WO2021085150A1

WO2021085150A1 - Bedwetting treatment system, bedwetting treatment method, bedwetting treatment program, alarm device, and information management terminal device

Info

Publication number: WO2021085150A1
Application number: PCT/JP2020/038845
Authority: WO
Inventors: 池田　裕一; 将之古尾谷
Original assignee: 三和株式会社
Priority date: 2019-10-31
Filing date: 2020-10-15
Publication date: 2021-05-06
Also published as: JP2021071990A; JP6903349B2

Abstract

In alarm therapy, it is very important for a patient to be aware of their own nighttime urination during bedwetting, but in the prior art, it is not possible to automatically record whether the patient is actually awakened by an alarm, and when the patient notices the urge to urinate at night and goes to the toilet to urinate, the data could not be recorded despite the fact that there was urination. The present invention addresses the above-described problems and provides a novel bedwetting treatment system.　Provided is a bedwetting treatment system that acquires information on bedwetting and information on posture in order to determine the behavior of a subject at night, issues an alarm on the basis of the information on bedwetting of the subject, and collects data necessary for the treatment of bedwetting of the subject. The bedwetting treatment system comprises a determination means for determining whether bedwetting occurs and the time of bedwetting on the basis of the information on the bedwetting, and determining the getting-out-of-bed state of the subject on the basis of the information on the posture at a certain time elapsed from the time of bedwetting.

Description

Nocturnal enuresis treatment system, nocturnal enuresis treatment method, nocturnal enuresis treatment program, alarm device, information management terminal device

The present invention relates to a nocturnal enuresis treatment system for collecting data used for nocturnal enuresis treatment of a subject, a nocturnal enuresis treatment method, a nocturnal enuresis treatment program, and an alarm device and an information management terminal device used in the nocturnal enuresis treatment system.

In recent years, as a treatment for nocturnal enuresis, an alarm treatment method that notifies the patient or his / her family by a warning sound when the patient (mainly a child) urinates at night and wakes up the patient is considered to be effective. By repeating such treatment, the patient's night urine time gradually shifts to dawn, and finally the wake-up time can be reached without night urine. On the other hand, recording the night urine time at night was a great effort for parents, and continuous treatment was difficult.

In view of such a situation, a technique is provided in which a sensor device is attached to an absorbent article such as a diaper worn by a patient to detect and record the excretion of the patient. For example, as in Patent Document 1, there is a technique related to a system that determines the degree of improvement of incontinence symptoms based on the record of the patient's earliest incontinence time and emits a warning sound at the incontinence time estimated from the amount of water intake and the degree of improvement. Are known.

Further, as in Patent Document 2, the technology related to a system for transmitting information including the collection time of data detected by a humidity sensor attached to a sanitary product to an electronic device and managing the data on the electronic device is known. Has been done.

JP-A-2017-6596 JP 2016-161575A

In the alarm treatment method, it is very important for the patient to be aware of his / her own night urine at the time of night urine. On the other hand, in the prior art, it was not possible to automatically record whether the patient was actually awakened by the alarm. In addition, when the patient noticed the urge to urinate and went to the toilet and excreted at night, the data could not be recorded even though the patient actually excreted.

In view of the above-mentioned problems, the present invention is a problem to be solved to provide a novel nocturnal enuresis treatment system that collects data necessary for nocturnal enuresis treatment of a subject.

In order to solve the above-mentioned problems, the present invention acquires information on bedwetting and information on posture in order to determine the behavior of the subject at night, and gives an alarm based on the information on bedwetting of the subject. It is a bedwetting treatment system that collects data necessary for the treatment of bedwetting of the subject, and determines the presence or absence of bedwetting and the time of bedwetting based on the information on the bedwetting, and is constant from the time of bedwetting. A determination means for determining the bed-wetting state of the subject based on the information regarding the posture in time is provided.

With such a configuration, it is possible to efficiently manage the record of the night urine time required for alarm treatment. In addition, it is possible to acquire as data whether the subject actually got up after the alarm by nocturnal enuresis and use it for the treatment of nocturnal enuresis.

In a preferred embodiment of the present invention, when the determination means determines the bed leaving state of the subject in a state where no night urine is determined and then further determines the bed entry state, the time when the bed leaving state is determined. Is determined as the excretion time indicating that it is the time when the subject voluntarily excreted.
With such a configuration, the time when the subject excretes in the toilet without urinating at night can also be acquired as an excretion record at night.

In a preferred embodiment of the present invention, based on the determination result by the determination means, there are at least three statuses of night urine, voluntary excretion without night urine, and voluntary excretion without night urine. It is provided with a night urine information output means for output processing.
With such a configuration, the subject had three types of excretion: night urine, voluntary excretion in the toilet without night urine, and voluntary excretion in the toilet without night urine. You can check the status at a glance.

