WO2019021743A1 - Système de commande d'alarme, unité de détection, système d'assistance médicale et procédé de commande d'alarme - Google Patents

Système de commande d'alarme, unité de détection, système d'assistance médicale et procédé de commande d'alarme Download PDF

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Publication number
WO2019021743A1
WO2019021743A1 PCT/JP2018/024708 JP2018024708W WO2019021743A1 WO 2019021743 A1 WO2019021743 A1 WO 2019021743A1 JP 2018024708 W JP2018024708 W JP 2018024708W WO 2019021743 A1 WO2019021743 A1 WO 2019021743A1
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WIPO (PCT)
Prior art keywords
subject
time zone
detection
detection unit
bed
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Ceased
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PCT/JP2018/024708
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English (en)
Japanese (ja)
Inventor
和浩 小島
雅徳 南部
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Konica Minolta Inc
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Konica Minolta Inc
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Priority to JP2019532461A priority Critical patent/JP7180597B2/ja
Publication of WO2019021743A1 publication Critical patent/WO2019021743A1/fr
Anticipated expiration legal-status Critical
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/16—Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING SYSTEMS, e.g. PERSONAL CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18—Status alarms
    • G08B21/22—Status alarms responsive to presence or absence of persons
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING SYSTEMS, e.g. PERSONAL CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B25/00—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems
    • G08B25/01—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium
    • G08B25/04—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium using a single signalling line, e.g. in a closed loop

Definitions

  • the present invention is applied to, for example, a care support system for supporting the daily life of a subject, and a detection control system for controlling generation of a notification to a terminal owned by a staff, and a detection unit including the detection control system.
  • the present invention relates to a care support system including an alert control system and an alert control method.
  • JP 2010-286971 A see paragraphs [0010], [0022] to [0025], FIG. 1, etc.
  • the present invention has been made to solve the above-mentioned problems, and the purpose thereof is that even when the subject detects awakening or leaving of the subject during the time when the subject is going to bed or entering the bed, A notification control system capable of reducing the load on staff and reducing the work load by limiting the notification to terminals owned by the staff under conditions, and a moving object detection unit including the notification control system, An object of the present invention is to provide a care support system including an alarm control system and an alarm control method.
  • the alert control system is based on a detection unit that detects a state of a living room and a state of a target person in the living room, a clock unit that clocks time, and clocking in the clock unit. And a notification control unit configured to control a notification of an alarm to a terminal owned by the staff in each of a plurality of time zones to be grasped, the notification control unit dictating that the target person should go to bed or go to bed.
  • the detection unit detects awakening or leaving of the subject, and issues a notification after the detection lasts for a predetermined time.
  • a detection unit is a detection unit installed in the living room, and includes the above-described notification control system.
  • a care support system is a care support system including the above-described alert control system, which manages a detection unit installed in the living room and information output from the detection unit.
  • the notification control unit Alert the terminal owned by the staff. That is, when the awakening or leaving of the subject does not continue for a predetermined time, the notification to the terminal is limited. As a result, the frequency of notification can be reduced compared to control in which the terminal is immediately notified upon detection of awakening or leaving the bed. Therefore, it is possible to reduce the work load of the staff by reducing the frequency of rush of staff to the target person.
  • FIG. 1 is an explanatory view showing a schematic configuration of a facility type care support system according to an embodiment of the present invention. It is an explanatory view showing typically a situation of a living room where a moving object detection unit of the above-mentioned care support system was installed. It is a block diagram which shows the schematic structure of the said moving body detection unit. It is a block diagram which shows the detailed structure of the optical detection part of the said moving body detection unit. It is an explanatory view showing a schematic structure of a visit type care support system. It is a block diagram which shows the detailed structure of the management server which the said facility type care support system has. It is a flowchart which shows the flow of the process by alerting
  • the staff refers to workers (doctor, carer (caregiver), nurse, etc.) engaged in medical care, nursing care or nursing, and the subject is the subject to be taken care of by the staff.
  • care refers to taking care of a subject regarding medical care, care or nursing.
  • the notification control system and the notification control method of the present embodiment are applicable to a care support system shown below or a moving body detection unit included in the care support system.
  • the above-mentioned care support system is roughly classified into a facility type and a visit type (including a visit medical type, a visit care type, and a visit nursing type).
  • a visit type including a visit medical type, a visit care type, and a visit nursing type.
  • FIG. 1 is an explanatory view showing a schematic configuration of a facility type care support system 1 of the present embodiment.
  • the care support system 1 is a system for supporting the daily life of a cared person living in a care facility or a patient (cared person) admitted to a hospital, and is also called a watching system. .
  • the care receiver and the care recipient are persons targeted for support by the care support system 1.
  • the care support system 1 is constructed in a care facility will be described.
  • the staff station 100 is a so-called filling station of the staff T who supports the life of the care recipient who spends in the nursing home S.
  • the staff station 100 is provided with a management server 100a.
  • the management server 100a is communicably connected to a later-described moving object detection unit 10 installed in the living room 101 via the communication line 200, and includes a central processing unit (CPU; Central Processing Unit).
  • the communication line 200 described above is configured by, for example, a wired LAN (Local Area Network), a wireless LAN, an Internet line, or the like.
  • the management server 100a receives various types of information (for example, a photographed image in the living room 101 and vital information of the care recipient (for example, vital data indicating a breathing state) transmitted from the moving body detection unit 10 via the communication line 200. Management, and the received information is displayed on the display unit 100b 1. Thereby, in the staff station 100, the staff T sees the information displayed on the display unit 100b 1 and sees the state of the care receiver (for example, it is possible to grasp the existence of a fall or respiratory condition).
