WO2021121381A1 - Rehabilitation management system and method - Google Patents

Rehabilitation management system and method Download PDF

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Publication number
WO2021121381A1
WO2021121381A1 PCT/CN2020/137586 CN2020137586W WO2021121381A1 WO 2021121381 A1 WO2021121381 A1 WO 2021121381A1 CN 2020137586 W CN2020137586 W CN 2020137586W WO 2021121381 A1 WO2021121381 A1 WO 2021121381A1
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rehabilitation
prescription
management
patient
module
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PCT/CN2020/137586
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French (fr)
Chinese (zh)
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赵红梅
吴清生
何明军
张惠荣
黄艺聪
张锦辉
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赛客(厦门)医疗器械有限公司
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Publication of WO2021121381A1 publication Critical patent/WO2021121381A1/en

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Definitions

  • the invention relates to the field of rehabilitation medical management, in particular to a rehabilitation management system and method.
  • COPD chronic obstructive pulmonary disease
  • Respiratory rehabilitation training can improve the psychological condition and lung function of patients with chronic obstructive pulmonary disease (COPD), and improve the quality of life of COPD patients. Based on the insufficiency of medical resources and the principle of saving, most patients with chronic obstructive pulmonary disease (COPD) need to recover at home, so remote rehabilitation training management is needed.
  • COPD chronic obstructive pulmonary disease
  • Chinese patent CN109215791 A discloses a health management method, system, equipment and storage medium based on multi-information decision-making.
  • the method includes: establishing a processing interval for evaluating the health of the user; acquiring the user's biological signal and exercise signal , And calculate the corresponding health evaluation through the biosignal and motion signal in the corresponding interval; judge whether the user is in a healthy state according to the health evaluation of the exercise interval, the emotional interval and the sleep interval; if the user is at least one treatment interval in the unhealthy state State, match the corresponding feedback training according to the health evaluation of the exercise zone, the emotional zone and the sleep zone to assist the user in adjusting the current health status.
  • the multi-source sensor information is highly integrated from the software and hardware system level to form a health management centered on the physical and mental health assessment model.
  • the invention is mainly aimed at healthy people or sub-healthy people. It uses wearable software and hardware, algorithms, and feedback technology to form a big data physical and mental health assessment model for health management.
  • Chinese patent CN105912880A discloses a smart home respiratory health management system, including home end, hospital end, home end and hospital end through the communication module to achieve information interaction, home end includes respiratory signal acquisition device, display unit, hospital end includes respiratory signal arrival Reminder module, patient data collection management module, work reminder module, diagnosis result feedback module, interactive module, through the pre-amplifier unit, demodulation unit, gain and bias unit connected in sequence to the respiration signal acquisition unit in the respiration signal acquisition device , A/D conversion unit, thereby improving the accuracy of breath measurement under weak signals.
  • the A/D conversion unit adopts multi-bit A/D and has a wide range of variable resistance detection.
  • the hospital end reaches the reminder module through the breath signal, Patient data collection management module, work reminder module, diagnosis result feedback module, interactive module, realize work reminder, patient data collection, user management, result analysis, interactive discussion, etc.
  • the interactive function of the invention at the home and hospital ends is limited to the respiratory signal acquisition device, which has limited functions, and also lacks all-round health management for people in the rehabilitation stage.
  • the purpose of the present invention is to provide a rehabilitation management system and method to provide comprehensive health management.
  • a rehabilitation management system including: doctor end, operation end, family end and rehabilitation management platform,
  • the rehabilitation management platform is used to communicate with the doctor end, the operation end, and the home end, perform data interaction, and provide data statistics and data analysis functions;
  • the doctor terminal is used for the doctor's overall management of the patient, and the overall management includes: patient evaluation, report query, prescription editing, and questionnaire distribution;
  • the operating terminal is used for medical staff to receive a rehabilitation prescription issued by a doctor, and to help the patient perform prescription tasks and perform questionnaire evaluation tasks according to the rehabilitation prescription;
  • the home terminal is used for patients to obtain rehabilitation prescriptions issued by doctors, perform prescription tasks, and perform questionnaire evaluation tasks.
  • the rehabilitation prescription includes: exercise prescription, medication prescription and nutrition prescription.
  • the doctor terminal includes a login and registration module, a patient management module, an evaluation module, a prescription module, an early warning module, a report management module, and a questionnaire management module.
  • the patient management module is used to select operating instructions, the operating instructions include detailed instructions, evaluation instructions, report instructions, delete instructions, and questionnaires, and the detailed instructions are used to view the user's information system and history;
  • the evaluation instruction is used to perform rehabilitation evaluation; the report instruction is used to view historical rehabilitation evaluation details; the delete instruction is used to delete the currently managed patient; the questionnaire instruction is used to send a questionnaire evaluation task to the patient.
  • the evaluation module is used to generate an evaluation report according to the type of evaluation required by the patient.
  • the assessment type includes at least one of chronic obstructive pulmonary disease, asthma, pulmonary fibrosis, and pulmonary hypertension;
  • the assessment content of the assessment report includes an assessment scale, vital signs data, lung function data, diaphragm At least one of B-ultrasound, walking test data, blood gas analysis data, and blood routine.
  • the prescription module is used for the generation, maintenance and management of rehabilitation prescriptions.
  • the report management module is used to manage and query historical data and reports.
  • doctor terminal also includes a follow-up management module, and the follow-up management module is used to record the date of the follow-up and the content of the follow-up feedback.
  • the operation terminal includes a task management module and an equipment management module.
  • the medical staff can view the prescription task data of the patients being served through the task management module; the equipment management module is used to manage required medical testing equipment and rehabilitation equipment.
  • the prescription task data includes: the patient’s basic personal information, the prescription validity period, the completion percentage of today’s tasks, and the number of days absent from work; by querying a certain patient in the task management module, the patient’s rehabilitation prescribed by the doctor can be obtained. The latest status of the prescription, and the specific execution of the patient's prescription task.
  • the operating terminal is an application program running on a mobile terminal.
  • the home terminal includes an account management module, an equipment management module, and a rehabilitation prescription module.
  • the account management module is used for registration and authentication, so as to obtain prescription tasks issued by a doctor; and the equipment management module is used for managing required medical care. Testing equipment and rehabilitation equipment; the rehabilitation prescription module is used to query rehabilitation prescriptions.
  • the home terminal is an application program running on a mobile terminal.
  • the home terminal completes registration authentication by binding an account with a mobile phone number or other identity information.
  • the exercise prescription also includes exercise task guidance, and the exercise task guidance includes one or more of graphic and video action demonstrations and AI teaching modules.
  • the data analysis includes one or more of measurement data statistical analysis, questionnaire evaluation analysis, rehabilitation image data storage analysis, and AI big data case analysis.
  • the rehabilitation management system further includes a doctor-patient online interaction module, and the doctor-patient online interaction module refers to the establishment of a direct connection between the patient and the doctor at the doctor end and the family end through graphics or video.
  • the rehabilitation management platform is also provided with an external data interface for docking with a third-party platform system.
  • a rehabilitation management method applied to the above-mentioned rehabilitation management system including:
  • the doctor checks the patient's data through the doctor's terminal, writes a rehabilitation prescription, and forms a prescription task;
  • Medical staff read prescription tasks through the operation terminal, and supervise, guide or assist patients to perform prescription tasks and perform questionnaire evaluation tasks;
  • the patient reads and executes the prescription task through the home terminal; and uploads the patient data generated from the execution of the prescription task to the rehabilitation management platform through the home terminal;
  • the rehabilitation management platform provides data interaction, data storage, and report statistical analysis for doctors, operators, and families.
  • the invention provides a rehabilitation management system, which is a comprehensive rehabilitation management system integrating a doctor end used by doctors, an operation end used by therapists (rehabilitation nurses), and a home end used by home patients.
  • the system can match a variety of application scenarios; it can be used in the hospital, remote monitoring outside the hospital, home management combined inside and outside the hospital, etc., to achieve a complete closed loop from in-hospital rehabilitation evaluation to in-hospital rehabilitation implementation to family rehabilitation management.
  • Figure 1 is a block diagram of the rehabilitation management system of the present invention
  • Figure 2 is a patient management interface on the doctor's side according to an embodiment of the present invention.
  • FIG. 3 is an evaluation type selection interface on the doctor side according to an embodiment of the present invention.
  • Figure 4 is a prescription editing interface on the doctor's side according to an embodiment of the present invention.
  • FIG. 5 is a questionnaire sending interface on the doctor side according to an embodiment of the present invention.
  • Fig. 6 is a message management interface of the doctor terminal according to an embodiment of the present invention.
  • FIG. 7 is a task management interface of the operation terminal of an embodiment of the present invention.
