01-M17 and file groups T01-T19 for managing data relating to the respective stages. A display picture for managing the data relating to the respective stages is displayed at a display device 8, and based on the display picture, the data relating to the respective stages are inputted by using a keyboard 5 and a mouse 6. The inputted data are stored and managed in the databases, based on the contents. Also, a communication processing part 3a for transmitting and receiving the data with a handy computer 7a is provided. The handy computer 7a displays the display screen for managing at least the data relating to the assessment at a display part 7ab and inputs the data relating to the assessment from an input part 7aa, based on the display picture.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to improving the efficiency of the development of a nursing process by utilizing a computer in order to perform patient-centered nursing, accumulating data of the development of a nursing process, and using the data to provide nursing care. The present invention relates to a nursing process support system capable of evaluating the quality of a patient, a control method thereof, and a computer-readable memory.

[0002] In the present invention, a nurse or the like collects patient information from a patient or a patient's family, makes a nursing diagnosis, clarifies a problem, drafts a nursing plan, and makes a doctor (nursing) based on the implementation result. The present invention relates to a nursing process support system for supporting a nursing process in which both a woman and a patient can easily evaluate, a control method thereof, and a computer-readable memory.

[0003]

2. Description of the Related Art A computer nursing process support system is divided into a partial system such as information collection, sequence, nursing plan, nursing summary, and a series of nursing process support system from information collection to practice and evaluation. Although the use of computers in clinical nursing in Japan has been partially developed, a small number of clinics have constructed and operated a series of nursing process systems.

[0004] As an example of a nursing process support system, Japanese Patent Application Laid-Open No. Hei 7-171114 discloses a standardized nursing care plan stored in a master file, which is modified according to the patient's disease. 1 is shown. Also, JP-A-8-26
Japanese Patent No. 6483 discloses a nursing process support device that enables a doctor to input new instruction information with reference to patient nursing information and diagnosis results.

[0005]

However, these conventional nursing process support systems relate to a so-called nursing process support system for each symptom (disease), and include an observation item, a treatment item, and an education item prepared for each disease. Just check. Therefore, it is a nursing process support system from a doctor's standpoint, not a patient's position from a nursing process support system.

SUMMARY OF THE INVENTION The present invention has been made to solve the above-mentioned problems. From the standpoint of patient-centered nursing, the efficiency of nursing process development is improved by utilizing a computer, and data of nursing process development is obtained. It is an object of the present invention to provide a nursing process support system that can be accumulated and used to evaluate nursing quality using the data, a control method thereof, and a computer-readable memory.

Further, a nurse or the like collects patient information from a patient or a patient's family, makes a nursing diagnosis, clarifies a problem, drafts a nursing plan, and makes a doctor (nursing) based on the presence or absence of the implementation and the result. It is an object of the present invention to provide a nursing process support system for supporting a nursing process in which both a woman and a patient can easily evaluate, a control method thereof, and a computer-readable memory.

[0008]

A nursing process support system according to the present invention for achieving the above object has the following configuration. That is, a nursing process support system that manages data related to a nursing process between a portable terminal and a host, and can evaluate nursing based on the data, wherein the host performs at least assessment, nursing diagnosis, Divided into planning, implementation, and evaluation stages, as a database that manages data for each stage, an assessment database that manages data on patient health and living conditions, and is determined based on the diagnosis of unhealthy reactions and the diagnosis of healthy reactions At least a diagnostic database that manages data related to nursing problems, a plan database that manages data related to nursing plans, an implementation database that manages data related to nursing care based on nursing plans, and an evaluation database that manages data related to evaluations based on nursing plans. Storage means for storing, said nursing First display control means for displaying a display screen for managing data relating to each step of the process on the first display unit, and a display screen for the nursing process based on the display screen displayed on the first display unit. First input means for inputting data, storage management means for storing and managing the data input by the first input means in the database based on the content thereof, and data stored and managed in the database, Evaluation means for evaluating nursing; first communication means for transmitting and receiving data to and from the mobile terminal; and a display screen for managing at least data relating to the assessment in each stage of the nursing process. Based on a second display control means for displaying on the second display unit, and a display screen displayed on the second display unit.
A second input unit for inputting at least data relating to the assessment; a temporary storage unit for temporarily storing data input by the second input unit; and a second communication unit for transmitting and receiving data to and from the host. .

In a preferred embodiment of the present invention, the database stored in the storage means is for an adult, an elderly person,
It is managed by use such as obstetrics and children.

[0010] In a preferred aspect of the present invention, the first display control means and the second display control means have a dictionary function so that detailed contents of the database can be confirmed.

[0011] In a preferred aspect of the present invention, the first display control means or the second display control means displays on the display screen for managing the data relating to the assessment whether the health condition and the living condition of the patient are appropriate. Are arranged at least in an alternative manner.

In a preferred aspect of the present invention, the first display control means displays a list of the nursing problem items on a display screen for managing data relating to the nursing diagnosis in accordance with the priority order, and The presence or absence of the solution of the problem is identified and displayed, and for the solved nursing problem, the number of days required until the solution is automatically calculated and displayed. In addition, the change of the priority order is received by the input of the first input means.

In a preferred aspect of the present invention, the first display control means displays a nursing problem / nursing problem definition / planning date / conference date / solution target date / time on a display screen for managing the data relating to the plan. The contents of the assessment database, symptom signs, nursing type, related factors, patient goals, and nursing intervention can be displayed / input, and the nursing problem is identified and displayed for planning.

[0014] In a preferred aspect of the present invention, the first display control means can display / input a member / content on a display screen for managing data relating to the plan on a conference day for planning the nursing problem. And

[0015] In a preferred aspect of the present invention, the first display control means or the second display control means displays on a display screen for managing data relating to the practice the date of the scheduled implementation of nursing care based on the nursing care plan. An input area is displayed to identify and display whether or not the nursing care is scheduled.

In a preferred aspect of the present invention, the first input means or the second input means inputs the presence or absence of the nursing care by using a calendar screen showing days / weeks of one month. Do.

In a preferred aspect of the present invention, the first display control means includes a nursing summary on the display screen for managing the data relating to the evaluation, based on the database. Can be displayed separately for those in which the nursing plan is continuing and those in which it has been completed.

Further, as a preferred aspect of the present invention, the first display control means can display a radar chart in which ADL items are represented by scores on a display screen for managing the data relating to the evaluation.

In a preferred aspect of the present invention, the content managed by the database, the first display control means or the second display is controlled in response to an input from the first input means or the second input means. The image processing apparatus further includes an output unit that can output the content of the display screen displayed by the control unit. In a preferred aspect of the present invention, the configuration of a display screen displayed on the first display unit or the second display unit can be arbitrarily changed.

The control method of the nursing process support system according to the present invention for achieving the above object has the following configuration. That is, a method for controlling a nursing process support system that manages data relating to a nursing process between a portable terminal and a host and can evaluate nursing based on the data, wherein the nursing process includes at least assessment, nursing diagnosis, and planning.・ As a database that manages data on each stage, divided into implementation and evaluation stages, an assessment database that manages data on patient health and living conditions is determined based on the diagnosis of unhealthy reactions and the diagnosis of healthy reactions. A diagnostic database that manages data on nursing issues
A planning database that manages data about nursing plans,
An implementation database for managing data relating to nursing care based on a nursing plan, a storage step for storing an evaluation database for managing data relating to evaluation based on a nursing plan, and a display screen of a host for managing data relating to each stage of the nursing process A first display control step of displaying on the first display unit, a first input step of inputting data relating to each stage of the nursing process based on a display screen displayed on the display unit of the host, A storage management step of storing and managing the data input in the input step in the database based on the contents thereof; an evaluation step of evaluating nursing based on the data stored and managed in the database; A display screen for managing at least the data relating to the assessment is displayed on the display unit of the mobile terminal. A second display control step, a second input step of inputting at least data related to the assessment based on a display screen displayed on a display unit of the mobile terminal, and temporarily inputting the data input in the second input step. And a communication step of transmitting and receiving data between the portable terminal and the host.

