Lung cancer patient perioperative period digital management system and method based on intelligent lung rehabilitation digital therapy

Abstract

The invention belongs to the technical field of intelligent medical systems, and particularly relates to a lung cancer patient perioperative period digital management system and method based on intelligent lung rehabilitation digital therapy. A lung cancer patient perioperative period digital management method based on intelligent lung rehabilitation digital therapy comprises the following steps: collecting historical cases, motion limits and character portraits of a patient, and integrating the historical cases, the motion limits and the character portraits into comprehensive evaluation information; formulating training guidance tasks and plans according to the comprehensive evaluation information, and displaying preset prompts or guidance by the patient terminal according to the training guidance plans; and the patient terminal receives a response to the prompt or the guidance, adjusts a display mode of the prompt or adjusts prompt content according to the response, monitors physical symptoms of the patient, and judges a completion result and effect of the patient on the training guidance task. According to the scheme, the problem that the compliance of the patient to the doctor's advice is low is solved, meanwhile, a training scheme and a reminding and guiding scheme which better conform to the individual condition of the patient are formulated for the patient, and the training process of the scheme is more easily received by the patient.

Description

Technical Field

[0001] This solution belongs to the technical field of intelligent medical systems, and specifically relates to a perioperative digital management system and method for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy. Background Art

[0002] Lung cancer is one of the most common cancers worldwide and poses a major challenge to public health. According to the World Health Organization, lung cancer is the leading cause of cancer deaths, and its incidence and mortality rates remain high worldwide. In China, the incidence of lung cancer has also shown a continuous upward trend, becoming one of the most common cancers. According to statistics, the number of lung cancer cases in China reached 828,000 in 2016, of which non-small cell lung cancer (NSCLC) is the most common type.

[0003] For patients with early-stage lung cancer, surgical resection remains the main treatment. However, perioperative management after surgical treatment is crucial for the patient's recovery and long-term prognosis. In perioperative management, patients face multiple challenges, such as postoperative complications, decreased lung function, and reduced quality of life. In addition, the patient's mental state after surgery also needs appropriate attention and intervention.

[0004] The perioperative management of thoracic surgery rapid recovery after surgery (ERAS) mainly focuses on the prevention and treatment of complications, as well as basic functional recovery. However, problems in this field include lack of personalized rehabilitation plans, low patient participation, and insufficient long-term follow-up. These problems may lead to poor rehabilitation effects, decreased quality of life, and even affect the long-term quality of life of patients. The method and system for comprehensive perioperative patient assessment and guidance proposed in Chinese patent CN109147943A follow up the postoperative recovery of postoperative patients, and provide relevant systematic functional exercise guidance and medical knowledge to patients. This method solves the problems of lack of personalization and long-term follow-up of rehabilitation plans to a certain extent, but the problem of low patient participation remains unsolved. Generally, lung cancer patients have poor management of bad habits and low self-discipline when executing plans. Most patients still live with bad habits after surgery, have low compliance with doctor's orders, and poor implementation of exercise guidance, resulting in poor rehabilitation effects for patients. Summary of the invention

[0005] The purpose of this program is to provide a perioperative digital management system and method for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy to solve the problem of low patient compliance with medical advice.

[0006] In order to achieve the above objectives, this program provides a perioperative digital management method for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy, including the following steps:

[0007] S10: Collect the patient's medical history, movement limitations, and personality profile, and integrate them into comprehensive assessment information;

[0008] S20: formulating training guidance tasks and plans based on the comprehensive evaluation information, and the patient terminal displays preset reminders or guidance according to the training guidance plan;

[0009] S30: The patient terminal receives a response to the reminder or guidance, adjusts the display mode of the reminder or the content of the reminder according to the response, monitors the patient's physical symptoms, determines the completion result and effect of the patient on the training guidance task, and adjusts the guidance content;

[0010] S40: Analyze the connection and changes between the training guidance tasks, training guidance plans and completion results, and judge the patient's recovery status in combination with the changes in the patient's physical symptoms. Adjust the training guidance tasks and plans according to the recovery status, and the patient terminal displays the incentive content.