  • display unit 100b 1 may be a personal computer 100b displays that are communicably connected to for example a management server 100a.
  • the management server 100a is The management server 100 may be configured integrally with the personal computer 100 b. It will be described in detail later configuration of.
  • the staff T since the staff T possesses the terminal 300 capable of wireless communication with the management server 100a via the communication line 200, the staff T operates the terminal 300 to access the management server 100a to acquire various information. Is possible. Furthermore, the staff member T can also display various information transmitted from the management server 100a to the terminal 300 on the screen of the terminal 300 to grasp the state of the care receiver.
  • multifunctional portable terminals such as a tablet and a smart phone, and a notebook type personal computer can be assumed, for example.
  • At least one living room 101 is provided in the care facility S, and FIG. 1 shows the case where two living rooms 101 are provided as an example.
  • the living room 101 one bed 102 used by the care recipient is installed.
  • a single room is assumed as the room 101 here, a multi-floor room such as a double room or a quadruple room may be used.
  • beds 102 are installed as many as the number of care recipients who spend in the living room 101.
  • FIG. 2 is explanatory drawing which shows typically the mode in the living room 101 in which the moving body detection unit 10 was installed.
  • the moving body detection unit 10 is installed on the ceiling portion 101 a of each living room 101, and is communicably connected to the communication line 200.
  • the moving body detection units 10 are installed by the number corresponding to the beds 102 in the living room 101.
  • FIG. 3 is a block diagram showing a schematic configuration of the moving body detection unit 10.
  • the motion detection unit 10 is installed in the living room 101 of the care recipient (target person) and detects the state in the living room 101 (for example, whether or not a plurality of people exist in the living room 101). It is a non-contact sensor that detects the condition of the care recipient (for example, the physical condition) without contacting the care recipient.
  • the moving body detection unit 10 includes an image recognition system 20, a radio wave detection unit 30, a unit control unit 40 and a clocking unit 45.
  • the motion detection unit 10 is also referred to as a sensor box because it includes various sensors such as the radio wave detection unit 30 and an optical detection unit 23 described later.
  • the clock unit 45 is configured of a timer that counts time.
  • the radio wave detection unit 30 is a sensor that detects the state of the care recipient in the living room 101 by radiation and reception of radio waves.
  • the radio wave detection unit 30 includes a radiation unit and a reception unit (not shown), and for example, is a microwave Doppler sensor that radiates microwaves in the 24 GHz band and receives reflected waves that are reflected and Doppler-shifted by the care recipient Configured Thereby, the radio wave detection unit 30 can detect the respiratory state (respiration rate), the sleep state (sleep or awake), the heart rate and the like of the care recipient as biological information (vital data) from the received reflected wave. .
  • the radio wave detection unit 30 functions as a micro motion detection unit that detects micro motion of the care recipient (subject).
  • the radio wave detection unit 30 emits radio waves (microwaves), and compares the frequency of the radio waves (reflected waves) reflected by the care receiver with the frequency of the emitted radio waves, thereby It is also possible to detect body movement (body movement).
  • the radio wave detection unit 30 may be a sensor that detects only one of body movement and body movement.
  • the unit control unit 40 controls the operations of the image recognition system 20 and the radio wave detection unit 30, and performs image processing and signal processing on the information obtained from the image recognition system 20 and the radio wave detection unit 30. Is a control board that outputs the information to the management server 100a as information on the condition of the care recipient.
  • the unit control unit 40 includes a main control unit 41, an information processing unit 42, an interface unit 43, a storage unit 24, and an image recognition unit 25.
  • the storage unit 24 and the image recognition unit 25 are provided in the unit control unit 40 here, but may be provided independently of the unit control unit 40. The details of the storage unit 24 and the image recognition unit 25 will be described later.
  • the main control unit 41 is configured of a CPU that controls the operation of each unit in the moving object detection unit 10.
  • the information processing unit 42 and the image recognition unit 25 may be configured by the above-described CPU (may be integrated with the main control unit 41), or may be another calculation unit or a circuit that performs a specific process. It may be configured.
  • the information processing unit 42 is configured to perform predetermined processing on information (for example, image data) output from an optical detection unit 23 described later of the image recognition system 20 and information (for example, data related to a breathing state) Perform signal processing based on the algorithm of The information obtained by the signal processing is used for image recognition in the image recognition system 20 (in particular, the image recognition unit 25).
  • information for example, image data
  • information for example, data related to a breathing state
  • a network cable (not shown) of the communication line 200 is electrically connected to the interface unit 43.
  • Information on the condition of the care receiver detected by the moving object detection unit 10 based on the image and the microwave is transmitted to the management server 100 a via the interface unit 43 and the communication line 200.
  • the image recognition system 20 includes an illumination unit 21, an illumination control unit 22, and an optical detection unit 23.
  • the lighting unit 21 includes an LED (Light Emitting Diode) that emits infrared light (for example, near infrared light) so as to enable photographing in the dark, and is positioned on the ceiling portion 101 a of the living room 101. , Illuminate the interior of the room 101.
  • the illumination unit 21 includes a plurality of LEDs, and illuminates a floor surface 101b (see FIG. 2) in the living room 101 and a wall connecting the ceiling portion 101a and the floor surface 101b. Control of illumination (emission of infrared light) by the illumination unit 21 is performed by the illumination control unit 22.
  • the optical detection unit 23 is an imaging unit that captures an image by capturing the inside of the living room 101 under the illumination of the lighting unit 21, and in particular, captures a cared person in the living room 101 to acquire an infrared image. It is an infrared image sensor. After the information (image data) of the image in the living room 101 acquired by the optical detection unit 23 is temporarily stored in the storage unit 24 described later, for example, based on the transmission request from the management server 100a, the management server 100a Will be sent.