A computer readable memory according to the present invention for achieving the above object has the following configuration. That is,
Between the portable terminal and the host, manages data related to the nursing process, a computer-readable memory stored with a program code for control of a nursing process support system that can evaluate nursing based on the data, It is divided into at least assessment, nursing diagnosis, planning, implementation, and evaluation stages, and a database that manages data for each stage.Assessment database that manages data on patient health and living conditions, diagnosis of unhealthy reactions and healthy reactions. Diagnosis database that manages data related to nursing problems determined based on the diagnosis of the patient, plan database that manages data related to nursing plans, implementation database that manages data related to nursing care based on nursing plans, and data related to evaluation based on nursing plans A reputation database to manage A program code for a storage process to be stored at least, a program code for a first display control process for displaying a display screen of a host for managing data relating to each stage of the nursing process on a first display unit, and a display of the host. A program code of a first input step for inputting data relating to each stage of the nursing process based on a display screen displayed on the section, and the data input in the first input step based on the contents thereof, in the database. A program code for a storage management process for storing and managing the data, and an evaluation process for evaluating nursing based on the data stored and managed in the database; and managing at least data relating to the assessment out of each stage of the nursing process. A program code of a second display control step of displaying a display screen for displaying on a display unit of the portable terminal; Based on a display screen displayed on a display unit of a terminal, a program code of at least a second input step of inputting data relating to the assessment, and temporarily store the data input in the second input step in a storage medium. A program code for a temporary storage step, and a program code for a communication step for transmitting and receiving data between the portable terminal and the host.

[0022]

Embodiments of the present invention will be described below in detail with reference to the accompanying drawings.

FIG. 1 is a block diagram showing a hardware configuration of a nursing process support system according to an embodiment of the present invention.

In FIG. 1, 1 is a personal computer (host computer), and 7a and 7b are handy computers (portable terminal computers). To the personal computer 1, a keyboard 5, a mouse 6, an external storage device 11, and a display device (first display unit) 8 and a printer device 9 as output means are connected as first input means. It is assumed that the personal computer 1 and the handy computers 7a and 7b have components (not shown) such as a CPU, a RAM, and a ROM mounted on a normal computer.

A program for controlling the processing described in the present embodiment is stored in the external storage device 11 in a storage medium, and the program is read out to the nursing process support system and described in the present embodiment. Can be executed. Further, a speaker may be connected as an output unit, and the content to be output to the display device 8 and the printer device 9 may be output as voice.

The handy computer 7a has an input section (second input means) 7 for inputting an assessment and the like to be described later.
aa, a storage unit 7ab for storing input results and the like, and a display unit (second display unit) 7ac for displaying the results. Further, the display unit 7ac has a touch panel, and by touching a button displayed on the display unit 7ac, a process corresponding to the button can be executed. The handy computer 7b also has components similar to those of the handy computer 7a.

The personal computer 1 includes a keyboard 5, a mouse 6, an input processing unit 2 for controlling data input from the external storage device 11, and a handy computer 7a.
And communication processing units (first communication units) 3a and 3b for transmitting and receiving data to and from a communication processing unit (second communication unit) (not shown) provided in the handy computer 7b. An output processing unit (first display control means) 4 for controlling data output; master file groups M1 to M17 which are databases (storage means) managed for realizing the present embodiment;
To T19, a processing unit 10 that performs various processes executed in the present embodiment.

The processing unit 10 includes a “hospitalization procedure” input unit 10
A, “Assessment input” input unit 10B, “ADL input” input unit 10C, “Integrated assessment” confirmation unit 10
D, a "confirmation of nursing problem" input unit 10E, a "nursing planning" input unit 10F, an "expected care date input" input unit 10G,
"Care implementation date input" input section 10H, "Evaluation / summary creation" section 10I, "Disease-specific nursing problem" input section 10J, "Basic information inquiry" inquiry section 10K, "ward pattern" creation section 1
Each processing unit of 0L is configured. Details of the processing executed by each of these processing units and specific examples thereof will be described later.

The forms output from the printer 9 are of the following eight types, and specific examples thereof will be described later.

P1: Basic information (information upon admission) P2: Assessment sheet P3: ADL list P4: Nursing problem list P5: Nursing care plan P6: Nursing care map P7: Nursing care progress record P8a, P8b: Nursing summary I, II Next, the master file groups M1 to M17 will be described. The master file (storage unit / storage management unit) stores and manages necessary dictionary functions in advance. In the present embodiment, there is a master file having the following contents.

M01: Classification pattern of problem (nutrition, excretion
etc) M02: Correspondence between problem classification pattern and display screen M03: Nursing problem name, problem definition, problem type M04: Relationship between M02 and M03 M05: Question for deriving nursing problem M06: M02 and M05 Related M07: Input method for M05 question (numbers or letters or number of digits) M08: Answer choices for M05 question M09: Conversion for scoring answers regarding ADL (Activities of Daily Living) Table M10a: Factors related to nursing problems M11a: Patient goals related to nursing problems M12a: Nursing interventions related to nursing problems M13a: Detailed contents of nursing interventions related to nursing problems (procedure) M10b: Corresponding M10a to wards M11b: M11a corresponding to ward M12b: M M13b: M13a corresponding to ward M13b: M13a corresponding to ward M14: Medical (organ) system M15: Disease name M16: Relationship between M14 and M15 M17: Relationship between M15 and M03 Then, the handy computers 7a, 7
b), but for each patient,
A computer (mobile terminal computer) may be prepared, and a function to manage multiple patients
It may be mounted on a computer. In the following description, a case where the personal computer 1 and the handy computer 7a are used will be described as an example.

Next, an outline of a nursing process in the nursing process support system of the present embodiment will be described. The nursing process of this embodiment includes assessment, nursing diagnosis, planning, implementation,
It consists of at least five stages of evaluation. To develop the nursing process, a nursing model and a nursing process model are required.
Since the theme of the nursing process support system of the present embodiment is to provide patient-centered nursing, the nursing model is based on the interaction and relationship between the patient and the nurse. Also,
The nursing process model focuses on the interaction between the patient and the nurse,
An annular model as shown in FIG. 2 in which the nursing process is positioned outside of the model.

Here, the assessment is described in the following steps.

First, information is collected by the personal computer 1 or the handy computer 7a. Appropriateness of collected information is determined by the user or personal
The computer 2 determines the judgment index. Alternatively, the determination may be made by the handy computer 7a. The decision here operatively divides the patient's health into unhealthy and healthy reactions. Unhealthy reactions are areas that restore health and life, and healthy reactions are areas that maintain and strengthen health and promote growth.

After this determination, a factor analysis is performed. In particular, unhealthy reactions and their factors are
To select. Factors necessary for diagnosis are pathophysiological factors, therapeutic / examination / treatment factors, status factors, development factors, risk factors, and the like. Using these, we clarify nursing problems by relating information and factors in unhealthy reactions. On the other hand, for healthy responses, information on healthy responses is classified and arranged from the viewpoint of residual function, growth, and a view of health.

The nursing diagnosis is described in the following steps.

The purpose is to create a description of the nursing diagnosis and draw the whole picture of the patient in the comprehensive assessment. Nursing diagnosis moves to nursing diagnosis through information collection and assessment, factor analysis, and sequencing. It also assesses unhealthy and healthy responses in order to diagnose a patient's overall health,
Diagnose by integrating both.

The diagnosis of an unhealthy reaction of a patient is a nursing problem.
Select from the display device 8 of the personal computer 1 on which the input screen of the cause / sign is displayed.
For example, P (Problem), E (Etiology), S (Sign)
The potential nursing problems are, for example, P (Problem) and E (E
tiology), they are displayed as a list. The nursing diagnosis of a healthy reaction is input into the personal computer 1 using the keyboard 5 and the mouse 6 in a free description. The whole image of the patient, which is not input to the computer 1, is input by hand on a sheet.