In a preferred embodiment of the present invention, the nocturnal urine information output means outputs a first graph showing a change in the time series of the above time using the earliest time of either the nocturnal urine time or the excretion time. To process.
With such a configuration, the time when the subject excretes in the toilet at night can be visually confirmed as data similar to the night urine time.

In a preferred embodiment of the present invention, the determination means is the first of the subject after determining the attachment of the sensor device based on the information regarding the attachment / detachment of the sensor device received from the sensor device that acquires the information regarding night urine. The time when the bed condition is determined is determined as the bedtime.
With such a configuration, the bedtime of the target person can be efficiently obtained.

In a preferred embodiment of the present invention, the determination means determines the state of getting out of bed of the subject, and then the information regarding attachment / detachment of the sensor device received from the sensor device that acquires information about night urine within a certain period of time from the state of getting out of bed. When the removal of the sensor device is determined based on the above, the time when the getting out of bed state is acquired is determined as the wake-up time.
With such a configuration, the wake-up time of the target person can be efficiently acquired.

In a preferred embodiment of the present invention, the nocturnal urine information output means forms a second graph based on the time-series change of the wake-up time, and a third graph based on the time-series change of the bedtime. The first graph, the second graph, and the third graph, which are formed and have the same time series, are output and processed at the same time.
With such a configuration, it is possible to provide a UI (User Interface) that allows at a glance to confirm the correspondence between the excretion time, the bedtime, and the wake-up time.

In a preferred embodiment of the present invention, the nocturnal enuresis treatment system further includes input means for receiving input of bedwetting time, wake-up time, night urine volume, urine volume after waking up, and nocturnal urine information including a person who has stopped the alarm device. The nocturnal enuresis information output means outputs the determination result of the determination means and the nocturnal enuresis information based on the input result of the input means side by side in association with at least the time series of the first graph.
With such a configuration, additionally input data related to night urine such as the amount of night urine can be confirmed in association with the automatically collected data.

The present invention acquires information on nocturnal enuresis and information on posture in order to determine the behavior of the subject at night, issues an alarm based on the information on the subject's nocturnal enuresis, and is necessary for the treatment of nocturnal enuresis in the subject. This is a nocturnal enuresis treatment method in which the nocturnal enuresis treatment system performs a process of collecting various data. The computer performs a step of determining the subject's bedwetting status based on the information about the subject.

The present invention acquires information on nocturnal enuresis and information on posture in order to determine the behavior of the subject at night, issues an alarm based on the information on the subject's nocturnal enuresis, and is necessary for the treatment of nocturnal enuresis in the subject. An alarm device used in a nocturnal enuresis treatment system that collects various data, and is an information acquisition means for acquiring at least information on nocturnal enuresis and information on posture, and an alarm means for issuing an alarm based on the acquired information on the nocturnal enuresis. A determination means for determining the presence or absence of bedwetting and the bedwetting time based on the information on the bedwetting, and determining the bedwetting state of the subject based on the information on the posture at a certain time from the bedwetting time. Be prepared.

The present invention acquires information on nocturnal enuresis and information on posture in order to determine the behavior of the subject at night, issues an alarm based on the information on the subject's nocturnal enuresis, and is necessary for the treatment of nocturnal enuresis in the subject. It is a nocturnal enuresis treatment program used in a nocturnal enuresis treatment system that collects various data, and a computer is used to issue an alarm based on at least information acquisition means for acquiring information on nocturnal enuresis and information on posture and the acquired information on the nocturnal enuresis. Judgment of the presence or absence of bedwetting and the time of bedwetting based on the alarm means to be issued and the information on the bedwetting, and the determination of the state of getting out of bed of the subject based on the information on the posture at a certain time from the time of bedwetting. Act as a means and.

The present invention acquires information on nocturnal enuresis and information on posture in order to determine the behavior of the subject at night, issues an alarm based on the information on the subject's nocturnal enuresis, and is necessary for the treatment of nocturnal enuresis in the subject. It is an information management terminal device used in a nocturnal enuresis treatment system that collects various data, and determines the presence or absence of nocturnal enuresis and the nocturnal enuresis time based on the information on the nocturnal enuresis, and the posture in a certain time from the nocturnal enuresis time. It is provided with a determination means for determining the bed-wetting state of the subject based on the information regarding the bedwetting, and a nocturnal enuresis information output means for outputting and processing the nocturnal enuresis information based on the determination result by the determination means.

The present invention acquires information on nocturnal enuresis and information on posture in order to determine the behavior of the subject at night, issues an alarm based on the information on the subject's nocturnal enuresis, and is necessary for the treatment of nocturnal enuresis in the subject. It is a nocturnal enuresis treatment program used in a nocturnal enuresis treatment system that collects various data, and a computer determines the presence or absence of nocturnal enuresis and the nocturnal enuresis time based on the information about the nocturnal enuresis. It functions as a determination means for determining the bed-wetting state of the subject based on the information on the posture and a nocturnal enuresis information output means for outputting and processing the nocturnal enuresis information based on the determination result by the determination means.

