Rehabilitation closed-loop management method and system

Abstract

The invention discloses a rehabilitation closed-loop management method and system, and relates to the field of data analysis, and the main scheme is as follows: calculating an initial evaluation frequency index # imgabs3 # according to personal information data, an initial physical condition index # imgabs0 #, a home care index # imgabs1 # and a payment ability index # imgabs2 #; and the initial evaluation frequency is determined according to the initial evaluation frequency index # imgabs4 # and the evaluation frequency threshold set, so that the problem that only obvious factors such as common damage parts, types and degrees are concerned and the influence of other factors is neglected when the evaluation frequency is formulated is solved. According to the evaluation frequency index # imgabs5 # and the evaluation frequency threshold set, the evaluation frequency of the # imgabs6 # is determined, and the problem that the evaluation frequency cannot be adjusted in time according to the actual change of the patient in the rehabilitation process is solved.

Description

Technical Field

[0001] The present invention relates to the technical field of data analysis, and in particular to a closed-loop management method and system for rehabilitation treatment. Background Art

[0002] In the field of orthopedic rehabilitation, the closed-loop management method of rehabilitation treatment is conducive to improving patients' rehabilitation effects, optimizing the utilization of medical resources, and making rehabilitation programs more systematic and efficient.

[0003] The working principle of the traditional closed-loop management method of rehabilitation treatment is: collect the patient's physical health data, formulate a rehabilitation treatment plan for the patient based on the collected data and determine the evaluation frequency, evaluate the patient's rehabilitation effect according to the evaluation frequency, and formulate a new rehabilitation treatment plan based on the evaluation results.

[0004] The existing technology still has the following shortcomings: when formulating the assessment frequency, it only focuses on obvious factors such as common injury sites, types and degrees, while ignoring the influence of other factors. At the same time, the assessment frequency cannot be adjusted in time according to the actual changes in the patient's rehabilitation process, which affects the patient's rehabilitation effect. Summary of the invention

[0005] 1. Technical issues to be resolved In view of the shortcomings of the prior art, the present invention provides a closed-loop management method and system for rehabilitation treatment, which can , Family Care Index and affordability index Calculate the initial evaluation frequency index , which solves the problem that when setting the assessment frequency, only obvious factors such as common injury location, type and degree are paid attention to, while the influence of other factors is ignored; and the evaluation frequency threshold set to determine the The evaluation frequency of times solves the problem of not being able to adjust the evaluation frequency in time according to the actual changes in the patient's recovery process.

[0006] (II) Technical solution To achieve the above objectives, the present invention is implemented through the following technical solutions: a closed-loop management method for rehabilitation treatment, comprising the following steps: Collect patients' personal information, physical condition, home care and payment data; Calculate the initial range of motion index based on the patient's physical condition data , initial muscle strength index , initial bone health value and initial coordination index , and further calculate the initial physical condition index ; Calculate the home care index based on the patient's home care data ; Calculate initial insurance indicators based on patient payment data and payment indicators , and further calculate the initial affordability index ; Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index ; Preset evaluation frequency threshold set; Based on the initial evaluation frequency index and the assessment frequency threshold set to determine the initial assessment frequency; formulate a rehabilitation treatment plan based on the initial assessment frequency and determine the next assessment time; Carry out rehabilitation treatment according to the rehabilitation treatment plan and assessment time, obtain rehabilitation treatment data at the same time, and set rehabilitation target data; compare the rehabilitation treatment data with the rehabilitation target data to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, stop the next step; When the patient does not reach the rehabilitation index, the improvement of psychological status is calculated based on the rehabilitation treatment data. , Physical condition change rate and physiological index coefficient , and further calculate the rehabilitation effect index ; Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index ; Based on the evaluation frequency index and the evaluation frequency threshold set to determine the The frequency of evaluation is The frequency of assessment is to develop a rehabilitation treatment plan and determine the The evaluation time is then returned to the previous step to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, this step is stopped; when the patient has not reached the rehabilitation index, this step is continued until the rehabilitation index is reached.

[0007] In the preferred embodiment of the above-mentioned closed-loop management method for rehabilitation treatment: calculating the initial physical condition index The method is: Physical condition data including fracture joint motion angle values , Actual strength of muscle groups at the fracture site , bone density , coordinate the completion time of the experiment and number of errors ; According to the fracture joint activity angle value Calculating the initial range index , the formula based on is:

[0008] in, For the The activity angle of the fracture joint, is the serial number corresponding to different fracture joints, and its value is ; is the total number of fractured joints, which is a positive integer; For the The maximum range of motion of the fractured joint; For the The minimum range of motion of the fractured joint; Measure the strength of the muscle groups at the fracture site Calculate initial muscle strength index , the formula based on is:

[0009] in, For the The measured strength of the muscle groups at the fracture site, is the serial number corresponding to the muscle groups at different fracture sites, and its value is ; is the total number of muscle groups at the fracture site, which is a positive integer; For the Normal strength values ​​of the muscle groups at the fracture site; According to bone density Calculate initial bone health value , the formula based on is:

[0010] in, It is the lower limit of normal bone density; According to the coordinated experiment completion time and number of errors Calculate the initial coordination ability index , the formula based on is:

[0011] in, To coordinate the standard completion time of the experiment; To coordinate the upper limit of the number of experimental errors; According to the initial range of activity index , initial muscle strength index , initial bone health value and initial coordination index Calculate initial physical condition index , the formula based on is: .

[0012] In the preferred embodiment of the closed-loop management method for rehabilitation treatment, the home care index is calculated. The method is: Family care data including family care knowledge scores , Nursing time , Rehabilitation equipment condition score ; According to nursing time Calculating nursing time investment ratio , the formula based on is:

[0013] According to the family members' nursing knowledge understanding score , Rehabilitation equipment condition score Ratio of nursing time to Calculating the Home Care Index , the formula based on is: .

[0014] In the preferred embodiment of the above-mentioned closed-loop management method for rehabilitation treatment: calculating the initial affordability index The method is: Payment data including insurance coverage scores , Insurance reimbursement amount , total historical treatment costs , Number of historical treatments payable , Actual number of payments , Delayed payment times Number of unpaid fees ; Score based on insurance coverage , Insurance reimbursement amount and historical total treatment costs Calculate initial insurance index , the formula based on is:

[0015] According to the number of historical treatments that should be paid , Actual number of payments , Delayed payment times Number of unpaid fees Calculate payment index , the formula based on is:

[0016] According to the initial insurance index and payment indicators Calculate the initial affordability index , the formula based on is:

[0017] in, For insurance indicators The weight coefficient is between 0.4 and 0.6; For payment indicators The weight coefficient is between 0.4 and 0.6, and =1.