The nursing care plan is described in the following steps.

The nursing care plan is to draft a nursing care goal and a nursing intervention plan, and the personal computer 1 inputs a nursing care plan (nursing care goal) and a nursing care schedule table. The nursing goal is a goal expression mainly for the patient, and is an expected image at the time of discharge from the hospital. A nursing intervention plan combines observational assistance and nursing-specific tasks to develop observation, assistance, education, and planning.

In the nursing intervention plan of the present embodiment, the execution date of the nursing intervention is input to the personal computer 1 as a schedule table in order to facilitate the implementation. The inputted schedule table can display a predetermined number of days (for example, three days) on the personal computer 1 or the handy computer 7a. This enables the nursing intervention plan to be implemented at any time without forgetting. Also,
It can be used at the bedside for informed consent of nursing.

The implementation is described in the following steps.

The implementation of the nursing care plan is performed according to the nursing care schedule table, and whether the nursing care plan is implemented is input using the keyboard 5 and the mouse 6 of the personal computer 1 or the input unit 7aa of the handy computer 7a.
In the nursing progress record, a nursing plan according to the nursing problem is output as a nursing record. It is also possible to modify the implementation plan.

The evaluation is described in the following steps.

The presence or absence of information collection and the quality of information are evaluated. Also, evaluate whether the nursing diagnosis is accurate. Further, the status of implementation is evaluated using the nursing plan schedule table in which the presence or absence of implementation is input, and the evaluation result is displayed on the display device 8.

FIG. 3 shows a flow of operation of the nursing process support system according to the present embodiment described above.

Next, based on the operation flow of the nursing process support system shown in FIG. 3, the details of the processing executed by each processing unit of the processing unit 10 and a specific example thereof will be described.

<<< Hospitalization Procedure> Input Unit 10A >> (1) The “hospitalization procedure” input unit 10A is shown in FIGS. 4A to 4D.
Are displayed on the display device 8 in response to the user's input, and basic information (name, gender, date of birth, address, contact information, family background, occupation,
Collect vitals at admission). Input is keyboard 5
The input basic information is stored in the inpatient T01.

FIG. 4A is a display screen (hospitalization procedure) for performing a hospitalization procedure when a patient is hospitalized. The patient's name, gender, date of birth, hospitalization date, and nursing care are provided. Various input areas for inputting information on hospitalization procedures for women, etc., a "Registration" button 20 for instructing the registration of the content entered in the various input areas, and an "Input clear" button for instructing a cure of the entered content 21, a "detailed information input" button 22 for giving an instruction for inputting further detailed information, and a "close" for giving an instruction to close the display screen
Button 23 is arranged. Instruction and execution of various buttons are performed using the keyboard 5 and the mouse 6.

4B to 4C show display screens (patient basic information procedure) for inputting basic information relating to a patient. The input area for inputting the basic information described above, and the "registration" described above.
Button 20, "input clear" button 21, "close" button 23, "next page" instructing to switch the display screen
A button 24 and a “previous page” button 25 are arranged. FIG. 4D shows a state in which a screen for inputting information such as a body temperature, a pulse, and a blood pressure obtained by a medical examination at the time of hospitalization is displayed at the center on the display screen shown in FIG. 4C.

(2) Next, the inpatient file T
Based on the basic information stored in “01”, “basic information (admission information)” P1 shown in FIG.

<<< Assessment Input> Input Unit 10B >>
(1) When the above-mentioned hospitalization procedure is completed, a display screen (input menu) as shown in FIG. 5 is displayed on the display device 8.
In FIG. 5, the name and the room number of the patient who is currently in the hospital, which are the contents managed by the inpatient file T01, are displayed in the area 100. In addition, a patient not displayed in the area 100 can be displayed in the area 100 by using a scroll bar for scrolling the screen in the vertical direction. Then, the patient to be processed is designated as the mouse 6 from the region 100.
Use to select. The selected patient is highlighted as shown at 102 in FIG.

The area 101 includes various buttons (an “assessment input” button 110, a “confirm nursing problem” button 111, and a “ "Plan" button 11
2. “Enter expected care date” button 113, “Enter care implementation date” button 114, “Nurse summary” button 115,
An “ADL input” button 116, a “Disease-specific nursing problem” button 117, an “Integrated assessment” button 118, and a “Basic information inquiry” button 119 are arranged. Select the button. The processing executed by the various buttons will be described as appropriate.

Further, a "close" button 120 for instructing to close the display screen is provided.

(2) "Assessment input" input section 10B
Is the “input assessment” button 110 in the area 101
Is executed when is selected.

(3) When the “input assessment” button is selected, a display screen (assessment input) shown in FIG. 6A is displayed on the display device 8. In the area 200 of FIG. 6A, as information on the assessment of the selected patient, the number of times of information collection, the date of information collection, the collection category, the collection ward, and the collector are displayed in a table format. In addition, a “display” button 211 for instructing display of a display screen for inputting information on specific assessment, and a “close” button 212 for instructing to close this display screen are arranged.

In the information managed in the area 200,
For the information collection date, collection category, and classification that can be changed, in the area 204, areas 201, 202, and 203 are respectively provided.
Will be displayed. Further, an “information collection date” button 213 for updating the information collection date, a “change” button 214 for instructing a change in the content of the collection category and the classification, and a “delete” button for instructing the deletion of the collection category and the content of the classification 215 are arranged.

(4) When the "display" button 211 shown in the display screen of FIG. 6A is selected, the display screen is switched to the display screen shown in FIG. 6B. In a region 6-a of FIG. 6B, a problem classification pattern in a nursing problem of a processing target patient managed by the information collection order M02 and the problem classification pattern M01 is displayed.

(5) When a desired problem classification pattern is selected from the problem classification patterns displayed in the area 6-a using the mouse 6, the problem classification patterns are associated in advance in the problem order M04 corresponding to the selected problem classification pattern. Nursing problem M0
The nursing problem managed in 3 is displayed in the area 6-b.

(6) In the area 6-c, the question corresponding to the selected question classification pattern and managed in the question M05 previously associated in the question order M06 is displayed.

(7) Next, the patient is asked a question about the content displayed in the area 6-c, and the answer to the question is given by two radio buttons, "Yes" and "No". Check using either mouse 6.

(8) The arrangement of the radio buttons in this area 6-c is as follows: "No problem" in the left column, and "Problem" in the right column.
, It is possible to instantaneously determine the number of problematic items.

(9) If a more detailed question is required, a detailed question and its answer are displayed in the area 6-d. Since the area 6-d is displayed only when details are required, the efficiency of answer input can be improved.

(10) The contents of the question displayed in the area 6-c are as follows.
a can be displayed. For this reason, the content of the question is displayed in a shortened manner, but when the pointer (not shown) is overlaid on the content of the question using the mouse 6, the details are displayed in the area 6-e. Further, in the area 6-e, a sentence of the content of the spoken language to actually talk to the patient can be displayed.

(11) The answer to the content of the question displayed in the area 6-c and the area 6-d is controlled to the content managed by the question M05, the answer input M07, and the answer selection M08,
It is possible to display in the form of “two-party selection”, “select one from multiple options”, “select multiple from multiple options”, and “input numerical values and characters”.

(12) When the answers to all the questions related to one problem classification pattern are completed, paying attention to the contents of the answers, the next nursing problem from the area 6-b is designated by the mouse 6
(Selection is not required if there is no particular problem).

(13) When the pointer is overlapped with the mouse 6 on the nursing problem displayed in the area 6-b, the area 6
-The nursing problem definition corresponding to e is selected and displayed from the nursing problem M03.

(14) When the questions and questions related to one problem classification pattern have been selected, the next problem classification pattern is selected from the problem classification patterns displayed in the area 6-a, and the process returns to (5).

