CN118335276B - A nursing method and device for intestinal stoma complications based on digital processing - Google Patents
A nursing method and device for intestinal stoma complications based on digital processing Download PDFInfo
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- 206010065718 Gastrointestinal stoma complication Diseases 0.000 title abstract 2
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Abstract
本发明提供一种基于数字化处理的肠造口并发症护理方法及装置，根据医师端为患者端配置的护理节点得到护理流程结构，基于所述医师端的指示配置数据对所述护理流程结构进行更新得到护理指示结构；获取所述患者端对所述护理指示结构中检测属性的护理节点上传的待检数据，调取肠造口检测策略对所述待检数据进行异常检测得到评估数据；基于所述评估数据获取所述患者端对联动引导属性的护理节点的操作请求，调取所述护理节点对应的联动引导模板发送至所述患者端；根据所述患者端基于所述联动引导模板上传的操作数据，得到联动指示数据发送至所述患者端。
The present invention provides a method and device for nursing care of intestinal stoma complications based on digital processing, which comprises the following steps: obtaining a nursing process structure according to a nursing node configured by a physician end for a patient end, updating the nursing process structure based on instruction configuration data of the physician end to obtain a nursing instruction structure; obtaining the data to be inspected uploaded by the patient end to a nursing node with a detection attribute in the nursing instruction structure, retrieving an intestinal stoma detection strategy to perform abnormality detection on the data to be inspected to obtain evaluation data; obtaining an operation request of the patient end to a nursing node with a linkage guidance attribute based on the evaluation data, retrieving a linkage guidance template corresponding to the nursing node and sending it to the patient end; obtaining linkage instruction data based on the operation data uploaded by the patient end based on the linkage guidance template and sending it to the patient end.
Description
Technical Field
The invention relates to a digital processing technology, in particular to an intestinal ostomy complication nursing method and device based on digital processing.
Background
Enterostomy refers to the manual opening made by pulling the intestine from the abdominal cavity to the abdominal wall, and is a surgical treatment modality. The nursing of the enterostomy is helpful for preventing infection, plays a role in the rehabilitation process of patients, and needs to be paid enough attention and care.
In the prior art, when a patient carries out intestinal ostomy nursing by oneself, the specific nursing process is more complicated, and comprises the steps of normal saline cleaning ostomy, ostomy measuring the ostomy size by using a ostomy measuring ruler, shearing a central hole of a chassis and the like, if the patient is not guided in nursing, the patient can be possibly caused to have errors in operation, so that the conditions of infection, necrosis and the like of wounds can be possibly caused.
Therefore, how to guide the patient to perform the enterostomy care is a urgent problem to be solved.
Disclosure of Invention
The embodiment of the invention provides a method and a device for nursing intestinal ostomy complications based on digital processing, which can guide a patient to carry out intestinal ostomy nursing.
According to a first aspect of an embodiment of the present invention, there is provided a method for nursing an enterostomy complication based on digital processing, including:
obtaining a nursing flow structure according to nursing nodes configured for a patient end by a doctor end, and updating the nursing flow structure based on indication configuration data of the doctor end to obtain a nursing indication structure;
acquiring to-be-detected data uploaded by the patient end to a nursing node with detection attribute in the nursing indication structure, and calling an enterostomy detection strategy to perform abnormal detection on the to-be-detected data to obtain evaluation data;
Acquiring an operation request of the patient end for a nursing node of the linkage guide attribute based on the evaluation data, and calling a linkage guide template corresponding to the nursing node to send to the patient end;
And obtaining linkage indication data according to the operation data uploaded by the patient end based on the linkage guide template and sending the linkage indication data to the patient end.
Optionally, in one possible implementation manner of the first aspect, the obtaining a care flow structure according to a care node configured by a doctor side for a patient side, updating the care flow structure based on instruction configuration data of the doctor side to obtain a care instruction structure includes:
Receiving a flow configuration request of the doctor side, acquiring a plurality of nursing flows configured by the doctor side, and constructing nursing nodes corresponding to the nursing flows and patient nodes corresponding to the patient side;
the patient nodes and the nursing nodes are arranged according to the connection direction and the nursing sequence configured by the doctor side for the nursing nodes and then connected to obtain a nursing flow structure;
acquiring identity information of the patient end, and binding the identity information and the patient node;
Receiving an instruction configuration request of the doctor end for the corresponding nursing node in the nursing flow structure, calling an initial template and sending the initial template to the doctor end;
Acquiring a nursing indication requirement of the doctor side, wherein the nursing indication requirement comprises a single indication requirement or a comprehensive indication requirement;
carrying out single-region division on the initial template according to the single indication requirement to obtain a nursing indication region, or carrying out multi-region division on the initial template according to the comprehensive indication requirement to obtain a nursing indication region and a data uploading region;
acquiring an indication image configured by the doctor side for the nursing node, and updating the nursing indication area to obtain nursing indication data;
Updating the data uploading area according to filling slots configured for the data uploading area by the doctor side to obtain data to be recorded;
And obtaining a nursing indication template based on the nursing indication data and/or the data to be recorded, and updating the nursing flow structure according to the nursing indication configuration data obtained by the nursing indication template to obtain a nursing indication structure.
Optionally, in a possible implementation manner of the first aspect, acquiring the indication image configured by the doctor end on the care node and updating the care indication area to obtain the care indication data includes:
Receiving an indication image configured by the doctor end for the nursing node, and counting the number of images of the indication image;
Acquiring the nursing indication areas with the number equal to the reference number as a type of nursing indication areas, and updating the type of nursing indication areas based on the indication images to obtain a type of indication data;
Determining that the nursing indication areas with the number of the images being larger than the reference number are two types of nursing indication areas, and dividing the two types of nursing indication areas based on the dividing direction and the number of the images to obtain a plurality of sub-display areas;
updating each indication image to the corresponding sub-display area according to the association sequence configured by the doctor side for each indication image and the division direction to obtain association indication data;
Acquiring an association line configured by a doctor terminal for the corresponding indication image based on an association request of the doctor terminal, and updating the association indication data according to the association line to obtain second-class indication data;
And obtaining nursing indicating data according to the one type of indicating data or the two types of indicating data.
Optionally, in one possible implementation manner of the first aspect, acquiring an association line configured by a doctor side for the corresponding indication image based on an association request of the doctor side, and updating the association indication data according to the association line to obtain second-class indication data, including:
When the nursing node is the nursing node of the linkage guiding attribute, the indication image comprises a measurement indication image and a clipping indication image;
acquiring a measurement point selected by the doctor end in the measurement instruction image and a clipping point selected by the doctor end in the clipping instruction image based on the association request of the doctor end;
and connecting the measuring point and the cutting point to obtain the associated line, and updating the associated indicating data according to the associated line to obtain the class II indicating data.
