Disclosure of Invention
In view of the above problems, the present invention provides an oral care assisting method, system, terminal and storage medium, which can give out proper oral care guidance according to personal conditions of a patient, and simultaneously perform information storage service to ensure that the patient performs oral care of a correct system and ensure oral care effect.
The technical proposal is that the oral care auxiliary method is characterized in that: which comprises the following steps:
Establishing an oral care database;
wherein the oral care database comprises:
an oral care records database for maintaining record data for all oral care patients;
An oral care regimen database for maintaining known oral care and corresponding care methods for different types of patients;
An oral care case database for storing all effective patient cases after oral care, and storing different patients, different conditions and corresponding care methods;
Acquiring record data of oral care of a patient from the oral care record database, continuously using the current care plan when the current care plan is effective, and storing the current care plan into the oral care plan database and the oral care case database simultaneously if the current care plan does not exist in the oral care plan database;
when the current care regimen is invalid, matching the current care regimen with the care regimen in the oral care regimen database, and obtaining an adjusted care regimen.
Further, the record data stored in the oral care record database comprises patient names, patient medical record numbers, patient condition descriptions, nursing methods, using instruments, using medicines, nursing operation contents and treatment effects;
Further, when the current care regimen is valid, the method comprises the following steps:
if the current care regimen is valid and the current care regimen is stored in the oral care regimen database, continuing to use the current care regimen;
If the current nursing scheme is valid and the current nursing scheme cannot be matched with the oral cavity nursing scheme database, namely, no relevant nursing record exists in the oral cavity nursing scheme database, the current nursing scheme is simultaneously stored in the oral cavity nursing scheme database and the oral cavity nursing case database, and a case archive is generated from the oral cavity nursing case database;
Further, if the current nursing scheme is invalid, matching the current nursing scheme with the nursing scheme in the oral cavity nursing scheme database, if the current nursing scheme is matched, selecting the nursing scheme with the highest weight score from the oral cavity nursing scheme database, and if the current nursing scheme is not matched, readjusting the current nursing scheme;
an oral care assistance system, characterized by: it comprises the following steps:
The acquisition module is used for acquiring all oral care record data of patients;
the storage module is used for establishing an oral care database according to the oral care record data of the patient in the acquisition module;
wherein the oral care database comprises:
an oral care records database for maintaining record data for all oral care patients;
An oral care regimen database for maintaining known oral care and corresponding care methods for different types of patients;
An oral care case database for storing all effective patient cases after oral care, and storing different patients, different conditions and corresponding care methods;
And the comparison execution module is used for judging the effectiveness of the current nursing scheme of the patient, and matching the current nursing scheme of the patient with the nursing scheme in the oral cavity nursing scheme database to obtain the optimal nursing scheme.
A terminal for implementing an oral care assistance method comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor implements the steps of the oral care assistance method when executing the program.
A computer readable storage medium having an oral care assistance method stored thereon a computer program for execution by a processor to perform the steps of the oral care assistance method.
The invention has the beneficial effects that the invention can effectively record the disease development of patients, and after the database related to the oral care treatment scheme is established, the data analysis is carried out through the stored contents of effective nursing methods, used instruments, medication, corresponding cost and the like related to the oral care of different types of patients, so that the effective nursing methods of the system are summarized and formulated for different conditions, thereby ensuring that the patients carry out oral care of the correct system, and ensuring the oral care effect.
Detailed Description
In order to make the objects, features and advantages of the present invention more comprehensible, the technical solutions in the embodiments of the present invention are described in detail below with reference to the accompanying drawings, and it is apparent that the embodiments described below are only some embodiments of the present invention, but not all embodiments of the present invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
As shown in fig. 1 and 2, the oral care assisting method of the present invention comprises the following steps:
s1, the oral care auxiliary system is in butt joint with a hospital informatization system, record data of all patients with oral care are obtained, and the record data are stored in an established oral care database;
wherein the oral care database comprises:
An oral care records database for storing record data of all oral care patients to record patient oral care related data, such as: patient name, patient medical record number, patient type (e.g., oral tracheal cannula patient), patient condition description, care time, care method, use of instruments, use of drugs, care procedure content, treatment effect, expert opinion, treatment cost, duration of condition, ADL score, etc.;
an oral care regimen database for storing known oral care and corresponding care methods of different types of patients, such as condition descriptions, care methods, use of instruments, use of drugs, care specific operation contents, etc., based on the knowledge or expert dictation of existing oral care;
As exemplified herein, as follows:
Taking gargle (oral care solution application method) as an example: the gargling method is suitable for unconscious disorder patients, and frequent gargling can moisten the oral cavity, remove massive residues and secretions, prevent mucous membrane dryness, promote self-cleaning of the oral cavity and facilitate movement of muscles around the oral cavity; the specific operation content of nursing is that towel is enclosed under the neck of a patient, water is injected into the oral cavity by a suction pipe or a syringe, the oral cavity is rinsed up and down, left and right, front and back for 5-6 times, a medical bending disc is placed beside the mouth of the patient, and water flows out from one side of the mouth angle; in this case, the method name and its details may be maintained in an oral care regimen database;