[0018] In the preferred embodiment of the closed-loop management method for rehabilitation treatment described above: according to the initial assessment frequency index The method for determining the initial evaluation frequency using the evaluation frequency threshold set is: Personal information data including age rating , Gender Rating and occupational physical function demand score ; Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index , the formula based on is:

[0019] in, Initial physical condition indicator The weight coefficient is 0.3 to 0.5; Home Care Index The weight coefficient is between 0.2 and 0.5; Affordability Index The weight coefficient is between 0.2 and 0.5; and =1; Evaluation frequency threshold set includes high frequency threshold and low frequency threshold ; Based on the initial assessment frequency index The evaluation frequency threshold set determines the initial evaluation frequency based on the following criteria: .

[0020] In the preferred embodiment of the above-mentioned closed-loop management method for rehabilitation treatment, the method for judging whether the patient has recovered according to the rehabilitation target data and the rehabilitation treatment data is: Rehabilitation goal data including patient range of motion goal index , Muscle Strength Target Index , Bone target health value and coordination ability target index ; Rehabilitation treatment data includes at least the patient’s Range of motion index at the time of the second assessment , Muscle Strength Index , bone health value and coordination ability index ; The criteria for judging whether a patient has recovered are based on the rehabilitation goal data and rehabilitation treatment data:

[0021] in, For the Range of motion index at the time of the second assessment, is a positive integer for different evaluation times. 2; For the Muscle strength index at the time of the second assessment; For the Bone health value at the time of the first assessment; For the Coordination ability index at the time of the first assessment; When the patient recovers, no further steps are performed; when the patient does not recover, proceed to the next step.

[0022] In the preferred embodiment of the above-mentioned closed-loop management method for rehabilitation treatment: calculating the rehabilitation effect index The method is: Rehabilitation treatment data also includes the patient's Mental status scores at the time of the second assessment , follow-up assessment of physical condition indicators , Actual heart rate value , actual blood pressure value and actual respiratory rate ; According to the psychological status score Calculate the improvement of mental state , the formula based on is:

[0023] in, For patients Improvement in mental status at the time of the second assessment, For patients Mental status score at the second assessment; For patients Mental status score at the second assessment; For patients Target mental state score at the second assessment; According to physical condition indicators Calculate the rate of change in physical condition , the formula based on is:

[0024] in, For patients The rate of change in physical condition at the time of the second assessment; For patients Physical condition indicators at the time of the first assessment; For patients Physical condition indicators at the time of the first assessment; According to the actual heart rate value , actual blood pressure value and actual respiratory rate Calculate the physiological index coefficient , the formula based on is:

[0025] in, For patients Evaluation to During the evaluation period Heart rate value during training, is the sequence number corresponding to different training times, and its value is ; For patients Evaluation to The total number of training runs during the evaluation period, The value is a positive integer; For patients Evaluation to During the evaluation period Blood pressure value during the training session; For patients Evaluation to During the evaluation period Respiration rate during training; is the normal heart rate value; Normal blood pressure value; Normal respiratory rate; is the heart rate risk coefficient, ranging from 0.3 to 0.5; is the blood pressure risk coefficient, ranging from 0.2 to 0.5; is the respiratory rate risk factor, ranging from 0.2 to 0.5; and 1; Improvement in mental status , Physical condition change rate and physiological index coefficient Calculation of rehabilitation effect index , the formula based on is:

[0026] in, Improvement of mental state The weight coefficient is between 0.2 and 0.5; The rate of change of physical condition The weight coefficient is 0.3 to 0.5; Physiological index coefficient The weight coefficient is between 0.2 and 0.5; and =1.

[0027] In the preferred embodiment of the closed-loop management method for rehabilitation treatment described above: calculating the evaluation frequency index The method is: Rehabilitation therapy data also includes patient compliance scores and self-satisfaction ratings ; Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index , the formula based on is:

[0028] in, For patients The evaluation frequency indicator at the time of evaluation.

[0029] In the preferred embodiment of the above-mentioned closed-loop management method for rehabilitation treatment: The method for evaluating the frequency of times is: According to the evaluation frequency index and the evaluation frequency threshold set to determine the The evaluation frequency is based on the formula: .

[0030] The present invention also discloses a closed-loop management system for rehabilitation treatment, which is characterized by comprising: Data collection module, used to collect patients' personal information data, physical condition data, home care data and payment data; Initial assessment frequency determination module, which can calculate the initial range of motion index based on the patient's physical condition data , initial muscle strength index , initial bone health value and initial coordination index , and further calculate the initial physical condition index ; Calculate the home care index based on the patient's home care data ; Calculate initial insurance indicators based on patient payment data and payment indicators , and further calculate the initial affordability index ; Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index ; Preset evaluation frequency threshold set; Based on the initial evaluation frequency index and the assessment frequency threshold set to determine the initial assessment frequency; formulate a rehabilitation treatment plan based on the initial assessment frequency and determine the next assessment time; The judgment module performs rehabilitation treatment according to the rehabilitation treatment plan and assessment time, obtains rehabilitation treatment data, and sets rehabilitation target data; compares the rehabilitation treatment data with the rehabilitation target data to determine whether the patient has reached the rehabilitation index, and stops the next step when the rehabilitation index is reached; The follow-up assessment frequency adjustment module can calculate the improvement of the psychological state based on the rehabilitation treatment data when the patient does not reach the rehabilitation index , Physical condition change rate and physiological index coefficient , and further calculate the rehabilitation effect index ; Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index ; Based on the evaluation frequency index and the evaluation frequency threshold set to determine the The frequency of evaluation is The frequency of assessment is to develop a rehabilitation treatment plan and determine the The evaluation time is then returned to the previous step to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, this step is stopped; when the patient has not reached the rehabilitation index, this step is continued until the rehabilitation index is reached.