[0011] The perioperative digital management system for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy includes:

[0012] Collection unit: used to collect the patient's medical history, movement limitations and personality profile, and integrate them into comprehensive assessment information for monitoring the patient's physical symptoms;

[0013] Management unit: formulates training guidance tasks and plans based on comprehensive evaluation information, and the patient terminal displays preset reminders or guidance according to the training guidance plan; the patient terminal receives responses to reminders or guidance, adjusts the display method of reminders or adjusts the prompt content according to the responses, and is used to judge the patient's completion results and effects of the training guidance tasks according to the patient's physical symptoms, and adjusts the guidance content; analyzes the connection and changes between training guidance tasks, training guidance plans and completion results, and then judges the patient's recovery status in combination with changes in the patient's physical symptoms, adjusts the training guidance tasks and plans according to the recovery status, and the patient terminal displays motivational content.

[0014] The principle and technical effect of this program is that this program can deeply understand the patient's physical condition, medical history, athletic ability and psychological characteristics by collecting comprehensive assessment information such as the patient's historical case, exercise restrictions and personality portrait. This makes the formulation of rehabilitation programs more accurate, fully takes into account the individual differences of patients, and avoids a one-size-fits-all rehabilitation model. At the same time, this program adjusts the reminder method according to the patient's response to the reminder of the training guidance plan, which can better adapt to the patient's living habits and needs, making the reminder and guidance methods more acceptable to patients. This program monitors the patient's physical symptoms and training completion results, and adjusts the guidance method in a timely manner, so that patients can feel the scientificity and effectiveness of the rehabilitation process. This method can not only formulate a training program that is more suitable for the individual situation of the patient, but also reduce the physical discomfort of the patient during the training process, avoid the aggravation of the patient's symptoms by a training program that is not so suitable for the patient, and also allow the patient to see his own progress through feedback on the training effect, and enhance his confidence in persisting in rehabilitation training.

[0015] In summary, this program solves the problem of patients' low compliance with medical advice. At the same time, it also develops training plans, reminders, and guidance plans that are more in line with the patients' individual conditions, making the training process of this program easier for patients to accept.

[0016] Furthermore, the patient's pulse wave, galvanic skin response, and movement status are monitored, and the patient's exercise intensity is obtained through changes in the patient's exercise status, heart rate, and blood oxygen. When the training guidance task is completed, the guidance is displayed on the patient terminal through the patient's real-time exercise intensity. The patient's exercise status collected after the patient terminal plays the guidance is compared with the guidance content to determine the patient's feedback on the guidance. When the feedback is negative feedback, the feedback is combined with the patient's exercise intensity to determine whether the patient's exercise intensity meets the state of negative feedback. If the patient meets the state of negative feedback, a reminder, guidance or motivation is played to the patient terminal; if the patient does not meet the state of negative feedback, the content of this training guidance task is adjusted.

[0017] Furthermore, the management unit also includes an intelligent patient education module, which is used to regularly push phased rehabilitation knowledge content to the patient terminal, and is also used to record the patient's follow-up practice records of training guidance tasks, and is also used to combine the follow-up practice records with vital signs and exercise intensity, and play reminders, guidance or motivations on the patient terminal.

[0018] By using pulse wave, galvanic skin response, and movement status detection data to verify the impact of training tasks on patients, and judging the patient's exercise intensity in turn, not only can we avoid lazy training behavior caused by low patient compliance, but we can also promptly correct unreasonable, non-standard, and inadequate training of patients. Multiple corrections can not only improve the patient's training effect, but also, better training effects and better positive feedback can improve the patient's emotional satisfaction, bring more hope for recovery to patients, increase patients' training enthusiasm, and improve patients' compliance.

