Nursing quality assessment method and device

Abstract

The invention relates to the field of medical care, and discloses a nursing quality evaluation method and device, and the method comprises the steps: analyzing the nursing type of a patient, constructing a key behavior detection model of nursing behaviors, and monitoring the nursing operation in real time; evaluating the rationality of gestures and body postures of the nursing personnel, and detecting a nursing sequence to obtain a nursing behavior evaluation report; according to the nursing behavior evaluation report, the interaction duration of the nursing personnel and the patient is identified, the rehabilitation behavior influence degree and the emotion counseling value effect of the nursing personnel on the patient within the interaction duration are evaluated, and the satisfaction degree of the patient is obtained; on the basis of the patient satisfaction degree, the effective nursing rate of the nursing personnel is calculated, the nursing target completion degree is evaluated, and a nursing evaluation result is generated; and combining the key behavior detection model and the evaluation result to obtain a nursing quality evaluation result. The nursing behavior of the nursing personnel can be monitored and evaluated in real time, and the efficiency and accuracy of nursing quality evaluation are improved.

Description

Technical Field

[0001] The present invention relates to the field of medical care, and in particular to a method and device for evaluating care quality. Background Art

[0002] Nursing quality refers to the quality level of nursing work that can meet the needs of patients during the process of nursing services provided by hospital nursing staff, including basic nursing care, disease management and rehabilitation care for patients' daily lives. Nursing quality assessment helps to improve the reliability of nursing practice and reduce the occurrence of adverse events. With the continuous advancement of medical standards and the improvement of people's material living standards, more and more patients and their families have begun to pay attention to medical care services. In order to improve their own competitiveness, medical institutions have provided high-quality nursing services as an important factor in attracting patients.

[0003] The existing nursing quality assessment method mainly adopts the 360-degree feedback method, which mainly focuses on the opinions of colleagues, superiors, subordinates and even patients to evaluate the performance of nursing staff. By collecting evaluation information from multiple angles, a comprehensive and systematic evaluation of the behavior of nursing staff can be made. However, the information collected by this method from different channels is inconsistent. For example, the evaluation given by the superior is excellent, while the evaluation given by the patient needs to be improved. This may affect the overall evaluation process and the accuracy of the evaluation results, resulting in a lack of authenticity in the nursing quality. Summary of the invention

[0004] In order to solve the above problems, the present invention provides a nursing quality evaluation method and device, which can monitor and evaluate the nursing behavior of nursing staff in real time, and improve the efficiency and accuracy of nursing quality evaluation.

[0005] In a first aspect, the present invention provides a method and device for evaluating nursing quality, comprising:

[0006] Obtaining a treatment report of the patient to be cared for, analyzing the type of care required by the patient to be cared for according to the treatment report, collecting the nursing behavior corresponding to the nursing type, constructing a key behavior detection model for the nursing behavior, and monitoring the nursing operations of the nursing staff corresponding to the patient to be cared for in real time based on the key behavior detection model;

[0007] Identify the gestures and body postures of the nursing staff during the nursing operation, analyze the rationality of the gestures and body postures, detect the nursing sequence of the nursing staff during the nursing process, and generate a nursing behavior evaluation report of the nursing staff for the patient to be cared for based on the rationality and the nursing sequence;

[0008] According to the nursing behavior evaluation report, the interaction time between the nursing staff and the patient to be cared for is identified, the rehabilitation behavior corresponding to the nursing staff during the interaction time is evaluated, and the degree of influence of the rehabilitation behavior on the patient to be cared for is analyzed, and the value of the nursing staff's emotional counseling for the patient to be cared for during the interaction time is analyzed; based on the degree of influence of the rehabilitation behavior and the emotional counseling value, the patient satisfaction of the patient to be cared for the nursing staff is collected;

[0009] Based on the patient satisfaction, the effective nursing rate of the nursing staff for the patient to be cared for is calculated, the acceptance score of the patient to be cared for the effective nursing rate is identified, the target completion of the nursing behavior is evaluated, and the evaluation result of the nursing staff in the nursing stage is output according to the effective nursing rate, the acceptance score and the target completion;

[0010] The nursing quality of the nursing staff is evaluated in combination with the key behavior detection model and the evaluation result to obtain a nursing quality evaluation result.

[0011] In a possible implementation of the first aspect, analyzing the type of care required by the patient to be cared for according to the treatment report includes:

[0012] Analyzing the current symptoms of the patient to be cared for according to the treatment report;

[0013] Identify the nursing needs of the patient to be cared for under the current symptoms;

[0014] Based on the physical condition of the patient to be cared for, assess the nursing risk of the nursing needs during the nursing stage;

[0015] Based on the physical condition and the care risk, the type of care required by the patient to be cared for is analyzed.

[0016] In a possible implementation of the first aspect, constructing the key behavior detection model of the nursing behavior includes:

[0017] Inputting the standard actions corresponding to the nursing behaviors into a pre-trained nursing deep learning model;

[0018] Querying the nursing type and standard action corresponding to the nursing behavior, and analyzing the key behavior features corresponding to the nursing behavior using the convolutional neural network in the nursing deep learning model according to the nursing type and the standard action;

[0019] Calculating the action deviation of the key behavior feature;

[0020] Based on the key behavior features and the action deviation, a key behavior detection model of the nursing behavior is constructed.

[0021] In a possible implementation of the first aspect, the identifying the gestures and body postures of the caregiver during the care operation includes:

[0022] Collecting action images of the nursing staff performing the nursing operation;

[0023] Marking key points of the body in the action image to obtain key point positions;

[0024] Performing feature extraction on the action image to obtain extracted features;

[0025] Based on the extracted features and the key point positions, the gestures and body postures of the caregiver during the care operation are identified.