[0031] (III) Beneficial effects The present invention provides a closed-loop management method and system for rehabilitation treatment, which has the following beneficial effects: (1) Calculate the initial range of motion index based on the patient's physical condition data , initial muscle strength index , initial bone health value and initial coordination index , and further calculate the initial physical condition index , can understand the patient's physical function status from multiple dimensions. This helps doctors and rehabilitation teams fully grasp the patient's starting point for rehabilitation and provide a scientific basis for formulating personalized rehabilitation plans. , Family Care Index and affordability index Calculate the initial evaluation frequency index , can formulate personalized assessment frequency according to the conditions of different patients, which helps to improve the effect and efficiency of rehabilitation treatment, and solves the problem that when formulating the assessment frequency, only obvious factors such as common injury site, type and degree are paid attention to, while the influence of other factors is ignored; (2) By obtaining rehabilitation treatment data and setting clear rehabilitation target data, we can accurately evaluate the patient at each stage of the rehabilitation process and promptly determine whether the patient has reached the rehabilitation target. When the patient reaches the rehabilitation target, we stop the next step of treatment, which can avoid overtreatment and save medical resources; (3) Calculate the improvement of psychological status based on rehabilitation treatment data , Physical condition change rate and physiological index coefficient , and further calculate the rehabilitation effect index , can comprehensively evaluate the patient's rehabilitation status from multiple angles. , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index , taking into account the individual differences of patients and the actual situation in the rehabilitation process. Different patients have different rehabilitation speeds and needs. By comprehensively considering multiple factors to determine the assessment frequency, personalized rehabilitation assessment can be achieved. BRIEF DESCRIPTION OF THE DRAWINGS

[0032] Figure 1This is a schematic diagram of the working steps of a closed-loop management method for rehabilitation treatment of the present invention. DETAILED DESCRIPTION

[0033] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions 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.

[0034] See also Figure 1 The present invention provides a closed-loop management method for rehabilitation treatment, comprising: Step 1: Collect the patient's personal information data, physical condition data, home care data and payment data.

[0035] According to step 1: By collecting patients' personal information data, physical condition data, home care data and payment data, the assessment frequency can be determined based on the patient's own situation, which is beneficial to the patient's recovery.

[0036] Step 2: Calculate the initial range of motion index based on the patient's physical condition data , initial muscle strength index , initial bone health value and initial coordination index , and further calculate the initial physical condition index ; Calculate the home care index based on the patient's home care data ; Calculate initial insurance indicators based on patient payment data and payment indicators , and further calculate the initial affordability index ; Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index ; Preset evaluation frequency threshold set; Based on the initial evaluation frequency index The initial assessment frequency is determined based on the assessment frequency threshold set; a rehabilitation treatment plan is developed based on the initial assessment frequency and the next assessment time is determined.

[0037] Step 2 includes the following steps: Step 201: Calculate initial physical condition index The method is: Physical condition data including fracture joint motion angle values , Actual strength of muscle groups at the fracture site , bone density , coordinate the completion time of the experiment and number of errors .

[0038] It should be noted that the fracture joint activity angle value It refers to the angle at which the fractured joint of the patient can be extended, reflecting the range of motion of the joint in all directions. It is obtained using a three-dimensional motion capture system. It refers to the strength of the muscles around the fracture site, which is used to assess the degree of muscle atrophy and limb function. It is obtained by a handgrip dynamometer or strength tester. It refers to the bone mass per unit area, which is used to measure bone strength. The coordination test is a test method used to evaluate the coordination of an individual. It refers to the time it takes a patient to complete a specific coordination experiment, the number of errors It refers to the number of times a patient makes mistakes when completing a specific coordination experiment, which is obtained through observation records of medical staff.

[0039] According to the fracture joint activity angle value Calculating the initial range index , the formula based on is:

[0040] It should be noted that this formula calculates the fracture joint activity angle value With the maximum active angle value The ratio of the difference between the two and the normal range of motion of the joint is used to obtain the initial range of motion index. Initial range of motion index The higher the value, the better the patient's range of motion and the better his or her physical condition. The lower it is, the worse the patient's range of motion and physical condition.

[0041] in, For the The activity angle of the fracture joint, is the serial number corresponding to different fracture joints, and its value is ; is the total number of fractured joints, which is a positive integer; For the The maximum range of motion of the fractured joint; For the The minimum and maximum angles of motion of the fractured joints and the minimum active angle Determined according to rehabilitation medicine practice and medical specialty standards.

[0042] Measure the strength of the muscle groups at the fracture site Calculate initial muscle strength index , the formula based on is:

[0043] It should be noted that this formula is calculated by calculating the actual strength of the muscle group at the fracture site. The ratio of the normal strength of the muscle group at the fracture site to obtain the initial muscle strength index Initial muscle strength index The higher the value, the higher the overall muscle strength of the patient and the better the physical condition. Initial muscle strength index The lower it is, the lower the patient's overall muscle strength and the worse their physical condition.

[0044] in, For the The measured strength of the muscle groups at the fracture site, is the serial number corresponding to the muscle groups at different fracture sites, and its value is ; is the total number of muscle groups at the fracture site, which is a positive integer; For the Normal strength values ​​for muscle groups at the fracture site are determined based on medical research and population statistics.

[0045] According to bone density Calculate initial bone health value , the formula based on is:

[0046] It should be noted that the operating principle of this formula is: when the bone density Greater than the lower limit of normal bone density Initial bone health value The value is 0. Less than the lower limit of normal bone density Initial bone health value The value is the lower limit of normal bone density and bone density The difference between the value of Initial bone health value The closer to 0, the better the patient's bone condition.

[0047] in, It is the lower limit of normal bone density. It is obtained by collecting bone density data from a large number of healthy people of different ages, genders, and races, calculating the mean and standard deviation of the bone density data, and taking the value of the mean minus two standard deviations as the lower limit of normal bone density.

[0048] According to the coordinated experiment completion time and number of errors Calculate the initial coordination ability index , the formula based on is:

[0049] It should be noted that the operating principle of this formula is: By calculating the upper limit of the number of errors in the coordination experiment and number of errors The difference is normalized to measure the accuracy of patients completing the coordination experiment. The larger the difference, the higher the accuracy. Coordinate experimental standard completion time by calculation Coordinate experiment completion time The difference between the two values ​​is normalized to measure the time efficiency of the patient in completing the coordination experiment. The smaller the difference, the higher the time efficiency of the patient in completing the coordination experiment. This formula comprehensively considers the accuracy and time efficiency of completing the coordination experiment to obtain the initial coordination ability index Initial coordination ability index The higher it is, the better the patient's coordination.

