JP2002073805A - Excretion diagnosis method and excretion diagnosis device - Google Patents

Abstract

(57) [Summary] [Problem] Excretion diagnosis that suggests excretion care suitable for a care recipient to a caregiver, so that the caregiver can perform appropriate care, thereby reducing the burden of care. Methods and devices for excretion diagnosis are provided. SOLUTION: The excretion detecting device 12 which is sent to a caregiver and measures the excretion information of the care recipient, an inquiry card 13 for filling in the physical condition of the care recipient, and the excretion information measured by the excretion detection device 12 are provided. A database 20 for storing information of the inquiry card 13 and a plurality of product information indicating the type of diaper.
And an excretion diagnosis means 30 for performing an excretion diagnosis of a care recipient based on the excretion information and the inquiry card information stored in the database 20 and a plurality of product information, and sending excretion care information suitable for the care recipient to the caregiver. And

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an excretion diagnosis method and excretion in which the excretion information of a care recipient is collected, the excretion diagnosis of the care recipient is performed based on the collected information, and an individual excretion care method is presented to the caregiver. It relates to a diagnostic device.

[0002]

2. Description of the Related Art Bedridden incontinence patients (hereinafter referred to as care recipients) are hospitalized in nursing care facilities, and at present, for example, 50 diapers of care recipients are administered 6 times a day.
Caregivers regularly change diapers of care recipients, such as changing the diapers at a predetermined time at a rate of up to eight times.

[0003]

However, when the diaper of the care recipient is to be replaced at a predetermined time, urine may not be discharged into the diaper and it may not be necessary to replace the diaper.

[0004] Further, if the diaper is not properly replaced after urinary incontinence, it is uncomfortable and unsanitary for the care recipient. On the other hand, care recipients are also checked more than necessary, which is a mental burden.

[0005] Also, home care households have the same problems as the above-mentioned problems in care facilities. Particularly in home care households, since the family members of the care recipients provide care, they are often unfamiliar with lack of knowledge about care.

[0006] Under the circumstances described above, there has been a demand for a service showing an appropriate care method for excretion of a care recipient in both a care facility and a home care household.

[0007] The present invention proposes an excretion care method suitable for a care recipient to a caregiver, so that the caregiver can carry out appropriate care and reduce the burden of care. It is an object to provide a device.

[0008]

In order to solve the above problems, the excretion diagnosis method of the present invention provides an excretion analysis kit comprising an excretion detection device and an inquiry card to a caregiver, and the excretion analysis device measures the excretion. Obtain an inquiry card in which the care recipient's excretion information and the body status of the care recipient are written from the caregiver, and perform a discharge diagnosis of the care recipient based on the obtained excretion information and the information of the inquiry card, and provide a care target. Provide caregiver with excretion care information suitable for the caregiver.

Further, the excretion diagnosis apparatus of the present invention is provided to a care giver, and has a questionnaire in which the excretion information measured by the excretion detection device for measuring the excretion information of the care recipient and the state of the body of the care recipient are entered. Input means for inputting card information, storage means for storing excretion information measured by the excretion detection device and inquiry card information in association with each care recipient information, excretion information and inquiry card information stored in the storage means Excretion diagnosis means for diagnosing the excretion of the care recipient based on the above and providing excretion care information suitable for the care recipient to the caregiver.

[0010]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, embodiments of the excretion diagnosis method and excretion diagnosis apparatus of the present invention will be described with reference to the drawings.
The excretion diagnosis apparatus 1 shown in FIG. 1 is installed in a clinic or a care product maker (hereinafter referred to as a “care advisor”) that provides advice on care, and information on the excretion of the care recipient sent from a caregiver in a home care household or a care facility. Etc. are collected by an excretion analysis kit,
The excretion diagnosis of the care recipient is performed based on the collected information, and the method of excretion care and the like are presented to the caregiver.

The excretion diagnosis device 1 is composed of a personal computer or the like, and includes a care information input unit 15, a product information input unit 16, a meal status information input unit 17, and a database 2.
0, It has the excretion diagnosis means 30.

