【０００１】[0001]
【産業上の利用分野】本発明は、近年長寿命化が進むに
つれて社会的問題となっている老人性痴呆や、車両の増
加に伴い頻発している事故による脳障害、アルツハイマ
ー病などの病気などによる痴呆や知的機能の低下などに
関する病状の診査や、投薬による効果の判定、被検者の
介護に係わる示唆を与えることのできる、精神機能の診
査に係わる分野に利用できるものである。あるいは、一
般の技能や性格判定に係る能力テストその他の知的およ
び精神機能の診査など広範な分野に利用できるものであ
る。BACKGROUND OF THE INVENTION The present invention relates to senile dementia, which has become a social problem as lifespan has been extended in recent years, and brain disorders due to frequent accidents accompanying the increase in vehicles, diseases such as Alzheimer's disease, etc. The present invention can be used in the fields related to the examination of psychiatric functions, such as the examination of medical conditions related to dementia and deterioration of intellectual function due to illness, the determination of the effect of medication, and the suggestion of caring for a subject. Alternatively, it can be used in a wide range of fields such as general skills and ability tests related to personality judgment and other examinations of intellectual and mental functions.
【０００２】[0002]
【従来の技術】従来、痴呆に関する病状は精神科の医師
が問診・或いは観察により診査・判定が行われている。
しかし、このような知的あるいは精神機能に係わる診断
結果は非常にあいまいで医師の個人差があり、例えば担
当医師が交代した場合や投薬の効果を評価したり健康保
険などの点数を決める場合などに問題が生ずることも多
かった。また、従来の筆記を主体にしてきた能力テスト
では、その採点と評価および記録の保管等に多くの手間
や労力を必要としていた。2. Description of the Related Art Conventionally, medical conditions for dementia have been examined and judged by a psychiatrist by interviewing or observing.
However, such diagnostic results related to intellectual or mental functions are very ambiguous and there are individual differences among doctors. For example, when the doctor in charge changes, when evaluating the effect of medication, and when deciding points such as health insurance. There were often problems with. In addition, in the ability test which has been mainly based on conventional writing, much labor and labor are required for scoring and evaluation and keeping records.
【０００３】近年、世界的に診査をコンピュータ化しよ
うとする動きが出ており、質問式と呼ばれる被検者本人
に直接質問する方式や、第三者が被検者を観察した結果
により判定を行う観察式と呼ばれる方式、あるいはコン
ピュータの表示機に質問パタ Ｐ０Ｈ６０９３０ ーンを表示し、その応答時間などで痴呆度などを判断す
るゲーム式のものなどが開発されつゝあるが、質問式及
び観察式においても用紙に回答を記入・チェクし、計算
処理をするために多大の時間を要していた。その上、質
問式は被検者が痴呆症などの場合には答えを訊き出すの
が非常に困難な場合が多く、また観察式でも医師が判定
し回答を行う必要があるなど医師の負担が大きかった。
従って従来の評価法の実現は容易ではなく、またその煩
雑さが新しい評価方法の開発に大きな障害となってい
る。In recent years, there has been a movement worldwide to computerize medical examinations. A method of directly asking the subject himself, which is called a question formula, or a result obtained by observing the subject by a third party makes the judgment. A method called an observation method, or a game method in which the question pattern P0H60930 is displayed on a computer display and the degree of dementia is judged based on the response time, has been developed. Even in the formula, it took a lot of time to fill in and check the answers on the form and perform the calculation process. In addition, it is often very difficult to ask the answer for the question formula when the subject has dementia, etc.In addition, the observation formula also requires the doctor to make a judgment and answer, which is a burden on the doctor. It was great.
Therefore, it is not easy to realize the conventional evaluation method, and its complexity is a major obstacle to the development of a new evaluation method.
【０００４】[0004]
【発明が解決しようとする課題】これらの問題を解決す
るには、知的機能を数値化する合理的な手段の確立が必
要とされている。特に医師以外の医学的知識が無い者で
も観察者として診査に関与できるように、判断可能な設
問と回答および非常に簡単に操作できるソフトウエアと
ハードウエアおよびそのシステムを構成しなければなら
ない。In order to solve these problems, it is necessary to establish rational means for quantifying intellectual functions. In particular, in order that even a person who has no medical knowledge other than a doctor can participate in the examination as an observer, it is necessary to construct a software and hardware and a system thereof that can be used to make a question and answer that can be judged.