taking traditional Chinese medicine mouthwash (oral care solution selection) as an example: for example Jin Pusan gargle, clove gargle, aphtha collutory, silver Gan Shu gargle, traditional Chinese medicine gargle and the like, good effects are obtained through clinical application and comparison research with traditional oral care solutions, in which case, the names, active ingredients, efficacy and notes of the gargle can be stored in an oral care solution database;
An oral care case database for storing all effective patient cases after oral care, disease description, care methods, use instruments, use medicines, specific operation contents of care, treatment effects and the like, and storing different patients, different conditions and corresponding care methods; the oral care case database is equivalent to the summary of the oral care record database, and the therapeutically effective cases are obtained and simplified;
As exemplified herein, as follows:
Taking fasted patients as an example: oral care with 0.5% povidone iodine was performed, and the bacterial colony count was monitored by taking oropharyngeal specimens over time periods (immediate, 2 hours, 4 hours, 6 hours) before and after oral care;
S2, acquiring record data of oral care of a patient from an oral care record database, and if the current care scheme is valid and the current care scheme is stored in the oral care scheme database, continuing to use the current care scheme;
If the current nursing scheme is valid and the current nursing scheme cannot be matched with the oral nursing scheme database (the matching content can be whether the oral nursing scheme is the same type of oral patient, the disease descriptions are similar, the treatment method, the medicines are the same, the treatment scheme is valid, and the like), if the oral nursing scheme database has no relevant nursing record, the current nursing scheme is simultaneously stored in the oral nursing scheme database and the oral nursing case database, and a case archive is generated from the oral nursing case database, so that later medical record study is facilitated;
S3, if the current nursing scheme is invalid, matching the current nursing scheme with the nursing scheme in the oral cavity nursing scheme database (the matching content can be whether the current nursing scheme is the same as the oral cavity patient of the same type, whether the disease descriptions are similar, whether the treatment methods and the medicines are the same, whether the treatment schemes are effective, and the like), if the current nursing scheme is matched, selecting the nursing scheme with the highest weight score from the oral cavity nursing scheme database, and if the current nursing scheme is not matched, readjusting the current nursing scheme according to doctors or expert experiences to obtain an adjusted optimal nursing scheme, wherein in the scheme adjustment process, whether the treatment schemes of the same type of patients exist can be inquired from the oral cavity nursing scheme database, if the treatment schemes exist, the scheme is adopted, and if the treatment schemes do not exist, a doctor adjusts the scheme according to experience.
An oral care assistance system, comprising:
the acquisition module is used for acquiring all patient oral care record data from the hospital informatization system;
the storage module is used for establishing an oral care database according to the oral care record data of the patient in the acquisition module;
wherein the oral care database comprises:
an oral care records database for maintaining record data for all oral care patients;
An oral care regimen database for maintaining known oral care and corresponding care methods for different types of patients;
An oral care case database for storing all effective patient cases after oral care, and storing different patients, different conditions and corresponding care methods;
and the comparison execution module is used for judging the effectiveness of the current nursing scheme of the patient, and matching the current nursing scheme of the patient with the nursing scheme in the oral cavity nursing scheme database to obtain the optimal nursing scheme.
The invention also provides a terminal for implementing the oral care assistance method, comprising a memory, a processor and a computer program stored on the memory and capable of running on the processor, wherein the processor implements the steps of the oral care assistance method when executing the program.
The present invention also provides a computer readable storage medium having an oral care assistance method stored thereon a computer program for execution by a processor to perform the steps of the oral care assistance method.
The nursing record data related to the invention specifically comprises:
The treatment method comprises the following steps: spraying the oral cavity with a cosmetic small spray bottle to spray the oral cavity with chlorhexidine gargle;
the medicine is used: koutai (compound chlorhexidine collutory);
The treatment effect is as follows: verifying the therapeutic effect by observing whether the patient has bad breath, oral infection and VAP is normal;
the treatment cost is as follows: a range of costs incurred during oral care;
The optimal treatment scheme (the better the weight score is), is recommended for the oral care of a certain type of patient by recording the actual cases or the oral care of an expert, and the specific same type of oral care comparison method is as follows (weight of each item):
1. therapeutic effect (0 no effect, 1 effect general, 2 effect good)
2. The same treatment effect takes time (0 is more than one month, 1 is more than one week and less than one month, 2 is less than one week)
3. Treatment protocol given by expert (1 no, 2 yes)
4. Treatment cost (0 cost is high, 1 cost is medium, 2 cost is low)
5. Patient comfort (0 discomfort, 1 slightly uncomfortable, 2 comfort)
Specifically, the weight score judgment can be performed according to the given comparison method, so that a care scheme with higher weight score is selected.
The above embodiments are only for illustrating the technical solution of the present application, and not for limiting the same. While the application has been described in detail with reference to the foregoing embodiments, additional variations and modifications in the foregoing embodiments may occur to those skilled in the art once they learn of the basic inventive concepts. It is therefore intended that the following claims be interpreted as including the preferred embodiments and all such alterations and modifications as fall within the scope of the application. It will be apparent to those skilled in the art that various modifications and variations can be made to the present application without departing from the spirit or scope of the application. It is intended that the present application also include such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof.