CN111968743A - Cervical spondylopathy patient illness state self-evaluation electronic system - Google Patents
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Abstract
Translated fromChinese
Description
Translated fromChinese技术领域technical field
本发明涉及医疗评估技术领域，具体涉及一种颈椎病患者病情自身评估电子系统。The invention relates to the technical field of medical evaluation, in particular to an electronic system for self-evaluation of the condition of patients with cervical spondylosis.
背景技术Background technique
颈椎病是临床上常见的一种骨科疾病，很多患者需要住院手术治疗。由于颈椎病本身的复杂性，在患者初次住院治疗的时候，医生需要详细了解患者的病情，否则无法制定有针对性的治疗方案。Cervical spondylosis is a common orthopedic disease in clinical practice, and many patients require hospitalization for surgery. Due to the complexity of cervical spondylosis, when a patient is hospitalized for the first time, the doctor needs to understand the patient's condition in detail, otherwise it is impossible to formulate a targeted treatment plan.
现有技术中住院医生为了详细了解、准确记录患者的病情，需要花费大量的时间问诊。而且由于很多患者在当面问诊的时候，没有足够的时间思考和判断自身情况，有些患者口头表达能力也不足以向医生准确地描述病情，导致住院医生花费了大量的时间也无法准确了解患者的实际情况。另外由于存在医生主观因素干扰，容易产生评估误差。In the prior art, in order to understand and accurately record the patient's condition in detail, a resident doctor needs to spend a lot of time consulting. Moreover, because many patients do not have enough time to think and judge their own situation when they are in-person for consultation, and some patients are not able to verbally describe their conditions to the doctor accurately, as a result, the resident doctors spend a lot of time and cannot accurately understand the patient's condition. The actual situation. In addition, due to the interference of doctors' subjective factors, it is easy to produce evaluation errors.
另外，颈椎病患者在手术后存在一定的病情恶化概率，现有技术无法及时准确和方便地进行术后随访，无法及时获得患者是否出现病情恶化的信息，也就无法及时进行医疗干预。In addition, patients with cervical spondylosis have a certain probability of disease deterioration after surgery. The existing technology cannot conduct timely, accurate and convenient postoperative follow-up, and cannot obtain information on whether the patient's disease has deteriorated in time, and therefore cannot perform medical intervention in a timely manner.
发明内容SUMMARY OF THE INVENTION
本发明旨在提供一种颈椎病患者病情自身评估电子系统，所要解决的技术问题包括如何节省住院医生术前评估颈椎病患者病情的时间，以及如何及时收集术前、术后患者的随访评估，以便于及时获取病情恶化警示。The present invention aims to provide an electronic system for self-assessment of patients with cervical spondylosis, and the technical problems to be solved include how to save the time spent by resident doctors in evaluating the condition of patients with cervical spondylosis before surgery, and how to collect preoperative and postoperative follow-up evaluations of patients in time, In order to obtain timely warning of disease deterioration.
本发明的目的是解决现有技术的不足，提供一种颈椎病患者病情自身评估电子系统，包括存储模块、问卷模块、作答模块、提交模块、评分模块和医生确认模块，所述的问卷模块用于生成问卷，该问卷全部针对颈椎及其相关健康状况进行评估，包括神经功能状况的评估、颈肩部疼痛状况的评估及其他相关健康状况的评估；所述的作答模块用于供用户对所述问卷模块生成的问卷进行作答，患者作答的信息为医生提供诊疗依据；所述的存储模块用于在患者作答的过程中自动保存患者答题记录，以方便患者回顾查看；所述的提交模块用于供患者在答完问卷后将存储模块中存储的答题记录提交到医生的电脑系统中；所述的评分模块用于根据患者提交的答题记录进行评分，给出评分总分和分项详情；所述的医生确认模块用于供医生查看患者的答题记录以及评分总分和分项详情，并由医生完成肌力评估(必须由医生完成)，所有的评估项目由医生审核通过、再自动写入病历记录。The purpose of the present invention is to solve the deficiencies of the prior art, and to provide an electronic system for self-assessment of cervical spondylosis patients, including a storage module, a questionnaire module, an answering module, a submission module, a scoring module and a doctor's confirmation module. When generating the questionnaire, the questionnaire is all aimed at evaluating the cervical spine and its related health conditions, including the evaluation of neurological function, the evaluation of neck and shoulder pain, and the evaluation of other related health conditions; the answering module is used for users to evaluate all The questionnaire generated by the questionnaire module is used for answering, and the information of the patient's answer provides the doctor with the basis for diagnosis and treatment; the storage module is used to automatically save the patient's answer record during the process of the patient's answering, so as to facilitate the patient to review and review; the submission module uses For the patient to submit the answer record stored in the storage module to the doctor's computer system after answering the questionnaire; the scoring module is used for scoring according to the answer record submitted by the patient, and giving the total score and sub-item details; The doctor confirmation module is used for the doctor to check the patient's answer record and the total score and sub-item details, and the doctor will complete the muscle strength evaluation (must be completed by the doctor), and all evaluation items will be reviewed and approved by the doctor, and then automatically written. into the medical record.