The excretion analysis kit 10 includes an excretion detection device 12
It has an inquiry card 13 and is provided to home care households and nursing homes in response to an application for excretion diagnosis from home care homes and nursing homes, and collects excretion information of care recipients. The excretion detection device 12 measures excretion information such as the excretion time, urine volume, and type of excretion (urine, loose stool, hard stool) of the care recipient. The details of the excretion detection device 12 will be described later. The inquiry card 13 is used to fill in the physical condition of the care recipient.

Information on the condition of the skin of the care recipient, such as the presence or absence of rough skin and the presence of pressure ulcer, and the presence or absence of a dirty act written by the caregiver on the questionnaire card for each care recipient via the care information input means 15 Nursing information such as information on problem behavior such as The product information input means 16 preliminarily inputs a product name of a diaper, a care agent or the like along with its characteristics as product information. Diapers include tape-stopping type, urine-absorbing pad, urine-absorbing auxiliary sheet, flat type, pants type, etc., and care agents include diaper cleaning agents to prevent diaper rash, soreness, and crotch dislocation around the anus. . The meal status information input means 17 inputs, for each care target, meal status information such as the meal time, amount, type, and moisture of the care target. Each care recipient is identified by an identification number (ID).

The database 20 stores the care information input means 1
The nursing care information table 25 storing the nursing care information input from 5 in correspondence with the care recipient, the product information table 26 storing a plurality of product information input from the product information input means 16, and the meal status information inputting means 17 A meal status information table 27 in which the input meal status information is stored in correspondence with the care recipient, and an excretion information table 2 in which the excretion information obtained by the excretion detection device 12 is stored in correspondence with the care recipient.
8

The excretion diagnosing means 30 is provided for each of the tables 25
28 performs various analyzes of the excretion state of each care recipient based on the information stored in the excretion information table 28.
Pattern analysis means 31 for analyzing the excretion pattern created based on the excretion information of the care recipient from the diaper, diaper replacement pattern creation means 32 for creating a diaper replacement pattern based on the analyzed excretion pattern, for each care recipient One or more products out of a plurality of product information in the product information table 26 based on at least one of the excretion information, the nursing information from the nursing information table 25, and the meal status information from the meal status information table 27. It has product selection means 33 for selecting information.

The excretion detecting device 12 is, as shown in FIG.
The urinary first excretion detection sensor 11a attached to the outer surface of the diaper and at the position corresponding to the urination point, the second urinary excretion detection sensor 11b attached to the position corresponding to the defecation point, the transmitter 40, and the receiver 50 Have. The first and second excretion detecting sensors 11a and 11b are attached to the outer surface of a diaper (including a urine absorbing pad or the like) that absorbs excrement such as urine or stool of a care recipient, and whether or not excretion occurs in the diaper. Can be detected. The urine absorbing pad is used by inserting it inside the outer diaper (excretion site).

The transmitter 40 includes a first excretion detecting sensor 11a.
Urine amount calculating means 41 for calculating the amount of urine excreted by the care recipient based on excretion detection data from the subject, and determining whether to urinate or defecate based on excretion detection data from the first and second excretion detection sensors 11a and 11b. It has an excretion determining unit 43 that outputs excretion type information indicating the type of excretion, and a transmitting unit 45 that transmits urine volume information and excretion type information.

The receiver 50 includes receiving means 51 for receiving urine volume information and excretion type information from the transmitter 40, and receiving means 51.
Excretion time detecting means 53 for detecting the time at which the urine quantity information and excretion type information are received as excretion time, storage means 55 for storing excretion type information, urine quantity information and excretion time information, and excretion stored in the storage means 55 There is a transmitting means 57 for transmitting the type information, urine volume information and excretion time information to the excretion diagnosis device 1.

Next, an example of an excretion diagnosis method performed by using the excretion diagnosis apparatus configured as described above will be described with reference to a flowchart of FIG.

