TWI862478B - Physical condition prediction method, computer and physical condition prediction program - Google Patents
Physical condition prediction method, computer and physical condition prediction program Download PDFInfo
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Abstract
提供一種能夠預測對象人物之身體狀況的變化之身體狀況預測方法、身體狀況預測裝置及身體狀況預測程式。 Provided is a physical condition prediction method, a physical condition prediction device, and a physical condition prediction program capable of predicting changes in the physical condition of a subject.
身體狀況預測方法取得對象人物的身體動作資料(步驟S6),依據所取得的身體動作資料,來持續判定對象人物的睡眠狀態(步驟S7),並依據所判定的睡眠狀態,來預測對象人物之身體狀況的變化(步驟S9)。 The body condition prediction method obtains the body movement data of the target person (step S6), continuously determines the sleep state of the target person based on the obtained body movement data (step S7), and predicts the change of the body condition of the target person based on the determined sleep state (step S9).
Description
發明領域 Invention Field
本揭示是有關於一種預測對象人物之身體狀況的身體狀況預測方法、身體狀況預測裝置及身體狀況預測程式。 This disclosure relates to a physical condition prediction method, a physical condition prediction device, and a physical condition prediction program for predicting the physical condition of a subject.
發明背景 Invention background
以往,已知有一種藉由身體狀況管理系統,來監視受測者之每天的睡眠狀態而進行適當之身體狀況管理的方法,該身體狀況管理系統具有:睡眠感測器,被安裝於受測者身上;及資訊終端,以睡眠感測器所取得之測量資料進行解析或取得記錄(例如參照專利文獻1)。 In the past, there is a known method of using a physical condition management system to monitor the daily sleep state of the subject and perform appropriate physical condition management. The physical condition management system has: a sleep sensor installed on the subject; and an information terminal that analyzes or obtains and records the measurement data obtained by the sleep sensor (for example, refer to patent document 1).
專利文獻1的睡眠感測器從睡眠感測器所取得的測量資料,分析受測者的睡眠狀態而驅動顯示部或喇叭。又,在專利文獻1中,配合使用睡眠感測器所判定之受測者的睡眠狀態,控制電動窗簾、音響設備、照明設備、電視、空調設備及寢具(電動床或氣墊床等)。 The sleep sensor of Patent Document 1 analyzes the sleep state of the subject from the measurement data obtained by the sleep sensor and drives the display unit or speaker. In addition, in Patent Document 1, the sleep state of the subject determined by the sleep sensor is used to control electric curtains, audio equipment, lighting equipment, television, air conditioning equipment and bedding (electric bed or air mattress, etc.).
專利文獻 Patent Literature
專利文獻1:日本專利特開2013-150660號公報 Patent document 1: Japanese Patent Publication No. 2013-150660
發明概要 Summary of invention
然而,在上述的習知技術中,並未考慮要預測對象人物之身體狀況的變化,需要更進一步之改善。 However, the above-mentioned learning techniques do not take into account the need to predict changes in the physical condition of the target person, which requires further improvement.
本揭示是為了解決上述之問題而做成的發明,其目的在於提供一種能夠預測對象人物之身體狀況的變化之身體狀況預測方法、身體狀況預測裝置及身體狀況預測程式。 This disclosure is an invention made to solve the above-mentioned problem, and its purpose is to provide a physical condition prediction method, a physical condition prediction device and a physical condition prediction program that can predict changes in the physical condition of a subject.
本揭示之一態樣的身體狀況預測方法,是取得對象人物的生理資料,依據所取得的前述生理資料,來持續判定前述對象人物的睡眠狀態,並依據所判定的前述睡眠狀態,來預測前述對象人物之身體狀況的變化。 One aspect of the physical condition prediction method disclosed herein is to obtain physiological data of a subject, continuously determine the sleep state of the subject based on the obtained physiological data, and predict changes in the physical condition of the subject based on the determined sleep state.
依據本揭示,能夠依據持續判定的睡眠狀態,來預測對象人物之身體狀況的變化。又,由於預測對象人物之身體狀況的變化,因此例如在對象人物為高齡者或失智症患者時,能夠重新評估對象人物的照護計畫,能夠更有效率地照顧對象人物。 According to the present disclosure, it is possible to predict changes in the physical condition of the target person based on the continuously determined sleep state. In addition, since changes in the physical condition of the target person are predicted, for example, when the target person is an elderly person or a patient with dementia, the care plan for the target person can be re-evaluated, and the target person can be cared for more efficiently.
1:伺服器 1: Server
2:動作感測器 2: Motion sensor
3:溫度感測器 3: Temperature sensor
4:終端裝置 4: Terminal device
5:網路 5: Internet
11:通訊部 11: Communications Department
12:控制部 12: Control Department
13:記憶部 13: Memory Department
111:身體動作資料取得部 111: Body movement data acquisition unit
112:身體狀態資料取得部 112: Physical status data acquisition unit
113:紅外線圖像取得部 113: Infrared image acquisition unit
114:預測結果發送部 114: Forecast result sending department
121:睡眠判定部 121: Sleep determination unit
122:身體狀態解析部 122: Physical condition analysis department
123:體溫判定部 123: Body temperature determination unit
124:身體狀況預測部 124: Physical condition prediction department
131:睡眠狀態儲存部 131: Sleep state storage unit
132:身體狀態資料儲存部 132: Physical status data storage unit
133:身體狀況預測資訊儲存部 133: Physical condition prediction information storage unit
134:表面溫度儲存部 134: Surface temperature storage unit
1211:睡眠清醒判定部 1211: Sleep and wakefulness determination department
1212:入眠檢測部 1212: Sleeping detection department
1213:起床檢測部 1213: Wake-up detection department
1214:中途清醒檢測部 1214: Mid-course sobriety detection department
1231:臉位置檢測部 1231: Face position detection unit
1232:表面溫度測量部 1232: Surface temperature measurement unit
1233:平均體溫算出部 1233: Average body temperature calculation unit
1234:異常體溫判定部 1234: Abnormal body temperature determination department
S:判定值 S: judgment value
Y1:箭頭 Y1: Arrow
ZCM:活動量 ZCM: Activity volume
S1~S11:步驟 S1~S11: Steps
圖1是顯示本揭示之實施形態的身體狀況預測系統之構成的一例的方塊圖。 FIG1 is a block diagram showing an example of the structure of a physical condition prediction system according to an embodiment of the present disclosure.
圖2是顯示圖1所示之伺服器的構成之一例的方塊圖。 FIG2 is a block diagram showing an example of the configuration of the server shown in FIG1.
圖3是顯示圖2所示之睡眠判定部的構成的 圖。 FIG3 is a diagram showing the structure of the sleep determination unit shown in FIG2.
圖4是顯示圖2所示之體溫判定部的構成的圖。 FIG4 is a diagram showing the structure of the body temperature determination unit shown in FIG2.
圖5是顯示1天中之從睡眠判定部所輸出的睡眠狀態之一例的圖。 FIG5 is a diagram showing an example of the sleep state output from the sleep determination unit in one day.
圖6是顯示預定之期間內的從睡眠判定部所輸出之睡眠狀態的一例的圖。 FIG6 is a diagram showing an example of the sleep state output from the sleep determination unit within a predetermined period.
圖7是顯示預定之期間內的身體狀態資料之一例的圖。 Figure 7 is a diagram showing an example of body status data within a predetermined period.
圖8是用於說明本實施形態中之伺服器的動作的流程圖。 Figure 8 is a flow chart used to illustrate the actions of the server in this embodiment.
圖9是顯示身體動作資料之標準偏差及平均值的歷程之一例的圖。 Figure 9 is a diagram showing an example of the history of the standard deviation and mean value of body movement data.
圖10是用於說明失智症周邊症狀(BPSD)之發作與睡眠狀態間的相關性的圖。 Figure 10 is a graph used to illustrate the correlation between the onset of peripheral symptoms of dementia (BPSD) and sleep status.
用以實施發明之形態 The form used to implement the invention
(作為本揭示之基礎的知識見解) (Knowledge and insights that serve as the basis for this disclosure)
在以往的技術中,因應於受測者的睡眠狀態來進行裝入於睡眠感測器的顯示部或喇叭的驅動控制,或遙控設置於睡眠感測器之外部的家電設備。 In the previous technology, the display unit or speaker installed in the sleep sensor is driven and controlled according to the sleep state of the subject, or the home appliance installed outside the sleep sensor is remotely controlled.
例如,藉由以往的家電控制系統,能夠配合受測者的起床,來打開電動窗簾,從音響設備播放喚醒用音樂,點亮照明設備,用電視打開新聞頻道,以空調設備 將寝室內設定至適當的溫度,且,將寝具調整成受測者容易起床的狀態(電動床的傾斜調整或氣墊床的壓力調整等)。像這樣,在以往的技術中,使睡眠感測器與各種家電產品相互配合,來提供受測者舒適的睡醒感受。 For example, the conventional home appliance control system can open the electric curtains, play wake-up music from the audio equipment, turn on the lighting equipment, turn on the news channel on the TV, set the bedroom temperature to an appropriate level with the air conditioning equipment, and adjust the bedding to a state that is easy for the subject to get up (such as tilt adjustment of the electric bed or pressure adjustment of the air mattress). In this way, in the conventional technology, the sleep sensor and various home appliances are coordinated to provide the subject with a comfortable waking experience.
然而,在以往的技術中,雖然揭示有因應於藉由睡眠感測器所解析之受測者的睡眠狀態來控制設備的方法,但並未考慮要預測受測者之身體狀況的變化一事。 However, in the prior art, although there are methods for controlling the equipment in response to the sleep state of the subject analyzed by the sleep sensor, there is no consideration of predicting changes in the physical condition of the subject.
為了解決以上的課題,本揭示之一態樣的身體狀況預測方法取得對象人物的生理資料,依據所取得的前述生理資料,來持續判定前述對象人物的睡眠狀態,並依據所判定的前述睡眠狀態,來預測前述對象人物之身體狀況的變化。 In order to solve the above problems, a method for predicting physical condition in one aspect of the present disclosure obtains physiological data of a subject, continuously determines the sleep state of the subject based on the obtained physiological data, and predicts changes in the physical condition of the subject based on the determined sleep state.
依據此構成,取得對象人物的生理資料。依據所取得的生理資料,持續判定對象人物的睡眠狀態。依據所判定的睡眠狀態,預測對象人物之身體狀況的變化。 Based on this structure, the physiological data of the target person is obtained. Based on the obtained physiological data, the sleep state of the target person is continuously determined. Based on the determined sleep state, the change of the physical condition of the target person is predicted.
因此,能夠依據持續判定的睡眠狀態,來預測對象人物之身體狀況的變化。又,由於預測對象人物之身體狀況的變化,因此例如在對象人物為高齡者或失智症患者時,能夠重新評估對象人物的照護計畫,能夠更有效率地照顧對象人物。 Therefore, it is possible to predict changes in the physical condition of the target person based on the continuously determined sleep state. Also, since changes in the physical condition of the target person are predicted, for example, when the target person is an elderly person or a patient with dementia, the care plan for the target person can be re-evaluated, and the target person can be cared for more efficiently.
又,在上述的身體狀況預測方法中,前述生理資料包含顯示前述對象人物之身體的動作之身體動作資料,前述判定亦可依據前述身體動作資料來持續判定前述睡眠狀態。 Furthermore, in the above-mentioned body condition prediction method, the above-mentioned physiological data includes body movement data showing the body movement of the above-mentioned object person, and the above-mentioned determination can also continuously determine the above-mentioned sleep state based on the above-mentioned body movement data.
依據此構成,生理資料包含顯示對象人物之身體的動作之身體動作資料。在判定中,依據身體動作資料持續判定睡眠狀態。因此,由於是依據顯示對象人物之身體的動作之身體動作資料,持續判定睡眠狀態,所以能夠正確地判定對象人物的睡眠狀態。 According to this structure, the physiological data includes body movement data showing the body movement of the target person. During the determination, the sleep state is continuously determined based on the body movement data. Therefore, since the sleep state is continuously determined based on the body movement data showing the body movement of the target person, the sleep state of the target person can be accurately determined.
