TW202242908A - Analysis support program, analysis support method and analysis support system capable of objectively and systematically clarifying the condition of a subject without causing variations due to the knowledge or experience of an examiner who examines elderly people - Google Patents

Abstract

The present invention provides an analysis support program or the like which can objectively and systematically clarify the condition of a subject without causing variations due to the knowledge or experience of an examiner who examines elderly people. The analysis support program enables the computer to perform the following steps: an acquisition step of acquiring the subject's answers to the questions related to life functions; a classification step of classifying the answers into six categories classified by the International Classification of Functioning, Disability and Health, including health status, physical and mental functions, activity, participation, environmental factors and personal factors; and a display step of displaying the answers classified by the category on the monitor by the category.

Description

Analysis support program, analysis support method and analysis support system

The present invention relates to an analysis support program, analysis support method and analysis support system.

In order to enable the target person such as the elderly to carry out daily life independently, the care supporter interviews the target person, analyzes the living situation, selects issues related to life behavior, or proposes suggestions for overcoming the above-mentioned issues. In addition, the nursing service support device disclosed in Patent Document 1 provides information on service providers that meet the needs of the supporter in need based on the input of information on the supporter in need of support. [Prior art literature] [Patent Document]

[Patent Document 1] Japanese Patent Laid-Open No. 11-53455

[Problem to be Solved by the Invention]

As a method of objectively and systematically clarifying the state of the object person based on answers collected through hearings and the like in the evaluation, there is known a method based on the International Classification of Functioning, Disability and Health (ICF ) classification derived from the living function model. ICF is used to understand the concept of human health status and factors affecting health selected by the World Health Organization (WHO) in 2001. Specifically, it classifies the status of human life functions into six categories: Category (health status, physical and mental functioning, activity, participation, environmental factors, personal factors).

In the current evaluation, the task of classifying the collected responses into ICF categories is entrusted to the examiner who performs the assessment, so the classification result may be biased by the examiner's knowledge or experience.

The present invention is made to solve such a problem, and provides an analysis support program and the like that can objectively and systematically visualize the state of the subject without causing deviation due to the examiner's knowledge or experience. [Means to solve the problem]

The analysis support program in the first embodiment of the present invention causes the computer to execute the following steps: an obtaining step of obtaining the subject's answers to questions related to living functions; a classifying step of classifying the answers into categories classified by the International Classification of Functioning, Disability, and Health (International Classification of Functioning, Disability and Health, ICF) six categories of health status, physical and mental function, activity, participation, environmental factors, and personal factors; and the display steps, the answers classified according to the categories will be displayed according to the categories on the display.

Through such a procedure, the examiner as a user can thereby stably observe the state of the subject as a whole regardless of his own knowledge or experience. As a result, the state of the subject obtained by the evaluation can be analyzed and evaluated regardless of the examiner's knowledge or experience, and thus the quality of the evaluation can be improved. As a side effect, by recognizing the classified results, the examiner can grasp which category of the ICF classification is correlated with each answer obtained through the hearing or the like.

In the analysis support program, the display step may clearly display which of positive evaluation, negative evaluation, and reference information each answer classified by category belongs to among the classified categories. By such a display, the at-a-glance property of the display results can be further improved.

In addition, the analysis support program may cause the computer to execute a receiving step of receiving and writing characteristic items related to subjects by category in the displaying step, and the displaying step may additionally display the characteristic items received in the receiving step in a list. As described above, even for items that do not match the answers of the automatic classification, as long as information obtained through hearings and the like can be added, the state of the subject can be made more systematic.

In addition, in the analysis support program, even when an instruction is received from the user before all the answers are obtained in the obtaining step, the display step may display the answers classified by category by the classifying step so far. , displayed on the display according to category. As described above, even in the midway stage, if the list of ICF classifications is displayed, the examiner can confirm, for example, how to classify the currently input answers even during the evaluation, so that it is possible to modify the plan for the subsequent hearing or understand the question. significance.

In addition, in the analysis support program, the display step may display the answers by categories together with the attribute information attached to the questions. This display allows the examiner to easily determine which UI screen to call when calling up a user interface (UI) screen for reviewing detailed questions after confirming the display of each category.

The analysis support method in the second embodiment of the present invention is an analysis support method using an analysis support system, which includes: an obtaining step of obtaining the subject's answers to questions related to living functions by the obtaining part; and a classification step of obtaining by the classification The Department classifies the responses into six categories of health status, physical and mental function, activity, participation, environmental factors, and personal factors classified by the International Classification of Functioning, Disability and Health; Answers are displayed on the monitor by category.

In addition, the analysis support system in the third embodiment of the present invention includes: an obtaining part that obtains the subject's answers to questions related to living functions; Six categories of health status, physical and mental function, activity, participation, environmental factors, and personal factors; and the display control unit displays the answers classified according to the categories on the monitor according to the categories.

Also in the second and third embodiments, the examiner can stably observe the state of the subject as a whole regardless of his skill. [Effect of the invention]

According to the present invention, it is possible to provide an analysis support program or the like that can objectively and systematically visualize the state of a subject without causing a deviation due to the examiner's knowledge or experience.

Hereinafter, the present invention will be described through embodiments of the invention, but the invention within the scope of the claims is not limited to the following embodiments. In addition, not all the configurations described in the embodiments are necessarily essential as technical means for solving the problems.