(15) The answer to the question to the patient to be processed and the selected nursing problem are stored in the patient problem T02, the information collection T03, and the information collection response T04.

(16) While the patient is in the hospital, the patient problem T0
2. The contents of the information collection T03 and the information collection answer T04 can be displayed on the display device 8 at any time and can be corrected. Information can be collected any number of times.

(17) The printer device 9 outputs an “assessment sheet” P2 shown in FIG. 19 based on the patient problem T02, information collection T03, and information collection answer T04.

In the display screen of FIG. 6B, a “change display” button 219 for instructing return to the display screen of FIG. 6A, a “print” button 220 for instructing printing of the display screen, and a “instruction for fixing nursing problem” are displayed. "Confirm nursing problem" button 221, "Prepare nursing plan" button 22 for instructing the preparation of a nursing plan
2. An "input menu" button 223 for instructing a return to the display screen of the input menu shown in FIG. 5 is arranged.

<<< ADL Input> Input Unit 10C >> (1) The “ADL input” input unit 10C is executed by selecting the “ADL input” button 116 in the area 101 shown in FIG. .

(2) When the “ADL input” button 116 is selected, the display screen shown in FIG.
Input) is displayed.

(3) In the display screen shown in FIG. 7, in the area 7-a, the previously input ADL information is ADLT05.
Is displayed. ADL information is AD
The number of times of L input, collection date, classification, classification, and collection ward are displayed in a table format.

(4) When the user wants to modify or inquire the ADL information displayed in the area 7-a, the user selects the line in which the corresponding ADL information is listed with the mouse 6. Thereby, the content corresponding to the selected ADL information is ADL score T06,
Question M05, obtained from answer selection M08, area 7-b
Will be displayed.

(5) When newly inputting the ADL information, the mouse 6 is used to select the top row of the table displayed in the area 7-a (the row whose section is "new").

(6) When the ADL information to be processed is selected in the area 7-a, today's date is displayed as the collection date in the area 7-b1 of the area 7-b. To change the collection date, select the "collection date" button 7-b4 with the mouse 6, and a calendar screen (not shown) is displayed.
Select the desired date from among them. Alternatively, a desired date is input by keyboard input.

(7) Next, the classification (classification for adult or elderly) displayed in the area 7-b2 is selected. By selecting this category, it is possible to set ADL items and evaluation levels for each category. Further, when the display items are cleared, the “clear” button 7-b 5 is selected by using the mouse 6.

(8) In the area 7-b3, the contents indicating the degree of independence of the patient are displayed as choices by the answer selection M08 as ADL items indicating the contents of the actual ADL information, and one of them is selected.

(9) The ADL items dealt with in this embodiment include family cooperation, treatment, mental state, items that support the degree of independence of conversation, and health conditions that affect the degree of independence (acute, convalescent, chronic, etc.). It is one of the features that the contents such as the nursing degree and the nursing degree are added.

(10) The input patient ADL information is A
DLT05 and ADL score T06 are stored.

(11) ADLT05, ADL score T06
As a result, the “ADL list” P3 shown in FIG.

In the display screen of FIG. 7, a “delete” button 170 for instructing deletion of display contents, a “register” button 171 for instructing registration of display contents, and a “general assessment” button for instructing execution of comprehensive assessment 172, an “input menu” button 173 for instructing the return of the input menu to the display screen shown in FIG. 5 is arranged.

<<< Integrated Assessment> Confirmation Unit 10D >>
> (1) The “integrated assessment” confirmation unit 10D operates the “integrated assessment” button 118 in the area 101 shown in FIG.
Alternatively, the “Integrated Assessment” button 17 shown in FIG.
This is executed when 2 is selected.

(2) “Integrated assessment” button 118
Alternatively, when the “Integrated Assessment” button 172 is selected, the display screen of FIG.

(3) As shown in FIG. 8, the display screen includes
Based on the patient problem T02, ADLT05, and ADL score T06, an area 300 for displaying a nursing problem currently held by the patient to be processed, and an area 301 for displaying the degree of independence of the ADL.
Are displayed at the same time.

(4) Thus, the patient's nursing problem and ADL can be compared and examined on the same screen.

(5) The nursing problem is a problem classification pattern M0.
According to 1, since each function pattern is displayed, it is possible to confirm in which problem classification pattern the problem appears.

(6) ADL is displayed in a radar chart. Also, the instruction to display this radar chart is
This is performed by selecting a “graph display” button 302.

(7) Since the past and present can be simultaneously displayed on the radar chart, a change in the degree of independence can be visually confirmed.

On the display screen of FIG. 8, an “ADL print list” button 303 for instructing printing of the ADL list and an “input menu” button 304 for instructing return to the input menu display screen shown in FIG. 5 are provided. Are located.

<<< Confirmation of Nursing Problem> Input Unit 10E >> (1) In the “Confirmation of Nursing Problem” input unit 10E, the “Confirm Nursing Problem” button 111 in the area 101 shown in FIG. 5 is selected. It is executed by doing.

(2) When the “confirm nursing problem” button 111 is selected, the display screen of FIG. 9 (confirmation of nursing problem) is displayed on the display device 8 with the patient problem T02 and the problem classification pattern M01. . As shown in FIG. 9, as the information on the nursing problem, the nursing problem number #, nursing diagnosis classification item, nursing diagnosis pattern, problem planning date, last conference date, current solution target date, evaluation date, evaluation, evaluation The wards are displayed in a table format. Each nursing problem is arranged in ascending order in the row direction based on the priority order.

(3) Next, it is reconfirmed whether each of the displayed nursing problems is a nursing problem that requires nursing care. Then, nursing issues that are not handled are canceled, and nursing issues are carefully selected and decided. An instruction to cancel a nursing problem is made by selecting a “delete problem” button 906 using the mouse 6.

(4) If necessary, change the priority of nursing problems. The priority of the nursing problem is changed by using the button 900 when the priority is to be raised, and by using the button 901 when the priority is to be lowered. The contents after the change are stored again in the patient problem T02. (5) For the joint problem, enter the problem planning date, the last conference date, and the current solution target date, and store the input contents in the patient problem T02. I do.

(6) Further, the evaluation date, evaluation and evaluation comment of the nursing problem are input using the keyboard 5 and the mouse 6, and
The input contents are stored in the patient problem evaluation T19. The evaluation can be input many times for one nursing problem until it is completed.

(7) Each of the nursing problems displayed in FIG. 9 is displayed in a different color to distinguish whether it is an completed problem or an ongoing problem. Note that in FIG. 9, completed problems are represented by ordinary characters, and ongoing problems are represented by italicized characters, to indicate that they are displayed in different colors.

(8) The "nursing problem list" P4 shown in FIG.

In the display screen of FIG. 9, in addition to the above-mentioned "Delete problem" button 906, a "Registration" button 902 for instructing registration of display contents, a "Print" button 903 for instructing printing of display contents, "Date input" button 9 for inputting the date when inputting the date in each nursing problem
04, an "Evaluation" button 905 for instructing the evaluation of the nursing problem to be processed, a "Nurse planning" button 907 for instructing a nursing plan for the nursing problem to be processed, and a display screen of the input menu shown in FIG. An “input menu” button 908 for instructing a return to is provided.

<<< Nursing Plan Creation> Input Unit 10F >> (1) The “nursing plan creation” input unit 10F is a “nursing plan creation” button 112 in the area 101 shown in FIG. Is executed by selecting the "plan nursing plan" button 907 shown in FIG.

(2) When the “plan nursing plan” button 112 or the “plan nursing plan” button 907 is selected, the display screen of FIG.
Is displayed.

(3) In the display screen shown in FIG. 10, in the area 10-a, a nursing diagnosis classification name is displayed in a pull-down menu format based on the patient problem T02 and the nursing problem M03. Mouse 6 for diagnosis category
Use to select.

