TWI612942B - Apparatus and method for detecting and analyzing mobility on bed - Google Patents
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Abstract
本發明涉及一種偵測分析受測者於床上活動力的裝置及方法,該裝置包含複數個可分別設置於一床的測力器、一處理單元,處理來自測力器的訊號,一轉換單元接收該處理單元傳送的訊號並做類比轉數位的轉換,一分析單元,將轉換單元傳送的訊號經計算並做訊號整合以獲得翻身距離、速度與其作用力大小等活動力學參數,進一步評估受測者床上活動力,作為看護的參考。 The invention relates to a device and a method for detecting and analyzing a subject's activity in a bed, the device comprising a plurality of force measuring devices respectively arranged on a bed, a processing unit for processing signals from the force measuring device, and a converting unit Receiving the signal transmitted by the processing unit and performing analog-to-digital conversion, an analysis unit calculates and integrates the signal transmitted by the conversion unit to obtain activity dynamic parameters such as turning distance, speed and force, and further evaluating the measured Activity on the bed, as a reference for care.
Description
本發明係有關一種床上活動力偵測分析裝置與方法,尤指一種偵測受測者於床上活動力,並對測得的資料加以力學分析,可作為看護參考,用於降低臥床者褥瘡的發生率與防跌等。 The invention relates to a bed activity detecting and analyzing device and method, in particular to detecting a subject's activity in bed and mechanically analyzing the measured data, which can be used as a nursing reference for reducing acne in bedridden patients. Incidence and anti-fall.
隨著醫療科技的進步,人類壽命的逐漸延長,高齡社會為未來所面臨的問題,而高齡社會所延伸出的健康問題如中風、心臟病等慢性疾病所導致的失能問題,使長期臥床病人將越來越多,而長期臥床病人會有許多的併發症,例如褥瘡、下床後的跌倒等,這些併發症將大量使用醫療資源。對長期臥床患者而言"床"成為他們最大的生活及活動介面。因此正確與床有良好的互動關係,才能將因低活動度所造成的合併症減到最低。 With the advancement of medical technology, the life span of human beings is gradually prolonged, and the society of the old age is the problem facing the future. The health problems caused by the elderly society, such as the disability caused by chronic diseases such as stroke and heart disease, make long-term bedridden patients There will be more and more, and long-term bedridden patients will have many complications, such as hemorrhoids, falls after getting out of bed, etc. These complications will use a lot of medical resources. For long-term bedridden patients, "beds" become their biggest living and activity interface. Therefore, a good interaction with the bed can minimize the complication caused by low activity.
褥瘡造成的原因是臥床者長時間將身體置放在同一姿勢,使得皮下組織的受壓時間過長,血液循環不良,最終產生組織缺氧壞死。為了避免臥床者長時間維持同一姿態,中華民國實用新型專利第M43319專利提出一種遠端姿態監控床墊,主要是一床架並藉由感測各該床腳所測得的力藉由資料庫比對得知姿勢變化,但仍然只是對臥床者姿勢的變化作偵測,並無法分析臥床者於床上的活動力,也未針對所測的作用力進一步分析,且該系統的偵測器需用於該特定病床上。 The cause of hemorrhoids is that the bedridden person puts the body in the same position for a long time, so that the compression time of the subcutaneous tissue is too long, the blood circulation is poor, and finally the tissue hypoxia and necrosis occurs. In order to prevent the bedridden person from maintaining the same posture for a long time, the Republic of China Utility Model Patent No. M43319 proposes a distal posture monitoring mattress, which is mainly a bed frame and uses the data measured by sensing the foot of each bed. The comparison is to know the posture change, but it is still only detecting the change of the bedridden posture, and can not analyze the activity of the bedridden in the bed, and does not further analyze the measured force, and the detector of the system needs Used on this particular bed.
因此需要提供一種床上活動力偵測分析裝置與方法,可進一步對所測得的力直接轉換成許多各種因素的數值進行活動力學分析,不需透過資料庫比對,即可進一步了解臥床病人床力的分佈與移動頻率對褥瘡產生的影響。 Therefore, it is necessary to provide a bed activity detecting and analyzing device and method, which can further convert the measured force into a plurality of various factors for the activity mechanics analysis, and can further understand the bed patient bed without comparing the database. The distribution of force and the effect of the frequency of movement on acne.