  • the detailed configuration of the optical detection unit 23 is as follows.
  • FIG. 4 is a block diagram showing the detailed configuration of the optical detection unit 23.
  • the optical detection unit 23 is disposed on the ceiling unit 101 a of the living room 101 adjacent to the illumination unit 21, and acquires an image of a viewpoint directly above, whose view direction is directly below, by photographing.
  • the optical detection unit 23 includes a lens 51, an imaging device 52, an AD (analog / digital) conversion unit 53, an image processing unit 54, and a control calculation unit 55.
  • the lens 51 is, for example, a fixed focus lens, and is configured of a general super wide-angle lens or a fisheye lens.
  • a lens having a diagonal angle of view of 150 ° or more can be used. Thereby, it becomes possible to image the inside of the living room 101 from the ceiling portion 101a to the floor surface 101b.
  • the imaging device 52 is configured of, for example, an image sensor such as a charge coupled device (CCD) or a complementary metal oxide semiconductor (CMOS).
  • the imaging device 52 is configured by removing the IR cut filter so that the condition of the care recipient can be detected as an image even in a dark environment.
  • An output signal from the imaging element 52 is input to the AD conversion unit 53.
  • the AD conversion unit 53 receives an analog image signal of an image captured by the imaging element 52, and converts the analog image signal into a digital image signal.
  • the digital image signal output from the AD conversion unit 53 is input to the image processing unit 54.
  • the image processing unit 54 receives the digital image signal output from the AD conversion unit 53, and executes image processing such as black correction, noise correction, color interpolation, white balance, and the like on the digital image signal. .
  • the signal after image processing output from the image processing unit 54 is input to the image recognition unit 25.
  • the control calculation unit 55 performs calculations such as AE (Automatic Exposure) related to the control of the imaging device 52, and also controls the exposure time and gain of the imaging device 52. In addition, the control calculation unit 55 executes calculations such as suitable light amount setting and light distribution setting for the illumination unit 21 as necessary, and executes control.
  • the control calculation unit 55 may have the function of the illumination control unit 22 described above.
  • the above-described image recognition system 20 further includes the storage unit 24 and the image recognition unit 25 described above.
  • the storage unit 24 is a memory for storing control programs executed by the unit control unit 40 and various types of information, and includes, for example, a random access memory (RAM), a read only memory (ROM), and a non-volatile memory.
  • RAM random access memory
  • ROM read only memory
  • non-volatile memory non-volatile memory
  • the image recognition unit 25 performs an image recognition process on the image data of the image acquired by the optical detection unit 23. More specifically, the image recognition unit 25 extracts the contour of the object, for example, from the image data after the image processing unit 54 of the optical detection unit 23 executes the image processing, and uses a method such as pattern matching. Execute image recognition processing to recognize the shape. Thereby, the image recognition unit 25 can recognize the state of the care receiver in the living room 101. As a state of the cared person who is in the living room 101, getting up, leaving, entering a bed (bed), falling, etc. can be assumed.
  • the image recognition unit 25 can recognize the shape of the head of a human by pattern matching or the like, whereby the number of people present in the living room 101 (in particular, whether or not a plurality of people exist in the living room 101) Can also be detected (understood).
  • the image recognition system 20 described above (in particular, the optical detection unit 23 and the image recognition unit 25) and the radio wave detection unit 30 constitute a detection unit that detects the state in the living room 101 and the state of the care receiver in the living room 101. ing.
  • FIG. 5 is an explanatory view showing a schematic configuration of the visit type care support system 1.
  • the visit-type care support system 1 installs the above-described moving body detection unit 10 at each home (for example, the living room 110) of a target person who manages health, such as a carer or a carer, and each moving body detection unit 10 Is configured to be communicably connected to the management server 100a via the communication line 200, and the basic configuration is the same as the facility type care support system 1 except that the moving object detection unit 10 is installed in each building. Is the same.
  • management server 100a the detailed configuration of the management server 100a described above will be described.
  • mold is demonstrated to an example below, the same structure is applicable also to the care support system 1 of a visit type
  • FIG. 6 is a block diagram showing the detailed configuration of the management server 100a.
  • the management server 100 a includes a storage unit 501, a communication unit 502, a position determination unit 503, a clock unit 504, and a control unit 505.
  • the clock unit 504 is configured of a timer that counts time.
  • the storage unit 501 is configured by, for example, a hard disk, and stores various information transmitted from the moving body detection unit 10 and a program executed by the control unit 505.
  • the various information includes, for example, the daily body temperature of the care recipient, body movement (including movement, number of movements per unit time, amount of movement), body movement (respiration rate), blood pressure, sleep state, etc. It includes biological information (vital data), image information acquired by photographing with the optical detection unit 23, an image recognition result by the image recognition unit 25, and the like.
  • the various information may be transmitted from the moving body detection unit 10 to the management server 100 a in response to a transmission request for information from the management server 100 a (for example, the overall control unit 511), or automatically from the moving body detection unit 10. May be sent to the management server 100a.
  • the storage unit 501 also functions as a care information storage unit that stores care record information (care record information) recorded regarding the care of the care receiver.
  • the care record information includes, for example, information recorded by the staff regarding the diet and the state of intake of water of the care receiver. For example, when the care recipient ingests food and water in the living room 101, and the staff T carries out the care for assisting the intake, the staff T uses the care implementation status (content) as the care record information Enter 300.
  • the input care record information is transmitted from the terminal 300 to the management server 100 a and stored in the storage unit 501.