(4) In the area 10-b, the patient problem T0
2. Nursing problem M03, information collection T03, information collection answer T
From 04, question M05, and answer selection M08, an assessment input screen (display contents of area 6-c in FIG. 6) when the nursing problem indicated by the selected nursing diagnosis classification name is taken up is displayed.

(5) In the area 10-e, the related factor ward pattern M1 which is the “ward pattern” master file group
0b, the patient target ward pattern M11b, the nursing intervention pattern M12b, and the related factor pattern M10a, which is a pattern master file group, the patient target pattern M11a, and the nursing intervention pattern M12a. Display a dictionary.

(6) First, the nursing problem indicated by the selected nursing diagnosis classification name is selected by using the mouse 6 in the area 10-c as to whether the nursing problem is joint, real, latent (risk), or the like. Note that words such as joint, real, and latent are displayed in the area 10-c in a pull-down menu format.

(7) In the area 10-d, input a problem planning date, a solution target date, and a conference date of a nursing problem indicated by the selected nursing diagnosis classification name. There are two types of input methods: a method of directly inputting using the keyboard 5 and a method of displaying a calendar screen and selecting using the mouse 6.

(8) The symptom sign which has been decided to be taken up as a nursing problem is checked using the mouse 6 from the check box displayed in the area 10-b1 to the corresponding check box. In the first display of the area 10-b, the pattern to which the nursing problem belongs is in the problem order M0.
4, a “switch” button 1000,
Using 1001, other patterns before and after that can also be displayed.

(9) The relevant factors, patient goals, and nursing interventions in the nursing problem are displayed in the area 10-e, and a relevant one is selected from the displayed contents. The selected content is displayed in the area 10-f. And this area 10
The content displayed in -f is a patient-specific nursing care plan.

(10) Incidentally, the related factors displayed in the area 10-e can be grouped into a disease state, a medical examination, a situation, a development factor, and the like, and further have a hierarchy.

(11) The nursing interventions displayed in the area 10-e are O (Observation), T (Therapy:
It is also possible to devise divisions such as Aid), E (Education), etc., clearly, and to add a hierarchy.

(12) When the patient target is selected in the area 10-f using the mouse 6, the patient target
(13) In the nursing intervention, when a specific goal can be input with the keyboard 5 or the mouse 6, and when the column of the nursing intervention in the area 10-f is selected using the mouse 6, The details (procedure) of the intervention can be further selected from the detailed nursing intervention pattern M13a and the detailed nursing intervention ward pattern M13b. Further, not only selection but also input from the keyboard 5 is possible.

(14) The nursing care plan for each nursing problem of the patient to be processed includes a symptom sign T07 of the nursing problem and a related factor T1.
0, patient goal T11, nursing intervention T12, nursing intervention details T
13 is stored.

(15) By the processing described above, it is possible to evaluate or plan a nursing problem. This is the same function as (6) in the “confirmation of nursing problem” input section 10E described above.

(16) Nursing care can be evaluated.
That is, whether the nursing intervention in the area 10-f is effective in solving the problem is input and stored in the nursing intervention T12.

(17) Patient problem T02, symptom symptom T07 of problem, related factor T10, patient target T11, nursing intervention T
12, Nursing intervention details T13, related factor pattern M10
a, patient target pattern M11a, nursing intervention pattern M1
According to 2a, the “nursing care plan” P5 shown in FIG.

In the display screen of FIG. 10, a “register” button 1002 for instructing registration of display contents, a “care plan print” button 1003 for instructing printing of a care plan, and an “evaluation” button for instructing execution of evaluation 1004, an “other ward” button 1005 for referring to the nursing plan of another ward, an “input clear” button 1006 for instructing to clear the input contents, an “enter planned care date” button 1007 for instructing execution of the scheduled care date input, An “input menu” button 1008 for instructing a return to the display screen of the input menu shown in FIG. 5 is provided.

<<< Scheduled Care Date> Input Unit 10G >> (1) The “Scheduled Care Date Input” input unit 10G is a “Scheduled Care Date Input” button 113 in the area 101 shown in FIG. 5 or FIG. "Enter expected care date" button 1007
Is executed when is selected.

(2) When the “input expected care date” button 113 or the “input expected care date” button 1007 is selected, the display screen of FIG. 11 (input expected care date) is displayed on the display device 8. .

(3) On the display screen shown in FIG. 11, today's month is displayed in the area 11-a. Region 11-a
Is in a pull-down menu format, and when the user wants to change the month, the user selects a desired month from the pull-down menu using the mouse 6.

(4) In the area 11-b, the patient problem T0
2. According to the nursing problem M03, the nursing problems are displayed in order of priority among the patient's nursing problems (including those in which the nursing problems have been completed). The area 11-b is in the form of a pull-down menu, in which nursing problems are arranged according to the order of priority.

(5) Next, using the mouse 6, select a desired nursing problem from the nursing problem pull-down menu displayed in the area 11-b.

(6) The area 11-c includes a nursing intervention T1.
2. According to the nursing intervention pattern M12a, the intervention items input in the “draft nursing plan” input unit 10F are displayed.

(7) For the intervention item displayed in the area 11-c, the date to be implemented is designated using the mouse 6 in the area 11-c.
Specify with -d.

(8) For the input of the scheduled date to be executed, by selecting the “calendar” button 1013, a month calendar is displayed, and a desired day of the week and week can be designated from the displayed calendar.

(9) The input nursing care schedule is stored in the care schedule T18.

(10) Patient problem T02, nursing problem M0
3. The “nursing care map” P6 shown in FIG. 23 and the “nursing care progress record” P7 shown in FIG. 24 are output from the printer device 9 based on the nursing intervention T12, the nursing intervention pattern M12a, and the care schedule T18.

In the display screen of FIG. 11, in addition to the above-mentioned "calendar" button 1013, a "registration" button 1011 for instructing registration of display contents, a "print" button 1012 for instructing printing of display contents, a nursing plan A "nursing plan drafting" button 1014 for instructing the execution of the planning and an "input menu" button 1015 for instructing a return to the display screen of the input menu shown in FIG. 5 are arranged.

<<< Care Implementation Date> Input Unit 10H >> (1) In the “care implementation date” input unit 10H, the “care implementation date input” button 114 in the area 101 shown in FIG. 5 is selected. It is executed by doing.

(2) When the “enter care execution date” button 114 is selected, the display screen of FIG. 12 (input of nursing care execution date) is displayed on the display device 8.

(3) On the display screen shown in FIG. 12, today's month is displayed in area 12-a. Region 12-a
Is in a pull-down menu format, and when the user wants to change the month, the user selects a desired month from the pull-down menu using the mouse 6.

(4) In the area 12-b, the patient problem T0
2. According to the nursing problem M03, the nursing problems are displayed in order of priority among the patient's nursing problems (including those in which the nursing problems have been completed).

(5) Next, using the mouse 6, select a desired nursing problem from the nursing problem pull-down menu displayed in the area 12-b.

(6) The area 12-c includes a nursing intervention T1.
2. According to the nursing intervention pattern M12a, the intervention items input in the “draft nursing plan” input unit 10F are displayed.

(7) In the area 12-d, the scheduled date registered in the “scheduled care date input” input section 10G is displayed according to the care schedule T18.

(8) When the intervention item displayed in the area 12-c is executed, the date of the execution is indicated by using the mouse 6
Specified in area 12-d.

(9) The input nursing care schedule is stored in the care schedule T18.

(10) Patient problem T02, nursing problem M0
3. The “nursing care map” P6 shown in FIG. 23 is output from the printer device 9 based on the nursing intervention T12, the nursing intervention pattern M12a, and the care schedule T18.

In the display screen of FIG. 12, a “register” button 1100 for instructing registration of display contents, a “print” button 1101 for instructing printing of display contents, and a display screen of the input menu shown in FIG. An “input menu” button 1102 for instructing return is arranged.

<<< Evaluation / Summary Creation> Unit 10I >> (1) The “Evaluation / Summary Creation” unit 10I is executed when the “Nursing Summary” button 115 in the area 101 shown in FIG. 5 is selected. Is done.