所述的颈椎病患者病情自身评估电子系统包括术前病情状况自评估及术后预后状况自评估两个场景。一方面，患者在术前主观评价当前病情状况，为医生综合判定颈椎病类型及诊疗策略提供依据；另一方面，已行过手术的患者自主评价其术后恢复程度及预后情况，便于在术后随访阶段医生能够及时了解患者的病情改善状况。The electronic system for self-assessment of the condition of patients with cervical spondylosis includes two scenarios: self-assessment of preoperative condition and self-assessment of postoperative prognosis. On the one hand, patients subjectively evaluate the current condition before surgery, which provides a basis for doctors to comprehensively determine the type of cervical spondylosis and diagnosis and treatment strategies; During the post-follow-up period, doctors can timely understand the improvement of the patient's condition.
所述的术后预后状况自评估采用术后恢复程度自评模块生成水平彩色条，该水平彩色条用于代表术后改善程度，该水平彩色条上设置有手形光标，用户通过拖动该手形光标选择与本人当前相适应的程度状况，点击“确定”即完成术后病情改善程度的主观评价。In the self-assessment of postoperative prognosis, a horizontal color bar is generated by the postoperative recovery degree self-assessment module. The horizontal color bar is used to represent the degree of postoperative improvement. A hand cursor is set on the horizontal color bar. Cursor to select the degree of condition that is suitable for the person at present, and click "OK" to complete the subjective evaluation of the degree of postoperative improvement.
优选地，所述问卷模块生成的问卷包括问卷一、问卷二和问卷三，所述的问卷一用于帮助医生了解患者的神经功能状况，包括运动功能、感觉功能和膀胱功能的评价；所述的问卷二用于帮助医生了解患者的颈肩部疼痛状况，包括具体疼痛部位和/或疼痛程度；所述的问卷三用于帮助医生了解患者的其他相关健康状况。Preferably, the questionnaires generated by the questionnaire module include Questionnaire 1, Questionnaire 2 and Questionnaire 3, and the first questionnaire is used to help doctors understand the neurological function of the patient, including the evaluation of motor function, sensory function and bladder function; the The second questionnaire is used to help doctors understand the patient's neck and shoulder pain status, including the specific pain location and/or degree of pain; the third questionnaire is used to help doctors understand the patient's other related health conditions.
进一步优选地，所述问卷模块生成的问卷中的题目设置有多个选项，用于供患者选择根据自己的实际情况进行选择。Further preferably, the questions in the questionnaire generated by the questionnaire module are set with multiple options for patients to choose according to their actual situation.
所述的问卷二中采用水平彩条表示疼痛程度，该水平彩条上设置有拖动光标，患者通过拖动该拖动光标选择自己具体的疼痛程度状态。In the second questionnaire, a horizontal color bar is used to indicate the pain level, and a drag cursor is set on the horizontal color bar, and the patient selects his specific pain level state by dragging the drag cursor.
所述的问卷二中采用图案表示具体疼痛部位，患者通过点击该图案的具体位置选择符合自己实际情况的具体疼痛部位。In the second questionnaire, a pattern is used to represent the specific pain site, and the patient selects the specific pain site that conforms to their actual situation by clicking on the specific location of the pattern.
所述的其他相关健康状况包括患者在进行剧烈活动、中度活动或轻度活动时是否会受到限制。Other relevant health conditions described include whether the patient has limitations in performing vigorous, moderate, or light activity.
优选地，所述颈椎病患者病情自身评估电子系统还包括查看模块，用于供患者在答题过程中随时查看和回顾答题记录。Preferably, the electronic system for self-assessment of patients with cervical spondylosis further includes a viewing module for the patient to view and review the answering records at any time during the answering process.
进一步优选地，所述颈椎病患者病情自身评估电子系统还包括修改模块，用于供患者在答题过程中随时修改答题记录，并将修改后的答题记录自动保存在存储模块中。Further preferably, the electronic system for self-assessment of patients with cervical spondylosis further includes a modification module for the patient to modify the answering record at any time during the answering process, and automatically save the modified answering record in the storage module.