又,在上述的身體狀況預測方法中,前述預測亦可在前述身體動作資料在預定的期間內降得比預定的值更低時,預測前述對象人物之身體狀況的惡化。 Furthermore, in the above-mentioned physical condition prediction method, the above-mentioned prediction can also predict the deterioration of the physical condition of the above-mentioned object person when the above-mentioned physical movement data drops below a predetermined value within a predetermined period.
依據此構成,在預測中,在身體動作資料在預定的期間內降得比預定的值更低時,預測對象人物之身體狀況將會惡化。因此,能夠藉由身體動作資料來確實地預測對象人物之身體狀況的惡化。 According to this configuration, in the prediction, when the body motion data drops below a predetermined value within a predetermined period, it is predicted that the physical condition of the target person will deteriorate. Therefore, the deterioration of the physical condition of the target person can be accurately predicted by the body motion data.
又,在上述的身體狀況預測方法中,另外,更取得顯示前述對象人物的身體狀況是否良好的身體狀態資料,前述預測亦可從所判定之前述睡眠狀態的歷程,與所取得之前述身體狀態資料的歷程間之相關關係,來預測前述身體狀況的變化。 Furthermore, in the above-mentioned method for predicting the physical condition, physical condition data showing whether the physical condition of the above-mentioned object person is good or not is obtained, and the above-mentioned prediction can also predict the change of the above-mentioned physical condition from the correlation between the above-mentioned sleep state process determined and the above-mentioned physical condition data process obtained.
依據此構成,取得顯示對象人物之身體狀況是否良好的身體狀態資料。在預測中,從所判定之睡眠狀態的歷程,與所取得之身體狀態資料的歷程間之相關關係,預測身體狀況的變化。 Based on this structure, the physical condition data showing whether the physical condition of the target person is good or not is obtained. In the prediction, the change of the physical condition is predicted from the correlation between the course of the determined sleep state and the course of the obtained physical condition data.
因此,睡眠狀態的歷程與身體狀態資料的歷程若有相關關係的話,便能夠使用該相關關係來輕易地預測對象人物之身體狀況的變化。 Therefore, if there is a correlation between the course of sleep state and the course of physical state data, the correlation can be used to easily predict changes in the physical condition of the subject.
又,在上述的身體狀況預測方法中,另外,更檢測前述對象人物的體溫,接著,判斷前述對象人物的前述體溫是否比預定的溫度更高,而且,亦可在判斷前述體溫比預定的溫度更高時,預測前述對象人物之身體狀況的惡化。 Furthermore, in the above-mentioned physical condition prediction method, the body temperature of the aforementioned target person is further detected, and then it is determined whether the aforementioned body temperature of the aforementioned target person is higher than a predetermined temperature. Moreover, when it is determined that the aforementioned body temperature is higher than the predetermined temperature, it is also possible to predict the deterioration of the physical condition of the aforementioned target person.
依據此構成,檢測對象人物的體溫。判斷對象人物的體溫是否比預定的溫度更高。在判斷體溫比預定的溫度更高時,預測對象人物之身體狀況將會惡化。 According to this structure, the body temperature of the target person is detected. It is judged whether the body temperature of the target person is higher than the predetermined temperature. When it is judged that the body temperature is higher than the predetermined temperature, it is predicted that the physical condition of the target person will deteriorate.
因此,由於在判斷對象人物的體溫比預定的溫度更高時,預測對象人物之身體狀況將會惡化,因此,能夠使用對象人物的體溫來輕易地預測對象人物之身體狀況的變化。 Therefore, since it is predicted that the physical condition of the target person will deteriorate when the body temperature of the target person is judged to be higher than a predetermined temperature, changes in the physical condition of the target person can be easily predicted using the body temperature of the target person.
又,在上述的身體狀況預測方法中,前述預測亦可依據前述對象人物在夜間清醒的頻率,來預測前述對象人物之身體狀況的惡化。 Furthermore, in the above-mentioned method for predicting physical condition, the above-mentioned prediction can also be based on the frequency of the above-mentioned subject being awake at night to predict the deterioration of the above-mentioned subject's physical condition.
依據此構成,在預測中,依據對象人物在夜間清醒的頻率,預測對象人物的身體狀況的惡化。在對象人物在夜間清醒的頻率高時,有對象人物之睡眠節律已崩解的可能性。因此,能夠依據對象人物在夜間清醒的頻率,來確實地預測對象人物之身體狀況的惡化。 According to this configuration, in the prediction, the deterioration of the physical condition of the subject is predicted according to the frequency of the subject waking up at night. When the frequency of the subject waking up at night is high, there is a possibility that the sleep rhythm of the subject has collapsed. Therefore, the deterioration of the physical condition of the subject can be accurately predicted according to the frequency of the subject waking up at night.
又,在上述的身體狀況預測方法中,前述預測亦可在前述對象人物在夜間清醒的頻率為預定次數以上時,預測前述對象人物之身體狀況的惡化。 Furthermore, in the above-mentioned method for predicting physical condition, the above-mentioned prediction can also predict the deterioration of the physical condition of the above-mentioned subject when the frequency of the above-mentioned subject waking up at night is more than a predetermined number of times.
依據此構成,在預測中,在對象人物在夜間 清醒的頻率為預定次數以上時,預測對象人物之身體狀況將會惡化,因此,能夠確實地預測對象人物之身體狀況的惡化。 According to this structure, in the prediction, when the frequency of the subject person waking up at night is more than a predetermined number of times, it is predicted that the physical condition of the subject person will deteriorate, and therefore, the deterioration of the physical condition of the subject person can be accurately predicted.
又,在上述的身體狀況預測方法中,前述對象人物之身體狀況的惡化包含失智症周邊症狀的發作,前述預測亦可依據前述對象人物在夜間清醒的頻率,與對象人物之午睡或傍晚睡的頻率之其中至少一者,來預測前述對象人物之失智症周邊症狀的發作。 Furthermore, in the above-mentioned physical condition prediction method, the deterioration of the physical condition of the aforementioned subject includes the onset of peripheral symptoms of dementia, and the above-mentioned prediction can also be based on at least one of the frequency of the aforementioned subject being awake at night and the frequency of the subject taking a nap or sleeping in the evening to predict the onset of peripheral symptoms of dementia of the aforementioned subject.
依據此構成,對象人物之身體狀況的惡化包含失智症周邊症狀的發作。在預測中,依據對象人物在夜間清醒的頻率,與對象人物之午睡或傍晚睡的頻率之其中至少一者,來預測對象人物之失智症周邊症狀將會發作。 According to this constitution, the deterioration of the subject's physical condition includes the onset of peripheral symptoms of dementia. In the prediction, the onset of peripheral symptoms of dementia of the subject is predicted based on at least one of the frequency of the subject's awakening at night and the frequency of the subject's nap or evening sleep.
因此,能夠依據對象人物在夜間清醒的頻率,與對象人物之午睡或傍晚睡的頻率之其中至少一者,來確實地預測對象人物之失智症周邊症狀的發作。 Therefore, the onset of peripheral symptoms of dementia in a subject can be reliably predicted based on at least one of the subject's frequency of being awake at night and the subject's frequency of napping or sleeping in the evening.
又,在上述的身體狀況預測方法中,前述預測也可以依據前述對象人物在夜間保持清醒的時間,預測前述對象人物之身體狀況的惡化。 Furthermore, in the above-mentioned method for predicting physical condition, the above-mentioned prediction can also predict the deterioration of the physical condition of the above-mentioned subject based on the time that the above-mentioned subject stays awake at night.
依據此構成,在預測中,依據對象人物在夜間保持清醒的時間,預測對象人物之身體狀況的惡化。在對象人物在夜間保持清醒的時間長時,有對象人物之睡眠節律已崩解的可能性。因此,能夠依據對象人物在夜間保持清醒的時間,來確實地預測對象人物之身體狀況的惡化。 According to this configuration, in the prediction, the deterioration of the physical condition of the target person is predicted according to the time the target person stays awake at night. When the target person stays awake for a long time at night, there is a possibility that the sleep rhythm of the target person has collapsed. Therefore, it is possible to accurately predict the deterioration of the physical condition of the target person according to the time the target person stays awake at night.
又,在上述的身體狀況預測方法中,前述預 測也可以在前述對象人物在夜間保持清醒的時間為預定時間以上時,預測前述對象人物之身體狀況的惡化。 Furthermore, in the above-mentioned physical condition prediction method, the above-mentioned prediction may also predict the deterioration of the physical condition of the above-mentioned object person when the above-mentioned object person stays awake for more than a predetermined time at night.
依據此構成,在預測中,在對象人物在夜間保持清醒的時間為預定時間以上時,預測對象人物之身體狀況的惡化,因此,能夠確實地預測對象人物之身體狀況的惡化。 According to this configuration, when the subject person stays awake for more than a predetermined time at night, the subject person's physical condition is predicted to deteriorate, and thus the subject person's physical condition can be accurately predicted to deteriorate.
又,在上述的身體狀況預測方法中,亦可更進一步將預測了前述對象人物之身體狀況的變化之預測結果發送給終端裝置。 Furthermore, in the above-mentioned physical condition prediction method, the prediction result of the change of the physical condition of the above-mentioned target person can be further sent to the terminal device.
依據此構成,由於預測了對象人物之身體狀況的變化之預測結果發送給終端裝置,因此,能夠藉由終端裝置報知管理者預測結果。 According to this structure, since the prediction result of the change of the physical condition of the target person is sent to the terminal device, the prediction result can be reported to the administrator through the terminal device.
本揭示之其他態樣的身體狀況預測裝置具備通訊部、及處理器,前述通訊部取得對象人物的生理資料,前述處理器依據所取得的前述生理資料,來持續判定前述對象人物的睡眠狀態,並依據所判定的前述睡眠狀態,來預測前述對象人物之身體狀況的變化。 The physical condition prediction device of another aspect of the present disclosure is equipped with a communication unit and a processor. The communication unit obtains the physiological data of the target person. The processor continuously determines the sleep state of the target person based on the obtained physiological data, and predicts the change of the physical condition of the target person based on the determined sleep state.
依據此構成,取得對象人物的生理資料。依據所取得的生理資料,持續判定對象人物的睡眠狀態。依據所判定的睡眠狀態,預測對象人物之身體狀況的變化。 Based on this structure, the physiological data of the target person is obtained. Based on the obtained physiological data, the sleep state of the target person is continuously determined. Based on the determined sleep state, the change of the physical condition of the target person is predicted.
因此,能夠依據持續判定的睡眠狀態,來預測對象人物之身體狀況的變化。又,由於預測對象人物之身體狀況的變化,因此例如在對象人物為高齡者或失智症患者時,能夠重新評估對象人物的照護計畫,能夠更有效 率地照顧對象人物。 Therefore, it is possible to predict changes in the physical condition of the target person based on the continuously determined sleep state. Also, since changes in the physical condition of the target person are predicted, for example, when the target person is an elderly person or a patient with dementia, the care plan for the target person can be re-evaluated, and the target person can be cared for more efficiently.
本揭示之其他態樣的身體狀況預測程式使處理器執行以下處理:依據對象人物的生理資料,來持續判定前述對象人物的睡眠狀態,並依據所判定的前述睡眠狀態,來預測前述對象人物之身體狀況的變化。 The physical condition prediction program of other aspects of the present disclosure enables the processor to perform the following processing: continuously determine the sleep state of the aforementioned target person based on the physiological data of the aforementioned target person, and predict the change of the physical condition of the aforementioned target person based on the determined aforementioned sleep state.
依據此構成,依據所取得的生理資料,持續判定對象人物的睡眠狀態。依據所判定的睡眠狀態,預測對象人物之身體狀況的變化。 Based on this structure, the sleeping state of the target person is continuously determined based on the physiological data obtained. Based on the determined sleeping state, the changes in the physical condition of the target person are predicted.
因此,能夠依據持續判定的睡眠狀態,來預測對象人物之身體狀況的變化。又,由於預測對象人物之身體狀況的變化,因此例如在對象人物為高齡者或失智症患者時,能夠重新評估對象人物的照護計畫,能夠更有效率地照顧對象人物。 Therefore, it is possible to predict changes in the physical condition of the target person based on the continuously determined sleep state. Also, since changes in the physical condition of the target person are predicted, for example, when the target person is an elderly person or a patient with dementia, the care plan for the target person can be re-evaluated, and the target person can be cared for more efficiently.
以下參照以下所附圖面,說明本揭示的實施形態。再者,以下的實施形態是具體化了本揭示的一例,並非限定本揭示的技術性範圍。 The following is a description of the implementation of the present disclosure with reference to the attached drawings. Furthermore, the following implementation is an example of the present disclosure and does not limit the technical scope of the present disclosure.
(實施之形態) (Implementation form)
圖1是顯示本揭示之實施形態的身體狀況預測系統之構成的一例的方塊圖。圖1所示的身體狀況預測系統具備:伺服器1、動作感測器2、溫度感測器3、及終端裝置4。 FIG1 is a block diagram showing an example of the structure of a body condition prediction system of an embodiment of the present disclosure. The body condition prediction system shown in FIG1 comprises: a server 1, a motion sensor 2, a temperature sensor 3, and a terminal device 4.
伺服器1是透過網路5,與動作感測器2、溫度感測器3及終端裝置4連接為能夠通訊地。再者,網路5例如是網際網路。 The server 1 is connected to the motion sensor 2, the temperature sensor 3 and the terminal device 4 via the network 5 so as to be able to communicate. Furthermore, the network 5 is, for example, the Internet.
動作感測器2例如是都卜勒感測器,設置於對象人物之居室的天花板或牆壁。對象人物例如是高齡者取向住宅的入住者,如高齡者或看護對象者。動作感測器2發射電波,藉由比較碰到對象人物而反射之電波的頻率,與所發射之電波的頻率,來檢測對象人物的動作。動作感測器2持續檢測對象人物的身體動作,並將顯示所檢測到之對象人物的身體動作之身體動作資料持續對伺服器1發送。動作感測器2例如以1秒間隔來持續地檢測對象人物的身體動作是較理想的。再者,動作感測器2也可以是例如以1分鐘為間隔來持續地檢測對象人物的身體動作,檢測間隔並未有特別限制。又,身體動作資料是生理資料的一例。動作感測器2除了對象人物的身體動作外,也能夠檢測對象人物的脈搏及呼吸等。 The motion sensor 2 is, for example, a Doppler sensor, which is installed on the ceiling or wall of the target person's room. The target person is, for example, a resident of an elderly-oriented residence, such as an elderly person or a person under care. The motion sensor 2 emits radio waves, and detects the target person's movements by comparing the frequency of the radio waves reflected when hitting the target person with the frequency of the emitted radio waves. The motion sensor 2 continuously detects the body movements of the target person, and continuously sends body movement data showing the detected body movements of the target person to the server 1. It is ideal for the motion sensor 2 to continuously detect the body movements of the target person, for example, at intervals of 1 second. Furthermore, the motion sensor 2 can also continuously detect the body movements of the target person, for example, at intervals of 1 minute, and the detection interval is not particularly limited. In addition, body movement data is an example of physiological data. In addition to the body movements of the target person, the motion sensor 2 can also detect the pulse and breathing of the target person.
再者,動作感測器2例如亦可是加速度感測器。此時,動作感測器2是安裝於對象人物的身體上,來檢測對象人物的身體動作。 Furthermore, the motion sensor 2 may be, for example, an acceleration sensor. In this case, the motion sensor 2 is mounted on the body of the target person to detect the body movements of the target person.
又,動作感測器2亦可組入配置於居室內之照明機器等的家電設備。 Furthermore, the motion sensor 2 can also be incorporated into household electrical appliances such as lighting devices installed in the room.
溫度感測器3例如是紅外線相機,設置於對象人物之居室的天花板或牆壁上。溫度感測器3持續拍攝居室內的紅外線圖像,並將所拍攝的紅外線圖像持續對伺服器1發送。 The temperature sensor 3 is, for example, an infrared camera, which is installed on the ceiling or wall of the target person's room. The temperature sensor 3 continuously captures infrared images in the room and continuously sends the captured infrared images to the server 1.
再者,溫度感測器3亦可組入配置於居室內之空調設備等的家電設備。 Furthermore, the temperature sensor 3 can also be incorporated into household appliances such as air conditioning equipment installed in the room.
終端裝置4例如是個人電腦或平板型電腦,受管理對象人物之身體狀況的管理者操作。終端裝置4接收身體狀態資料之管理者輸入顯示對象人物的身體狀況是否良好的身體狀態資料。終端裝置4例如是每天接收顯示對象人物之身體狀況是否良好的身體狀態資料之輸入。再者,終端裝置4亦可在各預定的時間或各預定的時間帶,接收顯示對象人物之身體狀況是否良好的身體狀態資料之輸入。終端裝置4將已輸入的身體狀態資料,發送給伺服器1。 The terminal device 4 is, for example, a personal computer or a tablet computer, and is operated by the administrator of the physical condition of the managed object. The terminal device 4 receives the physical condition data input by the administrator of the physical condition data to show whether the physical condition of the object is good. For example, the terminal device 4 receives the input of the physical condition data to show whether the physical condition of the object is good every day. Furthermore, the terminal device 4 can also receive the input of the physical condition data to show whether the physical condition of the object is good at each predetermined time or each predetermined time band. The terminal device 4 sends the input physical condition data to the server 1.
又,終端裝置4除了接收對象人物之身體狀況是否良好之資訊的輸入外,亦可接收其他資訊的輸入。例如,終端裝置4亦可接收看護記錄相關之資訊的輸入,該看護記錄是關於已對對象人物投予之藥物的種類及投予時刻等。 In addition to receiving input of information about whether the physical condition of the target person is good, the terminal device 4 can also receive input of other information. For example, the terminal device 4 can also receive input of information related to nursing records, which are about the type and time of administration of the medicine that has been administered to the target person.
再者,動作感測器2及溫度感測器3可將感測資料直接發送至伺服器1,亦可透過終端裝置4發送至伺服器1。 Furthermore, the motion sensor 2 and the temperature sensor 3 can send the sensing data directly to the server 1, or send it to the server 1 through the terminal device 4.
圖2是顯示圖1之伺服器的構成之一例的方塊圖。圖2所示的伺服器1具備:通訊部11、控制部12、及記憶部13。 FIG2 is a block diagram showing an example of the configuration of the server of FIG1. The server 1 shown in FIG2 includes: a communication unit 11, a control unit 12, and a memory unit 13.
通訊部11具備:身體動作資料取得部111、身體狀態資料取得部112、紅外線圖像取得部113、及預測結果發送部114。 The communication unit 11 includes: a body movement data acquisition unit 111, a body status data acquisition unit 112, an infrared image acquisition unit 113, and a prediction result sending unit 114.
身體動作資料取得部111取得顯示對象人物 之身體的動作之身體動作資料。身體動作資料取得部111接收由動作感測器2所發送的身體動作資料。 The body motion data acquisition unit 111 acquires the body motion data of the body motion of the display object person. The body motion data acquisition unit 111 receives the body motion data sent by the motion sensor 2.
身體動作資料取得部111亦可取得從身體動作感測器所發送的身體動作資料。身體動作資料取得部111也可以是例如每分鐘取得一次身體動作值。 The body motion data acquisition unit 111 can also acquire body motion data sent from the body motion sensor. The body motion data acquisition unit 111 can also acquire body motion values once every minute, for example.
身體狀態資料取得部112取得顯示對象人物之身體狀況是否良好的身體狀態資料。身體狀態資料取得部112接收由終端裝置4所發送的身體狀態資料。 The body state data acquisition unit 112 acquires body state data indicating whether the body state of the target person is good or not. The body state data acquisition unit 112 receives the body state data sent by the terminal device 4.
身體狀態資料取得部112亦可取得看護記錄等看護者等的記錄資訊。身體狀況資訊資料例如是體溫或血壓等生命徵象、看護者之主觀所做的觀察記錄、跌倒等的有無、及BPSD(遊走、妄想等)等。 The body condition data acquisition unit 112 can also acquire recorded information of the caregiver, such as nursing records. The body condition information data includes, for example, vital signs such as body temperature or blood pressure, observation records made subjectively by the caregiver, the presence or absence of falls, and BPSD (wandering, delusions, etc.).
紅外線圖像取得部113取得紅外線圖像。紅外線圖像取得部113接收由溫度感測器3所發送的紅外線圖像。 The infrared image acquisition unit 113 acquires an infrared image. The infrared image acquisition unit 113 receives the infrared image sent by the temperature sensor 3.
控制部12例如是CPU(中央運算處理裝置),控制伺服器1整體。控制部12具備:睡眠判定部121、身體狀態解析部122、體溫判定部123、及身體狀況預測部124。 The control unit 12 is, for example, a CPU (central processing unit) and controls the entire server 1. The control unit 12 includes: a sleep determination unit 121, a body condition analysis unit 122, a body temperature determination unit 123, and a body condition prediction unit 124.
記憶部13例如是半導體記憶體或硬碟,具備:睡眠狀態儲存部131、身體狀態資料儲存部132、及身體狀況預測資訊儲存部133。 The memory unit 13 is, for example, a semiconductor memory or a hard disk, and includes: a sleep state storage unit 131, a body state data storage unit 132, and a body state prediction information storage unit 133.
睡眠判定部121依據由身體動作資料取得部111所取得的身體動作資料,來持續判定對象人物的睡眠 狀態。 The sleep determination unit 121 continuously determines the sleep state of the target person based on the body movement data acquired by the body movement data acquisition unit 111.
睡眠判定部121亦可依據由身體動作資料取得部111所取得之7分鐘的身體動作,來判定睡眠/清醒。睡眠/清醒是依據醫療設備(例如活動記錄器)也利用的Cole(柯爾)演算法來判定。又,在取得的身體動作資料中附帶有絕對時間資訊。 The sleep determination unit 121 can also determine sleep/wakefulness based on the 7-minute body movements obtained by the body movement data acquisition unit 111. Sleep/wakefulness is determined based on the Cole algorithm also used in medical equipment (such as activity recorders). In addition, the acquired body movement data is accompanied by absolute time information.
睡眠狀態儲存部131儲存藉由睡眠判定部121所判定之對象人物的睡眠狀態之歷程。睡眠狀態儲存部131將對象人物是正在睡眠或保持清醒的狀態以預定時間單位來儲存。預定時間單位例如是1分或1秒。 The sleep state storage unit 131 stores the sleep state history of the target person determined by the sleep determination unit 121. The sleep state storage unit 131 stores the state of the target person being asleep or awake in a predetermined time unit. The predetermined time unit is, for example, 1 minute or 1 second.
睡眠狀態儲存部131亦可將睡眠判定部121所判定的睡眠/清醒與時間資訊一起儲存。 The sleep state storage unit 131 can also store the sleep/wakefulness determined by the sleep determination unit 121 together with the time information.
圖3是顯示圖2所示之睡眠判定部的構成的圖。圖3所示的睡眠判定部121具備:睡眠清醒判定部1211、入眠檢測部1212、起床檢測部1213、及中途清醒檢測部1214。身體動作資料包含每分鐘的活動量(動作的大小)ZCM,並從身體動作資料取得部111輸入至睡眠清醒判定部1211。 FIG3 is a diagram showing the structure of the sleep determination unit shown in FIG2. The sleep determination unit 121 shown in FIG3 includes: a sleep wake determination unit 1211, a sleep detection unit 1212, a wake-up detection unit 1213, and a mid-wake detection unit 1214. The body movement data includes the activity volume (size of movement) ZCM per minute, and is input from the body movement data acquisition unit 111 to the sleep wake determination unit 1211.