[0050] in, In order to coordinate the standard completion time of the experiment, a large number of healthy people of different ages, genders, and physical conditions were selected to conduct specific coordination experiments. The time it took for each person to complete the experiment was recorded, and then these time data were statistically analyzed and determined.

[0051] To coordinate the upper limit of the number of errors in the experiment, you can find the upper limit of the number of errors set in these experiments by searching for existing research literature or reports on similar coordinated experiments. According to your own experimental characteristics and target population, you can make appropriate adjustments to the reference value to determine the upper limit of the number of errors that is suitable for this experiment.

[0052] According to the initial range of activity index , initial muscle strength index , initial bone health value and initial coordination index Calculate initial physical condition index , the formula based on is:

[0053] It should be noted that the operating principle of this formula is: the formula comprehensively considers the initial activity range index , initial muscle strength index , initial bone health value and initial coordination index Impact on physical condition, get initial physical condition indicators Initial muscle strength index The higher the initial coordination ability index The higher the initial activity range index The lower the initial bone health value The lower the initial physical condition index The higher it is, the better the patient's initial physical condition.

[0054] Step 202: Calculate the home care index The method is: Family care data including family care knowledge scores , Nursing time , Rehabilitation equipment condition score .

[0055] It should be noted that the score of family members' nursing knowledge It is used to measure the degree of knowledge of fracture rehabilitation nursing mastered by family caregivers of fracture patients. The method of obtaining the knowledge is: professional medical staff conduct face-to-face interviews with family caregivers, ask questions related to fracture nursing, observe whether the family caregivers' answers are accurate and comprehensive, and score them. It refers to the time that family caregivers spend on caring for fracture patients every day. Medical staff ask caregivers about the care time during follow-up or re-examination, and record it. It is used to evaluate the quality and suitability of rehabilitation equipment that fracture patients can use in the home environment. The method of obtaining it is as follows: a list of rehabilitation equipment is prepared, including various common rehabilitation equipment and their standard requirements. Family caregivers are asked to check the equipment at home according to the list and score each device. Caregivers score the actual situation of the walker at home against the standard. The scores of all equipment are summarized to obtain the total score of rehabilitation equipment conditions.

[0056] According to nursing time Calculating nursing time investment ratio , the formula based on is:

[0057] It should be noted that this formula calculates the nursing time Compared with the ratio of 24 hours a day, the nursing time investment ratio is obtained .

[0058] According to the family members' nursing knowledge understanding score , Rehabilitation equipment condition score Ratio of nursing time to Calculating the Home Care Index , the formula based on is:

[0059] It should be noted that this formula is calculated by calculating the nursing knowledge understanding score of family members. and rehabilitation equipment condition score The sum of the above and multiply by the nursing time investment ratio , get the home care index . Score of family members’ nursing knowledge The higher the rehabilitation equipment condition score, The higher the nursing time investment ratio The higher the home care index The higher it is, the more beneficial it is for the patient's recovery.

[0060] Step 203: Calculate the initial affordability index The method is: Payment data including insurance coverage scores , Insurance reimbursement amount , total historical treatment costs , Number of historical treatments payable , Actual number of payments , Delayed payment times Number of unpaid fees .

[0061] It should be noted that the insurance coverage score It is used to measure the coverage and comprehensiveness of fracture rehabilitation treatment by insurance. The method of obtaining the score is as follows: by consulting the insurance contract or consulting the insurance company to understand the specific insurance policy and coverage of fracture rehabilitation treatment, the comprehensiveness of the coverage items, the reimbursement ratio and other factors are quantitatively scored and the total score is calculated to obtain the insurance coverage score. Insurance reimbursement amount It refers to the amount of expenses actually reimbursed by the insurance company during the fracture rehabilitation treatment process, reflecting the extent to which the insurance reduces the financial burden on the patient. It is determined by checking the claim records or consulting the insurance company. Refers to the total amount of expenses incurred by the patient during the rehabilitation treatment from the time of the fracture to the present, obtained by querying medical records and expense lists. Refers to the number of times fees should be paid during the past rehabilitation treatment process, which is determined according to the rehabilitation treatment plan and fee settlement cycle. Actual payment times It refers to the number of times the patient actually paid fees during the rehabilitation treatment process, which is determined by checking the payment records. It refers to the number of times a patient fails to pay the fees on time during rehabilitation treatment, and is determined by checking the arrears records of medical institutions. It indicates the number of times the patient did not pay any fees at all during the rehabilitation treatment. By checking the medical institution's arrears records, it is determined which fees have not been paid at all, and the number of unpaid fees can be counted.

[0062] Score based on insurance coverage , Insurance reimbursement amount and historical total treatment costs Calculate initial insurance index , the formula based on is:

[0063] It should be noted that this formula calculates the insurance reimbursement amount Total historical treatment costs ratio and multiply it by the insurance coverage score , to measure the extent of financial support provided by insurance in rehabilitation treatment. Initial insurance indicators The higher it is, the more financial support the insurance provides for rehabilitation treatment.

[0064] According to the number of historical treatments that should be paid , Actual number of payments , Delayed payment times Number of unpaid fees Calculate payment index , the formula based on is:

[0065] It should be noted that this formula is calculated by the actual number of payments. , Delayed payment times and number of unpaid bills Percentage of historical treatment charges The proportion of the payment of the patient during the fracture rehabilitation treatment is used to evaluate the payment status and credit performance of the patient. The higher it is, the better the patient's payment and credit performance during fracture rehabilitation treatment.

[0066] According to the initial insurance index and payment indicators Calculate the initial affordability index , the formula based on is:

[0067] It should be noted that this formula takes into account the initial insurance indicators and payment indicators , get the initial payment ability index . Initial insurance index The higher the payment index The higher the initial affordability index The higher it is, the greater the patient's ability to pay.

[0068] in, For insurance indicators The weight coefficient is 0.4 to 0.6, and the insurance index Initial Affordability Index The importance of is determined. For payment indicators The weight coefficient is 0.4 to 0.6, and the payment index Initial Affordability Index The importance of =1.

[0069] Step 204: Based on the initial evaluation frequency index The method for determining the initial evaluation frequency using the evaluation frequency threshold set is: Personal information data including age rating , Gender Rating and occupational physical function demand score .