[0019] Furthermore, the patient terminal monitors the patient's pulse wave and galvanic skin response. When the patient's pulse wave or galvanic skin response changes suddenly at the same time, it collects and determines whether the patient's movement state changes suddenly. If the patient's movement state does not change significantly, the pulse wave or galvanic skin response is processed as abnormal data. If the patient's movement state changes synchronously with the pulse wave or galvanic skin response, the patient's current data is continuously observed. If the patient's movement state is not synchronized with the pulse wave or galvanic skin response during continuous observation, the pulse wave or galvanic skin response is processed as abnormal data, and a symptom prompt message is displayed when abnormal data is monitored. The patient terminal waits to receive a recording operation instruction, and records the abnormal data as an abnormal symptom after receiving the recording operation instruction.

[0020] Furthermore, when collecting the patient's physical symptoms, the patient terminal regularly displays information urging the patient to fill out the PSA-Lung Symptom Scale questionnaire, compares the shortness of breath, pain, cough, fatigue, and sleep symptoms counted by the PSA-Lung Symptom Scale questionnaire with the abnormal symptoms, and displays the compared differences on the patient terminal. The patient terminal waits to receive verification or modification instructions. After receiving the verification instructions, the patient terminal sends the content before and after the abnormal symptoms are modified together with the results of filling out the PSA-Lung Symptom Scale questionnaire to the medical terminal. After receiving the instructions, the medical terminal waits to receive confirmation or adjust the training guidance tasks and plans.

[0021] By detecting the pulse wave, we can obtain the patient's heart rate changes and blood oxygen changes, monitor the patient's pulse wave in real time, and also obtain the patient's sleep condition, emotional stress, exercise intensity during training, etc.; monitoring the patient's movement state and galvanic skin response can verify the sleep condition, emotional stress, and exercise intensity during training, making the measured data more accurate; monitoring the patient's movement state, galvanic skin response and heart rate changes can also collect the patient's adverse reaction symptoms, such as shortness of breath, coughing, and vomiting, which can be verified in multiple ways through specific movement states, increased heart rate, and increased galvanic skin response; adverse reactions to sleep and pain can be more accurately recorded through galvanic skin response data, pulse wave data and patient confirmation. When abnormal data is monitored, reminding patients to confirm their symptoms can avoid inaccurate filling out of the PSA-Lung Symptom Scale questionnaire due to patients misrecording abnormal symptoms, and can also provide stronger data support for the results of the PSA-Lung Symptom Scale questionnaire. At the same time, this recording method can also save patients' time in recording adverse reactions and reduce the time of filling out the PSA-Lung Symptom Scale questionnaire. The less time and energy patients spend on rehabilitation training and auxiliary quality, the higher their compliance.

[0022] Furthermore, when any one of the monitored data of pulse wave, galvanic skin response and movement status exceeds the preset warning line, it is determined whether the changes of pulse wave, galvanic skin response and movement status are synchronized, and whether the amplitude of changes of pulse wave, galvanic skin response and movement status are consistent with the daily life status. If they are synchronized and the amplitude is the same, the patient terminal plays a soothing prompt and waits for a period of time before making another judgment; if they are not synchronized or the amplitude is different, the patient terminal issues an alarm prompt and waits for receiving instructions for processing the alarm prompt; if the patient terminal receives a confirmation instruction, it initiates a remote processing or telephone intervention request to the medical terminal; if a shutdown instruction is received, the alarm prompt is turned off, and no alarm prompt is issued within a specific time; if the patient does not receive an instruction within the preset waiting time, it continues to monitor. After a period of time, an alarm prompt is sent to the emergency contact terminal to check the patient's specific situation. If the emergency contact terminal ignores this alarm prompt, the patient terminal will no longer issue an alarm prompt within a specific time. If the emergency contact terminal does not perform any operation on the alarm prompt within the preset waiting time, and the monitored data has exceeded the preset warning line for a period of continuous monitoring and has not shown a downward trend, a remote processing or telephone intervention request is initiated to the medical terminal; if the monitored data has exceeded the preset warning line for a period of continuous monitoring but shows a downward trend, the monitoring will be continued for a period of time; if the number of continuous monitoring reaches 3 times, and the monitored data still exceeds the preset warning line after 3 continuous monitoring times, a remote processing or telephone intervention request is initiated to the medical terminal.

