JP2018081397A - Method for promoting dementia prevention and system for promoting dementia prevention - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a method for comprehensively caring for dementia within a certain area and promoting dementia prevention.SOLUTION: A method for promoting dementia prevention includes: a step of presenting a questionnaire related to lifestyle-related diseases and sleep to a subject 40; and a step of informing the subject of information recommending sleep examination or information recommending consultation of a specific health checkup, in accordance with the obtained questionnaire result. In the case of notifying the subject of the information recommending the sleep examination, one or more storage bases are extracted from many storage bases storing sleep examination apparatuses in advance to also inform the subject of information on the base that can lend the sleep examination apparatus to the subject. When the subject is subjected to the sleep examination by the sleep examination apparatus lent from the storage base for a certain period and acquires sleep data thereof, the subject is notified of information recommending the consultation of the specific health checkup in accordance with the result of the sleep data.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a method for promoting prevention of dementia and a system for promoting prevention of dementia.

  In recent years, with the aging society, dementia has become a serious concern. Usually, dementia progresses with age and is recognized as a disease for which it is difficult to clearly grasp the onset time. In addition, it is difficult to recover from symptoms that develop due to the actual onset of dementia, but on the other hand, it is possible to prevent the onset by paying attention to daily lifestyle habits, etc. It is also known to delay its progression by taking appropriate measures (including suspicious conditions).

  By the way, in the field of dementia, in general medical care, the general public has not been able to grasp where and what treatment is received, and the current situation is that a simple screening system has not been established. It is the cause of missing the onset or speeding up the progression. In addition, there are MRI examinations and cerebrospinal fluid examinations as methods for detecting dementia, but the cost of the examination is high, and it is a heavy burden for the general public or as an examination to be taken regularly every year. ing.

  Recent studies have also revealed that sleep occupies a large share of the risk of developing dementia. It is known that dementia is caused by deterioration of cerebral blood flow that accumulates amyloid β protein around the hippocampus of the brain, which causes brain atrophy and the like. For example, in a research paper (Non-Patent Document 1), it is reported that a person with poor sleep efficiency (has some sleep disorder) has a higher proportion of accumulated amyloid β protein.

  For this reason, this patent applicant is able to detect the risk of dementia at an early stage by acquiring sleep data using a sleep test device at home without visiting the subject to a special diagnostic institution. A determination system has also been proposed (Patent Document 2).

JP 2006-22310 A

Sleep quality and preclinical Alzheimer disease.JAMA Neurology 2013

  By the way, with regard to dementia, a simple examination of how much risk is present, if there is a risk, what to do next, or if there is an onset (including cases of suspected onset), where to consult Thus, it has not yet come to comprehensive care about what kind of treatment should be done. In addition, with regard to dementia, even if it occurs, even if it occurs, it may take a long time to accumulate examination data, treatment data, etc. when delaying its progression or performing specific treatment. Importantly, there is currently no data management useful for such prevention and treatment. In other words, the current situation is that there is no environment that can perform simple tests on dementia and can comprehensively care for dementia by promoting prevention in community medicine.

  Therefore, an object of the present invention is to provide a method for comprehensively treating dementia and promoting prevention of dementia and a system for promoting prevention of dementia in a certain area.

  In order to achieve the above object, the present invention provides a method for promoting the prevention of dementia, which is performed by a management center that promotes the prevention of dementia for a large number of local residents. And a step of presenting a questionnaire regarding sleep, and information recommending that the subject take a sleep test and / or receive a specific medical checkup according to the obtained questionnaire result And in the case of notifying the subject of information recommending a sleep test, one or more storage bases among a number of storage bases storing a sleep test apparatus in advance. And the subject is also notified of the base information that the sleep test apparatus can lend, and the subject undergoes a sleep test by the sleep test apparatus lent from the storage base for a certain period of time. That sleep day If you acquire, according to the result of the sleep data, and notifies the information to recommend it to visit the specific medical examination, characterized in that.

  The management center described above plays a role in promoting prevention of dementia for residents in a certain area, and first presents a questionnaire on lifestyle-related diseases and sleep to the local residents (subjects). This is because dementia is closely related to lifestyle-related diseases and sleep situations. First, a questionnaire with predetermined questions related to dementia is presented. It is possible to grasp the risk of symptom and provide information related to the risk. In other words, local residents can call attention on dementia simply by answering simple questions. Such questionnaire presentation and collection may be performed, for example, on the web page of the management center, or may be distributed and distributed to local residents along with public relations. In this way, local residents only need to answer the questionnaire first, so it is easier for people who want to know about the risk of dementia to get the first clue.