When the excretion diagnosis device 1 receives an application for excretion diagnosis of a care recipient from a home care household or a caregiver in a nursing facility (step S11), an excretion analysis kit 10 comprising an excretion detection device 12 and an inquiry card 13 is provided. Is sent to the home care household or care facility (step S13). In this embodiment, the excretion analysis kit 10 is entrusted to a carrier and sent, but may be provided by a person who provides excretion care information and handed to a caregiver.

In home care households and nursing homes, the caregiver performs an excretion survey using the excretion detecting device 12 for, for example, two days.
The excretion diagnostic device side receives the excretion analysis kit 10 including the excretion detection device 12 that records the measured excretion time, urine volume, and type of excretion (urine, soft stool, hard stool) of the care recipient (step). S15). At the same time, the excretion diagnosis device side receives an inquiry card 13 in which the result of inquiring about the physical condition of the care recipient is entered. The questionnaire card 13 includes nursing information such as information on skin conditions such as the presence or absence of rough skin and the presence of pressure ulcers at the nursing care site and information on problematic behavior such as the presence or absence of a dirty act, and the meal time of the nursing care target. ,amount,
Dietary status information such as type and moisture is entered.

The information entered in the inquiry card 13 received from the home care household or nursing home is entered. The care information input means 15 inputs care information for each care recipient, and the meal status information input means 17 inputs meal status information for each care recipient. The care information is stored in the care information table 25 in a format corresponding to the care recipient, and the meal status information is also stored in the meal status information table 27 in a format corresponding to the care recipient (step S17).

Further, the excretion information of the care recipient recorded in the excretion analysis kit 10 is inputted by the excretion information input means 18, and the inputted excretion information is stored in the excretion information table 28 (step S19). Next, it is checked whether the excretion diagnosis target is an individual (home care home) or a care facility (step S21).

When the excretion diagnosis target is a care facility,
The excretion pattern analysis means 31, based on the excretion information from the excretion information table 28 and the meal status information from the meal status information table 27, as shown in FIG. Organize records data.

The excretion pattern analysis means 31 creates a prediction including the urine volume of the excretion pattern of a plurality of care recipients (A, B, C) as shown in FIG. 5 based on the result of the data arrangement. . This prediction is made by calculating the frequency for each care recipient at intervals of 30 minutes. The details are omitted because they are the same as those of the individual at step S23b (described later).

FIG. 5 shows an example of the results of excretion analysis. According to the analysis result, B regularly urinates, and the urination amount of B is small. The urination times of A and C are similar. A, B, C
The defecation time varies.

The diaper changing pattern creating means 32 presents a proposal 1 of an individual correspondence type and a proposal 2 of a common correspondence type based on the analysis result.

In Proposal 1, a diaper changing pattern is prepared to perform diaper changing according to all excretions of A, B and C. Adopting this diaper changing pattern is effective in preventing rough skin of the care recipient.

In Proposal 2, the diaper changing pattern creating means 32 calculates a diaper changing time and the like from the plurality of analyzed excretion patterns (step S25a). Specifically, a diaper changing pattern is determined from the excretion patterns of a plurality of care recipients by the following algorithm.

First, when all the care recipients are expected to urinate or defecate within two hours, the time at which 15 minutes have passed from the time at which the last defecation or urination is expected is set as the simultaneous exchange timing. Furthermore, when it is anticipated for a care subject who has defecation or urination that deviates from the simultaneous change timing, diaper replacement time is set for defecation and urination exceeding a predetermined amount.

B has urination at 11:00, but since it is in a small amount, the comfortable diaper changing time for the three persons is considered to be 9:00 and 15:00 (portions indicated by arrows in FIG. 5). In this way, we propose the optimal diaper change time at nursing homes. 3 caregivers
The diaper can be changed at a common excretion timing (at 9:00 and 15:00) for a person, and the burden of nursing care can be reduced. The operator selects a preferable one from the proposed exchange patterns (step S24).

