A nursing method and device for intestinal stoma complications based on digital processing

Abstract

The present invention provides a method and device for nursing care of intestinal stoma complications based on digital processing, which comprises the following steps: obtaining a nursing process structure according to a nursing node configured by a physician end for a patient end, updating the nursing process structure based on instruction configuration data of the physician end to obtain a nursing instruction structure; obtaining the data to be inspected uploaded by the patient end to a nursing node with a detection attribute in the nursing instruction structure, retrieving an intestinal stoma detection strategy to perform abnormality detection on the data to be inspected to obtain evaluation data; obtaining an operation request of the patient end to a nursing node with a linkage guidance attribute based on the evaluation data, retrieving a linkage guidance template corresponding to the nursing node and sending it to the patient end; obtaining linkage instruction data based on the operation data uploaded by the patient end based on the linkage guidance template and sending it to the patient end.

Description

Technical Field

[0001] The invention relates to digital processing technology, and in particular to a method and device for nursing intestinal stoma complications based on digital processing. Background Art

[0002] Enterostomy is an artificial opening made by pulling the intestine from the abdominal cavity to the abdominal wall. It is a surgical treatment method. The care of the enterostomy helps prevent infection and plays a vital role in the patient's recovery process. It should be given enough attention and care.

[0003] In the prior art, when patients perform intestinal stoma care by themselves, the specific care process may be rather complicated, including steps such as cleaning the stoma with saline, measuring the stoma size with a stoma measuring ruler, and cutting the center hole of the chassis. If the patient is not guided in the care, the patient may make mistakes during the operation, which may lead to infection, necrosis, etc. of the wound.

[0004] Therefore, how to guide patients to carry out colostomy care has become an urgent problem to be solved. Summary of the invention

[0005] The embodiment of the present invention provides a method and device for nursing colostomy complications based on digital processing, which can guide patients to perform colostomy nursing.

[0006] A first aspect of an embodiment of the present invention provides a method for nursing care of intestinal stoma complications based on digital processing, comprising:

[0007] Obtaining a nursing process structure according to the nursing nodes configured by the physician for the patient, and updating the nursing process structure based on the instruction configuration data of the physician to obtain a nursing instruction structure;

[0008] Acquire the data to be inspected uploaded by the patient end to the nursing node of the detection attribute in the nursing instruction structure, and retrieve the enterostomy detection strategy to perform abnormality detection on the data to be inspected to obtain evaluation data;

[0009] Acquire the operation request of the patient end to the nursing node with linkage guidance attribute based on the evaluation data, retrieve the linkage guidance template corresponding to the nursing node and send it to the patient end;

[0010] According to the operation data uploaded by the patient end based on the linkage guidance template, linkage indication data is obtained and sent to the patient end.

[0011] Optionally, in a possible implementation of the first aspect, obtaining a nursing process structure according to a nursing node configured by a physician end for a patient end, and updating the nursing process structure based on instruction configuration data of the physician end to obtain a nursing instruction structure include:

[0012] Receive a process configuration request from the physician end, obtain multiple nursing processes configured by the physician end, and construct nursing nodes corresponding to each nursing process and patient nodes corresponding to the patient end;

[0013] Arrange the patient node and each nursing node according to the connection direction and the nursing sequence configured by the physician end for each nursing node, and then connect them to obtain a nursing process structure;

[0014] Acquire the identity information of the patient terminal, and bind the identity information and the patient node;

[0015] receiving a configuration request from the physician end for the corresponding nursing node in the nursing process structure, retrieving an initial template and sending it to the physician end;

[0016] Acquiring the nursing instruction requirements of the physician, wherein the nursing instruction requirements include single instruction requirements or comprehensive instruction requirements;

[0017] According to the single indication requirement, the initial template is divided into a single area to obtain a nursing indication area, or according to the comprehensive indication requirement, the initial template is divided into multiple areas to obtain a nursing indication area and a data upload area;

[0018] Acquire the instruction image configured by the physician end for the nursing node to update the nursing instruction area to obtain nursing instruction data;

[0019] The data upload area is updated according to the filling slots configured by the physician end for the data upload area to obtain the data to be recorded;

[0020] A nursing instruction template is obtained based on the nursing instruction data and / or the data to be recorded, and the instruction configuration data is obtained according to the nursing instruction template to update the nursing process structure to obtain a nursing instruction structure.

[0021] Optionally, in a possible implementation of the first aspect, acquiring the instruction image configured by the physician end for the care node to update the care instruction area to obtain care instruction data includes:

[0022] receiving the instruction image configured by the physician end for the nursing node, and counting the number of the instruction images;

[0023] The nursing indication area whose number of images is equal to the reference number is obtained as a type of nursing indication area, and the type of nursing indication area is updated based on the indication image to obtain a type of indication data;

[0024] Determine that the nursing instruction area where the number of images is greater than the reference number is a second-category nursing instruction area, and divide the second-category nursing instruction area into a plurality of sub-display areas based on the division direction and the number of images;

[0025] According to the association order and the division direction configured by the physician end for each of the indication images, each of the indication images is updated to the corresponding sub-display area to obtain associated indication data;

[0026] Based on the association request of the physician side, the association line configured by the physician side for the corresponding indication image is obtained, and the association indication data is updated according to the association line to obtain the second type of indication data;

[0027] Nursing instruction data is obtained according to the first type of instruction data or the second type of instruction data.

[0028] Optionally, in a possible implementation of the first aspect, obtaining, based on an association request from a physician end, an association line configured by the physician end for the corresponding indication image, and updating the association indication data according to the association line to obtain the second type of indication data includes:

[0029] When the nursing node is a nursing node of the linkage guidance attribute, the instruction image includes a measurement instruction image and a clipping instruction image;

[0030] Acquiring, based on the association request of the physician end, a measurement point selected by the physician end in the measurement instruction image and a clipping point selected by the physician end in the clipping instruction image;

[0031] The measurement point and the clipping point are connected to obtain the association line, and the association indication data is updated according to the association line to obtain the second type of indication data.

[0032] Optionally, in a possible implementation of the first aspect, obtaining the data to be inspected uploaded by the patient end to the care node of the detection attribute in the care instruction structure, and retrieving the intestinal stoma detection strategy to perform abnormality detection on the data to be inspected to obtain evaluation data, including:

[0033] Determine the care node of the detection attribute as a detection node, receive a care request from the patient end to the detection node, retrieve a care instruction template corresponding to the detection node and send it to the patient end;

[0034] Acquire the image to be inspected uploaded by the patient end based on the filling slot in the nursing instruction template, and obtain the data to be inspected according to the image to be inspected, wherein the nursing instruction template corresponding to the detection node includes a nursing instruction area and a data upload area;

[0035] Retrieving the intestinal stoma detection strategy to extract the intestinal stoma area corresponding to the data to be detected, and obtaining the average pixel value corresponding to all pixel points in the intestinal stoma area;

[0036] Determine that the data to be inspected whose average pixel value is within the standard pixel interval is normal data, and determine that the data to be inspected whose average pixel value is not within the standard pixel interval is abnormal data;

[0037] Evaluation data is obtained according to the abnormal data or the normal data.