FIG. 1 is a diagram showing a state of using the analysis support system of this embodiment. The analysis support system of this embodiment can be realized by the analysis support server 100 , or the analysis support terminal 300 , or both of the analysis support server 100 and the analysis support terminal 300 . The analysis support server 100 is connected to a network 900 such as the Internet, and exchanges information or instructions with the analysis support terminal 300 , which is a tablet terminal of an examiner who is a user of the analysis support system, via the network 900 and wireless unit 910 . The wireless unit 910 is a wireless communication device installed in the environment of the utilization analysis support terminal 300 , such as a wireless area network (Local Area Network, LAN) device.

Hereinafter, an example will be described in which the analysis support terminal 300 performs display control of information presented to the examiner, acquisition control of the subject's answer, and the like. The analysis support program executed in the analysis support terminal 300 obtains information required for processing from the analysis support server 100 or receives instructions from the analysis support server 100 as needed. In addition, the display control and acquisition control described below may be an embodiment in which the analysis support server 100 operates the analysis support terminal 300 through remote control, or may be performed by the analysis support server 100 and the analysis support terminal according to processing. 300 is an implementation manner of collaborative execution.

The analysis support system of this embodiment is to support the following evaluation: In order for the subject to carry out daily life independently, the examiner interviews the subject, analyzes the living conditions, and makes the subject's state objective and systematic. change. Here, the examiner is usually a person with professional knowledge such as a nursing supporter, a physical therapist, a nursing specialist, or a nurse. The test subjects can be assumed to be people who are anxious about independent daily life, such as elderly people or disabled people. The examiner conducts a hearing on the examinee according to the questions displayed on the analysis support terminal 300 , obtains analysis and evaluation results, and can propose suggestions required by the examinee or formulate a support plan. In the present embodiment, as an example of the analysis and evaluation results, among the answers obtained in the hearing, the targeted answers are classified into ICF categories and displayed on the display of the analysis support terminal 300 . The configurations of the analysis support server 100 and the analysis support terminal 300 that realize such a display, examples of user interface (UI) screens, and processing procedures will be described in order.

FIG. 2 is a main hardware configuration diagram of the analysis support server 100 . The analysis support server 100 mainly includes a system control unit 110 , a communication unit 140 , and a memory device 150 . In this embodiment, a display monitor 120 and an input unit 130 are also included in order to allow the user to directly perform operations such as inputting information and updating programs to the analysis support server 100 .

The system control unit 110 is a processor (central processing unit (Central Processing Unit, CPU)) that performs control of the analysis support server 100 and program execution processing. The processor can be an application specific integrated circuit (Application Specific Integrated Circuits, ASIC) Or graphics processing unit (graphics processing unit, GPU) and other computing processing chips combined structure. Display monitor 120 is, for example, a monitor that includes a liquid crystal panel, such as the personal information of the subject or sent from the analysis support terminal 300 Analysis and evaluation results are displayed visually. The input unit 130 is, for example, a keyboard or a mouse, and receives input for overall management of personal information of multiple subjects.

The communication unit 140 is responsible for the connection with the network 900 and the exchange of data with the analysis support terminal 300, and includes LAN, for example. The communication unit 140 exchanges instructions or information with the network 900 according to the control of the system control unit 110 .

The storage device 150 is a non-volatile storage medium, such as including a hard disk drive (Hard Disk Drive, HDD). The memory device 150 stores not only programs for executing control or processing of the analysis support server 100, but also various parameters used for control or calculation, personal information of subjects registered as users, and the like. The memory device 150 particularly includes an assessment information database 151 (hereinafter referred to as “assessment information DB 151 ”) and a classification table database 152 (hereinafter referred to as “category table DB 152 ”).

The evaluation information DB 151 is a database for storing past evaluation information or collected and analyzed evaluation information. In addition, questions related to life functions, their options, and the like are also stored. In addition, although detailed explanations will be given below, for each life behavior stipulated by the activities of daily living (ADL) and instrumental activities of daily living (IADL), the element process or each element is defined. A tree structure of task candidates related to processes, and a relational table in which candidates for obstacle factors of a task generating task candidates are collected are also stored as a part of the question and its options.

The classification table DB 152 specifies and summarizes the answers of the assumed subjects into one of the six categories of health status, physical and mental function, activity, participation, environmental factors, and personal factors classified by the ICF. Table-structured database. Various forms can be used for the table structure, but in the present embodiment, it is defined which of the six categories the answers are classified into for each question prepared in advance related to living functions. Specifically, it is possible to define which category the answers are classified into for each question, or to classify the answers to the questions in the same category for a specific question group. As a specific question group, for example, it is conceivable to assign the same attribute information to a group of questions in advance. In the present embodiment, it will be described in detail below, and each element process related to the evaluation of the living function or each element process related to the living behavior can be used as the "attribute". As described above, if attribute information is assigned to a question, it can be defined that answers to questions assigned a certain attribute information are all classified into the same category.

In addition, when the answer is an answer that is an object of judgment, such as promoting or suppressing the maintenance or improvement of the subject's state, the conditions for evaluating affirmative, the condition for evaluating negative, and how to It is specified by displaying the content related to the answer. On the other hand, when the answer is used as reference information on the state of the subject, conditions for handling it as reference information and content related to how to display the answer are specified. In addition, the memory device 150 may not be composed of a single piece of hardware, for example, the storage medium for storing programs and the storage medium for storing databases may be formed of different hardware.