  • control unit 505 refers to the care record information to determine whether care has been performed on the cared person, ie, the cared person is in the living room 101. It becomes possible to judge whether the room is occupied or not.
  • the above care record information may be input by the personal computer 100b (see FIG. 1) connected to the management server 100a and stored in the storage unit 501.
  • the storage unit 501 also functions as a registration information storage unit that stores registration information related to the care recipient, which is registered in advance when the care recipient enters the living room 101.
  • the registration information described above may be input, for example, by the operation of the personal computer 100b and may be stored in the storage unit 501, but is input at the terminal 300 of the staff T, transmitted to the management server 100a, and stored in the storage unit 501. May be
  • the registration information of the care receiver includes, for example, the correspondence relationship between the care receiver (name) and the living room 101 (room number), and also the information on whether the care receiver is bedridden and whether the outside floor is not available.
  • the condition that the floor can not be used means that the care recipient can not move easily and the outside room is not permitted, for example, when the care recipient suffers from an infection (eg, influenza) or a fracture occurs. Point to the state. Therefore, the control unit 505 (in particular, the notification control unit 512) can determine whether the care recipient is a subject who needs to be managed in the bed state, based on the above registration information. Become.
  • the communication unit 502 is an interface for inputting and outputting information with the outside (for example, the moving object detection unit 10 and the terminal 300), and includes a transmitting circuit, a receiving circuit, an antenna, and the like.
  • the position determination unit 503 determines the position of the staff T based on the detection result of the state in the living room 101 by the moving body detection unit 10 (particularly the detection unit), and determines the presence or absence of the staff T with respect to the living room 101. It is a block and is configured by, for example, a CPU. The details of the determination method of staff T's entry and exit are as follows.
  • the moving object detection unit 10 detects whether or not there are a plurality of persons in the living room 101 from the result of the image recognition by the image recognition unit 25 on the image acquired by the optical detection unit 23. it can.
  • the living room 101 is a multi-floor room, when a larger number of people than the number of carers who spend in the living room 101 is detected, the staff T is included in the living room 101 in addition to a plurality of care recipients. It is likely to be Therefore, the position determination unit 503 can determine that the staff T has entered the living room 101 when the moving object detection unit 10 detects a larger number of people than the number of carers who are to be spent in the living room 101. .
  • the control unit 505 includes a general control unit 511 and an alarm control unit 512.
  • the overall control unit 511 is a block that controls the operation of each unit of the management server 100a, and is configured of, for example, a CPU.
  • the alerting control unit 512 is a block that controls alerting (notification) of an alert to the terminal 300 possessed by the staff T in each of a plurality of time zones grasped based on timing by the timing unit 504, For example, it is comprised by CPU.
  • the overall control unit 511 and the notification control unit 512 may be configured by the same CPU. Further, at least one of the overall control unit 511 and the notification control unit 512 may double as the position determination unit 503 described above.
  • FIG. 7 is a flow chart showing the flow of processing by alert control in the care support system 1 of the present embodiment.
  • the alert control method implemented in the care support system 1 of the present embodiment includes an admission / restoration determination step (S1), an awakening / leaving determination step (S3, S5), and a time zone determination step (S7). And an alarm control step (S9, S11).
  • S1 admission / bed decision process
  • the alert control unit 512 determines whether the detection unit of the moving object detection unit 10 detects the patient's admission or bed (by image recognition) based on the detection signal transmitted from the moving object detection unit 10 Determine If it is determined in S1 that the detection unit has detected the patient's admission or beds, the process proceeds to the next S3. On the other hand, when it is determined in S1 that the detection unit has not detected the admission or beds of the care recipient, the process proceeds to S11 described later.
  • the alert control unit 512 detects the awakening or leaving of the care receiver in the living room 101 (by micromotion detection or image recognition) based on the detection signal transmitted from the moving body detection unit 10 It is determined whether or not. Then, when it is determined in S3 that awakening or leaving has been detected, the alert control unit 512 further determines whether detection of awakening or leaving in S3 has continued for a predetermined time (whether awakening or leaving has continued for a predetermined time) Or not) is determined (S5).
  • a predetermined time for example, 15 minutes
  • the predetermined time may be set according to the cared person, and may be set to different times for each cared person.
  • the setting of the predetermined time can be performed in advance, for example, by the operation of the personal computer 100 b, and the set time information is stored in the storage unit 501.
  • the alert control unit 512 of the management server 100a sets the first time zone in which the current time is set in advance as a time zone in which the cared person should go to bed or go to bed based on the clocking by the clocking unit 504 ( For example, it is determined whether it is included in 21:00-6:00 of the next morning or in a second time zone different from the first time zone (eg 7:00-10:59) .
  • the first time zone may be set according to the cared person, and may be set to different times for each cared person.
  • the setting of the first time zone can be performed in advance, for example, by the operation of the personal computer 100b, and the set time information is stored in the storage unit 501.
  • the second time zone fluctuates according to the setting of the first time zone.
  • the notification control unit 512 notifies (reports) an alarm to the terminal 300 of the staff T.
  • the staff T recognizes that the care recipient is likely to be in a dangerous state (for example, falling from the bed, fall), and rushes to the living room 101 to confirm the care recipient's state. If necessary, it is possible to take appropriate action (eg, contact a doctor, assist in entering the bed).
  • the notification control unit 512 stops the notification to the terminal 300.
  • the care recipient may not be in the living room 101 from the beginning (for example, when the living room 101 is originally empty), or the care recipient It is assumed that the person outside the bed in the living room 101 is doing business (when watching television, doing gymnastics), and it is unlikely that the care recipient is in a dangerous state.