Optionally, in one possible implementation manner of the first aspect, obtaining to-be-detected data uploaded by the patient end to a care node of a detection attribute in the care indication structure, and calling an enterostomy detection policy to perform anomaly detection on the to-be-detected data to obtain evaluation data includes:
Determining a nursing node of the detection attribute as a detection node, receiving a nursing request of the patient end to the detection node, calling a nursing indication template corresponding to the detection node and sending the nursing indication template to the patient end;
acquiring an image to be inspected, which is uploaded by the patient end based on a filling groove in the nursing indication template, and acquiring data to be inspected according to the image to be inspected, wherein the nursing indication template corresponding to the detection node comprises a nursing indication area and a data uploading area;
Extracting an enterostomy area corresponding to the data to be detected by calling an enterostomy detection strategy, and obtaining average pixel values corresponding to all pixel points in the enterostomy area;
Determining the data to be detected of the average pixel value in a standard pixel interval as normal data, and determining the data to be detected of the average pixel value not in the standard pixel interval as abnormal data;
and obtaining evaluation data according to the abnormal data or the normal data.
Optionally, in one possible implementation manner of the first aspect, acquiring, based on the evaluation data, an operation request of the patient end for a care node of the linkage guidance attribute, and invoking a linkage guidance template corresponding to the care node to send to the patient end, including:
when the evaluation data are abnormal data, generating reminding information and sending the reminding information to the patient side;
When the evaluation data are normal data, determining a nursing node of the linkage guide attribute as a linkage node, and calling an indication pixel value to highlight the linkage node;
and receiving an operation request of the patient end to the linkage node, acquiring a nursing indication template corresponding to the linkage node, and sending the nursing indication template serving as a linkage guide template to the patient end.
Optionally, in a possible implementation manner of the first aspect, obtaining linkage instruction data according to operation data uploaded by the patient side based on the linkage guide template and sending the linkage instruction data to the patient side includes:
Acquiring an operation image uploaded by the patient end based on a filling groove in the linkage guide template, and acquiring operation data according to the operation image, wherein the linkage guide template corresponding to the linkage node comprises a nursing indication area and a data uploading area;
determining operation data meeting the ostomy measuring conditions as compliance data, and carrying out automatic measurement processing on the compliance data to obtain the ostomy size;
A chassis opening comparison table is called, a plurality of preset opening intervals in the chassis opening comparison table are compared according to the opening size, and a preset opening aperture corresponding to the preset opening interval in which the opening size is located is determined to be a target opening aperture;
wherein the chassis opening comparison table comprises a plurality of preset opening intervals and preset opening apertures corresponding to the preset opening intervals;
and calling a preset chassis image, determining an opening cutting area in the preset chassis image according to the target opening aperture, updating the preset chassis image based on the opening cutting area to obtain linkage indication data, and sending the linkage indication data to the patient end.
Optionally, in one possible implementation manner of the first aspect, determining that the operation data satisfying the ostomy measurement condition is compliance data, and performing automatic measurement processing on the compliance data to obtain the stoma size includes:
Extracting an ostomy outline and a measuring plate outline in the operation data, wherein the measuring plate outline comprises a plurality of semicircular angulation lines;
Acquiring a central point of the ostomy outline as a first judgment point, and taking the middle point of each semicircular angulation line as a second judgment point;
according to the first judgment point and the second judgment point, obtaining the phase difference distance between the ostomy outline and each semicircular angle measuring line, and determining the semicircular angle measuring line with the smallest phase difference distance as a target angle measuring line;
Acquiring minimum distances between contour points in the target angle measuring line and the ostomy contour, and judging operation data that all the minimum distances are smaller than a preset interval distance as compliance data;
judging that the operation data with the minimum distance larger than the preset interval distance are the re-acquisition data, generating re-acquisition information corresponding to the re-acquisition data and sending the re-acquisition information to the patient side;
And extracting the ostomy diameter corresponding to the target angulation line in the compliance data, and obtaining the ostomy size according to the ostomy diameter.
Optionally, in one possible implementation manner of the first aspect, determining an opening clipping area in the preset chassis image according to the target opening aperture, updating the preset chassis image based on the opening clipping area to obtain linkage indication data, and sending the linkage indication data to the patient end, where the linkage indication data includes:
Acquiring the number of the preset cutting holes corresponding to the target opening aperture, and determining a chassis center point in the preset chassis image;
Determining a round hole closest to the center point of the chassis as a cutting hole, and continuously acquiring the round hole closest to the cutting hole as the next cutting hole
Repeating the step of acquiring the cutting holes until the number of the cutting holes is equal to the number of the cutting holes, and stopping acquiring the cutting holes;
Determining the area where the clipping hole is located as an opening clipping area, calling clipping pixel values to update the opening clipping area to obtain linkage indication data, and sending the linkage indication data to the patient end.
In a second aspect of the embodiments of the present invention, there is provided an enterostomy complication care apparatus based on digital processing, comprising:
The acquisition module is used for acquiring a nursing flow structure according to nursing nodes configured for a patient end by a doctor end, and updating the nursing flow structure based on indication configuration data of the doctor end to acquire a nursing indication structure;
The detection module is used for acquiring to-be-detected data uploaded by the patient end to a nursing node with detection attribute in the nursing indication structure, and calling an enterostomy detection strategy to perform abnormal detection on the to-be-detected data to obtain evaluation data;
The customization module is used for acquiring an operation request of the patient end on a nursing node of the linkage guide attribute based on the evaluation data, calling a linkage guide template corresponding to the nursing node and sending the linkage guide template to the patient end;
And the display module is used for obtaining linkage indication data according to the operation data uploaded by the patient end based on the linkage guide template and sending the linkage indication data to the patient end.
The beneficial effects of the invention are as follows:
1. The invention can guide the patient to perform enterostomy care. According to the invention, a nursing flow structure can be obtained according to the nursing nodes, then a corresponding nursing indication structure can be obtained according to indication data configured by the doctor end, and the patient end can be guided to carry out corresponding nursing operation through the nursing indication structure. According to the scheme, the nursing node needing to be detected can be determined, abnormal detection is carried out on the image data of the intestinal stoma to obtain evaluation data, the state of the intestinal stoma area can be detected through the mode, the follow-up nursing operation is carried out when the intestinal stoma area is in a normal state, and the occurrence of wound deterioration conditions such as infection and edema is prevented. After the evaluation data are obtained, the invention can display the linkage guide template corresponding to the linkage node to the patient end, can carry out linkage on the ostomy measurement and the chassis cutting, can automatically measure the ostomy size according to the data uploaded by the patient end, and then guide the patient end to cut the corresponding chassis region, thereby guiding the patient to carry out the ostomy measurement and the chassis cutting, and can also enable the patient to carry out the corresponding chassis cutting directly according to the obtained cutting indication data through the linkage of the ostomy measurement and the chassis cutting, so that the accuracy of the nursing process is improved.
2. The invention can guide the nursing process of the patient by combining the image data configured by the doctor, so that the patient can intuitively check the operation process of each step through the image data. When the ostomy measuring and the chassis cutting are guided, the method and the device can conduct relevant guidance, specifically, the method and the device can conduct relevant display on the ostomy measuring image and the chassis cutting image through the nursing indication template, and when the method and the device are used for displaying, the method and the device can conduct relevant display on the ostomy measuring step and the chassis cutting step through the relevant lines, and accordingly a user can conduct corresponding measuring operation and chassis cutting operation through the indication image. And when the subsequent patient is nursed, the invention can automatically determine the cutting area of the chassis according to the data measured by the patient, thereby improving the efficiency and accuracy in the patient nursing process.
