KR102372414B1 - A method and apparatus for determining patient-specific intervention for cardiac respiratory physiotherapy - Google Patents

Abstract

The present invention relates to a method and apparatus for determining a patient-specific intervention for cardiorespiratory physiotherapy. An intervention decision method for cardiorespiratory physiotherapy in a patient according to an embodiment of the present invention comprises the steps of: (a) acquiring the patient's questionnaire information and basic physical examination information; and (b) at least one cardiorespiratory physiotherapy corresponding to the patient from among a plurality of pre-stored cardiorespiratory physiotherapy intervention items, based on the questionnaire information and basic physical examination information, according to the pre-stored cardiorespiratory physiotherapy related literature information. Determining a treatment intervention item; may include.

Description

A method and apparatus for determining patient-specific intervention for cardiac respiratory physiotherapy

The present invention relates to a method and apparatus for determining a patient-specific intervention for cardiorespiratory physiotherapy in a patient, and more particularly, to a method and apparatus for determining an intervention for cardiorespiratory physiotherapy in a patient based on a modified Delphi method is about

The central nervous system regulates heart rate, cardiac contractility, blood pressure, and vasomotor tone. Disorders related to cardiac control and autonomic regulation of blood flow occur after stroke, and are more relevant when they occur around the parietal and insular cortex.

In a study using the baroreceptor reflex that regulates blood pressure in the nerve structure, heart disease such as heart failure increased within 1 year of stroke in left hemiplegic patients.

Stroke patients suffer from musculoskeletal problems (including muscle atrophy and contracture) and cardiovascular problems (decreased heart rate and systolic output), as well as low aerobic exercise that affects performance of daily activities and can lead to death in severe cases.

Respiratory failure may also occur partially due to reduced lung diffusion capacity, ventilation-perfusion mismatch, or reduced lung volume due to limited use of paralyzed muscles and active insufficiency of chest wall movement and diaphragm movement.

Expiratory dysfunction is explained by decreased movement of the paralyzed diaphragm, intercostal muscles, and abdominal muscles. Restriction of inhalation may appear due to a decrease in the maximum inspiratory pressure, and the construction of a secondary rib cage gradually progresses in association with a decrease in the movement of the chest wall. This is associated with lower cardiovascular health levels in stroke patients, and is explained by a difference between the measured and maximal ventilation at the end of exercise or reduced ventilatory reserve.

After a stroke, the maximum oxygen intake (VO ₂ max) decreases to 10-17 ml/kg/min within 30 days, and does not rise above 20 ml/kg/min after 6 months. This figure means that the maximum oxygen uptake is about 25-45% lower than that of healthy subjects.

Therefore, although a cardiorespiratory physiotherapy method for stroke patients is being studied, research providing an optimal cardiorespiratory physiotherapy intervention method to the patient is insufficient.

[Patent Document 1] Korean Patent Publication No. 10-2018-0011558

The present invention was created to solve the above problems, and an object of the present invention is to provide a patient-specific intervention decision method and apparatus for cardiorespiratory physiotherapy.

In addition, the present invention relates to at least one cardiorespiratory respiration corresponding to the patient among a plurality of pre-stored cardiorespiratory physiotherapy intervention items based on the questionnaire information and basic physical examination information according to the pre-stored cardiorespiratory physiotherapy related literature information. An object of the present invention is to provide a method and apparatus for determining a physical therapy intervention item.

Objects of the present invention are not limited to the objects mentioned above, and other objects not mentioned will be clearly understood from the description below.

In order to achieve the above objects, an intervention decision method for cardiorespiratory physical therapy for a patient according to an embodiment of the present invention comprises the steps of: (a) acquiring the patient's questionnaire information and basic physical examination information; and (b) at least one cardiorespiratory physiotherapy corresponding to the patient from among a plurality of pre-stored cardiorespiratory physiotherapy intervention items, based on the questionnaire information and basic physical examination information, according to the pre-stored cardiorespiratory physiotherapy related literature information. Determining a treatment intervention item; may include.