  • the cared person does not detect awakening or bed leaving after entering the bed, the cared person has entered a sleep state, and there is a low possibility that the cared person is in a dangerous state.
  • the notification control unit 512 issues a notification to the terminal 300 in the first time zone (nighttime)
  • the detection unit of the moving object detection unit 10 detects awakening or leaving of the care receiver
  • a notification is issued (S3, S5, S7, S9).
  • the alert control unit 512 does not issue an alert to the terminal if the detection does not continue for a predetermined time (S7, S11).
  • alerting of the staff T to the terminal 300 is limited, so the staff T receives the notification based on the alert.
  • the work load on the staff T can be reduced by reducing the frequency of rushing to the care giver.
  • the work load reduction effect of the staff T by the alarm control at nighttime becomes very high.
  • the alerting to the terminal 300 is limited (during a predetermined time from the detection of awakening or leaving the bed), the alerting (alarm notification) is not received at the terminal 300.
  • the burden of receiving notification is also reduced compared to reporting control.
  • the alert is issued after detection of awakening or leaving of a cared person continues for a predetermined time, so Staff T rushes to the cared person in response to the alert. Appropriate measures can be taken to avoid leaving the cared person at risk.
  • the moving body detection unit 10 is assumed that the care receiver has left the room (despite being originally absent).
  • the terminal 300 is notified.
  • the notification in this case is not a notification that the cared person is in danger, but is a false alarm.
  • the alert control unit 512 issues a notification to the terminal 300 in the first time zone, after the reception unit or the bed of the care recipient is detected once by the detection unit (S1),
  • the notification of the false alarm can be eliminated by detecting the awakening or leaving of the person and issuing a notification after the detection continues for a predetermined time. That is, the detection unit first detects a state in which the care recipient is in the living room 101 (in particular, on the bed), then detects awakening or leaving the bed, and issues a notification after continuing for a predetermined time.
  • the detection unit first detects a state in which the care recipient is in the living room 101 (in particular, on the bed), then detects awakening or leaving the bed, and issues a notification after continuing for a predetermined time.
  • the behavior pattern of the care recipient often differs between day and night, and during the daytime (for example, the second time zone), the time during which the care recipient is not in the living room 101 increases due to events.
  • the detection unit detects leaving of the cared person for a predetermined time, the cared person is not in a dangerous state, and notification to the terminal 300 is unnecessary. Therefore, in the second time zone different from the first time zone, the alert control unit 512 detects the awakening or leaving of the care receiver by the detection unit, and the terminal 300 continues the detection for a predetermined time. By stopping the alerting to (S7, S11), unnecessary alerting in the second time zone can be eliminated.
  • the same alert control is performed day and night without considering such a difference, In each day and night, more accurate and appropriate reporting is possible.
  • appropriate notification can be made in consideration of it. That is, by changing the alert control algorithm between the first time zone and the second time zone, appropriate alert control can be performed according to the first time zone and the second time zone. Become.
  • the number of staff T and behavior patterns are different, and the tolerance for false alarm is different (the number of staff T is smaller at night and the tolerance for false alarm is smaller).
  • the detection unit (including the optical detection unit 23, the image recognition unit 25, and the radio wave detection unit 30) of the moving object detection unit 10 determines the condition of the care recipient in the living room 101 (for example, sleep / wakening, entering / leaving) Detect without contact.
  • the detection unit can detect the state of the cared person without restricting the behavior of the cared person in the living room 101 at all. That is, in order to detect the condition of the cared person, it is not necessary to force the cared person to wear special footwear (slippers with a walking sensor) as in Patent Document 1, for example.
  • the care recipient since the condition of the care recipient is detected in a non-contact manner without being noticed by the care recipient, the care recipient is not given a sense of oppression or anxiety due to monitoring.
  • the care support system 1 includes a moving body detection unit 10 installed in the living room 101 and a management server 100a that manages information output from the moving body detection unit 10, and the moving body detection unit 10 includes the detection unit.
  • the management server 100 a includes a clock unit 504 and a notification control unit 512.
  • the notification control unit 512 of the management server 100a can perform the above-described notification control to obtain the above-described effects.
  • the motion control system is configured to control the reporting of the terminal by the moving object detection unit 10 (especially the detection unit) and the management server 100a, and the care support system 1 includes the above-described notification control system. It can be said that it is the composition containing.
  • the time zone determination step (S7) is performed after the awakening / leaving determination step (S3, S5), but may be performed before the awakening / leaving determination step (S3, S5), You may carry out before a bed entering / bed-to-bed determination process (S1). This point is the same as in the following specific example.
  • FIG. 8 is a flow chart showing the flow of processing by another notification control in the care support system 1 of the present embodiment.
  • a target room presence determination process S1-2
  • S1 entering / seating process determination process
  • S8-1 staff entry / exit determination process
  • the notification control process the notification is controlled based on the determination result of the staff entry / exit (S8-2, S9, S11).
  • the notification control unit 512 determines, based on the care record information stored in the storage unit 501, whether the care receiver is present in the living room 101 or not. If it is determined in S1-2 that the care receiver is absent, the processing proceeds to S11, and if it is determined that the care receiver is present in the living room 101, the processing proceeds to S3.
  • S8-1 Staff entry and exit judgment process
  • S8-1 is performed after the time zone determination process of S7.
  • the position determination unit 503 determines that the room is based on the detection result of the state in the room 101 by the detection unit of the moving body detection unit 10. It is determined whether the staff T enters or leaves the room 101.
  • determination of the entrance of staff T can be performed based on whether the number of persons more than the number of the carers who spend in the living room 101 was detected by the image recognition in a detection part as mentioned above (If it is detected, it will be a decision to enter the staff).
