JP2002245168A - Health management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a health management system capable of managing a health condition even in the case of arousal. SOLUTION: The health management system manages the health of a patient. Then, this system is provided with a portable health condition measuring means for detecting the health condition of the patient and a fixed type health condition measuring means for detecting the health condition data of the patient at least in a bed. Furthermore, the system is provided with a transmission means for transmitting the measured data of these measuring means to the health management center through a communication network.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a health management system for managing the health of a subject.

[0002]

2. Description of the Related Art Conventionally, various health management systems have been proposed. For example, JP-A-8-131408,
In Japanese Patent Application Laid-Open No. Hei 10-192246, an air mat equipped with a pressure sensor is installed on a bed or a bedding such as a futon,
Techniques for measuring biological information during sleep have been disclosed. According to this system, it is possible to grasp the health condition of the subject during sleep.

[0003]

According to the conventional method,
There was a problem that only the measurement of biological information during sleep could be performed, and comparison with data in the awake state could not be performed.

The present invention has been made to solve such a problem, and an object of the present invention is to provide a health management system capable of managing a health condition not only during sleep but also when awake.

[0005]

A health management system according to the present invention is a health management system for managing the health of a subject, which detects the health of the subject and outputs first health data. A portable health condition measuring means capable of detecting the health condition data of the subject at least when the patient is in bed, and outputting a second health condition data; and the first health condition data. The second
Transmission means for transmitting the health condition data to the health management center via a communication network. With such a configuration, the health condition can be managed not only during sleep but also when awake. In addition, the number of operations performed by the subject itself is reduced.

[0006] In the above-mentioned health management system, further, storage means for storing the first health condition data and the second health condition data, and the first health condition data stored in the storage means. A determination means for determining a health state of the subject based on the second health state data may be provided. With such a configuration, the health condition of the subject can be recognized.

The health management system further includes means for inputting life data of the subject, and based on the life data in addition to the first health data and the second health data. A determination means for determining the health condition of the subject may be provided. With such a configuration, the health condition of the subject can be more accurately determined.

[0008] Further, the judging means comprises the first health condition data and the second health condition data acquired by past measurement, the first health condition data acquired by current measurement, and the second health condition. It is desired to determine the health status of the subject by comparing the status data. As a result, since the comparison with the past data can be performed, the normal case can be compared with the abnormal case, and specific analysis can be performed. Therefore, it is possible to carry out health management without being aware of it, and to grasp the state of recovery after illness. In addition, in the case of a person with a pre-existing condition, it is possible to manage the health management at all times without having to undergo a medical examination by himself.

[0009] Further, an emergency call execution means for executing an emergency call based on the result of the judgment by the judgment means may be provided. Thus, in the present system capable of measuring the health condition for a long time, the emergency notification can be automatically performed, so that an emergency response can be accurately performed.

[0010] Further, the fixed health condition measuring means further includes an on-bed detecting means for detecting the presence of the subject in the bed, and the portable health condition measuring means detects the presence of the subject in the bed by the presence detecting means. If so, the detection of the health condition may be stopped. With such a function, the power consumption of the portable health condition measuring device 1 can be reduced. The portable health condition measuring device 1 is required to be reduced in size and weight so as not to cause any pain when the subject carries the device, and to measure the health condition for a long period of time. The reduction makes it possible to meet these demands.

A health management method according to the present invention is a health management method for managing the health of a subject, wherein the health condition of the subject is detected by a portable health condition measuring means, and the first health condition is detected. Outputting data, at least detecting the health condition data of the subject at bedtime by the fixed health condition measurement means, and outputting second health condition data; and outputting the first health condition data. Transmitting the second health condition data to a health management center via a communication network. With such a configuration, the health condition can be managed not only during sleep but also when awake. In addition, the number of operations performed by the subject itself is reduced.

[0012]

FIG. 1 is a system configuration diagram of a health management system according to the present invention. The health management system includes, for example, a portable health status measurement device 1, a fixed health status measurement device 2, a signal conversion device 3, a data management terminal 4, a center device 5, a doctor terminal 6, and a communication network 7. .

The portable health condition measuring device 1 is a portable device capable of measuring health condition data, and is, for example, a wrist watch which measures the health condition data of a subject by wrapping it around the wrist of the subject. It is. The health condition data that can be detected by the portable health condition measurement device 1 includes, for example, body temperature, body movement, sweating, and pulse.