3. According to the invention, the state of the enterostomy area can be detected in a pixel value detection mode, the follow-up nursing operation can be performed when the enterostomy area is in a normal state, and the patient end can be timely reminded of seeking medical attention when the enterostomy area is in an abnormal state, so that the occurrence of wound deterioration conditions such as infection, edema and the like can be prevented. In addition, the invention can calibrate according to the measurement image shot by the patient, when the measurement image shot by the patient does not meet the requirement, the invention can remind the patient to shoot the measurement image again, thereby improving the accuracy of the measurement data.
Drawings
Fig. 1 is a schematic view of an application scenario provided in an embodiment of the present invention;
fig. 2 is a schematic structural view of an enterostomy complication care apparatus based on digital processing according to an embodiment of the present invention;
FIG. 3 is a schematic diagram of care instruction data according to an embodiment of the present invention;
Fig. 4 is a flow chart of a method for nursing intestinal ostomy complications based on digital processing according to an embodiment of the invention.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is apparent that the described embodiments are only some embodiments of the present invention, not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Fig. 1 is a schematic diagram of an application scenario provided in an embodiment of the present invention, where a patient end may be instructed to care through an indication image uploaded by a doctor end, specifically, the doctor end may first upload a corresponding care indication image in a template, and the patient end may perform a corresponding care operation according to the indication image uploaded by the doctor end, so that efficiency and accuracy in a patient care process may be improved.
Referring to fig. 2, a flowchart of a method for nursing an intestinal ostomy complication based on digital processing according to an embodiment of the present application is shown, and an execution subject of the method shown in fig. 2 may be a software and/or hardware device. The execution body of the present application may include, but is not limited to, at least one of a user equipment, a network device, etc. The user device may include, but is not limited to, a computer, a smart phone, a Personal Digital Assistant (PDA) DIGITAL ASSISTANT, and the above-mentioned electronic device. The network device may include, but is not limited to, a single network server, a server group of multiple network servers, or a cloud of a large number of computers or network servers based on cloud computing, where cloud computing is one of distributed computing, and a super virtual computer consisting of a group of loosely coupled computers. This embodiment is not limited thereto. The method comprises the steps S1 to S4, and specifically comprises the following steps:
S1, a nursing flow structure is obtained according to nursing nodes configured for a patient end by a doctor end, and the nursing flow structure is updated based on indication configuration data of the doctor end to obtain a nursing indication structure.
When nursing and guiding a patient, the nursing and guiding system can guide the patient by combining indication configuration data configured by a doctor end for the patient end, and particularly the nursing and guiding system can display a plurality of flow steps in the enterostomy nursing process through a nursing flow structure, then display indication images of the flow steps through the indication configuration data, and guide the patient to conduct corresponding enterostomy nursing through the indication images.
It is understood that the doctor end refers to a terminal corresponding to a doctor, the patient end refers to a terminal corresponding to a patient, the nursing node refers to a node corresponding to a specific step of enterostomy nursing, wherein the specific step of enterostomy nursing comprises that normal saline washes a stoma, a stoma measuring ruler measures the size of the stoma, cuts a central hole of the chassis, uses a stoma skin care powder in a preventive manner, coats a skin protection film, coats leak-proof paste around a stoma mucous membrane, tears the protection film, adheres the stoma chassis, wears a stoma bag, two fingers to pinch a lock catch, adheres a sealing strip, wears a waistband, removes the stoma bag and tears the chassis, the nursing process structure refers to a structure corresponding to a nursing process configured by the doctor end for the patient end, the subsequent nursing operation can be conducted by the patient end, the configuration data is data for guiding the patient to conduct enterostomy nursing, the corresponding image can be conducted when nursing indication structure is a structure for guiding the patient to conduct enterostomy nursing.
Specifically, step S1 includes steps S11 to S29, and is specifically as follows:
S11, receiving a flow configuration request of the doctor side, acquiring a plurality of nursing flows configured by the doctor side, and constructing nursing nodes corresponding to the nursing flows and patient nodes corresponding to the patient side.
The flow configuration request refers to a request of a doctor side for configuring a nursing flow, the nursing flow refers to a specific flow of intestinal ostomy nursing, nursing nodes refer to nodes corresponding to the nursing flow, and patient nodes refer to nodes corresponding to a patient.
For example, the care procedure may be a specific care step of cleaning the stoma, measuring the size of the stoma, tearing the protective film, etc.
And S12, connecting the patient node and each nursing node after arranging according to the connection direction and the nursing sequence configured by the doctor side for each nursing node to obtain a nursing flow structure.
The connection direction refers to the connection direction of specific steps of nursing, and the nursing sequence refers to the specific step sequence of nursing.
In practical application, the intestinal stoma has a corresponding nursing sequence during nursing, and the intestinal stoma is particularly required to be sequentially cleaned by normal saline, the stoma is measured by a stoma measuring ruler, the central hole of the base plate is cut, the stoma skin care powder is used in a preventive manner, a skin protection film is coated, leakage-proof paste is coated around the stoma mucous membrane, the protection film is torn, the stoma base plate is stuck, the stoma bag is worn, the two-finger fastening lock catch is stuck, the sealing strip is stuck, the waistband is worn, the stoma bag is taken down, and the base plate is torn off.
Therefore, in order to enable the patient to perform the nursing operation according to the corresponding steps, the patient node and each nursing node can be arranged according to the connection direction and the nursing sequence and then connected to obtain the nursing flow structure.
S13, acquiring the identity information of the patient end, and binding the identity information and the patient node.
It will be appreciated that in order to determine a particular patient end from the identity information, the identity information and the patient node may be bound.
S14, receiving an indication configuration request of the doctor end to the corresponding nursing node in the nursing flow structure, and calling an initial template to be sent to the doctor end.
The indication configuration request refers to a request of a doctor end to configure indication data of a corresponding nursing node, the initial template refers to a template which is not filled with guiding data, and the template can carry out corresponding nursing guiding on a patient end after the guiding data are filled in later.
In practical application, after receiving an instruction configuration request from a doctor end to a corresponding nursing node in a nursing flow structure, an initial template may be displayed to the doctor end, and then area division may be performed in the initial template.
S15, acquiring the nursing indication requirement of the doctor side, wherein the nursing indication requirement comprises a single indication requirement or a comprehensive indication requirement.
In practical applications, for some nursing steps, for example, the step of tearing the protective film can directly guide the patient to perform corresponding nursing operation through the indication image, so that a nursing node doctor corresponding to the nursing step can directly upload corresponding image to perform nursing guide of the patient. However, for some nursing steps, such as a normal saline cleaning stoma, a stoma measurement and a chassis cutting step, besides a guiding image uploaded by a doctor, the method can also conduct guiding judgment on the normal saline cleaning stoma through the image uploaded by a patient, the method can conduct subsequent nursing steps on the normal saline cleaning stoma, the method can conduct associated guiding on the normal saline cleaning stoma, the range of the chassis required to be cut by the patient is automatically determined through image data uploaded by the patient, and therefore for the nursing steps, besides guiding images uploaded by the doctor, the method can conduct targeted guiding on the normal saline cleaning stoma through different conditions of different patients. Therefore, when configuring the guiding data, the doctor can have different nursing indication requirements, the single indication requirement refers to the requirement corresponding to the doctor when the guiding data corresponding to the nursing node only needs to be guided through the image, and the comprehensive indication requirement refers to the requirement corresponding to the doctor when the guiding data corresponding to the nursing node is guided through the data uploaded by the patient in the follow-up mode besides the guiding image configured by the doctor.