鑒於上述的問題,本發明之主要目的在於提供一種具有偵測及分析功能的床墊上活動力裝置與方法,且不會有個人隱私及影響舒適性的問題。未達成上述的問題,本發明將提供一種同時兼具偵測與分析床墊上活動力的裝置與方法以分析床上受力分布、重心移動的距離及速度、重心作用力的大小等參數以暸解臥床者翻身能力,進一步將有助於減低臥床病人褥瘡的發生率。 In view of the above problems, the main object of the present invention is to provide a device and method for active force on a mattress having detection and analysis functions without personal privacy and affecting comfort. Without the above problems, the present invention provides a device and method for simultaneously detecting and analyzing the activity on a mattress to analyze the force distribution on the bed, the distance and speed of the center of gravity movement, and the magnitude of the force of the center of gravity. The ability of bedriddens to turn over will further help reduce the incidence of acne in bedridden patients.
本發明提供一種偵測分析床墊上活力裝置,係用於偵測分析床墊上活動力學,包含複數個測力器、一處理單元、一轉換單元、一分析單元,該測力器量測作用力並經由一處理單元將測得作用力做放大及濾波等處理,並將處理後的訊號輸出至一轉換單元,該轉換單元將類比訊號轉換為數位訊號,並經一分析單元計算重心的移動情形以判定有無翻身,以及受試者是否有自行下床的行為等。所謂偵測人體的力承載行為是指運用感測器來判斷床上所承載的人體,所表現的運動行為;例如轉身,起身,離床、等床上動作。偵測到臥床者執行這些動作,可以做出更進一步的活動力學分析。 The invention provides a detecting and analyzing vitality device on a mattress, which is used for detecting and analyzing the activity mechanics on the mattress, and comprises a plurality of force measuring devices, a processing unit, a converting unit and an analyzing unit, and the measuring device is measuring The force is processed by a processing unit to amplify and filter the measured force, and the processed signal is output to a conversion unit, which converts the analog signal into a digital signal and calculates the center of gravity through an analysis unit. Move the situation to determine whether there is a rollover, and whether the subject has the behavior of getting out of bed. The so-called force-bearing behavior of detecting the human body refers to the use of a sensor to judge the movement behavior of the human body carried on the bed; for example, turning, getting up, leaving the bed, and other bed movements. A further activity mechanics analysis can be made by detecting that the bedridden performs these actions.
10‧‧‧床上活動力偵測與分析裝置 10‧‧‧ Bed activity detection and analysis device
100‧‧‧測力器 100‧‧‧ dynamometer
110‧‧‧處理單元 110‧‧‧Processing unit
120‧‧‧轉換單元 120‧‧‧Transfer unit
130‧‧‧分析單元 130‧‧‧Analysis unit
140‧‧‧顯示器 140‧‧‧ display
S200、201、202、203、204‧‧‧步驟 S200, 201, 202, 203, 204‧‧‧ steps
第1圖為根據本發明之實施例的床上活動力偵測與分析裝置方塊圖。 1 is a block diagram of a bed activity detecting and analyzing device according to an embodiment of the present invention.
第2圖為本發明之實施例的床上活動力偵測與分析方法流程圖。 2 is a flow chart of a method for detecting and analyzing bed activity in the embodiment of the present invention.
第3圖為本發明之實施例的床上活動力偵測與分析裝置所偵測得到之作用力/位置與時間關係圖,其中(a)圖為翻身時的重心位置與時間關係圖;(b)圖為當翻身時的作用力分布與時間的關係圖;(c)圖為第3圖中當坐起時作用力分布與時間的關係圖。 FIG. 3 is a diagram showing the relationship between force/position and time detected by the bed activity detecting and analyzing device according to the embodiment of the present invention, wherein (a) is a diagram showing the position of the center of gravity and the time when turning over; (b) The figure is the relationship between the force distribution and the time when turning over; (c) is the relationship between the force distribution and time when sitting up in Figure 3.
以下將以較佳實施例說明本發明之結構特徵及其預期達成之功效,並非用以限制本發明所欲保護之範疇,合先敘明。 In the following, the structural features of the present invention and the intended effects thereof are described in the preferred embodiments, and are not intended to limit the scope of the invention as claimed.