(2) When the “nursing summary” button 115 is selected, the display screen (nursing summary) shown in FIG.

(3) In the display screen shown in FIG. 13, the patient problem T02, the nursing problem M03, the symptom symptoms T07 of the problem, the question M05, the related factor T10, the related factor pattern M10a, and the patient target T11 are displayed in an area 13-a. , Patient target pattern M11a, nursing intervention T12, nursing intervention pattern M
12a, the nursing intervention details T13, the patient problem evaluation T19, and the nursing problem M03, the completed nursing plan is displayed.

(4) In the area 13-b, the patient problem T0
2. Nursing problem M03, problem symptoms T07, question M0
5. Related factor T10, related factor pattern M10a, patient target T11, patient target pattern M11a, nursing intervention T1
2. Nursing intervention pattern M12a, Nursing intervention details T13,
The ongoing nursing care plan is displayed by the patient problem evaluation T19 and the nursing problem M03.

(5) The nursing care plan displayed in the areas 13-a and 13-b can be modified using the keyboard 5 and the mouse 6. The contents are output from the printer device 9 as “Nurse Summary I” P8 shown in FIG.

(6) The nursing plan includes a description of “related factors + related to + nursing problems + symptoms / signs”,
Displays the duration of the intervention, evaluation date, evaluation, evaluation comments, patient goals, nursing intervention, nursing intervention details, and intervention evaluation.

(7) In the area 13-c, of the ADL information input in the past, ADL information in the acute period and AD information in the recovery period are displayed.
Since the area 13-c for displaying the L information is in a pull-down menu format, the desired ADL information in the acute phase and
ADL information of a desired recovery period can be selected.

(8) Desired ADL information and desired ADL
When two pieces of information are selected using the mouse 6 and then the "graph display" button 1205 is selected using the mouse 6, a radar chart is displayed in the area 13-d.

(9) After confirming the displayed contents, when the “print” button 1200 is selected using the mouse 6, the “nursing summary I” P8a shown in FIG. 25 and the “nursing summary II” P8b shown in FIG. 9 to output.

(10) The nursing summary is composed of two parts, “Nurse summary I” P8a and “Nurse summary II” P8b, and “Nurse summary I” P8a corresponds to the inpatient T0.
3 is a radar chart displayed in an area 13-d based on basic information of a patient output from No. 1 and ADL information.

(11) "Nursing Summary II" P8b
Is a summary of the progress of nursing, and is the display contents of the areas 13-a and 13-b.

In the display screen of FIG. 13, in addition to the above-mentioned "print" button 1200 and "graph display" button 1205, a "copy" button 1201 for instructing to copy a portion of the display content within the selected range. "Paste" button 120 for instructing to paste the copied contents at the designated position
2. “Cut” button 1203 for instructing cutting of a selected range portion of the display content, and “input menu” for instructing return to the display screen of the input menu shown in FIG. 5
A button 1204 is arranged.

<<< Disease-based Nursing Problem> Input Unit 10J >> (1) In the “Disease-based Nursing Problem” input unit 10J, the “Disease-based Nursing Problem” button 117 in the area 101 shown in FIG. 5 is selected. It is executed by doing.

(2) When the “nursing problem by disease” button 117 is selected, the display screen of FIG. 14 (selection of nursing problem by disease / common problem) is displayed on the display device 8.

(3) On the display screen shown in FIG. 14, an organ system is displayed in the area 14-a by the medical care system M14.

(4) When one desired organ system is selected using the mouse 6 from the organ systems displayed in the area 14-a, the disease name corresponding to the selected organ system is displayed in the area 14-b. Are selected and displayed from the medical care system-disease M16 and disease M15.

(5) One of the disease names corresponding to the patient's disease is selected using the mouse 6 from the disease names displayed in the area 14-b.

(6) The nursing problem and the joint problem corresponding to the selected disease name are disease-nursing problem M17 and nursing problem M0.
3 are displayed in the areas 14-c and 14-d, respectively.

(7) It is checked whether the nursing problem and the joint problem are overlooked from the nursing problem and the joint problem displayed in the areas 14-c and 14-d, respectively. Mouse nursing problem 6
Use to select.

(8) The selected nursing problem and joint problem are stored in the nursing problem T02 when the “register” button 1300 is selected using the mouse 6.

On the display screen of FIG. 14, in addition to the above-mentioned "register" button 1300, a "confirm nursing problem" button 1301 for instructing the decision of a nursing problem, and a "nursing plan" for instructing execution of a nursing plan Of the input menu shown in FIG. 5, and an "input menu" button 1303 for instructing return to the display screen of the input menu shown in FIG. <<< Basic Information Inquiry> Inquiry Unit 10K >> (1) The “Basic Information Inquiry” inquiry unit 10K is executed by selecting the “Basic Information Inquiry” button 119 in the area 101 shown in FIG. .

(2) When the “Basic information inquiry” button 119 is selected, the “hospitalization procedure” input section 10 is displayed on the display device 8.
From the inpatient T01 storing the contents input in A, the display screen (basic information inquiry) of FIG. 15 is displayed.

(3) “Print” button 1400 is mouse 6
Is selected by using the “Basic Information (Inpatient Information)” P1 shown in FIG.
Output more.

In the display screen of FIG. 15, in addition to the above-mentioned “print” button 1400, an “input menu” button 1401 for instructing a return to the display screen of the input menu shown in FIG. 5 is arranged.

<<< ward pattern> creating unit 10L >> (1) “ward pattern” creating unit 10L
Or, it is executed when the dictionary of the nursing care plan is updated.

(2) When the “ward pattern” creating unit 10L is executed, the related factor pattern M10a, the patient target pattern M11a, the nursing intervention pattern M12a, and the nursing intervention detailed pattern M13, which are master file groups common to hospitals, are executed.
From a, extract what you use in your ward. (3) Assign priorities to those extracted in step (2).

(4) Based on the information obtained in steps (2) and (3), the related factor ward pattern M10b and the patient target ward pattern M1 which are a group of ward common master files
1b, the nursing intervention ward pattern M12b, and the detailed nursing intervention ward pattern M13b are updated.

In the above-described processing, operations such as input, inquiry, and correction of various information such as basic information for a patient are performed by:
It can also be performed using the handy computer 7a. Handy computer 7a and its input unit 7aa
16A to 16E will be described with reference to FIGS. 16A to 16E.

As shown in FIGS. 16A to 16E, the handy computer 7a has a numeric keypad 2000,
Function key 2001, O for switching power ON / OFF
An N / OFF key 2002 and a cancel key 2003 for instructing cancellation of execution of a process for a button selected on the display screen
And an execution key 2004 for instructing execution of a process for the button selected on the display screen. These keys correspond to the input unit 7aa of the handy computer 7a. Note that this key arrangement is one example, and it goes without saying that necessary keys can be arranged according to the design contents.

In FIG. 16A, the handy computer 7
7A is an example of an initial screen related to the assessment displayed on the display unit 7ab by the second display control means (not shown) of FIG.
An “information collection” button group 2005 for executing processing on various information such as a “health perception” button, a “nutrition” button, an “excretion” button, an “activity” button, and an “ADL input” button 2006 for executing processing on ADL information "Enter care implementation" button 200 for executing processing related to care
7. “Patient basic information” button 2008 for executing processing on patient basic information, “handwritten memo” button 2009 for executing input of desired information, and “PC communication” for executing communication of various information with personal computer 1 Button 2010 is arranged. By touching various buttons, a display screen associated with the button is switched or a process is executed.

FIG. 16B shows the “information collection” button group 200.
5 is an example of a display screen displayed when a “health perception” button is touched, in which a screen for managing information related to health perception is displayed. FIG. 16C is an example of a display screen displayed when “ADL input” button 2006 is touched, and a screen for managing ADL information is displayed. FIG. 16D shows a “fill care implementation” button 200.
It is an example of a display screen displayed when 7 is touched,
A screen for managing the implementation of care is displayed. FIG.
E is a screen displayed when the “patient basic information” button 2008 is touched, and a screen for managing the basic information of the patient is displayed.