FIG. 3 is a main hardware configuration diagram of the analysis support terminal 300 . The analysis support terminal 300 mainly includes a terminal control unit 310 , a display panel 320 , a touch panel 330 , a communication unit 340 , and a memory unit 350 . The terminal control unit 310 is a processor (CPU) that performs control of the analysis support terminal 300 and program execution processing. The processor can be a structure made of computing processing chips such as ASIC (Application Specific Integrated Circuit) or GPU (Graphics Processing Unit). The terminal control unit 310 executes various processes in accordance with instructions from the analysis support program. Specifically, in addition to the processing described below, processing related to the analysis and evaluation of the subject is executed based on information or instructions transmitted from the analysis support server 100 .

The display panel 320 is an example of a display, and includes, for example, liquid crystal, and visually displays a user interface screen generated in the terminal control unit 310 or a moving image explaining a usage method. Touch panel 330 is an input device that overlaps display panel 320 and generates an input signal corresponding to the position and movement of a touched fingertip. For example, receiving operations such as clicking, sliding, and zooming.

The communication unit 340 is responsible for the connection with the network 900 and the data exchange with the analysis support server 100 , including wireless LAN, for example. The communication unit 340 exchanges instructions or information with the wireless unit 910 connected to the network 900 according to the control of the terminal control unit 310 .

The storage unit 350 is a non-volatile storage medium, such as a solid state hard disk. The storage unit 350 stores not only programs for executing control or processing of the analysis support terminal 300 but also various parameter values used for control or calculation. In particular, the classification table 351 downloaded from the classification table DB 152 of the analysis support server 100 and generated according to the subject to be inspected is temporarily stored. For example, when the classification table DB 152 includes a classification table for the elderly and a classification table for the young, if the subject is an elderly person, the terminal control unit 310 downloads the classification table for the elderly from the classification table DB 152. And the classification table 351 is constructed. Also, when the classification table DB 152 does not include a plurality of classification tables corresponding to the properties of the subject, the terminal control unit 310 may download the entire classification table DB 152 as the classification table 351 as it is. In addition, in this embodiment, an example in which the classification table 351 is constructed and the classification process is executed is described, but it is also possible to transmit the answer that becomes the classification object to the analysis support server 100, and the analysis support server 100 executes the above-mentioned What kind of category the answer is classified into, etc. are processed. In this case, the analysis support terminal 300 only needs to receive the processing result of the analysis support server 100 and display it on the display panel 320 .

The terminal control unit 310 also functions as a functional calculation unit that executes various calculations based on the processing instructed by the analysis support program. In particular, the terminal control unit 310 can function as an acquisition unit 311 , a reception unit 312 , a classification unit 313 , and a display control unit 314 . With regard to the specific calculation processing of these functional calculation units, after explaining the concept of the processing of classifying the responses of the subjects according to the ICF classification, they will be sequentially displayed through an example of the UI screen displayed on the display panel 320 of the analysis support terminal 300 . Be explained.

FIG. 4 is a diagram showing the concept of a process in which the classification unit 313 classifies the answers of the subjects according to the ICF classification. In this embodiment, assessments related to living functions are mainly divided into "basic examination", "health", "basic movement", "ADL", "IADL", "nutrition", and "oral cavity". For example, Activities of Daily Living (ADL) is the minimum necessary life movements for people to carry out daily life, and it is a concept including walking, excreting, eating, bathing, changing clothes and other living behaviors. Instrumental Activities of Daily Living (IADL) is a concept that includes ADL and life behaviors such as cleaning, washing, shopping, and cooking, which are complex and highly complex daily living actions. The examiner calls up questions prepared for each division, and conducts a hearing on the examinee based on the questions.

The examiner inputs the subject's answer obtained through the hearing into the analysis support terminal 300 . The input of the answer is basically realized by selecting an option displayed next to the question or entering text into the input box. The obtaining unit 311 receives the input answer, and stores the answer in association with the question.

As a method of objectively and systematically clarifying a subject's state based on collected responses in evaluation, classification using a living function model of ICF (International Classification of Functioning, Disability and Health) is known. ICF is a concept used to understand people's health status and factors that affect health. Specifically, it divides the status of people's life functions into six categories (health status, physical and mental functions, activities, participation, environmental factors, personal factor). It is easy for the examiner to understand the state of the subject objectively and systematically by arranging and displaying the targeted answers among the collected answers according to each category of the ICF.

Therefore, the classification unit 313 reads the target answer among the answers stored in the storage unit 350 in association with the question by the acquisition unit 311 , and classifies it into at least one of the six categories with reference to the classification table 351 . As described above, the classification table 351 specifies which of the health status, physical and mental function, activity, participation, environmental factor, and personal factor to classify the response of the assumed subject into each of the ICF-classified categories. "Health status" refers to various health problems that cause or affect disease, trauma, pregnancy, aging, stress, etc. "Physical and mental functions" refer to bodily or mental functions directly related to the maintenance of life. "Activities" are all behaviors necessary for life, and are related to life behaviors. "Participation" refers to roles, ways of relating, or participation in a family or society. "Environmental factors" refer to factors in the material environment, human environment, and social environment in life. "Individual factor" refers to a characteristic inherent in the individual person of the subject.