In an embodiment, the patient's questionnaire information may include at least one of basic state information of the patient and target health information of the patient.

In an embodiment, the patient's basic physical examination information includes body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, maximum flow rate, lung function test information, exercise function test information, respiration rate And it may include at least one of ventilation per minute.

In an embodiment, the method for determining an intervention for cardiorespiratory physiotherapy in a patient includes, before step (b), acquiring a domestic literature database and a foreign literature database related to cardiorespiratory physiotherapy; selecting documents excluding overlapping documents from among the domestic and foreign document databases; extracting documents excluding documents not related to cardiorespiratory physiotherapy among documents excluding the overlapping documents based on abstract and title; determining documents excluding documents not related to cardiorespiratory physiotherapy among the extracted documents based on a full-text article; and adding documents determined based on the modified Delphi method to the determined documents, generating and storing the document information related to cardiorespiratory physical therapy; may further include.

In an embodiment, the pre-stored plurality of cardiorespiratory physiotherapy intervention items may be determined based on a modified Delphi method.

In an embodiment, in the step (b), the at least one matching the questionnaire information and the basic physical examination information among the plurality of pre-stored cardiorespiratory physical therapy intervention items according to the pre-stored document information related to cardiorespiratory physiotherapy. It may include; determining the cardiorespiratory physiotherapy intervention item of the.

In an embodiment, the apparatus for determining an intervention for cardiorespiratory physical therapy for a patient includes: an acquisition unit configured to acquire the patient's questionnaire information and basic physical examination information; and one cardiorespiratory physiotherapy intervention corresponding to the patient from among a plurality of prestored cardiorespiratory physiotherapy intervention items, based on the questionnaire information and basic physical examination information It may include; a control unit for determining.

In an embodiment, the patient's questionnaire information may include at least one of basic state information of the patient and target health information of the patient.

In an embodiment, the patient's basic physical examination information includes body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, maximum flow rate, lung function test information, exercise function test information, respiration rate And it may include at least one of ventilation per minute.

In an embodiment, the control unit acquires the domestic literature database and foreign literature database related to cardiorespiratory physical therapy, selects documents excluding overlapping documents among the domestic and foreign literature databases, and selects abstracts and titles Based on (title), documents excluding documents not related to cardiorespiratory physiotherapy are extracted from among the documents excluding the overlapping documents, and based on the full-text article, the heart among the extracted documents Documents that are not related to respiratory physiotherapy are determined, and documents determined based on the modified Delphi method are added to the determined documents to create and store the document information related to cardiorespiratory physiotherapy. there is.

In an embodiment, the pre-stored plurality of cardiorespiratory physiotherapy intervention items may be determined based on a modified Delphi method.

In an embodiment, the control unit may include, according to the pre-stored cardiorespiratory physiotherapy related literature information, the at least one cardiorespiratory respiration that matches the questionnaire information and basic physical examination information among the plurality of prestored cardiorespiratory physiotherapy intervention items. Physical therapy interventions can be determined.

Specific details for achieving the above objects will become clear with reference to the embodiments to be described in detail below in conjunction with the accompanying drawings.

However, the present invention is not limited to the embodiments disclosed below, but may be configured in various different forms, and those of ordinary skill in the art to which the present invention pertains ( Hereinafter, "a person skilled in the art") is provided to fully inform the scope of the invention.

According to an embodiment of the present invention, it is possible to select an appropriate intervention item related to cardiorespiratory physiotherapy for stroke patients.

In addition, according to an embodiment of the present invention, it is possible to systematically manage by inserting an individual identification tag related to the intervention item and transmitting it to an expert.

In addition, according to an embodiment of the present invention, it is possible to systematically analyze patient-specific data to determine a patient-specific treatment.

Effects of the present invention are not limited to the above-described effects, and potential effects expected by the technical features of the present invention will be clearly understood from the following description.