  • FIG. 8 is a device adding interface of the operation terminal according to an embodiment of the present invention.
  • FIG. 9 is a rehabilitation prescription interface of the operation terminal of an embodiment of the present invention.
  • FIG. 10 is a rehabilitation task interface on the home side according to an embodiment of the present invention.
  • Fig. 11 is a home device adding interface according to an embodiment of the present invention.
  • the present invention discloses a specific embodiment of a rehabilitation management system, including: a doctor end, an operation end, a family end, and a rehabilitation management platform.
  • the doctor terminal is used for overall management of patients, and the global management includes: patient evaluation, data analysis, prescription editing, questionnaire issuance, and early warning management;
  • the operation terminal is used for medical staff to receive rehabilitation prescriptions issued by doctors, Help patients perform rehabilitation prescriptions and evaluate training tasks;
  • the home terminal is used for patients to obtain rehabilitation prescriptions issued by doctors, execute rehabilitation prescriptions, and evaluate training tasks.
  • the rehabilitation management platform can also be connected to the HIS system (hospital information system). After authorization by the hospital and the patient, the relevant diagnosis and treatment records of the patient in the hospital can be obtained to realize the sharing of medical data. More effective medical data can help rehabilitation The accuracy of the assessment.
  • HIS system hospital information system
  • the doctor's terminal can be based on PC and visit based on browser; or visit based on application of mobile terminal.
  • Those skilled in the art should understand that the use of a PC or a mobile terminal to perform operations on a management end such as a doctor end is a conventional technical means in the art.
  • the doctor terminal includes a login and registration module, a patient management module, an evaluation module, a prescription module, an early warning module, a report management module, and a questionnaire management module.
  • the above modules display and perform operations in the form of an interface.
  • the doctor accesses the rehabilitation management platform through the doctor’s terminal, and clicks "Rehabilitation Management” and "Rehabilitation Management Patient” in the left menu bar to enter the patient management interface, which displays patient information and patient rehabilitation.
  • the patient information includes: the patient’s name and gender; the patient’s rehabilitation management information includes: monitoring indicators, patient type, rehabilitation prescription, prescription validity period, task items and completion status.
  • the prescription validity period, task items and completion status give the rehabilitation
  • the current information and execution status of the prescription; the clickable operation controls are: the "View Details” button in the Rehabilitation Prescription column, the "View Details” button in the Completion Status column, and the "Details” and “Evaluation” in the "Operation” column "", “Report”, “Send Questionnaire” and “Delete” five operation buttons.
  • Fig. 3 is the rehabilitation evaluation interface of the platform, in which the evaluation type can be selected.
  • the evaluation types include but are not limited to the chronic obstructive pulmonary disease, asthma, pulmonary interstitial fibrosis, and pulmonary hypertension modules listed in the examples. Click on this interface to see the specific evaluation items. After confirmation, enter the rehabilitation evaluation and form an evaluation report.
  • the assessment content includes but is not limited to those listed in the examples: assessment scale, vital signs (such as body temperature, heart rate, blood oxygen saturation, etc.), lung function data (FVC, FEV1, etc.) ), six-minute walk test data, blood gas analysis data, diaphragm B ultrasound, blood routine, etc.
  • Evaluation types and evaluation content can be further added or refined based on the advancement of medical methods. Relevant information can be obtained through the hospital information system, or through the patient's home medical testing instrument.
  • the doctor’s prescription editing interface can be accessed by clicking the "View Details" button in the rehabilitation prescription column under the "Rehabilitation Management Patient” interface.
  • Rehabilitation prescriptions include exercise prescriptions, nutrition prescriptions and medication prescriptions. Prescriptions for different periods can be set, prescriptions can be set by day, week, and month, and smart reminders are provided. With the improvement of services, the types of prescriptions can be further increased.
  • the exercise prescription includes breathing muscle exercise, bedside exercise of upper and lower limbs, relaxation, stretching, breathing exercises, etc., and according to different prescription types, different training difficulty, training level, training time, and training times can be set. Wait.
  • the system can provide a default rehabilitation exercise prescription for reference according to the patient's assessment, and the doctor can also customize the rehabilitation exercise prescription according to the actual situation of the hospital and the patient.
  • the exercise prescription may also provide exercise task guidance.
  • the exercise task guidance includes graphic and/or video action demonstrations, such as breathing exercises.
  • an embedded AI teaching module is also provided. The AI teaching module compares and analyzes rehabilitation training actions and standard actions through AI, reminding the correction to approach the standard actions.
  • Nutritional prescription Nutritional management is also a key part of rehabilitation management. Therefore, individualized recipes can be customized according to needs, and recipes can be customized by day, week, and month to form a nutritional prescription.
  • Medication prescription According to the medication prescription issued by the doctor, intelligently remind the medication.
  • medication prescriptions include prescription drugs prescribed by a doctor and treatment prescriptions such as atomization and oxygen therapy.
  • this embodiment provides an example of the questionnaire sending interface of the questionnaire management module.
  • questionnaire management module Through the questionnaire management module, questionnaire history queries, questionnaire reports, and questionnaires can be read.
  • the questionnaire interface provides multiple templates.
  • the doctor checks the corresponding evaluation scale according to the patient's condition to quickly form the questionnaire and send it to the patient.
  • the evaluation scale given in this embodiment includes dyspnea index (mMRC), COPD assessment test (CAT), number of exacerbations, COPD screening questionnaire, ACT (adult), ACT (child), PHQ-9 , GAD-7, Pittsburgh Sleep Quality Index (PSQI), etc., doctors can also customize the questionnaires they need.
  • the applicable population of this questionnaire mainly includes patients with home rehabilitation therapy such as chronic obstructive pulmonary disease, asthma, emphysema, pulmonary hypertension, and interstitial lung disease.
  • the early warning management module includes monitoring index setting and message management. When the monitoring index exceeds the threshold, a message is generated.
  • the doctor can set the contact method through the message management according to the importance of the message, such as telephone, SMS, and patient contact.
  • the contact method can also be other communication methods, such as instant communication methods such as WeChat, and the contact can be made through text or voice messages.
  • the message management is divided into unread messages and read messages.
  • the message types are divided into over-limit warning, prescription expiration warning, task incomplete warning, etc. You can choose telephone contact or SMS notification to process the message, click to read the message The current message will become a read message. If you delete the message, the message will be closed and no longer displayed.
  • the doctor’s end also includes a follow-up management module and a doctor-patient online interaction module.
  • the doctor can record the date of follow-up and follow-up feedback through the follow-up module; the doctor-patient online interaction module provides a channel for graphics or video, and the corresponding setting is also set on the family side.
  • Interactive module to establish a direct connection between doctors and patients on the doctor's end and the family's end. In order to provide more convenient medical services.
  • the operating terminal is mainly used for on-site rehabilitation management of patients by medical staff in areas such as wards, rehabilitation rooms, and patients' homes. Therefore, mobile terminals such as mobile phones and tablets are generally used to run corresponding applications on the mobile terminals.
  • the application program includes a login module, a task management module, and a device management module.
  • the task management module is used to synchronize patient data managed under a doctor's account. The medical staff can view and maintain the task execution data of the patients served through the task management module.
  • the login module is used for the login management of medical staff.
  • Medical staff can log in to the operating terminal through mobile terminals, such as mobile phones, tablets, and other rehabilitation management applications. After logging in, they can enter the task management interface of the task management module, as shown in Figure 7, the interface includes: (1) Patient's Basic personal information; (2) Prescription validity period; (3) Percentage of tasks completed today; (4) Number of days absent from work, etc. In this way, it is convenient for medical staff to perform one-to-many management of patients, and supervise, guide or assist patients in performing prescription tasks.
  • Figure 8 shows the device management interface of the device management module on the operating side.
  • the operation terminal is connected with multiple in-hospital testing instruments, meters and rehabilitation equipment, and patients can be tested or rehabilitated through these testing instruments, meters and rehabilitation equipment.
  • the testing data and rehabilitation exercise data can be directly collected through the operation terminal and uploaded and stored. In the rehabilitation management platform, as the basis for evaluation.
  • Figure 9 shows the task management module interface of the operation terminal.
  • the task management module interface choose to query a specific patient and enter the personal task management interface.
  • medical staff can understand the latest status of the current patient's rehabilitation prescription issued by the doctor and perform the prescription task for the current patient The progress is monitored.
  • the home terminal includes an account management module, a device management module, and a task management module.
  • the account management module is used for registration and authentication, so as to obtain prescription tasks issued by a doctor.
  • the home terminal is run on mobile terminals such as mobile phones and tablets in the form of APP software or WeChat applets. Patients and related personnel (such as family members, caregivers, etc.) can use tasks
  • the interface of the management module can intuitively see the execution of the prescription task, and the patient executes it on time according to the prompts of the interface.
