Postoperative data monitoring method and system
Through multi-dimensional data collection and comprehensive evaluation, the uncertainty and incompleteness of postoperative data monitoring in the existing technology are solved, quantitative assessment of cardiac function risks and personalized rehabilitation plans are realized, nursing resources are allocated reasonably, and treatment effect and resource utilization efficiency are improved.
Patent Information
- Application Number
- CN202511064612.1
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2025-07-31
- Publication Date
- 2025-08-29
- Estimated Expiration
- Not applicable · inactive patent
AI Technical Summary
The existing postoperative data monitoring methods rely on the experience of medical staff, with uncertainty in judgment and cumbersome manual assessment, inability to track patient condition changes in real time, and the inability to fully understand the repair of cardiomyocyte injury and blood flow characteristics, resulting in a lack of key information on the treatment plan.
By collecting multi-dimensional data such as heart rate, blood pressure, blood oxygen saturation, respiratory rate, cardiac troponin value and blood viscosity, combined with diet, exercise and psychological status information, a comprehensive assessment of cardiac function risks, recovery potential and nursing resource allocation is achieved to achieve personalized rehabilitation plans and resource optimization.
A multi-dimensional quantitative assessment of cardiac function risks has been achieved, personalized rehabilitation guidance is provided, nursing resources are allocated reasonably, treatment effect and resource utilization efficiency are improved, and complications are reduced.
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Figure CN120565090A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of postoperative data monitoring and management, and in particular to a postoperative data monitoring method and system. Background Art
[0002] Cardiovascular disease is one of the major diseases threatening human health today. Cardiology surgery is an important treatment method. Cardiology surgery refers to a type of surgical treatment for the heart. These surgeries usually require incisions and operations in the body to repair or improve heart function. After cardiology surgery, patients may face a series of complications. In order to detect and deal with these complications in a timely manner, postoperative nursing monitoring is crucial for patients undergoing cardiology surgery.
[0003] However, existing postoperative data monitoring methods may rely heavily on the experience of medical staff to monitor various physiological data of postoperative patients. Due to the uncertainty of human judgment, it may be difficult to ensure accurate and consistent judgment of the patient's condition. The manual evaluation process is also cumbersome and may require medical staff to frequently observe and record large amounts of data, which may lead to omissions and errors, and it is impossible to track the changes in the patient's condition in real time and dynamically. Existing monitoring methods may mostly monitor a single physiological indicator. For example, they rely more on routine indicators such as heart rate and blood pressure to monitor the patient's physical condition after surgery. This may not provide an in-depth understanding of the damage and repair process of myocardial cells and the flow characteristics of blood in the cardiovascular system. The dynamic changes in cardiac troponin levels can directly reflect the repair of myocardial damage, and abnormal blood rheology indicators may indicate an increase in cardiac load. Therefore, incomplete monitoring methods may cause doctors to lack key information when evaluating patients' cardiac function, making it difficult to formulate comprehensive and accurate treatment plans. Summary of the Invention
[0004] The purpose of the present invention is to provide a postoperative data monitoring method and system to solve the problems raised in the above background technology.
[0005] To achieve the above object, the present invention provides the following technical solution: a postoperative data monitoring method, comprising the following steps: Step S1: The data acquisition module collects the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation, and respiratory rate, collects cardiac troponin values and blood viscosity information from the patient's blood, and then obtains the patient's postoperative diet information, postoperative exercise data, and psychological status information; Step S2: The data collected by the data acquisition module is input into the data processing module, the data processing module cleans the input data, and inputs the processed data into the comprehensive monitoring and evaluation module; Step S3: The comprehensive monitoring and assessment module assesses the patient's cardiac function risk based on the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation, and respiratory rate. It also analyzes the repair of myocardial damage and the fluidity and viscosity of blood after surgery by combining cardiac troponin values and blood viscosity information to output a comprehensive cardiac function risk score. The system also assesses the postoperative recovery of cardiologists based on the comprehensive cardiac function risk score. It also combines the patient's postoperative diet information, postoperative exercise data, and psychological state information to comprehensively assess the patient's postoperative recovery potential based on their diet and exercise status, and outputs a postoperative recovery potential index based on their psychological state information. The nursing resource allocation index is output through the comprehensive cardiac function risk score and postoperative recovery potential index, combined with the number of nursing staff and nursing equipment; Step S4: The comprehensive cardiac function risk score, postoperative recovery potential index and nursing resource allocation index are input into the management and analysis module. The management and analysis module adjusts the treatment measures based on the input data, strengthens the patient's health education and psychological intervention, and reasonably allocates nursing resources.
[0006] Optionally, the comprehensive monitoring and evaluation module includes a cardiac function postoperative risk assessment submodule, a cardiology postoperative recovery potential submodule, and a nursing resource allocation comprehensive submodule.
[0007] Optionally, the cardiac function postoperative risk assessment submodule first compares the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate with the normal range average of heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate to obtain the degree of deviation of heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate, and through continuous detection of cardiac troponin values, it can timely detect the progression of myocardial damage, and blood viscosity information is combined with whole blood viscosity, plasma viscosity and red blood cell ratio to comprehensively analyze the fluidity and viscosity of the blood to predict the risk of postoperative cardiac function of the patient, so as to output a comprehensive cardiac function risk score.
[0008] Optionally, the cardiology postoperative recovery potential submodule combines the comprehensive cardiac function risk score with the patient's diet information, postoperative exercise data and psychological state information to comprehensively predict the patient's recovery potential. The patient's diet is reflected by the intake of oil, salt, sugar and dietary fiber in the patient's diet, the patient's exercise time and exercise method per week reflect the patient's exercise condition, and the hospital anxiety and depression scale filled out by the patient reflects the patient's mental health condition, so as to comprehensively output the postoperative recovery potential index.