1 is a diagram illustrating an intervention decision method for cardiorespiratory physiotherapy in a patient according to an embodiment of the present invention.
2 is a diagram illustrating a method for determining literature information related to cardiorespiratory physical therapy according to an embodiment of the present invention.
3 is a diagram illustrating a functional configuration of an intervention decision apparatus for cardiorespiratory physiotherapy of a patient according to an embodiment of the present invention.

Since the present invention can have various changes and can have various embodiments, specific embodiments are illustrated in the drawings and described in detail.

Various features of the invention disclosed in the claims may be better understood upon consideration of the drawings and detailed description. The apparatus, methods, preparations, and various embodiments disclosed herein are provided for purposes of illustration. The disclosed structural and functional features are intended to enable those skilled in the art to specifically practice the various embodiments, and are not intended to limit the scope of the invention. The disclosed terms and sentences are for the purpose of easy-to-understand descriptions of various features of the disclosed invention, and are not intended to limit the scope of the invention.

In describing the present invention, if it is determined that a detailed description of a related known technology may unnecessarily obscure the gist of the present invention, the detailed description thereof will be omitted.

Hereinafter, a patient-specific intervention determination method and apparatus for cardiorespiratory physical therapy according to an embodiment of the present invention will be described.

1 is a diagram illustrating an intervention decision method for cardiorespiratory physiotherapy in a patient according to an embodiment of the present invention.

Referring to FIG. 1 , step S101 is a step of acquiring the patient's questionnaire information and basic physical examination information.

In an embodiment, the patient's questionnaire information may include at least one of basic status information of the patient and target health information of the patient.

For example, the patient's basic state information may include at least one of the patient's body information and physical fitness information.

In one embodiment, the patient's basic physical examination information is, body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, maximum flow rate, lung function test information, exercise function test information, respiration rate And it may include at least one of ventilation per minute.

In step S103, at least one cardiorespiratory physiotherapy intervention corresponding to the patient from among a plurality of prestored cardiorespiratory physiotherapy intervention items, based on the questionnaire information and basic physical examination information, according to the pre-stored cardiorespiratory physiotherapy related literature information. This is the step in deciding the item.

In an embodiment, a plurality of pre-stored cardiorespiratory physiotherapy interventions may be determined based on a modified Delphi method.

For example, a plurality of pre-stored cardiorespiratory physical therapy intervention items may be determined based on the modified Delphi method as shown in Table 1 below.

area Item
number Arbitration Items Average Standard
Deviation CVR 1st quartile median 3rd quartile stability degree of convergence agreement Prayer
expand
and
Ventilation One Air accumulation training or manual hyperinflation 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 2 Manual assisted cough 4.89 .33 1.00 5.00 5.00 5.00 .07 .00 1.00 3 cough aid 4.67 .50 1.00 4.00 5.00 5.00 .11 .50 .80 4 Non-invasive positive pressure ventilation 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 5 pulmonary segment breathing 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 6 chest extension exercise 4.78 .44 1.00 4.50 5.00 5.00 .09 .25 .90 7 Neck & Spine Movement Techniques 4.78 .44 1.00 4.50 5.00 5.00 .09 .25 .90 8 Active Assisted Stretching Exercises 4.44 .73 .78 4.00 5.00 5.00 .16 .50 .80 Breath
for rehabilitation
muscular strength
Exercise 9 Core exercise with abdominal breathing 4.56 .53 1.00 4.00 5.00 5.00 .12 .50 .80 10 inhale training 4.44 .73 1.00 4.00 4.00 5.00 .12 .50 .75 heart
for rehabilitation
muscular strength
Exercise 11 resistance movement 4.44 .73 .78 4.00 5.00 5.00 .16 .50 .80 cardiopulmonary
endurance 12 lower extremity ergometer exercise 4.67 .50 1.00 4.00 5.00 5.00 .11 .50 .80 13 treadmill exercise 4.78 .44 1.00 4.50 5.00 5.00 .09 .25 .90 14 Cardiovascular exercise 4.89 .33 1.00 5.00 5.00 5.00 .07 .00 1.00 education 15 guardian education
(Aerobic exercise and self-assisted coughing) 4.89 .33 1.00 5.00 5.00 5.00 .07 .00 1.00 arbitration area Average 4.66 .23 .97 4.30 4.93 5.00 .11 .35 .86

For example, the content of each arbitration item with respect to <Table 1> may be expressed as follows, but is not limited thereto.