【０００５】[0005]
【課題を解決するための手段】本発明は単純な回答で済
む如き設問と、非常に操作が簡単で所謂キーボードアレ
ルギーの人でも問題無く使用できるソフトウェアとハー
ドウェアを構成し、被験者が直接扱う場合、あるいは専
門医だけではなく看護婦や付添の家族などの介護者が容
易に適用できる簡易な評価方法とその装置の構築を行っ
た。The present invention comprises a question that requires a simple answer, and software and hardware that are very easy to operate and can be used without problems by people with so-called keyboard allergies. We also constructed a simple evaluation method and its equipment that can be easily applied not only by specialists but also by caregivers such as nurses and attending families.
【０００６】すなわち、本発明は質問事項などの表示・
印字を行う表示器と出力装置と、その質問事項に対する
回答デ−タを分析・判定する記憶・演算機能などを有す
る装置から成り、記憶装置に格納された被検者の痴呆度
や性格異常、学習機能を評価すると共に、その介護方法
の判定および指導方針などを指示できるように、あらか
じめ分類した各項目ごとに重みを有するように作成した
質問と、その各質問に対する賛否の回答を被検者が直接
または被検者に係わる観測者が順次指定することにより
評価ができるように、コンピュ−タへの命令を記録した
情報媒体および Ｐ０Ｈ６０９３０ 前記被検者の評価内容に関する外部記憶装置を備えて構
成したことを特徴とする知的および精神機能の評価方法
ならびに装置である。[0006] That is, the present invention is a display of questions, etc.
It consists of a display device for printing, an output device, and a device having a memory / arithmetic function for analyzing / judging answer data to the questions, and the degree of dementia or personality abnormality of the subject stored in the memory device, In order to evaluate the learning function and to instruct the judgment of the care method and the instruction policy, the questions prepared so as to have a weight for each item classified in advance and the answers to the pros and cons of each question are given to the examinee. Is provided with an information storage medium storing a command to the computer and an external storage device relating to the evaluation content of the subject so that the evaluation can be performed directly or by an observer sequentially relating to the subject. An evaluation method and apparatus for intellectual and mental functions characterized by the above.
【０００７】従って、同義の単純な設問と、「はい」
「いいえ」「わからない」から選択する回答キーを備え
る程度のできるだけ簡単で見やすい構成にすることを方
針にした。従って、例えば異常な患者等の被検者を観察
する立場にある看護婦や介護人などから得た回答を処理
することにより、患者の性格判断や痴呆の程度などの知
的および精神機能の評価ができるような仕組みになって
いる。Therefore, a simple question with the same meaning and "Yes"
The policy was to make the configuration as simple and easy to see as possible with an answer key to select from "No" and "I don't know." Therefore, for example, by processing the answers obtained from nurses and caregivers who are in a position to observe a subject such as an abnormal patient, evaluation of intellectual and mental functions such as the personality judgment of the patient and the degree of dementia. It is designed so that you can
【０００８】また、設問に対する回答の精度を良くする
ために質問数が多くなるのは避けえないが、現在の高齢
者精神機能評価表においては診査精度を低下させない最
低限の質問数として、例えば１１０問に設定した。そし
て該質問の内容を整理して９項目に分類し、回答結果を
グラフ化するように構成したことにより、その患者の異
常行動や介護の対処方法を指示することができる。Although it is unavoidable that the number of questions increases in order to improve the accuracy of answers to questions, the minimum number of questions that does not decrease the accuracy of examination in the present evaluation table for mental function of the elderly is, for example, I set it to 110 questions. By organizing the contents of the question and classifying them into 9 items and graphing the answer results, it is possible to instruct the abnormal behavior of the patient and the coping method for nursing care.