[0009] Optionally, the comprehensive nursing resource allocation submodule combines the comprehensive cardiac function risk score and the postoperative recovery potential index to determine the patient's nursing resource allocation level, and comprehensively outputs the nursing resource allocation index through the ratio of the number of nursing staff to the number of patients, and the ratio of the number of nursing equipment to the number of patients.
[0010] Optionally, the measures of the management and analysis module based on the comprehensive cardiac function risk score are specifically: When the comprehensive cardiac function risk score is high, it means that the patient's comprehensive cardiac function risk is high. The doctor should adjust the treatment plan in time and conduct further cardiac ultrasound and coronary angiography tests to clarify the cause and take targeted treatment measures. When the comprehensive risk score of cardiac function is low, it means that the patient's comprehensive risk of cardiac function is low. Doctors can appropriately reduce the monitoring frequency and drug dosage, and encourage patients to carry out moderate rehabilitation activities.
[0011] Optionally, the measures of the management and analysis module based on the postoperative recovery potential index are specifically: When the postoperative recovery potential index is high, it means that the patient has great recovery potential. Medical staff should develop a more active rehabilitation plan for the patient and provide richer nutritional support to promote faster recovery. When the postoperative recovery potential index is low, it means that the patient's recovery potential is small. Medical staff should strengthen health education and psychological intervention for patients to help patients improve their lifestyle and adjust their mental state.
[0012] A postoperative data monitoring system comprising: Data acquisition module: collects the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate, and collects cardiac troponin value and blood viscosity information from the patient's blood, and then obtains the patient's postoperative diet information, postoperative exercise data and psychological status information; Data processing module: used to input the data collected by the data acquisition module, clean the input data, and then input the processed data into the comprehensive monitoring and evaluation module; Comprehensive monitoring and assessment module: This module assesses the patient's cardiac function risk based on their heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation, and respiratory rate. It also analyzes the repair of myocardial damage and the fluidity and viscosity of blood after surgery using cardiac troponin values and blood viscosity information to output a comprehensive cardiac function risk score. The system also assesses the postoperative recovery of cardiologists based on the comprehensive cardiac function risk score. It also combines the patient's postoperative diet information, postoperative exercise data, and psychological state information to comprehensively assess the patient's postoperative recovery potential based on their diet and exercise status, and outputs a postoperative recovery potential index based on their psychological state information. The nursing resource allocation index is output through the comprehensive cardiac function risk score and postoperative recovery potential index, combined with the number of nursing staff and nursing equipment; Management and analysis module: used to input the comprehensive risk score of cardiac function, postoperative recovery potential index and nursing resource allocation index, and adjust treatment measures based on the input data, strengthen health education and psychological intervention for patients, and reasonably allocate nursing resources.
[0013] Compared with the prior art, the present invention has the following beneficial effects: 1. The present invention outputs a comprehensive cardiac function risk score through a postoperative cardiac function risk assessment submodule. This submodule quantitatively assesses the patient's postoperative cardiac function risk in multiple dimensions. Doctors can quickly judge the risk level and formulate and adjust treatment plans based on the comprehensive cardiac function risk score, which helps to detect potential risks early and reduce the incidence of complications. The creativity of this submodule lies in the introduction of the dynamic change rate of cardiac troponin to reflect the myocardial damage and repair status in real time, and the blood characteristic index to monitor blood rheology, providing a new basis for treatment adjustment.
[0014] 2. The present invention outputs the postoperative recovery potential index through the cardiology postoperative recovery potential submodule. This submodule can help medical staff understand the individual differences of patients and formulate personalized rehabilitation plans. The postoperative recovery potential index can more accurately predict the recovery situation and provide targeted rehabilitation guidance and psychological support to improve the rehabilitation effect and speed. This submodule incorporates the lifestyle factor index and the psychological state factor index to evaluate patients from the perspectives of lifestyle and psychological state respectively, providing a comprehensive reference for rehabilitation.
[0015] 3. The present invention outputs a nursing resource allocation index through a comprehensive nursing resource allocation submodule. This submodule can guide the rational allocation of nursing resources, ensure that patients receive matching nursing services, improve resource utilization efficiency and nursing quality, and when resources are limited, arrange different nursing levels according to the index. This submodule considers the nursing resource tension factor and combines patient needs with hospital resource conditions to achieve personalized resource allocation and ensure patient nursing needs. BRIEF DESCRIPTION OF THE DRAWINGS
[0016] Figure 1 This is a flowchart of the steps of the postoperative data monitoring method; Figure 2 This is a structural diagram of the postoperative data monitoring system; Figure 3 This is a structural diagram of the comprehensive monitoring and evaluation module in this postoperative data monitoring system. DETAILED DESCRIPTION
[0017] The following will clearly and completely describe the technical solutions in the embodiments of the present invention in conjunction with the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without making creative efforts are within the scope of protection of the present invention.
[0018] Existing postoperative data monitoring methods often rely on the experience of medical staff to monitor various physiological data of postoperative patients. However, due to the uncertainty of human judgment, it may be difficult to ensure the accuracy and consistency of the patient's condition. The manual evaluation process is cumbersome and requires medical staff to frequently observe and record large amounts of data, which is prone to omissions and errors. It is also impossible to track the changes in the patient's condition in real time and dynamically. Most existing monitoring methods monitor a single physiological indicator and cannot fully cover the key factors affecting cardiac function. Existing technologies may rely on routine indicators such as heart rate and blood pressure to monitor the patient's physical condition after surgery, and cannot gain an in-depth understanding of the damage and repair process of myocardial cells and the flow characteristics of blood in the cardiovascular system. The dynamic changes in cardiac troponin levels can directly reflect the repair of myocardial damage, and abnormal blood rheology indicators may indicate an increase in cardiac load. Therefore, incomplete monitoring methods may cause doctors to lack key information when evaluating patients' cardiac function, making it difficult to formulate comprehensive and accurate treatment plans.