  • the evacuation of the staff can be performed based on whether or not the same number of people as the number of carers who spend in the living room 101 are detected by the image recognition in the detection unit (when the same number is detected) It will be judged that the staff has left the room).
  • the notification control unit 512 determines whether or not the detection of the leaving of the care recipient by the detection unit in S3 is simultaneous with the staff T leaving. If the detection of leaving of the care receiver is simultaneous with the leaving of the staff T, it can be said that the care receiver is likely to be taken out by the staff T and leaving the room together (so-called co-taking). In this case, since it is assumed that the care recipient receives nursing and care by the staff at a nurse station or the like, it can be said that the care recipient is not in a dangerous state such as falling due to bed leaving.
  • the process proceeds to S11, and the notification control unit 512 stops the notification to the terminal 300.
  • the detection of the care receiver's leaving at S8-2 is not simultaneous with the staff T's leaving (for example, when the staff T's leaving is detected after the staff T's leaving), the care receiver falls, etc. Because there is a high possibility of being in the dangerous state, the process shifts to S9, and the alert control unit 512 issues an alert to the terminal 300.
  • the alert control unit 512 determines that the staff T has entered or left the room 101 by the position determination unit 503 (S8-1), and When the staff T leaves the room, the detection unit detects the leaving of the care receiver, and when the detection continues for a predetermined time (S3, S5, S8-2), the notification to the terminal 300 is stopped (S11). That is, in the first time zone, the same notification control (reporting stop) as in the second time zone is performed during the period in which the care receiver is taken out by the staff T. As described above, when the care receiver leaves the room with the staff T, there is a high possibility that the care receiver is not in a dangerous state. Therefore, when the terminal 300 is notified in this state, it will be false. The notification control of the false alarm can be prevented by the alert control unit 512 performing the above-described alert control.
  • the alert control unit 512 sends the terminal 300 to the terminal 300 after a predetermined time has elapsed since detection of leaving or the like, as in the first embodiment.
  • a notification is issued (S3, S5, S7, S8-1, S9). Since alerting to the terminal 300 is limited for a predetermined time after detection of leaving, etc. and alerting is not performed frequently, it is possible to reduce the inconvenience caused by receiving notification by alerting many times. .
  • the staff T can rush to the care recipient and take appropriate measures, and it is possible to avoid the situation where the care recipient is kept standing in danger.
  • the position determination unit 503 also detects the number of people present in the living room 101 (a plurality of people in the living room 101) based on the detection result (for example, the image recognition result) of the inside of the living room 101 by the detection unit of the moving body detection unit Can determine whether or not a person other than the care recipient (that is, staff T) has entered or left the living room 101).
  • the alert control unit 512 determines that the care recipient is present in the living room 101 based on the care record information in the first time zone (S7) (S1-2), and then the position
  • the determination unit 503 determines that the staff T has entered or left the room 101 (S8-1), and when the staff T leaves the room, the care receiver's leaving is detected, and the detection continues for a predetermined time. (S3, S5, S8-2), stop the notification to the terminal 300.
  • the detection unit detects the leaving of the bed, and the notification is controlled based on the detection result.
  • the target room presence determination process (S1-2) of this specific example corresponds to the entering / dwelling bed determination process of S1-1 of specific example 1, and the effect of performing the entering / dwelling bed determination and Similar effects can be obtained.
  • the notification control unit 512 determines the presence or absence of the care recipient's room based on the care record information, when the care record information is not updated, the care receiver may receive It can be determined that care has not been performed, that is, the cared person has not returned to the living room 101 from an event or the like, and it is also possible to notify the terminal 300 to that effect.
  • FIG. 9 is a flowchart showing the flow of processing by still another alert control in the care support system 1 of the present embodiment.
  • the target person management determination step (S8-3) is further performed, and the result is In response to this, alarm control is switched.
  • the steps S8-1 and S8-2 of the second specific example are deleted in this specific example, but may be left as they are.
  • points different from the specific example 2 will be described.
  • the notification control unit 512 determines that the care recipient is a severe care recipient based on the above registration information, the detection unit performs the detection in the second time zone. After the receiver's leaving has been detected and the detection continues for a predetermined time, the terminal 300 is notified (S3, S5, S7, S8-3, S9).
  • the same notification control as in the first time zone is performed. Thereby, even in the second time zone, it is possible to avoid the situation in which a serious care recipient is left in danger. Further, in the second time zone, since the terminal 300 does not receive a notification (notification) for a predetermined time after detection of bed departure, staff T issues a notification as compared with a configuration in which a notification is issued at the time of bed departure detection. The inconvenience of receiving information is also reduced. On the other hand, in the second time zone, when the cared person is not a severe cared person, notification to the terminal 300 is stopped (S7, S8-3, S11). As a result, as in the first embodiment, unnecessary notification can be eliminated when the possibility of the cared person being in a dangerous state in the second time zone is low.
  • the target room presence determination process is performed in S1-2. Then, when the cared person is a severe cared person, the alert control unit 512 indicates that the cared person is living in the living room 101 based on the care record information in the second time zone. It is determined that the patient's leaving has been detected by the detection unit, and after the detection continues for a predetermined time, the terminal 300 is notified (S1-2, S3, S5, S7, S8-3, S9). As a result, it is possible to detect bed departure and to issue a notification after a predetermined time has elapsed since the detection of bed departure, after having confirmed that a serious care recipient has entered the bed in the second time zone.
  • the detection unit detects that the care recipient is leaving (false Even if the cared person is not in a dangerous state, it is possible to prevent a false alarm from being notified after a predetermined time has elapsed since the bed departure detection.