  • the home side implements equipment management through the equipment management module to realize the connection between the mobile terminal and the home medical detection instrument.
  • the "equipment management” displays the equipment that has been added to the management, including respiratory endurance training equipment and pulse oximeter. , Sphygmomanometers, intelligent limb exercise machines and other medical testing instruments and rehabilitation equipment, the testing data obtained from the medical testing instruments and the motion data obtained from the rehabilitation equipment are uploaded to the rehabilitation management platform through the mobile terminal.
  • the rehabilitation management system of the embodiment of the present invention is a comprehensive rehabilitation management system that integrates the doctor end used by doctors, the operation end used by medical staff (such as therapists, rehabilitation nurses, etc.), and the home end used by home patients.
  • the system can match a variety of application scenarios; it can be used in the hospital, remote monitoring outside the hospital, home management combined inside and outside the hospital, etc., realizing the dynamic whole process from in-hospital rehabilitation evaluation to in-hospital diagnosis, prescription, rehabilitation implementation and home rehabilitation management The complete closed loop.
  • the present invention also discloses a rehabilitation management method, which is applied to the above-mentioned rehabilitation management system, including:
  • the doctor checks the patient's data through the doctor's terminal, writes a rehabilitation prescription, and forms a prescription task;
  • Medical staff read the prescription task through the operation terminal, and supervise and guide the patient to perform the prescription task;
  • the patient reads and executes the prescription task through the home terminal; the patient data generated by the execution of the prescription task is uploaded to the rehabilitation management platform through the home terminal;
  • the rehabilitation management platform performs data storage and data analysis; the data stored in the data includes: patient data, rehabilitation prescriptions, the patient data includes measurement data and questionnaire evaluation; the data analysis includes: statistical analysis of measurement data to form statistics Charts; questionnaire evaluation and analysis; recovery image data storage analysis, AI big data case analysis, etc., summarize the basic information of different patients, conditions, rehabilitation treatment plan implementation, and effect data analysis, as big data to provide doctors with the basis for subsequent rehabilitation prescriptions.
  • the rehabilitation management platform is also provided with external interfaces for docking with third-party platform systems, such as the hospital information system of the hospital, and the third-party health management platform.
  • third-party platform systems such as the hospital information system of the hospital, and the third-party health management platform.

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Abstract

A rehabilitation management system and method, which relate to the field of rehabilitation medical management. The system comprises: a platform end, an operation end, a home end, and a rehabilitation management platform. The platform end, the operation end, and the home end access the rehabilitation management platform and perform data interactions by means of the rehabilitation management platform; the platform end is used for globally managing patients, and the global management comprises: patient evaluation, data analysis, prescription editing, and questionnaire issuance; the operation end is used for medical staff to receive rehabilitation prescriptions issued by doctors and help the patients carry out the rehabilitation prescriptions and evaluate training tasks; and the home end is used for the patients to obtain the rehabilitation prescriptions issued by the doctors, execute the rehabilitation prescriptions, and evaluate the training tasks. The rehabilitation management system integrates the platform end used by doctors, the operation end used by therapists (rehabilitation nurses), and the home end used by home patients, thereby achieving a complete closed loop from in-hospital rehabilitation evaluation to in-hospital rehabilitation exercises to home rehabilitation management.

Description

一种康复管理系统及方法Rehabilitation management system and method 技术领域Technical field
本发明涉及康复医疗管理领域,尤其涉及一种康复管理系统及方法。The invention relates to the field of rehabilitation medical management, in particular to a rehabilitation management system and method.
背景技术Background technique
慢性阻塞性肺疾病(COPD)是一种慢性病,呼吸康复训练能改善慢性阻塞性肺疾病(COPD)患者心理状况和肺功能,提高COPD患者的生存质量。基于医疗资源的不足和节约的原则,慢性阻塞性肺疾病(COPD)患者大多需要在家中进行康复,因此需要远程的康复训练管理。Chronic obstructive pulmonary disease (COPD) is a chronic disease. Respiratory rehabilitation training can improve the psychological condition and lung function of patients with chronic obstructive pulmonary disease (COPD), and improve the quality of life of COPD patients. Based on the insufficiency of medical resources and the principle of saving, most patients with chronic obstructive pulmonary disease (COPD) need to recover at home, so remote rehabilitation training management is needed.
中国专利CN 109215791 A揭示了一种基于多信息决策的健康管理方法、系统、设备及存储介质,其方法包括:建立用于评价使用者健康程度的处理区间;获取使用者的生物信号和运动信号,并通过生物信号和运动信号在对应区间内换算出相应的健康评价;根据运动区间、情绪区间和睡眠区间的健康评价分别判断使用者是否处于健康状态;若使用者至少一个处理区间处于非健康状态,则根据运动区间、情绪区间和睡眠区间的健康评价匹配出对应的反馈训练,协助使用者对调整当前的健康状况。通过结合可穿戴软硬件以及算法、反馈技术等软件形成嵌套式多重闭循环系统,实现多源传感信息从软件和硬件系统层面的高度融合,形成以身心健康评估模型为核心的健康管理。该发明主要针对健康人群或亚健康人群,通过可穿戴软硬件以及算法、反馈技术形成的大数据的身心健康评估模型进行健康管理,在应用中,缺乏医生的直接介入和管理,缺乏对处于康复阶段人群的全方位的健康管理。Chinese patent CN109215791 A discloses a health management method, system, equipment and storage medium based on multi-information decision-making. The method includes: establishing a processing interval for evaluating the health of the user; acquiring the user's biological signal and exercise signal , And calculate the corresponding health evaluation through the biosignal and motion signal in the corresponding interval; judge whether the user is in a healthy state according to the health evaluation of the exercise interval, the emotional interval and the sleep interval; if the user is at least one treatment interval in the unhealthy state State, match the corresponding feedback training according to the health evaluation of the exercise zone, the emotional zone and the sleep zone to assist the user in adjusting the current health status. By combining wearable software and hardware, algorithms, feedback technology and other software to form a nested multiple closed loop system, the multi-source sensor information is highly integrated from the software and hardware system level to form a health management centered on the physical and mental health assessment model. The invention is mainly aimed at healthy people or sub-healthy people. It uses wearable software and hardware, algorithms, and feedback technology to form a big data physical and mental health assessment model for health management. In the application, there is a lack of direct intervention and management of doctors, and lack of rehabilitation All-round health management for the population at this stage.
中国专利CN105912880A公开了一种智能家用呼吸健康管理系统,包括家庭端、医院端,家庭端和医院端通过通信模块实现信息交互,家庭端包括呼吸信号采集装置、显示单元,医院端包括呼吸信号到达提醒模块、患者数据收集管理模块、工作提醒模块、诊断结果反馈模块、互动模块,通过将呼吸信号采集装置内的呼吸信号采集单元依次连接的前级放大单元、解调单元、增益及偏置单元、A/D转换单元,从而提高弱信号下的呼吸测量准确性,其中A/D转换单元,采用多位A/D,具有较宽的变阻检测范围,医院端通过呼吸信号到达提醒模块、患者数据收集管理模块、工作提醒模块、诊断结果反馈模块、互动模块,实现工作提醒、患者数据收集、用户管理、结果分析、互动讨论等。该发明在家庭端和医院端的交互功能仅限于呼吸信号采集装置,功能有限,同样缺乏对处于康复阶段人群的全方位的健康管理。Chinese patent CN105912880A discloses a smart home respiratory health management system, including home end, hospital end, home end and hospital end through the communication module to achieve information interaction, home end includes respiratory signal acquisition device, display unit, hospital end includes respiratory signal arrival Reminder module, patient data collection management module, work reminder module, diagnosis result feedback module, interactive module, through the pre-amplifier unit, demodulation unit, gain and bias unit connected in sequence to the respiration signal acquisition unit in the respiration signal acquisition device , A/D conversion unit, thereby improving the accuracy of breath measurement under weak signals. Among them, the A/D conversion unit adopts multi-bit A/D and has a wide range of variable resistance detection. The hospital end reaches the reminder module through the breath signal, Patient data collection management module, work reminder module, diagnosis result feedback module, interactive module, realize work reminder, patient data collection, user management, result analysis, interactive discussion, etc. The interactive function of the invention at the home and hospital ends is limited to the respiratory signal acquisition device, which has limited functions, and also lacks all-round health management for people in the rehabilitation stage.
因此,我们需要提供一种康复管理系统及方法,以有效对居家的慢性病患者进行全方位的健康管理。Therefore, we need to provide a rehabilitation management system and method to effectively carry out comprehensive health management for patients with chronic diseases at home.