According to the present invention, it is possible to provide a novel nocturnal enuresis treatment system that collects data necessary for nocturnal enuresis treatment of a subject.

It is a figure which shows the structure of the nocturnal enuresis treatment system which concerns on embodiment of this invention. It is a figure which shows the apparatus configuration of the sensor apparatus which concerns on embodiment of this invention. It is a figure which shows the apparatus configuration of the alarm apparatus which concerns on embodiment of this invention. It is a figure which shows the hardware configuration of the information management terminal which concerns on embodiment of this invention. It is a flowchart of the determination process of night urine information which concerns on embodiment of this invention. It is a figure which shows the screen display example of the night urine information input screen and the night urine information display screen which concerns on embodiment of this invention, and the data structure of night urine information. This is a screen display example of the night urine recording screen and the night urine information output screen according to the embodiment of the present invention. This is a screen display example of the diagnostic screen according to the embodiment of the present invention.

Hereinafter, an embodiment of the present invention will be described with reference to the accompanying drawings. The embodiments shown below are examples of the present invention, and the present invention is not limited to the following embodiments, and can be implemented in many different embodiments. In the present embodiment, for example, a child is assumed as a target for nocturnal enuresis treatment, but the age, gender, and the like of the target are not particularly limited. Further, the nocturnal enuresis treatment system collects data on excretion and posture for the purpose of treating nocturnal enuresis, but it may be used for the purpose of collecting data on excretion and posture itself.

For example, in the present embodiment, the configuration, operation, and the like of the nocturnal enuresis treatment system will be described, but a nocturnal enuresis treatment method, an alarm device, an information management terminal device, a nocturnal enuresis treatment program, a recording medium, and the like having the same configuration also have the same effects. be able to. Further, the program may be stored in a recording medium. Using this recording medium, for example, the program can be installed on a computer. Here, the recording medium in which the program is stored may be a non-transient recording medium such as a CD-ROM.

The word "excretion" used in the description of the present invention is, for example, an arbitrary act of the subject urinating in the toilet. On the other hand, the word "night urine" particularly means incontinence in which the subject involuntarily leaks urine at night, and is used in distinction from excretion.

With reference to FIG. 1, which shows an outline of the nocturnal enuresis treatment system in the present embodiment, the nocturnal enuresis treatment system is embodied as the nocturnal enuresis treatment system 1. The nocturnal enuresis treatment system 1 includes a sensor device 2, an alarm device 3, and an information management device 4. In the present embodiment, the sensor device 2 wirelessly communicates with the alarm device 3 and the alarm device 3 communicates wirelessly with the information management device 4, but the sensor device 2 may be configured to wirelessly communicate with the information management device 4. .. In this embodiment, Bluetooth® is used as these wireless communication standards. It should be noted that these wireless communications are not limited to the Bluetooth (registered trademark) standard, and may be realized by other wireless communication standards such as zigbee (registered trademark) and a unique protocol. Further, as the communication connection form, any connection form such as wired, wireless, or a mixture of wired and wireless may be used.

As shown in FIG. 2A, the sensor device 2 is an electronic device that acquires data for the treatment of nocturnal enuresis of the subject, the nocturnal enuresis sensor 21 that detects the nocturnal enuresis of the subject, and the posture of the subject. The posture sensor 22, the control unit 23, and the communication unit 24 are provided.

The control unit 23 includes an arithmetic unit (CPU), a main storage device (RAM), and an auxiliary storage device. Further, the sensor device 2 relates to the identification information of the sensor device 2, the information about the night urine acquired by the night urine sensor 21, the information about the posture acquired by the posture sensor 22, and the attachment / detachment of the sensor device 2 as functional components. An information transmitting means 201 for transmitting sensor information including information is provided.

In order to logically realize the above-mentioned functional components in the sensor device 2, the sensor program is installed as an application program in the auxiliary storage device. Then, in the sensor device 2, the arithmetic unit expands and executes this processing program in the main storage device when the power is turned on.

FIG. 2B is a diagram showing a mounting example of the sensor device 2. The sensor device 2 is configured to be removable from an absorbent article 5 such as a diaper. The absorbable article 5 is attached to a subject for nocturnal enuresis treatment, that is, a nocturnal enuresis patient. The absorbent article 5 includes an article body 51 and two conductive conductive portions 52 extending from the mounting position of the sensor device 2 over a region where excretion is performed. The sensor device 2 includes a nocturnal urine sensor 21 and a conductive portion 52. It is attached to the absorbent article 5 so that it is electrically connected.

In the present embodiment, the information transmitting means 201 transmits a sensor value and an operation counter value as sensor information. The sensor value includes at least information on night urine acquired by the night urine sensor 21 and information on posture acquired by the posture sensor 22. The operation counter value is a numerical value that takes a different value for each transmission of one unit at a fixed cycle for simply identifying the information transmitted from the sensor device 2. The sensor information includes at least information regarding attachment / detachment of the sensor device 2 and identification information of the sensor device 2, and may further include a date and time.