[0019] This postoperative data monitoring method comprehensively considers conventional physiological indicators such as heart rate, blood pressure, blood oxygen saturation, and respiratory rate, as well as special indicators such as the dynamic change rate of cardiac troponin and the comprehensive hemorheology index. By integrating and calculating multi-dimensional data, it achieves a quantitative assessment of the patient's comprehensive cardiac function risk, avoiding the subjectivity and limitations of relying solely on manual judgment. This postoperative data monitoring method breaks through the limitations of traditional methods that focus only on physiological indicators and introduces lifestyle factors and psychological factors. Lifestyle, such as diet and exercise habits, as well as psychological state, have a significant impact on patients' postoperative recovery. This method combines these factors with a comprehensive cardiac function risk score to comprehensively assess a patient's recovery potential. This allows medical staff to gain a deeper understanding of individual patient differences, develop personalized rehabilitation plans, and improve rehabilitation outcomes. This postoperative data monitoring method combines the comprehensive cardiac function risk score, recovery potential index, and nursing resource strain factor to achieve a rational allocation of nursing resources. This method fully considers the actual needs of patients and the resource status of the hospital, and ensures that each patient can receive nursing services that match their condition under limited resources.
[0020] See also Figures 1 to 3, this embodiment provides a postoperative data monitoring method, comprising the following steps: Step S1: The data acquisition module collects the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation, and respiratory rate, collects cardiac troponin values and blood viscosity information from the patient's blood, and then obtains the patient's postoperative diet information, postoperative exercise data, and psychological status information; In this embodiment: the data acquisition module is described in detail; First, a multi-parameter monitor can be used to routinely monitor the patient's postoperative physical data. This is a common cardiology monitoring device, usually placed next to the patient's bed. It can monitor multiple physiological indicators simultaneously. Electrodes can be placed on specific locations on the patient's chest to monitor the electrocardiogram and obtain heart rate, a cuff can be tied to the patient's upper arm to measure blood pressure, a finger-cuff-type blood oxygen probe can be clipped to the patient's finger to measure blood oxygen saturation, and a respiratory sensor belt can be wrapped around the patient's chest or abdomen to monitor respiratory rate; Can collect real-time heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate; The multi-parameter monitor will then automatically perform preliminary processing on the collected data, converting the analog signal into a digital signal and displaying it in the form of numerical values. The nurse will record this data at regular intervals, such as once an hour.
[0021] The cardiac troponin value and blood viscosity information can be obtained through blood tests. The blood samples are tested using a chemiluminescence immunoassay instrument. Blood tests are performed regularly after surgery, such as 6 hours, 12 hours, and 24 hours after surgery. Blood samples are collected from patients and the cardiac troponin value is tested. The laboratory staff uses a chemiluminescence immunoassay instrument to test the blood samples and obtain the specific value of cardiac troponin. Similarly, the blood viscosity information can be checked by the laboratory department of the hospital.
[0022] Step S2: The data collected by the data acquisition module is input into the data processing module, the data processing module cleans the input data, and inputs the processed data into the comprehensive monitoring and evaluation module; Step S3: The comprehensive monitoring and assessment module assesses the patient's cardiac function risk based on the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation, and respiratory rate. It also analyzes the repair of myocardial damage and the fluidity and viscosity of blood after surgery by combining cardiac troponin values and blood viscosity information to output a comprehensive cardiac function risk score. The system also assesses the postoperative recovery of cardiologists based on the comprehensive cardiac function risk score. It also combines the patient's postoperative diet information, postoperative exercise data, and psychological state information to comprehensively assess the patient's postoperative recovery potential based on their diet and exercise status, and outputs a postoperative recovery potential index based on their psychological state information. The nursing resource allocation index is output through the comprehensive cardiac function risk score and postoperative recovery potential index, combined with the number of nursing staff and nursing equipment; The comprehensive monitoring and evaluation module includes a cardiac function postoperative risk assessment submodule, a cardiology postoperative recovery potential submodule, and a nursing resource allocation comprehensive submodule; Step S4: The comprehensive cardiac function risk score, postoperative recovery potential index and nursing resource allocation index are input into the management and analysis module. The management and analysis module adjusts the treatment measures based on the input data, strengthens the patient's health education and psychological intervention, and reasonably allocates nursing resources.
[0023] In this embodiment, multiple submodules assess patients from different perspectives. The cardiac function postoperative risk assessment submodule assesses the comprehensive cardiac function risk, the cardiology postoperative recovery potential submodule assesses the recovery potential, and the comprehensive nursing resource allocation submodule considers the allocation of nursing resources. By combining these submodules, a comprehensive and systematic understanding of the patient's condition, recovery status, and nursing needs can be achieved, providing a sufficient basis for formulating personalized treatment and nursing plans. Based on the calculation results of the cardiac function postoperative risk assessment submodule and the cardiology postoperative recovery potential submodule, the patient's condition and recovery potential are determined. Combined with the nursing resource strain factor of the comprehensive nursing resource allocation submodule, a reasonable allocation of nursing resources is achieved. This can avoid waste and shortage of resources, improve the hospital's operational efficiency, and enable limited resources to better serve patients. Through comprehensive assessment and personalized treatment and nursing plans, patient needs can be more accurately met and treatment efficacy can be improved. For example, for patients with high comprehensive cardiac function risk and low recovery potential, treatment and nursing intervention can be strengthened; while for patients with good cardiac function and high recovery potential, intervention can be appropriately reduced to promote the patient's independent recovery. Comprehensive consideration of the patient's physiological, psychological, and social factors provides patients with comprehensive support and guidance. Through personalized rehabilitation plans and psychological intervention, we can stimulate patients' recovery potential, promote their comprehensive physical and mental recovery, and improve their quality of life and survival rate.