[0038] Optionally, in a possible implementation of the first aspect, obtaining an operation request of the patient end to a care node with a linkage guidance attribute based on the evaluation data, and retrieving a linkage guidance template corresponding to the care node and sending it to the patient end, comprising:

[0039] When the evaluation data is abnormal data, generating a reminder message and sending it to the patient end;

[0040] When the evaluation data is normal data, determining the nursing node of the linkage guidance attribute as a linkage node, and retrieving the indicating pixel value to highlight the linkage node;

[0041] An operation request from the patient end to the linkage node is received, and a nursing instruction template corresponding to the linkage node is obtained and sent to the patient end as a linkage guidance template.

[0042] Optionally, in a possible implementation of the first aspect, obtaining linkage indication data according to operation data uploaded by the patient terminal based on the linkage guidance template and sending the linkage indication data to the patient terminal includes:

[0043] Acquire the operation image uploaded by the patient end based on the filling slot in the linkage guidance template, and obtain operation data according to the operation image, wherein the linkage guidance template corresponding to the linkage node includes a nursing instruction area and a data upload area;

[0044] Determining that the operating data that meets the stoma measurement conditions is compliant data, and automatically measuring and processing the compliant data to obtain the stoma size;

[0045] Retrieving a chassis opening comparison table, comparing a plurality of preset stoma intervals in the chassis opening comparison table according to the stoma size, and determining that a preset opening aperture corresponding to the preset stoma interval where the stoma size is located is a target opening aperture;

[0046] The chassis opening comparison table includes a plurality of preset stoma intervals and preset opening apertures corresponding to the preset stoma intervals;

[0047] A preset chassis image is retrieved, an opening clipping area in the preset chassis image is determined according to the target opening aperture, and the preset chassis image is updated based on the opening clipping area to obtain linkage indication data and sent to the patient end.

[0048] Optionally, in a possible implementation manner of the first aspect, determining that the operating data that meets the stoma measurement condition is compliance data, and automatically measuring and processing the compliance data to obtain the stoma size includes:

[0049] Extracting a stoma contour and a measurement plate contour from the operation data, wherein the measurement plate contour includes a plurality of semicircular angle measuring lines;

[0050] Obtaining the center point of the stoma contour as the first judgment point, and the midpoint of each of the semicircular angle measuring lines as the second judgment point;

[0051] Obtaining the difference between the stoma contour and each of the semicircular angle measuring lines according to the first judgment point and the second judgment point, and determining the semicircular angle measuring line with the smallest difference as the target angle measuring line;

[0052] Obtaining the minimum distance between each contour point in the target angle measuring line and the stoma contour, and determining that operation data in which all minimum distances are less than a preset interval distance are compliant data;

[0053] Determine that the operation data having the minimum distance greater than the preset interval distance is re-collected data, generate re-collected information corresponding to the re-collected data and send it to the patient end;

[0054] The stoma diameter corresponding to the target protractor angle line in the compliance data is extracted, and the stoma size is obtained according to the stoma diameter.

[0055] Optionally, in a possible implementation of the first aspect, determining an opening clipping area in the preset chassis image according to the target opening aperture, updating the preset chassis image based on the opening clipping area to obtain linkage indication data and sending it to the patient end, comprising:

[0056] Obtaining the preset number of cutting holes corresponding to the target opening aperture, and determining the center point of the chassis in the preset chassis image;

[0057] Determine the circular hole closest to the center point of the chassis as the cutting hole, and continue to obtain the circular hole closest to the cutting hole as the next cutting hole

[0058] Repeat the above steps of obtaining the cutting holes until the number of the cutting holes is equal to the number of the cutting holes, and then stop obtaining the cutting holes;

[0059] The area where the clipping hole is located is determined to be an open clipping area, and the clipping pixel value is retrieved to update the open clipping area to obtain linkage indication data and send it to the patient end.

[0060] A second aspect of an embodiment of the present invention provides a digital processing-based enterostomy complication nursing device, comprising:

[0061] An acquisition module obtains a nursing process structure according to the nursing nodes configured by the physician end for the patient end, and updates the nursing process structure based on the instruction configuration data of the physician end to obtain a nursing instruction structure;

[0062] A detection module, which obtains the data to be detected uploaded by the patient end to the nursing node of the detection attribute in the nursing instruction structure, and calls the enterostomy detection strategy to perform abnormality detection on the data to be detected to obtain evaluation data;

[0063] A customization module, which obtains the operation request of the patient end to the nursing node with linkage guidance attribute based on the evaluation data, retrieves the linkage guidance template corresponding to the nursing node and sends it to the patient end;

[0064] The display module obtains linkage indication data according to the operation data uploaded by the patient terminal based on the linkage guidance template and sends it to the patient terminal.

[0065] The beneficial effects of the present invention are as follows:

[0066] 1. The present invention can guide patients to perform colostomy care. The present invention can obtain a care process structure according to a care node, and then obtain a corresponding care instruction structure according to the instruction data configured by the physician end. The patient end can be guided to perform corresponding care operations through the care instruction structure. This solution can first determine the care node that needs to be detected, and then perform abnormal detection on the colostomy image data to obtain evaluation data. Through the above method, the state of the colostomy area can be detected to ensure that the colostomy area is in a normal state before performing subsequent care operations to prevent the occurrence of wound deterioration such as infection and edema. After obtaining the evaluation data, the present invention can display the linkage guidance template corresponding to the linkage node to the patient end. Through the above method, the stoma measurement and chassis cutting can be linked. Specifically, the stoma size can be automatically measured according to the data uploaded by the patient end, and then the patient end can be guided to cut the corresponding chassis area, so that the patient can be guided to perform stoma measurement and chassis cutting, and the linkage between stoma measurement and chassis cutting can also enable the patient to directly perform corresponding chassis cutting according to the obtained cutting instruction data, thereby improving the accuracy of the nursing process.

[0067] 2. The present invention will guide the patient in the nursing process in combination with the image data configured by the physician, so that the patient can intuitively view the operation process of each step through the image data. When guiding the stoma measurement and chassis cutting, the present invention will provide associated guidance. Specifically, the present invention will associate and display the stoma measurement image and the chassis cutting image through the nursing instruction template. When displaying, the present invention will display the association between the stoma measurement step and the chassis cutting step through the association line, so that the user can perform corresponding measurement operations and chassis cutting operations through the instruction image. And when the patient is cared for in the future, the present invention will also automatically determine the area of ​​chassis cutting through the patient's measurement data, thereby improving the efficiency and accuracy of the patient's care process.