有益效果beneficial effect
与现有技术相比，本发明的有益效果是：Compared with the prior art, the beneficial effects of the present invention are:
本发明所述的颈椎病患者病情自身评估电子系统主要针对颈椎病患者的术前病情状态或术后恢复情况进行评估。患者以问卷形式作答相关的评估题目并提交给医生，为医生提供重要的诊疗依据。该系统有助于提高骨科患者评估的规范性，帮助医生随时掌握患者的最新病情状态，并为对颈椎病患者的诊疗决策、术后疗效跟踪建立基础。The electronic system for self-assessment of the cervical spondylosis patient's condition described in the present invention mainly evaluates the preoperative condition or postoperative recovery of the cervical spondylosis patient. Patients answer relevant assessment questions in the form of questionnaires and submit them to doctors, providing doctors with an important basis for diagnosis and treatment. The system helps to improve the standardization of orthopaedic patient evaluation, helps doctors keep abreast of the latest condition of patients, and establishes a foundation for diagnosis and treatment decisions and postoperative efficacy tracking of patients with cervical spondylosis.
本发明所述的颈椎病患者病情自身评估电子系统具有以下优点：The electronic system for self-assessment of cervical spondylosis patient's condition described in the present invention has the following advantages:
1、简单适用，易于操作。采取问卷形式，模拟医患对话，一问一答，适用人群广泛。1. Simple and applicable, easy to operate. Taking the form of a questionnaire, simulating a doctor-patient dialogue, one question and one answer, it is suitable for a wide range of people.
2、高效快捷，省时省力。通过移动端获取患者有效信息，提高评估效率，节省医疗成本。2. Efficient and fast, saving time and effort. Obtain effective patient information through the mobile terminal, improve evaluation efficiency and save medical costs.
3、内容通俗，符合习惯。将专业的医疗评估量表转换为用户易懂的通俗问卷。3. The content is simple and customary. Convert professional medical assessment scales into popular questionnaires that are easy for users to understand.
4、评估公正，避免干扰。患者独立完成自我评估，避免医生主观因素干扰，产生评估误差。4. The assessment is fair and avoids interference. The patient completed the self-assessment independently, avoiding the interference of the doctor's subjective factors and resulting in evaluation errors.
5、结果同步，实效性强。评估结果实时传递给医生，有利于医生第一时间掌握患者病情。5. The results are synchronized and the effectiveness is strong. The evaluation results are transmitted to the doctor in real time, which is helpful for the doctor to grasp the patient's condition at the first time.
6、一卷多评，复用性高。患者可在不同阶段多次评估，便于医务人员定期获取随访信息。6. Multiple comments in one volume, high reusability. Patients can be assessed multiple times at different stages, allowing medical staff to obtain regular follow-up information.
附图说明Description of drawings
附图用来提供对本发明技术方案的进一步理解，并且构成说明书的一部分，与本申请的具体实施方式一起用于解释本发明的技术方案，并不构成对本发明技术方案的限制。The accompanying drawings are used to provide a further understanding of the technical solutions of the present invention, and constitute a part of the specification. They are used to explain the technical solutions of the present invention together with the specific embodiments of the present application, and do not limit the technical solutions of the present invention.
图1是本发明所述颈椎病患者病情自身评估电子系统的结构示意图。FIG. 1 is a schematic structural diagram of an electronic system for self-assessment of cervical spondylosis patients according to the present invention.
图2是患者主观评价术后病情改善程度的示意图。Figure 2 is a schematic diagram of patients' subjective evaluation of the degree of postoperative improvement.
图3是其中一个问卷中的题目的样式示意图。Figure 3 is a schematic diagram of the style of the questions in one of the questionnaires.
图4是其中一个问卷中的另一个题目的样式示意图。Figure 4 is a schematic diagram of the style of another item in one of the questionnaires.
图5是所述问卷二中采用水平彩条表示疼痛程度的样式示意图。FIG. 5 is a schematic diagram of the style of using horizontal color bars to indicate pain level in the second questionnaire.
图6是所述问卷二中采用图案表示具体疼痛部位的样式示意图。FIG. 6 is a schematic diagram of the style of the second questionnaire in which a pattern is used to represent a specific pain site.
图7是所述的其他相关健康状况的题目样式示意图。FIG. 7 is a schematic diagram of the topic style of the other related health conditions.
具体实施方式Detailed ways
在下文中更详细地描述了本发明以有助于对本发明的理解。The present invention is described in more detail below to facilitate understanding of the present invention.