The portable health condition measuring device 1 additionally has a function of stopping the operation of measuring the health condition data while the fixed health condition measuring device 2 detects the presence of the subject in bed. This function is realized, for example, as follows.
When the presence in bed is detected by the in-bed detection means in the fixed health condition measuring device 2, information to that effect is transmitted to the signal conversion device 3. The signal conversion device 3 transmits the received information to the portable health condition measurement device 1. The portable health condition measuring device 1 recognizes the presence on the bed based on the received information,
Stop the measurement of health condition. On the other hand, when leaving the bed is detected by the in-bed detecting means in the fixed type health condition measuring device 2, information to that effect is transmitted to the signal conversion device 3. The signal conversion device 3 transmits the received information to the portable health condition measurement device 1. The portable health condition measuring device 1
Recognition of leaving the bed is recognized based on the received information, and the measurement operation of the health condition is restarted. With such a function, the power consumption of the portable health condition measuring device 1 can be reduced. The portable health condition measuring device 1 is required to be reduced in size and weight so as not to cause any pain when the subject carries the device, and to measure the health condition for a long period of time. The reduction makes it possible to meet these demands.

The fixed-type health condition measuring device 2 is a fixed-type measuring device which is attached to, for example, bedding such as a bed or a futon and can measure the health condition data of the subject at bedtime. One example of the fixed health condition measuring device 2 is an air mat. The health condition data that can be detected by the fixed health condition measurement device 2 includes, for example, breathing, snoring,
There are heartbeat, body temperature, sweating, etc. Further, the fixed-type health condition measuring device 2 includes an in-bed detecting means. The on-bed detection means is configured by a switch such as a piezoelectric sensor or a load cell which is turned on when the load is equal to or more than a certain value and is turned off when the load is less than a certain value.

The signal converter 3 receives a signal output from the portable health condition measuring device 1 or the fixed health condition measuring device 2 and separates the signal for each type of health condition data.
It is a signal processing device that outputs. For example, the frequency characteristic of the health condition data is used in the separation process of the health condition data.

The data management terminal 4 has a function of calculating the separated health condition data and storing the calculation result in storage means such as a memory. The data after the calculation is transmitted to the communication line 7
Is transmitted to the center device 5 via the. The data management terminal 4 may be configured by installing a predetermined software program on a general personal computer, or may be configured by a dedicated computer.

The center device 5 has a function of analyzing whether there is an abnormality based on the health condition data transmitted from the data management terminal 4 or information obtained by a separate questionnaire. The center device 5 has a function of executing a confirmation call to the subject when it is determined that there is some abnormality. Also, if the subject does not respond to this confirmation call, or if it is judged that there is something abnormal, an emergency call to 119, a call to a doctor, a call to the family, etc. will be made. Do. The contact with the doctor may be executed by sending an e-mail to the terminal 6 of the doctor, or a telephone may be used.

The doctor's terminal 6 has a communication function of executing communication with the center device 5 and the like via the communication network 7, receives the subject's health data transmitted from the center device 5,
It has a function of storing in a storage means such as a memory and displaying the information on a display means such as a display. The doctor analyzes the health condition data displayed on the display means, and inputs the analysis result using input means such as a keyboard and a mouse. The input analysis result is transmitted to the center device 5 via the communication network 7. The doctor's terminal 6 may be configured by installing a predetermined software program on a general personal computer, or may be configured by a dedicated computer.

The communication network 7 is a communication network such as the Internet or a public network.

Next, the configurations and functions of the portable health condition measuring device 1, the fixed health condition measuring device 2, the signal conversion device 3, the data management terminal 4, and the center device 5 will be described in detail.

FIG. 2 shows a configuration example of the portable health condition measuring device 1.
Shown in As shown in the figure, the portable health condition measuring device 1 is in the form of a wristwatch, and a sensor 1
1. It has a communication processing unit 12. The sensor 11 includes a temperature sensor, a pressure sensor, and the like. Communication processing unit 12
Has a function of wirelessly transmitting the health condition data detected by the sensor 11 to the signal conversion device 3.