(1) Air stacking exercise or manual hyperinflation: Because the lungs and chest chambers inflate insufficiently due to the weakening of the respiratory muscles, and the lungs' expansion power decreases, they must be inflated periodically to maintain the expansion power. do. Instruct the patient to inhale as much air as they can inhale, and then inject as much air as possible through the mouthpiece or nose or mouth mask without exhaling.

(2) Manually assisted cough: After inhaling the maximum amount of air that the patient can inhale by himself, the patient is made to cough as vigorously as possible, and at the same time, it helps to strengthen the cough by pushing the stomach.

(3) Cough aid (Mechanical insufflator-exsufflator): Similar to a vacuum cleaner, a cough aid using mechanical suction is used.

(4) Noninvasive intermittent positive pressure ventilation: In patients with neuromuscular disease, the partial pressure of carbon dioxide is generally 45 mmHg or more, or the oxygen saturation is 88% or less at night for 5 consecutive minutes or more, or the maximum inspiratory pressure is less than 60 cmH2O, or If the forced lung capacity is less than 50%, artificial respiration assistance is required.

(5) Segmental breathing: This is a method of expanding the lung segments in a low ventilation state for local ventilation disorders.

(6) Chest expansion exercise: A whole-body exercise technique that combines deep breathing and vigorous movement of the trunk and limbs to control the rate of inhalation and expiration, improve mobility of the rib space, relax stiff connective tissue, and strengthen the pectoralis muscle. , is a more specific intervention method because it relaxes soft tissues such as the intercostal muscles.

(7) Cervical & Thoracic mobilization: By applying passive traction and gliding motion to the articular surface, the built tissue is stretched to restore normal range of motion, and normal movement of the damaged joint is promoted. , to facilitate the supply of nutrients. Therefore, the movement technique of the cervical vertebrae and the spine can solve the problem of inefficient ventilation due to the malfunction of the chest pump.

(8) Active assisted stretching exercise: Divided into 4 zones: neck, upper thoracic, pectoralis major, and lateral chest, it is performed to stretch the respiratory muscles.

(9) Core exercise combined with abdominal breathing: After pulling the chin in a lying position, press the ribs dorsally and pull the pelvis toward the navel to start in a position where the pectoralis major contracted. After inhaling deeply, the diaphragm is pushed down and the abdomen is pushed forward, creating a partial vacuum in the chest and allowing air to enter.

(10) Inspiratory muscle training: This is performed for the purpose of strengthening the inspiratory muscle strength and endurance using small tools such as power breathe, incentive spirometry, and threshold IMT. In addition, IMT has a reduction in dyspnea and a high tolerance to exercise, which means that the ability to carry out daily activities is further improved.

(11) Resistance training: As a method of strength training for cardiac rehabilitation, it is performed using a device after aerobic exercise. 7 movements (2 sets, 12-15 repetitions/session, 20 minutes) of knee extension, hamstring curl, seated chest press, pull over, shoulder press, biceps curl and triceps extension or hip flexion and extension, knee extension and flexion, Seven movements of dorsal and plantar flexion and leg press (A total of 3 sets of 8 repetitions, target training load of 80% of one repetition maximum were performed for each exercise) may be included.

(12) Lower extremity ergometer exercise (L/E ergometer exercise): It compensates for the problem of fall risk of stroke patients and helps patients to move their lower extremities more quickly, thereby improving heart rate and energy consumption. When walking for 60 minutes at a speed of 6 km per hour for a general adult (weight 70 kg), energy consumption is about 283 kcal (3.8 METs), and the lower extremity cycle ergometer consumes about 310 kcal (4.2 METs) with a load of 50 watts. Therefore, it is a safer and more effective exercise intensity intervention method to reach the target energy expenditure for stroke patients.