In the present embodiment, when the nocturnal urine sensor 21 and the conductive portion 52 are electrically connected, information regarding the attachment of the sensor device 2 is output as sensor information. Further, when the connection between the nocturnal urine sensor 21 and the conductive portion 52 is released, information regarding the removal of the sensor device 2 is output as a sensor value. The information transmitting means 201 transmits the sensor information by outputting the transmission instruction of the information regarding the attachment or detachment of the sensor device 2 to the communication unit 24.

In the present embodiment, a dielectric thin film is formed on the surface of the nocturnal urine region of the conductive portion 52, the nocturnal urine absorbed by the absorbent article 5 becomes an electrolyte, and the conductive portion 52, the dielectric thin film and the nocturnal urine are broadly defined. Consists of an electrolytic capacitor. The conductive portion 52 functions as an electrode in the circuit, and the above-mentioned electrolytic capacitor exhibits a different capacitance value depending on the amount and distribution of nocturnal urine absorbed in the vicinity of the electrode. In the present embodiment, the night urine sensor 21 acquires a change in the capacitance value of the circuit including the conductive portion 52 as a sensor value. The information management device 4 receives this sensor value and determines the presence or absence of night urine and the night urine time of the subject. The type of sensor of the night urine sensor 21 and the physical information to be detected are not particularly limited, and for example, night urine may be detected by using an odor sensor, a temperature sensor, a humidity sensor, or the like. The information transmitting means 201 transmits the sensor value by outputting the transmission instruction of the information regarding the night urine acquired by the night urine sensor 21 to the communication unit 24.

In the present embodiment, the posture sensor 22 acquires the angle of the posture sensor 22 with respect to the horizontal direction as a sensor value. The information management device 4 receives this sensor value and determines the posture including the entering state and the leaving state of the subject, the leaving time for the toilet, and the like. Further, the posture sensor 22 acquires the acceleration as a sensor value, and the information management device 4 determines, for example, an operation of the target person moving to the toilet based on the sensor value related to the acceleration. The type and quantity of the posture sensor and the physical information to be detected are not limited. For example, the posture of the target person may be determined based on the physical information acquired by the tilt sensor, the gyro sensor, the acceleration sensor, or the like. The information transmitting means 201 transmits the sensor value by outputting the transmission instruction of the posture-related information acquired by the posture sensor 22 to the communication unit 24.

As shown in FIG. 3A, the alarm device 3 includes an input unit 31 for operating the alarm device, an output unit 32 for outputting an alarm, a control unit 33, a communication unit 34, and a storage unit. 35 and. FIG. 3B is a perspective view of the alarm device 3, and FIG. 3C is a bottom view of the alarm device 3. In the present embodiment, the alarm device 3 serves as an input unit 31, and is a physical contact such as a light emission control unit 31a for switching on / off of light emission, an alarm control unit 31b for switching on / off of an alarm, and an alarm adjustment unit 31c for adjusting the volume of an alarm. Equipped with a switch. Instead of or in addition to the configuration in which the alarm device 3 is provided with a physical contact switch for setting the alarm, the alarm can be set by a software switch that can be operated from a personal computer such as the information management device 4 or a smartphone. May be good. Further, the alarm device 3 includes a speaker 32a and a light emitting unit 32b as an output unit 32. The alarm device 3 issues an alarm output from the speaker 32a and an alarm by light emission of the light emitting unit 32b for the subject's night urine.

The control unit 33 includes an arithmetic unit (CPU), a main storage device (RAM), and an auxiliary storage device. Further, the alarm device 3 includes information receiving means 301, alarm means 302, relay information storage means 303, and information transmitting means 304 as functional components.

In order to logically realize the above-mentioned functional components in the alarm device 3, the alarm program is installed as an application program in the auxiliary storage device. Then, in the alarm device 3, when the power is turned on, the arithmetic unit expands and executes this processing program in the main storage device.

The information receiving means 301 receives the sensor information transmitted from the sensor device 2. The alarm means 302 outputs an alarm instruction to the output unit 32 based on the information regarding night urine in the sensor information. The alarm instruction is output, for example, when the sensor value acquired as information about night urine exceeds a preset threshold value. The output unit 32 issues an alarm using at least one of light emission and alarm in response to the alarm instruction. The alarm notifies the subject or the subject's family, etc. of the subject's night urine and urges the subject to wake up. As a result, alarm treatment is performed to make the subject aware of his / her own night urine.

The relay information storage means 303 stores the acquired information on night urine, information on posture, and information on attachment / detachment of the sensor device 2 in the storage unit 35 as relay information in association with the received date and time. In the present embodiment, the relay information storage means 303 assigns the same date to the information acquired at an arbitrary fixed time. For example, the date of the day is given to the information acquired during the time from 7:00 PM on the current day to 9:00 AM on the next day. The information transmitting means 304 outputs a transmission instruction of relay information to the communication unit 34 in response to a transmission request from the information management device 4, and the communication unit 34 transmits the relay information to the information management device 4.