如图1所示，本发明所述的颈椎病患者病情自身评估电子系统包括存储模块、问卷模块、作答模块、提交模块、评分模块和医生确认模块。所述的问卷模块用于生成问卷，该问卷全部针对颈椎及其相关健康状况进行评估，包括神经功能状况的评估、颈肩部疼痛状况的评估及其他相关健康状况的评估；所述的作答模块用于供用户对所述问卷模块生成的问卷进行作答，患者作答的信息可为医生提供重要的诊疗依据；所述的存储模块用于在患者作答的过程中自动保存患者答题记录，以方便患者回顾查看；所述的提交模块用于供患者在答完问卷后将存储模块中存储的答题记录提交到医生的电脑系统中；所述的评分模块用于根据患者提交的答题记录进行评分，给出评分总分和分项详情；所述的医生确认模块用于供医生查看患者的答题记录以及评分总分和分项详情，并由医生完成肌力评估(必须由医生完成)，所有的评估项目由医生审核通过、再自动写入病历记录。As shown in Figure 1, the electronic system for self-assessment of cervical spondylosis patients' condition according to the present invention includes a storage module, a questionnaire module, an answering module, a submission module, a scoring module and a doctor's confirmation module. The questionnaire module is used to generate a questionnaire, which all evaluates the cervical spine and its related health conditions, including the evaluation of the neurological function, the evaluation of the pain condition of the neck and shoulders, and the evaluation of other related health conditions; the answering module It is used for users to answer the questionnaire generated by the questionnaire module, and the information of the patient's answer can provide important diagnosis and treatment basis for doctors; the storage module is used to automatically save the patient's answer record during the process of the patient's answer, so as to facilitate the patient Review and view; the submission module is used for the patient to submit the answer record stored in the storage module to the doctor's computer system after answering the questionnaire; the scoring module is used to score according to the answer record submitted by the patient, and give The total score and sub-item details are obtained; the doctor's confirmation module is used for the doctor to check the patient's answer record and the details of the total score and sub-item, and the doctor will complete the muscle strength evaluation (must be completed by the doctor), all evaluations Items are reviewed and approved by doctors and automatically written into medical records.
所述的颈椎病患者病情自身评估电子系统包括术前病情状况自评估及术后预后状况自评估两个场景。一方面，患者在术前主观评价当前病情状况，为医生综合判定颈椎病类型及诊疗策略提供依据；另一方面，已行过手术的患者自主评价其术后恢复程度及预后情况，便于在术后随访阶段医生能够及时了解患者的病情改善状况。The electronic system for self-assessment of the condition of patients with cervical spondylosis includes two scenarios: self-assessment of preoperative condition and self-assessment of postoperative prognosis. On the one hand, patients subjectively evaluate the current condition before surgery, which provides a basis for doctors to comprehensively determine the type of cervical spondylosis and diagnosis and treatment strategies; During the post-follow-up period, doctors can timely understand the improvement of the patient's condition.
其中所述的问卷模块生成的问卷为必答项，需要患者全部完成。所述术后恢复程度自评模块为非必答项，尚未手术者可忽略。The questionnaires generated by the questionnaire module are mandatory items, which need to be completed by the patients. The self-assessment module on the degree of postoperative recovery is optional and can be ignored for those who have not undergone surgery.
优选地，如图2所示，所述的术后预后状况自评估采用术后恢复程度自评模块生成水平彩色条，该水平彩色条用于代表术后改善程度，以中线左右平分，左侧代表恶化(负值)，右侧代表好转(正值)，中线代表没有任何恢复(0％)。该水平彩色条上设置有手形光标，用户通过拖动该手形光标选择与本人当前相适应的程度状况，点击“确定”即完成术后病情改善程度的主观评价。Preferably, as shown in FIG. 2 , the self-assessment of postoperative prognosis uses the postoperative recovery degree self-assessment module to generate a horizontal color bar. The horizontal color bar is used to represent the degree of postoperative improvement. Represents deterioration (negative values), the right side represents improvement (positive values), and the midline represents no recovery (0%). A hand-shaped cursor is set on the horizontal color bar, and the user selects the degree of condition that is suitable for the user by dragging the hand-shaped cursor, and clicks "OK" to complete the subjective evaluation of the degree of improvement of the postoperative condition.
优选地，所述问卷模块生成的问卷包括问卷一、问卷二和问卷三，所述的问卷一用于帮助医生了解患者的神经功能状况，包括运动功能、感觉功能、膀胱功能等多方面评价；所述的问卷二用于帮助医生了解患者的颈肩部疼痛状况，包括具体疼痛部位、疼痛程度等；所述的问卷三用于帮助医生了解患者的其他相关健康状况。Preferably, the questionnaires generated by the questionnaire module include Questionnaire 1, Questionnaire 2 and Questionnaire 3, and the first questionnaire is used to help doctors understand the patient's neurological function, including motor function, sensory function, bladder function and other aspects of evaluation; The second questionnaire is used to help the doctor understand the patient's neck and shoulder pain status, including the specific pain location, pain degree, etc. The questionnaire third is used to help the doctor understand other related health conditions of the patient.