[0026] In a possible implementation manner of the first aspect, analyzing the rationality of the gesture and the body posture includes:

[0027] Querying the action deviation degree data corresponding to the gesture and the body posture;

[0028] identifying the deviation trend of the gesture and the body posture according to the action deviation degree data;

[0029] Setting a warning threshold for the motion deviation degree data;

[0030] The gesture and the body posture are evaluated for rationality based on the warning threshold and the deviation trend to obtain the rationality of the gesture and the body posture.

[0031] In a possible implementation of the first aspect, the analyzing the value of the caregiver's emotional counseling for the patient to be cared for during the interaction duration includes:

[0032] Obtaining the psychological needs of the patient to be cared for during the nursing process;

[0033] Querying the nursing level and physical condition corresponding to the patient to be cared for, and identifying the emotional needs and material needs of the patient to be cared for according to the nursing level and the physical condition;

[0034] Analyze the changing pattern of the psychological needs as the emotional needs and the material needs change;

[0035] According to the change pattern, the value of the caregiver's emotional counseling for the patient to be cared for during the interaction duration is analyzed.

[0036] In a possible implementation of the first aspect, analyzing a change pattern of the psychological need as the emotional need and the material need change includes:

[0037] Collecting emotional data and material living standard data of the patient to be cared for;

[0038] Analyze the factors affecting the psychological data of the patient to be cared for in the emotional data and the material living standard data;

[0039] Identifying characteristic parameters of the influencing factors and analyzing the effect of the characteristic parameters on the psychological data;

[0040] According to the functional relationship, the changing pattern of the psychological needs as the emotional needs and the material needs change is analyzed.

[0041] In a possible implementation of the first aspect, calculating the effective nursing rate of the nursing staff for the patient to be cared for based on the patient satisfaction includes:

[0042] Based on the patient satisfaction, setting effective evaluation indicators for the nursing staff on the patient to be cared for;

[0043] Calculate the indicator weight corresponding to the effective evaluation indicator;

[0044] According to the indicator weights, the comprehensive scores of the nursing staff on the patient to be cared for are calculated;

[0045] Based on the comprehensive score, the effective care rate of the caregiver to the patient to be cared for is calculated.

[0046] In a possible implementation of the first aspect, the evaluating the target completion of the nursing behavior includes:

[0047] Setting nursing goals for the patient to be cared for;

[0048] construct a care plan of care that addresses the stated care goals;

[0049] Analyzing the degree of physical recovery of the patient to be cared for under the nursing plan;

[0050] According to the degree of physical recovery, the degree of completion of the nursing behavior goal is evaluated.

[0051] In a second aspect, the present invention provides a nursing quality assessment device, characterized in that the device comprises:

[0052] A model monitoring module is used to obtain a treatment report of a patient to be cared for, analyze the type of care required by the patient to be cared for according to the treatment report, collect the nursing behaviors corresponding to the nursing types, construct a key behavior detection model for the nursing behaviors, and monitor the nursing operations of the nursing staff corresponding to the patient to be cared for in real time based on the key behavior detection model;

[0053] A behavior detection module, used for identifying the gestures and body postures of the nursing staff during the nursing operation, analyzing the rationality of the gestures and body postures, detecting the nursing sequence of the nursing staff during the nursing process, and generating a nursing behavior evaluation report of the nursing staff for the patient to be cared for based on the rationality and the nursing sequence;

[0054] An indicator analysis module is used to identify the interaction time between the nursing staff and the patient to be cared for according to the nursing behavior evaluation report, evaluate the rehabilitation behavior of the nursing staff during the interaction time, analyze the impact of the rehabilitation behavior on the patient to be cared for, analyze the value of the nursing staff's emotional counseling for the patient to be cared for during the interaction time, and collect the patient satisfaction of the patient to be cared for the nursing staff based on the impact of the rehabilitation behavior and the emotional counseling value;

[0055] A model output module is used to calculate the effective nursing rate of the nursing staff to the patient to be cared for based on the patient satisfaction, identify the acceptance score of the patient to be cared for the effective nursing rate, evaluate the target completion of the nursing behavior, and output the evaluation result of the nursing staff in the nursing stage according to the effective nursing rate, the acceptance score and the target completion;

[0056] The quality assessment module is used to evaluate the nursing quality of the nursing staff in combination with the key behavior detection model and the assessment result to obtain a nursing quality assessment result.

[0057] Compared with the prior art, the technical principle and beneficial effects of this solution are:

[0058] The embodiment of the present invention collects the nursing behaviors corresponding to the nursing types and constructs a key behavior detection model for the nursing behaviors, thereby effectively detecting the behavioral characteristics of nursing staff during the nursing stage and preventing nursing staff from making operational errors that affect patient health. Furthermore, the embodiment of the present invention identifies the gestures and body postures of the nursing staff during the nursing operations and compares them with the actions of the key behavior detection model to improve the nursing staff's operational qualification rate. By detecting the nursing sequence of the nursing staff during the nursing process, it can help discover the nursing staff's inappropriate operations and correct them in time to avoid nursing errors. The embodiment of the present invention collects the patient satisfaction of the patient to be cared for with the nursing staff based on the degree of influence of the rehabilitation behavior and the value of the emotional counseling. , which rehabilitation behaviors and emotional counseling methods are more effective for specific patients can be identified, which helps to provide more personalized nursing plans, thereby better meeting the nursing needs of patients; further, the embodiment of the present invention outputs the evaluation results of the nursing staff in the nursing stage according to the effective nursing rate, the acceptance score and the goal completion, which can ensure that the nursing service can not only achieve the expected nursing goals, but also meet the needs and expectations of patients. The embodiment of the present invention evaluates the nursing quality of the nursing staff by combining the key behavior detection model and the evaluation results to obtain the nursing quality evaluation results, which can identify the advantages and disadvantages of the nursing service, and improve the nursing process and technology in a targeted manner to ensure that patients can obtain high-quality nursing services. Therefore, a nursing quality evaluation method and device proposed in an embodiment of the present invention can monitor and evaluate the nursing behavior of nursing staff in real time, and improve the efficiency and accuracy of nursing quality evaluation. BRIEF DESCRIPTION OF THE DRAWINGS

[0059] The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the invention and, together with the description, serve to explain the principles of the invention.