  Then, from the questionnaire result, when a more detailed examination or the like is required for dementia, the person who answered the questionnaire is presented (notified) to receive an examination by the sleep examination apparatus and / or a specific medical examination. In this case, the sleep test device is stored in advance in a storage base (for example, a pharmacy, a courier, etc.) in the area where the person resides. It is possible to go to the stored storage site and have a sleep inspection device lent to easily inspect the sleep status.

  As described above, there is a certain degree of correlation between dementia and sleep disorders, and people who have a high risk of dementia and those who develop dementia have poor sleep efficiency. There is a large proportion of amyloid β protein accumulators that are responsible for the above. For this reason, from the test results (sleep data) of the sleep test apparatus, it is possible to classify the cause of sleep disorder clearly, to some extent, whether or not it is causing sleep disorder, and there is a risk of dementia. It is possible to easily determine the presence or absence of the risk, such as whether or not the disease is present.

  If there is any doubt about dementia from the acquired sleep data, the management center suggests (notifies) that a specific medical checkup is received, and the patient who received the checkup actually has developed dementia. If the risk is high, by introducing appropriate specialists (including professional advisors) according to the case, it is possible to build an environment that comprehensively cares for dementia in a certain area. It becomes possible.

  In order to achieve the above object, the present invention stores a general medical communication terminal owned by a general physician related to dementia, a specialist medical communication terminal owned by a specialist related to dementia, and a sleep test apparatus. A dementia prevention promotion system that has a management device capable of mutual communication through a network with a base communication terminal installed at a base and promotes prevention of dementia for a large number of local residents, the management When the device displays a questionnaire on lifestyle-related diseases and sleep on the web page for the many local residents through the network, and receives a questionnaire result from the communication terminal owned by the local residents via the network, Depending on the results of the questionnaire, the subject should be examined by a general practitioner regarding information and / or dementia to recommend a sleep test. And notifies the information to recommend Rukoto.

  The management device described above can display a questionnaire on lifestyle-related diseases and sleep on the web page for the local residents through the network, and collect the questionnaire results from the communication terminal owned by the local residents via the network. Depending on the answer, if necessary, you can receive a diagnosis by a general physician or specialist on dementia, so that an environment that is easy to prevent and diagnose dementia will be built for local residents. Become.

  According to the present invention, it is possible to comprehensively care for dementia and promote prevention of dementia in a certain area without imposing a heavy burden on the subject.

The conceptual diagram which shows the whole structure of the dementia prevention promotion system which concerns on this invention. The figure which shows the utilization example of the system shown in FIG. 1, and demonstrates the whole flow. The figure which shows an example of the check sheet | seat (questionnaire) presented to a subject. The figure which shows an example of a sleep test | inspection apparatus. The figure which shows the sleep data example obtained by a sleep test | inspection apparatus. The check sheet which illustrated the average value of the period which received the test | inspection by the sleep test | inspection apparatus, and the criterion. A check sheet that shows an example of the causes that cause sleep disorders, indexed and classified by item. (A)-(c) is a check sheet which shows an example of sleep comprehensive data. A check sheet showing another example of total sleep data.

Hereinafter, the dementia prevention promotion system according to the present invention will be described in detail.
First, an overall configuration of a dementia prevention promotion system (hereinafter simply referred to as a system) will be described with reference to FIG.

  A system 10 shown in FIG. 1 includes a management device 22 that is maintained, managed, and operated by a management center 20 that handles various information related to dementia and various business related thereto. The management device 22 is connected to a communication terminal 32 such as a personal computer owned by a general practitioner (general practitioner) 30 having comprehensive knowledge about dementia through a network 100 such as the Internet, and a large number of ordinary persons (local residents). A communication terminal 42 such as a smartphone or personal computer owned by a subject 40), a communication terminal 52 such as a personal computer owned by a specialist 50 having specialized knowledge related to dementia, and a storage base (this implementation) In this mode, communication is possible with a communication terminal 62 such as a personal computer installed at 60). The management center 20 is an organization that plays a central role in the present invention, regardless of whether it is a corporation or a non-corporate. In addition, the management entity may be various medical institutions such as hospitals and health centers, or may be an information management company that manages information related to dementia as a business.