睡眠清醒判定部1211使用下述的(1)公式來算出判定值S。再者,在下述的(1)公式中,ZCM-4min顯示4分鐘前的活動量、ZCM-3min顯示3分鐘前的活動量、ZCM-2min顯示2分鐘前的活動量、ZCM-1min顯示1分鐘前的活動量、ZCMnow顯示在判定時間點的活動量、ZCM+1min顯示1分鐘後的活動量、及ZCM+2min顯示2分鐘後的活動 量。 The sleep wakefulness determination unit 1211 uses the following formula (1) to calculate the determination value S. In the following formula (1), ZCM -4min indicates the amount of activity 4 minutes ago, ZCM -3min indicates the amount of activity 3 minutes ago, ZCM -2min indicates the amount of activity 2 minutes ago, ZCM -1min indicates the amount of activity 1 minute ago, ZCM now indicates the amount of activity at the determination time, ZCM +1min indicates the amount of activity 1 minute later, and ZCM +2min indicates the amount of activity 2 minutes later.
S=0.0033(1.06ZCM-4min+0.54ZCM-3min+0.58ZCM-2min+0.76ZCM-1min+2.3ZCMnow+0.74ZCM+1min+0.67ZCM+2min)‧‧‧(1) S=0.0033(1.06ZCM -4min +0.54ZCM -3min +0.58ZCM -2min +0.76ZCM -1min +2.3ZCM now +0.74ZCM +1min +0.67ZCM +2min )‧‧‧(1)
睡眠清醒判定部1211在判定值S為1以上時,判定對象人物保持清醒,在判定值S比1小時,判定對象人物正在睡眠。 When the judgment value S is greater than 1, the sleep-wake judgment unit 1211 judges that the target person is awake, and when the judgment value S is less than 1, it judges that the target person is sleeping.
入眠檢測部1212檢測判定為連續地睡眠預定時間以上之最初的時刻,作為對象人物入眠的入眠時刻。入眠檢測部1212將檢測到的入眠時刻,輸出給睡眠狀態儲存部131及身體狀況預測部124。 The sleep detection unit 1212 detects the first time when the subject sleeps continuously for a predetermined time or longer as the sleep time when the subject falls asleep. The sleep detection unit 1212 outputs the detected sleep time to the sleep state storage unit 131 and the body condition prediction unit 124.
起床檢測部1213檢測判定為連續地清醒預定時間以上之最初的時刻,作為對象人物起床的起床時刻。起床檢測部1213將檢測到的起床時刻,輸出給睡眠狀態儲存部131及身體狀況預測部124。 The waking up detection unit 1213 detects the first time when the subject is awake for a predetermined time or longer as the waking up time. The waking up detection unit 1213 outputs the detected waking up time to the sleep state storage unit 131 and the body condition prediction unit 124.
中途清醒檢測部1214將在從入眠時刻到起床時刻為止的期間中,檢測判定為連續地保持清醒的時間,作為對象人物在睡眠中清醒了的中途清醒時間。中途清醒檢測部1214將檢測到的中途清醒時刻,輸出給睡眠狀態儲存部131及身體狀況預測部124。 The mid-awakening detection unit 1214 detects and determines the time of continuous awakening from the time of falling asleep to the time of waking up as the mid-awakening time when the subject wakes up during sleep. The mid-awakening detection unit 1214 outputs the detected mid-awakening time to the sleep state storage unit 131 and the body condition prediction unit 124.
再者,睡眠判定部121除了入眠時刻、起床時刻及中途清醒時間外,亦可將睡眠清醒判定部1211所判定的睡眠及清醒之任一判定結果,作為睡眠狀態輸出至睡眠狀態儲存部131。睡眠狀態儲存部131除了入眠時刻、起 床時刻及中途清醒時間外,亦可儲存對象人物為睡眠及清醒之其中何者的時間變化作為睡眠狀態。 Furthermore, the sleep determination unit 121 can output any determination result of sleep and wakefulness determined by the sleep wakefulness determination unit 1211 as a sleep state to the sleep state storage unit 131 in addition to the sleep time, wakefulness time and wakefulness time. The sleep state storage unit 131 can store the time change of whether the subject is sleeping or awake as the sleep state in addition to the sleep time, wakefulness time and wakefulness time.
再者,雖然在本實施形態中,睡眠清醒判定部1211使用上述的(1)公式來算出判定值S,但本揭示並未特別限定於此,亦可使用下述之(2)公式等的其他公式來算出判定值S。 Furthermore, although in this embodiment, the sleep-wake determination unit 1211 uses the above-mentioned formula (1) to calculate the determination value S, the present disclosure is not particularly limited thereto, and other formulas such as the following formula (2) may also be used to calculate the determination value S.
S=0.00001(404ZCM-4min+598ZCM-3min+326CM-2min+441ZCM-1min+1408ZCMnow+508ZCM+1min+350ZCM+2min)‧‧‧(2) S=0.00001(404ZCM -4min +598ZCM -3min +326CM -2min +441ZCM -1min +1408ZCM now +508ZCM +1min +350ZCM +2min )‧‧‧(2)
上述的(2)公式又稱為Cole演算法,是用於睡眠判定之一般的公式(Roger J.Cole、Daniel F.Kripke、William Gruen、Daniel J.Mullaney、J.Christian Gillin、「Automatic Sleep/Wake Identification From Wrist Activity」、15(5)、461-469、1992)。再者,在下述的(2)公式中,ZCM-4min顯示4分鐘前的活動量、ZCM-3min顯示3分鐘前的活動量、ZCM-2min顯示2分鐘前的活動量、ZCM-1min顯示1分鐘前的活動量、ZCMnow顯示在判定時間點的活動量、ZCM+1min顯示1分鐘後的活動量、及ZCM+2min顯示2分鐘後的活動量。 The above formula (2) is also called Cole's algorithm, which is a general formula used for sleep determination (Roger J. Cole, Daniel F. Kripke, William Gruen, Daniel J. Mullaney, J. Christian Gillin, "Automatic Sleep/Wake Identification From Wrist Activity", 15(5), 461-469, 1992). In the following formula (2), ZCM -4min shows the activity amount 4 minutes ago, ZCM -3min shows the activity amount 3 minutes ago, ZCM -2min shows the activity amount 2 minutes ago, ZCM -1min shows the activity amount 1 minute ago, ZCM now shows the activity amount at the determination time, ZCM +1min shows the activity amount 1 minute later, and ZCM +2min shows the activity amount 2 minutes later.
身體狀態資料儲存部132儲存身體狀態資料取得部112所取得的身體狀態資料。與睡眠狀態儲存部131同樣地,身體狀態資料儲存部132亦可將身體狀態資料與身體狀況相關之記錄的時間資訊一起儲存。 The body state data storage unit 132 stores the body state data acquired by the body state data acquisition unit 112. Similar to the sleep state storage unit 131, the body state data storage unit 132 can also store the body state data together with the time information of the records related to the body state.
身體狀態解析部122依據顯示預定之期間的 對象人物之身體狀況是否良好的身體狀態資料,與預定之期間中對象人物之睡眠狀態間的相關關係,來解析對象人物之身體狀況惡化前的睡眠狀態之傾向。 The body condition analysis unit 122 analyzes the tendency of the subject's sleep state before the subject's physical condition deteriorates based on the correlation between the body condition data indicating whether the subject's physical condition is good during the predetermined period and the subject's sleep state during the predetermined period.
例如,身體狀態解析部122在將預定期間的身體狀態資料從身體狀態資料儲存部132讀取時,將預定期間的睡眠狀態一起從睡眠狀態儲存部131讀取。預定期間例如是1個月。身體狀態解析部122解析預定期間內的身體狀態資料與睡眠狀態,若在身體狀況惡化前,睡眠不足的日子持續了2天的情況下,製作睡眠不足的日子持續2天之後,身體狀況將會惡化的身體狀況預測資訊。再者,例如在19點到7點之間睡眠時間未達預定時間時,判斷為睡眠不足。身體狀態解析部122將所製作的身體狀況預測資訊儲存於身體狀況預測資訊儲存部133。 For example, when the body state analysis unit 122 reads the body state data of the predetermined period from the body state data storage unit 132, it also reads the sleep state of the predetermined period from the sleep state storage unit 131. The predetermined period is, for example, one month. The body state analysis unit 122 analyzes the body state data and the sleep state within the predetermined period, and if the lack of sleep lasts for 2 days before the body condition deteriorates, the body condition prediction information that the body condition will deteriorate after the lack of sleep continues for 2 days is generated. Furthermore, for example, when the sleep time between 19:00 and 7:00 does not reach the predetermined time, it is determined that the sleep is insufficient. The body condition analysis unit 122 stores the generated body condition prediction information in the body condition prediction information storage unit 133.
又,例如,身體狀態解析部122解析1個月間的身體狀態資料與睡眠狀態,若在身體狀況惡化的前一天,從入眠時刻起到起床時刻為止之間,睡眠中清醒之中途清醒的頻率達到預定次數以上的情況下,製作睡眠中清醒之中途清醒的頻率達到了預定次數以上的隔天,身體狀況將會惡化的身體狀況預測資訊。 For example, the body state analysis unit 122 analyzes body state data and sleep state for one month, and if the frequency of waking up during sleep from the time of falling asleep to the time of waking up reaches a predetermined number of times or more on the day before the body state deteriorates, body state prediction information is generated that the body state will deteriorate the next day if the frequency of waking up during sleep reaches a predetermined number of times or more.
另外,例如,身體狀態解析部122解析1個月間的身體狀態資料與睡眠狀態,若在身體狀況惡化的前一天,從入眠時刻起到起床時刻為止之間,睡眠中清醒之中途清醒的總計時間達到預定時間以上的情況下,製作睡眠中清醒之中途清醒的總計時間達到預定時間以上的隔天, 身體狀況將會惡化的身體狀況預測資訊。 In addition, for example, the body state analysis unit 122 analyzes the body state data and sleep state for one month, and if the total time of being awake during sleep from the time of falling asleep to the time of waking up on the day before the body condition deteriorates reaches a predetermined time or more, the body condition prediction information that the body condition will deteriorate the next day is generated.
身體狀態解析部122亦可藉由將顯示預定之期間的對象人物之身體狀況是否良好的身體狀態資料,與預定之期間的對象人物之睡眠狀態作為教師資料(teaching data),輸入至預測對象人物之身體狀況的惡化之預測模型,來學習預測模型,並將預測模型作為身體狀況預測資訊而儲存於身體狀況預測資訊儲存部133。 The physical condition analysis unit 122 can also learn the prediction model by inputting the physical condition data indicating whether the physical condition of the target person during the predetermined period is good or not and the sleep state of the target person during the predetermined period as teaching data into the prediction model for predicting the deterioration of the physical condition of the target person, and store the prediction model as physical condition prediction information in the physical condition prediction information storage unit 133.
身體狀態解析部122是交叉分析來自睡眠狀態儲存部131的睡眠狀態,與來自身體狀態資料儲存部132之身體狀況資料的部分。身體狀態解析部122亦可擷取儲存於身體狀態資料儲存部132之身體狀況相關的突發事件資訊。所謂的突發事件資訊是指例如跌倒及該時刻、發燒及該時刻、BPSD發作及該時刻。又,身體狀態解析部122亦可在突發事件已發生時,擷取突發事件發生時刻之稍早前的睡眠狀態。像這樣,身體狀態解析部122亦可配合高齡者的狀態,依每件想擷取的突發事件資訊地,來將突發事件之稍早前的睡眠狀態或體溫變化狀態儲存於身體狀況預測資訊儲存部133。 The body state analysis unit 122 is a part that cross-analyzes the sleep state from the sleep state storage unit 131 and the body condition data from the body state data storage unit 132. The body state analysis unit 122 can also capture the emergency information related to the body condition stored in the body state data storage unit 132. The so-called emergency information refers to, for example, a fall and the time, a fever and the time, a BPSD attack and the time. In addition, the body state analysis unit 122 can also capture the sleep state just before the time when the emergency occurs when the emergency has occurred. In this way, the body condition analysis unit 122 can also store the sleep state or body temperature change state before the emergency event in the body condition prediction information storage unit 133 according to the state of the elderly and the location of each emergency event information to be captured.