[0070] It should be noted that according to the patient's age Determine age rating The standards are:

[0071] Determine gender score based on patient gender The standards are:

[0072] Occupational Physical Demand Rating It is used to assess the degree of physical function requirements of the patient's occupation and the impact of the fracture on their occupational activities. The specific criteria are:

[0073] in, Including construction workers, athletes, etc.; Including nurses, teachers, etc. Including office staff, programmers, etc.

[0074] Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index , the formula based on is:

[0075] It should be noted that this formula uses age scoring , Gender Rating and occupational physical function demand score Inversely proportional to the frequency of assessment and initial physical condition indicators , Family Care Index and affordability index The initial evaluation frequency index is obtained in direct proportion to the evaluation frequency .

[0076] in, Initial physical condition indicator The weight coefficient is 0.3 to 0.5, based on the initial physical condition index. Initial evaluation frequency index The importance of is determined. Home Care Index The weight coefficient is 0.2 to 0.5, based on the family care index Initial evaluation frequency index The importance of is determined. Affordability Index The weight coefficient is 0.2 to 0.5, based on the affordability index. Initial evaluation frequency index The importance of =1; Evaluation frequency threshold set includes high frequency threshold and low frequency threshold .

[0077] It should be noted that the high frequency threshold and low frequency threshold The method for determining the high frequency threshold is to count the evaluation frequency of historical patients and calculate the mean and standard deviation. The mean plus the standard deviation is calculated as the high frequency threshold. Calculate the value of the mean minus the standard deviation as the low frequency threshold The reference value of the high frequency threshold and low frequency threshold Adjustments need to be made based on the advice of rehabilitation specialists.

[0078] Based on the initial assessment frequency index The evaluation frequency threshold set determines the initial evaluation frequency based on the following criteria:

[0079] Combined with the contents of step 201 to step 204: Calculate the initial range of motion index based on the patient's physical condition data , initial muscle strength index , initial bone health value and initial coordination index , and further calculate the initial physical condition index , can understand the patient's physical function status from multiple dimensions. This helps doctors and rehabilitation teams fully grasp the patient's starting point for rehabilitation and provide a scientific basis for formulating personalized rehabilitation plans. , Family Care Index and affordability index Calculate the initial evaluation frequency index , can formulate personalized assessment frequency according to the situation of different patients, which helps to improve the effectiveness and efficiency of rehabilitation treatment, and solves the problem that when formulating the assessment frequency, only obvious factors such as common injury site, type and degree are paid attention to, while the influence of other factors is ignored.

[0080] Step 3: Conduct rehabilitation treatment according to the rehabilitation treatment plan and assessment time, obtain rehabilitation treatment data, and set rehabilitation target data; compare the rehabilitation treatment data with the rehabilitation target data to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, stop the next step.

[0081] Step 301: Perform rehabilitation treatment according to the rehabilitation treatment plan and assessment time, and obtain rehabilitation treatment data at the same time. Step 302: The method for determining whether the patient has recovered based on the rehabilitation target data and the rehabilitation treatment data is: Rehabilitation goal data including patient range of motion goal index , Muscle Strength Target Index , Bone target health value and coordination ability target index .

[0082] It should be noted that the activity range target index , Muscle Strength Target Index , Bone target health value and coordination ability target index Refers to the level that the patient hopes to achieve after rehabilitation treatment. It is determined through the doctor's evaluation and the patient's own needs.

[0083] Rehabilitation treatment data includes at least the patient’s Range of motion index at the time of the second assessment , Muscle Strength Index , bone health value and coordination ability index .

[0084] The criteria for judging whether a patient has recovered are based on the rehabilitation goal data and rehabilitation treatment data:

[0085] It should be noted that when the patient Range of motion index at the time of the second assessment , Muscle Strength Index , bone health value and coordination ability index When all of them reach the target value, the patient is considered to have achieved the recovery goal. When at least one of them does not reach the target value, the patient is considered to have not recovered and needs to continue treatment.

[0086] in, For the Range of motion index at the time of the second assessment, is a positive integer for different evaluation times. 2; For the Muscle strength index at the time of the second assessment; For the Bone health value at the time of the first assessment; For the Coordination ability index at the time of the first assessment; When the patient recovers, no further steps are performed; when the patient does not recover, proceed to the next step.

[0087] Combine the contents of step 301 and step 302: By obtaining rehabilitation treatment data and setting clear rehabilitation target data, we can accurately evaluate the patient at each stage of the rehabilitation process and promptly determine whether the patient has reached the rehabilitation target. When the patient reaches the rehabilitation target, we stop the next step of treatment, which can avoid overtreatment and save medical resources.

[0088] Step 4: When the patient does not reach the rehabilitation index, calculate the improvement of psychological status based on rehabilitation treatment data , Physical condition change rate and physiological index coefficient , and further calculate the rehabilitation effect index ; Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index ; Based on the evaluation frequency index and the evaluation frequency threshold set to determine the The frequency of evaluation is The frequency of assessment is to develop a rehabilitation treatment plan and determine the The evaluation time is then returned to the previous step to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, this step is stopped; when the patient has not reached the rehabilitation index, this step is continued until the rehabilitation index is reached.

[0089] Step 401: Calculate rehabilitation effect index The method is: Rehabilitation treatment data also includes the patient's Mental status scores at the time of the second assessment , follow-up assessment of physical condition indicators , Actual heart rate value , actual blood pressure value and actual respiratory rate .

[0090] It should be noted that the psychological status score It is used to measure the health of the patient's mental state. The method of obtaining the score is as follows: the patient answers the questions in the psychological assessment scale according to his or her own feelings, and the patient's mental state score is obtained through statistical analysis of the scale results. By calculating the range of motion index of patients after rehabilitation treatment , Muscle Strength Index , bone health value and coordination ability index And calculate the initial physical condition index as above The actual heart rate value is calculated by It refers to the patient's heart rate during training, obtained by wearing a sports heart rate belt. Actual blood pressure value It refers to the patient's blood pressure during training, obtained through a dynamic electrocardiogram monitor. Actual respiratory rate It refers to the patient's respiratory rate during training, which is measured by an electronic blood pressure monitor.

[0091] According to the psychological status score Calculate the improvement of mental state , the formula based on is:

[0092] It should be noted that this formula is calculated by The second assessment and The difference between the mental status score at the second assessment and the patient's The difference between the patient's current mental state and the target mental state is measured by the ratio of the difference between the current mental state and the target mental state. The higher the value, the better the patient's mental state. The lower it is, the worse the patient's mental state.