【０００９】また、本システムの回答入力のキー操作の
代りに、別にあらかじめ用意したマーキング用の紙の検
査用マークシートに設問の回答をマークさせ、これを自
動的に読み込むことができるマークシートリーダを本装
置に外付或いは内蔵させるシステムも効果的である。あ
るいは音声認識や発声機能を内蔵或いは付加することに
より、出題と回答を音声により行うシステムにすること
もできる。Further, instead of the key input operation of the answer input of this system, a mark sheet reader capable of marking the answer of the question on an inspection mark sheet of a separately prepared marking paper and reading it automatically is provided. A system that is external or internal to the device is also effective. Alternatively, by incorporating or adding a voice recognition or utterance function, it is possible to make a system in which a question and an answer are performed by voice.
【００１０】[0010]
【作用】表示器あるいは検査用マークシートの各設問に
対する回答は、キー入力またはマークシートリーダなど
から処理装置に読み取られＣＰＵ（中央演算処理装置）
により所要の演算が行われる。演算結果はグラフ形式な
どにより表示され、また回答内容は記憶装置により記憶
され容易に再現できるが、該診査毎に回答内容な Ｐ０Ｈ６０９３０ どのデータを累積しておくと共に、診査の判定基準に該
累積数の平均演算などにより求めた結果を適用する如き
方式とすることにより、診査回数を経るに連れて精度を
向上させることができる。Function: Answers to each question on the display or the inspection mark sheet are read by a key input or a mark sheet reader or the like by a processing device, and a CPU (central processing unit)
The required calculation is performed by. The calculation results are displayed in a graph format, etc., and the response contents are stored in a storage device and can be easily reproduced. However, data such as P0H60930 which is the response contents is accumulated for each examination, and the accumulated number is used as a criterion for examination. By adopting a method in which the result obtained by averaging the above is applied, the accuracy can be improved as the number of medical examinations increases.
【００１１】[0011]
【実施例】図に基づいて本発明の知的および精神機能評
価システムの実施例を説明する。本体の電源を投入する
とプログラムを内蔵したＲＯＭ（Read Only Memory）や
データの一時保存を行うＲＡＭ（Random Access Memor
y）などを含む内部記憶装置１とＣＰＵ２などから成る
処理回路が動作し、内部記憶装置１のＲＯＭからプログ
ラムを読み込み、その内容を質問文としてＣＲＴ（Cath
ord-ray tube）や液晶などの表示器３に表現する。この
とき同時に表現される回答欄から一つの答を選択し回答
キ−で指定する。例えば図３に例示したように、質問文
１４は「洋服の裏表がわからない」「一日中ぼんやりし
ている」「親しい親戚の人の顔がわからない」など誰に
でも判定ができる単純な１１０個のものである。そして
夫々の問題に対して「はい」「いいえ」「わからない」
の３種の回答文１５が表示されるので、回答者は３個の
回答キー４の何れかを指定することにより回答を入力す
る。EXAMPLE An example of an intellectual and mental function evaluation system of the present invention will be described with reference to the drawings. When the power of the main unit is turned on, ROM (Read Only Memory) containing a program and RAM (Random Access Memor) for temporarily storing data
y) and the like, the processing circuit including the internal storage device 1 and the CPU 2 operates, reads the program from the ROM of the internal storage device 1, and uses the contents as a question statement in a CRT (Cath
It is displayed on the display device 3 such as an ord-ray tube) or a liquid crystal display. At this time, one answer is selected from the answer boxes that are simultaneously expressed and designated by the answer key. For example, as illustrated in FIG. 3, the question sentence 14 is a simple 110 items that can be judged by anyone, such as "I don't know the front and back of clothes", "I am absent all day long", "I don't know the faces of close relatives". Is. And "yes""no""don'tknow" for each problem
The three answer sentences 15 are displayed, and the respondent inputs the answer by designating any one of the three answer keys 4.
【００１２】また、この回答デ−タを得る手段として、
前記１１０個の設問と夫々に対応した回答文を印刷した
規定のマ−クシートに対し、観察者が回答をマーキング
したものを、装置外部に設置したマークシートリーダ５
に設定することによって読み取ることもできる。また他
の入力方法として設問内容を発声部６によって出力する
こともでき、回答はマイクロフォン７と音声処理装置８
により入力することもできる。また表示と回答の入力は
キーボードやタッチパネルなどを用いても行うことが可
能なことはいうまでもない。As a means for obtaining this answer data,
A mark sheet reader 5 installed on the outside of the apparatus, in which the observer marked the answers on the prescribed mark sheet on which the 110 questions and answer sentences corresponding to the respective questions were printed.