[0024] See also Figures 1 to 3 The postoperative cardiac function risk assessment submodule first compares the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate with the normal range average of heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate to obtain the degree of deviation of heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate, and through the continuous detection of myocardial troponin values, the progression of myocardial damage can be detected in time, and the blood viscosity information is combined with whole blood viscosity, plasma viscosity and red blood cell ratio to comprehensively analyze the fluidity and viscosity of the blood to predict the risk of postoperative cardiac function of the patient, so as to output a comprehensive cardiac function risk score.
[0025] When the comprehensive cardiac function risk score is high, it means that the patient's comprehensive cardiac function risk is high. The doctor should adjust the treatment plan in time and conduct further cardiac ultrasound and coronary angiography tests to clarify the cause and take targeted treatment measures. When the comprehensive risk score of cardiac function is low, it means that the patient's comprehensive risk of cardiac function is low. Doctors can appropriately reduce the monitoring frequency and drug dosage, and encourage patients to carry out moderate rehabilitation activities.
[0026] The processing process of the cardiac function postoperative risk assessment submodule is as follows: ; in: CQ refers to the comprehensive cardiac function risk score, CQA refers to the patient's heart rate value, CQAA refers to the mean of the normal range of heart rate value, CQAB refers to the upper limit of the normal range of heart rate value, CQB refers to the patient's systolic blood pressure value, CQBA refers to the mean of the normal range of systolic blood pressure value, CQBB refers to the upper limit of the normal range of systolic blood pressure value, CQC refers to the patient's diastolic blood pressure value, CQCA refers to the mean of the normal range of diastolic blood pressure value, CQCB refers to the upper limit of the normal range of diastolic blood pressure value, CQD refers to the patient's respiratory rate, CQDA refers to the mean of the normal range of respiratory rate, and CQDB refers to the upper limit of the normal range of respiratory rate; CQE refers to the patient's blood oxygen saturation, which reflects the body's oxygen supply. The higher the blood oxygen saturation, the better the body's oxygenation status. Its contribution to the comprehensive cardiac function risk score CQ makes the higher the score, that is, the lower the comprehensive cardiac function risk. CQF refers to the dynamic change rate of cardiac troponin. By continuously monitoring cardiac troponin values, it reflects the status of myocardial damage and repair. If the CQF value is negative and the absolute value is large, it means that myocardial damage is rapidly repairing and the comprehensive cardiac function risk score is reduced; if it is positive and the value is large, it indicates that myocardial damage is aggravated, the score is reduced, and the risk is increased; Cardiac troponin is a specific marker of myocardial injury. In this submodule, the comprehensive cardiac function risk score (CQ) indicates that when myocardial injury occurs, which may occur after cardiology surgery, such as myocardial infarction and myocarditis, cardiac troponin will be released into the blood and its level will increase. By dynamically monitoring and calculating the rate of change, the progression or repair of myocardial injury can be detected in a timely manner. If the CQF is positive and the value is large, it indicates that the myocardial injury may be continuing to worsen, and the comprehensive cardiac function risk score will increase accordingly. If the CQF gradually decreases and approaches 0 or even becomes negative, it indicates that the myocardial injury is repairing and the comprehensive cardiac function risk is decreasing. It can reflect the real-time status of myocardial cells and provide key information for assessing cardiac function and prognosis. CQG refers to the blood characteristic index; it reflects the fluidity and viscosity of blood. The lower the index, the better the blood fluidity, the smaller the heart load, and the contribution to CQ makes the score higher and the comprehensive risk of heart function lower; The blood characteristic index CQG is closely related to cardiovascular diseases. In the comprehensive risk score CQ of heart function, hemorheological abnormalities such as increased blood viscosity and enhanced erythrocyte aggregation will increase the heart load, affecting heart perfusion and oxygen supply. CQG combines multiple factors such as whole blood viscosity, plasma viscosity, and hematocrit, and can comprehensively reflect the fluidity and viscosity of blood. When CQG increases, it means that the blood flow resistance increases, and the heart needs greater force to promote blood circulation, which will increase the burden on the heart and lead to an increase in the comprehensive risk of heart function. Conversely, a decrease in CQG indicates an improvement in the hemorheological state, a reduction in heart load, and a decrease in the comprehensive risk of heart function. It provides an important basis for heart function assessment from the perspective of hemodynamics; CA, CB, CC, CD, CE, CF, CG respectively refer to the weight coefficients of heart rate value, systolic blood pressure value, diastolic blood pressure value, respiratory rate, cardiac troponin, and blood characteristics; ; Among them: CQFA refers to the currently detected cardiac troponin value; CQFB refers to the previously detected cardiac troponin value; The smaller CQF is, the better. The ideal situation is a negative value with a relatively large absolute value. Cardiac troponin is a specific marker of myocardial injury. When CQF is a positive value and the value is relatively large, it indicates that myocardial injury may be continuously aggravating; if CQF gradually decreases and approaches 0 or even becomes negative, it means that myocardial injury is being repaired; Because cardiac troponin is a specific marker of myocardial injury, when myocardial injury occurs, it will be released into the blood and its content in the blood increases. As the injury is repaired, its content gradually decreases. Therefore, CQFA < CQFB reflects this positive change process; ; Among them: CQGA refers to whole blood viscosity, CQGB refers to the normal mean value of whole blood viscosity, CQGC refers to the normal upper limit of whole blood viscosity, CQGD refers to plasma viscosity, CQGE refers to the normal mean value of plasma viscosity, CQGF refers to the normal upper limit of plasma viscosity, CQGG refers to hematocrit, CQGH refers to the normal mean value of hematocrit, CQGI refers to the normal upper limit of hematocrit; SA, SB, SC respectively refer to the weight coefficients of whole blood viscosity, plasma viscosity, and hematocrit.