S16, carrying out single-region division on the initial template according to the single indication requirement to obtain a nursing indication region, or carrying out multi-region division on the initial template according to the comprehensive indication requirement to obtain a nursing indication region and a data uploading region.
The nursing indication area is an area for nursing and guiding according to the guiding image configured by the doctor, and the data uploading area is an area for nursing and guiding according to the data uploaded by the patient.
In practical application, for some nursing steps, for example, the step of tearing the protective film, a doctor side can directly upload a corresponding indication image to guide a patient to carry out corresponding nursing operation, so that the single-area division of the initial template can be carried out according to single indication requirements of the doctor side to determine nursing indication areas, but for some nursing steps, for example, the steps of cleaning a stoma by using physiological saline, measuring the stoma and cutting the chassis, besides the guide image uploaded by the doctor, the method can guide and judge the patient through the image uploaded by the patient, for cleaning the stoma by using the physiological saline, the method can guide the patient to carry out subsequent nursing steps when judging that the stoma is normal, the method can carry out associated guide on the stoma, automatically determine the range of the chassis needed to be cut by the patient through the image data uploaded by the patient, and for such nursing steps, besides the guide image uploaded by the doctor side, the method can carry out targeted guide on the initial template according to different conditions of different patients, so that the multi-area division of nursing indication areas and the data uploading area can be carried out according to the comprehensive indication requirements of the doctor side.
And S17, acquiring an indication image configured by the doctor terminal for the nursing node, and updating the nursing indication area to obtain nursing indication data.
It will be understood that the instruction image refers to an image uploaded by the doctor end for guiding the patient end to perform corresponding care, and the care instruction data refers to data for guiding the patient end to perform corresponding care.
For example, the indication image can be an image of the tearing protective film uploaded by a doctor end on the tearing protective film in the nursing step, and the subsequent patient end can perform corresponding nursing operation according to the indication image.
The specific implementation manner of step S17 based on the above embodiment may be:
S171, receiving indication images configured by the doctor end for the nursing nodes, and counting the image quantity of the indication images.
It will be appreciated that for a step where there is no linkage, for example a step where the stoma is washed with physiological saline, the guiding images thereof may be displayed separately, for a step where there is linkage, for example two steps where the stoma is measured and the chassis is cut, the guiding images thereof may be displayed in a linkage, the corresponding images are arranged in the same template, and thus the nursing indication area of the corresponding template may be divided by the number of images when the images are arranged.
And S172, acquiring the nursing indication areas with the number equal to the reference number as one type of nursing indication areas, and updating the one type of nursing indication areas based on the indication images to obtain one type of indication data.
In practical application, the reference number may be determined to be 1, then the number of the indication images may be compared with the reference number, if the number of the indication images is 1, the corresponding nursing indication area may be an area where the images without linkage are displayed, and the corresponding nursing indication area may be used as a type of nursing indication area, and then the indication images are filled into the type of nursing indication area to obtain corresponding type of indication data.
For example, one type of care indication area may be a care indication area corresponding to a care node, such as a saline cleaning stoma, and the indication image corresponding to the care indication area may be only one image of the saline cleaning stoma, through which the patient end may be instructed to perform a saline cleaning stoma subsequently.
And S173, determining that the nursing indication areas with the image quantity larger than the reference quantity are two types of nursing indication areas, and dividing the two types of nursing indication areas based on the dividing direction and the image quantity to obtain a plurality of sub-display areas.
In practical application, if the number of the indication images is greater than 1, the corresponding nursing indication areas are the two-type nursing indication areas, the dividing direction refers to the direction of dividing the two-type nursing indication areas, and can be the left-to-right direction, after determining the dividing direction and the number of the images, the two-type nursing indication areas can be divided to obtain a plurality of sub-display areas, and because the number of the images corresponding to the two-type nursing indication areas is greater than 1, a plurality of sub-display areas exist.
For example, the number of the indication images corresponding to the measurement node may be 2, so that the nursing indication area corresponding to the node is a second-class nursing indication area, and 2 sub-display areas can be divided in the second-class nursing indication area according to the left-to-right direction.
And S174, updating each indication image to the corresponding sub-display area according to the association sequence configured by the doctor side for each indication image and the division direction to obtain association indication data.
It will be appreciated that the association sequence refers to the care sequence between care steps and the association indication data refers to the guiding data of the image formation for which there is an association, in this case the data of the guiding image formation for which the ostomy measuring and the chassis clipping correspond.
Referring to fig. 3, a schematic view of nursing indication data provided by an embodiment of the present invention is shown in fig. 3, where when the dividing direction is from left to right, the guiding image corresponding to the ostomy measurement may be filled into the left sub-display area, and the guiding image corresponding to the chassis clipping may be filled into the right sub-display area, so that the correlation line between the ostomy measurement and the chassis clipping may be represented by the correlation indication data.
And S175, acquiring an association line configured by the doctor terminal for the corresponding indication image based on the association request of the doctor terminal, and updating the association indication data according to the association line to obtain second-class indication data.
The association request refers to a request that the doctor wants to associate the nursing steps with the association, the association line refers to a line that can associate the indication images corresponding to the nursing steps with the association, and the second-class indication data refers to the data with the association.
In practical application, an association line can be set for the indication images with association, so that the indication images with association can be connected, and the patient side can directly see the association between the two indication images.
The specific implementation manner of step S175 based on the above embodiment may be:
S1751, when the care node is a care node of the linkage guide attribute, the instruction image includes a measurement instruction image and a clip instruction image.
It is understood that the linkage guiding attribute refers to an attribute with relevance guiding, for example, there is relevance between ostomy measurement and chassis clipping, so that the attribute of the corresponding nursing node can be the linkage guiding attribute, and when nursing is conducted on the nursing node of the attribute, nursing association can be conducted through the measurement indication image and the clipping indication image, so that a patient can be guided to conduct corresponding nursing operation through the associated image. The measurement indication image is an indication image for measuring the size of the stoma, and the clipping indication image is an indication image for clipping the center hole of the chassis.
S1752, acquiring a measurement point selected by the doctor side in the measurement instruction image and a clipping point selected by the doctor side in the clipping instruction image based on the association request of the doctor side.
The measurement point refers to a point which is selected by the doctor end on the ostomy measuring ruler, as shown in fig. 3, the clipping point refers to a point which is selected by the doctor end on the chassis and corresponds to the measurement point, as shown in fig. 3, and the corresponding indication images can be associated by connecting the two points.
S1753, connecting the measurement points and the cutting points to obtain the associated lines, and updating the associated indication data according to the associated lines to obtain the second-class indication data.
It will be appreciated that connecting the measurement points with the cropping points may result in corresponding correlation lines by which the measurement and the corresponding cropping indication images may be correlated.
In this way, the patient can be guided to perform corresponding measurement and cutting operations.