[0060] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, for ordinary technicians in this field, other drawings can be obtained based on these drawings without paying any creative labor.

[0061] Figure 1 A flowchart of a method and device for evaluating nursing quality provided by one embodiment of the present invention;

[0062] Figure 2 A module schematic diagram of a nursing quality assessment device provided by one embodiment of the present invention. DETAILED DESCRIPTION

[0063] It should be understood that the specific embodiments described herein are only used to explain the present invention, and are not used to limit the present invention.

[0064] The embodiment of the present invention provides a method and device for evaluating nursing quality, and the execution subject of the method and device for evaluating nursing quality includes but is not limited to at least one of the electronic devices such as a server and a terminal that can be configured to execute the method provided by the embodiment of the present invention. In other words, the method and device for evaluating nursing quality can be executed by software or hardware installed on a terminal device or a server device, and the software can be a blockchain platform. The server includes but is not limited to: a single server, a server cluster, a cloud server or a cloud server cluster, etc. The server can be an independent server, or it can be a cloud server that provides basic cloud computing services such as cloud services, cloud databases, cloud computing, cloud functions, cloud storage, network services, cloud communications, middleware services, domain name services, security services, content delivery networks (Content Delivery Network, CDN), and big data and artificial intelligence platforms.

[0065] See also Figure 1 FIG. 1 is a flow chart of a method and device for evaluating nursing quality provided by an embodiment of the present invention. Figure 1 The nursing quality assessment method and device described in the invention include:

[0066] S1. Obtain a treatment report of the patient to be cared for, analyze the type of care required by the patient to be cared for based on the treatment report, collect the nursing behaviors corresponding to the nursing types, construct a key behavior detection model for the nursing behaviors, and monitor the nursing operations of the nursing staff corresponding to the patient to be cared for in real time based on the key behavior detection model.

[0067] The embodiment of the present invention can monitor the nursing services provided by nursing staff to patients in a targeted manner and improve the efficiency of monitoring the quality of patient care by obtaining treatment reports of patients to be cared for. The patients to be cared for refer to patients who need medical care after treatment. The treatment reports refer to reports written by medical professionals based on the patient's condition and treatment process, which records the patient's diagnosis, treatment plan, treatment process, drug use, treatment results, and subsequent care recommendations.

[0068] Optionally, the treatment report of the patient to be cared for can be obtained through the patient's electronic health record.

[0069] Furthermore, the embodiment of the present invention can provide accurate nursing services to patients and help them achieve their ideal health status by analyzing the type of care required by the patient to be cared for based on the treatment report. The type of care refers to the category of nursing services given according to the patient's treatment report that can help the patient improve his current physical condition, such as basic care, acute care, and rehabilitation care.

[0070] As an embodiment of the present invention, analyzing the type of care required by the patient to be cared for based on the treatment report includes: analyzing the current symptoms of the patient to be cared for based on the treatment report; identifying the care needs of the patient to be cared for under the current symptoms; evaluating the care risks of the care needs in the care stage in combination with the physical condition of the patient to be cared for; and analyzing the type of care required by the patient to be cared for based on the physical condition and the care risks.

[0071] Among them, the current symptoms refer to the patient's physical and mental state before entering the nursing stage, the nursing needs refer to the patient's needs for nursing services to maintain or restore their health status, the physical condition refers to the patient's current and past health status and physiological condition before entering the nursing stage, the nursing stage refers to the process from the beginning to the end of the patient's nursing service, and the nursing risks refer to the risks of various unsafe incidents or adverse consequences that may occur to the patient during the nursing stage, such as infection.

[0072] Optionally, based on the treatment report, the current symptom analysis of the patient to be cared for can be obtained by combining the patient's self-description, laboratory test results and doctor's conclusions in the treatment report. Combined with the physical condition of the patient to be cared for, the nursing risk assessment of the nursing needs in the nursing stage can be achieved using a nursing risk assessment tool, such as the pressure ulcer risk assessment tool Braden Scale.

[0073] By collecting the nursing behaviors corresponding to the nursing types, the embodiments of the present invention can provide a reference basis for subsequent monitoring of the nursing operations of nursing staff, such as identifying the nursing gestures and body postures of the nursing staff, and determining whether the nursing staff's behavior is standardized. The nursing behaviors refer to the nursing staff's interactive behaviors with the patient during the nursing process, such as wound care, psychological counseling, and medication.

[0074] Optionally, the nursing behavior collection corresponding to the nursing type can be obtained through the nursing manual within the hospital.

[0075] Furthermore, the embodiment of the present invention can effectively detect the behavioral characteristics of nursing staff during the nursing stage by constructing a key behavior detection model of the nursing behavior, thereby preventing nursing staff from making operational errors that affect patient health. The key behavior detection model refers to a learning model that is constructed by identifying the key actions of nursing staff and is capable of detecting whether the nursing behavior characteristics meet the standards.

[0076] As an embodiment of the present invention, the construction of the key behavior detection model of the nursing behavior includes: inputting the standard action corresponding to the nursing behavior into a pre-trained nursing deep learning model; querying the nursing type and standard action corresponding to the nursing behavior, and analyzing the key behavior characteristics corresponding to the nursing behavior according to the nursing type and the standard action using the convolutional neural network in the nursing deep learning model; calculating the action deviation of the key behavior characteristics; and constructing the key behavior detection model of the nursing behavior based on the key behavior characteristics and the action deviation.