[0068] 3. The present invention can detect the state of the colostomy area by means of pixel value detection. When the colostomy area is in a normal state, subsequent nursing operations can be performed. When the colostomy area is in an abnormal state, the patient can be reminded to seek medical treatment in time, thereby preventing the occurrence of wound deterioration such as infection and edema. In addition, the present invention will also perform calibration based on the measurement image taken by the patient. When the measurement image taken by the patient does not meet the requirements, the present invention will remind the patient to retake the measurement image, thereby improving the accuracy of the measurement data. The present invention will automatically determine the clipping area of ​​the chassis through the measurement data in the measurement image, thereby improving the accuracy and efficiency of the patient's care. BRIEF DESCRIPTION OF THE DRAWINGS

[0069] Figure 1 This is a schematic diagram of an application scenario provided by an embodiment of the present invention;

[0070] Figure 2 It is a structural schematic diagram of an enterostomy complication nursing device based on digital processing provided by an embodiment of the present invention;

[0071] Figure 3 is a schematic diagram of nursing instruction data provided by an embodiment of the present invention;

[0072] Figure 4 It is a flow chart of a method for nursing intestinal stoma complications based on digital processing provided by an embodiment of the present invention. DETAILED DESCRIPTION

[0073] In order to make the purpose, technical solution and advantages of the embodiments of the present invention clearer, the technical solution in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. 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 creative work are within the scope of protection of the present invention.

[0074] Figure 1 It is a schematic diagram of an application scenario provided by an embodiment of the present invention. In this solution, nursing guidance can be provided to the patient through the instruction image uploaded by the physician. Specifically, the physician can first upload the corresponding nursing instruction image in the template, and the patient can perform corresponding nursing operations according to the instruction image uploaded by the physician, thereby improving the efficiency and accuracy of the patient's nursing process.

[0075] See also Figure 2 , is a flow chart of a method for nursing intestinal stoma complications based on digital processing provided by an embodiment of the present invention, Figure 2 The execution subject of the method shown may be a software and / or hardware device. The execution subject of the present application may include but is not limited to at least one of the following: user equipment, network equipment, etc. Among them, user equipment may include but is not limited to computers, smart phones, personal digital assistants (PDA) and the electronic devices mentioned above. Network equipment may include but is not limited to a single network server, a server group consisting of multiple network servers, or a cloud based on cloud computing consisting of a large number of computers or network servers, wherein cloud computing is a type of distributed computing, a super virtual computer composed of a group of loosely coupled computers. This embodiment does not limit this. It includes steps S1 to S4, as follows:

[0076] S1, obtaining a nursing process structure according to the nursing nodes configured by the physician end for the patient end, and updating the nursing process structure based on the instruction configuration data of the physician end to obtain a nursing instruction structure.

[0077] When guiding patients in nursing care, this solution will guide them in combination with the indication configuration data configured by the physician for the patient. Specifically, this solution will display multiple process steps in the colostomy care process through the nursing process structure, and then display the indication images of each process step through the indication configuration data, and guide the patient to perform corresponding colostomy care through the indication images.

[0078] It can be understood that the physician end refers to the terminal corresponding to the doctor, the patient end refers to the terminal corresponding to the patient, and the nursing node refers to the node corresponding to the specific steps of colostomy care, wherein the specific steps of colostomy care include cleaning the stoma with normal saline, measuring the size of the stoma with a stoma measuring ruler, cutting the center hole of the chassis, preventively using stoma skin care powder, applying skin protective film, applying anti-leakage ointment around the stoma mucosa, tearing off the protective film, pasting the stoma chassis, wearing the stoma bag, pinching the buckle with two fingers, pasting the sealing strip, wearing the belt, removing the stoma bag, and tearing off the chassis. The nursing process structure refers to the structure corresponding to the nursing process configured by the physician end for the patient end, which can subsequently guide the patient end to perform corresponding nursing operations. The instruction configuration data refers to the data that guides the patient to perform colostomy care, which can be the corresponding image when giving nursing instructions. The nursing instruction structure refers to the structure that guides the patient to perform colostomy care.

[0079] Specifically, step S1 includes steps S11 to S29, which are specifically as follows:

[0080] S11, receiving a process configuration request from the physician side, obtaining multiple nursing processes configured by the physician side, and constructing nursing nodes corresponding to each nursing process and patient nodes corresponding to the patient side.

[0081] Among them, the process configuration request refers to a request from the physician side to configure the nursing process, the nursing process refers to the specific process of colostomy care, the nursing node refers to the node corresponding to the nursing process, and the patient node refers to the node corresponding to the patient.

[0082] For example: the nursing process can be specific nursing steps such as cleaning the stoma, measuring the stoma size, and tearing off the protective film.

[0083] S12, arranging the patient node and each nursing node according to the connection direction and the nursing sequence configured by the physician end for each nursing node, and then connecting them to obtain a nursing process structure.

[0084] Among them, the connection direction refers to the connection direction of the specific steps of nursing, and the nursing sequence refers to the sequence of the specific steps of nursing.

[0085] In actual application, there is a corresponding nursing sequence for intestinal stoma care, which may require cleaning the stoma with normal saline, measuring the size of the stoma with a stoma measuring ruler, cutting the center hole of the base plate, using stoma skin care powder preventively, applying skin protective film, applying anti-leakage ointment around the stoma mucosa, tearing off the protective film, pasting the stoma base plate, wearing the stoma bag, pinching the buckle with two fingers, pasting the sealing strip, wearing a belt, removing the stoma bag, and tearing off the base plate.

[0086] Therefore, in order to enable the patient to perform nursing operations according to corresponding steps, the patient node and each nursing node can be arranged and connected according to the connection direction and nursing sequence to obtain a nursing process structure.

[0087] S13, obtaining the identity information of the patient terminal, and binding the identity information and the patient node.

[0088] It is understandable that in order to determine the specific patient end through the identity information, the identity information and the patient node can be bound.

[0089] S14, receiving the instruction configuration request of the physician end for the corresponding nursing node in the nursing process structure, retrieving the initial template and sending it to the physician end.

[0090] Among them, the indication configuration request refers to the physician's request for the configuration of indication data for the corresponding nursing node, and the initial template refers to a template that is not filled with guidance data. After the guidance data is subsequently filled in, the template can provide corresponding nursing guidance to the patient.

[0091] In actual applications, after receiving the instruction configuration request of the physician side for the corresponding nursing node in the nursing process structure, the initial template can be displayed to the physician side, and the area division can be performed in the initial template later.

[0092] S15, obtaining the nursing instruction requirements of the physician, wherein the nursing instruction requirements include single instruction requirements or comprehensive instruction requirements.

[0093] In actual application, for some nursing steps, such as the step of tearing off the protective film, the patient can be guided to perform the corresponding nursing operation directly through the instruction image. Therefore, for the nursing nodes corresponding to such nursing steps, the physician can directly upload the corresponding image to guide the patient's nursing. However, for some nursing steps, such as the steps of cleaning the stoma with saline, stoma measurement and chassis cutting, in addition to the guidance images uploaded by the physician, this solution will also guide and judge them through the images uploaded by the patient himself. For cleaning the stoma with saline, this solution will guide the patient to perform subsequent nursing steps when the stoma is judged to be normal. For stoma measurement and chassis cutting, this solution will guide them in association, and automatically determine the chassis range that the patient needs to cut through the image data uploaded by the patient. Therefore, for such nursing steps, in addition to the guidance images uploaded by the physician, this solution will also provide targeted guidance based on the different situations of different patients. Therefore, when configuring the guidance data, the physician will have different nursing instruction requirements. The single instruction requirement refers to the physician's corresponding requirement when the guidance data corresponding to the nursing node only needs to be guided through the image, and the comprehensive instruction requirement refers to the physician's corresponding requirement when the guidance data corresponding to the nursing node needs to be guided by the patient's subsequent uploaded data in addition to the guidance image configured by the physician.