发明内容Summary of the invention
有鉴于现有技术的上述缺陷,本发明的目的是提供一种康复管理系统和方法,提供全方 位的健康管理。In view of the above-mentioned shortcomings of the prior art, the purpose of the present invention is to provide a rehabilitation management system and method to provide comprehensive health management.
技术方案如下:The technical solutions are as follows:
一种康复管理系统,包括:医生端、操作端、家庭端和康复管理平台,A rehabilitation management system, including: doctor end, operation end, family end and rehabilitation management platform,
所述康复管理平台用于和所述医生端、所述操作端、所述家庭端通信连接,进行数据交互,及提供数据统计和数据分析功能;The rehabilitation management platform is used to communicate with the doctor end, the operation end, and the home end, perform data interaction, and provide data statistics and data analysis functions;
所述医生端用于医生对患者的全局管理,所述全局管理包括:对患者的评估、报告查询、处方编辑和问卷发放;The doctor terminal is used for the doctor's overall management of the patient, and the overall management includes: patient evaluation, report query, prescription editing, and questionnaire distribution;
所述操作端用于医护人员接收医生开具的康复处方,并根据所述康复处方帮助患者执行处方任务和执行问卷评估任务;The operating terminal is used for medical staff to receive a rehabilitation prescription issued by a doctor, and to help the patient perform prescription tasks and perform questionnaire evaluation tasks according to the rehabilitation prescription;
所述家庭端用于患者获取医生开具的康复处方,执行处方任务和执行问卷评估任务。The home terminal is used for patients to obtain rehabilitation prescriptions issued by doctors, perform prescription tasks, and perform questionnaire evaluation tasks.
进一步的,所述康复处方包括:运动处方、用药处方和营养处方。Further, the rehabilitation prescription includes: exercise prescription, medication prescription and nutrition prescription.
进一步的,所述医生端包括登录注册模块、患者管理模块、评估模块、处方模块、预警模块、报告管理模块和问卷管理模块。Further, the doctor terminal includes a login and registration module, a patient management module, an evaluation module, a prescription module, an early warning module, a report management module, and a questionnaire management module.
进一步的,所述患者管理模块用于选择操作指令,所述操作指令包括详情指令、评估指令、报告指令、删除指令和发问卷指令,所述详情指令用于查看用户的信息系统和历史;所述评估指令用于进行康复评估;所述报告指令用于查看历史的康复评估详情;所述删除指令用于删除当前管理的患者;所述发问卷指令用于给患者发送问卷评估任务。Further, the patient management module is used to select operating instructions, the operating instructions include detailed instructions, evaluation instructions, report instructions, delete instructions, and questionnaires, and the detailed instructions are used to view the user's information system and history; The evaluation instruction is used to perform rehabilitation evaluation; the report instruction is used to view historical rehabilitation evaluation details; the delete instruction is used to delete the currently managed patient; the questionnaire instruction is used to send a questionnaire evaluation task to the patient.
进一步的,所述评估模块用于根据患者所需的评估类型生成评估报告。Further, the evaluation module is used to generate an evaluation report according to the type of evaluation required by the patient.
进一步的,所述评估类型包括慢性阻塞性肺病、哮喘、肺间质纤维化、肺动脉高压中的至少一种;所述评估报告的评估内容包括评估量表、生命体征数据、肺功能数据、膈肌B超、步行试验数据、血气分析数据、血常规中的至少一种。Further, the assessment type includes at least one of chronic obstructive pulmonary disease, asthma, pulmonary fibrosis, and pulmonary hypertension; the assessment content of the assessment report includes an assessment scale, vital signs data, lung function data, diaphragm At least one of B-ultrasound, walking test data, blood gas analysis data, and blood routine.
进一步的,所述处方模块用于康复处方的生成和维护管理。Further, the prescription module is used for the generation, maintenance and management of rehabilitation prescriptions.
进一步的,所述报告管理模块用于管理和查询历史数据和报告。Further, the report management module is used to manage and query historical data and reports.
进一步的,所述医生端还包括随访管理模块,所述随访管理模块用于记录随访日期和随访反馈内容。Further, the doctor terminal also includes a follow-up management module, and the follow-up management module is used to record the date of the follow-up and the content of the follow-up feedback.
进一步的,所述操作端包括任务管理模块和设备管理模块,医护人员通过任务管理模块查看所服务的患者的处方任务数据;所述设备管理模块用于管理所需的医疗检测设备和康复设备。Further, the operation terminal includes a task management module and an equipment management module. The medical staff can view the prescription task data of the patients being served through the task management module; the equipment management module is used to manage required medical testing equipment and rehabilitation equipment.
进一步的,所述处方任务数据包括:患者的基础个人信息、处方有效期、今日任务完成 百分比和缺勤的天数;通过查询任务管理模块中的某个患者,可获得由医生开具的所述患者的康复处方的最新状态,及所述患者的处方任务的具体执行情况。Further, the prescription task data includes: the patient’s basic personal information, the prescription validity period, the completion percentage of today’s tasks, and the number of days absent from work; by querying a certain patient in the task management module, the patient’s rehabilitation prescribed by the doctor can be obtained. The latest status of the prescription, and the specific execution of the patient's prescription task.
进一步的,所述操作端为运行于移动终端的应用程序。Further, the operating terminal is an application program running on a mobile terminal.
进一步的,所述家庭端包括账号管理模块、设备管理模块、康复处方模块,所述账号管理模块用于注册认证,从而获取医生开具的处方任务;所述设备管理模块用于管理所需的医疗检测设备和康复设备;所述康复处方模块用于查询康复处方。Further, the home terminal includes an account management module, an equipment management module, and a rehabilitation prescription module. The account management module is used for registration and authentication, so as to obtain prescription tasks issued by a doctor; and the equipment management module is used for managing required medical care. Testing equipment and rehabilitation equipment; the rehabilitation prescription module is used to query rehabilitation prescriptions.
进一步的,所述家庭端是运行于移动终端的应用程序。Further, the home terminal is an application program running on a mobile terminal.
进一步的,所述家庭端通过手机号码或者其他身份信息绑定账号完成注册认证。Further, the home terminal completes registration authentication by binding an account with a mobile phone number or other identity information.
进一步的,所述运动处方中还包括运动任务指导,所述运动任务指导包括图文、视频的动作演示和AI教学模块中的一项或多项。Further, the exercise prescription also includes exercise task guidance, and the exercise task guidance includes one or more of graphic and video action demonstrations and AI teaching modules.
进一步的,所述数据分析包括:测量数据统计分析、问卷评估分析、康复影像数据存储分析和AI大数据病例分析中的一项或多项。Further, the data analysis includes one or more of measurement data statistical analysis, questionnaire evaluation analysis, rehabilitation image data storage analysis, and AI big data case analysis.
进一步的,所述康复管理系统还包括医患在线互动模块,所述医患在线互动模块是指通过图文或视频在医生端和家庭端建立患者和医生的直接连接。Further, the rehabilitation management system further includes a doctor-patient online interaction module, and the doctor-patient online interaction module refers to the establishment of a direct connection between the patient and the doctor at the doctor end and the family end through graphics or video.
进一步的,所述康复管理平台还设置有外部数据接口,用于和第三方平台系统对接。Further, the rehabilitation management platform is also provided with an external data interface for docking with a third-party platform system.
一种康复管理办法,应用于如上所述的康复管理系统,包括:A rehabilitation management method applied to the above-mentioned rehabilitation management system, including:
医生通过医生端,查看患者数据,开具康复处方,形成处方任务;The doctor checks the patient's data through the doctor's terminal, writes a rehabilitation prescription, and forms a prescription task;
医护人员通过操作端读取处方任务,并监督、指导或辅助患者执行处方任务、执行问卷评估任务;Medical staff read prescription tasks through the operation terminal, and supervise, guide or assist patients to perform prescription tasks and perform questionnaire evaluation tasks;
患者通过家庭端读取所述处方任务并执行;并将执行处方任务产生的患者数据通过家庭端上传至康复管理平台;The patient reads and executes the prescription task through the home terminal; and uploads the patient data generated from the execution of the prescription task to the rehabilitation management platform through the home terminal;
康复管理平台为医生端、操作端、家庭端提供数据交互、数据存储和报告统计分析。The rehabilitation management platform provides data interaction, data storage, and report statistical analysis for doctors, operators, and families.
本发明实现了如下技术效果:The present invention achieves the following technical effects:
本发明提供了一种康复管理系统,是集医生使用的医生端、治疗师(康复护士)使用的操作端、居家患者使用的家庭端于一体的综合康复管理系统。该系统可匹配多种应用场景;可在医院内使用、医院外远程监控、院内院外结合的居家管理等,实现了从院内康复评估到院内康复实施再到家庭康复管理的完整闭环。The invention provides a rehabilitation management system, which is a comprehensive rehabilitation management system integrating a doctor end used by doctors, an operation end used by therapists (rehabilitation nurses), and a home end used by home patients. The system can match a variety of application scenarios; it can be used in the hospital, remote monitoring outside the hospital, home management combined inside and outside the hospital, etc., to achieve a complete closed loop from in-hospital rehabilitation evaluation to in-hospital rehabilitation implementation to family rehabilitation management.
附图说明Description of the drawings
图1是本发明的康复管理系统的框图;Figure 1 is a block diagram of the rehabilitation management system of the present invention;
图2是本发明的一实施例的医生端的患者管理界面;Figure 2 is a patient management interface on the doctor's side according to an embodiment of the present invention;
图3是本发明的一实施例的医生端的评估类型选择界面;FIG. 3 is an evaluation type selection interface on the doctor side according to an embodiment of the present invention;
图4是本发明的一实施例的医生端的处方编辑界面;Figure 4 is a prescription editing interface on the doctor's side according to an embodiment of the present invention;
图5是本发明的一实施例的医生端的发问卷界面;FIG. 5 is a questionnaire sending interface on the doctor side according to an embodiment of the present invention;
图6是本发明的一实施例的医生端的消息管理界面;Fig. 6 is a message management interface of the doctor terminal according to an embodiment of the present invention;
图7是本发明的一实施例的操作端的任务管理界面;FIG. 7 is a task management interface of the operation terminal of an embodiment of the present invention;
图8是本发明的一实施例的操作端的设备添加界面;FIG. 8 is a device adding interface of the operation terminal according to an embodiment of the present invention;
图9是本发明的一实施例的操作端的康复处方界面;FIG. 9 is a rehabilitation prescription interface of the operation terminal of an embodiment of the present invention;
图10是本发明的一实施例的家庭端的康复任务界面;FIG. 10 is a rehabilitation task interface on the home side according to an embodiment of the present invention;
图11是本发明的一实施例的家庭端的设备添加界面。Fig. 11 is a home device adding interface according to an embodiment of the present invention.
具体实施方式Detailed ways
为进一步说明各实施例,本发明提供有附图。这些附图为本发明揭露内容的一部分,其主要用以说明实施例,并可配合说明书的相关描述来解释实施例的运作原理。配合参考这些内容,本领域普通技术人员应能理解其他可能的实施方式以及本发明的优点。图中的组件并未按比例绘制,而类似的组件符号通常用来表示类似的组件。To further illustrate the various embodiments, the present invention is provided with drawings. These drawings are a part of the disclosure of the present invention, which are mainly used to illustrate the embodiments, and can cooperate with the relevant description in the specification to explain the operation principle of the embodiments. With reference to these contents, those of ordinary skill in the art should be able to understand other possible implementation manners and advantages of the present invention. The components in the figure are not drawn to scale, and similar component symbols are usually used to indicate similar components.
现结合附图和具体实施方式对本发明进一步说明。The present invention will now be further described with reference to the drawings and specific embodiments.
如图1所示,本发明公开了一种康复管理系统的具体实施例,包括:医生端、操作端、家庭端和康复管理平台。所述医生端用于对患者的全局管理,所述全局管理包括:对患者的评估、数据分析、处方编辑、问卷发放、预警管理;所述操作端用于医护人员接收医生开具的康复处方,帮助患者执行康复处方、评估训练任务;所述家庭端用于患者获取医生开具的康复处方,执行康复处方,评估训练任务。As shown in Figure 1, the present invention discloses a specific embodiment of a rehabilitation management system, including: a doctor end, an operation end, a family end, and a rehabilitation management platform. The doctor terminal is used for overall management of patients, and the global management includes: patient evaluation, data analysis, prescription editing, questionnaire issuance, and early warning management; the operation terminal is used for medical staff to receive rehabilitation prescriptions issued by doctors, Help patients perform rehabilitation prescriptions and evaluate training tasks; the home terminal is used for patients to obtain rehabilitation prescriptions issued by doctors, execute rehabilitation prescriptions, and evaluate training tasks.
康复管理平台还可对接HIS系统(即医院信息系统),在经医院和患者授权后,可以获取患者在医院的相关诊疗记录,以实现医疗数据的共享,更多有效的医疗数据有助于康复评估的准确性。The rehabilitation management platform can also be connected to the HIS system (hospital information system). After authorization by the hospital and the patient, the relevant diagnosis and treatment records of the patient in the hospital can be obtained to realize the sharing of medical data. More effective medical data can help rehabilitation The accuracy of the assessment.
医生端可以是基于PC,并基于浏览器进行访问;或基于移动终端的应用程序进行访问。本领域技术人员应当了解,在医生端等管理端采用PC或移动终端进行操作属于本领域的常规技术手段。The doctor's terminal can be based on PC and visit based on browser; or visit based on application of mobile terminal. Those skilled in the art should understand that the use of a PC or a mobile terminal to perform operations on a management end such as a doctor end is a conventional technical means in the art.
所述医生端包括登录注册模块、患者管理模块、评估模块、处方模块、预警模块、报告管理模块和问卷管理模块。以上模块以界面的方式显示和执行操作。The doctor terminal includes a login and registration module, a patient management module, an evaluation module, a prescription module, an early warning module, a report management module, and a questionnaire management module. The above modules display and perform operations in the form of an interface.
如图2所示,医生通过医生端访问康复管理平台,在左侧菜单栏依次点击“康复管理”、“康复管理患者”,可进入患者的管理界面,在该界面具体显示患者信息、患者康复管理信 息和对该患者可执行的操作。该患者信息包括:患者的姓名、性别;患者的康复管理信息包括:监控指标、患者类型、康复处方、处方有效期、任务事项和完成情况,其中,处方有效期、任务事项和完成情况给出了康复处方的当前信息和执行情况;可点击的操作控件有:在康复处方栏目的“查看详情”按钮,在完成情况栏目的“查看详情”按钮,在“操作”栏中的“详情”、“评估”、“报告”、“发问卷”、“删除”五个操作按钮。其中,(1)点击操作栏目下的“详情”可查看用户的信息系统,历史等;(2)点击“评估”可执行评估指令,进入康复评估界面,调用康复评估模块进行康复评估;(3)点击“报告”可执行报告指令,进入报告界面,调用报告管理模块,查看历史的康复评估详情;(4)点击“发问卷”可执行发问卷指令,调用问卷管理模块,通过系统邮箱或即时通讯方式等方式给院内院外的患者发送问卷评估任务;(5)点击“删除”按钮可执行删除指令,删除当前管理的患者;(6)点击“监控指标栏目”可进入监控指标自定义界面;(7)点击康复处方栏目的“查看详情”可进入处方编辑的界面;(8)点击完成情况栏目的“查看详情”可查看当前处方的完全情况汇总。通过该界面,可方便地管理到每个服务的患者。As shown in Figure 2, the doctor accesses the rehabilitation management platform through the doctor’s terminal, and clicks "Rehabilitation Management" and "Rehabilitation Management Patient" in the left menu bar to enter the patient management interface, which displays patient information and patient rehabilitation. Management information and actions that can be performed on the patient. The patient information includes: the patient’s name and gender; the patient’s rehabilitation management information includes: monitoring indicators, patient type, rehabilitation prescription, prescription validity period, task items and completion status. Among them, the prescription validity period, task items and completion status give the rehabilitation The current information and execution status of the prescription; the clickable operation controls are: the "View Details" button in the Rehabilitation Prescription column, the "View Details" button in the Completion Status column, and the "Details" and "Evaluation" in the "Operation" column "", "Report", "Send Questionnaire" and "Delete" five operation buttons. Among them, (1) Click "Details" under the operation column to view the user's information system, history, etc.; (2) Click "Evaluate" to execute the evaluation instruction, enter the rehabilitation evaluation interface, and call the rehabilitation evaluation module for rehabilitation evaluation; (3) ) Click "Report" to execute the report instruction, enter the report interface, call the report management module, and view the historical rehabilitation evaluation details; (4) Click "Send Questionnaire" to execute the questionnaire instruction, call the questionnaire management module, through the system mailbox or instant Send questionnaire evaluation tasks to patients inside and outside the hospital through communication methods; (5) Click the "Delete" button to execute the delete command and delete the currently managed patient; (6) Click the "Monitoring Index Column" to enter the monitoring index customization interface; (7) Click "View Details" in the Rehabilitation Prescription column to enter the prescription editing interface; (8) Click "View Details" in the Completed Status column to view the complete summary of the current prescription. Through this interface, you can easily manage each service patient.