Here, an example of data output from the portable health condition measuring device 1 is shown in FIG. The data includes data on body motion, heart rate, and respiratory rate. The data indicating whether or not the person is in the uppermost stage is output by the fixed-type health condition measuring device 2 and is described for explanation. As described above, the portable health condition measuring device 1 does not perform the health condition measurement when the subject is in the bed, so that the data of the body movement, the heart rate, and the respiratory rate are measured only when the subject leaves the bed. However, the portable health condition measuring device 1
Depending on the setting, the measurement of the health condition may be continued even when the subject is in bed. For example, since the body temperature can be measured only by the portable health condition measuring device 1, there is an advantage that when the body temperature measurement is emphasized, the measurement is continued even when the subject is in bed.

FIG. 3 shows an example of the configuration of the fixed health condition measuring device 2.
Shown in As shown in the figure, the fixed health condition measuring device 2 includes a fluid bag 21 and a pressure sensor 22.
The fluid bag 1 is a fluid enclosure, and a fluid such as water or air is sealed in the bag. The fluid bag 1 may be in a pad shape or a sheet shape separated into a plurality of blocks. A pressure sensor 2 is mounted on the outer surface or the inner surface of the fluid bag 1. The pressure sensor 2 is a fluid bag 1
The pressure fluctuation in the fluid bag 1 due to the vibration based on the life activity at the contact portion of the subject who has come into contact with is detected and output as a signal. The pressure sensor 2 is detachably attached to the fluid bag 1 and can change the attachment position according to the contact position, so that the biological information, that is, the health condition information can be reliably detected. Note that, instead of the pressure sensor 2, a displacement detector that measures a change in the outer surface shape of the fluid bag 1 can be used. The health condition data measured by the fixed health condition measurement device 2 is transmitted to the signal conversion device 3 by wire or wirelessly.

FIG. 8 shows an example of data output from the fixed-type health condition measuring device 2. The data includes data relating to the presence / absence of bed, body movement, presence / absence of ikibiki, heart rate and respiratory rate. The fixed-type health condition measurement device 2 performs the health condition measurement only when the subject is in bed.

Table 1 below summarizes examples of the judgment of the health condition of the subject based on the health condition data measured by the portable health condition measuring device 1 and the fixed health condition measuring device 2.

[0027]

[Table 1] As shown in Table 1, the portable health condition measuring device 1
Various health conditions can be determined based on the data measured by the fixed-type health condition measurement device 2.

FIG. 4 shows an example of the configuration of the signal conversion device 3. As shown in the figure, the signal conversion device 3 includes a control unit 31, a signal input unit 32, a communication control unit 33, a storage unit 34, and a signal output unit 35. The control unit 31 has a function of executing control on each component in the signal conversion device 3,
It is composed of PU, MPU, etc. The signal input unit 32
It has a function of inputting health condition data output from the portable health condition measuring device 1 and the fixed health condition measuring device 2 and executing an interface process. Since data is transmitted from the portable health condition measuring device 1 by wireless communication and from the fixed health condition measuring device 2 by wire or wireless communication, it is necessary to execute an interface process therefor. The communication control unit 33 includes the signal input unit 32
And a function of controlling communication processing executed in the signal output unit 35. The storage unit 34 is a storage unit such as a memory or a hard disk that stores health condition data and various control programs. The signal output section 35 has a function of outputting the separated health condition data.

FIG. 5 shows a configuration example of the data management terminal 4.
As shown in the figure, the data management terminal 4 includes a control unit 4
1, an input unit 42, a display unit 43, a communication control unit 44, and a storage unit 45. The control unit 41 has a function of executing control on each component in the data management terminal 4,
U, MPU, etc. In the present embodiment, for example, it has a function of calculating health condition data, storing the calculation result in the storage unit 45 such as a memory, and displaying the result on the display unit 43. The input unit 42 is input means such as a keyboard and a mouse. The display unit 43 is a display unit such as a liquid crystal display and a CRT. The communication control unit 44 controls communication processing such as reception of a signal output from the signal conversion device 3 and transmission of health condition data and the like to the center device 5 via the communication network 7. The storage unit 45 is a memory that stores health condition data and various control programs,
This is storage means such as a hard disk. Data management terminal 4
Then, based on the input health condition data, health condition data such as body temperature and pulse, respiratory rate, state of perspiration, presence or absence of snoring, body movement, etc. The graph is calculated and displayed on the display unit 43 as trend data.