The information management device 4 is a communication terminal device owned by the target person or the target person's family, and is at least one of the computer terminals (including a personal computer, a tablet terminal, and a smartphone terminal) as long as it has a data communication function. It is possible to adopt a single configuration including one or a composite configuration, respectively.

The information management device 4 includes hardware and functional components as illustrated in FIG. That is, the information management device 4 includes a computing device (CPU (Central Processing Unit) 41) 41 and a main storage device (RAM (Random Access Memory) 42) as working memory as hardware components.

The information management device 4 rewritably stores a communication control unit 43, a communication interface (IF) unit 44 such as a NIC (Network Interface Card), an OS (Operating System), an application program, and various information (including data). An auxiliary storage device 45 such as an HDD, an SSD, or a flash memory, a display control device 46, a display unit 47, and an information input / designation unit 48 are further provided.

The information management device 4 includes information acquisition means 401, determination means 402, nocturnal urine information output means 403, input means 404, and database DB as functional components to be described in detail later.

In order to logically realize the above-mentioned functional components (401-404) in the information management device 4, the information management program is installed as an application program in the auxiliary storage device 45. Then, in the information management device 4, the arithmetic unit (CPU) 41 expands and executes this processing program in the main storage device (RAM) 42 when the power is turned on.

The information acquisition means 401 transmits a transmission request for relay information input via the information management device 4 to the alarm device 3. Further, the information acquisition means 401 receives the relay information transmitted from the alarm device 3 and stores it in the database DB.

The determination means 402 determines the data necessary for the treatment of nocturnal enuresis based on the relay information stored in the database DB. The processing of the determination means in the present embodiment will be described with reference to FIG. The processing in the determination means 402 of S101 to S111 is performed for each date of the relay information stored in the database DB.

First, in S101, the determination means 402 determines the attachment of the sensor device 2 based on the information regarding the attachment of the sensor device 2. After determining the attachment of the sensor device 2, in the subsequent S102, the determination means 402 determines the flooring state of the subject based on the information regarding the posture of the subject. The state of entering the bed is determined by the fact that the subject is in a posture for going to bed in the information on the posture and a certain period of time elapses. The posture for sleeping is, for example, a supine position, a lateral position, a prone position, or the like, and is distinguished from at least a standing position and a sitting position. The bed-filling state may be determined by the subject maintaining the same posture for a certain period of time. When the bed occupancy state is determined in S102, the determination means 402 determines in S103 that the subject has fallen asleep, and among the times stored in association with the information regarding the posture determined as the laying state. The earliest time is determined as the bedtime.

Next, the determination means 402 determines the presence or absence of nocturnal urine in S104 based on the information regarding nocturnal urine. When the sensor value acquired as information about night urine exceeds a preset threshold value, the presence or absence of night urine is determined. Otherwise, no night urine is determined. When the presence of nocturnal urine is determined (YES in S104), the determination means 402 sets the earliest time stored in association with the information regarding the nocturnal urine determined to have nocturnal urine in S105. Judge as time. Further, in the following S106, the determination means 402 determines the bed leaving state of the subject based on the information regarding the posture at a certain time from the night urine time. The state of getting out of bed is determined when the subject has at least been in a standing or sitting position for a certain period of time in the information on posture. The state of getting out of bed determined in S106 indicates that the subject has actually awakened by the alarm output by the alarm device 3. Further, the determination means 402 may make a different determination depending on the elapsed time from the time of night urine to the state of getting out of bed. For example, the night is a self-awakening of the subject if it is determined that lifting the state within the time t ₁ from the urine time, arousal lifting state after the lapse of time t ₁ or more from the night urine time was prompted by others if it is determined Is determined to be. When the determination means 402 _{cannot determine the state of getting out of bed after the lapse of time t 2} (t ₂ > t ₁ ) from the night urine time, or when the information regarding the removal of the sensor device 2 is not acquired after a certain time has elapsed from the night urine time. , It is determined that the subject did not awaken. Further, the determination means 402 may determine the standing position, the sitting position, the half-sitting position, and the like in more detail, or may determine the number of changes in the posture. By determining the detailed posture, the degree of arousal after nocturnal urine of the subject is estimated. After the determination in S106, the determination means 402 proceeds to, for example, S107 and continues the process. When the sensor device 2 is removed for changing the diaper and the sensor device 2 is attached to the new diaper again, the determination means 402 resumes the process from S101, but the bedtime is not determined by S103. You may.

When the absence of nocturnal urine is determined (NO in S104), the determination means 402 determines the getting out state of the subject based on the information regarding the posture in the subsequent S107. Similar to S106, the determination of the out-of-bed state is made when the subject is at least standing or sitting for a certain period of time in the posture information, but the time different from that of S106 is used as the reference for the determination. It may be set. In S107, the state of getting out of bed may be determined based on the sensor value related to the acceleration.