  • FIG. 10 is a flowchart showing the flow of processing by still another notification control in the care support system 1 of the present embodiment.
  • This example is the same as example 3 except that the target person management determination step (S8-3) is replaced with the target person management determination step (S8-4).
  • S8-3 target person management determination step
  • S8-4 target person management determination step
  • the detection unit 512 determines that the care recipient is a severe care recipient based on the above care record information
  • the detection unit receives care by the detection unit in the second time zone. After a person's leaving is detected and the detection continues for a predetermined time, the terminal 300 is notified (S3, S5, S7, S8-4, S9).
  • the terminal 300 since the terminal 300 does not receive a notification (notification) for a predetermined time after detection of bed departure, staff T issues a notification as compared with a configuration in which a notification is issued at the time of bed departure detection. The inconvenience of receiving information is also reduced.
  • the alert control unit 512 indicates that the cared person is in the living room 101 based on the care record information in the second time zone. It is determined that the patient's leaving has been detected by the detection unit, and the detection is continued for a predetermined time, and then the terminal 300 is notified (S1-2, S3, S5, S7, S8-4, S9). As a result, it is possible to detect bed departure and to issue a notification after a predetermined time has elapsed since the detection of bed departure, after having confirmed that a serious care recipient has entered the bed in the second time zone.
  • the detection unit detects (false detection) that the care recipient is leaving the floor, and the care recipient is not in a dangerous state Nevertheless, it is possible to prevent notification of a false alarm, which is notified after a predetermined time has elapsed since the bed departure detection.
  • the entire care support system 1 including the moving object detection unit 10 and the management server 100a constitutes a notification control system in which the notification to the terminal 300 is controlled. It is also possible to configure the alarm control system with the moving object detection unit 10 alone.
  • the unit control unit 40 (for example, the main control unit 41) of the moving object detection unit 10 may have the same function as the above-described notification control unit 512 of the management server 100a. Then, the main control unit 41 may control the notification to the terminal 300 via the management server 100a or directly.
  • the main control unit 41 controls alerting of the alarm 300 to the terminal 300 possessed by the staff T in each of a plurality of time zones grasped based on clocking by the clocking unit 45 in the moving object detection unit 10.
  • the moving object detection unit 10 as an alarm control system includes the above-described detection unit (including the optical detection unit 23, the image recognition unit 25, and the radio wave detection unit 30), the timer unit 45, and the alarm control unit.
  • the main control unit 41 When the main control unit 41 issues a notification to the terminal 300 in a first time zone set in advance as a time zone in which the target person should go to bed or enter the bed, the main control unit 41 detects the target person's It can be said that waking up or leaving the bed is detected, and the detection is triggered after a predetermined time has elapsed.
  • the main control unit 41 of the moving object detection unit 10 may have the same function as the above-described position determination unit 503 of the management server 100a.
  • the storage unit 24 of the moving body detection unit 10 may function as a registration information storage unit for storing the registration information of the subject, as the storage unit 501 of the management server 100a described above, and the care record information of the subject It may function as a care record storage unit that stores
  • the alert control system described above is grasped based on the detection unit that detects the state of the living room and the state of the target person in the living room, the clock unit that clocks time, and the clocking by the clock unit. And an alert control unit that controls alerting of an alarm to a terminal owned by the staff in each of a plurality of time zones, the alert control unit controlling the time during which the subject should go to bed or enter the bed.
  • the detection unit detects awakening or leaving of the subject, and issues a notification after the detection continues for a predetermined time.
  • the detection unit detects the entrance or the bed of the subject, and The awakening or leaving of the subject may be detected, and a notification may be issued after the detection lasts for a predetermined time.
  • the alert control unit detects that awakening or leaving of the subject is detected by the detecting unit in a second time zone different from the first time zone, and the detection is predetermined. When the time continues, the notification to the terminal may be stopped.
  • the above-described alert control system further includes a position determination unit that determines presence or absence of the staff in the living room based on the detection result of the state of the living room by the detection unit, and the alert control unit In the first time zone, the position determination unit determines that the staff has entered or left the room, and the detection unit detects the leaving of the subject when the staff leaves the room, If the detection continues for a predetermined time, the notification to the terminal may be stopped.
  • the alert control system described above includes the care information storage unit storing care record information recorded regarding the care of the subject, and the staff member for the living room based on the detection result of the state of the living room by the detection unit. And a position determination unit that determines the presence or absence of entry and exit of the room, wherein the alert control unit determines that the target person is in the room based on the care record information in the first time zone. It is determined that the staff member has entered or left the room, and the detection unit detects the leaving of the subject when the staff leaves the room, and the detection is determined as predetermined. When the time continues, the notification to the terminal may be stopped.
  • the above notification control system further includes a registration information storage unit for storing registration information on the target person registered in advance when the target person moves into the living room, and the notification control unit stores the registration information in the registration information. Based on the determination, it is determined whether or not the subject is a subject who needs to be managed in the bed in both the first time zone and the second time zone different from the first time zone. If the subject needs to be managed in the bed, the detection unit detects that the subject leaves the bed during the second time zone, and the detection continues for a predetermined time. The terminal may be notified.
  • the above-described alert control system further includes a care information storage unit for storing care record information on the care of the subject, and the alert control unit is a target person who needs to be managed in the bed state by the subject.
  • the detection unit detects the bed leaving of the subject, The terminal may be notified after the detection lasts for a predetermined time.
  • the above-described alert control system further includes a care information storage unit for storing care record information on the care of the subject, and the alert control unit is configured to determine whether the subject is the first subject based on the care record information.
  • the detection unit may detect bed departure of the subject during the second time zone, and may issue a notification to the terminal after the detection continues for a predetermined time.