In the form created by the above-described processing, “basic information” P 1, “assessment sheet” P
2, "ADL list" P3, "Nursing problem list" P4,
"Nursing care plan" P5, "Nursing care map" P6,
"Nursing Care Progress Record" P7, "Nursing Summary I" P8a
The “Nurse Summary II” P8b can be output from the printer device 9 at any timing by displaying the display screen shown in FIG. When an actual form is output, the buttons corresponding to the form (“nursing database” button 1500, “ADL list” button 1505, “nursing problem list” button 1501, “nursing care plan” button 1502, “nursing care plan” "Care map" button 1503, "nursing care progress record" button 1504,
The “nursing summary” button 1506) is selected using the mouse 6. In addition to the various buttons described above, a “close” button 1507 for instructing to close the display screen is arranged on the display screen of FIG. The above-described display screens can be switched and displayed at desired timing.

Finally, FIG. 27 shows a flowchart as an example of a series of processes executed by the nursing process support system of the present embodiment.

FIG. 27 is a flowchart showing an example of processing executed by the nursing process support system according to the embodiment of the present invention.

First, the personal computer 1 is started, and the display screen shown in FIG. 4A is displayed on the display device 8 (step S1). According to the displayed display screen, basic information such as the name, age, gender, and address of the patient to be processed is input using the keyboard 5 and the mouse 6, and a new file of the patient is created in the inpatient file T01 (step). S2).

On the other hand, with the handy computer 7a,
The display screens shown in FIGS. 16A and 16B are displayed on the display unit 7ab by the second display control means (not shown), and various information related to the assessment is input. If necessary, input information by hand. The input various information is transmitted to a communication processing unit (not shown) of the handy computer 7a (second communication unit).
Is transmitted to the communication processing section (first communication means) 3a of the personal computer 1. Then, based on the contents, the transmitted various information is managed as a patient problem T02, an information collection T03, and an information collection answer T04 (step S3).

Next, the display screen shown in FIG. 9 is displayed on the display unit 7ab by the handy computer 7a, and various information on nursing problems is input. The input information is transmitted to the communication processing unit 3a of the personal computer 1. Then, based on the contents of the transmitted various information,
The management is performed based on the patient problem T02 and the problem classification pattern M01 (step S4).

Next, the display screen of FIG. 10 is displayed on the display device 8 by the personal computer 1, and various kinds of information relating to the nursing plan are input to draft a nursing plan. Next, FIG.
1 is displayed on the display device 8, and an execution date for each intervention item of the drafted nursing plan is input (step S).
5).

When the nursing care plan is actually executed, the nursing care schedule table is called up by the handy computer 7a, and the intervention items performed on the display unit 7ab are input (step S6). This input is basically performed at the patient's bedside by the handy computer 7a, but can also be input by the personal computer 1.

The display screen shown in FIG. 13 is displayed on the display device 8 based on various information obtained by the nursing plan actually executed.
, The evaluation of the nursing care plan can be confirmed. (Step S7). In addition, of the above-mentioned various information, a plurality of ADL information are given personal scores with a score of 1 to 5.
It is stored in the ADLT 05 of the computer 1.

[0180]

As described above, according to the present invention,
From a patient-centered nursing standpoint, use computers to increase the efficiency of nursing process development, accumulate data on nursing process development, and use that data to prevent potential risks and improve the quality of nursing care. The evaluation and communication can be improved, and a nursing process support system, a control method thereof, and a computer-readable memory for efficiently and systematically nursing records can be obtained.

A nurse or the like collects patient information from a patient or a patient's family, makes a nursing diagnosis, clarifies a problem, drafts a nursing plan, and makes a doctor (nursing) based on the presence or absence and the result. It is possible to obtain a nursing process support system for supporting a nursing process in which both a woman and a patient can easily evaluate, a control method thereof, and a computer-readable memory.

[0182]

[Brief description of the drawings]

FIG. 1 is a block diagram showing a hardware configuration of a nursing process support system according to an embodiment of the present invention.

FIG. 2 is a diagram showing a nursing process ring model according to the embodiment of the present invention.

FIG. 3 is a diagram showing a flow of operation of the nursing process support system according to the embodiment of the present invention.

FIG. 4A is a diagram showing a “hospitalization procedure” screen according to the embodiment of this invention.

FIG. 4B is a diagram showing a “hospitalization procedure” screen according to the embodiment of this invention.

FIG. 4C is a diagram showing a “hospitalization procedure” screen according to the embodiment of this invention.

FIG. 4D is a diagram showing a “hospitalization procedure” screen according to the embodiment of this invention.

FIG. 5 is a diagram illustrating an “input menu” screen according to the embodiment of the present invention.

FIG. 6A is a diagram showing an “assessment input” screen according to the embodiment of this invention.

FIG. 6B is a diagram showing an “assessment input” screen according to the embodiment of this invention.

FIG. 7 is a diagram illustrating an “ADL input” screen according to the embodiment of this invention.

FIG. 8 is a diagram illustrating an “integrated assessment” screen according to the embodiment of this invention.

FIG. 9 is a diagram illustrating a “confirmation of nursing problem” screen according to the embodiment of this invention.

FIG. 10 is a diagram illustrating a “planning of nursing care” screen according to the embodiment of this invention.

FIG. 11 is a diagram showing an “input expected care date” screen according to the embodiment of this invention.

FIG. 12 is a diagram illustrating a “care execution date input” screen according to the embodiment of this invention.

FIG. 13 is a diagram showing a “nursing summary” screen according to the embodiment of this invention.

FIG. 14 is a view showing a “selection of nursing problem / joint problem by disease” screen of the embodiment of the present invention.

FIG. 15 is a diagram showing a “basic information inquiry” screen according to the embodiment of this invention.

FIG. 16A is a diagram showing a display screen of the handy computer according to the embodiment of the present invention.

FIG. 16B is a diagram showing a display screen of the handy computer according to the embodiment of the present invention.

FIG. 16C is a diagram showing a display screen of the handy computer according to the embodiment of the present invention.

FIG. 16D is a diagram showing a display screen of the handy computer according to the embodiment of the present invention.

FIG. 16E is a diagram showing a display screen of the handy computer according to the embodiment of the present invention.

FIG. 17 is a diagram illustrating a “form menu” screen according to the embodiment of this invention.

FIG. 18 is a diagram illustrating an example of “basic information (information upon admission)” according to the embodiment of this invention.

FIG. 19 is an “assessment sheet” according to an embodiment of the present invention.
It is a figure showing the example of.

FIG. 20 is a diagram illustrating an example of an “ADL list” according to the embodiment of this invention.

FIG. 21 is a diagram illustrating an example of a “nursing problem list” according to the embodiment of this invention.

FIG. 22 is a diagram showing an example of a “nursing care plan” according to the embodiment of the present invention.

FIG. 23 is a diagram illustrating an example of a “nursing care map” according to the embodiment of this invention.

FIG. 24 is a diagram illustrating an example of “nursing care progress record” according to the embodiment of this invention.

FIG. 25 is a diagram showing an example of “Nursing Summary I” according to the embodiment of the present invention.

FIG. 26 is a diagram showing an example of “Nursing Summary II” in the embodiment of the present invention.