[0094] S16, dividing the initial template into a single area according to the single indication requirement to obtain a nursing indication area, or dividing the initial template into multiple areas according to the comprehensive indication requirement to obtain a nursing indication area and a data upload area.

[0095] The nursing instruction area refers to an area for nursing guidance based on the guidance image configured by the physician, and the data upload area refers to an area for nursing guidance based on the data uploaded by the patient.

[0096] In actual applications, for some nursing steps, such as the step of tearing off the protective film, the physician can directly upload the corresponding instruction image to guide the patient to perform the corresponding nursing operations. Therefore, the initial template can be divided into a single area to determine the nursing instruction area according to the single instruction requirement of the physician. However, for some nursing steps, such as stoma cleaning with saline, stoma measurement and chassis cutting steps, in addition to the guidance images uploaded by the physician, this solution will also guide and judge them through the images uploaded by the patient himself. For stoma cleaning with saline, this solution will guide the patient to perform subsequent nursing steps when the stoma is judged to be normal. For stoma measurement and chassis cutting, this solution will provide associated guidance and automatically determine the chassis range that the patient needs to cut through the image data uploaded by the patient. Therefore, for this type of nursing steps, in addition to the guidance images uploaded by the physician, this solution will also provide targeted guidance based on the different situations of different patients. Therefore, the initial template can be divided into multiple areas to determine the nursing instruction area and data upload area according to the comprehensive instruction needs of the physician.

[0097] S17, acquiring the instruction image configured by the physician end for the nursing node to update the nursing instruction area to obtain nursing instruction data.

[0098] It can be understood that the instruction image refers to an image uploaded by the physician to instruct the patient to perform corresponding nursing care, and the nursing instruction data refers to data to instruct the patient to perform corresponding nursing care.

[0099] For example, the instruction image may be an image of tearing off the protective film uploaded by the physician for the nursing step of tearing off the protective film, and the patient may subsequently perform corresponding nursing operations according to the instruction image.

[0100] Based on the above embodiment, the specific implementation of step S17 may be:

[0101] S171, receiving the instruction image configured by the physician end for the care node, and counting the number of the instruction images.

[0102] It can be understood that for steps that are not linked, such as the step of cleaning the stoma with saline, its guiding image can be displayed separately; for steps that are linked, such as the steps of stoma measurement and chassis cutting, they can be displayed in a linked manner, and the corresponding images can be configured in the same template for display. Therefore, when configuring images for the nursing instruction area of ​​the corresponding template, it can be divided accordingly by the number of images.

[0103] S172, obtaining the nursing instruction area whose number of images is equal to the benchmark number as a type of nursing instruction area, and updating the type of nursing instruction area based on the instruction image to obtain a type of instruction data.

[0104] In actual applications, the benchmark number can be determined as 1, and then the number of indication images can be compared with the benchmark number. If the number of indication images is 1, the corresponding nursing indication area can be an area for displaying images that do not have linkage, which can be used as a type of nursing indication area. Filling the indication image into a type of nursing indication area can obtain the corresponding type of indication data.

[0105] For example, one type of nursing instruction area may be the nursing instruction area corresponding to the nursing node of washing the stoma with normal saline. The instruction image corresponding to the nursing instruction area may only have an image of washing the stoma with normal saline. The image can be used to guide the patient to perform the operation of washing the stoma with normal saline.

[0106] S173, determining that the nursing instruction area in which the number of images is greater than the reference number is a second-category nursing instruction area, and dividing the second-category nursing instruction area into a plurality of sub-display areas based on a division direction and the number of images.

[0107] In actual applications, if the number of indication images is greater than 1, the corresponding nursing indication area is a Class II nursing indication area. The division direction refers to the direction in which the Class II nursing indication area is divided, which can be from left to right. After determining the division direction and the number of images, the Class II nursing indication area can be divided into multiple sub-display areas, and since the number of images corresponding to the Class II nursing indication area is greater than 1, there are multiple sub-display areas.

[0108] For example, the number of indication images corresponding to the measurement node may be 2, so the nursing indication area corresponding to the node is a second-class nursing indication area, and two sub-display areas can be divided in the second-class nursing indication area from left to right.

[0109] S174, updating each of the indication images to the corresponding sub-display area according to the association order and the division direction configured by the physician end for each of the indication images to obtain associated indication data.

[0110] It can be understood that the association order refers to the nursing order between nursing steps, and the association indication data refers to the guiding data formed by the image with association, which in this solution can be the data formed by the guiding image corresponding to the stoma measurement and chassis cutting.

[0111] See also Figure 3 , is a schematic diagram of nursing instruction data provided by an embodiment of the present invention, from Figure 3 It can be seen that when the division direction is from left to right, the guide image corresponding to the stoma measurement can be filled into the sub-display area on the left, and the guide image corresponding to the chassis cutting can be filled into the sub-display area on the right, so that the association line between the stoma measurement and the chassis cutting can be reflected through the associated indication data.

[0112] S175, based on the association request of the physician side, obtaining the association line configured by the physician side for the corresponding indication image, and updating the association indication data according to the association line to obtain the second type of indication data.

[0113] Among them, the association request refers to the request from the physician to associate the related nursing steps, the association line refers to the line that can associate the indication images corresponding to the related nursing steps, and the second type of indication data refers to the related data.

[0114] In practical applications, association lines may be set for associated indication images, so that the associated indication images may be connected, so that the patient can directly see the association between the two indication images.

[0115] Based on the above embodiment, the specific implementation of step S175 may be:

[0116] S1751: When the care node is a care node with the linkage guidance attribute, the instruction image includes a measurement instruction image and a trimming instruction image.

[0117] It can be understood that the linkage guidance attribute refers to an attribute with association guidance. For example, there is an association between stoma measurement and chassis cutting. Therefore, the attribute of the corresponding nursing node can be a linkage guidance attribute. When performing nursing guidance on the nursing node of this attribute, nursing association can be performed through the measurement instruction image and the cutting instruction image, so that the patient can be guided to perform corresponding nursing operations through the associated images. Among them, the measurement instruction image refers to the instruction image for measuring the stoma size, and the cutting instruction image refers to the instruction image for cutting the center hole of the chassis.

[0118] S1752: Based on the association request of the physician end, obtain the measurement points selected by the physician end in the measurement instruction image and the trimming points selected by the physician end in the trimming instruction image.

[0119] The measurement point refers to the point where the patient is guided to perform measurement, such as Figure 3 The point shown may be the point selected by the physician on the stoma measuring ruler, and the trimming point refers to the point that guides the patient to perform trimming, such as Figure 3 What is shown may be a point selected by the physician on the chassis corresponding to the measurement point, and the corresponding indication image may be associated by subsequently connecting the two points.

[0120] S1753: Connect the measurement point and the clipping point to obtain the association line, and update the association indication data according to the association line to obtain second type indication data.

[0121] It can be understood that the corresponding association line can be obtained by connecting the measurement point and the clipping point, and the indication image corresponding to the measurement and clipping can be associated through the association line.