[0027] In this embodiment, a larger cardiac function comprehensive risk score CQ indicates that the degree to which various physiological indicators deviate from the normal range is greater, the myocardial injury repair is poor, the blood rheology state is poor, and the comprehensive cardiac function risk is higher. A smaller cardiac function comprehensive risk score CQ indicates that various physiological indicators are close to normal, the myocardial injury repair is good, the blood fluidity is good, and the comprehensive cardiac function risk is lower. This submodule comprehensively integrates multiple key physiological indicators to quantitatively assess the comprehensive risk of postoperative cardiac function in patients. By considering conventional indicators such as heart rate, blood pressure, blood oxygen saturation, respiratory rate, as well as special indicators such as the dynamic change rate of cardiac troponin and blood characteristic index, it reflects the physiological status and potential risks of the heart from multiple dimensions. This submodule provides basic data for subsequent assessment and decision-making. Doctors can quickly determine the overall risk level of the patient's cardiac function based on the score of the Comprehensive Cardiac Function Risk Score (CQ), and thus formulate preliminary treatment and care plans. Doctors can adjust the treatment plan in a timely manner based on the score results, such as adjusting the drug dosage and arranging further examinations. For example, for patients with a low Comprehensive Cardiac Function Risk Score (CQ), the monitoring frequency and intervention measures can be appropriately reduced, while for patients with a high Comprehensive Cardiac Function Risk Score (CQ), intensified monitoring and active treatment measures are required. This submodule facilitates early detection of potential risks to cardiac function and the adoption of appropriate intervention measures, which can reduce the incidence of postoperative complications and improve patients' survival rate and quality of life. For example, for patients with a high CQ score, timely myocardial protection treatment and enhanced cardiac monitoring can reduce the occurrence of serious complications such as myocardial infarction. This submodule introduces the dynamic change rate of cardiac troponin and the blood characteristic index. Compared with traditional postoperative monitoring in cardiology, which mainly focuses on routine physiological indicators, these two parameters provide a new perspective for cardiac function assessment from the perspective of myocardial injury repair and hemodynamics. The dynamic change rate of cardiac troponin CQF can reflect the repair of myocardial injury in real time. In postoperative monitoring, by continuously detecting cardiac troponin values, the progression or improvement of myocardial injury can be detected in time, providing an important basis for adjusting the treatment plan. The blood characteristic index CQG comprehensively considers factors such as whole blood viscosity, plasma viscosity and hematocrit, and reflects the fluidity and viscosity of blood. Abnormal blood rheology will increase the load on the heart and affect the perfusion and oxygen supply of the heart. By monitoring the blood characteristic index CQG, changes in blood rheology can be detected in time, and corresponding treatment measures can be taken, such as the use of anticoagulants or drugs to improve microcirculation.
[0028] See also Figures 1 to 3The cardiology postoperative recovery potential submodule combines the comprehensive risk score of cardiac function with the patient's diet information, postoperative exercise data and psychological state information to comprehensively predict the patient's recovery potential. The intake of oil, salt, sugar and dietary fiber in the patient's diet reflects the patient's diet, the weekly exercise time and exercise method of the patient reflects the patient's exercise status, and the hospital anxiety and depression scale filled out by the patient reflects the patient's mental health status, so as to comprehensively output the postoperative recovery potential index.
[0029] When the postoperative recovery potential index is high, it means that the patient has great recovery potential. Medical staff should develop a more active rehabilitation plan for the patient and provide richer nutritional support to promote faster recovery. When the postoperative recovery potential index is low, it means that the patient's recovery potential is small. Medical staff should strengthen health education and psychological intervention for patients to help patients improve their lifestyle and adjust their mental state.
[0030] The processing process of the cardiology postoperative recovery potential submodule is as follows: ; in: RO refers to the postoperative recovery potential index; t refers to the time after surgery, in days. With other conditions remaining unchanged, the longer the time after surgery, the larger the t in the denominator and the smaller the RO. This means that over time, if the recovery potential does not improve significantly, the recovery potential index will decrease; ROA refers to the lifestyle factor index. A healthy lifestyle will increase ROA, indicating that the patient has greater recovery potential, while an unhealthy lifestyle will reduce ROA. A healthy lifestyle takes a positive value, while an unhealthy lifestyle takes a negative value. ; in: ROAA refers to diet score; If: daily salt intake ≤ 3 grams, fat intake ≤ 25 grams, dietary fiber intake ≥ 25 grams, and daily added sugar intake ≤ 25 grams, then ROAA output is 0.2; If: salt intake is 3-6 grams, fat intake is 25-30 grams, dietary fiber intake is 20-25 grams, added sugar intake is 25-50 grams, and high-salt, high-fat, and high-sugar foods are occasionally consumed, then the ROAA output is 0.1; If: salt intake is 6-10 grams, fat intake is 30-40 grams, dietary fiber intake is 15-20 grams, added sugar intake is 50-75 grams, and high-salt, high-fat, and high-sugar foods are frequently consumed, then the ROAA output is -0.1; If: salt intake > 10g, fat intake > 40g, dietary fiber intake < 15g, added sugar intake > 75g, and a person consumes a large amount of high-salt, high-fat, and high-sugar foods for a long time, the ROAA output is -0.2; It should be noted that the calculation of the above-mentioned intake of salt, oil, dietary fiber and added sugar can be based on the medical staff asking the patients and their families to understand the patients' actual daily diet and make a judgment.