身體狀況預測資訊儲存部133儲存用於預測對象人物之身體狀況的變化之身體狀況預測資訊。再者,身體狀態資料與睡眠狀態間的相關關係依每一對象人物而不同。因此,身體狀況預測資訊是對象人物固有的資訊,儲存於身體狀況預測資訊儲存部133並設定與對象人物有關聯。 The body condition prediction information storage unit 133 stores body condition prediction information used to predict changes in the body condition of the target person. Furthermore, the correlation between the body condition data and the sleep state varies for each target person. Therefore, the body condition prediction information is information inherent to the target person, stored in the body condition prediction information storage unit 133 and set to be related to the target person.
體溫判定部123依據藉由紅外線圖像取得部113所取得的紅外線圖像,來判斷對象人物的體溫是否比預定的溫度更高。 The body temperature determination unit 123 determines whether the body temperature of the target person is higher than a predetermined temperature based on the infrared image acquired by the infrared image acquisition unit 113.
圖4是顯示圖2所示之體溫判定部的構成的圖。圖4所示的體溫判定部123具備:臉位置檢測部1231、表面溫度測量部1232、平均體溫算出部1233、及異常體溫判定部1234。記憶部13具備表面溫度儲存部134。 FIG4 is a diagram showing the structure of the body temperature determination unit shown in FIG2. The body temperature determination unit 123 shown in FIG4 includes: a face position detection unit 1231, a surface temperature measurement unit 1232, an average body temperature calculation unit 1233, and an abnormal body temperature determination unit 1234. The memory unit 13 includes a surface temperature storage unit 134.
臉位置檢測部1231從藉由紅外線圖像取得部113所取得的紅外線圖像,檢測對象人物之臉的位置。臉位置檢測部1231例如藉由型樣匹配,來從紅外線圖像檢測對象人物之臉的位置。 The face position detection unit 1231 detects the face position of the target person from the infrared image acquired by the infrared image acquisition unit 113. The face position detection unit 1231 detects the face position of the target person from the infrared image, for example, by pattern matching.
表面溫度測量部1232測量藉由臉位置檢測部1231所檢測到之臉的位置之表面溫度。 The surface temperature measuring unit 1232 measures the surface temperature of the face position detected by the face position detecting unit 1231.
表面溫度儲存部134儲存藉由表面溫度測量部1232所測量到之臉的位置之表面溫度。 The surface temperature storage unit 134 stores the surface temperature of the face position measured by the surface temperature measuring unit 1232.
平均體溫算出部1233將儲存於表面溫度儲存部134之臉的位置之表面溫度的平均值,算出作為平均體溫。 The average body temperature calculation unit 1233 calculates the average value of the surface temperatures at the face position stored in the surface temperature storage unit 134 as the average body temperature.
異常體溫判定部1234判定藉由表面溫度測量部1232所測量到之臉的位置之表面溫度,是否比藉由平均體溫算出部1233所算出的平均體溫更高。在判定所測量到之臉的位置之表面溫度,比平均體溫更高時,異常體溫判定部1234判定對象人物的體溫為異常。又,在判定所測量到之臉的位置之表面溫度在平均體溫以下時,異常體溫 判定部1234判定對象人物的體溫為正常。 The abnormal body temperature determination unit 1234 determines whether the surface temperature of the face position measured by the surface temperature measurement unit 1232 is higher than the average body temperature calculated by the average body temperature calculation unit 1233. When it is determined that the measured surface temperature of the face position is higher than the average body temperature, the abnormal body temperature determination unit 1234 determines that the body temperature of the subject person is abnormal. In addition, when it is determined that the measured surface temperature of the face position is below the average body temperature, the abnormal body temperature determination unit 1234 determines that the body temperature of the subject person is normal.
身體狀況預測部124依據藉由睡眠判定部121所判定的睡眠狀態,來預測對象人物之身體狀況的變化。身體狀況預測部124從藉由睡眠判定部121所判定之睡眠狀態的歷程,與藉由身體狀態資料取得部112所取得之身體狀態資料的歷程間之相關關係,來預測身體狀況的變化。 The body condition prediction unit 124 predicts changes in the body condition of the target person based on the sleep state determined by the sleep determination unit 121. The body condition prediction unit 124 predicts changes in the body condition based on the correlation between the history of the sleep state determined by the sleep determination unit 121 and the history of the body condition data acquired by the body condition data acquisition unit 112.
身體狀況預測部124參照身體狀況預測資訊,前述身體狀況預測資訊是儲存於身體狀況預測資訊儲存部133,且是由預定期間內之睡眠狀態與預定期間內之身體狀態資料間的相關關係所製作而成。在睡眠判定部121所判定的睡眠狀態,相符於身體狀況預測資訊所規定的條件時,身體狀況預測部124預測身體狀況將惡化。例如,在夜間之睡眠時間的總計為未達預定時間的日子持續了2天時,身體狀況預測部124便預測在隔天對象人物的身體狀況將會惡化。 The body condition prediction unit 124 refers to the body condition prediction information, which is stored in the body condition prediction information storage unit 133 and is produced by the correlation between the sleep state within the predetermined period and the body condition data within the predetermined period. When the sleep state determined by the sleep determination unit 121 meets the conditions specified by the body condition prediction information, the body condition prediction unit 124 predicts that the body condition will deteriorate. For example, when the total sleep time at night is less than the predetermined time for two consecutive days, the body condition prediction unit 124 predicts that the body condition of the subject will deteriorate the next day.
又,身體狀況預測部124亦可依據對象人物在夜間清醒的頻率,來預測對象人物之身體狀況的惡化。亦即,身體狀況預測部124亦可在對象人物在夜間清醒的頻率為預定次數以上時,預測對象人物之身體狀況的惡化。例如,身體狀況預測部124亦可在夜間之睡眠中清醒的中途清醒之頻率達到預定次數以上時,預測在隔天對象人物的身體狀況將惡化。 Furthermore, the physical condition prediction unit 124 can also predict the deterioration of the physical condition of the target person according to the frequency of the target person waking up at night. That is, the physical condition prediction unit 124 can also predict the deterioration of the physical condition of the target person when the frequency of the target person waking up at night is more than a predetermined number of times. For example, the physical condition prediction unit 124 can also predict that the physical condition of the target person will deteriorate the next day when the frequency of waking up during sleep at night reaches more than a predetermined number of times.
又,身體狀況預測部124亦可依據對象人物 在夜間保持清醒的時間,來預測對象人物之身體狀況的惡化。亦即,身體狀況預測部124亦可在對象人物在夜間保持清醒的時間為預定時間以上時,預測對象人物之身體狀況的惡化。例如,身體狀況預測部124亦可在夜間之睡眠中清醒的中途清醒之總計時間達到預定時間以上時,預測在隔天對象人物的身體狀況將惡化。 In addition, the physical condition prediction unit 124 can also predict the deterioration of the physical condition of the target person according to the time the target person stays awake at night. That is, the physical condition prediction unit 124 can also predict the deterioration of the physical condition of the target person when the time the target person stays awake at night is more than a predetermined time. For example, the physical condition prediction unit 124 can also predict that the physical condition of the target person will deteriorate the next day when the total time of waking up during sleep at night reaches more than a predetermined time.
又,身體狀況預測部124亦可在藉由體溫判定部123判斷對象人物的體溫為比預定的溫度更高時,預測對象人物之身體狀況的惡化。 Furthermore, the physical condition prediction unit 124 can also predict the deterioration of the physical condition of the target person when the body temperature determination unit 123 determines that the body temperature of the target person is higher than a predetermined temperature.
又,身體狀況預測部124亦可即時地對輸入自睡眠判定部121的睡眠狀態,與儲存於身體狀況預測資訊儲存部133之突發事件發生時的睡眠狀態,進行概似度分析(型樣匹配)。身體狀況預測部124進行概似度分析的結果,算出輸入的睡眠模式、與突發事件發生時的睡眠模式間的概似度,依據該概似度的閾值判定,可從睡眠資料來預測身體狀況不良。 In addition, the body condition prediction unit 124 can also perform a similarity analysis (pattern matching) on the sleep state input from the sleep determination unit 121 and the sleep state when the emergency occurs stored in the body condition prediction information storage unit 133 in real time. The body condition prediction unit 124 calculates the similarity between the input sleep pattern and the sleep pattern when the emergency occurs based on the result of the similarity analysis, and can predict poor physical condition from the sleep data based on the threshold value of the similarity.
藉此,本系統以身體狀態資料取得部112將作為典型例之身體狀況不良相關連的睡眠或體溫變化模式作為教師資料來學習,藉此,可警示看護者所無法完全預測之高齡者的突發事件。 In this way, the system uses the physical condition data acquisition unit 112 to learn the sleep or body temperature change patterns associated with poor physical conditions as typical examples as teaching data, thereby alerting the elderly of unexpected events that the caregiver cannot fully predict.
又,在本實施形態中,雖然顯示了身體狀態資料取得部112取得預測身體狀況不良之本人的過去之身體狀態資料的例子,但並非限定於此。身體狀態資料取得部112例如亦可取得病歷或需要看護狀態相同之他人的身 體狀態資料,身體狀況預測部124也可依據他人的身體狀態資料,來預測本人的身體狀況。 Furthermore, in this embodiment, although an example is shown in which the physical condition data acquisition unit 112 acquires the physical condition data of the person in the past who is predicted to be in a poor physical condition, the present invention is not limited thereto. The physical condition data acquisition unit 112 may also acquire the physical condition data of others who have the same medical history or need for care, and the physical condition prediction unit 124 may also predict the physical condition of the person based on the physical condition data of others.
又,在本實施形態中,雖然顯示了身體狀況預測部124進行概似度分析的例子,但並非限定於此。例如,為了檢測生命徵象的異常,使用了隱藏馬可夫模型等的準確率分析也能夠得到同樣的效果。藉由使用準確率分析,即便沒有如看護記錄等看護者的觀察記錄,也可以求出生命徵象的異常值,將該異常值發生的狀況設定成突發事件,而從睡眠狀態算出(預測)同樣之突發事件的發生預測。 In addition, in this embodiment, although an example of the body condition prediction unit 124 performing a likelihood analysis is shown, it is not limited to this. For example, in order to detect abnormalities in vital signs, the same effect can be obtained by using accuracy analysis such as a hidden Markov model. By using accuracy analysis, even if there are no observation records of caregivers such as nursing records, it is possible to find abnormal values of vital signs, set the situation where the abnormal value occurs as an emergency, and calculate (predict) the occurrence prediction of the same emergency from the sleep state.
又,在本實施形態中,雖然身體狀況是從睡眠/體溫所預測,但並非限定於此。本系統的睡眠資訊本來就是從高齡者的身體動作,亦即活動狀態所算出的。因此,也可從高齡者的活動狀態與突發事件間的型樣分析,來預測身體狀況。例如,可預測因身體狀況不良或脫水所造成之活動量降低。 Furthermore, in this embodiment, although the physical condition is predicted from sleep/body temperature, it is not limited to this. The sleep information of this system is originally calculated from the body movements of the elderly, that is, the activity status. Therefore, the physical condition can also be predicted from the pattern analysis between the activity status of the elderly and sudden events. For example, it can predict the reduction in activity caused by poor physical condition or dehydration.
又,在生命徵象方面,除了體溫外,即便是血壓等也能夠得到與上述同樣的效果。特別是關於血壓,最近手錶型的血壓計已經商用化。使用此手錶型的血壓計的話,便能夠取得連續的血壓資料,並可作血壓變化與突發事件間的型樣解析。 In terms of vital signs, in addition to body temperature, blood pressure can also achieve the same effect as above. In particular, regarding blood pressure, wrist-type blood pressure monitors have recently been commercialized. If you use this wrist-type blood pressure monitor, you can obtain continuous blood pressure data and analyze the pattern between blood pressure changes and sudden events.