[0077] Among them, the standard action refers to the standardized action in nursing behavior, the nursing deep learning model refers to a pre-designed model that has been trained with a large amount of data and can recognize and understand various actions, which can be constructed through a convolutional neural network, and the convolutional neural network refers to a learning network that can process image data. The key behavior feature refers to the action feature extracted from the standard nursing behavior that can reflect the essence of the behavior, the error function refers to a function that measures the difference between the model prediction and the actual result, and the action deviation refers to the degree of deviation between the key behavior feature calculated by the model and the standard action.

[0078] Furthermore, in an optional embodiment of the present invention, the action deviation of the key behavior feature is calculated using the following formula:

[0079]

[0080] Where r represents the action deviation of the key behavior feature, n represents the number of key behavior features, P i represents the i-th key behavior feature among the key behavior features, R i Indicates that the key behavior feature corresponds to the i-th action feature in the standard action.

[0081] The embodiment of the present invention can provide constraint standards for the nursing actions of the nursing staff and improve the quality of nursing by real-time monitoring of the nursing operations of the nursing staff corresponding to the patient to be cared for based on the key behavior detection model. The nursing operations refer to the nursing procedures or technical operations adopted by the nursing staff in clinical work according to the patient's condition and nursing needs.

[0082] Optionally, the real-time monitoring of the nursing operations of the nursing staff corresponding to the patient to be cared for based on the key behavior detection model can be obtained through a monitoring device, such as a monitoring camera.

[0083] S2. Identify the gestures and body postures of the nursing staff during the nursing operation, analyze the rationality of the gestures and body postures, detect the nursing sequence of the nursing staff during the nursing process, and generate a nursing behavior evaluation report of the nursing staff for the patient to be cared for based on the rationality and the nursing sequence.

[0084] The embodiment of the present invention can improve the operation qualification rate of the nursing staff by identifying the gestures and body postures of the nursing staff during the nursing operation and comparing them with the actions of the key behavior detection model. The gestures refer to the shape, position and movement posture of the hands of the nursing staff when performing the nursing operation, such as the posture of holding tools. The body posture refers to the way the body is placed when the nursing staff performs the nursing operation, such as the posture of bending over to check the patient's condition.

[0085] As an embodiment of the present invention, the identification of the caregiver's gestures and body postures during the care operation includes: collecting an action image of the caregiver performing the care operation; marking key body points in the action image to obtain key point positions; performing feature extraction on the action image to obtain extracted features; and identifying the caregiver's gestures and body postures during the care operation based on the extracted features and the key point positions.

[0086] Among them, the action image is an action image of the nursing staff during the nursing operation recorded by a camera device, the body key points refer to the nodes of the nursing staff's hands and other parts of the body, the key point position refers to the coordinates of each joint and part of the human body in the image, the extracted features refer to the key features of the hands and other parts of the body that describe the nursing staff when performing nursing operations, such as finger contours, and the key detection algorithm refers to an algorithm used to identify and locate key points in an image, such as SI FT.

[0087] Optionally, the action image collection of the caregiver performing the care operation can be obtained through a dedicated image acquisition device, such as a portable camera, the feature extraction of the action image can be achieved using a Kinect device, and the gesture and body posture recognition of the caregiver during the care operation can be obtained through the key detection algorithm OpenPose.

[0088] Furthermore, the embodiment of the present invention can detect whether the nursing actions of the nursing staff are within the range allowed by the action deviation degree of the key behavior detection model by analyzing the rationality of the gestures and the body posture, thereby improving the accuracy of the nursing actions of the nursing staff. The rationality refers to the degree of acceptability of the key behavior detection model to the non-standard actions of the nursing staff in the nursing operation.

[0089] As an embodiment of the present invention, the analysis of the rationality of the gesture and the body posture includes: querying the action deviation degree data corresponding to the gesture and the body posture; identifying the deviation trend of the gesture and the body posture based on the action deviation degree data; setting a warning threshold of the action deviation degree data; and evaluating the rationality of the gesture and the body posture based on the warning threshold and the deviation trend to obtain the rationality of the gesture and the body posture.

[0090] Among them, the motion deviation degree data refers to the data extracted from the key behavior detection model, which is used to measure the difference between the actual action and the standard action; the deviation trend refers to the pattern of changes in the gestures and body postures of the caregiver over time or under conditions; and the warning threshold refers to the warning value used to determine whether the motion deviation degree exceeds an acceptable range.

[0091] Optionally, the identification of the deviation trend of the gesture and the body posture based on the motion deviation degree data can be achieved using the above-mentioned nursing deep learning model, the warning threshold setting of the motion deviation degree data can be obtained through the quality standard of nursing operations, and the rationality assessment of the gesture and the body posture based on the warning threshold and the deviation trend can be achieved using qualitative analysis methods.

[0092] The embodiment of the present invention can help discover whether there are omissions or inappropriate operations in the nursing process by detecting the nursing sequence of the nursing staff during the nursing process, and correct them in time to avoid nursing errors. The nursing sequence refers to the sequence of various nursing operations performed by the nursing staff according to certain logic and steps when executing the nursing procedure.

[0093] Optionally, the nursing sequence detection of the nursing staff during the nursing process can be obtained through a nursing quality checklist.

[0094] Furthermore, the embodiment of the present invention can provide feedback to the nursing staff and reduce the risk of medical accidents caused by improper operation by generating a nursing behavior evaluation report of the nursing staff for the patient to be cared for based on the reasonable degree and the nursing sequence. The nursing behavior evaluation report refers to the nursing behavior evaluation report of the nursing staff output by the key behavior detection model under the nursing sequence.

[0095] Optionally, based on the reasonableness and the nursing sequence, the nursing staff's nursing behavior assessment report output for the patient to be cared for can be obtained in the form of a file, such as a behavior report file.