[0093] in, For patients Improvement in mental status at the time of the second assessment, For patients Mental status score at the second assessment; For patients Mental status score at the second assessment; For patients The target mental state score at the second assessment.

[0094] According to physical condition indicators Calculate the rate of change in physical condition , the formula based on is:

[0095] It should be noted that this formula is calculated by The second assessment and The difference between the physical condition index at the second assessment and the The ratio of physical condition indicators at each assessment is used to measure the patient's physical changes. The higher it is, the better the patient's physical condition is. Physical condition change rate The more the patient's physical condition changes, the worse it gets.

[0096] in, For patients The rate of change in physical condition at the time of the second assessment; For patients Physical condition indicators at the time of the first assessment; For patients Physical condition indicators at the time of the second assessment.

[0097] According to the actual heart rate value , actual blood pressure value and actual respiratory rate Calculate the physiological index coefficient , the formula based on is:

[0098] It should be noted that this formula is calculated by Evaluation to The degree of deviation between the actual physiological index and the normal physiological index during the evaluation period is used to obtain the physiological index coefficient The smaller the deviation, the higher the physiological index coefficient. The higher the value, the better the rehabilitation effect. The greater the deviation, the higher the coefficient of physiological index. The lower it is, the worse the rehabilitation effect.

[0099] in, For patients Evaluation to During the evaluation period Heart rate value during training, is the sequence number corresponding to different training times, and its value is ; For patients Evaluation to The total number of training runs during the evaluation period, The value is a positive integer; For patients Evaluation to During the evaluation period Blood pressure value during the training session; For patients Evaluation to During the evaluation period Respiratory rate during training. Normal heart rate value Normal blood pressure and normal breathing rate Determined based on the patient's physical condition, disease type, and medical research data. is the heart rate risk coefficient, with a value of 0.3 to 0.5. Determine the extent of impact; is the blood pressure risk coefficient, ranging from 0.2 to 0.5, based on the blood pressure value for the physiological index coefficient Determine the extent of impact; is the respiratory rate risk coefficient, ranging from 0.2 to 0.5, based on the respiratory rate and physiological index coefficient The extent of the impact is determined; and 1.

[0100] Improvement in mental status , Physical condition change rate and physiological index coefficient Calculation of rehabilitation effect index , the formula based on is:

[0101] It should be noted that this formula takes into account the improvement of psychological state through a weighted method. , Physical condition change rate and physiological index coefficient Rehabilitation effect indicators Improvement of psychological status The higher the rehabilitation effect index The higher the value, the better the recovery effect. The higher the rehabilitation effect index The higher the value, the better the rehabilitation effect. The higher the rehabilitation effect index The higher it is, the better the recovery effect.

[0102] in, Improvement of mental state The weight coefficient is 0.2 to 0.5, depending on the degree of improvement of the psychological state. Physiological index coefficient Determine the extent of impact; The rate of change of physical condition The weight coefficient is 0.3 to 0.5, depending on the rate of change of physical condition. Physiological index coefficient Determine the extent of impact; Physiological index coefficient The weight coefficient is 0.2 to 0.5, according to the physiological index coefficient Physiological index coefficient The extent of the impact is determined; and =1.

[0103] Step 402: Calculate the evaluation frequency index The method is: Rehabilitation therapy data also includes patient compliance scores and self-satisfaction ratings .

[0104] It should be noted that the patient compliance score It is used to measure the patient's compliance with the treatment plan formulated by the doctor during the rehabilitation process. The doctor evaluates the patient's compliance and scores it based on the patient's medical records, performance during treatment, and communication with the patient.

[0105] Self-rating of body satisfaction It reflects the patient's subjective feelings about his or her physical recovery. The way to obtain it is: design a questionnaire for patients to self-assess their physical recovery. The questionnaire can include questions about functional recovery and psychological state. Ask patients to score according to their own feelings, and finally summarize them to get a self-physical satisfaction score.

[0106] Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index , the formula based on is:

[0107] in, For patients The evaluation frequency indicator at the time of evaluation.

[0108] It should be noted that this formula uses the rehabilitation effect index , Patient compliance score and self-satisfaction ratings Inversely proportional to the evaluation frequency, combined with the initial evaluation frequency indicator , get the evaluation frequency index .

[0109] Step 403: Determine The method for evaluating the frequency of times is: According to the evaluation frequency index Evaluate the frequency threshold set to determine the The evaluation frequency is based on the formula:

[0110] It should be noted that high frequency is generally 2 to 3 days; medium frequency is generally 7 to 8 days; low frequency is generally 21 to 30 days.

[0111] According to The frequency of assessment is used to formulate a rehabilitation treatment plan and determine the The assessment time is: The assessment frequency is calculated based on the patient's various conditions, and it represents the number of times the patient is assessed for rehabilitation within a specific period of time. Doctors and rehabilitation teams need to develop a reasonable rehabilitation treatment plan based on the patient's assessment frequency. When the assessment frequency is high, it means that the patient's physical health is poor at this time, and the difficulty of rehabilitation training can be reduced. When the assessment frequency is medium, it means that the patient may have achieved stage goals in some aspects, and you can consider increasing the difficulty of rehabilitation or adjusting the goals appropriately. When the assessment frequency is low, due to the low assessment frequency, the patient's self-management ability becomes particularly important. In the rehabilitation treatment plan, it is necessary to strengthen the patient's self-management education, including correct rehabilitation training methods, adjustments to diet and lifestyle, and how to prevent re-injury.

[0112] At the same time, it is also necessary to The frequency of evaluation determines the For example, if the frequency of assessment is medium, the patient needs to undergo the next assessment within 7 to 8 days after the current assessment. Then return to the previous step to determine whether the patient has reached the rehabilitation index. If the patient has reached the rehabilitation index, stop this step; if the patient has not reached the rehabilitation index, continue this step until the rehabilitation index is reached.

[0113] Combined with the contents of step 401 to step 403: Calculate the improvement of psychological status based on rehabilitation treatment data , Physical condition change rate and physiological index coefficient , and further calculate the rehabilitation effect index , can comprehensively evaluate the patient's rehabilitation status from multiple angles. , Patient compliance score and self-satisfaction ratings Calculating evaluation frequency , taking into account the individual differences of patients and the actual situation in the rehabilitation process. Different patients have different rehabilitation speeds and needs. By comprehensively considering multiple factors to determine the assessment frequency, personalized rehabilitation assessment can be achieved.