  • the alert control unit when the target person is a subject who needs to be managed in the bed state, the alert control unit is based on the care record information in the second time zone. It may be determined that the subject is present in the living room, the detection unit may detect leaving of the subject, and the terminal may be notified after the detection continues for a predetermined time.
  • the detection unit may detect the state of the target person in the living room without contact.
  • the detection unit described above is a detection unit installed in the room, and includes the above-described notification control system.
  • the care support system described above is a care support system including the above-described alert control system, and includes a detection unit installed in the room and a management server that manages information output from the detection unit. And the detection unit includes the detection unit, and the management server includes the clock unit and the notification control unit.
  • the alert control method described above determines whether or not the detection unit determines whether the detection unit has detected the awakening or departure of the target person in the room, and the current time indicates that the target person goes to bed or enters the bed. Based on a time zone determination step of determining whether or not to be included in a first time zone set in advance as a time zone to be performed, and based on the detection result of the detection unit, staff members possess in the first time zone.
  • the above-mentioned alert control method further includes an admission / bed determination step of determining whether or not the detection unit detects the bed or bed of the subject, and the alert control step includes the first control.
  • the detection unit detects awakening or leaving of the subject, and the detection is performed for a predetermined time If it continues, the notification to the terminal may be stopped.
  • the above notification control method is a subject-person determination step of determining whether or not the subject is in the room based on the care record information recorded regarding the care of the subject.
  • a staff entering / removing determination step of determining presence / absence of the staff in / from the living room based on a detection result of the state of the living room by the detection unit; In a time zone, it is determined based on the care record information that the subject is present in the living room, it is determined that the staff has entered or left the living room, and the staff is leaving the room.
  • the detection unit may detect bed departure of the target person, and when the detection continues for a predetermined time, notification to the terminal may be stopped.
  • the target person performs the first time zone and the first time zone based on registration information regarding the target person registered in advance when the target person moves into the living room.
  • the method further includes a target person management determination step of determining whether or not the target person needs to be managed in the bed state in both of the different second time zones, and in the notification control step, the registration information is
  • the second time zone is determined based on the fact that the subject is determined to be a subject who needs to be managed in the bed state in both the first time zone and the second time zone.
  • the detection unit may detect the leaving of the subject and the detection may continue to be issued to the terminal after the detection continues for a predetermined time.
  • the above notification control method further includes a subject presence determination step of determining whether the subject is in the room based on the care record information recorded regarding the subject's care.
  • the alerting control step when the subject is a subject who needs to be managed in the bed state, the subject is the room based on the care record information in the second time zone.
  • the terminal may be notified after it is determined that the user is in the room, the detection unit detects the departure of the subject, and the detection continues for a predetermined time.
  • the above-described alert control method is based on care record information recorded regarding the care of the subject, the subject being in a second time zone different from the first time zone and the first time zone.
  • the method further includes a subject person management determination step of determining whether or not the subject person needs to be managed in an admission state, and in the notification control step, the subject person is based on the care record information.
  • the detection unit performs the detection in the second time zone. The terminal may be notified after the subject's leaving is detected and the detection continues for a predetermined time.
  • the above notification control method further includes a target person presence determination step of determining whether or not the target person is present in the living room based on the care record information;
  • a target person presence determination step of determining whether or not the target person is present in the living room based on the care record information;
  • the present invention can be used, for example, in a care support system that supports the daily life of a subject.
  • Care support system 10 Motion detection unit (detection unit, alarm control system) 23 Optical Detection Unit (Detection Unit) 25 Image recognition unit (detection unit) 30 radio wave detection unit (detection unit) 41 Main control unit (reporting control unit, position determination unit) 45 Timekeeping Unit 100a Management Server 101 Room 300 Terminal 501 Storage Unit (Registration Information Storage Unit, Care Information Storage Unit) 503 position determination unit 504 time measurement unit 512 notification control unit T staff

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Abstract

La présente invention concerne un système d'assistance médicale (1) qui comprend : une unité de détection permettant de détecter l'état à l'intérieur d'une pièce et l'état d'un sujet à l'intérieur de la pièce; une unité de chronomètre (504) permettant de mesurer le temps; et une unité de commande d'alarme (512) qui commande l'émission d'une alarme vers un terminal détenu par un membre du personnel pendant chaque intervalle de temps d'une pluralité d'intervalles de temps déterminés sur la base de la mesure du temps par l'unité de chronomètre (504). Lors de l'émission d'une alarme vers le terminal pendant un premier intervalle de temps défini à l'avance en tant qu'intervalle de temps pendant lequel le sujet doit aller au lit ou se coucher, l'unité de commande d'alarme (512) émet l'alarme après que l'unité de détection détecte que le sujet est éveillé ou est sorti du lit et que la détection de tels événements se poursuit pendant une durée prédéterminée.
PCT/JP2018/024708 2017-07-27 2018-06-28 Système de commande d'alarme, unité de détection, système d'assistance médicale et procédé de commande d'alarme Ceased WO2019021743A1 (fr)

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JP2023015598A (ja) * 2021-07-20 2023-02-01 コニカミノルタ株式会社 制御装置、制御方法、制御プログラム、および情報処理システム
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JP2022049369A (ja) * 2020-09-16 2022-03-29 コニカミノルタ株式会社 介護支援のシステムおよび方法
JP2023015598A (ja) * 2021-07-20 2023-02-01 コニカミノルタ株式会社 制御装置、制御方法、制御プログラム、および情報処理システム
JP7786061B2 (ja) 2021-07-20 2025-12-16 コニカミノルタ株式会社 制御装置、制御方法、制御プログラム、および情報処理システム
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