And S176, obtaining nursing indication data according to the one type of indication data or the two types of indication data.
For some nursing steps, for example, the step of tearing the protective film, the patient can be guided to carry out nursing operation directly through the indication image, the corresponding type of indication data is the nursing indication data of the node, and for some nursing steps, for example, the steps of ostomy measurement and chassis cutting, the corresponding nursing guidance can be carried out on the patient end through the associated image data, and the corresponding type of indication data is the nursing indication data of the node.
And S18, updating the data uploading area according to the filling slot position configured for the data uploading area by the doctor end to obtain data to be uploaded.
The filling slot is a slot where the patient end can upload data, the data to be uploaded refers to data guiding the patient end to upload the data, the doctor end can configure a corresponding filling slot for the data uploading area, and the patient end can be guided to hit the filling slot to upload the corresponding data.
And S19, obtaining a nursing indication template based on the nursing indication data and/or the data to be uploaded, and updating the nursing flow structure according to the nursing indication configuration data obtained by the nursing indication template to obtain a nursing indication structure.
In some embodiments, for the steps of tearing the protective film, the doctor side may directly guide the patient side to perform corresponding nursing through the corresponding indication images of the nursing nodes, so that the nursing nodes may only have corresponding nursing indication data, while for the steps of making the mouth measurement and cutting the chassis, the steps of performing nursing guide through the patient uploading data are needed, besides the guiding data of the doctor, the steps of performing nursing guide through the patient uploading data are needed, and therefore the nursing nodes may have corresponding nursing indication data and data to be uploaded.
It can be understood that the nursing indication template is a template for indicating the patient end to perform nursing operation, and the nursing indication template can be obtained according to nursing indication data and/or data to be uploaded, and the indication configuration data can be obtained through the nursing indication template, so that the nursing flow structure can be updated to obtain the nursing indication structure.
By the method, the corresponding nursing operation of the patient can be indicated by combining the guiding data configured by the doctor, and the accuracy of nursing of the patient is improved.
S2, obtaining to-be-detected data uploaded by the patient end to a nursing node for detecting the attribute in the nursing indication structure, and calling an enterostomy detection strategy to perform abnormal detection on the to-be-detected data to obtain evaluation data.
The detection attribute refers to an attribute capable of detecting the state of the enterostomy, the data to be detected refers to a photographed image of the enterostomy uploaded by the patient end, the enterostomy detection strategy refers to a strategy for detecting the state of the enterostomy area in the image, and the evaluation data refers to data obtained by detecting and evaluating the state of the enterostomy area.
For example, the nursing node for detecting the attribute can be a nursing step of cleaning the stoma by using normal saline, and the state of the intestinal stoma area of the patient can be detected according to the imaged image of the stoma uploaded by the patient before the stoma is cleaned, so that the patient can be instructed to perform subsequent nursing operation when the state of the stoma of the patient is normal, and the patient can be reminded when the state of the stoma of the patient is abnormal.
In practical application, this scheme can detect the state of the intestines stomy region of patient's end through the mode that the pixel value detected, before the patient's end carries out nursing operation by oneself, can judge whether the state of intestines stomy region is normal according to the intestines stomy region's that patient's end uploaded by oneself at first, when guaranteeing that the intestines stomy region of patient's end is in normal state, can make the patient's end carry out subsequent nursing operation.
The specific implementation manner of step S2 based on the above embodiment may be:
s21, determining the nursing node of the detection attribute as a detection node, receiving a nursing request of the patient end to the detection node, calling a nursing indication template corresponding to the detection node and sending the nursing indication template to the patient end.
It can be understood that the detection node may be a node corresponding to a nursing step of cleaning the stoma with normal saline, the nursing request refers to a request of nursing the intestinal stoma area from the patient end, and after receiving the nursing request from the patient end, a nursing indication template corresponding to the detection node may be displayed to the patient end.
S22, acquiring an image to be inspected, which is uploaded by the patient end based on a filling groove in the nursing indication template, and acquiring data to be inspected according to the image to be inspected, wherein the nursing indication template corresponding to the detection node comprises a nursing indication area and a data uploading area.
The image to be detected is the data to be detected, namely, the above-mentioned ostomy shooting image uploaded by the patient, the indication data can be displayed to the patient end through the nursing indication template, so that the patient can be guided to shoot the image through the filling groove after the ostomy is cleaned, and the state of the intestinal ostomy area can be detected through the shot image. S23, extracting an enterostomy area corresponding to the data to be detected by calling an enterostomy detection strategy, and obtaining average pixel values corresponding to all pixel points in the enterostomy area.
It will be understood that the average pixel value refers to the average value of the pixel values of all the pixel points in the enterostomy area, and since the enterostomy color in the normal state may be pink, the enterostomy color in the abnormal state may be dark red, black, etc., the enterostomy colors in the normal and abnormal states are different, so that the enterostomy area in the image can be extracted, and the state of the enterostomy area can be judged later by the average pixel value of the enterostomy area.
S24, determining the data to be detected of the average pixel value in a standard pixel interval as normal data, and determining the data to be detected of the average pixel value not in the standard pixel interval as abnormal data.
In practical application, the standard pixel interval refers to an average pixel value interval corresponding to an intestinal stoma area in a normal state, the average pixel value corresponding to the intestinal stoma area at the patient end can be compared with the standard pixel value interval corresponding to the intestinal stoma area in the normal state, if the average pixel value is in the standard pixel interval, the corresponding data to be detected is normal data, at the moment, the intestinal stoma area in the corresponding image can be judged to be in the normal state, and if the average pixel value is not in the standard pixel interval, the corresponding data to be detected is abnormal data, at the moment, the intestinal stoma area in the corresponding image can be judged to be in the abnormal state.
S25, obtaining evaluation data according to the abnormal data or the normal data.
The abnormal data or the normal data can be summarized to obtain the evaluation data.
By the method, the state of the intestinal stoma area can be detected, the subsequent nursing operation is carried out when the intestinal stoma area is in a normal state, and the occurrence of wound deterioration conditions such as infection, edema and the like is prevented. S3, acquiring an operation request of the patient end for a nursing node of the linkage guide attribute based on the evaluation data, and calling a linkage guide template corresponding to the nursing node to send to the patient end.
The operation request refers to a request that the patient end wants to perform a nursing operation on a nursing node of the linkage guide attribute, for example, the nursing node of the linkage guide attribute may be a node corresponding to a nursing step of ostomy measurement and chassis clipping, for which the patient end may want to perform a corresponding nursing operation, and at this time, the patient end may issue a corresponding operation request to the nursing node.
The linkage guide template is a nursing indication template corresponding to a nursing node of the linkage guide attribute, namely a nursing indication template of the nursing node corresponding to the ostomy measuring and the chassis cutting.
The specific implementation manner of step S3 based on the above embodiment may be:
s31, when the evaluation data are abnormal data, generating reminding information and sending the reminding information to the patient side.
It can be understood that the state of the enterostomy can be detected, and when the evaluation data is abnormal data, the abnormal conditions such as infection, inflammation and the like in the enterostomy area can be indicated, and at the moment, information can be sent to the patient end to remind the patient end to seek medical advice in time.
And S32, when the evaluation data are normal data, determining that the nursing node of the linkage guide attribute is a linkage node, and calling an indication pixel value to highlight the linkage node.