FIG. 6 shows an example of the configuration of the center device 5. As shown in the figure, the center device 5 includes a control unit 51, an input unit 52, a display unit 53, a communication control unit 54, a determination unit 55, and a storage unit 56. The control unit 51 has a function of executing control on each component in the center device 5,
U, MPU, etc. The input unit 52 is input means such as a keyboard and a mouse. Display unit 53
Is a display means such as a liquid crystal display and a CRT. The communication control unit 54 has a function of controlling communication processing for transmitting and receiving data between the data management terminal 4, the doctor's terminal 6, and the like. The determination unit 55 has a function of analyzing whether there is an abnormality based on the health condition data transmitted from the data management terminal 4 or information obtained by a separate questionnaire.
In performing this analysis processing, the analysis result obtained by transmitting the data to the doctor's terminal 6 may be taken into consideration, and the analysis may be performed based on a predetermined algorithm by the determination unit 55 alone. You may make it. The storage unit 56 is a storage unit such as a memory or a hard disk that stores health condition data and various control programs.

In addition, the center device 5 accumulates health condition data measured over a long period of time so that the subject's characteristics (for example, snoring when going into deep sleep,
(For example, when the body motion has reached a certain number of times or more). For example, a function may be provided for setting a threshold for judging abnormalities for each subject based on the correlation between sleep and heart rate, average respiratory rate, and the like. As a result, it is possible to accurately execute the judgment according to the characteristics of each subject.

Next, an analysis process regarding the health condition in the center device 5 will be described with reference to a flowchart shown in FIG. First, the health condition data stored in the storage unit 56 is read, and the past average value, maximum value, and minimum value are obtained by calculation (S901). Note that the target period of the health condition data can be arbitrarily determined, and the period information is input by the input unit 52.

Then, the living data directly obtained from the subject by a questionnaire or the like is separately input (S902). Figure 1
0 shows an example of a questionnaire. This questionnaire may be composed of paper, and the subject may write the answer with a writing means such as a pen, or may be composed of a web page of the Internet and input the answer information via a communication network such as the Internet. You may do so. The life data is, for example, data on exercise time, eating tendency, recent symptoms, and the like.

Next, the input living data is evaluated in, for example, five steps and converted into numerical data (S90).
3). For example, “1” on a five-point scale is assigned to an item that indicates that the patient is in a very bad health condition and serious, and “5” indicates that the condition has some effect on the health condition. It is attached to the item that suggests.

Thereafter, the evaluation value of a high priority item in which the health condition data is out of a predetermined range indicating that there is no problem with health and the life data is assigned to each evaluation item is 1 or 2. Is determined (S90).
4).

The evaluation value of a high-priority item in which the health condition data is out of a predetermined range indicating that there is no problem with health and the life data is assigned to each evaluation item is 1 or 2. In this case, advice on the health condition is created and notified to the subject for each evaluation item (S
905). Specifically, the advice is created by transmitting health condition data and living data by e-mail or the like from the center device 5 to the doctor's terminal 6 and analyzing the data by the doctor. The created advice is transmitted from the terminal 6 of the doctor to the center device 5, transmitted from the center device 5 to the data management terminal 4, and displayed on the display unit 43 of the data management terminal 4. Here, an example of the advice is shown in FIG. As shown in the figure, the advice includes a member number, a subject's name, a report date and time, and a comment from a doctor assigned to the system.

In the center device 5, the analysis result according to the flow shown in FIG. FIG. 12 shows an example of the stored analysis result. As shown in the figure, membership number, subject's name, hospitalization history, hospitalization history, medical history, average sleep time,
Data such as an average heart rate, an upper limit value of the heart rate, an average respiration rate, an upper limit value of the respiration rate, and comments are stored. Among these data, data such as hospitalization history, common calendar, and pre-existing illnesses are obtained from questionnaires, medical records, and the like. The average sleep time, average heart rate, and average respiratory rate data are obtained from the measured health condition data. The upper limit value of the heart rate is obtained from data relating to the average heart rate or an arbitrary arithmetic expression from past heart rate data, and the upper limit value of the respiration rate is the data relating to the average respiration rate or the past value. It is obtained from the respiratory rate data by an arbitrary arithmetic expression. The comment has been entered by the doctor.

The subjects in the present system include, for example, emergency hospitalized patients, severely ill patients, people after illness, and elderly people who have a history of illness, but also include those who are in good health at present. .

As described above, the health condition data is constantly measured, the physical condition is analyzed based on the data over a long period of time, and the tendency is grasped to monitor the recovery condition after the disease. Can prevent illness and monitor for trivial signs. In addition, because it can respond quickly to sudden changes, the body condition is managed without the subject himself operating or checking the condition himself (measuring body temperature, measuring blood pressure, etc.) can do. Also,
The center can provide advice from health professionals and provide caution and guidance based on data accumulated during health consultations.