[0114] On the other hand, the present invention also discloses a rehabilitation therapy closed-loop management system, comprising: Data collection module, used to collect patients' personal information data, physical condition data, home care data and payment data; Initial assessment frequency determination module, which can calculate the initial range of motion index based on the patient's physical condition data , initial muscle strength index , initial bone health value and initial coordination index , and further calculate the initial physical condition index ; Calculate the home care index based on the patient's home care data ; Calculate initial insurance indicators based on patient payment data and payment indicators , and further calculate the initial affordability index ; Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index ; Preset evaluation frequency threshold set; Based on the initial evaluation frequency index and the assessment frequency threshold set to determine the initial assessment frequency; formulate a rehabilitation treatment plan based on the initial assessment frequency and determine the next assessment time; The judgment module performs rehabilitation treatment according to the rehabilitation treatment plan and assessment time, obtains rehabilitation treatment data, and sets rehabilitation target data; compares the rehabilitation treatment data with the rehabilitation target data to determine whether the patient has reached the rehabilitation index, and stops the next step when the rehabilitation index is reached; The follow-up assessment frequency adjustment module can calculate the improvement of the psychological state based on the rehabilitation treatment data when the patient does not reach the rehabilitation index , Physical condition change rate and physiological index coefficient , and further calculate the rehabilitation effect index ; Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index ; Based on the evaluation frequency index and the evaluation frequency threshold set to determine the The frequency of evaluation is The frequency of assessment is to develop a rehabilitation treatment plan and determine the The evaluation time is then returned to the previous step to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, this step is stopped; when the patient has not reached the rehabilitation index, this step is continued until the rehabilitation index is reached.

[0115] The above embodiments may be implemented in whole or in part by software, hardware, firmware or any other combination thereof. When implemented using software, the above embodiments may be implemented in whole or in part in the form of a computer program product. A person of ordinary skill in the art may appreciate that the units and algorithm steps of each example described in conjunction with the embodiments disclosed herein may be implemented in electronic hardware or in combination with computer software and electronic hardware. Whether these functions are performed in hardware or software depends on the specific application and design constraints of the technical solution.

[0116] The units described as separate components may or may not be physically separated, and the components shown as units may or may not be physical units, that is, they may be located in one place or distributed on multiple network units. Some or all of the units may be selected according to actual needs to achieve the purpose of the solution of this embodiment.

[0117] The above description is only a specific implementation manner of the present application, but the protection scope of the present application is not limited thereto. Any technician familiar with the technical field can easily think of changes or substitutions within the technical scope disclosed in the present application, which should be included in the protection scope of the present application.

Claims

1. A closed-loop management method for rehabilitation treatment, characterized in that: The following steps are involved: Collect patients' personal information, physical condition, home care and payment data; Calculate the initial range of motion index based on the patient's physical condition data , initial muscle strength index , initial bone health value and initial coordination index , and further calculate the initial physical condition index ; Calculate the home care index based on the patient's home care data ; Calculate initial insurance indicators based on patient payment data and payment indicators , and further calculate the initial affordability index ; Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index ; Preset evaluation frequency threshold set; based on the initial evaluation frequency index and the assessment frequency threshold set to determine the initial assessment frequency; formulate a rehabilitation treatment plan based on the initial assessment frequency and determine the next assessment time; Carry out rehabilitation treatment according to the rehabilitation treatment plan and assessment time, obtain rehabilitation treatment data, and set rehabilitation target data; Compare the rehabilitation treatment data with the rehabilitation target data to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, stop the next step; When the patient does not reach the rehabilitation index, the improvement of psychological status is calculated based on the rehabilitation treatment data. , Physical condition change rate and physiological index coefficient , and further calculate the rehabilitation effect index ; Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index ; Based on the evaluation frequency index and the evaluation frequency threshold set to determine the The frequency of evaluation is The frequency of assessment is to develop a rehabilitation treatment plan and determine the The evaluation time is then returned to the previous step to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, this step is stopped; when the patient has not reached the rehabilitation index, this step is continued until the rehabilitation index is reached.

2. A closed-loop management method for rehabilitation treatment according to claim 1, characterized in that: Calculate initial physical condition index The method is: Physical condition data including the range of motion of fractured joints , the measured strength of the muscle groups at the fracture site , bone density , coordinate the completion time of the experiment and number of errors ; According to the fracture joint activity angle value Calculating the initial range index , the formula based on is: in, For the The activity angle of the fracture joint, is the serial number corresponding to different fracture joints, and its value is ; is the total number of fractured joints, which is a positive integer; For the The maximum range of motion of the fractured joint; For the The minimum range of motion of the fractured joint; According to the measured strength of the muscle group at the fracture site Calculate initial muscle strength index , the formula based on is: in, For the The measured strength of the muscle groups at the fracture site, is the serial number corresponding to the muscle groups at different fracture sites, and its value is ; is the total number of muscle groups at the fracture site, which is a positive integer; For the Normal strength values ​​of the muscle groups at the fracture site; According to bone density Calculate initial bone health value , the formula based on is: in, It is the lower limit of normal bone density; According to the coordinated experiment completion time and number of errors Calculate the initial coordination ability index , the formula based on is: in, To coordinate the standard completion time of the experiment; To coordinate the upper limit of the number of experimental errors; According to the initial range of activity index , initial muscle strength index , initial bone health value and initial coordination index Calculate initial physical condition index , the formula based on is: 。 3. A closed-loop management method for rehabilitation treatment according to claim 2, characterized in that: Calculating the Home Care Index The method is: Family care data including family care knowledge scores , Nursing time , Rehabilitation equipment condition score ; According to nursing time Calculating nursing time investment ratio , the formula based on is: According to the family members' nursing knowledge understanding score , Rehabilitation equipment condition score Ratio of nursing time to Calculating the Home Care Index , the formula based on is: 。 4. A closed-loop management method for rehabilitation treatment according to claim 3, characterized in that: Calculate the initial affordability index The method is: Payment data including insurance coverage scores , Insurance reimbursement amount , total historical treatment costs , Number of historical treatments payable , Actual number of payments , Delayed payment times Number of unpaid bills ; Score based on insurance coverage , Insurance reimbursement amount and historical total treatment costs Calculate initial insurance index , the formula based on is: According to the number of historical treatments that should be paid , Actual number of payments , Delayed payment times Number of unpaid bills Calculate payment index , the formula based on is: According to the initial insurance index and payment indicators Calculate the initial affordability index , the formula based on is: in, For insurance indicators The weight coefficient is between 0.4 and 0.6; For payment indicators The weight coefficient is between 0.4 and 0.6, and =1.