第1圖為根據本發明一實施例的床上活動力偵測分析裝置10之方塊圖,該床上活動力偵測分析裝置10包含複數個測力器100、處理單元110、轉換單元120、分析單元130以及顯示器140。該複數個測力器100設置於一床,於本實施例中,該等測力器100為一組四個,使用時分別可拆卸式地設置於床的四支床腳下,用於測得臥床者(受測者)於床上施加於床的作用力,並送出作用力訊號。該處理單元110處理該測力器傳送的訊號,例如將訊號做放大及濾波的處理,但不限於此。處理後的訊號此時仍為類比訊號。處理單元110將處理過的類比訊號傳入轉換單元120,該轉換單元120將類比訊號取樣轉換成數位訊號,並輸出至該分析單元130。該分析單元130接收該轉換單元120輸出之訊號,並以其中內建的算則分析各種參數的數值。例如,可根據量測得到的作用力,位置計算得知受測者之重心。根據本實施例,該分析單元130將計算的結果轉換成圖表輸出於顯示器140顯示。例如,該分析單元130分析一段預定時間的作用力/重心位置,並輸出作用力與時間關係圖和重心位置與時間關係圖。分析單元130進一步提供活動力參數如翻身距離、時間、速度,並可根據該等參數評估受測者的翻身能力。 1 is a block diagram of a bed activity detecting and analyzing device 10 according to an embodiment of the present invention. The bed activity detecting and analyzing device 10 includes a plurality of load cells 100, a processing unit 110, a converting unit 120, and an analyzing unit. 130 and display 140. The plurality of load cells 100 are disposed on a bed. In the embodiment, the force measuring devices 100 are a group of four, and are respectively detachably disposed under the four beds of the bed for measuring. The bed-bed (subject) applies the force applied to the bed on the bed and sends a force signal. The processing unit 110 processes the signal transmitted by the force measuring device, for example, the process of amplifying and filtering the signal, but is not limited thereto. The processed signal is still analogous at this time. The processing unit 110 sends the processed analog signal to the conversion unit 120, and the conversion unit 120 converts the analog signal sample into a digital signal and outputs the digital signal to the analysis unit 130. The analyzing unit 130 receives the signal output by the converting unit 120, and analyzes the values of the various parameters by using the built-in algorithm therein. For example, the center of gravity of the subject can be calculated based on the measured force and the position calculation. According to the present embodiment, the analysis unit 130 converts the calculated result into a graph output for display on the display 140. For example, the analysis unit 130 analyzes the force/center of gravity position for a predetermined period of time, and outputs a force versus time map and a center of gravity position versus time map. The analysis unit 130 further provides activity force parameters such as rollover distance, time, speed, and can evaluate the subject's ability to turn over based on the parameters.
第2圖為根據本發明一實施例的床上活動力偵測與分析方法流程圖。以下將參照第2圖說明根據本發明之實施力的床上活動力偵測分析方法,並請同時參照第1圖。於步驟S200中,先由該複數個測力器100分別測得來自於臥床的受測者施加於床的作用力。該等測力器100定義為不同的座標位置,例如第一個測力器的座標為(x0,y0),第二個測力器的座標為(x1,y0),第三個測力器的座標為(x0,y1),第四個測力器的座標為(x1,y1)。該等不同座標位置的測力器100將測得的作用力訊號輸出至該處理單元110。之後可根據各測力器100的座標以及各測力器100測得的作用力來計算重心位置。 2 is a flow chart of a method for detecting and analyzing bed activity in accordance with an embodiment of the present invention. Hereinafter, a method for detecting the activity of the bed force according to the embodiment of the present invention will be described with reference to FIG. 2, and reference is also made to FIG. In step S200, the force applied to the bed by the subject in bed is measured by the plurality of force measuring devices 100 first. The force measuring devices 100 are defined as different coordinate positions, for example, the coordinates of the first load cell are (x0, y0), the coordinates of the second force measuring device are (x1, y0), and the third force measuring device The coordinates are (x0, y1) and the coordinates of the fourth load cell are (x1, y1). The load cells 100 at the different coordinate positions output the measured force signals to the processing unit 110. The position of the center of gravity can then be calculated from the coordinates of each of the force measuring devices 100 and the force measured by each of the force measuring devices 100.
於步驟S201中,該處理單元110將該作用力訊號做放大及濾波的處理再傳送至該轉換單元120,於步驟S202中經由該轉換單元對訊號做類比轉數位的轉換,並將轉換得到的數位訊號傳送至分析單元130分 析。 In step S201, the processing unit 110 transmits the process of amplifying and filtering the force signal to the conversion unit 120, and in the step S202, the signal is converted into analog-to-digital conversion via the conversion unit, and converted. The digital signal is transmitted to the analysis unit 130 Analysis.