The display control unit 314 arranges and displays the classified answers according to each category of the ICF on the display panel 320 . A specific example of these series of processes will be described by showing a number of UI screens.

FIG. 5 is an example of a UI screen showing a situation of receiving answers to basic questions related to daily life. More specifically, it is a case where the input operation of the information on the subject who is the examination object is completed and the UI screen immediately after the evaluation related to the "basic examination" is started.

The display control unit 314 mainly displays on the display panel 320 a subject name 501 , an evaluation button 511 , an ICF button 512 , a command button 513 , a question 521 related to "basic examination", and various Ask the corresponding option 522. The evaluation button 511 is a selectable button provided corresponding to each evaluation related to the living function ("basic examination", "health", "basic movement", "ADL", "IADL", "nutrition", "oral") classified in the above-mentioned manner . The reviewer can start the evaluation by clicking any evaluation button 511 . The figure shows the case where "Basic inspection" is selected.

The ICF button 512 is a button for switching the input answers to display classified by each category of ICF (hereinafter referred to as “ICF category display”). The examiner can switch to the ICF classification display by clicking the ICF button 512 even after all the evaluations are completed, even in the middle of an evaluation related to a certain living function. The command button 513 is provided with "Back", "Temporary Save", and "End", and the examiner can execute each command. Specifically, if you click "Return", you can return to the input screen for inputting the subject's information; if you click "Temporarily Save", you can store the operation history before the time point in the memory; if you click "End", , then the processing of the evaluation may end.

A plurality of selected questions 521 related to living functions and an option 522 corresponding to each question 521 are displayed side by side in a lower area of the evaluation button 511 and the ICF button 512 arranged horizontally. In the example in the figure, 5 questions of "basic life function" prepared as item No. 1, 3 questions of "motor function" prepared as item No. 2, and The options "Yes" and "No" corresponding to each question. For example, "06. Do you not hold on to the handrail or the steps on the wall" as the question 521 and "0. Yes" and "1. No" as the options 522 are displayed in a row horizontally. Questions of the "basic examination" are in accordance with the basic examination checklist recommended by the Japanese Ministry of Health, Labor and Welfare to self-government organizations or business owners as a form for grasping or checking the daily life of the subject. However, the questions used in this embodiment are not limited to the basic inspection items recorded in the form.

The examiner confirms the displayed question, asks the question so that the examinee can easily answer it, and listens to the answer. That is, the examiner changes the way of asking questions or adjusts the tone of voice according to the characteristics of the subject. The examiner clicks one of the options 522 according to the listened content. The obtaining unit 311 receives the clicked position signal from the touch panel 330 , obtains an option corresponding to the position and stores it in the memory unit 350 . The display control unit 314 displays the answer mark 531 superimposed on the selected option. The answer sign 531 is, for example, a rectangle surrounding options as shown in the figure, but as long as the checker can distinguish from other options and visually confirm that the option is selected, it can also be other signs or marks, or the option The implementation of string enlargement highlighting etc. In addition, the figure shows the case where the examiner clicked the option "1. No" of the question "04. Do you want to visit a friend's house?"

A scroll mark 591 indicating that the screen is updated by further continuation of the question is displayed on the lower part of the screen. After the inspector clicks the scroll mark 591, the screen can be changed to the next question group. Of course, as long as it is recognized that the question group is continuing, the scrolling sign 591 may also be other display signs such as scrolls in the up and down direction.

FIG. 6 is an example of a UI screen showing a state of receiving answers to questions about health information. After the examiner clicks "Health" in the evaluation button 511, the evaluation related to "Health" can be started. The figure shows a case where the "disease information" of the subject is displayed as a question, and the set input items are input by the examiner based on the content heard from the subject.

Specifically, when the examiner clicks the add button 532, a new input window 540 is opened, and the input of input items is enabled. The input window 540 includes the "year and month" of the onset of the disease, the "disease name" of the disease, the "medical institution, doctor's name" received, the current state, that is, "pass", specific "content", current The input box 541 of each item of "taking medicine" continuously. The examiner inputs text into the input box 541 using a soft keyboard (not shown) or a keyboard connected to the analysis support terminal 300 . In addition, the content to be input is not limited to the content heard from the subject, and may be input by referring to the subject's personal information stored in the memory device 150 of the analysis support server 100 , for example. The checker clicks the OK button 595 to confirm the input. The obtaining unit 311 obtains the determined text as an answer to the disease information, and stores it in the memory unit 350 . On the other hand, when the checker clicks the cancel button 596, the input so far can be discarded.

FIG. 7 is an example of a UI screen showing a situation of receiving answers to questions about basic body movements. After the examiner clicks the "basic action" in the evaluation button 511, the evaluation related to the "basic action" can start. The UI screen of "Basic Action" is similar to the UI screen of "Basic Inspection", and a plurality of questions 521 and options 522 corresponding to each question 521 are displayed in a row below the evaluation button 511 and the ICF button 512 arranged horizontally.