[0096] S3. According to the nursing behavior assessment report, identify the interaction time between the nursing staff and the patient to be cared for, evaluate the nursing staff's corresponding rehabilitation behavior during the interaction time, analyze the impact of the rehabilitation behavior on the patient to be cared for, analyze the value of the nursing staff's emotional counseling for the patient to be cared for during the interaction time, and based on the impact of the rehabilitation behavior and the emotional counseling value, collect the patient satisfaction of the patient to be cared for the nursing staff.

[0097] The embodiment of the present invention can ensure that the nursing staff has sufficient contact time to perform necessary nursing operations and improve the nursing effect by identifying the interaction time between the nursing staff and the patient to be cared for based on the nursing behavior assessment report. The interaction time refers to the contact time between the nursing staff and the patient during the nursing stage.

[0098] Optionally, the identification of the interaction duration between the caregiver and the patient to be cared for based on the nursing behavior assessment report can be obtained through a monitoring device, such as the time when the monitoring device starts monitoring the nursing behavior performed by the caregiver.

[0099] Furthermore, the embodiment of the present invention can obtain the nursing effect of the nursing staff during the patient care period and ensure the effectiveness of the nursing staff's nursing behavior by evaluating the nursing staff's corresponding rehabilitation behavior during the interaction duration. The rehabilitation behavior refers to the service behavior provided by the nursing staff to the patient during the patient care period that can promote the patient's rehabilitation.

[0100] Optionally, the nursing staff's corresponding rehabilitation behavior assessment during the interaction duration can be obtained through the patient's end-of-nursing examination report, such as a laboratory examination report.

[0101] The embodiment of the present invention can verify the effectiveness of the key behavior detection model in monitoring the nursing behavior of nursing staff by analyzing the degree of influence of the rehabilitation behavior on the patient to be cared for, thereby improving the nursing effect of the patient. The degree of influence refers to the degree of recovery of the patient's physical health status after receiving nursing services.

[0102] Optionally, the analysis of the degree of influence of the rehabilitation behavior on the patient to be cared for can be implemented by using the rehabilitation records in the patient's electronic medical record system, such as vital signs records.

[0103] Furthermore, the embodiment of the present invention can effectively establish a trust relationship between the patient and the medical staff and improve the nursing effect by analyzing the value of the care staff's emotional counseling for the patient to be cared for during the interaction period. The emotional counseling value refers to the counseling measures that the care staff uses professional skills to help the patient deal with and regulate emotions during the interaction with the patient.

[0104] As an embodiment of the present invention, the analysis of the value of the caregiver's emotional counseling for the patient to be cared for during the interaction duration includes: obtaining the psychological needs of the patient to be cared for during the nursing process; querying the nursing level and physical condition corresponding to the patient to be cared for, and identifying the emotional needs and material needs of the patient to be cared for according to the nursing level and the physical condition; analyzing the changing pattern of the psychological needs as the emotional needs and the material needs change; and analyzing the value of the caregiver's emotional counseling for the patient to be cared for during the interaction duration according to the changing pattern.

[0105] Among them, the psychological needs refer to the patient's needs to be met psychologically, the nursing deep learning model is used to identify and analyze the stratification of patient needs, the emotional needs refer to the patient's emotional needs, such as being cared for, the material needs refer to the patient's material needs, such as nutritional supplements, and the change pattern refers to the changing trend of the patient's demand curve as emotions and material satisfaction or lack occurs.

[0106] Optionally, the change pattern analysis of the demand curve based on the emotional needs and the material needs can be obtained through Scikitl earn.

[0107] As another embodiment of the present invention, the analysis of the changing pattern of the psychological needs as the emotional needs and the material needs change includes: collecting emotional data and material living standard data of the patient to be cared for; analyzing the influencing factors that affect the psychological data of the patient to be cared for in the emotional data and the material living standard data; identifying characteristic parameters of the influencing factors, and analyzing the effect relationship of the characteristic parameters on the psychological data; based on the effect relationship, analyzing the changing pattern of the psychological needs as the emotional needs and the material needs change.

[0108] Among them, the emotional data refers to data related to the patient's emotional state, the material living standard data refers to the survey data on the material level that the patient can achieve in life, the psychological data refers to the data for evaluating the patient's psychological state, the influencing factors refer to the factors in the emotional data and material level data that can affect the psychological data, the characteristic parameters refer to the characteristic variables that affect the changes in the patient's psychological state, and the action relationship refers to the mutual influence relationship between the characteristic parameters in the emotional data and material living standard data and the psychological data, such as a positive correlation.

[0109] Optionally, the emotional data collection of the patient to be cared for can be obtained through an emotion scale, the characteristic parameter identification of the influencing factor can be achieved by using a convolutional neural network in a deep learning model, and the analysis of the effect of the characteristic parameter on the psychological data can be achieved through SPSS calculation.

[0110] The embodiment of the present invention collects the patient satisfaction of the patient to be cared for with the caregiver based on the degree of influence of the rehabilitation behavior and the value of the emotional counseling, so as to identify which rehabilitation behaviors and emotional counseling methods are more effective for specific patients, and help provide more personalized care plans to better meet the needs of patients. The patient satisfaction refers to the patient's satisfaction with the nursing services provided by the caregiver.

[0111] Optionally, based on the degree of influence of the rehabilitation behavior and the value of emotional counseling, the patient satisfaction of the patient to be cared for with the caregiver can be obtained through a patient satisfaction questionnaire.

[0112] S4. Based on the patient satisfaction, calculate the effective nursing rate of the nursing staff to the patient to be cared for, identify the acceptance score of the patient to be cared for the effective nursing rate, evaluate the target completion of the nursing behavior, and output the evaluation results of the nursing staff in the nursing stage according to the effective nursing rate, the acceptance score and the target completion.