The indication pixel value refers to a pixel value which can be prominently displayed on the linkage node, and can be prominently red or prominently blue, so that a patient end can intuitively see the next nursing operation step and guide the patient end to perform the subsequent nursing operation.
S33, receiving an operation request of the patient end to the linkage node, acquiring a nursing indication template corresponding to the linkage node as a linkage guide template, and sending the nursing indication template to the patient end.
It can be appreciated that after receiving a request from the patient end to upload data, the care instruction templates corresponding to the linkage nodes can be displayed to the patient end.
In this way, the patient can be guided to perform a corresponding ostomy care according to the care step.
S4, obtaining linkage indication data according to the operation data uploaded by the patient end based on the linkage guide template, and sending the linkage indication data to the patient end.
The operation data are image data for corresponding nursing of the patient end according to the indication image, the linkage indication data are data which can be guided in a linkage mode according to the operation data, the chassis range required to be cut by the patient can be automatically determined according to the measurement image data uploaded by the patient, and the obtained linkage indication data are displayed to the patient end to guide the patient end to carry out corresponding nursing operation.
The specific implementation manner of step S4 based on the above embodiment may be:
S41, acquiring an operation image uploaded by the patient end based on a filling groove in the linkage guide template, and acquiring operation data according to the operation image, wherein the linkage guide template corresponding to the linkage node comprises a nursing indication area and a data uploading area.
It should be noted that, when carrying out the associative guidance to the ostomy measurement and the chassis cutting, this scheme can confirm the required chassis scope of cutting of patient through the measurement image data that the patient uploaded automatically to instruct the patient to carry out corresponding chassis cutting through the mode of image demonstration, therefore the linkage guide template of the coordinated joint that this step corresponds includes two regions of nursing indication district and data uploading district, patient's end can carry out corresponding nursing operation according to the instruction image in the nursing indication district, simultaneously patient's end can shoot the image of ostomy measurement, and upload the image of shooing to the filling groove of linkage guide template, thereby can confirm the cutting area of chassis through the image that the patient shot automatically, guide the patient carries out corresponding cutting operation.
S42, determining operation data meeting the ostomy measuring conditions as compliance data, and carrying out automatic measurement processing on the compliance data to obtain the stoma size.
In practical application, when the patient end uses the ostomy measuring ruler to measure the size of the stoma, the ostomy measuring ruler needs to be placed at a proper position, if the placement position of the ostomy measuring ruler is not standard, the measured data may be inaccurate, so that the ostomy measuring condition may be a condition when the placement position of the ostomy measuring ruler meets the placement standard, and at this time, the operation data may be judged to be compliance data.
The ostomy size is the ostomy diameter obtained through measurement, when the method and the device are used for automatically measuring the compliance data, the corresponding ostomy diameter can be determined through extracting the scale value of the target angle measurement line, and the corresponding cutting area size can be determined according to the ostomy diameter later, so that linkage guidance can be realized.
Specifically, step S42 includes steps S421 to S426, which are specifically as follows:
s421, extracting an ostomy outline and a measuring plate outline in the operation data, wherein the measuring plate outline comprises a plurality of semicircular angulation lines.
The ostomy outline refers to an outline corresponding to a intestinal stoma in the operation image, the measuring plate outline refers to an outline corresponding to the measuring plate in the operation image, the semicircular angle lines refer to semicircular arcs corresponding to semicircular measuring areas in the measuring plate, each semicircular angle line corresponds to a scale value of a stoma diameter, and the corresponding stoma size can be obtained according to the scale value.
S422, acquiring a central point of the ostomy outline as a first judgment point, and taking a middle point of each semicircular angle measuring line as a second judgment point.
It will be appreciated that, since there are a plurality of semi-circular lines, in order to determine the semi-circular line to which the stoma is to be measured, the semi-circular line to which the stoma profile corresponds may be determined by the distance between the first and the second judgment point.
S423, obtaining the phase difference distance between the ostomy outline and each semicircular angle measuring line according to the first judging point and the second judging point, and determining the semicircular angle measuring line with the smallest phase difference distance as a target angle measuring line.
It will be appreciated that the distance of the semi-circular measuring line measuring the stoma profile from the stoma profile is generally closest, so that the semi-circular measuring line with the smallest difference in distance can be determined as the target measuring line, i.e. the semi-circular measuring line specifically used for measuring the stoma profile.
S424, obtaining minimum distances between each contour point in the target angulation line and the ostomy contour, and judging that operation data with all the minimum distances smaller than a preset interval distance are compliance data.
It will be appreciated that, since the measurement may be inaccurate if the measuring scale is placed inaccurately, for example too far from the stoma, and the nursing step is affected when the stoma is measured, the relative position between the measuring scale and the stoma is determined by the relative distance between the target protracted line and the stoma profile when determining whether the position of the measuring scale is placed standardly, and if all the minimum distances are smaller than the preset separation distance, indicating that the distance between the measuring scale and the stoma is not too far, the corresponding operational data may be considered as compliance data. Wherein the preset distance may be a standard distance of the measuring scale from the stoma at the time of measuring the stoma.
By the method, the measurement data can be calibrated, and the accuracy of the data is improved.
S425, judging that the operation data with the minimum distance larger than the preset interval distance are the re-acquisition data, generating the re-acquisition information corresponding to the re-acquisition data, and sending the re-acquisition information to the patient side.
It will be appreciated that if there is a minimum distance greater than the preset separation distance, indicating that the distance between the measuring scale and the stoma may not meet the measurement requirements, in which case the patient may be alerted to re-perform the data acquisition to improve the accuracy of the data.
The re-acquisition data refers to data which can guide the patient end to re-acquire, and the re-acquisition information refers to information for reminding the patient end to re-acquire.
S426, extracting the ostomy diameter corresponding to the target angulation line in the compliance data, and obtaining the ostomy size according to the ostomy diameter.
In practical applications, the value of the stoma diameter generally corresponds to the upper side of each semicircular measuring zone in the measuring plate, so that the value of the stoma diameter corresponding to the target measuring angle line can be extracted, and the stoma size can be obtained according to the value of the stoma diameter.
In some embodiments, a value extraction template corresponding to the measuring ruler can be set, the template can include value extraction areas corresponding to the measuring areas of the semicircle, and after the target angle measurement line is determined, the value corresponding to the target angle measurement line can be extracted through the value extraction areas corresponding to the target angle measurement line in the template.
S43, a chassis opening comparison table is called, a plurality of preset opening intervals in the chassis opening comparison table are compared according to the opening size, and the preset opening aperture corresponding to the preset opening interval in which the opening size is located is determined to be the target opening aperture.
The chassis opening comparison table comprises a plurality of preset opening sections and preset opening apertures corresponding to the preset opening sections.