  The management device 22 managed by the management center 20 includes various programs for controlling the operation of the entire system, programs for displaying web pages, user interfaces, etc., accepting data from communication terminals accessed from the above-mentioned locations, Including a program for outputting data to each communication terminal, a communication program for transmitting / receiving these data, and various data transmitted / received to / from a subject, a general physician, a specialist, etc. It means a server provided with a server function for executing all the programs for performing the intended processing for information input by recording, input / output, and operation by the operator. Specifically, the management device 22 may be a management server installed in the management center 20 described above, or a device that virtually exists on a network space using a distributed computing (cloud) Or a computing service). For this reason, the management center 20 has a web page as a main interface with local residents.

  The management device 22 is configured to record various data transmitted from an external communication terminal through a network, identification information of local residents who use the system, identification information about a general physician, identification information about a specialist, Accumulate identification information on pharmacies (including pharmacists belonging to them), prescription data information obtained for each subject, examination / diagnosis information on lifestyle and various test results obtained from each subject, A database 24 to be managed is provided.

  The general doctor 30 is a person who has comprehensive knowledge about dementia. For example, a doctor of a regional clinic (a doctor who can receive a medical examination without a special referral letter) corresponds to a plurality of doctors in a certain area. May exist. The communication terminal 32 owned by the general doctor 30 can transmit and receive data to and from the management device 22, so that the management device side provides inquiry data, sleep data, examination data, specialist data and specialists for each subject. It is possible to receive medical examination data, etc., and to the management device 22, it is suitable for medical examination data on the subject's symptoms, etc., answer data (inquiry data) for predetermined questions, and the subject's symptoms It is possible to transmit referral data of specialists with specialized knowledge and skills.

  The general person 40 corresponds to a resident in a certain area that can receive the services of the general physician, the specialist, and the pharmacy. The general person 40 uses the communication terminal 42 to receive various information about dementia (including information about general physicians and specialists and information about pharmacies) posted on the web page (homepage) provided by the management device 22. It is possible to browse through a web browser. Further, various types of information of general persons who have conducted a questionnaire, which will be described later, are stored and managed in the database 24 of the management device 22. The system according to the present invention can also be used by ordinary people who do not have a communication terminal.

  The specialist 50 mainly includes doctors who have specialized knowledge about dementia (physicians such as physicians, neurologists, cardiologists, cardiologists, and dentists). In order to prevent or ameliorate illness, various advisors who have specialized knowledge about ingredients and nutritional supplements, pharmacists who have specialized knowledge about pharmaceuticals, and the like are also included. In this case, the specialist 50 is preferably a person who has specialized knowledge about dementia in advance, but may be a person who has certain knowledge through training or the like. In addition, the specialist may belong to a regional medical center, health center, hospital, pharmacy, etc., and the affiliation site is further equipped with a testing device that can test for dementia by a simple method. It is preferable.

  The specialist 50 can send and receive various data to and from the management device 22 via the communication terminal 52. From the management device side, the inquiry data, sleep data (sleep comprehensive data) for each subject, It is possible to receive various types of examination data, examination data by general physicians and other specialists, and further to the management device 22, data relating to the symptoms of the examined patients, examination data, examination data, pharmaceuticals The prescription data and the like can be transmitted (these data are managed for each subject on the management device side).

  The pharmacy 60 is a base to which a specialist (pharmacist) who provides the subject with the medicine prescribed by the specialist 50 belongs, for example, a dispensing pharmacy, a drug store that can perform a dispensing action, and the like. The pharmacy 60 stores a test device (sleep test device) when the general person 40 receives a sleep test described later, and gives the general person a sleep test device for a predetermined period (about one to two weeks). It becomes a base to lend. For this reason, the specialist who belongs to the pharmacy is required to have enough knowledge to explain how to use the sleep test apparatus. In addition, the storage base in this invention means the base which stores the sleep test | inspection apparatus, and should just be provided with the function in which a general person can receive a sleep test | inspection apparatus. In the present embodiment, the storage base is described as a pharmacy, but there is no particular limitation such as a courier company or a geriatric center.

  The communication terminal (base communication terminal) 62 installed in the pharmacy 60 is capable of transmitting and receiving data to and from the management device 22, and information on the person who lends the sleep test device, loan date, loan period It is possible to transmit and receive the lending information such as the sleep data of the subject who has actually been inspected by the sleep inspection apparatus. In addition to the pharmacist, an advisor who can give appropriate advice according to the above symptoms of dementia may belong to the pharmacy.