[0113] The embodiment of the present invention calculates the effective nursing rate of the nursing staff for the patient to be cared for based on the patient satisfaction, so as to quantify the effect of nursing services and help the nursing team identify which nursing measures are recognized by patients and which aspects need improvement, thereby improving the quality of nursing. The effective nursing rate refers to the proportion of patients who are satisfied with the nursing services and believe that the nursing services have a positive impact on their recovery.

[0114] As an embodiment of the present invention, the calculation of the effective care rate of the nursing staff for the patient to be cared for based on the patient satisfaction includes: setting an effective evaluation index of the nursing staff for the patient to be cared for based on the patient satisfaction; calculating the indicator weight corresponding to the effective evaluation index; according to the indicator weight, calculating the comprehensive score of the nursing staff for the patient to be cared for; and calculating the effective care rate of the nursing staff for the patient to be cared for based on the comprehensive score.

[0115] Among them, the effective evaluation indicators refer to the specific standards used to measure the effectiveness of nursing services, the indicator weights refer to the numerical values ​​that reflect the importance of different evaluation indicators in the overall score, and the comprehensive score refers to the total score of the nursing staff calculated based on the performance and weight of each indicator.

[0116] Optionally, based on the patient satisfaction, the effective evaluation index setting of the nursing staff for the patient to be cared for can be obtained by calculating the indicator weight of the evaluation index, and the comprehensive score statistics of the nursing staff for the patient to be cared for can be achieved using a nursing effect evaluation form.

[0117] Optionally, in an optional embodiment of the present invention, the indicator weight corresponding to the effective evaluation indicator is calculated using the following formula:

[0118]

[0119] Among them, W j represents the index weight of the effective evaluation index j, m represents the total number of effective evaluation indicators, l represents the sum index of the effective evaluation indicators, -1 / lnm represents the reciprocal of the natural logarithm of the total number of effective evaluation indicators m as the coefficient, H lj It represents the ratio of the standardized value of the lth evaluation index under the effective evaluation index j to the total value of the index, α j Represents the subjective weighting coefficient of the effective evaluation index j;

[0120] According to the indicator weights, the comprehensive scores of the nursing staff on the patient to be cared for are calculated;

[0121] Optionally, in an optional embodiment of the present invention, the following formula is used to calculate the effective nursing rate of the nursing staff for the patient to be cared for:

[0122]

[0123] Where k represents the effective nursing rate, S represents the number of patients, s represents the sum index of the effective nursing rate, j represents the effective evaluation index corresponding to the effective nursing rate, n represents the total number of effective evaluation indicators corresponding to the effective nursing rate, and W jrepresents the indicator weight of the effective evaluation indicator j corresponding to the effective nursing rate, F j It represents the comprehensive score of the nursing staff on the effective evaluation index j corresponding to the effective nursing rate.

[0124] The embodiment of the present invention can improve the fairness of the nursing quality assessment results by identifying the acceptance score of the patient to be cared for the effective nursing rate, thereby improving the overall patient satisfaction. The acceptance score refers to a quantitative score of the patient's recognition of the nursing service or treatment plan.

[0125] Optionally, the acceptance score identification of the effective nursing rate of the patient to be cared for can be obtained through a hospital online platform, such as a patient feedback platform.

[0126] Furthermore, the embodiment of the present invention can ensure that nursing resources are reasonably allocated and that patients can receive high-quality nursing services by evaluating the target completion of the nursing behavior. The target completion refers to the degree of completion of the nursing plan.

[0127] As an embodiment of the present invention, the evaluation of the goal completion of the nursing behavior includes: setting the nursing goal of the patient to be cared for; constructing a nursing plan for the nursing goal; analyzing the physical recovery degree of the patient to be cared for under the nursing plan; and evaluating the goal completion of the nursing behavior based on the physical recovery degree.

[0128] Among them, the nursing goal is an effect goal set according to the patient's specific needs and health status, the nursing plan refers to a specific action plan to achieve the nursing goal, and the degree of physical recovery refers to the degree of improvement in the patient's physical condition after implementing the nursing plan.

[0129] Optionally, the care goal setting of the patient to be cared for can be obtained through the patient's physical condition and care needs, and the analysis of the physical recovery degree of the patient to be cared for under the care plan can be achieved using the patient's physical examination report.

[0130] The embodiment of the present invention outputs the evaluation results of the nursing staff in the nursing stage according to the effective nursing rate, the acceptance score and the target completion degree, so as to ensure that the nursing service can not only achieve the expected nursing goals, but also meet the needs and expectations of the patients. The nursing stage refers to the process from the beginning of the nursing service to the termination of the entire nursing service, and the evaluation result refers to the comprehensive evaluation result of the nursing behavior.

[0131] S5. Combining the key behavior detection model and the evaluation result, the nursing quality of the nursing staff is evaluated to obtain a nursing quality evaluation result.

[0132] The embodiment of the present invention evaluates the nursing quality of the nursing staff by combining the key behavior detection model and the evaluation result to obtain a nursing quality evaluation result, which can identify the advantages and disadvantages of nursing services, and improve nursing processes and technologies in a targeted manner to ensure that patients can obtain high-quality nursing services. The nursing quality refers to the overall level and effect of nursing services, and the nursing quality evaluation result refers to the specific conclusion drawn after a comprehensive evaluation of the nursing service quality through a specific evaluation method.