[0023] The patient's current physical symptoms are analyzed by monitoring the patient's pulse wave, skin galvanic response, and movement state. When any of the patient's pulse wave, skin galvanic response, and movement state is abnormal (exceeding the preset warning line), the abnormal data is verified by collecting the other two data to determine whether the changes in the patient's pulse wave, skin galvanic response, and movement state are synchronized, and whether the amplitude of the changes is consistent with the state in daily life. For example, when exercising, the patient's pulse wave, skin galvanic response, and movement state will change synchronously, at the same frequency or even at the same amplitude. If the monitored data is abnormal when the patient is exercising, the patient is in a state of overly intense exercise. At this time, the patient is not in a dangerous state, but in a state of care and protection for the patient, and the patient should be concerned about the intensity of exercise. Even when the patient persists in high-intensity exercise for a long time and actively ignores the care prompts issued by the patient terminal many times, the patient's mental health should be concerned (the patient is under too much psychological pressure). When the patient's pulse wave, galvanic skin response, and movement state are not synchronized, such as abnormalities in part of the pulse wave, galvanic skin response or movement state but no abnormalities in the rest of the data, or abnormalities in the pulse wave, galvanic skin response or movement state but only a brief change in some of the data and the rest of the data is still abnormal, the patient is very likely to be in an adverse symptom (e.g., the movement state changes briefly during vomiting, the pulse wave and galvanic skin response are abnormal for a long time, the movement state does not change during nausea, but the pulse wave and galvanic skin response are abnormal), a resting state after excessive movement (after movement stops, the pulse wave and galvanic skin response are abnormal), a coma state (after movement stops, the pulse wave and galvanic skin response are abnormal), etc. At this time, it is necessary to add the patient's subjective judgment, the patient is only in a safe adverse symptom or excessive movement state, the patient can eliminate the system's misjudgment through interaction with the patient terminal, and can also record the occurrence of adverse symptoms through interaction with the patient terminal. This process is both an effective concern for the patient and the avoidance of misjudgment, and it is also convenient for the patient to record adverse symptoms and increase the patient's user experience. If the patient does not respond in time, the following possibilities may exist: the patient did not notice the reminder on the patient terminal, the patient was unable to respond, or the patient was unable to respond in time. At this time, contact the patient's accompanying family members to confirm the patient's status, which can confirm the patient's true status; reminding the patient multiple times, plus confirming with the family members, can rule out the patient's inability to respond in time or inability to respond due to other non-health factors; continue to monitor the patient's physiological condition. When the patient terminal reminds multiple times and the patient (safety) cannot respond, and the patient's physical symptoms have not improved, it is confirmed that the patient is in an unresponsive state (unable to act independently). At this time, contacting medical staff can allow the patient to receive the most timely assistance.

[0024] Furthermore, the management unit also includes an accelerated lung function rehabilitation module, which is used to develop a personalized perioperative rehabilitation program based on advanced domestic and foreign exercise prescription guidelines and the patient's comprehensive assessment information, and formulate the perioperative rehabilitation program into training guidance tasks and plans. The perioperative rehabilitation program includes a detailed respiratory exercise program and a whole-body aerobic / resistance training program.

[0025] The breathing exercise program and whole-body aerobic / resistance training program formulated for patients in this way are the most suitable for the patient's specific situation at the moment. The training guidance tasks and plans formulated based on the comprehensive assessment information of the patient are more easily accepted by the patient, further improving the patient's compliance.

[0026] Furthermore, it also includes a medical terminal and a patient terminal, the patient terminal is used to carry a pulse wave sensor, a skin charge sensor and a motion sensor, the pulse wave sensor is used to monitor the patient's pulse wave signal, the skin charge sensor is used to monitor the patient's skin charge reaction signal, the motion sensor is used to monitor the patient's movement status information, and the patient terminal is used to send the pulse wave signal, skin charge reaction signal and movement status information to the management module; the medical terminal is used to transmit comprehensive evaluation information to the management module, and is also used to modify training guidance tasks and plans.