[0031] ROAB refers to athletic score; If: If the patient's physical condition allows after surgery, they perform at least 150 minutes of moderate-intensity aerobic exercise (such as walking at a speed of 4-5 km / h) or 75 minutes of high-intensity aerobic exercise (such as jogging at a speed of 6-8 km / h) per week, and perform strength training 2-3 times a week (such as simple upper limb training with dumbbells), then the ROAB output is 0.2; If you do 75-150 minutes of moderate-intensity aerobic exercise or 30-75 minutes of vigorous-intensity aerobic exercise per week and strength training less than twice, your ROAB output is 0.1. If you do less than 75 minutes of aerobic exercise per week and no strength training, your ROAB output is -0.1 If: there is little exercise and the average daily steps are less than 1000, the ROAB output is -0.2; It should be noted that the above-mentioned exercise time and exercise method can be obtained by medical staff asking patients and their families about the patient's exercise status, or by interconnecting and uploading data from electronic sports devices such as sports watches.
[0032] ROB refers to the psychological state factor index. A positive psychological state will increase ROB, indicating that the patient's recovery potential is enhanced, while a negative psychological state will decrease ROB. The Hospital Anxiety and Depression Scale (HADS) can be used to assess the patient's psychological state. The psychological state factor ROB value range is -0.3 to 0.3, with a positive psychological state taking a positive value and a negative psychological state taking a negative value. The Hospital Anxiety and Depression Scale (HADS) was used to assess the patients' psychological status. The scale includes two subscales, anxiety and depression, with a maximum score of 21 points for each subscale. If: the total HADS score is 0-7, reflecting the patient's normal mental state, the ROB output is 0.1; If the HADS total score is 8-10, indicating that the patient is in a mild anxiety or depression state, the ROB output is 0; If the HADS total score is 11-14 points, indicating that the patient is in a moderately anxious or depressed state, the ROB output is -0.1; If the HADS total score is 15-21 points, indicating that the patient is in a state of severe anxiety or depression, the ROB output is -0.2; 1-CQ refers to the relative degree of good cardiac function. The lower the CQ, the larger the 1-CQ, which means the lower the comprehensive risk of cardiac function, the better the foundation of the patient's recovery potential, and the contribution to RO makes the recovery potential index larger.
[0033] In this embodiment, a larger postoperative recovery potential index RO indicates a lower overall risk of cardiac function, a healthy lifestyle, a positive psychological state, and a relatively short postoperative period, indicating a greater recovery potential. A smaller postoperative recovery potential index RO may indicate a higher overall risk of cardiac function, an unhealthy lifestyle, a negative psychological state, or a longer postoperative period with poor recovery, indicating a smaller recovery potential. This submodule can help medical staff understand the individual differences of patients and develop personalized rehabilitation plans. Different patients have different lifestyles and mental states, and their recovery potential will also vary greatly. The postoperative recovery potential index RO can more accurately predict the patient's recovery and provide patients with more targeted rehabilitation guidance and psychological support. The postoperative recovery potential index RO provides an important reference for rehabilitation treatment. Medical staff can develop personalized rehabilitation plans based on the size of the postoperative recovery potential index RO, including exercise programs, dietary guidance and psychological intervention. This submodule helps to improve the patient's recovery effect and speed, and through targeted rehabilitation measures, give full play to the patient's recovery potential and promote the patient's comprehensive physical and mental recovery. This submodule incorporates lifestyle factors and psychological state factors into the formula, breaking through the limitations of traditional monitoring that only focuses on physiological indicators, and recognizes the important impact of lifestyle and psychological state on patient recovery; The Lifestyle Factor Index (ROA) comprehensively considers lifestyle factors such as diet and exercise. A healthy lifestyle helps promote recovery, while an unhealthy lifestyle increases the difficulty of recovery. By assessing LSF, we can provide patients with targeted lifestyle guidance, such as dietary adjustments and exercise recommendations, thereby improving their recovery potential. The psychological state factor index ROB reflects the patient's psychological stress and emotional state. Psychological factors have an important impact on the occurrence, development and recovery of cardiovascular diseases. A positive psychological state can enhance the patient's immunity and confidence in recovery, while a negative psychological state may lead to worsening of the disease. By evaluating PSF, we can timely detect the patient's psychological problems and provide psychological intervention, such as psychological counseling and psychotherapy.
[0034] See also Figures 1 to 3The comprehensive nursing resource allocation submodule combines the comprehensive cardiac function risk score and the postoperative recovery potential index to determine the patient's nursing resource allocation level, and comprehensively outputs the nursing resource allocation index through the ratio of the number of nursing staff to the number of patients, and the ratio of the number of nursing equipment to the number of patients.
[0035] The processing of the comprehensive submodule of nursing resource allocation is as follows: ; ; in: PD refers to the nursing resource allocation index; PD<0.2: Level 3 care, providing basic nursing observation and health guidance; 50.2≤PDI<0.5: Secondary care, increasing the frequency of nursing observation and providing targeted rehabilitation advice; 0.5≤PD<0.8: Level 1 care, strengthen nursing intervention, closely monitor physiological indicators and adjust treatment plans.
[0036] PD ≥ 0.8: Special care, with dedicated personnel providing 24-hour monitoring and comprehensive nursing services.
[0037] RSO refers to the maximum possible value of the postoperative recovery potential index, which can be statistically calculated based on a large amount of clinical data; PDD refers to the nursing resource impact factor, which is determined based on the hospital's current number of available nursing staff, nursing equipment and other resources, and ranges from -0.2 to 0.2; PDDA refers to the nursing staff quantity score; If: the nurse-patient ratio reaches 1:2 or above, the PDDA output is -0.1; If the ratio of nurses to patients is 1:3-1:4, the PDDA output is 0; If the nurse-patient ratio is 1:5-1:6, the PDDA output is 0.1; If: the nurse to patient ratio is greater than 1:6, PDDA output is 0.2; PDDB refers to the nursing device utilization score; If: the ratio of the number of commonly used nursing equipment (such as ECG monitors, infusion pumps, etc.) to the number of patients reaches 1:1, the equipment integrity rate is ≥ 95%, and there is no equipment usage conflict, then the PDDA output is -0.1; If the ratio of commonly used nursing equipment to the number of patients is 1:1.5-1:2, the equipment availability rate is 90%-95%, and some equipment occasionally has usage conflicts, but it does not affect the overall nursing work, then PDDA output is 0; If the ratio of commonly used nursing equipment to the number of patients is 1:2-1:3, the equipment availability rate is 80%-90%, there is a shortage of nursing equipment, conflicts in use often occur, and nursing work efficiency is affected, then the PDDA output is 0.1; If the ratio of commonly used nursing equipment to the number of patients is less than 1:3, the equipment availability rate is less than 80%, there is a serious shortage of nursing equipment, and some patients cannot use necessary equipment in a timely manner, then the PDDA output is 0.2; It refers to the ratio of the patient's current recovery potential to the maximum recovery potential. Subtracting this value from 1 will indicate the extent to which the recovery potential has not reached its maximum.