[0122] Through the above method, the patient can be guided to perform corresponding measurement and cutting operations.

[0123] S176, obtaining nursing instruction data according to the first type of instruction data or the second type of instruction data.

[0124] Among them, for some nursing steps, such as the step of tearing off the protective film, the patient can be directly guided to perform nursing operations through the instruction image, and the corresponding type of instruction data is the nursing instruction data of the node. For some nursing steps, such as stoma measurement and chassis cutting steps, the patient can be given corresponding nursing guidance through the associated image data, and the corresponding type of instruction data is the nursing instruction data of the node.

[0125] S18, updating the data upload area according to the filling slots configured by the physician end for the data upload area to obtain the data to be uploaded.

[0126] Among them, the filled slot refers to the slot where the patient can upload data, and the data to be uploaded refers to the data that guides the patient to upload data. The physician can configure the corresponding filled slot in the data upload area, and then guide the patient to click the filled slot to upload the corresponding data.

[0127] S19, obtaining a nursing instruction template based on the nursing instruction data and / or the data to be uploaded, and obtaining instruction configuration data according to the nursing instruction template to update the nursing process structure to obtain a nursing instruction structure.

[0128] In some embodiments, for steps such as tearing off the protective film, the physician can directly guide the patient to perform corresponding care through the instruction images corresponding to these care nodes, so these care nodes may only have corresponding care instruction data. However, for steps such as stoma measurement and chassis cutting that require patients to upload data for care guidance, in addition to the physician's guidance data, data uploaded by the patient is also required, so these care nodes may have corresponding care instruction data and data to be uploaded.

[0129] It can be understood that the nursing instruction template refers to a template that instructs the patient to perform nursing operations. The nursing instruction template can be obtained based on the nursing instruction data and / or the data to be uploaded, and the instruction configuration data can be obtained through the nursing instruction template, and then the nursing process structure can be updated to obtain the nursing instruction structure.

[0130] Through the above method, the patient can be instructed on the corresponding nursing operations in combination with the guidance data configured by the physician, thereby improving the accuracy of patient care.

[0131] S2, obtaining the data to be inspected uploaded by the patient end to the nursing node of the detection attribute in the nursing instruction structure, and calling the enterostomy detection strategy to perform abnormality detection on the data to be inspected to obtain evaluation data.

[0132] Among them, the detection attribute refers to the attribute that can detect the state of the stoma, the data to be tested refers to the photographed images of the stoma uploaded by the patient, the stoma detection strategy refers to the strategy for detecting the state of the stoma area in the image, and the evaluation data refers to the data obtained by detecting and evaluating the state of the stoma area.

[0133] For example, the nursing node of the detection attribute may be the nursing step of cleaning the stoma with normal saline. Before cleaning the stoma, the status of the patient's intestinal stoma area may be detected based on the stoma images uploaded by the patient. This allows the patient to be instructed to perform subsequent nursing operations when the stoma is in a normal state, and to be reminded when the stoma is in an abnormal state.

[0134] In practical applications, this solution can detect the state of the stoma area on the patient side by means of pixel value detection. Before the patient performs nursing operations by himself, he can first determine whether the state of the stoma area is normal based on the actual image of the stoma area uploaded by the patient. When the stoma area on the patient side is in a normal state, the patient can perform subsequent nursing operations.

[0135] Based on the above embodiment, the specific implementation of step S2 may be:

[0136] S21, determining that the care node of the detection attribute is a detection node, receiving a care request from the patient end to the detection node, retrieving a care instruction template corresponding to the detection node and sending it to the patient end.

[0137] It can be understood that the detection node can be the node corresponding to the nursing step of cleaning the stoma with saline solution, and the nursing request refers to the patient's request for nursing the intestinal stoma area. After receiving the patient's nursing request, the nursing instruction template corresponding to the detection node can be displayed to the patient.

[0138] S22, obtaining the image to be inspected uploaded by the patient end based on the filling slot in the nursing instruction template, and obtaining the data to be inspected according to the image to be inspected. The nursing instruction template corresponding to the detection node includes a nursing instruction area and a data upload area.

[0139] Among them, the image to be inspected is the data to be inspected, that is, the stoma photographed image uploaded by the patient mentioned above. This solution can display the instruction data to the patient end through the nursing instruction template, so as to guide the patient to take an image through the filling slot after the stoma is cleaned, and then the state of the intestinal stoma area can be detected through the captured image. S23, calling the intestinal stoma detection strategy to extract the intestinal stoma area corresponding to the data to be inspected, and obtaining the average pixel value corresponding to all pixel points in the intestinal stoma area.

[0140] It can be understood that the average pixel value refers to the average value of the pixel values ​​of all pixels in the colostomy area. Since the color of the colostomy in a normal state may be pink, while the color of the colostomy in an abnormal state may be dark red, black, etc., the color of the colostomy in normal and abnormal states is different. Therefore, the colostomy area in the image can be extracted, and the state of the colostomy area can be judged subsequently by the average pixel value of the colostomy area.

[0141] S24, determining that the data to be inspected whose average pixel value is within the standard pixel interval is normal data, and determining that the data to be inspected whose average pixel value is not within the standard pixel interval is abnormal data.

[0142] In practical applications, the standard pixel interval refers to the average pixel value interval corresponding to the intestinal stoma area in a normal state. The average pixel value corresponding to the intestinal stoma area on the patient side can be compared with the standard pixel value interval corresponding to the intestinal stoma area in a normal state. If the average pixel value is within the standard pixel interval, the corresponding data to be tested is normal data. At this time, it can be judged that the intestinal stoma area in the corresponding image is in a normal state. If the average pixel value is not within the standard pixel interval, the corresponding data to be tested is abnormal data. At this time, it can be judged that the intestinal stoma area in the corresponding image is in an abnormal state.

[0143] S25, obtaining evaluation data according to the abnormal data or the normal data.

[0144] Among them, abnormal data or normal data can be summarized to obtain evaluation data.

[0145] Through the above method, the state of the colostomy area can be detected to ensure that the colostomy area is in a normal state before subsequent nursing operations are performed to prevent the occurrence of wound deterioration such as infection and edema. S3, based on the evaluation data, the operation request of the patient end to the nursing node with the linkage guidance attribute is obtained, and the linkage guidance template corresponding to the nursing node is retrieved and sent to the patient end.

[0146] Among them, the operation request refers to the request from the patient side to perform a nursing operation on the nursing node with the linkage guidance attribute. For example, the nursing node with the linkage guidance attribute can be the node corresponding to the nursing steps of stoma measurement and chassis cutting. For this nursing node, the patient side may want to perform corresponding nursing operations. At this time, the patient side can make a corresponding operation request for the nursing node.

[0147] The linkage guidance template refers to a nursing instruction template corresponding to a nursing node with linkage guidance attributes, that is, a nursing instruction template for a nursing node corresponding to stoma measurement and chassis cutting.

[0148] Based on the above embodiment, the specific implementation of step S3 may be:

[0149] S31, when the evaluation data is abnormal data, generate a reminder message and send it to the patient.