  Various information on the general physician 30, the specialist 50, and the pharmacy 60 (specialized fields, career information, information on dementia, location information, contact information, etc.) as described above can be obtained from the web page (homepage) operated by the management center 20. It is preferable to publish above, and the general person 40 can browse a general doctor or a specialist who cares for dementia in addition to basic information on dementia via the web browser of the communication terminal 42. For this reason, general physicians and specialists can easily collect patients who are at risk of cognition and those who are onset, and the opportunity to demonstrate expertise increases.

  In addition, the web page contains a questionnaire on lifestyle-related diseases and sleep, which will be described later, and the general public responds to the questionnaire on the Internet, so that a predetermined result (various types of dementia can be obtained from the management center side). Proposals) can be received. That is, the general public can obtain information on dementia, optimal prevention information and treatment information on dementia anytime and anywhere.

Next, with reference to FIG. 2 to FIG. 9, an example of utilizing the system operated by the management apparatus described above will be specifically described.
In utilizing this system, first, a general person (hereinafter referred to as a subject) 40 accesses a web page operated by the management center 20 and answers a questionnaire presented there (S1). This questionnaire has a general question format useful for determining whether or not there is a risk related to dementia. For example, as shown in FIG. Answer questions) and questions about sleep (eight question items related to daytime sleepiness are chosen with four answer options), and the subject checks on the image whether it corresponds Just click (click).

  When the subject checks the corresponding part of the questionnaire, the totaling process is performed according to a predetermined algorithm, and the subject is advised to perform a sleep test or a specific medical examination. Information to be recommended (for example, information recommending that a general physician regarding dementia consult a doctor or information recommending that a medical institution with a dedicated inspection device be installed) is presented (S2). The above-described algorithm can be configured to, for example, determine a score for each answer item with respect to a question item and present the above-described information to the subject according to the score. Note that both of the information may be presented to the subject, or other information (information related to risk and prevention related to dementia) may be presented. In other words, providing various information related to dementia makes it possible to increase the interest of local residents in dementia.

  If the subject wishes to perform a sleep test based on the presented information, a consent form in which the application items (address, age, sex, etc.) of the sleep test are entered in the web page (S3) ). On the management device side, pharmacy information existing nearby is extracted from the address information described in the transmitted consent form and notified to the subject (S4). That is, the management center 20 (management device 22) extracts information on the pharmacy 60 (may be a plurality of pharmacies) close to the area where the subject resides from the database, and notifies the information that the sleep testing device can be lent. To do. In addition to the notification to the communication terminal 42 owned by the subject 40, the management center 20 may notify by letter, telephone, etc. by mail or the like, or the subject 40 has inquired. In some cases, an appropriate pharmacy 60 may be introduced.

Here, the reason why the sleep test is performed on the subject and the sleep data is acquired will be described.
As mentioned above, the proportion of people who accumulate amyloid β protein, which is a cause of dementia, is more common in people with poor sleep efficiency, and can be recognized by improving sleep efficiency or appropriately controlling sleep conditions. It can be expected that the risk of developing symptoms can be reduced, the degree of progression can be delayed, and the effect of improving dementia can be obtained. Moreover, since sleep is guided by nutritional balance, exercise, bathing degree of sunlight, etc., it can also be a scale for examining the person's general lifestyle. That is, by acquiring sleep data, it is possible to identify in detail the factors and specific symptoms that the subject's sleep condition is worsening, and sleep by receiving appropriate measures according to the factors. By improving the situation, it can be expected to eliminate or reduce the risks associated with dementia.

  When the above-described notification (S4) is received, the subject 40 goes to the pharmacy 60 described in the notification information and has the sleep test device lent. This loan may be received by visiting the corresponding pharmacy based on the information sent from the management center 20 (designated location, date of receipt, etc.) or after contacting the corresponding pharmacy in advance (notification of reservation) You may go out and receive (S5, S6). In addition, when the pharmacy 60 actually lends the sleep inspection device to the subject (S7), the lending information is also transmitted from the communication terminal 62 in the store to the management device 22 of the management center to sleep. It is preferable to manage the lending status of the inspection device. In addition, if the delivery company is a storage base, it is possible to deliver the product as it is by notifying the subject.