After determining the bed leaving state in S107, the determination means 402 in S108 determines the removal of the sensor device 2 based on the information regarding the removal of the sensor device 2. When the sensor device 2 is not removed (NO in S108), the determination means 402 further determines the bed-entry state of the subject in S109. The determination of the floor entry state is performed in the same manner as in S102. When the bed entry state is determined in S109, the determination means 402 determines the earliest time as the excretion time among the times stored in association with the posture information determined as the bed leaving state in S107 in the subsequent S110. To do. The excretion time is a time when the subject voluntarily excretes, and means, for example, a time when the subject notices his / her urinary intention and goes to the toilet to excrete. After determining the excretion time of S110, the determination means 402 returns to, for example, S104 to continue the process.

When it is determined in S108 that the sensor device has been removed, in S111, the determination means 402 sets the earliest time as the wake-up time among the times stored in association with the information regarding the posture determined as the out-of-bed state in S107. judge.

Note that the control unit 33 of the alarm device 3 may include the determination means 402 and execute the determination processes of S101 to S111. In that case, the information transmitting means 304 transmits the relay information including the determination result in response to the transmission request from the information management device 4.

The determination result determined by the determination means 402 is associated with the date and stored in the database DB as night urine information. The nocturnal enuresis information is information for treating nocturnal enuresis of the subject, and includes bedtime, wake-up time, nocturnal urine volume, urine volume after waking up, person who has stopped the alarm device, identification information of the subject, presence / absence of nocturnal urine, etc. Includes nocturnal urine time, excretion time, awakening state after nocturnal urine of the subject, etc. FIG. 6C shows an example of the data structure of nocturnal urine information. The nocturnal urine information is stored in the database DB based on the determination result of the determination means 402 and the input result of the input means 404. When a plurality of night urine times or excretion times are determined by the determination means 402, at least the earliest time is stored in the database DB. The wakefulness state after nocturnal urine indicates the sensor value regarding the angle acquired by the posture sensor 22. Wakefulness after nocturnal urine may include sensor values for all angles acquired at regular intervals after nocturnal urine in the subject. For example, when the sensor value regarding the angle is 90, it indicates that the subject is in a standing or sitting position.

Next, the process of outputting nocturnal enuresis information for the treatment of nocturnal enuresis using the determination result by the determination means 402 will be described with reference to FIGS. 6 to 8.

The night urine information output means 403 displays the information management screen and transmits the display processing result to the display unit 47. The display unit 47 displays the information management screen based on the display processing result. 6 (a), 6 (b), 7 (a), and 7 (b) are screen display examples of the information management screen. The input screen W1 of FIG. 6A includes a date display unit W11, a night urine information input unit W12, a bed leaving state input unit W13, and a memo input unit W14.

The night urine information output means 403 displays and processes the date display unit W11, the night urine information input unit W12, and the bed leaving state input unit W13 based on the night urine information. The input means 404 receives input of night urine information including bedtime, wake-up time, night urine volume, urine volume after waking up, and a person who has stopped the alarm device via the night urine information input unit W12. The nocturnal urine information output means 403 displays the bed leaving state input unit W13 based on the bed leaving state determined by the determination means 402 in S106. As an example of the present embodiment, when the bed leaving state is determined in S106, the nocturnal urine information output means 403 outputs a display indicating that the subject has been awakened by an alarm. The nocturnal urine information output means 403 may output different displays depending on the elapsed time from the nocturnal urine time to the state of getting out of bed. In S106, when the bed leaving state was not determined for a certain period of time, or when the attachment / detachment of the sensor device was not determined after the subject's night urine, the night urine information output means 403 determined that the subject did not awaken. Output the display shown. This makes it possible to record to the subject whether the alarm treatment was properly performed. The input means 404 accepts text input via the memo input unit W14.

The night urine information screen W2 of FIG. 6B has an excretion graph W21 as a first graph, a wake-up graph W22 as a second graph, a bedwetting graph W23 as a third graph, and a night urine information display unit W24. The nocturnal urine result W25 is provided. The nocturnal urine information output means 403 displays and processes the nocturnal urine result W25 according to at least three statuses based on the presence / absence of nocturnal urine and the determination result of the excretion time. In this embodiment, there is no display when urinating at night, a star when excreting in the toilet at the subject's discretion without night urine, and Hanamaru when excreting at the subject's discretion without urinating at night. The night urine result is displayed on W25.

The night urine information output means 403 uses the earliest of the night urine time and the excretion time stored as night urine information on the same date to display the excretion graph W21 showing the change in the time series. To do. Here, the time series represents night urine information stored over several days. The excretion graph W21 may display only one of the night urine time and the excretion time. The night urine information output means 403 forms the wake-up graph W22 based on the time-series change of the wake-up time, forms the bedtime graph W23 based on the time-series change of the bedtime, and displays each of them. Further, as shown in FIG. 6B, the night urine information output means 403 simultaneously displays the sleeping graph W23, the excretion graph W21, and the wake-up graph W22 having the same time series on the night urine information screen W2.