5. A closed-loop management method for rehabilitation treatment according to claim 4, characterized in that: Based on the initial assessment frequency index The method for determining the initial evaluation frequency using the evaluation frequency threshold set is: Personal information data including age rating , Gender Rating and occupational physical function demand score ; Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index , the formula based on is: in, Initial physical condition indicator The weight coefficient is 0.3 to 0.5; Home Care Index The weight coefficient is between 0.2 and 0.5; Affordability Index The weight coefficient is between 0.2 and 0.5; and =1; Evaluation frequency threshold set includes high frequency threshold and low frequency threshold ; Based on the initial assessment frequency index The evaluation frequency threshold set determines the initial evaluation frequency based on the following criteria: 。 6. A closed-loop management method for rehabilitation treatment according to claim 5, characterized in that: The method for judging whether the patient has recovered based on the rehabilitation goal data and rehabilitation treatment data is: Rehabilitation goal data including patient range of motion goal index , Muscle Strength Target Index , Bone target health value and coordination ability target index ; Rehabilitation treatment data includes at least the patient’s Range of motion index at the time of the second assessment , Muscle Strength Index , bone health value and coordination ability index ; The criteria for judging whether a patient has recovered are based on the rehabilitation goal data and rehabilitation treatment data: in, For the Range of motion index at the time of the second assessment, is a positive integer for different evaluation times. 2; For the Muscle strength index at the time of the second assessment; For the Bone health value at the time of the first assessment; For the Coordination ability index at the time of the first assessment; When the patient recovers, no further steps are performed; when the patient does not recover, proceed to the next step.

7. A closed-loop management method for rehabilitation treatment according to claim 6, characterized in that: Calculation of rehabilitation effect index The method is: Rehabilitation treatment data also includes the patient's Mental status scores at the time of the second assessment , follow-up assessment of physical condition indicators , Actual heart rate value , actual blood pressure value and actual respiratory rate ; According to the psychological status score Calculate the improvement of mental state , the formula based on is: in, For patients Improvement in mental status at the time of the second assessment, For patients Mental status score at the second assessment; For patients Mental status score at the second assessment; For patients Target mental state score at the second assessment; According to physical condition indicators Calculate the rate of change in physical condition , the formula based on is: in, For patients The rate of change in physical condition at the time of the second assessment; For patients Physical condition indicators at the time of the first assessment; For patients Physical condition indicators at the time of the first assessment; According to the actual heart rate value , actual blood pressure value and actual respiratory rate Calculate the physiological index coefficient , the formula based on is: in, For patients Evaluation to During the evaluation period Heart rate value during training, is the sequence number corresponding to different training times, and its value is ; For patients Evaluation to The total number of training runs during the evaluation period, The value is a positive integer; For patients Evaluation to During the evaluation period Blood pressure value during the training session; For patients Evaluation to During the evaluation period Respiration rate during training; is the normal heart rate value; Normal blood pressure value; Normal respiratory rate; is the heart rate risk coefficient, ranging from 0.3 to 0.5; is the blood pressure risk coefficient, ranging from 0.2 to 0.5; is the respiratory rate risk factor, ranging from 0.2 to 0.5; and 1; Improvement in mental status , Physical condition change rate and physiological index coefficient Calculation of rehabilitation effect index , the formula based on is: in, Improvement of mental state The weight coefficient is between 0.2 and 0.5; The rate of change of physical condition The weight coefficient is 0.3 to 0.5; Physiological index coefficient The weight coefficient is between 0.2 and 0.5; and =1.

8. A closed-loop management method for rehabilitation treatment according to claim 7, characterized in that: Calculate the evaluation frequency index The method is: Rehabilitation therapy data also includes patient compliance scores and self-satisfaction ratings ; Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index , the formula based on is: in, For patients The evaluation frequency indicator at the time of evaluation.

9. A closed-loop management method for rehabilitation treatment according to claim 8, characterized in that: Determine The method for evaluating the frequency of times is: According to the evaluation frequency index and the evaluation frequency threshold set to determine the The evaluation frequency is based on the formula: 。 10. A closed-loop management system for rehabilitation treatment, characterized in that: include: Data collection module, used to collect patients' personal information data, physical condition data, home care data and payment data; Initial assessment frequency determination module, which can calculate the initial range of motion index based on the patient's physical condition data , initial muscle strength index , initial bone health value and initial coordination index , and further calculate the initial physical condition index ; Calculate the home care index based on the patient's home care data ; Calculate initial insurance indicators based on patient payment data and payment indicators , and further calculate the initial affordability index ; Based on personal information data, initial physical condition indicators , Family Care Index and affordability index Calculate the initial evaluation frequency index ; Preset evaluation frequency threshold set; based on the initial evaluation frequency index and the assessment frequency threshold set to determine the initial assessment frequency; formulate a rehabilitation treatment plan based on the initial assessment frequency and determine the next assessment time; The judgment module conducts rehabilitation treatment according to the rehabilitation treatment plan and assessment time, obtains rehabilitation treatment data, and sets rehabilitation target data; Compare the rehabilitation treatment data with the rehabilitation target data to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, stop the next step; The follow-up assessment frequency adjustment module can calculate the improvement of the psychological state based on the rehabilitation treatment data when the patient does not reach the rehabilitation index , Physical condition change rate and physiological index coefficient , and further calculate the rehabilitation effect index ; Based on the initial assessment frequency index , Rehabilitation effect indicators , Patient compliance score and self-satisfaction ratings Calculate the evaluation frequency index ; Based on the evaluation frequency index and the evaluation frequency threshold set to determine the The frequency of evaluation is The frequency of assessment is to develop a rehabilitation treatment plan and determine the The evaluation time is then returned to the previous step to determine whether the patient has reached the rehabilitation index. When the rehabilitation index is reached, this step is stopped; when the patient has not reached the rehabilitation index, this step is continued until the rehabilitation index is reached.

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