Here, option 522 is not "yes" and "no", but options corresponding to questions are prepared. For example, for “01. Duration” which is a question about “standing on one leg”, three options of “less than 5 seconds”, “5 to 10 seconds” and “more than 10 seconds” are prepared as options 522 . After receiving from the touch panel 330 the position signal that the examiner clicked "less than 5 seconds", the obtaining part 311 obtains the content as an answer corresponding to the question of "standing on one leg - duration", and stores it in the memory part 350 .

FIG. 8 is an example of a UI screen showing a state of receiving an answer in living behavior assessment. The life behavior assessment is divided into "ADL" and "IADL" assessments, both of which collect answers through the same UI screen, so here we use "IADL" as an example to explain. After the examiner clicks "IADL" in the evaluation button 511, the evaluation related to "IADL" can start. On the UI screen of "IADL", the living behavior group 550 , the element process group 560 , the subject group 570 , and the hindrance factor group 580 are displayed side by side in the lower area of the evaluation button 511 and the ICF button 512 arranged horizontally.

As described above, the evaluation information DB 151 stores a tree structure of subject candidates in which element processes are defined or associated with each element process based on each living behavior prescribed by ADL and IADL. In addition, it is possible to presume that the candidate of the obstacle factor which is the main cause of the subject generating these subject candidates is prescribed|regulated in the form of the association table which associates with a tree structure. The terminal control unit 310 obtains the tree structure and the relation table from the evaluation information DB 151 when starting these evaluations.

The elemental process is a step-by-step element that should be executed sequentially in order to complete the above-mentioned living activities according to each living activity stipulated by ADL and IADL. For example, for “cleaning” as a daily activity, elemental processes of “retrieving tools”, “preparing tools”, “moving to target place”, “changing posture”, “cleaning”, “restoring posture”, and “organizing tools” are associated. The problem candidate is a candidate that is expected to hinder the execution when each element process is executed. For example, subject candidates such as "can't understand dirty places", "don't know how to use tools" and "can't take a stable standing posture" are related to "cleaning" which is an elemental process. Candidates for the main causes of these subject candidates are relatively common, such as "decreased trunk muscle strength", "decreased muscle strength or extensibility", "limited joint range of motion", "decreased finger dexterity"" Decreased cognitive function", "decreased vigor and motivation", and "decreased stamina" were candidates for the obstructive factors.

In FIG. 8 , in a living behavior group 550 , a plurality of living behaviors 551 represented by computer graphics (CG) combining text and illustrations are arranged in a row along the vertical direction. In FIG. 8 , a case where the living action 551 of "cleaning" is clicked and selected is shown. In the element process group 560, the element process 561 of the selected "cleaning" is surrounded by a frame and arranged vertically. The return mark 592 displayed on the upper end of the element process group 560 indicates that there is an element process sorted before "1-02 preparation tool". When the checker slides the element process group 560 downward or clicks the return mark 592, the "1-01 Retrieval Tool" which is not displayed can be displayed. Here, when the inspector clicks "1-05 Clean" which is one of the element steps 561, the display control unit 314 switches to a UI screen showing a subject candidate group corresponding to the element step.

FIG. 9 is an example of a switched UI screen, specifically, an example of a UI screen showing that designation of a subject candidate is received. The display control unit 314 refers to the obtained tree structure, and displays "can't understand dirty place", "does not know how to use tool", "can't take a stable standing posture", "can't" as subject candidates branched from "cleaning". Getting down", "Unable to sit on the ground", "Unable to flexibly use upper body", "Unable to flexibly use fingers", "Unable to reach far". Specifically, the display in FIG. 8 is grayed out, the problem checking window 573 is superimposed on it, and these problem candidates are displayed side by side in the window. A check box 542 is arranged at the beginning of each subject candidate to make it clear to the examiner that selection is possible.

If the examiner clicks, for example, “I do not know how to use the tool” among them, the display control unit 314 changes the check box 542 of the candidate into a check mark 543 . The selection flag 543 is a flag indicating that the subject candidate has been designated.

When one of the subject candidates is clicked by the examiner, the display control unit 314 superimposes and displays (not shown) a factor check window for specifying the main cause of the subject that caused the specified subject candidate, similarly to the subject check window 573 . In the check window for the main cause, the aforementioned obstacle factors such as "decrease in trunk muscle strength" and "decrease in muscle strength or extensibility" are optionally displayed. The display control unit 314 returns to the display of the problem check window 573 shown in FIG. 9 after receiving the designation of the failure factor in the factor check window. As described above, the designation of the subject candidates and the designation of the blocking factors that cause the above-mentioned problems are accepted for each group.

After returning to the display of the subject checking window 573, the examiner can further designate other subject candidates. In such a case, the factor checking window is further opened, and designation of a hindrance factor for a newly designated subject candidate is accepted. When the OK button 595 is clicked on the problem checking window 573, the UI screen of FIG. 8 returns.

Return to the description of FIG. 8 . After specifying the designated topic candidates and obstacle factors as described above, the designated topic 571, which is a topic candidate specified by the topic group 570, is displayed in association with the corresponding element process, as an obstacle specified by the obstacle factor group 580. The designation of the factor hinders the factor 581 to be displayed in association with the element process corresponding thereto.