It will be appreciated that, since the chassis apertures corresponding to different stoma sizes are all correspondingly set, the target opening aperture corresponding to the stoma size can be determined through the chassis opening comparison table, the chassis opening comparison table is a matching table for determining the chassis apertures corresponding to different stoma sizes, the preset stoma interval is a stoma size interval preset by a worker in advance, the preset opening aperture is an opening aperture preset by the worker in advance, and the target opening aperture is an opening aperture capable of determining a cutting area in the chassis. It should be noted that, the sizes of the corresponding stomas of different patient ends are different, but the preset stomal interval and the preset aperture in the chassis opening comparison table are unchanged, and the corresponding relationship between the preset stomal interval and the preset aperture is also unchanged, so that the corresponding target aperture can be determined in the chassis opening comparison table according to the actual stomal size corresponding to the patient end.
S44, a preset chassis image is called, an opening clipping area in the preset chassis image is determined according to the target opening aperture, and the preset chassis image is updated based on the opening clipping area to obtain linkage indication data and sent to the patient end.
It can be understood that the preset chassis image refers to a chassis image preset by a worker in advance, the opening clipping region refers to a region needing clipping in the chassis image, after the target opening aperture is determined, the region needing clipping can be determined in the chassis image, and then the opening clipping region is highlighted to obtain linkage indication data and display the linkage indication data to a patient end.
The specific implementation manner of step S44 based on the above embodiment may be:
S441, obtaining the number of the cutting holes corresponding to the target opening aperture, and determining a chassis center point in the preset chassis image.
The number of the cutting holes refers to the number of round holes corresponding to the cutting area, wherein the number of the corresponding cutting holes is preset for different chassis opening apertures, so that the number of the corresponding cutting holes can be determined according to the target opening aperture, and the center point of the chassis can be the center of the chassis.
S442, determining the round hole closest to the center point of the chassis as a cutting hole, and continuously acquiring the round hole closest to the cutting hole as the next cutting hole.
It will be appreciated that the chassis is cut out from the interior of the chassis, so that when the cut out area is determined by the number of cut out holes, a corresponding number of cut out holes can be determined sequentially from the inside to the outside, so that the area ultimately to be cut out is determined by the last determined cut out hole.
S443, repeating the step of acquiring the clipping holes until the number of the clipping holes is equal to the number of the clipping holes, and stopping acquiring the clipping holes.
In practical application, the step of acquiring the cutting holes is repeated, when the number of the cutting holes is the preset number of the cutting holes, the acquiring operation can be stopped, and the area to be cut in the chassis can be determined according to the cutting holes.
S444, determining the area where the clipping hole is located as an opening clipping area, calling clipping pixel values to update the opening clipping area to obtain linkage indication data, and sending the linkage indication data to the patient end.
The clipping pixel value refers to a pixel value capable of highlighting an opening clipping region in a preset chassis image, which may be highlighted red or highlighted blue, and a region where a clipping hole is located may be determined as an opening clipping region, and linkage indication data may be obtained and displayed to a patient end after the opening clipping region is highlighted.
By the method, the cutting area of the chassis can be automatically determined through the data measured by the patient, so that the efficiency and the accuracy in the patient nursing process can be improved.
Referring to fig. 4, a schematic structural diagram of a digital processing-based intestinal ostomy complication care device according to an embodiment of the present invention includes:
The acquisition module is used for acquiring a nursing flow structure according to nursing nodes configured for a patient end by a doctor end, and updating the nursing flow structure based on indication configuration data of the doctor end to acquire a nursing indication structure;
The detection module is used for acquiring to-be-detected data uploaded by the patient end to a nursing node with detection attribute in the nursing indication structure, and calling an enterostomy detection strategy to perform abnormal detection on the to-be-detected data to obtain evaluation data;
The customization module is used for acquiring an operation request of the patient end on a nursing node of the linkage guide attribute based on the evaluation data, calling a linkage guide template corresponding to the nursing node and sending the linkage guide template to the patient end;
And the display module is used for obtaining linkage indication data according to the operation data uploaded by the patient end based on the linkage guide template and sending the linkage indication data to the patient end.
The apparatus of the embodiment shown in fig. 4 may be correspondingly used to perform the steps in the embodiment of the method shown in fig. 2, and the implementation principle and technical effects are similar, and are not repeated here.
It should be noted that the above embodiments are merely for illustrating the technical solution of the present invention and not for limiting the same, and although the present invention has been described in detail with reference to the above embodiments, it should be understood by those skilled in the art that the technical solution described in the above embodiments may be modified or some or all of the technical features may be equivalently replaced, and these modifications or substitutions do not make the essence of the corresponding technical solution deviate from the scope of the technical solution of the embodiments of the present invention.
Claims (9)
1. A method of digital processing-based enterostomy complications care, comprising:
obtaining a nursing flow structure according to nursing nodes configured for a patient end by a doctor end, and updating the nursing flow structure based on indication configuration data of the doctor end to obtain a nursing indication structure;
acquiring to-be-detected data uploaded by the patient end to a nursing node with detection attribute in the nursing indication structure, and calling an enterostomy detection strategy to perform abnormal detection on the to-be-detected data to obtain evaluation data;
Acquiring an operation request of the patient end for a nursing node of the linkage guide attribute based on the evaluation data, and calling a linkage guide template corresponding to the nursing node to send to the patient end, wherein the nursing node of the linkage guide attribute is a nursing node with an association guide attribute;
acquiring linkage indicating data according to the operation data uploaded by the patient end based on the linkage guiding template and sending the linkage indicating data to the patient end;
Obtaining a nursing flow structure according to a nursing node configured by a doctor side for a patient side, updating the nursing flow structure based on indication configuration data of the doctor side to obtain a nursing indication structure, and comprising:
Receiving a flow configuration request of the doctor side, acquiring a plurality of nursing flows configured by the doctor side, and constructing nursing nodes corresponding to the nursing flows and patient nodes corresponding to the patient side;
the patient nodes and the nursing nodes are arranged according to the connection direction and the nursing sequence configured by the doctor side for the nursing nodes and then connected to obtain a nursing flow structure;
acquiring identity information of the patient end, and binding the identity information and the patient node;
Receiving an instruction configuration request of the doctor end for the corresponding nursing node in the nursing flow structure, calling an initial template and sending the initial template to the doctor end;
Acquiring a nursing indication requirement of the doctor side, wherein the nursing indication requirement comprises a single indication requirement or a comprehensive indication requirement;
carrying out single-region division on the initial template according to the single indication requirement to obtain a nursing indication region, or carrying out multi-region division on the initial template according to the comprehensive indication requirement to obtain a nursing indication region and a data uploading region;
acquiring an indication image configured by the doctor side for the nursing node, and updating the nursing indication area to obtain nursing indication data;
updating the data uploading area according to filling slots configured for the data uploading area by the doctor side to obtain data to be uploaded;
And obtaining a nursing indication template based on the nursing indication data and/or the data to be uploaded, and updating the nursing flow structure according to the nursing indication configuration data obtained by the nursing indication template to obtain a nursing indication structure.