进一步优选地，如图3和图4所示，所述问卷模块生成的问卷中的题目设置有多个选项，用于供患者选择根据自己的实际情况进行选择。Further preferably, as shown in FIG. 3 and FIG. 4 , the questions in the questionnaire generated by the questionnaire module are set with multiple options for the patient to choose according to his actual situation.
如图5所示，所述的问卷二中采用水平彩条表示疼痛程度，该水平彩条上设置有拖动光标，患者通过拖动该拖动光标选择自己具体的疼痛程度状态。As shown in FIG. 5 , in the second questionnaire, a horizontal color bar is used to indicate the degree of pain, and a drag cursor is set on the horizontal color bar, and the patient selects his specific pain degree state by dragging the drag cursor.
如图6所示，所述的问卷二中采用图案表示具体疼痛部位，患者通过点击该图案的具体位置选择符合自己实际情况的具体疼痛部位。图6所示的示例中，采用上臂的图案表示出多个具体疼痛部位，例如包括上臂外侧、上臂内侧、后肘部、前臂内侧、前臂外侧、拇指、中指、小指，这种图案简单明了，患者看上去一目了然，选择疼痛部位的时候不容易出错，医生也更容易判断患者具体的疼痛部位。As shown in Figure 6, in the second questionnaire, a pattern is used to represent the specific pain site, and the patient selects the specific pain site that conforms to their actual situation by clicking on the specific location of the pattern. In the example shown in Figure 6, the pattern of the upper arm is used to represent multiple specific pain sites, such as the outer side of the upper arm, the inner side of the upper arm, the back elbow, the inner side of the forearm, the outer side of the forearm, the thumb, the middle finger, and the little finger. This pattern is simple and clear. The patient can see at a glance, it is not easy to make mistakes when choosing the pain site, and it is easier for the doctor to determine the specific pain site of the patient.
如图7所示，所述的其他相关健康状况包括患者在进行剧烈活动、中度活动或轻度活动时是否会受到限制。As shown in Figure 7, other relevant health conditions include whether the patient has limitations in performing vigorous, moderate, or light activity.
优选地，所述颈椎病患者病情自身评估电子系统还包括查看模块，用于供患者在答题过程中随时查看和回顾答题记录。Preferably, the electronic system for self-assessment of patients with cervical spondylosis further includes a viewing module for the patient to view and review the answering records at any time during the answering process.
进一步优选地，所述颈椎病患者病情自身评估电子系统还包括修改模块，用于供患者在答题过程中随时修改答题记录，并将修改后的答题记录自动保存在存储模块中。Further preferably, the electronic system for self-assessment of patients with cervical spondylosis further includes a modification module for the patient to modify the answering record at any time during the answering process, and automatically save the modified answering record in the storage module.
本发明所述的颈椎病患者病情自身评估电子系统可以通过智能终端(例如智能手机或平板电脑)访问和使用，患者在答题过程中，可以随时请求医生或护士等专业人士指导，患者将答题记录提交到医生的电脑系统中，医生在电脑系统的确认界面通过医生确认模块可以查看患者的答题记录以及评分总分和分项详情。对于初次住院自评，经医生确认，力求准确记录，节省住院医生的时间。另外采用该系统进行术后随访报警，能及时收集术后患者的随访评估，便于病情恶化警示。The electronic system for self-assessment of patients with cervical spondylosis according to the present invention can be accessed and used through smart terminals (such as smart phones or tablet computers). During the process of answering questions, the patient can ask for guidance from professionals such as doctors or nurses at any time, and the patient records the answer. Submit it to the doctor's computer system, and the doctor can view the patient's answer record and the total score and sub-item details through the doctor's confirmation module on the confirmation interface of the computer system. For the initial self-assessment of hospitalization, after confirmation by the doctor, we strive to record it accurately and save the time of the resident doctor. In addition, the system is used for postoperative follow-up alarm, which can collect the follow-up evaluation of postoperative patients in time, which is convenient for warning of disease deterioration.
以上描述了本发明优选实施方式，然其并非用以限定本发明。本领域技术人员对在此公开的实施方案可进行并不偏离本发明范畴和精神的改进和变化。The preferred embodiments of the present invention have been described above, but are not intended to limit the present invention. Modifications and variations of the embodiments disclosed herein may be made by those skilled in the art without departing from the scope and spirit of the invention.
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