FIG. 27 is a flowchart illustrating an example of processing executed by the nursing process support system according to the embodiment of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Personal computer 2 Input processing part 3a, 3b Communication processing part 4 Output processing part 5 Keyboard 6 Mouse 7a, 7b Handy computer 7aa, 7ba Input part 7ab, 7bb Storage part 7ac, 7bc Display part 8 Display device 9 Printer device 10 Processing unit 10A "Hospitalization procedure" input unit 10B "Assessment input" input unit 10C "ADL input" input unit 10D "Integrated assessment" confirmation unit 10E "Confirmation of nursing problem" input unit 10F "Nurse planning" input unit 10G " "Scheduled care date input" input section 10H "Care implementation date input" input section 10I "Evaluation / summary creation" input section 10J "Disease-specific nursing problem" input section 10K "Basic information inquiry" inquiry section 10L "ward pattern" creation section 11 External storage device M01 to M17 Master file group T01 to T1 Information files

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Yoshiko Kiyooka 2-18-18 Ninada Wakaen, Kokura-minami-ku, Kitakyushu-shi, Fukuoka (72) Inventor Tsutomu Nakamichi 8-36, Hakata-eki, Chuo-gai, Hakata-ku, Fukuoka, Fukuoka Japan E-Computing Co., Ltd. (72) Inventor Hitomi Saho 8-36, Hakata-eki, Chuo-gai, Hakata-ku, Fukuoka, Japan Fukuoka Co., Ltd. (72) Inventor Masaaki Aoki 2-44-1, Hatagaya, Shibuya-ku, Tokyo Terumo Inside the stock company

Claims (15)

[Claims] 1. A nursing process support system that manages data related to a nursing process between a portable terminal and a host, and at least evaluates nursing based on the data, wherein the host performs at least an assessment of the nursing process.・ Nursing diagnosis ・
Divided into planning, implementation, and evaluation stages, as a database that manages data for each stage, an assessment database that manages data on patient health and living conditions, and is determined based on the diagnosis of unhealthy reactions and the diagnosis of healthy reactions At least a diagnostic database that manages data related to nursing problems, a plan database that manages data related to nursing plans, an implementation database that manages data related to nursing care based on nursing plans, and an evaluation database that manages data related to evaluations based on nursing plans. Storage means for storing; first display control means for displaying a display screen for managing data relating to each stage of the nursing process on a first display unit; and a display screen displayed on the first display unit. , A first input for inputting data relating to each stage of the nursing process Based means, the input data in said first input means to the content, a storage management unit for storing and managing the database, based on the data stored and managed in the database,
Evaluation means for evaluating nursing; first communication means for transmitting and receiving data to and from the mobile terminal; and a display screen for managing at least data relating to the assessment in each stage of the nursing process. A second display control means for displaying on the second display unit, and a second inputting at least data relating to the assessment based on a display screen displayed on the second display unit.
A nursing process support system, comprising: input means; temporary storage means for temporarily storing data input by the second input means; and second communication means for transmitting and receiving data to and from the host. 2. The nursing process support system according to claim 1, wherein the database stored in the storage means is managed for each purpose such as for adults, elderly people, obstetrics, and children. 3. The nursing process support system according to claim 1, wherein said first display control means and said second display control means have a dictionary function so that detailed contents of said database can be confirmed. 4. The first display control means or the second display control means.
2. The display control means for arranging at least an area for determining whether or not the patient's health condition or living condition is to be used in an alternative manner on a display screen for managing data relating to the assessment. Nursing process support system according to 1. 5. The first display control means displays, on a display screen for managing data relating to the nursing diagnosis, items of the nursing problems in a list according to their priorities, and identifies whether or not each nursing problem has been solved. 2. The method according to claim 1, further comprising automatically calculating and displaying the number of days required until the solved nursing problem is solved, and accepting a change in the priority by inputting the first input means. Nursing process support system according to 1. 6. The first display control means displays a nursing problem, nursing problem definition, planning date, conference date, solution target date,
2. The nursing care according to claim 1, wherein the contents of the assessment database, symptoms and symptoms, nursing type, related factors, patient goals, and nursing intervention can be displayed / input, and the nursing problem is identified and displayed for planning. Process support system. 7. The first display control means displays a member / content on a display screen for managing data relating to the plan at a conference date for planning the nursing problem.
The nursing process support system according to claim 1, wherein input is possible. 8. The first display control means or the second display control means.
The display control means displays an input area of a scheduled execution date of nursing care based on the nursing plan on a display screen for managing data on the implementation, and identifies and displays whether the nursing care is scheduled. The nursing process support system according to claim 1, wherein 9. The method according to claim 1, wherein the first input means or the second input means inputs whether or not the nursing care is performed by using a calendar screen showing days / weeks of one month. Item 9. The nursing process support system according to item 8. 10. The first display control means, based on the database, displays a nursing summary containing the contents of the nursing process on a display screen for managing the data relating to the evaluation, and the nursing plan continues. 2. The display according to claim 1, wherein the display can be divided into a completed one and a completed one.
Nursing process support system according to 1. 11. The system according to claim 1, wherein the first display control means is capable of displaying a radar chart in which ADL items are represented by scores on a display screen for managing data relating to the evaluation. Nursing process support system as described. 12. The content managed by the database, the first display control means or the second display control means, in response to an input from the first input means or the second input means.
2. The nursing support system according to claim 1, further comprising an output unit capable of outputting the contents of the display screen displayed by the display control unit. 13. The nursing process according to claim 1, further comprising a changing means for arbitrarily changing a configuration of a display screen displayed on the first display unit or the second display unit. Support system. 14. A control method for a nursing process support system which manages data relating to a nursing process between a portable terminal and a host, and at least evaluates nursing based on the data, wherein the nursing process includes at least an assessment process. Nursing diagnosis
Divided into planning, implementation, and evaluation stages, as a database that manages data for each stage, an assessment database that manages data on patient health and living conditions, and is determined based on the diagnosis of unhealthy reactions and the diagnosis of healthy reactions Diagnostic database that manages data related to nursing problems, planning database that manages data about nursing plans, implementation database that manages data about care based on nursing plans, and evaluation database that manages data about evaluations based on nursing plans Based on data stored and managed in the database,
An evaluation step of evaluating nursing; a first display control step of displaying a display screen of a host for managing data relating to each stage of the nursing process on a first display unit; Based on the display screen,
A first input step of inputting data relating to each stage of the nursing process; a storage management step of storing and managing the data input in the first input step in the database based on the content thereof; Among the steps, at least a second display control step of displaying a display screen for managing data related to the assessment on a display unit of the mobile terminal, based on a display screen displayed on a display unit of the mobile terminal, A second input step of inputting data related to the assessment, a temporary storage step of temporarily storing the data input in the second input step in a storage medium, and transmitting and receiving data between the mobile terminal and the host A method for controlling a nursing process support system, comprising: a communication step. 15. A computer-readable memory storing program code for controlling a nursing process support system capable of managing data relating to a nursing process between a portable terminal and a host and performing at least nursing evaluation based on the data. , The nursing process at least assessment, nursing diagnosis,
Divided into planning, implementation, and evaluation stages, as a database that manages data for each stage, an assessment database that manages data on patient health and living conditions, and is determined based on the diagnosis of unhealthy reactions and the diagnosis of healthy reactions At least a diagnostic database that manages data related to nursing problems, a plan database that manages data related to nursing plans, an implementation database that manages data related to nursing care based on nursing plans, and an evaluation database that manages data related to evaluations based on nursing plans. A program code of a storage process to be stored; a program code of a first display control process for displaying a display screen of a host for managing data relating to each stage of the nursing process on a first display unit; and a display code of the host. Based on the displayed screen,
A program code for a first input step for inputting data relating to each stage of the nursing process, and a program code for a storage management step for storing and managing the data input in the first input step in the database based on the contents thereof. Based on data stored and managed in the database,
A program code for an evaluation process for evaluating nursing, and a program for a second display control process for displaying at least a display screen for managing data relating to the assessment on the display unit of the mobile terminal among the stages of the nursing process. Code, a program code of a second input step of inputting at least data relating to the assessment based on a display screen displayed on a display unit of the portable terminal, and temporarily storing the data input in the second input step. A computer-readable memory, comprising: a program code of a temporary storage step to be stored in a storage medium; and a program code of a communication step of transmitting and receiving data between the portable terminal and the host.