It can also be read by setting to. As another input method, the content of the question can be output by the voicing unit 6, and the answer is the microphone 7 and the voice processing device 8.
You can also enter by. Further, it goes without saying that the display and the input of the answer can be performed by using a keyboard or a touch panel.
【００１３】これらの入力データはインターフェイス９
を経て、メモリカードやフロッピー Ｐ０Ｈ６０９３０ ディスクなどの外部記憶装置１０に累積されると同時
に、内部記憶装置１に予めプログラムされている処理方
法によりとＣＰＵ２で解析され、その結果は表示器３に
より表示されると同時に、指定によりプリンタなどの出
力装置１１にも伝送され文章やグラフが出力される。な
お、電源スイッチ１２のほかにリセットスイッチ１３が
設置してある。また外部記憶装置１０としてメモリカー
ドを使用しておりプリンタなどの出力装置１１はコネク
タにより接続される。These input data are interface 9
After being accumulated in the external storage device 10 such as a memory card or a floppy P0H60930 disk, it is analyzed by the CPU 2 according to the processing method preprogrammed in the internal storage device 1 and the result is displayed by the display device 3. At the same time, the text or graph is output to the output device 11 such as a printer according to the designation. In addition to the power switch 12, a reset switch 13 is installed. A memory card is used as the external storage device 10, and the output device 11 such as a printer is connected by a connector.
【００１４】また、プログラムの内容により質問事項
や、回答、評価、統計結果など諸種のデータを長期にわ
たり外部記憶装置１０に格納・累積し、それらの平均値
などを評価や判定に係わる基準データとすることなどに
より、データの累積数に比例して判定精度を上げること
ができると共に、累積したデータにより被検者の過去か
ら現在に至る症状の変化などもグラフ化し表示すること
ができる。Further, various kinds of data such as questions, answers, evaluations, and statistical results are stored / accumulated in the external storage device 10 for a long period of time depending on the contents of the program, and the average value thereof is used as reference data for evaluation and determination. By doing so, it is possible to improve the determination accuracy in proportion to the cumulative number of data, and it is also possible to graph and display changes in the symptoms of the subject from the past to the present due to the cumulative data.
【００１５】プログラムの概要について付言すると、質
問は前記の如く１１０問から成り、例えば痴呆性の在宅
高齢者については介護者などが精神症状や問題行動を直
接チェックし回答を入力することにより、これらの回答
を内部記憶装置１に格納されたプログラムとＣＰＵ２に
より処理し、９項目（排泄行為、摂食行動、衛生管理、
着衣、知的機能、感情機能、痴呆に共通する症状、社会
性・対人関係、日常行動）に分類集計し表示器３により
グラフで表示、或いはプリンタなどの出力装置１１に出
力すると共に、これらの回答結果から患者に応じた介護
対処法も併せて表示や出力を行うことができる。To add to the outline of the program, the questions consist of 110 questions as described above. For example, for a demented elderly at home, a caregiver directly checks mental symptoms and problem behaviors and inputs these answers. Is processed by the program stored in the internal storage device 1 and the CPU 2, and 9 items (excretion, feeding, hygiene management,
Clothes, intellectual functions, emotional functions, symptoms common to dementia, social / interpersonal relations, daily activities) are categorized and aggregated and displayed in a graph on the display device 3 or output to an output device 11 such as a printer. Based on the answer result, it is possible to display and output the care handling method according to the patient.
【００１６】例えば、図４のグラフの横軸Ｂに示した９
項目のそれぞれに、あらかじめ重み付けされて作成され
た幾つかの設問がランダムに配置されている。そして、
その回答を集計し解析して得られた結果を縦軸Ａの症状
の程度（％）で表示することができる。 Ｐ０Ｈ６０９３０ グラフに表現されたＡの症状の程度（％）は基準値７０
％を境界値とし、この境界値以上の正常でない症状に対
しては各項目、各設問に合った介護対処法が逐次表示さ
れる。この場合、横軸Ｂの１は排泄行為、２は摂食行
動、３は衛生管理、４は４は着衣、５は知的機能、６は
感情機能、７は痴呆に共通の症状、８は社会性対人関
係、９は日常行動の如く各項目名を割り当てて表示する
ように構成されている。For example, 9 shown on the horizontal axis B of the graph of FIG.