如图3所示的是平台的康复评估界面,在该界面可以选择评估类型,评估类型包括但不限于实施例中所列的慢性阻塞性肺病、哮喘、肺间质纤维化、肺动脉高压模块。点击该界面可以看到具体评估事项,经确定后,然后进入康复评估并形成评估报告。根据评估类型中所列的慢性病特征,评估内容包括但不限于实施例中所列的:评估量表、生命体征(如体温、心率、血氧饱和度等)、肺功能数据(FVC、FEV1等)、六分钟步行试验数据、血气分析数据、膈肌B超、血常规等。评估类型和评估内容可根据医疗手段的进步,做进一步增加或细化。相关信息可以通过医院信息系统获得,也可通过患者的家用的医疗检测仪表获得。As shown in Fig. 3 is the rehabilitation evaluation interface of the platform, in which the evaluation type can be selected. The evaluation types include but are not limited to the chronic obstructive pulmonary disease, asthma, pulmonary interstitial fibrosis, and pulmonary hypertension modules listed in the examples. Click on this interface to see the specific evaluation items. After confirmation, enter the rehabilitation evaluation and form an evaluation report. According to the chronic disease characteristics listed in the assessment type, the assessment content includes but is not limited to those listed in the examples: assessment scale, vital signs (such as body temperature, heart rate, blood oxygen saturation, etc.), lung function data (FVC, FEV1, etc.) ), six-minute walk test data, blood gas analysis data, diaphragm B ultrasound, blood routine, etc. Evaluation types and evaluation content can be further added or refined based on the advancement of medical methods. Relevant information can be obtained through the hospital information system, or through the patient's home medical testing instrument.
如图4所示的是医生端的处方编辑界面,可通过点击“康复管理患者”界面下的康复处方栏目的“查看详情”按钮进入。康复处方包括运动处方、营养处方和用药处方,可设置不同时期的处方,可按天、按周、按月设置处方,并提供智能提醒。随着服务的提升,可进一步增加细分的处方类型。As shown in Figure 4, the doctor’s prescription editing interface can be accessed by clicking the "View Details" button in the rehabilitation prescription column under the "Rehabilitation Management Patient" interface. Rehabilitation prescriptions include exercise prescriptions, nutrition prescriptions and medication prescriptions. Prescriptions for different periods can be set, prescriptions can be set by day, week, and month, and smart reminders are provided. With the improvement of services, the types of prescriptions can be further increased.
在本实施例中,运动处方包含呼吸肌力锻炼、床旁上下肢运动、放松、拉伸、呼吸操等,并根据处方类型的不同,可设置不同训练难度、训练级别、训练时间、训练次数等。系统可根据患者评估情况提供可供参考的默认康复运动处方,医生亦可根据医院及患者的实际情况定制康复运动处方。In this embodiment, the exercise prescription includes breathing muscle exercise, bedside exercise of upper and lower limbs, relaxation, stretching, breathing exercises, etc., and according to different prescription types, different training difficulty, training level, training time, and training times can be set. Wait. The system can provide a default rehabilitation exercise prescription for reference according to the patient's assessment, and the doctor can also customize the rehabilitation exercise prescription according to the actual situation of the hospital and the patient.
为指导运动处方的有效执行,运动处方还可提供运动任务指导,所述运动任务指导包括图文和/或视频的动作演示,如呼吸操等。进一步的,还提供内嵌的AI教学模块,AI教学模块为通过AI将康复训练的动作和标准动作对比分析,提醒纠正趋近标准动作。In order to guide the effective execution of the exercise prescription, the exercise prescription may also provide exercise task guidance. The exercise task guidance includes graphic and/or video action demonstrations, such as breathing exercises. Furthermore, an embedded AI teaching module is also provided. The AI teaching module compares and analyzes rehabilitation training actions and standard actions through AI, reminding the correction to approach the standard actions.
营养处方:对于康复管理而言,营养管理也是关键的一环,因此可根据需要个性化的定制食谱,可按天、按周、按月自定义食谱,形成营养处方。Nutritional prescription: Nutritional management is also a key part of rehabilitation management. Therefore, individualized recipes can be customized according to needs, and recipes can be customized by day, week, and month to form a nutritional prescription.
用药处方:根据医生开具的用药处方,智能提醒用药。在本实施例中,用药处方包括医生开具的处方药以及雾化、氧疗等治疗处方。Medication prescription: According to the medication prescription issued by the doctor, intelligently remind the medication. In this embodiment, medication prescriptions include prescription drugs prescribed by a doctor and treatment prescriptions such as atomization and oxygen therapy.
如图5所示,本实施例中给出了问卷管理模块的发问卷界面的示例,通过问卷管理模块可进行问卷历史查询,读取问卷报告和发问卷。发问卷界面给出了多个模板,医生根据患者的病情,勾选相应的评估量表,以快速形成调查问卷,发送给患者。在本实施例中给出的评估量表包含呼吸困难指数(mMRC)、COPD评估测试(CAT)、急性加重次数、慢阻肺筛查问卷、ACT(成人)、ACT(儿童)、PHQ-9、GAD-7、匹斯堡睡眠质量指数(PSQI)等等,医生还可自定义添加所需要的问卷。该问卷的适用人群主要包含慢阻肺、哮喘、肺气肿、肺动脉高压、间质性肺疾病等居家康复治疗的患者。As shown in FIG. 5, this embodiment provides an example of the questionnaire sending interface of the questionnaire management module. Through the questionnaire management module, questionnaire history queries, questionnaire reports, and questionnaires can be read. The questionnaire interface provides multiple templates. The doctor checks the corresponding evaluation scale according to the patient's condition to quickly form the questionnaire and send it to the patient. The evaluation scale given in this embodiment includes dyspnea index (mMRC), COPD assessment test (CAT), number of exacerbations, COPD screening questionnaire, ACT (adult), ACT (child), PHQ-9 , GAD-7, Pittsburgh Sleep Quality Index (PSQI), etc., doctors can also customize the questionnaires they need. The applicable population of this questionnaire mainly includes patients with home rehabilitation therapy such as chronic obstructive pulmonary disease, asthma, emphysema, pulmonary hypertension, and interstitial lung disease.
预警管理模块包括监控指标设定和消息管理,当监控指标超出阈值,则产生消息,医生可根据消息的重要程度,并通过消息管理设定的联系方式,如电话、短信和患者联系。该联系方式也可以是其它通信方式,如微信等即时通信方式,通过文字或语音留言方式进行联系。如图6所示,消息管理分为未读消息和已读消息,消息类型分为超限预警、处方过期预警、任务未完成预警等等,处理消息可选择电话联系或者短信通知,点击阅读消息当前消息会变成已读消息,删掉消息则本条消息将关闭不再显示。The early warning management module includes monitoring index setting and message management. When the monitoring index exceeds the threshold, a message is generated. The doctor can set the contact method through the message management according to the importance of the message, such as telephone, SMS, and patient contact. The contact method can also be other communication methods, such as instant communication methods such as WeChat, and the contact can be made through text or voice messages. As shown in Figure 6, the message management is divided into unread messages and read messages. The message types are divided into over-limit warning, prescription expiration warning, task incomplete warning, etc. You can choose telephone contact or SMS notification to process the message, click to read the message The current message will become a read message. If you delete the message, the message will be closed and no longer displayed.
在医生端还包括有随访管理模块和医患在线互动模块,医生通过随访模块可以记录随访日期和随访的反馈内容;医患在线互动模块提供图文或视频的通道,在家庭端也设置相应的互动模块,从而在医生端和家庭端建立医生和患者的直接连接。以提供更为便利的医疗服务。The doctor’s end also includes a follow-up management module and a doctor-patient online interaction module. The doctor can record the date of follow-up and follow-up feedback through the follow-up module; the doctor-patient online interaction module provides a channel for graphics or video, and the corresponding setting is also set on the family side. Interactive module to establish a direct connection between doctors and patients on the doctor's end and the family's end. In order to provide more convenient medical services.
所述操作端主要用于医护人员在病房、康复室、患者家等区域的对患者的现场康复管理,因此,一般采用手机、平板等移动终端,在移动终端上运行相应的应用程序。所述应用程序包括登录模块、任务管理模块和设备管理模块,所述任务管理模块用于同步医生账号下管理的患者数据,医护人员通过任务管理模块查看和维护所服务的患者的任务执行数据。The operating terminal is mainly used for on-site rehabilitation management of patients by medical staff in areas such as wards, rehabilitation rooms, and patients' homes. Therefore, mobile terminals such as mobile phones and tablets are generally used to run corresponding applications on the mobile terminals. The application program includes a login module, a task management module, and a device management module. The task management module is used to synchronize patient data managed under a doctor's account. The medical staff can view and maintain the task execution data of the patients served through the task management module.