In the above-described example, the health management center analyzes and determines the health status of the subject based on the health status data. However, the present invention is not limited to this. May be determined. Further, a primary analysis may be performed in the data management terminal 4, and a secondary analysis that is more detailed than the primary analysis may be performed in the health management center based on the analysis result and the health condition data.

[0041]

According to the present invention, it is possible to provide a health management system capable of managing a health condition even when awake.

[Brief description of the drawings]

FIG. 1 is a system configuration diagram of a health management system according to the present invention.

FIG. 2 is a view for explaining a portable health condition measuring apparatus according to the present invention.

FIG. 3 is a view for explaining a fixed-type health condition measuring apparatus according to the present invention.

FIG. 4 is a block diagram showing a signal conversion device according to the present invention.

FIG. 5 is a block diagram showing a data management terminal according to the present invention.

FIG. 6 is a block diagram showing a center device according to the present invention.

FIG. 7 is a diagram showing a data output example of the portable health condition measuring device according to the present invention.

FIG. 8 is a diagram showing a data output example of the fixed-type health condition measuring apparatus according to the present invention.

FIG. 9 is a flowchart showing processing of the center device according to the present invention.

FIG. 10 is a diagram showing an example of a questionnaire used in the present invention.

FIG. 11 is a screen display example showing advice presented to a subject in the present invention.

FIG. 12 is a diagram showing an example of data stored in a storage unit of the center device according to the present invention.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 Portable health measuring device 2 Fixed health measuring device 3 Signal converter 4 Data management terminal 5 Center device 6 Doctor's terminal 7 Communication network

──────────────────────────────────────────────────続 き Continued on the front page (51) Int.Cl. ⁷ Identification symbol FI Theme coat ゛ (Reference) G08B 21/02 G08B 25/04 K 25/04 25/08 A 25/08 25/10 A 25/10 A61G 7/04 F term (reference) 4C040 AA18 GG15 GG20 5C086 AA22 BA01 BA30 CA01 CA19 CA24 CB01 CB07 CB20 DA14 EA41 EA45 FA18 5C087 AA02 AA03 AA24 AA25 BB12 BB18 BB74 DD03 DD24 EE18 GG17 FF18 GG17 FF18 GG17 FF18 GG18 FF01 GG18 FF18 GG18 FF18 GG18 FF18 GG18 FF17 GG18 FF18 GG18 FF18 GG18 FF18 GG18 FF18 GG18 FF18 GG18 FF18 GG18 FF18 GG18 FF18 GG18 FF18 GG18 FF18 GG83

Claims (7)

[Claims] 1. A health management system for managing the health of a subject, comprising: a portable health condition measuring means for detecting the health condition of the subject and outputting first health condition data; Fixed health condition measuring means for detecting the subject's health condition data at the time and outputting second health condition data; and transmitting the first health condition data and the second health condition data via a communication network. A health management system comprising: a transmission unit that transmits the health management center to the health management center. 2. The health management system further comprises: storage means for storing the first health data and the second health data; and the first health data stored in the storage means. The health management system according to claim 1, further comprising: a determination unit configured to determine a health state of the subject based on the second health state data. 3. The health management system further includes means for inputting life data of the subject, and based on the life data in addition to the first health data and the second health data. 2. The apparatus according to claim 1, further comprising a determination unit configured to determine a health state of the subject.
Health management system as described. 4. The first health condition data and the second health condition data acquired by past measurement, the first health condition data acquired by current measurement, and the second health condition data. By comparing your health data,
3. The health condition of the subject is determined.
Health management system as described. 5. The health management system according to claim 2, further comprising an emergency notification executing means for executing an emergency notification based on a result of the determination by said determining means. 6. The fixed health condition measuring means further comprises an on-bed detecting means for detecting the presence of the subject in the bed, and the portable health condition measuring means detects the presence of the subject in the bed by the presence detecting means. The health management system according to claim 1, wherein the detection of the health condition is stopped when the detection is performed. 7. A health management method for managing the health of a subject, comprising: detecting a health condition of the subject by portable health condition measuring means, and outputting first health condition data; A step of detecting at least the health condition data of the subject at bedtime and outputting second health condition data by the fixed health condition measurement means; the first health condition data and the second health condition data Transmitting to a health management center via a communication network.