[0027] This approach can reduce the coupling between medical terminals, management units and patient terminals, and avoid difficulties in restoring use when hardware damage occurs to patient terminals or medical terminals; at the same time, this approach can also reduce restrictions on patient terminals and medical terminals in data collection and communication connections, and improve the versatility of this solution.

[0028] Furthermore, the management unit also includes a symptom management module, which is used to receive pulse wave signals, galvanic skin response signals and movement status information; when the galvanic skin point response signal changes suddenly, it is determined whether the pulse wave signal and the movement status information change in the same step. If the pulse wave signal changes in the same step, but the movement status information does not change in the same step, the patient's current emotional state is processed as an abnormal state. If the pulse wave signal and the movement status information change synchronously, but the change duration of the movement status information is not greater than the change duration of the galvanic skin response signal, the patient's current vital signs are processed as an adverse reaction state; if the patient's movement status information is in a static state and the pulse wave signal is in a sleep frequency band, the patient's current state is processed as a sleep state; if the patient's movement status information changes frequently or the pulse wave signal changes frequently when the patient is in a sleep state, the patient's sleep state is processed as a poor sleep state. When the patient is in a poor sleep state, the patient's galvanic skin response is monitored. If the change of the patient's galvanic skin response is synchronized with the change of the pulse wave signal, it is processed as the severity of the adverse reaction based on the combination of the patient's galvanic skin response change range and the pulse wave signal change range.

[0029] When the patient's current emotional state is treated as an abnormal state, the patient may be in a depressed state, or the depressed state may be caused by adverse reactions (such as nausea, vomiting), or the abnormal emotional state may be caused by unexpected circumstances (such as disputes, wrestling). At this time, retesting the abnormal emotional situation through the synchronization of the movement state and the abnormal emotional situation can more accurately determine which state the patient is currently in. When the patient is depressed, the movement state of the patient will not change synchronously. When an adverse reaction occurs, the patient's movement state may change briefly. This situation can be verified through the interaction between the patient terminal and the patient (playing or displaying prompts), and at the same time, concern for the patient can be expressed; in unexpected situations, the patient's movement state may not change synchronously. When the patient remains calm (most patients have emotional problems to varying degrees, and it is difficult for them to remain calm when conflicts occur), they will actively enter ignore instructions to the patient terminal. However, when the patient is in an extreme emotion and abnormal emotions are collected and the movements are synchronized, if any of the pulse wave sensor, skin electricity sensor and motion sensor exceeds the warning line, the patient terminal will play or display a warning, which can intervene in time and restore the sanity of the patient and others. This is also a concern and protection for the patient. After the patient regains his sanity, the interaction of the patient terminal can eliminate misjudgment. BRIEF DESCRIPTION OF THE DRAWINGS

[0030] Figure 1 This is a structural schematic diagram of a perioperative digital management system for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy in an embodiment of the present invention.

[0031] Figure 2 This is a flow chart of a method for perioperative digital management of lung cancer patients based on intelligent pulmonary rehabilitation digital therapy in an embodiment of the present invention.

[0032] Figure 3 This is a flowchart related to triggering medical personnel to perform remote processing or telephone intervention in an embodiment of the present invention. DETAILED DESCRIPTION

[0033] The following will clearly and completely describe the concept and technical effects of the present invention in combination with the embodiments, so as to fully understand the purpose, features and effects of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. Based on the embodiments of the present invention, other embodiments obtained by those skilled in the art without creative work are all within the scope of protection of the present invention:

[0034] like Figure 1 As shown, Figure 1 The structure diagram of the perioperative digital management system for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy in an embodiment of the present invention is as follows. The perioperative digital management system for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy includes:

[0035] Collection unit: used to collect the patient's medical history, movement limitations and personality profile, and integrate them into comprehensive assessment information for monitoring the patient's physical symptoms;

[0036] Management unit: formulates training guidance tasks and plans based on comprehensive evaluation information, and the patient terminal displays preset reminders or guidance according to the training guidance plan; the patient terminal receives responses to reminders or guidance, adjusts the display method of reminders or adjusts the prompt content according to the responses, and is used to judge the patient's completion results and effects of the training guidance tasks according to the patient's physical symptoms, and adjusts the guidance content; analyzes the connection and changes between training guidance tasks, training guidance plans and completion results, and then judges the patient's recovery status in combination with changes in the patient's physical symptoms, adjusts the training guidance tasks and plans according to the recovery status, and the patient terminal displays motivational content.