[0038] In this embodiment, a larger PD index indicates a higher overall cardiac risk, lower recovery potential, and limited nursing resources, indicating that the patient requires more nursing resources to ensure recovery. A smaller PD index indicates a lower overall cardiac risk, higher recovery potential, and sufficient nursing resources, indicating that the patient requires relatively fewer nursing resources. This submodule combines the overall cardiac risk score, recovery potential index, and nursing resource shortage factor to determine a personalized nursing resource allocation level for the patient. This takes into account the patient's actual needs and the hospital's resource situation, achieving a reasonable allocation of nursing resources. This submodule improves the utilization efficiency of nursing resources, ensuring that every patient can receive nursing services that match their condition. When nursing resources are limited, the nursing resource allocation index (PD) can prioritize the allocation of resources to patients who need them most, thus avoiding resource waste and shortages. The PD index can guide the allocation of nursing resources. Nursing staff can determine the patient's nursing level based on the index and reasonably arrange nursing staff and nursing equipment. This submodule optimizes the allocation of nursing resources, improves nursing quality and efficiency, and avoids the waste of nursing resources while ensuring that patients receive effective care. This enables the hospital to better cope with fluctuations in the number of patients and resource constraints. For example, for patients with a high PD index, a dedicated person is assigned to provide 24-hour monitoring; while for patients with a low PD index, routine nursing observation can be performed. This submodule considers the nursing resource constraint factor, combines the patient's needs with the hospital's resource status, and realizes personalized allocation of nursing resources. This submodule is determined based on the hospital's current number of available nursing staff and nursing equipment. When nursing resources are limited, by considering the nursing resource influencing factor PDD, the allocation of nursing resources can be reasonably adjusted to ensure that every patient receives appropriate nursing services. For example, when nursing resources are tight, the nursing level of patients with a low PD index can be appropriately reduced, and more resources can be allocated to patients with a high PD index. The nursing resource influencing factor PDD can be determined based on the number of nursing staff and nursing equipment currently available in the hospital. When nursing resources are limited, by considering the nursing resource influencing factor PDD, the allocation of nursing resources can be reasonably adjusted to ensure that every patient can receive appropriate nursing services. For example, when nursing resources are tight, the nursing level for patients with a lower nursing resource allocation index PD can be appropriately reduced, and more resources can be allocated to patients with a higher nursing resource allocation index PD.
[0039] It is worth noting that the weight coefficient CG of blood characteristics in the cardiac function postoperative risk assessment submodule is affected based on the postoperative recovery potential index RO, and then the blood characteristic index CQG is adjusted and optimized by the weight coefficient CG of blood characteristics. The calculation process is as follows: first: ; Second: Set the iteration termination condition: Termination condition 1: The number of iterations is 100; Termination condition 2: ; in: CG new Refers to the blood characteristic weight coefficient after iteration; CG old Refers to the blood characteristic weight coefficient before iteration α refers to the learning rate, which is used to control the step size of each weight adjustment. Here, α=0.01 is set; RAP refers to the average value of the recovery potential index over a period of time (e.g., the average postoperative recovery potential index RO value of all patients in the past week); RWE refers to the standard deviation of the recovery potential index during the corresponding time period.
[0040] In this embodiment, this iterative form further demonstrates the importance of the postoperative recovery potential index RO. It is no longer simply used to assess a patient's recovery potential, but also affects the parameter weights of the cardiac function postoperative risk assessment submodule, thereby indirectly affecting the assessment of the comprehensive cardiac function risk. This encourages more accurate consideration of factors such as lifestyle factors and psychological state factors when calculating the postoperative recovery potential index RO, as these factors not only affect the assessment of the patient's recovery potential, but also affect the calculation of the cardiac function postoperative risk assessment submodule. This iteration method iteratively adjusts the weight of the blood characteristic index CQG, allowing the cardiac function postoperative risk assessment submodule to more dynamically adapt to the individual differences of different patients. For patients with high recovery potential (high postoperative recovery potential index RO), if their blood rheological status has a relatively small impact on the comprehensive risk of cardiac function, the weight of the blood characteristic index CQG will be reduced. Conversely, for patients with low recovery potential (low postoperative recovery potential index RO), if their blood rheological status has a greater impact on cardiac function, the weight of the blood characteristic index CQG will be increased. This allows for a more accurate assessment of the comprehensive risk of cardiac function in different patients, making the assessment results of the cardiac function postoperative risk assessment submodule more consistent with the patient's actual situation. This iterative approach makes the entire postoperative cardiology data monitoring method more intelligent and adaptive. It can dynamically adjust the relative importance of each parameter in the comprehensive cardiac function risk assessment based on the patient's recovery potential, thereby improving the accuracy of the assessment. By continuously optimizing the calculation of the cardiac function postoperative risk assessment submodule, it can more accurately reflect the patient's cardiac function status and provide a more reliable basis for subsequent treatment and nursing decisions.
[0041] While embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions, and variations may be made to these embodiments without departing from the principles and spirit of the invention, and that the scope of the invention is defined by the appended claims and their equivalents.