又,在身體狀況預測部124的概似度分析中,可執行深度學習或機械學習中的相關性分析。特別是,對於在高齡者,儲存於身體狀態資料儲存部132之身體狀 況相關的突發事件資訊多為複合性資訊。該等複合性突發事件資訊與睡眠等之生活節律是如何地相關,有必要含括複數個相關性來分析。又,除了與本人之資料間的相關性外,在也考慮到與他人之資料間的相關性時,相關性的分析將變得複雜。像這種情況,可藉由深度學習或機械學習來進行相關性分析。 In addition, in the likelihood analysis of the physical condition prediction unit 124, correlation analysis in deep learning or machine learning can be performed. In particular, for elderly people, the emergency information related to the physical condition stored in the physical condition data storage unit 132 is mostly complex information. It is necessary to include multiple correlations to analyze how such complex emergency information is related to the life rhythm such as sleep. In addition, in addition to the correlation between the data of the person himself, when the correlation between the data of others is also considered, the correlation analysis will become complicated. In such a case, correlation analysis can be performed by deep learning or machine learning.
預測結果發送部114將預測了對象人物之身體狀況的變化之身體狀況預測結果發送給終端裝置4。預測結果發送部114在預測到對象人物之身體狀況的惡化時,將身體狀況預測結果發送給終端裝置4。 The prediction result sending unit 114 sends the physical condition prediction result that predicts the change of the physical condition of the target person to the terminal device 4. When the prediction result sending unit 114 predicts the deterioration of the physical condition of the target person, it sends the physical condition prediction result to the terminal device 4.
終端裝置4接收來自伺服器1所發送的身體狀況預測結果,並將所接收的身體狀況預測結果報知管理者。終端裝置4例如顯示所接收的身體狀況預測結果。又,終端裝置4例如亦可以聲音來輸出所接收的身體狀況預測結果。再者,報知身體狀況預測結果的終端裝置4可與接收身體狀態資料之輸入的終端裝置相同,亦可不同。 The terminal device 4 receives the body condition prediction result sent from the server 1, and notifies the administrator of the received body condition prediction result. The terminal device 4, for example, displays the received body condition prediction result. In addition, the terminal device 4 can also output the received body condition prediction result by sound, for example. Furthermore, the terminal device 4 that notifies the body condition prediction result can be the same as the terminal device that receives the input of the body condition data, or it can be different.
圖5是顯示1天中從睡眠判定部所輸出之睡眠狀態的一例的圖。在圖5中,顯示從上午7點到隔天早上6點59分為止之1天中,對象人物之睡眠狀態。在本實施形態中,動作感測器2是配置於對象人物的居室,依據動作感測器2所檢測到的身體動作資料來判定睡眠。因此,睡眠判定部121除了對象人物正在睡眠或保持清醒外,也能夠判定對象人物是否在居室內。相反地,在對象人物不在居室內時,睡眠判定部121便無法判定對象人物正在睡眠 或保持清醒。 FIG5 is a diagram showing an example of the sleep status output from the sleep determination unit in one day. FIG5 shows the sleep status of the subject person in one day from 7:00 a.m. to 6:59 a.m. the next day. In this embodiment, the motion sensor 2 is arranged in the subject person's room, and sleep is determined based on the body motion data detected by the motion sensor 2. Therefore, the sleep determination unit 121 can determine whether the subject person is in the room in addition to whether the subject person is sleeping or awake. On the contrary, when the subject person is not in the room, the sleep determination unit 121 cannot determine whether the subject person is sleeping or awake.
在圖5中,橫軸表示時間,縱軸表示對象人物正在睡眠、對象人物在室內(保持清醒)、或對象人物不在居室內。對象人物的睡眠、在室(清醒)及不在是以棒狀圖來表示。對象人物不在居室內時,棒狀圖的等級是0(圖5的最下部);對象人物在室內,且保持清醒時,棒狀圖的等級是1(圖5的中間位置);對象人物在室內,且正在睡眠時,棒狀圖的等級是2(圖5的最上部)。棒狀圖例如是以1分鐘為單位來顯示。 In FIG5 , the horizontal axis represents time, and the vertical axis represents whether the subject is sleeping, the subject is indoors (awake), or the subject is not indoors. The subject's sleeping, indoors (awake), and absence are represented by bar graphs. When the subject is not indoors, the level of the bar graph is 0 (the bottom of FIG5 ); when the subject is indoors and awake, the level of the bar graph is 1 (the middle of FIG5 ); when the subject is indoors and sleeping, the level of the bar graph is 2 (the top of FIG5 ). The bar graph is displayed in units of 1 minute, for example.
圖6是顯示預定之期間當中的從睡眠判定部所輸出之睡眠狀態的一例的圖。在圖6中,顯示從某年之9月7日起到10月2日為止的對象人物之睡眠狀態。如圖6所示,在9月11日、12日、14日、17日、18日、20日、22日、23日、25日、26日、27日、29日、30日、及10月2日的夜間,對象人物未有充分的睡眠。 FIG6 is a diagram showing an example of the sleep state output from the sleep determination unit during a predetermined period. FIG6 shows the sleep state of the subject person from September 7 to October 2 of a certain year. As shown in FIG6, the subject person did not get enough sleep on the nights of September 11, 12, 14, 17, 18, 20, 22, 23, 25, 26, 27, 29, 30, and October 2.
圖7是顯示預定之期間內的身體狀況狀態資料之一例的圖。在圖7中,顯示從某年之9月7日起到10月2日為止的對象人物之身體狀態。在圖7中,○表示對象人物的身體狀況良好,×表示對象人物的身體狀況不佳。圖6所示的睡眠狀態與圖7所示的身體狀態是顯示相同之對象人物的資料。圖6所示的睡眠狀態與圖7所示的身體狀態之間,有在身體狀況惡化前,睡眠不足的日子持續了2天的相關關係。例如,對象人物在9月11日及12日2天連續地睡眠不足,而隔天之9月13日的身體狀況惡化。 FIG. 7 is a diagram showing an example of physical condition data within a predetermined period. FIG. 7 shows the physical condition of the subject from September 7 to October 2 of a certain year. In FIG. 7, ○ indicates that the physical condition of the subject is good, and × indicates that the physical condition of the subject is poor. The sleep state shown in FIG. 6 and the physical state shown in FIG. 7 are data showing the same subject. There is a correlation between the sleep state shown in FIG. 6 and the physical state shown in FIG. 7 that the days of insufficient sleep lasted for 2 days before the physical condition deteriorated. For example, the subject was insufficiently slept for 2 consecutive days on September 11 and 12, and the physical condition deteriorated on the next day, September 13.
像這樣,身體狀態解析部122解析預定之期間內的身體狀態資料與睡眠狀態,在身體狀況惡化前,睡眠不足的日子持續了2天的情況下,製作睡眠不足的日子持續2天之後,隔天身體狀況將會惡化的身體狀況預測資訊。 In this way, the body condition analysis unit 122 analyzes the body condition data and sleep status within a predetermined period, and generates body condition prediction information that the body condition will deteriorate the next day after insufficient sleep continues for two days before the body condition deteriorates.
圖8是用於說明本實施形態中之伺服器的動作的流程圖。 Figure 8 is a flow chart used to illustrate the actions of the server in this embodiment.
首先,在步驟S1中,身體狀態資料取得部112取得顯示對象人物之身體狀況是否良好的身體狀態資料。身體狀態資料取得部112接收終端裝置4所發送的身體狀態資料。身體狀態資料例如顯示前一天之對象人物的身體狀況是否良好。在此,若判斷為尚未取得身體狀態資料時(步驟S1中為否),處理轉移至步驟S6。 First, in step S1, the physical condition data acquisition unit 112 acquires physical condition data indicating whether the physical condition of the target person is good. The physical condition data acquisition unit 112 receives the physical condition data sent by the terminal device 4. The physical condition data, for example, indicates whether the physical condition of the target person was good the day before. Here, if it is determined that the physical condition data has not been acquired (No in step S1), the processing moves to step S6.
另一方面,若判斷為已取得身體狀態資料時(步驟S1中為是),在步驟S2中,身體狀態資料取得部112將所取得的身體狀態資料儲存於身體狀態資料儲存部132。再者,身體狀態資料取得部112可取得顯示1天份之身體狀態的身體狀態資料,亦可取得顯示複數天份之身體狀態的身體狀態資料。 On the other hand, if it is determined that the body state data has been obtained (Yes in step S1), in step S2, the body state data acquisition unit 112 stores the obtained body state data in the body state data storage unit 132. Furthermore, the body state data acquisition unit 112 can obtain body state data showing the body state of one day, and can also obtain body state data showing the body state of multiple days.
接著,在步驟S3中,身體狀態解析部122判斷:從開始取得對象人物之身體狀態資料起,是否已經過預定期間。例如,身體狀態解析部122判斷:從開始取得對象人物之身體狀態資料起,是否已經過1個月。再者,預定期間並未限定於1個月。 Next, in step S3, the body state analysis unit 122 determines whether a predetermined period of time has passed since the body state data of the target person was acquired. For example, the body state analysis unit 122 determines whether one month has passed since the body state data of the target person was acquired. Furthermore, the predetermined period of time is not limited to one month.
在此,若判定為從開始取得對象人物之身體狀態資料起尚未經過預定期間時(步驟S3中為否),處理轉移至步驟S6。 Here, if it is determined that the predetermined time has not passed since the acquisition of the target person's physical status data began (No in step S3), the process moves to step S6.
另一方面,若判定為從開始取得對象人物之身體狀態資料起已經過預定期間時(步驟S3中為是),在步驟S4中,身體狀態解析部122解析預定之期間內的對象人物之身體狀態,與預定之期間內的對象人物之睡眠狀態間的相關關係。身體狀態解析部122依據解析結果,來製作用於預測對象人物之身體狀況的變化之身體狀況預測資訊。 On the other hand, if it is determined that the predetermined time has passed since the acquisition of the target person's physical state data began (Yes in step S3), in step S4, the physical state analysis unit 122 analyzes the correlation between the physical state of the target person within the predetermined period and the sleep state of the target person within the predetermined period. The physical state analysis unit 122 generates physical state prediction information for predicting changes in the physical state of the target person based on the analysis results.
接著,在步驟S5中,身體狀態解析部122將所製作的身體狀況預測資訊儲存於身體狀況預測資訊儲存部133。 Next, in step S5, the body condition analysis unit 122 stores the generated body condition prediction information in the body condition prediction information storage unit 133.
再者,在身體狀態與睡眠狀態有相關關係時,可單獨以睡眠狀態來預測身體狀況的變化。因此,在身體狀況預測資訊儲存部133已儲存有身體狀況預測資訊時,身體狀態資料取得部112亦可停止身體狀態資料的取得。又,身體狀態資料取得部112亦可在身體狀況預測資訊儲存部133並未儲存身體狀況預測資訊時,停止身體狀態資料的取得,而無需考慮身體狀態與睡眠狀態的相關關係。 Furthermore, when the body state and the sleep state are related, the change of the body state can be predicted by the sleep state alone. Therefore, when the body state prediction information storage unit 133 has stored the body state prediction information, the body state data acquisition unit 112 can also stop acquiring the body state data. Moreover, the body state data acquisition unit 112 can also stop acquiring the body state data when the body state prediction information storage unit 133 does not store the body state prediction information, without considering the relationship between the body state and the sleep state.
另外,身體狀態資料取得部112亦可在身體狀況預測資訊儲存部133並未儲存身體狀況預測資訊時,重新開始身體狀態資料的取得,且身體狀態解析部122延 長預定期間,而無需考慮身體狀態與睡眠狀態的相關關係。藉由延長預定期間,可增加發現身體狀態與睡眠狀態之相關關係的可能性。 In addition, the body state data acquisition unit 112 can also restart the acquisition of body state data when the body state prediction information storage unit 133 does not store the body state prediction information, and the body state analysis unit 122 can extend the expected period without considering the correlation between the body state and the sleep state. By extending the expected period, the possibility of discovering the correlation between the body state and the sleep state can be increased.