The night urine information output means 403 outputs the night urine information display unit W24 side by side with the graph at least in association with the time series of the excretion graph W21 based on the judgment result by the judgment means 402 and the input result by the input means 404.

The night urine recording screen W3 of FIG. 7A includes a moon display unit W31, a night urine recording display unit W32, and a comment unit W33. The night urine information output means 403 performs output processing for displaying a list of night urine results on the night urine record display unit W32 in a calendar format based on the night urine information on the same month. The night urine information output means 403 receives an input via the moon display unit W31, and outputs and processes the night urine results of different months to the night urine record display unit W32. The comment unit W33 displays different comments based on the aggregated result of the night urine result.

FIG. 7B is a screen display example of the output screen W4 that outputs the output for transmitting the night urine information to the communication terminal device. The output screen W4 includes an output period input unit W41, a QR code output unit W42, a CSV file output unit W43, and a destination input unit W44. In the present embodiment, the night urine information output means 403 accepts a date input via the output period input unit W41, and performs output processing for transmitting night urine information for a period of 30 days from the input date. However, different periods may be set. After inputting the date, the night urine information output means 403 accepts the input of the output format selection via the QR code output unit W42 or the CSV file output unit W43. When the QR code output unit W42 is selected, the night urine information output means 403 converts the night urine information into a QR code (registered trademark) and displays it on the display unit 47. By reading this QR code, it is possible to acquire the night urine information and the URL for acquiring the night urine information. When the URL is acquired, the night urine information of the target person is acquired from the access destination of the URL. When the CSV file output unit W43 selects, the nocturnal urine information output means 403 performs output processing for transmitting the CSV file to the destination of the CSV file input via the destination input unit W44. The destination is not particularly limited as long as it is information that can identify the destination, such as an e-mail address, a telephone number, and other IDs. Further, in either case of the output by the QR code or the output by the CSV file, the night urine information output means 403 includes the identification information of the subject in the night urine information and executes the output process. The information management device 4 may be configured to transmit the night urine information stored in the database DB to the cloud service, and the communication terminal device may be configured to be able to acquire the night urine information by accessing the cloud service.

FIG. 8 is a screen display example of the diagnostic screen W5 displayed on the communication terminal device that has received the night urine information by the QR code or CSV file output by the night urine information output means 403. In the present embodiment, the communication terminal device displays the diagnostic screen W5 by inputting the received night urine information into the spreadsheet (registered trademark) distributed via the Internet line. The communication terminal device is a terminal device owned by a doctor or the like who treats the subject's nocturnal urinary illness, and is at least one of the computer terminals (including a personal computer, a tablet terminal, and a smartphone terminal) as long as it has a data communication function. It is possible to adopt a single configuration including one or a composite configuration, respectively. By referring to the diagnosis screen W5, the attending physician can diagnose the symptoms of nocturnal enuresis in the subject. The night urine information that can be acquired by the communication terminal device is all the night urine information stored in the database DB, and the diagnosis screen W5 is displayed based on the night urine information that is not displayed on the night urine information screen W2. May be good.

1 Nocturnal urinary disease treatment system 2 Sensor device 21 Nocturnal urine sensor 22 Attitude sensor 23 Control unit 24 Communication unit 201 Information transmission means 3 Alarm device 31 Input unit 31a Light emission control unit 31b Alarm control unit 31c Alarm adjustment unit 32 Output unit 32a Speaker 32b Light emitting unit 33 Control unit 34 Communication unit 35 Storage unit 301 Information receiving means 302 Alarm means 303 Relay information storage means 304 Information transmitting means 4 Information management device 41 Computing device (CPU)
42 Main memory (RAM)
43 Communication control unit 44 Communication IF unit 45 Auxiliary storage device 46 Display control device 47 Display unit 48 Information input / designation unit 401 Information acquisition means 402 Judgment means 403 Night urine information output means 404 Input means DB database 5 Absorbent article 51 Article body 52 Conductive part