The product selection means 33 is a product information table based on at least one of excretion information for each care recipient, nursing information from the nursing information table 25, and meal status information from the meal status information table 27. One or more products are selected from among the 26 products based on the selected exchange pattern (step S27a). If the proposal of the common correspondence type is selected, it is selected and proposed that B excreted at the non-common timing (11:00) be added with a urine absorbing pad at the non-common timing at the exchange of 9:00.

Further, a facility excretion care proposal describing the diaper change time (including the number of times of change) based on the prepared diaper change pattern and the type of the selected diaper is prepared and sent to the nursing home 5. (Step S29a).

On the other hand, when the subject of excretion diagnosis is an individual, the excretion pattern
The excretion pattern is created based on the excretion information of the care recipient from step 8 and analyzed (step S2).
3b). The diaper changing pattern creating means 32 calculates a diaper changing time suitable for the care recipient based on the analyzed excretion pattern (step S25b).

Here, an algorithm for excretion pattern analysis and diaper change time calculation will be described.

First, an excretion pattern of an individual is measured using an excretion detection device. In FIG. 6, the vertical axis indicates the total urine output, and the horizontal axis indicates the elapsed time from the start of the measurement. The number of excretions increases only once when the amount of urination changes stepwise. In FIG. 6, urination is performed four times, and the total urination volume P to S is the total urination volume. p to s correspond to the amount absorbed in each excretion, and the amount differs each time. The differences are due to the effect of water intake during excretion.

The excretion pattern is measured for several days. If you live a certain regular life (take a constant amount of water from the outside such as eating and hydrating at the specified time. However, the sweating action is the same). The amount of urine in each case becomes constant, and the amount varies depending on the excretion time. By measuring the excretion pattern for a certain period, the total urine output and the excretion time (pattern) can be predicted.

The optimum changing time for the diaper changer (caregiver) and the preferred combination of diaper and pat at each time are determined based on the measurement of the excretion pattern.

That is, in addition to proposing an optimal replacement time, if urination is small during the daytime, it can be handled only with a pad, and if urination is large, a more appropriate combination can be used to reduce the cost. Allows comfortable exchange and suggests a comfortable life for both the caregiver and the care recipient.

When combined with the information on the inquiry card (inquiry form), the effect on the physical condition and skin at that time is also taken into consideration, and the excretion pattern (time, urination volume, etc. Appropriate advice such as method / absence of diaper absorption / optimal diaper / tape and pad) and optimal combination proposal considering diaper price is also possible.

In this way, the product selecting means 33 is based on at least one of the excretion information of the care recipient, the nursing information from the nursing information table 25, and the meal status information from the meal status information table 27. One or more products are selected from a plurality of products in the product information table 26 (step S27b). For example, when the skin of the care recipient is rough, a diaper (including a combination of diapers and the like) and a care agent are selected and proposed from a plurality of diapers according to the rough skin.

Further, a diaper changing time (including the number of times of changing) based on the prepared diaper changing pattern and an individual excretion care proposal describing the selected diaper type are prepared and sent to the home care household. (Step S29
b).

Finally, the caregiver purchases a diaper based on the individual excretion care proposal and the facility excretion care proposal sent to the home care household and the nursing care facility, and performs the excretion care of the care recipient (step). S31).

As described above, according to the excretion diagnosis method and excretion diagnosis device of the embodiment, the excretion analysis kit 10 including the excretion detection device 12 and the inquiry card 13 is sent to the caregiver.
Interview card 13 in which the excretion information of the care recipient measured by the excretion detection device 12 and the physical condition of the care recipient are written.
Is obtained from the caregiver, and the excretion information, the information on the inquiry card, and a plurality of product information on the diaper are stored in the database 20, and based on the excretion information, the information on the inquiry card, and the plurality of product information stored in the database 20 Diagnosis of the subject's excretion is performed, and excretion care information (diaper type, diaper change time and number of times of change) suitable for the care target is sent to the caregiver. Can be. Therefore, the caregiver can quickly perform the treatment after excretion, and can reduce the burden of care.