Here, a sleep test | inspection apparatus is demonstrated with reference to FIG.
The sleep test device 70 may be any device that can be easily carried, and for example, a device including a non-contact / non-restraint sleep test mat 71 and a data processing unit 72 can be used ( Specifically, “Sleep Scan; registered trademark” manufactured by Paramount Bed Co., Ltd. can be used). As shown in FIG. 4, this sleep test apparatus 70 is laid and used in the chest region of a subject 80 who sleeps under a bed mattress 75, and is installed in a sleep test mat 71. The sensor (pressure sensor) is configured to detect body movement, breathing, heartbeat, and the like of the subject 80 during sleep.

  Such a sleep inspection device 70 is turned on and kept under the mattress of the bed for a predetermined period (for example, about one week), so that the subject enters the bed, leaves the bed It is possible to detect the body movement and breathing state of the subject during sleep. That is, since the sleep test apparatus 70 can continuously detect the sleep state of the subject during the period laid under the mattress 75 of the bed, the sleep test apparatus 70 can analyze the sleep data to analyze the subject. It is possible to grasp the sleep situation without disturbing normal sleep.

  Note that sleep data detected by the sleep inspection device 70 may be transmitted directly to the management device 22 of the management center 20 or may be transmitted indirectly. For example, the sleep detection device 70 incorporates a known communication unit such as Bluetooth (registered trademark) or Wi-Fi, and the sleep data is directly used as an external device (a management device of a management center via a network). The information recording unit may be incorporated, and a recording medium (such as an SD card) may be mounted so that sleep data can be recorded for a certain period of time.

  The sleep data obtained by the sleep testing device 70 is recorded for each subject in the database of the management device 22, but in the case of the former communication method, the data is transmitted directly to the management device 22 via the network. In the case of the latter recording method, after the subject returns the sleep test apparatus 70 to the pharmacy 60 (S8), the pharmacy extracts sleep data from the recording medium via the communication terminal 62 and sleep data. May be transmitted, or the recording medium may be sent to the management center 20 as it is, and the management center side may input data into the database of the management device.

  In addition, when the subject 40 performs the above-described sleep test, a separate questionnaire regarding sleep may be presented to obtain the questionnaire data. This questionnaire can be collected when the sleep examination is returned (S8) by attaching the questionnaire together with the sleep examination device 70 to be lent.

  This questionnaire includes, for example, a refreshing feeling when waking up, snoring, suffocation during sleep, awakening during sleep, restroom during sleep, normal doze, surrounding environment (presence of environmental factors that prevent sleep), This applies to daily sleepiness, etc., and the subject answers these questions. That is, by grasping the daily sleep situation, the management center (management device) is based on the sleep data obtained from the sleep test device 70 and the answer data obtained from the questionnaire, for each subject. It is possible to create comprehensive data relating to sleep more appropriately (referred to as sleep comprehensive data, which will be described in detail later) (S9). In this case, the total sleep data to be created may be created from the obtained data based on a certain algorithm, or may be created while verifying the data obtained by the verifier. .

  Then, the management device 22 manages the created sleep comprehensive data in a database for each subject, and the management center transmits (sends) the result to the subject (S10). In this case, if the above-mentioned information recommending that the general doctor recommends a medical examination is not presented, a notification may be issued to recommend that a general medical doctor receive a medical examination if necessary.

  If a subject who has been advised to consult a general physician wishes to see a general physician, he / she can make an appointment with the general physician (see below). S11). When the general doctor examines the subject, he / she can access the management device of the management center 20 and acquire information (examination data, comprehensive sleep data, etc.) of the subject managed there. (S12) The general physician can efficiently perform an appropriate diagnosis.

  The general practitioner determines that more accurate examination for dementia is necessary based on the information obtained from the subject and actual examination, or more appropriate treatment is required under the specialist's care. If it is determined that there is, it is recommended that a medical examination or examination be performed by a specialist, so that the subject can receive a medical examination or examination by a more appropriate specialist (including various advisors and pharmacists) depending on the symptoms. (S13). That is, since the general doctor delivers the referral letter, the subject can easily receive the treatment of the optimal specialist for dementia.

  The examination results of the general doctor are managed by the management device 22 of the management center 20 (S12), and the specialist who has actually been introduced accesses the management device 22 when examining the subject, and there. Since the information of the subject being managed can be acquired in advance or in an organized state (S14), efficient and appropriate diagnosis and diagnosis can be performed. In addition, as for the results (examination data, examination data, prescription data, etc.) actually examined by the introduced specialist, the information is transmitted from the person who performed the examination and the like, and the management device 22 of the management center 20 Management is performed in the database 24 (S14).