2. The method of claim 1, wherein the step of determining the position of the substrate comprises,
The method for obtaining the nursing indication data by updating the nursing indication area by the indication image configured by the doctor side on the nursing node comprises the following steps:
Receiving an indication image configured by the doctor end for the nursing node, and counting the number of images of the indication image;
Acquiring the nursing indication areas with the number equal to the reference number as a type of nursing indication areas, and updating the type of nursing indication areas based on the indication images to obtain a type of indication data;
Determining that the nursing indication areas with the number of the images being larger than the reference number are two types of nursing indication areas, and dividing the two types of nursing indication areas based on the dividing direction and the number of the images to obtain a plurality of sub-display areas;
updating each indication image to the corresponding sub-display area according to the association sequence configured by the doctor side for each indication image and the division direction to obtain association indication data;
Acquiring an associated line configured by a doctor terminal for the corresponding indication image based on an association request of the doctor terminal, and updating the association indication data according to the associated line to obtain second-class indication data, wherein the associated line is a line for connecting the indication images with association;
And obtaining nursing indicating data according to the one type of indicating data or the two types of indicating data.
3. The method of claim 2, wherein the step of determining the position of the substrate comprises,
Acquiring an association line configured by a doctor terminal for the corresponding indication image based on an association request of the doctor terminal, and updating the association indication data according to the association line to obtain second-class indication data, wherein the method comprises the following steps:
When the nursing node is the nursing node of the linkage guiding attribute, the indication image comprises a measurement indication image and a clipping indication image;
acquiring a measurement point selected by the doctor end in the measurement instruction image and a clipping point selected by the doctor end in the clipping instruction image based on the association request of the doctor end;
and connecting the measuring point and the cutting point to obtain the associated line, and updating the associated indicating data according to the associated line to obtain the class II indicating data.
4. The method of claim 1, wherein the step of determining the position of the substrate comprises,
Obtaining to-be-detected data uploaded by the patient end to a nursing node for detecting the attribute in the nursing indication structure, and calling an enterostomy detection strategy to perform abnormal detection on the to-be-detected data to obtain evaluation data, wherein the method comprises the following steps:
Determining a nursing node of the detection attribute as a detection node, receiving a nursing request of the patient end to the detection node, calling a nursing indication template corresponding to the detection node and sending the nursing indication template to the patient end;
acquiring an image to be inspected, which is uploaded by the patient end based on a filling groove in the nursing indication template, and acquiring data to be inspected according to the image to be inspected, wherein the nursing indication template corresponding to the detection node comprises a nursing indication area and a data uploading area;
Extracting an enterostomy area corresponding to the data to be detected by calling an enterostomy detection strategy, and obtaining average pixel values corresponding to all pixel points in the enterostomy area;
Determining the data to be detected of the average pixel value in a standard pixel interval as normal data, and determining the data to be detected of the average pixel value not in the standard pixel interval as abnormal data;
and obtaining evaluation data according to the abnormal data or the normal data.
5. The method of claim 4, wherein the step of determining the position of the first electrode is performed,
Acquiring an operation request of the patient end for a nursing node of the linkage guide attribute based on the evaluation data, calling a linkage guide template corresponding to the nursing node and sending the linkage guide template to the patient end, wherein the operation request comprises:
when the evaluation data are abnormal data, generating reminding information and sending the reminding information to the patient side;
When the evaluation data are normal data, determining a nursing node of the linkage guide attribute as a linkage node, and calling an indication pixel value to highlight the linkage node;
and receiving an operation request of the patient end to the linkage node, acquiring a nursing indication template corresponding to the linkage node, and sending the nursing indication template serving as a linkage guide template to the patient end.
6. The method of claim 5, wherein the step of determining the position of the probe is performed,
Obtaining linkage indication data according to the operation data uploaded by the patient end based on the linkage guide template and sending the linkage indication data to the patient end, wherein the linkage indication data comprises the following steps:
Acquiring an operation image uploaded by the patient end based on a filling groove in the linkage guide template, and acquiring operation data according to the operation image, wherein the linkage guide template corresponding to the linkage node comprises a nursing indication area and a data uploading area;
determining operation data meeting the ostomy measuring conditions as compliance data, and carrying out automatic measurement processing on the compliance data to obtain the ostomy size;
A chassis opening comparison table is called, a plurality of preset opening intervals in the chassis opening comparison table are compared according to the opening size, and a preset opening aperture corresponding to the preset opening interval in which the opening size is located is determined to be a target opening aperture;
wherein the chassis opening comparison table comprises a plurality of preset opening intervals and preset opening apertures corresponding to the preset opening intervals;
and calling a preset chassis image, determining an opening cutting area in the preset chassis image according to the target opening aperture, updating the preset chassis image based on the opening cutting area to obtain linkage indication data, and sending the linkage indication data to the patient end.
7. The method of claim 6, wherein the step of providing the first layer comprises,
Determining operation data meeting the ostomy measuring conditions as compliance data, and carrying out automatic measurement processing on the compliance data to obtain the stoma size, wherein the method comprises the following steps:
Extracting an ostomy outline and a measuring plate outline in the operation data, wherein the measuring plate outline comprises a plurality of semicircular angulation lines;
Acquiring a central point of the ostomy outline as a first judgment point, and taking the middle point of each semicircular angulation line as a second judgment point;
according to the first judgment point and the second judgment point, obtaining the phase difference distance between the ostomy outline and each semicircular angle measuring line, and determining the semicircular angle measuring line with the smallest phase difference distance as a target angle measuring line;
Acquiring minimum distances between contour points in the target angle measuring line and the ostomy contour, and judging operation data that all the minimum distances are smaller than a preset interval distance as compliance data;
judging that the operation data with the minimum distance larger than the preset interval distance are the re-acquisition data, generating re-acquisition information corresponding to the re-acquisition data and sending the re-acquisition information to the patient side;
And extracting the ostomy diameter corresponding to the target angulation line in the compliance data, and obtaining the ostomy size according to the ostomy diameter.
8. The method of claim 7, wherein the step of determining the position of the probe is performed,
Determining an opening clipping region in the preset chassis image according to the target opening aperture, updating the preset chassis image based on the opening clipping region to obtain linkage indication data, and sending the linkage indication data to the patient end, wherein the linkage indication data comprises:
Acquiring the number of the preset cutting holes corresponding to the target opening aperture, and determining a chassis center point in the preset chassis image;
Determining a round hole closest to the center point of the chassis as a cutting hole, and continuously acquiring the round hole closest to the cutting hole as a next cutting hole;
Repeating the step of acquiring the cutting holes until the number of the cutting holes is equal to the number of the cutting holes, and stopping acquiring the cutting holes;
Determining the area where the clipping hole is located as an opening clipping area, calling clipping pixel values to update the opening clipping area to obtain linkage indication data, and sending the linkage indication data to the patient end.
9. A care apparatus for use in the digital processing-based method of nursing enterostomy complications according to claim 1, comprising:
The acquisition module is used for acquiring a nursing flow structure according to nursing nodes configured for a patient end by a doctor end, and updating the nursing flow structure based on indication configuration data of the doctor end to acquire a nursing indication structure;
The detection module is used for acquiring to-be-detected data uploaded by the patient end to a nursing node with detection attribute in the nursing indication structure, and calling an enterostomy detection strategy to perform abnormal detection on the to-be-detected data to obtain evaluation data;
The customization module is used for acquiring an operation request of the patient end on a nursing node of the linkage guide attribute based on the evaluation data, calling a linkage guide template corresponding to the nursing node and sending the linkage guide template to the patient end;
And the display module is used for obtaining linkage indication data according to the operation data uploaded by the patient end based on the linkage guide template and sending the linkage indication data to the patient end.
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