Claims

In order to determine the behavior of the subject at night, information on nocturnal enuresis and posture is acquired, an alarm is issued based on the information on the subject's nocturnal enuresis, and data necessary for the treatment of nocturnal enuresis of the subject is collected. Nocturnal enuresis treatment system
Nocturnal enuresis treatment provided with a determination means for determining the presence or absence of nocturnal enuresis and the time of nocturnal enuresis based on the information on the nocturnal enuresis, and determining the bedwetting state of the subject based on the information on the posture at a certain time from the time of the nocturnal enuresis. system.
When the determination means determines the bed-wetting state of the subject in a state where nocturnal enuresis is determined and then further determines the bed-wetting state, the subject voluntarily excretes the time when the bed-wetting state is determined. The nocturnal enuresis treatment system according to claim 1, wherein the time is determined as an excretion time indicating that the time has been reached.
Based on the determination result by the determination means, output processing is performed according to at least three statuses: nocturnal enuresis, voluntary excretion without nocturnal enuresis, and voluntary excretion without nocturnal enuresis. The nocturnal enuresis treatment system according to claim 2, further comprising means.
The third aspect of claim 3, wherein the nocturnal enuresis information output means outputs a first graph showing a change in the time series of the time using the earliest time of the nocturnal enuresis time and the excretion time. Nocturnal enuresis treatment system.
The determination means determines the attachment of the sensor device based on the information regarding the attachment / detachment of the sensor device received from the sensor device that acquires the information regarding nocturnal enuresis, and then determines the first bed-filling state of the subject. The nocturnal enuresis treatment system according to claim 4, wherein is determined as a bedtime.
The determination means of the sensor device is based on information on attachment / detachment of the sensor device received from a sensor device that acquires information on nocturnal enuresis within a certain period of time from the state of getting out of bed after determining the state of getting out of bed of the subject. The nocturnal enuresis treatment system according to claim 5, wherein when the removal is determined, the time when the bed leaving state is acquired is determined as the wake-up time.
The nocturnal enuresis information output means forms a second graph based on the time-series change of the wake-up time, forms a third graph based on the time-series change of the bedtime, and forms the same time series. The nocturnal enuresis treatment system according to claim 6, wherein the first graph, the second graph, and the third graph having the same output processing are performed at the same time.
The nocturnal enuresis treatment system further includes an input means for receiving input of bedwetting time, wake-up time, night urine volume, urine volume after waking up, and nocturnal enuresis information including a person who has stopped the alarm device.
The nocturnal enuresis information output means claims 4 or 4 or claims that the nocturnal enuresis information output means outputs the determination result of the determination means and the nocturnal enuresis information based on the input result of the input means side by side in association with at least the time series of the first graph. The nocturnal enuresis treatment system according to claim 7.
In order to determine the behavior of the subject at night, information on nocturnal enuresis and posture is acquired, an alarm is issued based on the information on the subject's nocturnal enuresis, and data necessary for the treatment of nocturnal enuresis of the subject is collected. It is a nocturnal enuresis treatment method in which the nocturnal enuresis treatment system performs the treatment to be performed.
The computer executes a step of determining the presence or absence of nocturnal enuresis and the nocturnal enuresis time based on the information on the nocturnal enuresis, and determining the bedwetting state of the subject based on the information on the posture at a certain time from the nocturnal enuresis time. Bedwetting treatment method.
In order to determine the behavior of the subject at night, information on nocturnal enuresis and posture is acquired, an alarm is issued based on the information on the subject's nocturnal enuresis, and data necessary for the treatment of nocturnal enuresis of the subject is collected. It is an alarm device used in the bedwetting treatment system.
An information receiving means for acquiring at least information on night urine and information on posture,
An alarm means for issuing an alarm based on the acquired information on the night urine,
It is provided with a determination means for determining the presence or absence of night urine and the time of night urine based on the information on the night urine, and determining the state of getting out of bed of the subject based on the information on the posture at a certain time from the time of the night urine. Alarm device.
In order to determine the behavior of the subject at night, information on nocturnal enuresis and posture is acquired, an alarm is issued based on the information on the subject's nocturnal enuresis, and data necessary for the treatment of nocturnal enuresis of the subject is collected. A bedwetting treatment program used in a bedwetting treatment system.
A computer, an information receiving means for acquiring at least information on night urine and information on posture,
An alarm means for issuing an alarm based on the acquired information on the night urine,
It functions as a determination means for determining the presence or absence of nocturnal enuresis and the nocturnal enuresis time based on the information on the nocturnal enuresis, and determining the bedwetting state of the subject based on the information on the posture at a certain time from the nocturnal enuresis time. Bedwetting treatment program to let you.
In order to determine the behavior of the subject at night, information on nocturnal enuresis and posture is acquired, an alarm is issued based on the information on the subject's nocturnal enuresis, and data necessary for the treatment of nocturnal enuresis of the subject is collected. It is an information management terminal device used in the bedwetting treatment system.
A determination means for determining the presence or absence of night urine and the time of night urine based on the information on the night urine, and determining the state of getting out of bed of the subject based on the information on the posture at a certain time from the time of the night urine.
An information management terminal device including a night urine information output means for outputting and processing night urine information based on a judgment result by the determination means.
In order to determine the behavior of the subject at night, information on nocturnal enuresis and posture is acquired, an alarm is issued based on the information on the subject's nocturnal enuresis, and data necessary for the treatment of nocturnal enuresis of the subject is collected. A bedwetting treatment program used in a bedwetting treatment system.
A computer is used as a determination means for determining the presence or absence of nocturnal urine and the nocturnal urine time based on the information on the nocturnal urine, and determining the bed leaving state of the subject based on the information on the posture at a certain time from the nocturnal urine time. ,
A nocturnal enuresis treatment program that functions as a nocturnal enuresis information output means that outputs and processes nocturnal enuresis information based on the determination result by the determination means.