1) for 30 minutes per session, three times per week for 8 weeks. The intensity of the cycling was targeted between 10(light) and 15(hard or heavy) on the Borg scale of rating of perceived exertion(RPE).

(13) Treadmill exercise: It is one of the aerobic exercises commonly used for stroke patients, and is actually a method used in many countries as an exercise guide for patients.

(14) Aerobic exercise: applied according to the principle of FITT

1) Frequency: 2∼5x/week for 4weeks to 6months(common 3x/week)

2) Intensity

go. Low intensity [40% HR reserve, 64% HR max or 12 RPE (6-20 scale)]

me. Moderate intensity [40∼59% HR reserve, 64∼76% HR max, 12∼13 RPE(6∼20scale)]

all. High intensity [60∼84% HR reserve, 77∼93% HR max, 14∼16 RPE (6∼20 scale)]

3) Time: for 20-60 min per session or several 10 min bouts of exercise per day

4) Type: Aerobic activity using a treadmill, cycle ergometer, and recumbent stepper

(15) Patient and guardian education: Education on aerobic exercise and self-assisted coughing should be provided.

In one embodiment, after the modified Delphi survey, if the content validity ratio (CVR) value is less than a threshold value (eg, 0.78), the corresponding cardiorespiratory physiotherapy intervention item is excluded and the final multiple cardiac Respiratory physiotherapy intervention items can be determined and saved in advance.

In this case, the content validity value can be expressed as in Equation 1 below.

Here, N _e is the number of participants for which the item is considered suitable, and N is the total number of participants.

In an embodiment, at least one cardiorespiratory physiotherapy intervention item matching the questionnaire information and basic physical examination information among a plurality of pre-stored cardiorespiratory physiotherapy intervention items can be determined according to the pre-stored cardiorespiratory therapy-related literature information. there is.

In an embodiment, prior to step S103, literature information related to cardiorespiratory physical therapy may be determined, and details thereof will be described in FIG. 2 .

2 is a diagram illustrating a method for determining literature information related to cardiorespiratory physical therapy according to an embodiment of the present invention.

Referring to FIG. 2 , step S201 is a step of acquiring a domestic literature database and a foreign literature database related to cardiorespiratory physical therapy.

Step S203 is a step of selecting documents excluding overlapping documents from among the domestic and foreign document databases.

Step S205 is a step of extracting documents excluding documents not related to cardiorespiratory physiotherapy among documents excluding the overlapping documents based on the abstract and title.

In an embodiment, by analyzing keywords of the abstract and the title, it is possible to extract documents excluding documents in which the cardiorespiratory physiotherapy relevance score of the keyword is less than or equal to the first threshold value among documents excluding the overlapping documents.

Step S207 is a step of determining documents excluding documents not related to cardiorespiratory physiotherapy among the extracted documents based on the full-text article.

In an embodiment, by analyzing the keywords of the text content, it is possible to determine documents excluding documents in which the cardiorespiratory physiotherapy relevance score of the keyword is less than or equal to the second threshold value among the extracted documents.

Step S209 is a step of generating and storing literature information related to cardiorespiratory physiotherapy by adding documents determined based on the modified Delphi method to the determined documents.

In one embodiment, additional documents in the reference list of the searched articles and other electronic databases may be further added to generate cardiorespiratory physiotherapy-related literature information.

In an embodiment, the finally determined literature information related to cardiorespiratory physical therapy may include at least one of domestic literature information, foreign literature information, and literature information based on a modified Delphi survey.

In an embodiment, literature information related to cardiorespiratory physiotherapy may be analyzed according to PICO-SD (Participants, Intervention, Comparisons, Outcomes, Study Design).

3 is a diagram illustrating a functional configuration of an intervention decision apparatus 300 for cardiorespiratory physiotherapy of a patient according to an embodiment of the present invention.

Referring to FIG. 3 , the arbitration decision apparatus 300 may include an acquisition unit 310 , a control unit 320 , and a storage unit 330 .

The acquisition unit 310 may acquire the patient's questionnaire information and basic physical examination information. In an embodiment, the acquiring unit 310 may include a communication unit, and in this case, the communication unit may include at least one of a wired communication module and a wireless communication module. In addition, all or part of the communication unit may be referred to as a 'transmitter', 'receiver', or 'transceiver'.

The controller 320 is configured to control at least one cardiorespiratory physiotherapy corresponding to a patient from among a plurality of pre-stored cardiorespiratory physiotherapy intervention items, based on the questionnaire information and basic physical examination information, according to the pre-stored cardiorespiratory physiotherapy related literature information. You can decide on treatment interventions.

In an embodiment, the control unit 320 may include at least one processor or microprocessor, or may be a part of the processor. Also, the controller 320 may be referred to as a communication processor (CP). The controller 320 may control the operation of the arbitration decision apparatus 300 according to various embodiments of the present disclosure.

The storage unit 330 may store the patient's questionnaire information. Also, the storage unit 330 may store basic physical examination information of the patient. Also, the storage unit 330 may store document information related to cardiorespiratory physical therapy. Also, the storage unit 330 may store a plurality of cardiorespiratory physical therapy intervention items.

In an embodiment, the storage unit 330 may be configured as a volatile memory, a non-volatile memory, or a combination of a volatile memory and a non-volatile memory. In addition, the storage unit 330 may provide stored data according to the request of the control unit 320 .

Referring to FIG. 3 , the arbitration decision apparatus 300 may include an acquisition unit 310 , a control unit 320 , and a storage unit 330 . In various embodiments of the present invention, the arbitration decision apparatus 300 is not essential to the configurations described in FIG. 3, so it may be implemented as having more configurations than the configurations described in FIG. 3, or having fewer configurations. there is.

The above description is merely illustrative of the technical spirit of the present invention, and various changes and modifications may be made by those skilled in the art without departing from the essential characteristics of the present invention.

Accordingly, the embodiments disclosed in the present specification are not intended to limit the technical spirit of the present invention, but to illustrate, and the scope of the present invention is not limited by these embodiments.

The protection scope of the present invention should be interpreted by the claims, and all technical ideas within the scope equivalent thereto should be understood to be included in the scope of the present invention.

300: arbitral decision unit
310: acquisition unit
320: control unit
330: storage

Claims (12)

A method of operating an intervention decision device for cardiorespiratory physiotherapy in a patient, the method comprising:
(a) acquiring the patient's questionnaire information and basic physical examination information by the acquisition unit of the intervention determination device; and
(b) according to the document information related to cardiorespiratory physiotherapy stored in advance by the control unit of the intervention decision device, based on the questionnaire information and basic physical examination information determining a corresponding at least one cardiorespiratory physiotherapy intervention item;
including,
The plurality of pre-stored cardiorespiratory physiotherapy intervention items are excluded from the cardiorespiratory physiotherapy intervention items corresponding to the case where the content validity ratio (CVR) value is less than the threshold value,
A method of operation of an intervention decision device for cardiorespiratory physiotherapy in a patient.
According to claim 1,
The patient's questionnaire information is,
Containing at least one of the patient's basic condition information and the patient's target health information,
A method of operation of an intervention decision device for cardiorespiratory physiotherapy in a patient.
According to claim 1,
The patient's basic physical examination information is
including at least one of body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, maximum flow rate, lung function test information, motor function test information, respiration rate, and ventilation rate per minute;
A method of operation of an intervention decision device for cardiorespiratory physiotherapy in a patient.
According to claim 1,
Before step (b),
acquiring, by the control unit, a domestic literature database and a foreign literature database related to cardiorespiratory physical therapy;
selecting, by the control unit, documents excluding overlapping documents from among the domestic and foreign document databases;
By the controller, keywords of abstract and title are analyzed, and among documents excluding the overlapping documents, documents in which the cardiorespiratory physiotherapy relevance score of the keyword is less than or equal to the first threshold value is excluded. extracting documents;
analyzing, by the control unit, a keyword of a full-text article to determine documents excluding documents in which a cardiorespiratory physiotherapy relevance score of the keyword is less than or equal to a second threshold value among the extracted documents; and
adding, by the control unit, documents determined based on a modified Delphi method to the determined documents, generating and storing the document information related to cardiorespiratory physiotherapy;
further comprising,
A method of operation of an intervention decision device for cardiorespiratory physiotherapy in a patient.
According to claim 1,
The pre-stored plurality of cardiorespiratory physical therapy intervention items are determined based on the modified Delphi method,
A method of operation of an intervention decision device for cardiorespiratory physiotherapy in a patient.
According to claim 1,
The step (b) is,
At least one cardiorespiratory physiotherapy intervention matching the questionnaire information and basic physical examination information among the plurality of prestored cardiorespiratory physiotherapy intervention items according to the pre-stored cardiorespiratory physiotherapy related literature information by the control unit determining an item;
containing,
A method of operation of an intervention decision device for cardiorespiratory physiotherapy in a patient.
an acquisition unit for acquiring the patient's questionnaire information and basic physical examination information; and
At least one cardiorespiratory physiotherapy intervention item corresponding to the patient from among a plurality of pre-stored cardiorespiratory physiotherapy intervention items based on the questionnaire information and basic physical examination information according to the pre-stored cardiorespiratory physiotherapy related literature information a control unit to determine;
including,
The plurality of pre-stored cardiorespiratory physiotherapy intervention items are excluded from the cardiorespiratory physiotherapy intervention items corresponding to the case where the content validity ratio (CVR) value is less than the threshold value,
Intervention decision-making device for cardiorespiratory physiotherapy in patients.
8. The method of claim 7,
The patient's questionnaire information is,
Containing at least one of the patient's basic condition information and the patient's target health information,
Intervention decision-making device for cardiorespiratory physiotherapy in patients.
8. The method of claim 7,
The patient's basic physical examination information is
including at least one of body mass index (BMI), blood pressure, respiration rate, body temperature, pulse, oxygen saturation, maximum flow rate, lung function test information, motor function test information, respiration rate, and ventilation rate per minute;
Intervention decision-making device for cardiorespiratory physiotherapy in patients.
8. The method of claim 7,
The control unit is
Obtaining the domestic and foreign literature databases related to cardiorespiratory physical therapy,
Selecting documents excluding overlapping documents among the domestic and foreign literature databases,
By analyzing the keywords of the abstract and the title, the documents excluding the documents in which the cardiorespiratory physiotherapy relevance score of the keyword is less than or equal to the first threshold value is extracted from among the documents excluding the overlapping documents,
By analyzing the keywords of the full-text article, among the extracted documents, the documents excluding the documents in which the cardiorespiratory physiotherapy relevance score of the keyword is less than or equal to the second threshold value is determined;
By adding the documents determined based on the modified Delphi method to the determined documents, to generate and store the document information related to cardiorespiratory physiotherapy,
Intervention decision-making device for cardiorespiratory physiotherapy in patients.
8. The method of claim 7,
The pre-stored plurality of cardiorespiratory physical therapy intervention items are determined based on the modified Delphi method,
Intervention decision-making device for cardiorespiratory physiotherapy in patients.
8. The method of claim 7,
The control unit is
Determining the at least one cardiorespiratory physiotherapy intervention item matching the questionnaire information and basic physical examination information among a plurality of pre-stored cardiorespiratory physiotherapy intervention items according to the pre-stored cardiorespiratory physiotherapy related literature information,
Intervention decision-making device for cardiorespiratory physiotherapy in patients.

Images