Further, by performing diaper replacement at an appropriate time, it is possible to prevent rough skin of the care recipient. In addition, by selecting a diaper according to the condition of the rough skin of the care recipient, rough skin of the care recipient can be prevented.

Further, in a nursing care facility, the burden of nursing care can be reduced by proposing an optimum diaper changing time. Further, a service for proposing appropriate excretion care allows a caregiver to purchase a diaper suitable for a care recipient.

In the above-described embodiment, the excretion analysis kit is returned to the excretion diagnosis apparatus (care advisor), but the excretion information and the inquiry card are sent to the care advisor via a public communication network such as the Internet. Information or the like may be transmitted.

[0048]

According to the present invention, by proposing the excretion care suitable for the care recipient to the caregiver, the caregiver can carry out appropriate care, thereby reducing the burden of care. .

[Brief description of the drawings]

FIG. 1 is a configuration diagram showing an excretion diagnosis apparatus according to an embodiment of the present invention.

FIG. 2 is a configuration diagram showing an excretion detection device provided in the excretion diagnosis device.

FIG. 3 is a flowchart showing an excretion diagnosis method realized by the excretion diagnosis apparatus.

FIG. 4 is a diagram showing an example of data arrangement of a daily excretion record for each care recipient in a care facility.

FIG. 5 is a diagram showing a measurement result of urine volume in a care facility.

FIG. 6 is a diagram showing an excretion pattern of an individual.

[Explanation of symbols]

1 ... excretion diagnosis device, 3 ... home care household, 5 ... care facility,
DESCRIPTION OF SYMBOLS 10 ... Excretion analysis kit, 11 ... Excretion sensor, 12 ... Excretion detection device, 13 ... Interview card, 15 ... Care information input means, 16 ... Product information input means, 17 ... Meal situation information input means, 18 ... Excretion information input means , 20 ... Database,
25: Nursing care information table, 26: Product information table, 2
7: meal status information table, 28: excretion information table,
30: Excretion diagnosis means, 31: Excretion pattern analysis means, 3
2. Diaper changing pattern creating means, 33: Product selecting means, 40: Transmitter, 41: Urine volume calculating means, 43: Excretion determining means, 45, 57 ... Transmitting means, 50: Receiver, 51 ...
Receiving means, 53 ... excretion time detecting means, 55 ... storage means.

──────────────────────────────────────────────────続 き Continued on the front page (51) Int.Cl. ⁷ Identification symbol FI Theme coat ゛ (Reference) A61F 13/42 A41B 13/02 L A41B 13/08 13/08 Z G06F 17/40 310 (72) Inventor Kazuo Ohashi 2606 Akabane, Kaiga-cho, Haga-gun, Tochigi Prefecture F-term in the Kao Corporation Research Laboratory (reference) 3B029 BE06 CB19

Claims (4)

[Claims] 1. An excretion detection device and an inquiry card are provided to a caregiver, and the inquiry card in which the excretion information of the care recipient and the state of the body of the care recipient are measured by the excretion detection device are provided. An excretion diagnosis method of obtaining excretion information of the care recipient based on the obtained excretion information and the information of the inquiry card obtained from a caregiver and providing excretion care information suitable for the care recipient to the caregiver. . 2. The excretion diagnosis method according to claim 1, wherein excretion care information for providing additional treatment is provided to the caregiver with respect to the care recipient excreting at non-common timing. 3. An input means provided to a caregiver for inputting excretion information measured by an excretion detection device for measuring excretion information of a care recipient and medical examination card information in which the body condition of the care recipient is written. And storage means for storing the excretion information and the inquiry card information measured by the excretion detection device in association with each care recipient information, based on the excretion information and the inquiry card information stored in the storage means. An excretion diagnosis device comprising: an excretion diagnosis means for performing excretion diagnosis of the care recipient and providing excretion care information suitable for the care recipient to the caregiver. 4. An excretion detection device and an inquiry card,
An excretion analysis kit provided by an excretion diagnoser to a caregiver, recording excretion information of a care recipient, and collecting information recorded or written by the excretion diagnosis person after the questionnaire card is filled out.