於步驟S203中,該分析單元130藉由下述公式(a)及(b)根據各測力器100量測的作用力訊號與位置(即座標(x0,y0)、(x1,y0)、(x0,y1)、(x1,y1))可計算得知重心位置(position of center of pressure,CoP):CoPx=f(x,y,F1,F2,F3,F4,t) (a) In step S203, the analyzing unit 130 measures the force signal and the position (ie, coordinates (x0, y0), (x1, y0), according to each of the force measuring devices 100 by the following formulas (a) and (b). (x0, y1), (x1, y1)) can calculate the position of center of pressure (CoP): CoPx = f (x, y, F1, F2, F3, F4, t) (a)
CoPy=g(x,y,F1,F2,F3,F4,t) (b)上式中x與y在本實施例為各測力器100座標位置,F1、F2、F3、F4則分別為第一到第四個測力器10測得的作用力值,CoPx,CoPy為計換算得知重心位置(position of center of pressure,CoP)之座標。該分析單元並提供圖形化的使用者介面顯示於顯示器以便操作。 CoPy=g(x,y,F1,F2,F3,F4,t) (b) In the above formula, x and y are in the coordinate position of each load cell 100 in this embodiment, and F1, F2, F3, and F4 are respectively The force values measured by the first to fourth load cells 10, CoPx, and CoPy are the coordinates of the position of center of pressure (CoP). The analysis unit also provides a graphical user interface for display on the display for operation.
在本發明中另一實施例公式(a)及(b)中x,y可為a,b,代表床的尺寸參數,例如分別表示床的長與寬。 In another embodiment of the present invention, in formulas (a) and (b), x, y may be a, b, representing the size parameters of the bed, for example, representing the length and width of the bed, respectively.
於S204中,將計算得到的重心位置與該作用力藉由分析單元進一歩收集一段時間的重心位置與作用力,分別輸出與時間關係圖並顯示於顯示器上,並藉此獲得翻身距離、速度及次數等活動力學參數做進一步分析。除此之外,該分析單元130可設定成若受測者平躺於床上超過一定時間沒有移動,或是資料顯示已離床,則發出警示訊號。 In S204, the calculated position of the center of gravity and the force are collected by the analyzing unit to collect the position and force of the center of gravity for a period of time, respectively outputted with the time relationship diagram and displayed on the display, thereby obtaining the turning distance and speed. The mechanical parameters of the activity such as the number of times are further analyzed. In addition, the analysis unit 130 can be configured to issue a warning signal if the subject is lying on the bed for a certain period of time without moving, or if the data indicates that the child has left the bed.
承上述,請參考第3圖,該圖為顯示根據本發明之實施例的床上活動力偵測分析裝置10所偵測得到之作用力/重心位置與時間關係圖,其中(a)圖為重心位置與時間的關係圖。當受試者進行翻身動作時,重心位置隨之改變,當下一個翻身動作完成時則重心位置又回到水平,由(a)圖得知波形產生變化時,亦即上升或下降,為一次翻身動作,因此可以從(a)圖中算出圖形變化上升或下降的次數為翻身次數,而從波形上升與下降邊緣的斜率可得知翻身的速度,其中具有斜率的波形改變時間為翻身時間。而當受試者做一翻身動作時,則對床的作用力發生改變,(b)圖為作用力分布隨時間改變圖,可對照(a)圖波形變化處得知一次波形變化對應(b)圖的一次翻身所產生的作用力變化,並可得知翻身的瞬間會產生最大的作用力,若翻身的姿態越大則相對的作用力就越大。由(b)圖中得知波形變化的每一群組中(即一次翻身動作產生的作用力變化),最大的峰值為每次動作瞬間的作用力即為翻身作用力。(c)圖為當坐起時產生的作用力分布與時間相關 圖,因坐起時相較於翻身動作會產生較大的作用力,因此相較於(b)圖可看出(c)圖中峰值的變化較明顯。因此,可根據作用力分布與時間關係圖來分析床上姿勢變化。 In view of the above, please refer to FIG. 3, which is a diagram showing the force/center of gravity position and time detected by the bed activity detecting and analyzing device 10 according to an embodiment of the present invention, wherein (a) is a center of gravity A map of location versus time. When the subject performs the turning action, the position of the center of gravity changes accordingly. When the next turning action is completed, the position of the center of gravity returns to the level. When the waveform changes (a), it is raised or decreased, which is a turn over. The action can be calculated from (a) the figure in which the number of rises or falls of the pattern change is the number of rollovers, and the slope of the rising and falling edges of the waveform can be used to know the speed of the rollover, wherein the waveform change time with the slope is the rollover time. When the subject performs a turning motion, the force on the bed changes. (b) The graph shows the force distribution changing with time. The waveform change can be found in comparison with (a) the waveform change (b). The change in the force produced by the turning of the figure, and it can be known that the moment of turning over will produce the greatest force. If the posture of turning over is greater, the relative force will be greater. From (b) the figure shows the change of the force in each group of the waveform change (that is, the change of the force generated by one turning action), and the maximum peak value is the turning force at the moment of each action. (c) The picture shows the distribution of forces generated when sitting up is time dependent As shown in Fig., it can be seen that the change in the peak value in (c) is more obvious than that in (b). Therefore, the bed posture change can be analyzed according to the force distribution and time relationship diagram.