In addition, the UI screen of FIG. 8 shows the state where the evaluation of "cleaning"→"cleaning" is completed as mentioned above. In the same way, the inspector can also perform evaluations on other element processes 561 connected with “cleaning”, and then can also perform evaluations on other living behaviors 551 after “cleaning” in the same way. With regard to the completed evaluation, the examiner can arrange and list the living behavior 551 , element process 561 , specified subject 571 , and specified obstacle factor 581 to be browsed by clicking or sliding the living behavior group 550 or the element process group 560 .

A series of combinations of these living behavior-element process-designated subject-designated obstacle factor collected and identified from the test subject by the examiner through the hearing is the answer to the evaluation related to the living behavior. The acquisition unit 311 acquires these series of combinations as the subject's answers, and stores them in the memory unit 350 .

FIG. 10 is an example of a list display of answers classified according to each category of ICF. Specifically, in order for the obtaining part 311 to obtain the subject's answers to questions related to living functions in the above-mentioned manner, the examiner then clicks the ICF button 512, and the classification part 313 classifies the currently obtained answers, and the The display control unit 314 displays the UI screen of the obtained result.

The display control unit 314 arranges and displays six category windows 610 corresponding to each category of ICF (health state, physical and mental function, activity, participation, environmental factor, and personal factor) in the lower area of the evaluation button 511 and the ICF button 512 arranged horizontally. . The category window 610 includes a tab page 611 , and the category of the ICF is explicitly indicated in the tab page 611 .

Among the answers obtained by the obtaining unit 311 through evaluation, the answers to be classified are classified by the classifying unit 313 and described in at least one category window 610 . The classification table 351 prescribes how to describe the obtained answers. For example, regarding the disease information obtained through the UI screen of FIG. In other types of windows, in principle, a character string indicating an answer related to which living function and the content of the answer are simply described. Regarding the attribute related to which life function, for example, it is determined based on the title indicating the classification of the information collected by the question, if it is "basic inspection", it is determined as "basic", and if it is "basic action", it is determined. It is determined as "action", if it is "cleaning" for the life behavior in IADL, it is determined as "cleaning". And, for example, when an answer of “less than 500 ml” is obtained for a question about water intake with the attribute of “nutrition”, the classification table 351 classifies the answer as “personal factor” and defines the content of the description at the same time. For "insufficient water intake". That is, the answer of "less than 500 ml" related to water intake is described as "nutrition-insufficient water intake" in the category window 610 of "personal factor" together with the attribute of the question. In this way, the display control unit 314 describes and displays each answer in the category window 610 in accordance with the category classification and description rules of the category table 351 . As described above, by displaying the answer together with the attribute information attached to the question, the examiner can easily determine which UI to call when calling the UI screen for reviewing the detailed question after confirming the display in FIG. 10 screen.

In this embodiment, regarding the answers described in physical and mental functions, activities, participation, environmental factors, and personal factors, it is clearly displayed which category the content belongs to among positive evaluation, negative evaluation, and reference information. Specifically, when the evaluation is positive, a positive icon (P icon) 621 is displayed at the beginning of the answer text, and when the evaluation is negative, a negative icon (N icon) 622 is similarly displayed. In the case of only reference information, an information icon (I icon) 623 is similarly displayed. For example, in the above example, the water intake of "500 ml or less" can be evaluated as insufficient water intake, so it becomes a negative evaluation, and the N icon 622 is attached at the beginning of the evaluation. In addition, when there is a problem of "difficulty sitting on the floor" in the living activity "cleaning", it becomes a negative evaluation as an operator who cannot perform "cleaning" well. Therefore, an N icon is attached at the beginning of "cleaning-difficult to sit on the floor" of the category classified as "activity".

In addition, "Housing: Real estate (single-family)" which is the answer to "Basic Inspection" is not an object for judging whether it is good or bad, so it is only recorded as reference information. Therefore, an I icon 623 is noted at the beginning of "Essential - Residential: Real Estate (Single-Family)" of the category classified as "Environmental Factors". On the other hand, regarding the daily life activity "washing", since there is no designation of subject candidates for any element process, it is considered that the subject can perform the work of "washing" without any problem, and the evaluation is positive. Therefore, "cleaning" classified into the category of "event" does not include a description related to a subject, and a P icon 621 is attached to the beginning thereof. The at-a-glance property of the displayed results can be further improved by displaying such a graphic representation of the evaluation.

As described above, if the attributes of the evaluation of good and bad are displayed together with the answers described in physical and mental functions, activities, participation, environmental factors, and personal factors, the examiner can immediately grasp whether the maintenance of the state of life functions of the subject is promoted, Enhanced information or suppressed information. That is, such a display can further systematically visualize the state of the subject. In addition, as incidental effects, it is possible to divide and analyze the content that maintains the function as an advantage and the content that needs to be studied to improve the function as a problem, so that the efficiency of the analysis can be realized.

When the examiner clicks the expansion mark 593, the display control unit 314 expands the category window 610 in the vertical direction, and displays the previously hidden answers. The expansion mark 593 is displayed at the left end of each column. For example, when the examiner clicks the expansion mark 593 displayed at the left end of the columns of "Environmental Factors" and "Personal Factors", each category window 610 is stretched upward and expanded. Then, in addition to the currently displayed answers, the answers following each of "Oral-tool (toothbrush)" and "Nutrition-self-cooking" are displayed.

In addition, an additional mark 594 is displayed on the lower left of each category window 610 . When the inspector clicks on an additional mark 594, it can be switched to a newly added UI screen displaying the reception characteristic items.