[0037] Among them, the management unit also includes an accelerated lung function rehabilitation module, which is used to develop a personalized perioperative rehabilitation program based on advanced domestic and international exercise prescription guidelines and the patient's comprehensive assessment information, and formulate the perioperative rehabilitation program into training guidance tasks and plans. The perioperative rehabilitation program includes a detailed respiratory exercise program and a whole-body aerobic / resistance training program.

[0038] Among them, the patient terminal is used to carry pulse wave sensors, skin electrodeposition sensors and motion sensors. The pulse wave sensor is used to monitor the patient's pulse wave signal, the skin electrodeposition sensor is used to monitor the patient's skin electrodeposition response signal, and the motion sensor is used to monitor the patient's movement status information. The patient terminal is used to send the pulse wave signal, skin electrodeposition response signal and movement status information to the management module; the medical terminal is used to transmit comprehensive evaluation information to the management module, and is also used to modify training guidance tasks and plans.

[0039] The management unit further includes a symptom management module, which is used to receive pulse wave signals, skin electrode response signals and motion state information. When the skin electrode response signal changes suddenly, it is determined whether the pulse wave signal and the motion state information change in the same step. If the pulse wave signal changes in the same step, but the motion state information does not change in the same step, the patient's current emotional state is treated as an abnormal state.

[0040] If the pulse wave signal and the motion state information change at the same step, but the change duration of the motion state information is not greater than the change duration of the galvanic skin response signal, the patient's current vital sign is processed as an adverse reaction state.

[0041] If the patient's motion state information is in a static state and the pulse wave signal is in the sleep frequency band, the patient's current state is processed as a sleep state. If the patient's motion state information changes frequently or the pulse wave signal changes frequently when the patient is in a sleep state, the patient's sleep state is processed as a poor sleep state. When the patient is in a poor sleep state, the patient's skin electrical response is monitored. If the change in the patient's skin electrical response is synchronized with the change in the pulse wave signal, the severity of the adverse reaction is processed based on the change range of the patient's skin electrical response and the change range of the pulse wave signal.

[0042] If the patient's motion state information and pulse wave signal change synchronously at the same frequency, the patient's current physical sign state is processed as a motion state. If the patient is in a motion state, the heart rate information obtained by processing the patient's pulse wave signal is used as the main reference value of the patient's motion intensity, and the skin electrical response signal of the patient in the motion state is collected as the second reference value of the patient's motion intensity; when the main reference value of the patient in the motion state exceeds the preset pulse wave maximum value (heart rate is too fast), it is determined whether the second reference value has a large fluctuation or exceeds the preset skin electrical signal maximum value (if the above conditions are met, it is an abnormal state). If the second reference value is not an abnormal state, the current exercise intensity is determined to be high intensity; if the second reference value is abnormal, it is determined whether the patient's motion state information has changed suddenly. If the motion state information has changed suddenly, the patient's current exercise intensity is determined to be too high intensity, and an alarm prompt to stop exercise is continuously issued to the patient terminal; if the patient's motion state information has not changed much, it is determined that the patient's heart rate has not changed much, and the patient's current exercise intensity is determined to be ultra-high intensity, and the patient terminal issues a prompt to the patient to gradually slow down the exercise.

[0043] Among them, the management unit also includes an intelligent patient education module, which is used to regularly push phased rehabilitation knowledge content to the patient terminal, record the patient's follow-up records of training guidance tasks, and combine the follow-up records with vital signs and exercise intensity to play reminders, guidance or incentives on the patient terminal.