接著,在步驟S6中,身體動作資料取得部111取得顯示對象人物之身體的動作之身體動作資料。 Next, in step S6, the body motion data acquisition unit 111 acquires the body motion data of the display object character.
接著,在步驟S7中,睡眠判定部121依據藉由身體動作資料取得部111所取得的身體動作資料,來判定顯示對象人物正在睡眠或保持清醒的睡眠狀態。 Next, in step S7, the sleep determination unit 121 determines whether the display object person is sleeping or awake based on the body motion data acquired by the body motion data acquisition unit 111.
接著,在步驟S8中,睡眠判定部121將所判定之對象人物的睡眠狀態儲存於睡眠狀態儲存部131。 Next, in step S8, the sleep determination unit 121 stores the determined sleep state of the target person in the sleep state storage unit 131.
接著,在步驟S9中,身體狀況預測部124依據藉由睡眠判定部121所判定的睡眠狀態、與儲存於身體狀況預測資訊儲存部133的身體狀況預測資訊,來預測對象人物之身體狀況的變化。 Next, in step S9, the body condition prediction unit 124 predicts changes in the body condition of the target person based on the sleep state determined by the sleep determination unit 121 and the body condition prediction information stored in the body condition prediction information storage unit 133.
接著,在步驟S10中,身體狀況預測部124判斷是否有預測到對象人物之身體狀況將會惡化。在此,若判斷為未預測對象人物之身體狀況將會惡化時(步驟S10中為否),處理回到步驟S1。 Next, in step S10, the physical condition prediction unit 124 determines whether it is predicted that the physical condition of the target person will deteriorate. Here, if it is determined that the physical condition of the target person is not predicted to deteriorate (No in step S10), the process returns to step S1.
另一方面,在判斷為預測到對象人物之身體狀況將會惡化時(步驟S10中為是),在步驟S11中,預測結果發送部114將預測了對象人物之身體狀況的惡化之身體狀況預測結果發送給終端裝置4。接著,處理回到步驟S1。 On the other hand, when it is determined that the physical condition of the target person is predicted to deteriorate (yes in step S10), in step S11, the prediction result sending unit 114 sends the physical condition prediction result predicting the deterioration of the physical condition of the target person to the terminal device 4. Then, the processing returns to step S1.
像這樣,在本實施形態的身體狀況預測系統中,能夠依據持續判定的睡眠狀態,來預測對象人物之身 體狀況的變化。又,由於預測對象人物之身體狀況的變化,因此例如在對象人物為高齡者或失智症患者時,能夠重新評估對象人物的照護計畫,能夠更有效率地照顧對象人物。 In this way, in the physical condition prediction system of this embodiment, it is possible to predict changes in the physical condition of the target person based on the continuously determined sleep state. In addition, since changes in the physical condition of the target person are predicted, for example, when the target person is an elderly person or a patient with dementia, the care plan for the target person can be re-evaluated, and the target person can be cared for more efficiently.
再者,在本實施形態中,雖然身體狀況預測部124是在判定睡眠狀態的時間點預測對象人物之身體狀況的變化,但本揭示並未特別限定於此,身體狀況預測部124亦可在預定的時間點預測對象人物之身體狀況的變化。預定的時間點例如是每天上午7點等預定的時刻,亦可是每1小時等預定的時間。此時,在步驟S8的處理之後,身體狀況預測部124判斷是否為預定的時間點。並且,在判斷為預定的時間點時,處理轉移至步驟S9,在判斷為並非預定的時間點時,處理亦可回到步驟S1。 Furthermore, in this embodiment, although the body condition prediction unit 124 predicts the change of the body condition of the target person at the time point of determining the sleep state, this disclosure is not particularly limited to this, and the body condition prediction unit 124 can also predict the change of the body condition of the target person at a predetermined time point. The predetermined time point is, for example, a predetermined time such as 7 a.m. every day, or a predetermined time such as every hour. At this time, after the processing of step S8, the body condition prediction unit 124 determines whether it is a predetermined time point. And, when it is determined to be a predetermined time point, the processing is transferred to step S9, and when it is determined to be not a predetermined time point, the processing can also return to step S1.
再者,在本實施型態中,身體狀況預測部124亦可在身體動作資料在預定的期間內降得比預定的值更低時,預測對象人物之身體狀況的惡化。 Furthermore, in this embodiment, the physical condition prediction unit 124 can also predict the deterioration of the physical condition of the target person when the physical movement data drops below a predetermined value within a predetermined period.
圖9是顯示身體動作資料之標準偏差及平均值的歷程之一例的圖。在圖9中,是將1天之身體動作資料的標準偏差及平均值每5天地來顯示。如圖9的箭頭Y1所示,在預定的期間內,身體動作資料的標準偏差急遽降低時,有對象人物的日常動作行動(ADL)降低,對象人物之身體狀況惡化的可能性。因此,身體狀況預測部124亦可在身體動作資料在預定的期間內降得比預定的值更低時,預測對象人物之身體狀況的惡化。 FIG9 is a diagram showing an example of the history of the standard deviation and average value of body motion data. In FIG9, the standard deviation and average value of the body motion data of one day are displayed every five days. As shown by arrow Y1 in FIG9, when the standard deviation of the body motion data decreases sharply during a predetermined period, there is a possibility that the daily activities (ADL) of the subject person decreases and the physical condition of the subject person deteriorates. Therefore, the physical condition prediction unit 124 can also predict the deterioration of the physical condition of the subject person when the body motion data decreases below a predetermined value during a predetermined period.
圖10是用於說明失智症周邊症狀(BPSD)之 發作與睡眠狀態間的相關性的圖。在圖10中,是逐日顯示對象人物之午睡的次數、夜間的清醒次數、夜間的清醒時刻及夜間的行動。 Figure 10 is a graph used to illustrate the correlation between the onset of peripheral symptoms of dementia (BPSD) and sleep status. In Figure 10, the number of naps, the number of awake times at night, the awake time at night, and the nighttime actions of the subject are displayed daily.
睡眠狀態是透過睡眠判定部121匯集於睡眠狀態儲存部131。又,身體狀況資料取得部112從看護記錄資料等,擷取符合遊走或妄想等之BPSD的症狀之資料,並儲存於身體狀態資料儲存部132。看護記錄資料例如是由對象人物的看護者來輸入。 The sleep state is collected in the sleep state storage unit 131 through the sleep determination unit 121. In addition, the body condition data acquisition unit 112 extracts data that matches the symptoms of BPSD such as wandering or delusions from the nursing record data, and stores it in the body condition data storage unit 132. The nursing record data is input by the caregiver of the target person, for example.
依據圖10,可發現在5月21日遊走、在5月22日及5月27日妄想之BPSD發作的紀錄。身體狀態解析部122依據BPSD發作、及儲存於睡眠狀態儲存部131的資料,來分析BPSD發作的主要原因。在本例中,導出如下相關性:確認有BPSD的日子夜間的中途清醒次數多,又,在夜間之中途清醒次數多的日子,午睡或傍晚睡的次數多。因此,就成立看護者無法管理的午睡或傍晚睡,與夜間之BPSD發作有所關連的預測。 According to FIG. 10 , it is found that there are records of BPSD attacks of wandering on May 21 and delusions on May 22 and May 27. The body state analysis unit 122 analyzes the main causes of BPSD attacks based on BPSD attacks and data stored in the sleep state storage unit 131. In this example, the following correlation is derived: the number of awakenings in the middle of the night is high on days when BPSD is confirmed, and the number of naps or evening sleeps is high on days when the number of awakenings in the middle of the night is high. Therefore, it is predicted that naps or evening sleeps that cannot be managed by caregivers are related to BPSD attacks at night.
因此,身體狀態解析部122解析對象人物在夜間清醒的頻率、對象人物之午睡或傍晚睡的頻率,及對象人物之失智症周邊症狀的發作間之相關性,並依據對象人物在夜間清醒的頻率、及對象人物之午睡或傍晚睡的頻率,來製作預測對象人物之失智症周邊症狀發作的身體狀況預測資訊。身體狀況預測部124依據對象人物在夜間清醒的頻率,與對象人物之午睡或傍晚睡的頻率,來預測對象人物之失智症周邊症狀的發作。 Therefore, the body condition analysis unit 122 analyzes the correlation between the frequency of the subject's awakeness at night, the frequency of the subject's nap or evening sleep, and the onset of the subject's peripheral symptoms of dementia, and generates body condition prediction information for predicting the onset of the subject's peripheral symptoms of dementia based on the frequency of the subject's awakeness at night and the frequency of the subject's nap or evening sleep. The body condition prediction unit 124 predicts the onset of the subject's peripheral symptoms of dementia based on the frequency of the subject's awakeness at night and the frequency of the subject's nap or evening sleep.
再者,身體狀況預測部124亦可依據對象人物在夜間清醒的頻率,來預測對象人物之失智症周邊症狀的發作。又,身體狀況預測部124亦可依據對象人物之午睡或傍晚睡的頻率,來預測對象人物之失智症周邊症狀的發作。身體狀況預測部124亦可依據對象人物在夜間清醒的頻率,與對象人物之午睡或傍晚睡的頻率之其中至少一者,來預測對象人物之失智症周邊症狀的發作。 Furthermore, the physical condition prediction unit 124 can also predict the onset of peripheral symptoms of dementia of the subject person according to the frequency of the subject person's awakeness at night. Furthermore, the physical condition prediction unit 124 can also predict the onset of peripheral symptoms of dementia of the subject person according to the frequency of the subject person's nap or evening sleep. The physical condition prediction unit 124 can also predict the onset of peripheral symptoms of dementia of the subject person according to at least one of the frequency of the subject person's awakeness at night and the frequency of the subject person's nap or evening sleep.
像這樣,藉由身體狀態解析部122來儲存及分析BPSD症狀與睡眠狀態的話,身體狀況預測部124可配合午睡或傍晚睡的狀態,來預測夜間之BPSD的可能性。能夠預測BPSD的發作的話,藉由預先準備對於BPSD發作的處置將有助於看護者的業務負擔減輕,甚至也可以去除成為BPSD發作之主要原因的現象。 In this way, if the body condition analysis unit 122 stores and analyzes BPSD symptoms and sleep status, the body condition prediction unit 124 can predict the possibility of BPSD at night according to the state of nap or evening sleep. If the onset of BPSD can be predicted, it will help reduce the work burden of the caregiver by preparing for the treatment of BPSD onset in advance, and even eliminate the phenomenon that becomes the main cause of BPSD onset.
在本事例中,雖然說明了僅從睡眠狀態來預測BPSD之發作的事例,但本揭示並非限定於此。也可以從作為睡眠狀態解析之根據的身體動作資料,來判定高齡者的活動量,並解析活動量與BPSD間的相關性。又,組合周知的之各種生命徵象感測器也是有效的。身體狀況預測部124能夠依據藉由紅外線感測器或溫度感測器所取得之體溫變化與BPSD間的相關性,來預測BPSD的發作。又,身體狀況預測部124能夠藉由從身體動作資料掌握心跳數或呼吸數,以依據心跳數或呼吸數與BPSD間的相關性來預測BPSD的發作。 In this example, although the example of predicting the onset of BPSD only from the sleep state is described, the present disclosure is not limited to this. The activity amount of the elderly can also be determined from the body movement data as the basis for the analysis of the sleep state, and the correlation between the activity amount and BPSD can be analyzed. In addition, it is also effective to combine various well-known vital sign sensors. The body condition prediction unit 124 can predict the onset of BPSD based on the correlation between the body temperature change obtained by the infrared sensor or the temperature sensor and BPSD. In addition, the body condition prediction unit 124 can predict the onset of BPSD based on the correlation between the heart rate or the breathing rate and BPSD by grasping the heart rate or the breathing rate from the body movement data.