FIG. 11 is an example of a UI screen showing a case of receiving a new feature item. When the display control unit 314 clicks the additional mark 594, the display in FIG. 10 is grayed out, and the input window 630 is superimposed on it. In the input window 630 , an option button 631 , an input box 632 , an OK button 595 , and a cancel button 596 are arranged. The option button 631 is a button for selecting which category of positive evaluation, negative evaluation, and reference information the characteristic items added thereafter belong to. The receiving unit 312 receives the attribute selected by the option button 631 and the text input by the examiner into the input box 632 using a soft keyboard not shown or a keyboard connected to the analysis support terminal 300 . When the OK button 595 is clicked, the input feature items are confirmed, and the attributes and text received by the receiving unit 312 are delivered to the display control unit 314 . The display control unit 314 newly displays the icon and text corresponding to the delivered attribute in the corresponding category window 610 in FIG. 10 . In the example shown in the figure, "serving as an officer of the residents' association" is added to the category window 610 of "participation" together with the P icon 621 . When cancel button 596 is clicked, the input characteristic items are discarded.

As described above, even for items that do not match the answers of the automatic classification, as long as information obtained through hearings and the like can be added, the state of the subject can be made more systematic. For example, it is possible to write highly individualized information (interests, intentions, etc.) of the elderly whose questions are difficult to set in advance, or information unique to the area where the elderly live (climate, altitude, degree of ups and downs, etc.) of the subject. information, thus enabling further systematic visualization of the subject's state based on the subject's personality.

As described above, if the responses obtained by the evaluation are classified into six categories classified by the ICF as shown in the example of FIG. Observe the status of the subject. Furthermore, it is possible to learn the correlation between each of the obtained answers and the category of the ICF classification. In addition, if the ICF button 512 is clicked, it can be changed to the list display shown in the example of FIG. plan for the subsequent hearing or understand the meaning of the question.

Next, the processing flow of the evaluation using the analysis support terminal 300 will be described. FIG. 12 is a flow chart focusing particularly on the flow of processing related to ICF classification. The flow starts when the analysis support terminal 300 receives an instruction to start a series of examinations.

The acquisition unit 311 receives input of subject information in step S101. The terminal control unit 310 executes various initial preparations when starting the input evaluation about the subject. For example, as described above, a question group, a tree structure related to living behavior, etc. are obtained from the evaluation information DB 151 of the analysis support server 100 and stored in the memory unit 350 . In addition, the classification table 351 generated by downloading from the classification table DB 152 according to the subject to be inspected is stored in the storage unit 350 .

In step S102 , the display control unit 314 displays a question corresponding to the examiner's instruction on the display panel 320 . The obtaining unit 311 detects the examiner's input in step S103, and obtains the answer to the question. In step S104 , the display control unit 314 displays, for example, the answer mark 531 in a superimposed manner, thereby reflecting the obtained answer on the display.

The obtaining unit 311 checks in step S105 whether or not the ICF button 512 has been clicked. If clicked, then go to step S106, if not clicked, then go to step S110.

After proceeding to step S106 , the classifying unit 313 classifies, among the answers currently obtained by the obtaining unit 311 , the target answers into the ICF category with reference to the classification table 351 . In addition, regarding the answers classified into physical and mental functions, activities, participation, environmental factors, and personal factors, attributes (positive evaluation, negative evaluation, and reference information) are assigned to each of the responses with reference to the classification table 351 .

In step S107 , the display control unit 314 displays the answers classified by category by category as in the example of FIG. 10 . The receiving unit 312 checks in step S108 whether or not the additional flag 594 has been clicked. If it has been clicked, then go to step S109, the display control unit 314 overlaps and displays the input window 630, and the receiving unit 312 receives the input feature items. Return to step S107 after receiving the characteristic items, and the display control unit 314 newly displays the received characteristic items in the corresponding category window 610 .

After proceeding to step S110 , the acquisition unit 311 checks whether “End” of the command button 513 is clicked. If not, return to step S102 (or step S107). If clicked, a series of processing ends.

Above, the present embodiment has been described by showing examples of specific UI screens, but the layout and design of displays are not limited to these specific examples. Movies, photographs, and moving images may also be used, and a display form in which a plurality of displays are combined may also be used. In addition, the specific element items described above are not necessarily essential or limited to them, and can be appropriately changed according to the specifications required as an analysis support system.