[0150] It is understandable that the state of the colostomy can be detected. When the evaluation data is abnormal data, it means that the colostomy area may have abnormal conditions such as infection and inflammation. At this time, information can be sent to the patient to remind the patient to seek medical treatment in time.

[0151] S32, when the evaluation data is normal data, determining the nursing node of the linkage guidance attribute as a linkage node, and retrieving the indicating pixel value to highlight the linkage node.

[0152] Among them, the indicator pixel value refers to the pixel value that can highlight the linkage node, which can be a prominent red or prominent blue, so that the patient can intuitively see the next step of the nursing operation and guide the patient to perform subsequent nursing operations.

[0153] S33, receiving an operation request from the patient end to the linkage node, obtaining a nursing instruction template corresponding to the linkage node and sending it to the patient end as a linkage guidance template.

[0154] It is understandable that after receiving a request from the patient to upload data, the nursing instruction template corresponding to the linkage node can be displayed to the patient.

[0155] Through the above method, the patient can be guided to perform corresponding stoma care according to the nursing steps.

[0156] S4, obtaining linkage indication data according to the operation data uploaded by the patient terminal based on the linkage guidance template and sending the data to the patient terminal.

[0157] Among them, operation data refers to the image data that the patient side uses to perform corresponding care according to the instruction image, and linkage instruction data refers to data that can be linked and guided according to the operation data. This solution can automatically determine the chassis range that the patient needs to trim based on the measurement image data uploaded by the patient, and display the obtained linkage instruction data to the patient side to guide the patient side to perform corresponding care operations.

[0158] Based on the above embodiment, the specific implementation of step S4 may be:

[0159] S41, obtaining the operation image uploaded by the patient based on the filling slot in the linkage guidance template, and obtaining operation data according to the operation image. The linkage guidance template corresponding to the linkage node includes a nursing instruction area and a data upload area.

[0160] It should be noted that, when the present solution provides the associated guidance for stoma measurement and chassis cutting, it can automatically determine the chassis range that needs to be cut for the patient through the measurement image data uploaded by the patient, and instruct the patient to perform the corresponding chassis cutting through image display. Therefore, the linkage guidance template of the linkage node corresponding to this step includes two areas: a nursing instruction area and a data upload area. The patient can perform corresponding nursing operations according to the instruction image in the nursing instruction area. At the same time, the patient can take an image of the stoma measurement and upload the taken image to the filling slot of the linkage guidance template, so that the chassis cutting area can be automatically determined through the image taken by the patient, and the patient can be guided to perform the corresponding cutting operation.

[0161] S42, determining that the operating data that meets the stoma measurement conditions is compliant data, and automatically measuring and processing the compliant data to obtain the stoma size.

[0162] In actual applications, when the patient uses a stoma measuring ruler to measure the size of the stoma, the stoma measuring ruler needs to be placed in an appropriate position. If the position of the stoma measuring ruler is not standardized, the measured data may be inaccurate. Therefore, the stoma measurement condition can be a condition when the position of the stoma measuring ruler meets the placement standard. At this time, the operation data can be judged as compliant data.

[0163] Among them, the stoma size refers to the measured stoma diameter. When this solution automatically measures the compliance data, the corresponding stoma diameter can be determined by extracting the scale value of the target angle line. Subsequently, the corresponding trimming area size can be determined according to the stoma diameter, thereby realizing linkage guidance.

[0164] Specifically, step S42 includes steps S421 to S426, which are as follows:

[0165] S421, extracting the stoma contour and the measurement plate contour in the operation data, wherein the measurement plate contour includes a plurality of semicircular angle measuring lines.

[0166] Among them, the stoma contour refers to the contour corresponding to the intestinal stoma in the operation image, the measuring plate contour refers to the contour corresponding to the measuring plate in the operation image, the semicircular angle line refers to the semicircular arc line corresponding to the semicircular measurement area in the measuring plate, and each semicircular angle line corresponds to a scale value of the stoma diameter, and the corresponding stoma size can be obtained later according to the scale value.

[0167] S422, obtaining the center point of the stoma contour as the first judgment point, and the midpoint of each of the semicircular angle measuring lines as the second judgment point.

[0168] It is understandable that, since there are multiple semicircular angle lines, in order to determine the semicircular angle line specifically corresponding to the stoma measurement, the semicircular angle line corresponding to the stoma contour can be determined by the distance between the first judgment point and the second judgment point.

[0169] S423, obtaining the difference distance between the stoma contour and each of the semicircular angle measuring lines according to the first judgment point and the second judgment point, and determining the semicircular angle measuring line with the smallest difference distance as the target angle measuring line.

[0170] It can be understood that the distance between the semicircular angle line for measuring the stoma contour and the stoma contour is generally the shortest, so the semicircular angle line with the smallest difference can be determined as the target angle line, that is, the semicircular angle line specifically used to measure the stoma contour.

[0171] S424, obtaining the minimum distance between each contour point in the target angle measuring line and the stoma contour, and determining that the operation data in which all minimum distances are less than the preset interval distance are compliant data.

[0172] It is understandable that if the measuring ruler is not placed in a standard way when measuring the stoma, for example, it is too far away from the stoma, the measured data may be inaccurate, which may affect the nursing steps. Therefore, this solution will determine the relative position between the measuring ruler and the stoma. When judging whether the position of the measuring ruler is placed in a standard way, this solution judges the relative distance between the target protractor and the stoma contour. If all the minimum distances are less than the preset interval distance, it means that the distance between the measuring ruler and the stoma is not too far, and the corresponding operation data can be determined as compliant data. Among them, the preset interval distance can be the standard distance between the measuring ruler and the stoma when measuring the stoma.

[0173] Through the above method, the measurement data can be calibrated to improve the accuracy of the data.

[0174] S425, determining that the operation data having the minimum distance greater than the preset interval distance is re-collected data, generating re-collected information corresponding to the re-collected data and sending it to the patient end.

[0175] It is understandable that if there is a minimum distance greater than the preset interval distance, it means that the distance between the measuring ruler and the stoma may not meet the measurement requirements. In this case, the patient can be reminded to re-collect data to improve the accuracy of the data.

[0176] Re-collected data refers to data that can guide the patient to re-collect data, and re-collected information refers to information that reminds the patient to re-collect data.

[0177] S426, extracting the stoma diameter corresponding to the target angle line in the compliance data, and obtaining the stoma size according to the stoma diameter.

[0178] In practical applications, the upper part of each semicircular measuring area in the measuring plate generally corresponds to the value of the stoma diameter. Therefore, the value of the stoma diameter corresponding to the target angle line can be extracted, and then the stoma size can be obtained according to the value of the stoma diameter.

[0179] In some embodiments, a numerical extraction template corresponding to the measuring ruler can be set up, and the template can include numerical extraction areas corresponding to each semicircular measurement area. After the target measuring angle line is determined, the numerical value corresponding to the target measuring angle line can be extracted through the numerical extraction area corresponding to the target measuring angle line in the template.

[0180] S43, calling up a chassis opening comparison table, comparing a plurality of preset stoma intervals in the chassis opening comparison table according to the stoma size, and determining that a preset opening aperture corresponding to the preset stoma interval where the stoma size is located is a target opening aperture.