Claims
1. A postoperative data monitoring method, characterized in that: The following steps are involved: Step S1: The data acquisition module collects the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation, and respiratory rate, collects cardiac troponin values and blood viscosity information from the patient's blood, and then obtains the patient's postoperative diet information, postoperative exercise data, and psychological status information; Step S2: The data collected by the data acquisition module is input into the data processing module, the data processing module cleans the input data, and inputs the processed data into the comprehensive monitoring and evaluation module; Step S3: The comprehensive monitoring and assessment module assesses the patient's cardiac function risk based on the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation, and respiratory rate. It also analyzes the repair of myocardial damage and the fluidity and viscosity of blood after surgery by combining cardiac troponin values and blood viscosity information to output a comprehensive cardiac function risk score. The system also assesses the postoperative recovery of cardiologists based on the comprehensive cardiac function risk score. It also combines the patient's postoperative diet information, postoperative exercise data, and psychological state information to comprehensively assess the patient's postoperative recovery potential based on their diet and exercise status, and outputs a postoperative recovery potential index based on their psychological state information. The nursing resource allocation index is output through the comprehensive cardiac function risk score and postoperative recovery potential index, combined with the number of nursing staff and nursing equipment; Step S4: The comprehensive cardiac function risk score, postoperative recovery potential index and nursing resource allocation index are input into the management and analysis module. The management and analysis module adjusts the treatment measures based on the input data, strengthens the patient's health education and psychological intervention, and reasonably allocates nursing resources.
2. A postoperative data monitoring method according to claim 1, characterized in that: The comprehensive monitoring and evaluation module includes a cardiac function postoperative risk assessment submodule, a cardiology postoperative recovery potential submodule, and a nursing resource allocation comprehensive submodule.
3. A postoperative data monitoring method according to claim 2, characterized in that: The cardiac function postoperative risk assessment submodule first compares the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate with the normal range average of heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate to obtain the degree of deviation of heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate, and through continuous detection of cardiac troponin values, it can timely detect the progression of myocardial damage, and blood viscosity information is combined with whole blood viscosity, plasma viscosity and red blood cell ratio to comprehensively analyze the fluidity and viscosity of the blood to predict the risk of postoperative cardiac function of the patient, so as to output a comprehensive cardiac function risk score.
4. A postoperative data monitoring method according to claim 3, characterized in that: The cardiology postoperative recovery potential submodule combines the comprehensive risk score of cardiac function with the patient's diet information, postoperative exercise data and psychological state information to comprehensively predict the patient's recovery potential. The intake of oil, salt, sugar and dietary fiber in the patient's diet reflects the patient's diet, the weekly exercise time and exercise method of the patient reflects the patient's exercise status, and the hospital anxiety and depression scale filled out by the patient reflects the patient's mental health status, so as to comprehensively output the postoperative recovery potential index.
5. The postoperative data monitoring method according to claim 4, characterized in that: The comprehensive nursing resource allocation submodule combines the comprehensive cardiac function risk score and the postoperative recovery potential index to determine the patient's nursing resource allocation level, and comprehensively outputs the nursing resource allocation index through the ratio of the number of nursing staff to the number of patients, and the ratio of the number of nursing equipment to the number of patients.
6. A postoperative data monitoring method according to claim 5, characterized in that: The measures of the management and analysis module based on the comprehensive cardiac function risk score are specifically: When the comprehensive cardiac function risk score is high, it means that the patient's comprehensive cardiac function risk is high. The doctor should adjust the treatment plan in time and conduct further cardiac ultrasound and coronary angiography tests to clarify the cause and take targeted treatment measures. When the comprehensive risk score of cardiac function is low, it means that the patient's comprehensive risk of cardiac function is low. Doctors can appropriately reduce the monitoring frequency and drug dosage, and encourage patients to carry out moderate rehabilitation activities.
7. The postoperative data monitoring method according to claim 5, characterized in that: The measures of the management and analysis module based on the postoperative recovery potential index are specifically: When the postoperative recovery potential index is high, it means that the patient has great recovery potential. Medical staff should develop a more active rehabilitation plan for the patient and provide richer nutritional support to promote faster recovery. When the postoperative recovery potential index is low, it means that the patient's recovery potential is small. Medical staff should strengthen health education and psychological intervention for patients to help patients improve their lifestyle and adjust their mental state.
8. A postoperative data monitoring system according to claim 1, characterized in that: include: Data acquisition module: collects the patient's heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation and respiratory rate, and collects cardiac troponin value and blood viscosity information from the patient's blood, and then obtains the patient's postoperative diet information, postoperative exercise data and psychological status information; Data processing module: used to input the data collected by the data acquisition module, clean the input data, and then input the processed data into the comprehensive monitoring and evaluation module; Comprehensive monitoring and assessment module: This module assesses the patient's cardiac function risk based on their heart rate, systolic blood pressure, diastolic blood pressure, blood oxygen saturation, and respiratory rate. It also analyzes the repair of myocardial damage and the fluidity and viscosity of blood after surgery using cardiac troponin values and blood viscosity information to output a comprehensive cardiac function risk score. The system also assesses the postoperative recovery of cardiologists based on the comprehensive cardiac function risk score. It also combines the patient's postoperative diet information, postoperative exercise data, and psychological state information to comprehensively assess the patient's postoperative recovery potential based on their diet and exercise status, and outputs a postoperative recovery potential index based on their psychological state information. The nursing resource allocation index is output through the comprehensive cardiac function risk score and postoperative recovery potential index, combined with the number of nursing staff and nursing equipment; Management and analysis module: used to input the comprehensive risk score of cardiac function, postoperative recovery potential index and nursing resource allocation index, and adjust treatment measures based on the input data, strengthen health education and psychological intervention for patients, and reasonably allocate nursing resources.
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