Several pre-weighted questions are randomly placed in each item. And
The results obtained by collecting and analyzing the answers can be displayed as the degree (%) of the symptoms on the vertical axis A. P0H60930 The degree (%) of the symptoms of A expressed in the graph is the standard value 70
% Is used as a boundary value, and for abnormal symptoms that exceed this boundary value, each item and nursing care method appropriate to each question are sequentially displayed. In this case, 1 on the horizontal axis B is excretion, 2 is feeding, 3 is hygiene management, 4 is clothing, 5 is intellectual function, 6 is emotional function, 7 is common symptom for dementia, and 8 is The social interpersonal relationship, 9 is configured to be displayed by allocating each item name like daily activities.
【００１７】[0017]
【発明の効果】本発明によれば医師の診察を受ける際の
繁雑な事前調査が緩和され、適切な症状や治療効果の判
定など補助的役割を果たすことができ、また症状に見合
った適切な介護対処を行うことが可能となった。またデ
ータの累積数に比例して判定精度を上げることができる
と共に、累積したデータにより被検者の過去から現在に
至る症状の変化などもグラフ化し表示することができる
ので、薬効の判定や対処法が適切であったか否かなどの
判断をする場合の大きな指針とすることができる。INDUSTRIAL APPLICABILITY According to the present invention, complicated preliminary investigations at the time of seeing a doctor can be alleviated, and an auxiliary role such as determination of appropriate symptoms and therapeutic effects can be played, and appropriate examinations appropriate for the symptoms can be performed. It became possible to deal with nursing care. In addition, the accuracy of judgment can be increased in proportion to the cumulative number of data, and the cumulative data can also be used to display changes in symptoms of the subject from the past to the present in a graph, so that it is possible to judge and treat drug efficacy. It can be used as a great guideline when deciding whether or not the law was appropriate.
【図１】本発明の実施例を示すブロックダイアグラム、FIG. 1 is a block diagram showing an embodiment of the present invention,
【図２】図１に係わる最小構成例を示す斜視図、FIG. 2 is a perspective view showing a minimum configuration example according to FIG.
【図３】表示器に表現される質問および回答欄の表示
例、FIG. 3 is a display example of question and answer fields displayed on a display,
【図４】表示器に表現される高齢者精神機能評価表の表
示例、FIG. 4 is a display example of a mental function evaluation table for the elderly displayed on a display,
１ 内部記憶装置 ２ ＣＰＵ ３ 表示器 Ｐ０Ｈ６０９３０ ４ 回答キー ５ マークシートリーダ ６ 発声部 ７ マイクロフォン ８ 音声処理装置 ９ インターフェイス １０ 外部記憶装置 １１ 出力装置 １２ 電源スイッチ １３ リセットスイッチ １４ 質問文 １５ 回答文 Ａ 症状の程度 Ｂ 項目名 1 Internal storage device 2 CPU 3 Display device P0H60930 4 Answer key 5 Mark sheet reader 6 Voice generator 7 Microphone 8 Voice processing device 9 Interface 10 External storage device 11 Output device 12 Power switch 13 Reset switch 14 Question sentence 15 Answer sentence A A Degree of symptom B item name
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP26211194AJPH08117210A (en) | 1994-09-30 | 1994-09-30 | Method and apparatus for evaluating intelligent and mental functions |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP26211194AJPH08117210A (en) | 1994-09-30 | 1994-09-30 | Method and apparatus for evaluating intelligent and mental functions |
| Publication Number | Publication Date |
|---|---|
| JPH08117210Atrue JPH08117210A (en) | 1996-05-14 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP26211194APendingJPH08117210A (en) | 1994-09-30 | 1994-09-30 | Method and apparatus for evaluating intelligent and mental functions |
| Country | Link |
|---|---|
| JP (1) | JPH08117210A (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
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