Here, the main configurations of the analysis support program, analysis support method, and analysis support system described above are summarized as follows. [Note 1] An analysis support program that causes the computer 310 to perform the following steps: Obtaining steps to obtain the subject's answers to questions related to life function; A classification step of classifying the responses into six categories of health status, physical and mental function, activity, participation, environmental factors, personal factors classified by the International Classification of Functioning, Disability and Health; and In the displaying step, the answers classified according to the categories are displayed on the display 320 according to the categories. [Note 2] The analysis support program described in Note 1, wherein the displaying step clearly displays which of positive evaluation, negative evaluation, and reference information each of the answers classified according to the category belongs to among the classified categories. [Note 3] The analysis support program described in Supplementary Note 1 or 2, wherein in the display step, the computer 310 is caused to execute a receiving step of receiving writing of characteristic items related to the subject according to the category, In the displaying step, the characteristic items received in the receiving step are added and displayed in a list. [Note 4] The analysis support program according to any one of appendices 1 to 3, wherein the displaying step will go to the present even when an instruction is received from the user before the completion of obtaining all the answers in the obtaining step. The answers classified according to the categories in the classification step are displayed on the display 320 according to the categories. [Note 5] The analysis support program according to any one of appendices 1 to 4, wherein the displaying step displays the answer according to the category together with attribute information attached to the question. [Note 6] An analysis support method using the analysis support system 300, The analytical support methods include: Obtaining step, the obtaining part 311 obtains the subject's answers to questions related to living functions; Classification step, the classification unit 313 classifies the answers into six categories of health status, physical and mental function, activity, participation, environmental factors, and personal factors classified by the International Classification of Functioning, Disability and Health; and In the display step, the display control unit 314 displays the answers classified according to the categories on the display 320 according to the categories. [Note 7] An analysis support system 300 comprising: Obtaining unit 311, obtaining the subject's answers to questions related to living functions; The classification unit 313 classifies the answers into six categories of health state, physical and mental function, activity, participation, environmental factor and personal factor classified by the International Classification of Functioning, Disability and Health; and The display control unit 314 displays the answers classified according to the categories on the display 320 according to the categories.

100: analysis support server 110: System Control Department 120: display monitor 130: input component 140, 340: communication unit 150: memory device 151: Assessment information database 152: Classification table database 300: analysis support terminal 310: Terminal control department 311: Get Ministry 312: Receiving Department 313: Classification Department 314: display control unit 320: display panel 330: touch panel 350: memory department 351: Classification table 501: Subject's name 511: Evaluation button 512:ICF button 513: command button 521: Question 522: option 531: answer sign 532: Add button 540, 630: input window 541, 632: input box 542: check box 543: select flag 550: Life Behavior Group 551: life behavior 560: Element process group 561: Element process 570: research group 571: Designated topics 573: Project inspection window 580: Obstacle factor group 581: Specify the cause of obstruction 591:Roll sign 592: return sign 593: extended flag 594: Add flag 595: OK button 596:Cancel button 610: Category window 611: tab page 621: Positive icon (P icon) 622: Negative icon (N icon) 623: Information icon (I icon) 631:Option button 900: network 910: wireless unit

FIG. 1 is a diagram showing a state of using the analysis support system of this embodiment. Fig. 2 is a main hardware structure diagram of the analysis support server. Fig. 3 is a main hardware configuration diagram of the analysis support terminal. FIG. 4 is a diagram showing the concept of a process in which the classification unit classifies the answers of the subjects according to the ICF classification. FIG. 5 is an example of a UI screen showing a situation of receiving answers to basic questions related to daily life. FIG. 6 is an example of a UI screen showing a state of receiving answers to questions about health information. FIG. 7 is an example of a UI screen showing a situation of receiving answers to questions about basic body movements. FIG. 8 is an example of a UI screen showing a state of receiving an answer in living behavior assessment. FIG. 9 is an example of a UI screen showing a case of receiving designation of a subject candidate in a target living activity. FIG. 10 is an example of a list display of answers classified according to each category of ICF. FIG. 11 is an example of a UI screen showing a case of receiving a new feature item. FIG. 12 is a flowchart showing the processing flow of evaluation related to ICF classification.

100: analysis support server

300: analysis support terminal

900: network

910: Wireless unit

Claims (7)

An analysis support program that causes a computer to perform the following steps: Obtaining steps to obtain the subject's answers to questions related to life function; A classification step of classifying the responses into six categories of health status, physical and mental function, activity, participation, environmental factors, personal factors classified by the International Classification of Functioning, Disability and Health; and In the displaying step, the answers classified according to the categories are displayed on a display according to the categories. The analysis support program as described in claim 1, wherein The displaying step clearly displays which type of positive evaluation, negative evaluation, and reference information each of the answers classified according to the categories belongs to in the classified categories. The analysis support program as described in claim 1 or claim 2, wherein In the displaying step, causing a computer to execute a receiving step of receiving writing of characteristic items related to the subject according to the category, In the displaying step, the characteristic items received in the receiving step are added and displayed in a list. The analysis support program as described in claim 1 or claim 2, wherein In the case of receiving an instruction from the user, the displaying step displays the answers classified according to the category by the classifying step so far even before the obtaining step is completed to obtain all the answers. , displayed on the display according to the category. The analysis support program as described in claim 1 or claim 2, wherein The displaying step displays the answers according to the categories together with the attribute information attached to the question. An analysis support method is an analysis support method using an analysis support system, wherein The analytical support methods include: Obtaining step, the obtaining department obtains the subject's answers to questions related to life functions; A classification step of classifying the responses into six categories of health status, physical and mental function, activity, participation, environmental factors, and personal factors classified by the International Classification of Functioning, Disability and Health; and In the displaying step, the display control unit displays the answers classified according to the categories on a display according to the categories. An analytical support system comprising: Obtaining part, to obtain the subjects' answers to the questions related to life functions; Classification section, which classifies the responses into six categories of health status, physical and mental function, activity, participation, environmental factors, and personal factors classified by the International Classification of Functioning, Disability and Health; and The display control unit displays the answers classified according to the categories on a display according to the categories.

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