  In addition, when a prescription drug is actually prescribed to the subject or other foods (such as dietary supplements or preferred food lists) are introduced, the specialist or pharmacy will be responsible for the prescription medicines, foods, etc. Is sent to the management apparatus (S14, S15).

  As a result, the management device 22 of the management center 20 stores prescription data such as interview data regarding dementia, sleep comprehensive data, consultation history of general physicians and specialists, medical examination data, examination data, and pharmaceuticals for each subject. In addition, since such data is accumulated every time a test is taken, subjects, general physicians, and specialists grasp the degree of progression and improvement of dementia in time series. It is possible to respond more appropriately.

Next, the sleep data obtained by the sleep test apparatus 70 described above and the sleep comprehensive data obtained from the sleep data will be specifically described.
As described above, the sleep test apparatus 70 can continuously detect the sleep state of the subject for a predetermined period (for example, about one week), and analyzes the sleep data to thereby obtain a normal subject. It is a device that can grasp the sleep state without disturbing the sleep.

  With the sensor incorporated in the sleep test apparatus, for example, as shown in FIG. 5, the time-lapse sleep data for each day of the week concerning the bedtime, wake-up time, bed-getting time (bed-out due to excretion, etc.), sleep time, and wake-up time is obtained. From this, the average value of the subject's sleep time, bedtime, bedtime, wakeup time, sleep latency, sleep efficiency, mid-wake time, and number of bed breaks can be derived. It is possible to obtain comprehensive judgment results such as A), no abnormality (B), caution (C), and improvement (D) (see FIG. 6). In addition, since the sensor can detect the respiratory status, apnea status, body movement, etc. of the subject during sleep, based on this, the respiratory disorder index, periodic body motion index, activity amount, respiratory The number and heart rate can be derived (see FIG. 7). In addition, in FIG. 7, the comment used as a reference is also described so that the content of each item may be understood easily.

  Based on the sleep data as described above and the inquiry data (questionnaire results), for example, a check list (a check list constituting the sleep comprehensive data) as shown in FIGS. 8A to 8C is created. It becomes possible. FIG. 8 (a) is a checklist regarding whether or not a sleep disorder type (sleep disturbance, mid-wake awakening, early awakening, and insomnia), and FIG. 8 (b) shows factors that cause sleep disorders. A check list for classifying mild, moderate, and severe, FIG. 8C is a check list regarding whether or not the disease falls under lifestyle-related diseases.

  FIG. 9 shows an example of a check list in which the obtained sleep data and inquiry data are summarized in a more detailed list. In this checklist, sleep disorders are classified into four types (sleep disturbance, mid-wake awakening, early awakening, and daytime sleepiness), and the sleep data of the subject is obtained from the obtained sleep data and interview data. It is a list of the stage in which the disorder occurs during sleep and what causes it.

  Specifically, sleep disorders include sleep deprivation, mid-wake awakening, early awakening, and insomnia (leading to daytime sleepiness), and there are obstacle factors that cause each of them. Disability factors can be classified mainly into apnea disorder, motor response disorder, overactivity disorder, excretion disorder, intestinal environment disorder, and environmental disorder. Which stage causes the disorder of sleep? Will be revealed. Further, there are main causes for the above-mentioned failure factors. For example, causes of apnea disorders include tongue base subsidence and soft palate drooping, and causes of motor response disorders include periodic limb movements and restless leg syndrome. Can be specified to some extent accurately.

  In addition, as for the cause of failure, there is a cause as described above, so that the cause can be determined more accurately, the list is an inspection method that helps to more appropriately identify the cause that exists for each cause of failure. Specific examples of these are also described. For example, if an apnea disorder is caused as a disorder factor, the cause can be determined more accurately by receiving, for example, a PG (polygraphy) test or an oral examination (dental examination). . In addition, for example, if a motor reaction disorder is caused as a failure factor, the cause can be more accurately determined by undergoing a PSG (polysomnography) test or a blood / spinal fluid test, for example. Is possible.

  As described above, by creating a checklist (sleep comprehensive data) related to sleep as illustrated in FIGS. 8A to 8C and FIG. Since the state of the sleep situation related to the risk of dementia has been clarified, it is possible to make a more appropriate diagnosis.