[0181] Among them, the chassis opening comparison table includes multiple preset stoma intervals and preset opening apertures corresponding to each of the preset stoma intervals.

[0182] It can be understood that since the chassis apertures corresponding to different stoma sizes are all set accordingly, the target opening aperture corresponding to the stoma size can be determined through the chassis opening comparison table. The chassis opening comparison table is a matching table used to determine the chassis apertures corresponding to different stoma sizes. The preset stoma interval refers to the stoma size interval preset in advance by the staff, the preset opening aperture refers to the opening aperture preset in advance by the staff, and the target opening aperture refers to the opening aperture that can determine the trimming area in the chassis. It should be noted that the stoma sizes corresponding to different patient ends are different, but the preset stoma interval and the preset opening aperture in the chassis opening comparison table are unchanged, and their corresponding relationship is also unchanged. Therefore, the corresponding target opening aperture can be determined in the chassis opening comparison table according to the actual stoma size corresponding to the patient end.

[0183] S44, calling a preset chassis image, determining an opening clipping area in the preset chassis image according to the target opening aperture, updating the preset chassis image based on the opening clipping area to obtain linkage indication data and sending it to the patient end.

[0184] It can be understood that the preset chassis image refers to the chassis image preset in advance by the staff, and the opening cropping area refers to the area in the chassis image that needs to be cropped. After determining the target opening aperture, the area that needs to be cropped can be determined in the chassis image, and then the opening cropping area can be highlighted to obtain the linkage indication data and display it to the patient.

[0185] Based on the above embodiment, the specific implementation of step S44 may be:

[0186] S441, obtaining a preset number of cropping holes corresponding to the target opening aperture, and determining a chassis center point in the preset chassis image.

[0187] Among them, the number of cutting holes refers to the number of circular holes corresponding to the cutting area, and different chassis opening apertures are preset with corresponding numbers of cutting holes. Therefore, the corresponding number of cutting holes can be determined according to the target opening aperture, and the center point of the chassis can be the center of the circle of the chassis.

[0188] S442, determining the circular hole closest to the center point of the chassis as the cutting hole, and continuing to obtain the circular hole closest to the cutting hole as the next cutting hole.

[0189] It is understandable that when the chassis is trimmed, the inside of the chassis is trimmed. Therefore, when determining the trimming area by the number of trimming holes, the corresponding number of trimming holes can be determined from the inside to the outside, so that the final area to be trimmed is determined by the finally determined trimming holes.

[0190] S443, repeat the above step of obtaining the cutting holes until the number of the cutting holes is equal to the number of cutting holes, and then stop obtaining the cutting holes.

[0191] In actual application, the above steps of obtaining the cutting holes are repeated, and the obtaining operation can be stopped when the number of the cutting holes reaches the preset number of cutting holes. Subsequently, the area to be cut in the chassis can be determined according to the cutting holes.

[0192] S444, determining that the area where the clipping hole is located is an open clipping area, retrieving clipping pixel values ​​to update the open clipping area to obtain linkage indication data and sending it to the patient end.

[0193] Among them, the cropping pixel value refers to the pixel value that can highlight the open cropping area in the preset chassis image. It can be a highlighted red or highlighted blue color. The area where the cropping hole is located can be determined as the open cropping area. After highlighting the open cropping area, the linkage indication data can be obtained and displayed to the patient.

[0194] In the above manner, the area of ​​the chassis cutout can be automatically determined based on the patient's measured data, thereby improving the efficiency and accuracy of the patient care process.

[0195] See also Figure 4 , is a schematic diagram of the structure of a digital processing-based enterostomy complication nursing device provided in an embodiment of the present invention, and the digital processing-based enterostomy complication nursing device includes:

[0196] An acquisition module obtains a nursing process structure according to the nursing nodes configured by the physician end for the patient end, and updates the nursing process structure based on the instruction configuration data of the physician end to obtain a nursing instruction structure;

[0197] A detection module, which obtains the data to be detected uploaded by the patient end to the nursing node of the detection attribute in the nursing instruction structure, and calls the enterostomy detection strategy to perform abnormality detection on the data to be detected to obtain evaluation data;

[0198] A customization module, which obtains the operation request of the patient end to the nursing node with linkage guidance attribute based on the evaluation data, retrieves the linkage guidance template corresponding to the nursing node and sends it to the patient end;

[0199] The display module obtains linkage indication data according to the operation data uploaded by the patient terminal based on the linkage guidance template and sends it to the patient terminal.

[0200] Figure 4 The apparatus of the embodiment shown can be used to perform Figure 2 The implementation principles and technical effects of the steps in the method embodiment shown are similar and will not be repeated here.

[0201] Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention, rather than to limit it. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that they can still modify the technical solutions described in the aforementioned embodiments, or replace some or all of the technical features therein with equivalents. However, these modifications or replacements do not cause the essence of the corresponding technical solutions to deviate from the scope of the technical solutions of the embodiments of the present invention.

Claims

1. A nursing method for intestinal stoma complications based on digital processing, characterized in that: include: Obtaining a nursing process structure according to the nursing nodes configured by the physician for the patient, and updating the nursing process structure based on the instruction configuration data of the physician to obtain a nursing instruction structure; Acquire the data to be inspected uploaded by the patient end to the nursing node of the detection attribute in the nursing instruction structure, and retrieve the enterostomy detection strategy to perform abnormality detection on the data to be inspected to obtain evaluation data; Based on the evaluation data, an operation request of the patient end to the nursing node with the linkage guidance attribute is obtained, and a linkage guidance template corresponding to the nursing node is retrieved and sent to the patient end, wherein the nursing node with the linkage guidance attribute is a nursing node with an associated guidance attribute; According to the operation data uploaded by the patient terminal based on the linkage guidance template, linkage indication data is obtained and sent to the patient terminal; The nursing process structure is obtained according to the nursing node configured by the physician end for the patient end, and the nursing process structure is updated based on the instruction configuration data of the physician end to obtain the nursing instruction structure, including: Receive a process configuration request from the physician end, obtain multiple nursing processes configured by the physician end, and construct nursing nodes corresponding to each nursing process and patient nodes corresponding to the patient end; Arrange the patient node and each nursing node according to the connection direction and the nursing sequence configured by the physician end for each nursing node, and then connect them to obtain a nursing process structure; Acquire the identity information of the patient terminal, and bind the identity information and the patient node; receiving a configuration request from the physician end for the corresponding nursing node in the nursing process structure, retrieving an initial template and sending it to the physician end; Acquiring the nursing instruction requirements of the physician, wherein the nursing instruction requirements include single instruction requirements or comprehensive instruction requirements; According to the single indication requirement, the initial template is divided into a single area to obtain a nursing indication area, or according to the comprehensive indication requirement, the initial template is divided into multiple areas to obtain a nursing indication area and a data upload area; Acquire the instruction image configured by the physician end for the nursing node to update the nursing instruction area to obtain nursing instruction data; The data upload area is updated according to the filling slots configured by the physician end for the data upload area to obtain the data to be uploaded; A nursing instruction template is obtained based on the nursing instruction data and / or the data to be uploaded, and the instruction configuration data is obtained according to the nursing instruction template to update the nursing process structure to obtain a nursing instruction structure.