表1顯示應用根據本發明之實施例的裝置對5名受試者實驗測試所得到具體的實際數據。由重心位置與作用力訊號分析可得知翻身時間、重心的翻身距離、翻身速度、重心回覆的時間、翻身最大作用力、回覆翻身最大最用力、翻身力量比上體重、回覆翻身力量比上體重等。如以性別來說,則統計後得知重心的翻身距離、翻身速度、翻身時間、回覆重心的翻身距離、回覆速度、翻身作用力時間、回覆翻身作用力時間、翻身作用力、回覆翻身作用力、翻身作用力比上體重、回覆翻身作用力比上體重等參數上,男女均有顯著的差異。藉此可推論出男生翻身距離、力量大於女生而翻身速度也較快,但經體重校正後女生的作用力反而較大等趨勢。 Table 1 shows the actual actual data obtained by experimental testing of 5 subjects using a device according to an embodiment of the present invention. From the position of the center of gravity and the analysis of the force signal, the turning time, the turning distance of the center of gravity, the turning speed, the time of the center of gravity, the maximum force of turning over, the maximum force of the turning over, the weight of the turning body, the weight of the body, and the weight of the turning body are known. Wait. For example, in terms of gender, the statistics reveal the turning distance of the center of gravity, the turning speed, the turning time, the turning distance of the reply center, the reply speed, the turning time, the turning time, the turning force, and the turning over force. There are significant differences between men and women in terms of turning over force, weight, weight, and weight. In this way, it can be inferred that the boys turn over the distance, the strength is greater than the girls and the speed of turning over is also faster, but the weight of the girls after the weight correction is rather large.
綜上所述,本發明提供了一種同時兼具偵測與分析床上活動力的裝置與方法以分析床上受力分布、重心移動的距離及速度、作用力的大小等參數以暸解臥床者翻身能力,進一步可作為看護參考,用於降低臥床者褥瘡的發生率與防跌等。 In summary, the present invention provides a device and method for simultaneously detecting and analyzing the activity of a bed to analyze the force distribution on the bed, the distance and speed of the center of gravity movement, and the magnitude of the force to understand the ability of the bedridden to turn over. Further, it can be used as a reference for nursing care to reduce the incidence of acne and prevent falls in bedridden patients.
雖然本發明已以具體較佳實施例揭露如上,然其所揭露的具體較佳實施例非用以限定本創作,任何熟悉此技藝者,在不脫離本創作之精神和範圍內,當可作各種之更動與潤飾,其所作之更動與潤飾皆屬於本創作之範疇,本創作之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present invention has been described above with reference to the preferred embodiments, the preferred embodiments of the present invention are not intended to limit the present invention, and any one skilled in the art can make it without departing from the spirit and scope of the present invention. All kinds of changes and retouchings, the changes and refinements made by them are within the scope of this creation. The scope of protection of this creation is subject to the definition of the patent application scope attached.
10‧‧‧床上活動力偵測與分析裝置 10‧‧‧ Bed activity detection and analysis device
100‧‧‧測力器 100‧‧‧ dynamometer
110‧‧‧處理單元 110‧‧‧Processing unit
120‧‧‧轉換單元 120‧‧‧Transfer unit
130‧‧‧分析單元 130‧‧‧Analysis unit
140‧‧‧顯示器 140‧‧‧ display
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