  In addition, general physicians, based on the obtained sleep comprehensive data, about appropriate specialists (doctors such as physicians, neurologists, cardiologists, cardiologists, dentists), ingredients and dietary supplements, etc. Since it becomes easy to select various advisors with specialized knowledge, pharmacists with specialized knowledge about pharmaceuticals, etc., subjects may receive more appropriate diagnosis and examination regarding dementia. It is possible to receive comprehensive care such as the risk of developing dementia in the future and the degree of progression and treatment policy when dementia is developed. In addition, since specialists can obtain various information about a person when actually examining a subject, it is possible to conduct more appropriate examinations and examinations and prescribe appropriate medicines. . Furthermore, the subject can know the information, the examination apparatus, the treatment policy, etc. on the web page in advance about the specialists to be introduced.

  And according to the above-described system of the present invention, because it manages specialists, general physicians, pharmacies, etc. suitable for suppressing each symptom and progression degree of dementia, risk of onset, for local residents, An environment that can care for dementia with confidence will be established.

  As mentioned above, although embodiment of this invention was described, this invention is not limited to embodiment mentioned above, It is possible to implement in various deformation | transformation in the range which does not deviate from the summary. The sleep comprehensive data created at the management center is merely an example, and the contents can be appropriately modified.

10 Dementia prevention promotion system 20 Management center 30 General physician 40 General people (local residents)
50 specialists 60 pharmacies (storage bases)
70 Sleep Test Device 100 Network

Claims (8)

A dementia prevention promotion method implemented by a management center that promotes prevention of dementia for a large number of local residents,
Presenting a questionnaire regarding lifestyle-related diseases and sleep to the subject;
According to the obtained questionnaire result, notifying the subject to information recommending a sleep test and / or information recommending a specific medical checkup;
Have
When notifying the subject of information recommending a sleep test, one or more storage bases are extracted from a number of storage bases storing the sleep test apparatus in advance, and the subject is examined. In addition to the location information that the sleep test device can lend,
When the subject undergoes a sleep test by a sleep test apparatus lent from the storage base for a certain period of time and obtains the sleep data, the specific medical checkup is received according to the result of the sleep data Notify you of recommended information,
A method for promoting prevention of dementia, characterized by   The said management center owns and manages a plurality of general doctor information having comprehensive knowledge about dementia and a plurality of specialist information regarding prevention and treatment of dementia. Dementia prevention promotion method.   The dementia prevention promotion method according to claim 2, wherein the management center notifies the subject, a general physician, and a specialist of the questionnaire result information and sleep data of the subject. Through a network between a general medical communication terminal owned by a general physician related to dementia, a specialist medical communication terminal owned by a specialist related to dementia, and a base communication terminal installed at the storage base where the sleep test device is stored A dementia prevention promotion system that has a management device capable of communicating with each other and promotes prevention of dementia for a large number of local residents.
The management device displays a questionnaire on lifestyle-related diseases and sleep on the web page for the large number of local residents through the network, and receives the questionnaire results from the communication terminal owned by the local residents via the network. In this case, according to the questionnaire result, the subject is notified of information recommending a sleep test and / or information recommending a general physician regarding dementia.
A dementia prevention promotion system characterized by this. When notifying the subject of information recommending a sleep test to the subject, the management device extracts one or more storage bases from a number of storage bases that store the sleep test apparatus in advance. Notify the examiner together with the base information that the sleep test device can lend,
When the subject receives a sleep test by a sleep test apparatus lent from the storage base for a certain period of time and obtains the sleep data, he / she consults with the general physician according to the result of the sleep data. Notify you of recommended information,
The dementia prevention promotion system according to claim 4 characterized by things.   The management device includes a database for managing data of the questionnaire result, sleep data when the sleep test is performed, diagnosis data by the general physician, diagnosis data by the specialist for each subject. The dementia prevention promotion system according to claim 4 or 5.   In the case where the storage base is a pharmacy and a pharmaceutical is prescribed to the subject by prescription data from the specialist in the pharmacy, or when food other than the pharmaceutical is provided to the subject, the database is stored in the subject. 7. The dementia prevention promotion system according to claim 6, wherein drug data and food data are managed every time. The dementia prevention promotion system according to claim 4, wherein the management device transmits information on risk and prevention relating to dementia to the communication terminal of the subject.