[0133] It can be seen that the embodiment of the present invention can effectively detect the behavioral characteristics of nursing staff in the nursing stage by collecting the nursing behaviors corresponding to the nursing types and constructing a key behavior detection model for the nursing behaviors, so as to avoid nursing staff from making operational errors that affect the health of patients; further, the embodiment of the present invention can improve the operation qualification rate of nursing staff by identifying the gestures and body postures of the nursing staff during the nursing operations and comparing them with the actions of the key behavior detection model, and by detecting the nursing sequence of the nursing staff during the nursing process, it can help discover the inappropriate operations of the nursing staff and correct them in time to avoid nursing errors; the embodiment of the present invention collects the patient's attitude towards the nursing staff based on the degree of influence of the rehabilitation behavior and the value of the emotional counseling, and the patient's Satisfaction can identify which rehabilitation behaviors and emotional counseling methods are more effective for specific patients, which helps to provide more personalized nursing plans, thereby better meeting the patient's nursing needs; further, the embodiment of the present invention outputs the evaluation results of the nursing staff in the nursing stage according to the effective nursing rate, the acceptance score and the goal completion, which can ensure that the nursing service can not only achieve the expected nursing goals, but also meet the needs and expectations of the patients. The embodiment of the present invention evaluates the nursing quality of the nursing staff by combining the key behavior detection model and the evaluation results to obtain the nursing quality evaluation results, which can identify the advantages and disadvantages of the nursing service, and improve the nursing process and technology in a targeted manner to ensure that patients can obtain high-quality nursing services. Therefore, a nursing quality evaluation method and device proposed in an embodiment of the present invention can monitor and evaluate the nursing behavior of nursing staff in real time, and improve the efficiency and accuracy of nursing quality evaluation.

[0134] like Figure 2 Shown is a functional module diagram of the device for evaluating nursing quality of the present invention.

[0135] The nursing quality assessment device 200 of the present invention can be installed in an electronic device. According to the functions to be implemented, the nursing quality assessment device can include a model monitoring module 201, a behavior detection module 202, an indicator analysis module 203, a model output module 204, and a quality assessment module 205. The module of the present invention can also be referred to as a unit, which refers to a series of computer program segments that can be executed by an electronic device processor and can complete fixed functions, which are stored in the memory of the electronic device.

[0136] In the embodiment of the present invention, the functions of each module / unit are as follows:

[0137] The model monitoring module 201 is used to obtain a treatment report of the patient to be cared for, analyze the type of care required by the patient to be cared for according to the treatment report, collect the nursing behavior corresponding to the nursing type, build a key behavior detection model for the nursing behavior, and monitor the nursing operations of the nursing staff corresponding to the patient to be cared for in real time based on the key behavior detection model;

[0138] The behavior detection module 202 is used to identify the gestures and body postures of the nursing staff during the nursing operation, analyze the rationality of the gestures and body postures, detect the nursing sequence of the nursing staff during the nursing process, and generate a nursing behavior evaluation report of the nursing staff for the patient to be cared for based on the rationality and the nursing sequence;

[0139] The indicator analysis module 203 is used to identify the interaction time between the nursing staff and the patient to be cared for according to the nursing behavior evaluation report, evaluate the rehabilitation behavior of the nursing staff during the interaction time, analyze the influence of the rehabilitation behavior on the patient to be cared for, analyze the value of the nursing staff's emotional counseling for the patient to be cared for during the interaction time, and collect the patient satisfaction of the patient to be cared for the nursing staff based on the influence of the rehabilitation behavior and the emotional counseling value;

[0140] The model output module 204 is used to calculate the effective nursing rate of the nursing staff to the patient to be cared for based on the patient satisfaction, identify the acceptance score of the patient to be cared for the effective nursing rate, evaluate the target completion of the nursing behavior, and output the evaluation result of the nursing staff in the nursing stage according to the effective nursing rate, the acceptance score and the target completion;

[0141] The quality assessment module 205 is used to evaluate the nursing quality of the nursing staff in combination with the key behavior detection model and the assessment result to obtain a nursing quality assessment result.

[0142] In detail, each module in the nursing quality evaluation device 200 in the embodiment of the present invention is used in the same manner as described above. Figure 1 The method and device for nursing quality assessment described in the present invention are the same technical means and can produce the same technical effects, so they will not be repeated here.

[0143] In addition, each functional module in each embodiment of the present invention may be integrated into one processing unit, each unit may exist physically separately, or two or more units may be integrated into one unit. The above-mentioned integrated unit may be implemented in the form of hardware or in the form of hardware plus software functional modules.

[0144] The above description is only a specific embodiment of the present invention, so that those skilled in the art can understand or implement the present invention. Various modifications to these embodiments will be apparent to those skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the present invention. Therefore, the present invention will not be limited to the embodiments shown herein, but should conform to the widest scope consistent with the principles and novel features invented herein.

Claims

1. A method for evaluating nursing quality, characterized in that: The method comprises: Obtaining a treatment report of the patient to be cared for, analyzing the type of care required by the patient to be cared for according to the treatment report, collecting the nursing behavior corresponding to the nursing type, constructing a key behavior detection model for the nursing behavior, and monitoring the nursing operations of the nursing staff corresponding to the patient to be cared for in real time based on the key behavior detection model; Identify the gestures and body postures of the nursing staff during the nursing operation, analyze the rationality of the gestures and body postures, detect the nursing sequence of the nursing staff during the nursing process, and generate a nursing behavior evaluation report of the nursing staff for the patient to be cared for based on the rationality and the nursing sequence; According to the nursing behavior evaluation report, the interaction time between the nursing staff and the patient to be cared for is identified, the rehabilitation behavior corresponding to the nursing staff during the interaction time is evaluated, and the degree of influence of the rehabilitation behavior on the patient to be cared for is analyzed, and the value of the nursing staff's emotional counseling for the patient to be cared for during the interaction time is analyzed; based on the degree of influence of the rehabilitation behavior and the emotional counseling value, the patient satisfaction of the patient to be cared for the nursing staff is collected; Based on the patient satisfaction, the effective nursing rate of the nursing staff for the patient to be cared for is calculated, the acceptance score of the patient to be cared for the effective nursing rate is identified, the target completion of the nursing behavior is evaluated, and the evaluation result of the nursing staff in the nursing stage is output according to the effective nursing rate, the acceptance score and the target completion; The nursing quality of the nursing staff is evaluated in combination with the key behavior detection model and the evaluation result to obtain a nursing quality evaluation result.