2. The method according to claim 1, characterized in that Acquiring the instruction image configured by the physician end for the nursing node to update the nursing instruction area to obtain nursing instruction data, including: receiving the instruction image configured by the physician end for the nursing node, and counting the number of the instruction images; The nursing indication area whose number of images is equal to the reference number is obtained as a type of nursing indication area, and the type of nursing indication area is updated based on the indication image to obtain a type of indication data; Determine that the nursing instruction area where the number of images is greater than the reference number is a second-category nursing instruction area, and divide the second-category nursing instruction area into a plurality of sub-display areas based on the division direction and the number of images; According to the association order and the division direction configured by the physician end for each of the indication images, each of the indication images is updated to the corresponding sub-display area to obtain associated indication data; Based on the association request of the physician end, the association line configured by the physician end for the corresponding indication image is obtained, and the association indication data is updated according to the association line to obtain the second type of indication data, wherein the association line is a line connecting the indication images with association; Nursing instruction data is obtained according to the first type of instruction data or the second type of instruction data.

3. The method according to claim 2, characterized in that Based on the association request of the physician end, the association line configured by the physician end for the corresponding indication image is obtained, and the association indication data is updated according to the association line to obtain two types of indication data, including: When the nursing node is a nursing node of the linkage guidance attribute, the instruction image includes a measurement instruction image and a clipping instruction image; Acquiring, based on the association request of the physician end, a measurement point selected by the physician end in the measurement instruction image and a clipping point selected by the physician end in the clipping instruction image; The measurement point and the clipping point are connected to obtain the association line, and the association indication data is updated according to the association line to obtain the second type of indication data.

4. The method according to claim 1, characterized in that: Acquiring the data to be inspected uploaded by the patient end to the nursing node of the detection attribute in the nursing instruction structure, calling the enterostomy detection strategy to perform abnormality detection on the data to be inspected to obtain evaluation data, including: Determine the nursing node of the detection attribute as a detection node, receive a nursing request from the patient end to the detection node, retrieve a nursing instruction template corresponding to the detection node and send it to the patient end; Acquire the image to be inspected uploaded by the patient end based on the filling slot in the nursing instruction template, and obtain the data to be inspected according to the image to be inspected, wherein the nursing instruction template corresponding to the detection node includes a nursing instruction area and a data upload area; Retrieving the intestinal stoma detection strategy to extract the intestinal stoma area corresponding to the data to be detected, and obtaining the average pixel value corresponding to all pixel points in the intestinal stoma area; Determine that the data to be inspected whose average pixel value is within the standard pixel interval is normal data, and determine that the data to be inspected whose average pixel value is not within the standard pixel interval is abnormal data; Evaluation data is obtained according to the abnormal data or the normal data.

5. The method according to claim 4, characterized in that Acquiring an operation request of the patient end to a care node with a linkage guidance attribute based on the evaluation data, and retrieving a linkage guidance template corresponding to the care node and sending it to the patient end, including: When the evaluation data is abnormal data, generating a reminder message and sending it to the patient end; When the evaluation data is normal data, determining the nursing node of the linkage guidance attribute as a linkage node, and retrieving the indicating pixel value to highlight the linkage node; An operation request from the patient end to the linkage node is received, and a nursing instruction template corresponding to the linkage node is obtained and sent to the patient end as a linkage guidance template.

6. The method according to claim 5, characterized in that The step of obtaining linkage indication data according to the operation data uploaded by the patient end based on the linkage guidance template and sending the linkage indication data to the patient end includes: Acquire the operation image uploaded by the patient end based on the filling slot in the linkage guidance template, and obtain operation data according to the operation image, wherein the linkage guidance template corresponding to the linkage node includes a nursing instruction area and a data upload area; Determining that the operating data that meets the stoma measurement conditions is compliant data, and automatically measuring and processing the compliant data to obtain the stoma size; Retrieving a chassis opening comparison table, comparing a plurality of preset stoma intervals in the chassis opening comparison table according to the stoma size, and determining that a preset opening aperture corresponding to the preset stoma interval where the stoma size is located is a target opening aperture; The chassis opening comparison table includes a plurality of preset stoma intervals and preset opening apertures corresponding to the preset stoma intervals; A preset chassis image is retrieved, an opening clipping area in the preset chassis image is determined according to the target opening aperture, and the preset chassis image is updated based on the opening clipping area to obtain linkage indication data and sent to the patient end.

7. The method according to claim 6, characterized in that Determining the operating data that meets the stoma measurement conditions as compliance data, and automatically measuring and processing the compliance data to obtain the stoma size, including: Extracting a stoma contour and a measurement plate contour from the operation data, wherein the measurement plate contour includes a plurality of semicircular angle measuring lines; Obtaining the center point of the stoma contour as the first judgment point, and the midpoint of each of the semicircular angle measuring lines as the second judgment point; Obtaining the difference between the stoma contour and each of the semicircular angle measuring lines according to the first judgment point and the second judgment point, and determining the semicircular angle measuring line with the smallest difference as the target angle measuring line; Obtaining the minimum distance between each contour point in the target angle measuring line and the stoma contour, and determining that operation data in which all minimum distances are less than a preset interval distance are compliant data; Determine that the operation data having the minimum distance greater than the preset interval distance is re-collected data, generate re-collected information corresponding to the re-collected data and send it to the patient end; The stoma diameter corresponding to the target protractor angle line in the compliance data is extracted, and the stoma size is obtained according to the stoma diameter.

8. The method according to claim 7, characterized in that Determining an opening clipping area in the preset chassis image according to the target opening aperture, and updating the preset chassis image based on the opening clipping area to obtain linkage indication data and sending it to the patient end, including: Obtaining the preset number of cutting holes corresponding to the target opening aperture, and determining the center point of the chassis in the preset chassis image; Determine the circular hole closest to the center point of the chassis as the cutting hole, and continue to obtain the circular hole closest to the cutting hole as the next cutting hole; Repeat the above steps of obtaining the cutting holes until the number of the cutting holes is equal to the number of the cutting holes, and then stop obtaining the cutting holes; The area where the clipping hole is located is determined to be an open clipping area, and the clipping pixel value is retrieved to update the open clipping area to obtain linkage indication data and send it to the patient end.

9. A nursing device for the intestinal stoma complication nursing method based on digital processing according to claim 1, characterized in that: include: An acquisition module obtains a nursing process structure according to the nursing nodes configured by the physician end for the patient end, and updates the nursing process structure based on the instruction configuration data of the physician end to obtain a nursing instruction structure; A detection module, which obtains the data to be detected uploaded by the patient end to the nursing node of the detection attribute in the nursing instruction structure, and calls the enterostomy detection strategy to perform abnormality detection on the data to be detected to obtain evaluation data; A customization module, which obtains the operation request of the patient end to the nursing node with linkage guidance attribute based on the evaluation data, retrieves the linkage guidance template corresponding to the nursing node and sends it to the patient end; The display module obtains linkage indication data according to the operation data uploaded by the patient terminal based on the linkage guidance template and sends it to the patient terminal.

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