登录模块用于医护人员的登录管理。The login module is used for the login management of medical staff.
医护人员可通过移动终端,如手机、平板等的康复管理的应用程序登录操作端,在登录后可进入任务管理模块的任务管理界面,如图7所示,该界面包括:(1)患者的基础个人信息;(2)处方有效期;(3)今日任务完成百分比;(4)缺勤的天数等。通过该方式,便于医护人员对病患的一对多管理,监督、指导或辅助患者执行处方任务。Medical staff can log in to the operating terminal through mobile terminals, such as mobile phones, tablets, and other rehabilitation management applications. After logging in, they can enter the task management interface of the task management module, as shown in Figure 7, the interface includes: (1) Patient's Basic personal information; (2) Prescription validity period; (3) Percentage of tasks completed today; (4) Number of days absent from work, etc. In this way, it is convenient for medical staff to perform one-to-many management of patients, and supervise, guide or assist patients in performing prescription tasks.
图8所示的是操作端的设备管理模块的设备管理界面。操作端连接有多个院内的检测仪 器、仪表和康复设备,通过这些检测仪器、仪表和康复设备对病患进行检测或康复训练,检测数据和康复运动数据可直接通过操作端采集并上传存入康复管理平台中,作为评估依据。Figure 8 shows the device management interface of the device management module on the operating side. The operation terminal is connected with multiple in-hospital testing instruments, meters and rehabilitation equipment, and patients can be tested or rehabilitated through these testing instruments, meters and rehabilitation equipment. The testing data and rehabilitation exercise data can be directly collected through the operation terminal and uploaded and stored. In the rehabilitation management platform, as the basis for evaluation.
图9所示的是操作端的任务管理模块界面。在任务管理模块界面,选择查询具体的患者,进入个人的任务管理界面,医护人员可通过个人的任务管理界面,了解由医生开具的当前患者的康复处方的最新状态,并对当前患者执行处方任务的进度进行监督。Figure 9 shows the task management module interface of the operation terminal. In the task management module interface, choose to query a specific patient and enter the personal task management interface. Through the personal task management interface, medical staff can understand the latest status of the current patient's rehabilitation prescription issued by the doctor and perform the prescription task for the current patient The progress is monitored.
所述家庭端包括账号管理模块、设备管理模块、任务管理模块,所述账号管理模块用于注册认证,从而获取医生开具的处方任务。The home terminal includes an account management module, a device management module, and a task management module. The account management module is used for registration and authentication, so as to obtain prescription tasks issued by a doctor.
如图10所示,在本实施例中,家庭端是以APP软件或微信小程序的方式运行于如手机、平板等移动终端上,患者及相关人员(如家属、看护人员等)可通过任务管理模块的界面可直观地看到处方任务的执行情况,患者根据界面的提示按时执行。同时家庭端通过设备管理模块进行设备管理,实现移动终端和家用的医疗检测仪表的连接,如图11所示,“设备管理”显示已加入管理的设备,包括呼吸耐力训练仪器、脉搏血氧仪、血压计和智能肢体运动机等医疗检测仪表、康复设备,从医疗检测仪表获得的检测数据和从康复设备获得的运动数据,通过移动终端上传至康复管理平台。As shown in Figure 10, in this embodiment, the home terminal is run on mobile terminals such as mobile phones and tablets in the form of APP software or WeChat applets. Patients and related personnel (such as family members, caregivers, etc.) can use tasks The interface of the management module can intuitively see the execution of the prescription task, and the patient executes it on time according to the prompts of the interface. At the same time, the home side implements equipment management through the equipment management module to realize the connection between the mobile terminal and the home medical detection instrument. As shown in Figure 11, the "equipment management" displays the equipment that has been added to the management, including respiratory endurance training equipment and pulse oximeter. , Sphygmomanometers, intelligent limb exercise machines and other medical testing instruments and rehabilitation equipment, the testing data obtained from the medical testing instruments and the motion data obtained from the rehabilitation equipment are uploaded to the rehabilitation management platform through the mobile terminal.
本发明实施例的康复管理系统,是集医生使用的医生端、医护人员(如治疗师、康复护士等)使用的操作端、居家患者使用的家庭端于一体的综合康复管理系统。该系统可匹配多种应用场景;可在医院内使用、医院外远程监控、院内院外结合的居家管理等,实现了从院内康复评估到院内诊断、处方、康复实施再到家庭康复管理动态全流程的完整闭环。The rehabilitation management system of the embodiment of the present invention is a comprehensive rehabilitation management system that integrates the doctor end used by doctors, the operation end used by medical staff (such as therapists, rehabilitation nurses, etc.), and the home end used by home patients. The system can match a variety of application scenarios; it can be used in the hospital, remote monitoring outside the hospital, home management combined inside and outside the hospital, etc., realizing the dynamic whole process from in-hospital rehabilitation evaluation to in-hospital diagnosis, prescription, rehabilitation implementation and home rehabilitation management The complete closed loop.
本发明还公开了一种康复管理办法,应用于上述的康复管理系统,包括:The present invention also discloses a rehabilitation management method, which is applied to the above-mentioned rehabilitation management system, including:
医生通过医生端,查看患者数据,开具康复处方,形成处方任务;The doctor checks the patient's data through the doctor's terminal, writes a rehabilitation prescription, and forms a prescription task;
医护人员通过操作端读取处方任务,并监督、指导患者执行处方任务;Medical staff read the prescription task through the operation terminal, and supervise and guide the patient to perform the prescription task;
患者通过家庭端读取并执行所述处方任务;处方任务执行产生的患者数据通过家庭端上传至康复管理平台;The patient reads and executes the prescription task through the home terminal; the patient data generated by the execution of the prescription task is uploaded to the rehabilitation management platform through the home terminal;
所述康复管理平台进行数据存储和数据分析;所述数据存储的数据包括:患者数据、康复处方,所述患者数据包括测量数据和问卷评估;所述数据分析包括:测量数据统计分析,形成统计图表;问卷评估分析;康复影像数据存储分析、AI大数据病例分析等,汇总不同患者的基本信息、病情、康复治疗方案实施、效果数据分析,作为大数据提供医生后续开具康复处方的依据。The rehabilitation management platform performs data storage and data analysis; the data stored in the data includes: patient data, rehabilitation prescriptions, the patient data includes measurement data and questionnaire evaluation; the data analysis includes: statistical analysis of measurement data to form statistics Charts; questionnaire evaluation and analysis; recovery image data storage analysis, AI big data case analysis, etc., summarize the basic information of different patients, conditions, rehabilitation treatment plan implementation, and effect data analysis, as big data to provide doctors with the basis for subsequent rehabilitation prescriptions.
康复管理平台还设置有外部接口,用于和第三方平台系统对接,如医院的医院信息系统,第三方的健康管理平台等。经患者和第三方平台系统的许可,可利用已有的诊疗信息,减少重复的医疗消费,从而以更低的成本提供更优的医疗服务。The rehabilitation management platform is also provided with external interfaces for docking with third-party platform systems, such as the hospital information system of the hospital, and the third-party health management platform. With the permission of patients and third-party platform systems, existing diagnosis and treatment information can be used to reduce repeated medical consumption, thereby providing better medical services at a lower cost.
通过以上方法,实现了从院内康复评估到院内康复运动再到家庭康复管理的完整闭环。Through the above methods, a complete closed loop from in-hospital rehabilitation assessment to in-hospital rehabilitation exercises to family rehabilitation management is realized.
尽管结合优选实施方案具体展示和介绍了本发明,但所属领域的技术人员应该明白,在不脱离所附权利要求书所限定的本发明的精神和范围内,在形式上和细节上可以对本发明做出各种变化,均为本发明的保护范围。Although the present invention is specifically shown and described in conjunction with the preferred embodiments, those skilled in the art should understand that the present invention can be modified in form and detail without departing from the spirit and scope of the present invention defined by the appended claims. Various changes are within the protection scope of the present invention.

Claims (20)

  1. 一种康复管理系统,其特征在于,包括:医生端、操作端、家庭端和康复管理平台;A rehabilitation management system, which is characterized by comprising: a doctor end, an operation end, a family end and a rehabilitation management platform;
    所述康复管理平台用于和所述医生端、所述操作端、所述家庭端通信连接,进行数据交互,及提供数据统计和数据分析功能;The rehabilitation management platform is used to communicate with the doctor end, the operation end, and the home end, perform data interaction, and provide data statistics and data analysis functions;
    所述医生端用于医生对患者的全局管理,所述全局管理包括:对患者的评估、报告查询、处方编辑和问卷发放;The doctor terminal is used for the doctor's overall management of the patient, and the overall management includes: patient evaluation, report query, prescription editing, and questionnaire distribution;
    所述操作端用于医护人员接收医生开具的康复处方,并根据所述康复处方监督、指导或辅助患者执行处方任务和执行问卷评估任务;The operating terminal is used for medical staff to receive the rehabilitation prescription issued by the doctor, and supervise, guide or assist the patient to perform prescription tasks and perform questionnaire evaluation tasks according to the rehabilitation prescription;
    所述家庭端用于患者获取医生开具的康复处方,执行处方任务和执行问卷评估任务。The home terminal is used for patients to obtain rehabilitation prescriptions issued by doctors, perform prescription tasks, and perform questionnaire evaluation tasks.