2. The method according to claim 1, characterized in that Analyzing the type of care required by the patient to be cared for according to the treatment report includes: Analyzing the current symptoms of the patient to be cared for according to the treatment report; Identify the nursing needs of the patient to be cared for under the current symptoms; Based on the physical condition of the patient to be cared for, assess the nursing risk of the nursing needs during the nursing stage; Based on the physical condition and the care risk, the type of care required by the patient to be cared for is analyzed.

3. The method according to claim 1, characterized in that The key behavior detection model for constructing the nursing behavior includes: Inputting the standard actions corresponding to the nursing behaviors into a pre-trained nursing deep learning model; Querying the nursing type and standard action corresponding to the nursing behavior, and analyzing the key behavior features corresponding to the nursing behavior using the convolutional neural network in the nursing deep learning model according to the nursing type and the standard action; Calculating the action deviation of the key behavior feature; Based on the key behavior features and the action deviation, a key behavior detection model of the nursing behavior is constructed.

4. The method according to claim 1, characterized in that The identifying the gestures and body postures of the caregiver during the care operation includes: Collecting action images of the nursing staff performing the nursing operation; Marking key points of the body in the action image to obtain key point positions; Performing feature extraction on the action image to obtain extracted features; Based on the extracted features and the key point positions, the gestures and body postures of the caregiver during the care operation are identified.

5. The method according to claim 1, characterized in that The analyzing the rationality of the gesture and the body posture includes: Querying the action deviation degree data corresponding to the gesture and the body posture; identifying the deviation trend of the gesture and the body posture according to the action deviation degree data; Setting a warning threshold for the motion deviation degree data; The gesture and the body posture are evaluated for rationality based on the warning threshold and the deviation trend to obtain the rationality of the gesture and the body posture.

6. The method according to claim 1, characterized in that The analyzing the value of the caregiver's emotional counseling for the patient to be cared for during the interaction time includes: Obtaining the psychological needs of the patient to be cared for during the nursing process; Querying the nursing level and physical condition corresponding to the patient to be cared for, and identifying the emotional needs and material needs of the patient to be cared for according to the nursing level and the physical condition; Analyze the changing pattern of the psychological needs as the emotional needs and the material needs change; According to the change pattern, the value of the caregiver's emotional counseling for the patient to be cared for during the interaction duration is analyzed.

7. The method according to claim 6, characterized in that The analyzing the changing pattern of the psychological needs as the emotional needs and the material needs change includes: Collecting emotional data and material living standard data of the patient to be cared for; Analyze the factors affecting the psychological data of the patient to be cared for in the emotional data and the material living standard data; Identifying characteristic parameters of the influencing factors and analyzing the effect of the characteristic parameters on the psychological data; According to the functional relationship, the changing pattern of the psychological needs as the emotional needs and the material needs change is analyzed.

8. The method according to claim 1, characterized in that The calculating, based on the patient satisfaction, the effective nursing rate of the nursing staff for the patient to be cared for comprises: Based on the patient satisfaction, setting effective evaluation indicators for the nursing staff on the patient to be cared for; Calculate the indicator weight corresponding to the effective evaluation indicator; According to the indicator weights, the comprehensive scores of the nursing staff on the patient to be cared for are calculated; Based on the comprehensive score, the effective care rate of the caregiver to the patient to be cared for is calculated.

9. The method according to claim 1, characterized in that: The evaluation of the completion of the nursing behavior objectives includes: Setting nursing goals for the patient to be cared for; construct a care plan of care that addresses the stated care goals; Analyzing the degree of physical recovery of the patient to be cared for under the nursing plan; According to the degree of physical recovery, the degree of completion of the nursing behavior goal is evaluated.

10. A nursing quality evaluation device, the device implementing the method according to claim 1, characterized in that: The device comprises: A model monitoring module is used to obtain a treatment report of a patient to be cared for, analyze the type of care required by the patient to be cared for according to the treatment report, collect the nursing behaviors corresponding to the nursing types, construct a key behavior detection model for the nursing behaviors, and monitor the nursing operations of the nursing staff corresponding to the patient to be cared for in real time based on the key behavior detection model; A behavior detection module, used for identifying the gestures and body postures of the nursing staff during the nursing operation, analyzing the rationality of the gestures and body postures, detecting the nursing sequence of the nursing staff during the nursing process, and generating a nursing behavior evaluation report of the nursing staff for the patient to be cared for based on the rationality and the nursing sequence; An indicator analysis module is used to identify the interaction time between the nursing staff and the patient to be cared for according to the nursing behavior evaluation report, evaluate the rehabilitation behavior of the nursing staff during the interaction time, analyze the impact of the rehabilitation behavior on the patient to be cared for, analyze the value of the nursing staff's emotional counseling for the patient to be cared for during the interaction time, and collect the patient satisfaction of the patient to be cared for the nursing staff based on the impact of the rehabilitation behavior and the emotional counseling value; A model output module is used to calculate the effective nursing rate of the nursing staff to the patient to be cared for based on the patient satisfaction, identify the acceptance score of the patient to be cared for the effective nursing rate, evaluate the target completion of the nursing behavior, and output the evaluation result of the nursing staff in the nursing stage according to the effective nursing rate, the acceptance score and the target completion; The quality assessment module is used to evaluate the nursing quality of the nursing staff in combination with the key behavior detection model and the assessment result to obtain a nursing quality assessment result.

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