特別是,在心跳方面,從心跳變動來推測自 律神經之平衡的技術已是周知。一般來說已知過度的壓力狀態引發BPSD,從心跳來確認壓力程度的話,可更加提高BPSD的預測精度。 In particular, in terms of heartbeat, the technology of estimating the balance of the autonomic nervous system from changes in heartbeat is already well known. Generally, it is known that excessive stress causes BPSD, and if the degree of stress is confirmed from the heartbeat, the prediction accuracy of BPSD can be further improved.
又,例如,藉由組合室內的溫度、室內的濕度、照度、噪音及二氧化碳濃度等的居住環境資料,也可發現會成為身體狀況變化或BPSD發作之主要原因的居住環境。一般來說,周知室內的溫度及室內的濕度會影響主導睡眠的深部體溫變化。因此,也可以從室內的溫度及室內的濕度來推導出妨礙睡眠的要因。身體狀況預測部124能夠依據室內的溫度及室內的濕度與身體狀況變化或BPSD間的相關性,來預測身體狀況變化或BPSD的發作。同樣地,也可以從噪音或二氧化碳濃度來推導出妨礙睡眠的要因。身體狀況預測部124能夠依據噪音或二氧化碳濃度與身體狀況變化或BPSD間的相關性,來預測身體狀況變化或BPSD的發作。 Furthermore, for example, by combining living environment data such as indoor temperature, indoor humidity, illumination, noise, and carbon dioxide concentration, it is also possible to discover the living environment that may be the main cause of changes in physical condition or the onset of BPSD. Generally speaking, it is known that indoor temperature and indoor humidity will affect the deep body temperature changes that dominate sleep. Therefore, factors that interfere with sleep can also be derived from indoor temperature and indoor humidity. The physical condition prediction unit 124 can predict changes in physical condition or the onset of BPSD based on the correlation between indoor temperature and indoor humidity and changes in physical condition or BPSD. Similarly, factors that interfere with sleep can also be derived from noise or carbon dioxide concentration. The physical condition prediction unit 124 can predict physical condition changes or the onset of BPSD based on the correlation between noise or carbon dioxide concentration and physical condition changes or BPSD.
以上,雖然依據實施形態說明本揭示之裝置,但本揭示並非限定於此實施形態。只要不脫離本揭示的主旨,將本領域之技術人員可設想得到的各種變形施行於本實施形態者、或組合不同之實施形態中的構成要素而建構之形態,均可包含在本揭示之一個或複數個態樣的範圍內。 Although the device disclosed in the present invention is described above based on the implementation form, the present invention is not limited to this implementation form. As long as it does not deviate from the main purpose of the present invention, various modifications that can be imagined by technical personnel in this field are applied to the present implementation form, or the form constructed by combining the constituent elements in different implementation forms can be included in the scope of one or more aspects of the present invention.
再者,在上述各實施形態中,各構成要素可由專用的硬體來構成,亦可藉由執行適合於各構成要素的軟體程式來實現。各構成要素亦可藉由CPU或處理器等之 程式執行部,將已記錄於硬碟或半導體記憶體等之記錄媒體的軟體程式讀取並執行來實現。 Furthermore, in each of the above-mentioned embodiments, each component can be formed by dedicated hardware or can be implemented by executing a software program suitable for each component. Each component can also be implemented by a program execution unit such as a CPU or a processor reading and executing a software program recorded on a recording medium such as a hard disk or a semiconductor memory.
本揭示之實施形態的裝置之機能的一部分或全部,其典型的實現方式是製成積體電路的LSI(Large Scale Integration(大型積體電路))。這些機能可個別地製成單一晶片,亦可在單一晶片之一部分或全部包含其機能。又,積體電路化並不限於LSI,亦可利用專用電路或通用處理器來實現。亦可利用:在LSI製造後,可程式設計的FPGA(Field Programmable Gate Array(現場可程式閘陣列))、或可再構成LSI內部之電路電池的連接或設定之可重組態處理器(reconfigurable processor)。 Part or all of the functions of the device of the embodiment of the present disclosure are typically implemented by making an LSI (Large Scale Integration) of an integrated circuit. These functions can be made into a single chip individually, or part or all of the functions can be included in a single chip. In addition, integrated circuitization is not limited to LSI, and can also be implemented using a dedicated circuit or a general-purpose processor. It can also be used: a programmable FPGA (Field Programmable Gate Array) after LSI manufacturing, or a reconfigurable processor that can reconfigure the connection or setting of the circuit battery inside the LSI.
又,本揭示之實施形態的裝置之機能的一部分或全部,也可以是藉由CPU等的處理器執行程式來實現。 Furthermore, part or all of the functions of the device of the embodiment of the present disclosure may also be implemented by executing a program on a processor such as a CPU.
又,上述所使用的數字,全部都是為了具體地說明本揭示而例示的數字,本揭示並不受例示的數字所限制。 In addition, all the numbers used above are exemplified for the purpose of specifically explaining the present disclosure, and the present disclosure is not limited to the exemplified numbers.
又,顯示於上述流程圖之各步驟的執行順序,是用於具體地說明本揭示的例示,在可獲得同樣之結果的範圍內亦可為上述以外的順序。又,上述步驟之一部分亦可與其他的步驟同時(並列)執行。 Furthermore, the execution order of each step shown in the above flowchart is used to specifically illustrate the example of the present disclosure, and other orders other than the above may be used within the scope of obtaining the same result. Furthermore, part of the above steps may also be executed simultaneously (in parallel) with other steps.
另外,只要不脫離本揭示的主旨,對於本揭示的各實施形態實施了本領域之技術人員可設想得到的範圍內之變更的各種變形例也都包含於本揭示中。 In addition, as long as they do not deviate from the main purpose of this disclosure, various modifications of the embodiments of this disclosure that are implemented within the scope that can be imagined by technical personnel in this field are also included in this disclosure.
《補充說明》 《Supplementary instructions》
本揭示之一態樣的方法是:(A)持續地或斷續地取得顯示對象人物之身體的動作之身體動作資料;(B)依據前述身體動作資料,來生成顯示前述對象人物之睡眠狀態的睡眠狀態資料;(C)將前述睡眠狀態資料儲存於睡眠狀態資料庫;(D)參照身體狀況預測資訊資料庫,從前述睡眠狀態資料來預測前述對象人物之身體狀態的今後之變化;及(E)在已取得顯示前述對象人物之身體狀態的身體狀態資料時,執行以下的(e1)~(e3)。(e1)從前述睡眠狀態資料庫,讀取過去之一定期間內的過去之睡眠狀態資料;(e2)將前述身體狀態資料對照前述過去的睡眠狀態資料,而從特定的睡眠狀態資料來生成用於預測前述身體狀態之特定的變化之身體狀況預測資訊;及(e3)將前述身體狀況預測資訊登錄於前述身體狀況預測資訊資料庫。 One aspect of the method disclosed herein is: (A) continuously or intermittently obtaining body motion data showing body motions of a subject person; (B) generating sleep state data showing the sleep state of the subject person based on the body motion data; (C) storing the sleep state data in a sleep state database; (D) predicting future changes in the body state of the subject person from the sleep state data with reference to a body state prediction information database; and (E) executing the following (e1) to (e3) when the body state data showing the body state of the subject person has been obtained. (e1) reading past sleep state data within a past period of time from the aforementioned sleep state database; (e2) comparing the aforementioned body state data with the aforementioned past sleep state data, and generating body state prediction information for predicting a specific change of the aforementioned body state from the specific sleep state data; and (e3) registering the aforementioned body state prediction information in the aforementioned body state prediction information database.
例如,前述身體動作資料亦可是藉由身體動作感測器所檢測、顯示每單位時間之前述對象人物的身體之動作的次數之資料。前述睡眠狀態資料亦可是,顯示前述對象人物在各期間內正在睡眠或保持清醒的資料。在前述(B)中,(b1)在從連續之複數個單位時間的前述身體動作資料所算出之評價值,比預定的值更小時,判定前述對象人物正在睡眠,(b2)在前述評價值為前述預定的值以上時,亦可判定前述對象人物保持清醒。 For example, the body movement data may be data that is detected by a body movement sensor and displays the number of body movements of the aforementioned target person per unit time. The sleep state data may also be data that displays whether the aforementioned target person is sleeping or staying awake during each period. In the aforementioned (B), (b1) when the evaluation value calculated from the aforementioned body movement data of a plurality of consecutive unit times is smaller than a predetermined value, it is determined that the aforementioned target person is sleeping, and (b2) when the aforementioned evaluation value is greater than the aforementioned predetermined value, it may also be determined that the aforementioned target person is staying awake.
例如,前述身體狀態資料亦可是從觀察前述對象人物之觀察者的終端所輸入之資料。 For example, the aforementioned physical state data may also be data input from a terminal of an observer observing the aforementioned object person.
例如,在前述(e2)中,判定在前述身體狀態資料與前述過去的睡眠狀態資料之間是否存有相關關係,在有前述相關關係時,亦可將前述身體狀態資料與前述過去的睡眠狀態資料相互連結的資訊,生成作為前述身體狀況預測資訊。 For example, in the aforementioned (e2), it is determined whether there is a correlation between the aforementioned body state data and the aforementioned past sleep state data. When there is the aforementioned correlation, the aforementioned body state data and the aforementioned past sleep state data can be linked to each other to generate the aforementioned body state prediction information.
例如,在前述(D)中,亦可將所取得的前述睡眠狀態資料,與前述身體狀況預測資訊資料庫內之前述過去的睡眠狀態資料進行型樣匹配。 For example, in the aforementioned (D), the obtained sleep state data can also be pattern matched with the aforementioned past sleep state data in the aforementioned body condition prediction information database.
例如,另外亦可持續地或斷續地取得顯示前述對象人物之體溫的體溫資料。在前述(D)中,亦可從前述睡眠狀態資料與前述體溫資料來預測前述今後的變化。 For example, the body temperature data showing the body temperature of the aforementioned target person may also be obtained continuously or intermittently. In the aforementioned (D), the aforementioned future changes may also be predicted from the aforementioned sleep state data and the aforementioned body temperature data.
例如,在前述(D)中,亦可依據前述對象人物在夜間清醒的頻率,來預測前述身體狀態之今後的變化。 For example, in the above (D), the future changes of the above physical state can also be predicted based on the frequency of the above subject's awakening at night.
例如,在前述(D)中,亦可依據前述對象人物在夜間保持清醒的時間,來預測前述身體狀態之今後的變化。 For example, in the aforementioned (D), the future changes of the aforementioned physical state can also be predicted based on the time the aforementioned subject stays awake at night.
例如,前述身體狀態資料亦可包含前述對象人物之失智症周邊症狀相關的資訊。 For example, the aforementioned physical condition data may also include information related to the peripheral symptoms of dementia of the aforementioned target person.
例如,另外,亦可將在前述(D)中預測的結果發送至終端。 For example, the predicted result in (D) above may also be sent to the terminal.
本揭示之一態樣的電腦具備處理器及記憶體,該記憶體記錄有用於使前述處理器執行上述之任一種方法的程式。 A computer according to one aspect of the present disclosure has a processor and a memory, and the memory records a program useful for enabling the processor to execute any of the above methods.
本揭示之一態樣的非暫時性之記憶媒體,記 錄有用於使前述處理器實施上面之任一種方法的程式。 A non-transitory storage medium according to one aspect of the present disclosure records a program useful for enabling the aforementioned processor to implement any of the above methods.
本揭示的身體狀況預測方法、身體狀況預測裝置及身體狀況預測程式,能夠預測對象人物之身體狀況的變化,作為預測對象人物之身體狀況的身體狀況預測方法、身體狀況預測裝置及身體狀況預測程式是有用的。 The physical condition prediction method, physical condition prediction device, and physical condition prediction program disclosed herein can predict changes in the physical condition of a subject, and are useful as a physical condition prediction method, physical condition prediction device, and physical condition prediction program for predicting the physical condition of a subject.
S1~S11:步驟 S1~S11: Steps
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