  2. 如权利要求1所述的康复管理系统,其特征在于:所述康复处方包括:运动处方、用药处方和营养处方。The rehabilitation management system according to claim 1, wherein the rehabilitation prescription includes: exercise prescription, medication prescription and nutrition prescription.
  3. 如权利要求1或2所述的康复管理系统,其特征在于:所述医生端包括登录注册模块、患者管理模块、评估模块、处方模块、预警模块、报告管理模块和问卷管理模块。The rehabilitation management system according to claim 1 or 2, wherein the doctor terminal includes a login and registration module, a patient management module, an evaluation module, a prescription module, an early warning module, a report management module, and a questionnaire management module.
  4. 如权利要求3所述的康复管理系统,其特征在于:所述患者管理模块用于执行患者管理,可执行的操作指令包括详情指令、评估指令、报告指令、删除指令和发问卷指令,所述详情指令用于查看用户的信息系统和历史;所述评估指令用于进行康复评估;所述报告指令用于查看历史的康复评估详情;所述删除指令用于删除当前管理的患者;所述发问卷指令用于给患者发送问卷评估任务。The rehabilitation management system according to claim 3, wherein the patient management module is used to perform patient management, and executable operating instructions include detailed instructions, evaluation instructions, report instructions, delete instructions, and questionnaire instructions. The detailed instruction is used to view the user's information system and history; the evaluation instruction is used to conduct rehabilitation evaluation; the report instruction is used to view historical rehabilitation evaluation details; the delete instruction is used to delete the currently managed patient; The questionnaire instruction is used to send a questionnaire evaluation task to the patient.
  5. 如权利要求3所述的康复管理系统,其特征在于:所述评估模块用于根据患者所需的评估类型生成评估报告。The rehabilitation management system according to claim 3, wherein the evaluation module is used to generate an evaluation report according to the type of evaluation required by the patient.
  6. 如权利要求5所述的康复管理系统,其特征在于:所述评估类型包括慢性阻塞性肺病、哮喘、肺间质纤维化、肺动脉高压中的至少一种;所述评估报告的评估内容包括评估量表、生命体征数据、肺功能数据、膈肌B超、六分钟步行试验数据、血气分析数据、血常规中的至少一种。The rehabilitation management system according to claim 5, wherein the assessment type includes at least one of chronic obstructive pulmonary disease, asthma, pulmonary fibrosis, and pulmonary hypertension; the assessment content of the assessment report includes assessment At least one of scale, vital signs data, lung function data, diaphragm B ultrasound, six-minute walk test data, blood gas analysis data, and blood routine.
  7. 如权利要求3所述的康复管理系统,其特征在于:所述处方模块用于康复处方的生成和维护管理。The rehabilitation management system according to claim 3, wherein the prescription module is used for the generation, maintenance and management of rehabilitation prescriptions.
  8. 如权利要求3所述的康复管理系统,其特征在于:所述报告管理模块用于管理和查询历史数据和报告。The rehabilitation management system according to claim 3, wherein the report management module is used to manage and query historical data and reports.
  9. 如权利要求3所述的康复管理系统,其特征在于:所述医生端还包括随访管理模块,所述随访管理模块用于记录随访日期和随访反馈内容。The rehabilitation management system according to claim 3, wherein the doctor terminal further comprises a follow-up management module, and the follow-up management module is used to record follow-up dates and follow-up feedback content.
  10. 如权利要求1或2所述的康复管理系统,其特征在于:所述操作端包括任务管理模块和设备管理模块,所述任务管理模块用于查看所服务的患者的处方任务数据;所述设备管理模块用于管理所需的医疗检测设备和康复设备。The rehabilitation management system according to claim 1 or 2, wherein the operating terminal includes a task management module and an equipment management module, and the task management module is used to view the prescription task data of the patient being served; the equipment The management module is used to manage the required medical testing equipment and rehabilitation equipment.
  11. 如权利要求10所述的康复管理系统,其特征在于:所述处方任务数据包括:患者的基础个人信息、处方有效期、今日任务完成百分比和缺勤的天数。The rehabilitation management system according to claim 10, wherein the prescription task data includes the basic personal information of the patient, the validity period of the prescription, the completion percentage of today's tasks, and the number of days absent from work.
  12. 如权利要求10所述的康复管理系统,其特征在于:所述操作端为移动终端中的应用程序。The rehabilitation management system according to claim 10, wherein the operating terminal is an application program in a mobile terminal.
  13. 如权利要求1或2所述的康复管理系统,其特征在于:所述家庭端包括账号管理模块、设备管理模块和康复处方模块,所述账号管理模块用于注册认证,从而获取医生开具的处方任务;所述设备管理模块用于管理所需的医疗检测设备和康复设备;所述康复处方模块用于查询康复处方。The rehabilitation management system according to claim 1 or 2, wherein the home terminal includes an account management module, an equipment management module, and a rehabilitation prescription module, and the account management module is used for registration and authentication, so as to obtain prescriptions issued by a doctor Tasks; the equipment management module is used to manage required medical testing equipment and rehabilitation equipment; the rehabilitation prescription module is used to query rehabilitation prescriptions.
  14. 如权利要求13所述的康复管理系统,其特征在于:所述家庭端是运行于移动终端的应用程序。The rehabilitation management system according to claim 13, wherein the home terminal is an application program running on a mobile terminal.
  15. 如权利要求14所述的康复管理系统,其特征在于:所述家庭端通过手机号码或者其他身份信息绑定账号完成注册认证。The rehabilitation management system according to claim 14, wherein the home terminal completes registration authentication by binding an account with a mobile phone number or other identity information.
  16. 如权利要求2所述的康复管理系统,其特征在于:所述运动处方中还包括运动任务指导,所述运动任务指导包括图文、视频的动作演示和AI教学模块中的一种或多种。The rehabilitation management system according to claim 2, wherein the exercise prescription further includes exercise task guidance, and the exercise task guidance includes one or more of graphic and video action demonstrations and AI teaching modules .
  17. 如权利要求1所述的康复管理系统,其特征在于:所述数据分析包括:测量数据统计分析、问卷评估分析、康复影像数据存储分析、AI大数据病例分析中的一种或多种。The rehabilitation management system according to claim 1, wherein the data analysis includes one or more of measurement data statistical analysis, questionnaire evaluation analysis, rehabilitation image data storage analysis, and AI big data case analysis.
  18. 如权利要求1所述的康复管理系统,其特征在于:所述康复管理系统还包括医患在线互动模块,所述医患在线互动模块是指通过图文或视频在医生端和家庭端建立患者和医生的直接连接。The rehabilitation management system according to claim 1, characterized in that: the rehabilitation management system further comprises an online doctor-patient interaction module, and the doctor-patient online interaction module refers to the establishment of patients at the doctor end and the family end through pictures or videos. Direct connection with the doctor.
  19. 如权利要求1所述的康复管理系统,其特征在于:所述康复管理平台还设置有外部数据接口,用于和第三方平台系统对接。The rehabilitation management system according to claim 1, wherein the rehabilitation management platform is further provided with an external data interface for docking with a third-party platform system.
  20. 一种康复管理办法,其特征在于,应用于如权利要求1-19任一项所述的康复管理系统,包括:A rehabilitation management method, characterized in that it is applied to the rehabilitation management system according to any one of claims 1-19, and includes:
    医生通过医生端,查看患者数据,开具康复处方,形成处方任务;The doctor checks the patient's data through the doctor's terminal, writes a rehabilitation prescription, and forms a prescription task;
    医护人员通过操作端读取处方任务,并监督、指导患者执行处方任务;Medical staff read the prescription task through the operation terminal, and supervise and guide the patient to perform the prescription task;
    患者通过家庭端读取所述处方任务并执行;并将执行处方任务产生的患者数据通过家庭 端上传至康复管理平台;The patient reads and executes the prescription task through the home terminal; and uploads the patient data generated from the execution of the prescription task to the rehabilitation management platform through the home terminal;
    康复管理平台为医生端、操作端、家庭端提供数据交互、数据存储和报告统计分析。The rehabilitation management platform provides data interaction, data storage, and report statistical analysis for doctors, operators, and families.
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