[0044] like Figure 2 As shown in the figure, the perioperative digital management method for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy includes the following steps:

[0045] S10: Collect the patient's medical history, movement limitations, and personality profile, and integrate them into comprehensive assessment information;

[0046] In one embodiment, the medical terminal integrates the patient's medical history, movement restrictions, and personality profile into comprehensive assessment information and transmits it to the management unit.

[0047] In another embodiment, the patient terminal obtains comprehensive evaluation information through the management unit, the patient terminal supplements the comprehensive evaluation information, and transmits the supplemented information to the management unit, the management unit completes the received supplemented information into the comprehensive evaluation information, and sends the supplemented comprehensive evaluation information to the medical terminal.

[0048] S20: formulating training guidance tasks and plans based on the comprehensive evaluation information, and the patient terminal displays preset reminders or guidance according to the training guidance plan;

[0049] Specifically, the lung function accelerated rehabilitation module in the management unit formulates a detailed respiratory exercise program and a whole-body aerobic / resistance training program based on the comprehensive evaluation information, and formulates training guidance tasks and plans based on the exercise restrictions and personality profiles in the comprehensive evaluation information, and sends the training guidance tasks and plans to the patient terminal. The management unit checks whether the patient terminal has completed the training guidance tasks on time according to the training guidance plan, and at the same time collects the patient's pulse wave, skin galvanic response, and movement status through the patient terminal to monitor the patient to avoid the patient pretending to complete the training (patients with low compliance evade training).

[0050] Specifically, the patient's pulse wave, galvanic skin response, and movement status are monitored, and the patient's exercise intensity is obtained through changes in the patient's exercise status, heart rate, and blood oxygen. When the training guidance task is completed, the guidance is displayed on the patient terminal through the patient's real-time exercise intensity. The patient's exercise status collected after the patient terminal plays the guidance is compared with the guidance content to determine the patient's feedback on the guidance. When the feedback is negative feedback, the feedback is combined with the patient's exercise intensity to determine whether the patient's exercise intensity meets the state of negative feedback. If the patient meets the state of negative feedback, a reminder, guidance or motivation is played to the patient terminal; if the patient does not meet the state of negative feedback, the content of this training guidance task is adjusted.

[0051] In one embodiment, the management unit formulates training guidance task 1 and training guidance task 2 for the patient, and formulates training guidance plan 1 for the two training guidance tasks. The management unit reminds the patient to complete the training guidance tasks according to the time of training guidance plan 1. The patient clicks to start training, but the exercise state detected by the patient's terminal is not the state that the training guidance task should have, and the patient's heart rate is too low and is not in an exercise state, so a training reminder is issued to the patient again.

[0052] In another embodiment, the patient wears the patient terminal on other animals before training to create a false completion of the training guidance task. The patient terminal detects the heart rate and movement status consistent with the completion of the training guidance task, but the detected skin electrode response does not match the specific situation, so a training reminder is sent to the patient again.

[0053] In another embodiment, the patient begins to complete the training task after receiving the reminder. Although the patient has not confirmed the start of the training, the intelligent patient education module confirms that the data monitored by the patient terminal is consistent with the status of the patient completing the training guidance task, and then records the monitored patient's pulse wave signal, galvanic skin response signal and movement status information as the patient's follow-up record of the training guidance task.

[0054] Among them, the patient terminal monitors the patient's pulse wave and galvanic skin response. When the patient's pulse wave or galvanic skin response changes suddenly at the same time, it collects and determines whether the patient's movement state changes suddenly. If the patient's movement state does not change obviously, the pulse wave or galvanic skin response is processed as abnormal data. If the patient's movement state changes synchronously with the pulse wave or galvanic skin response, the patient's current data is continuously observed. If the patient's movement state and pulse wave or galvanic skin response are not synchronized during continuous observation, the pulse wave or galvanic skin response is processed as abnormal data, and a symptom prompt message is displayed when abnormal data is monitored. The patient terminal waits to receive a recording operation instruction, and records the abnormal data as abnormal symptoms after receiving the recording operation instruction.

[0055] In another embodiment, the intelligent patient education module guides the patient through the patient's real-time exercise intensity when the patient completes the training guidance task, and reminds the patient of standard movements when the patient's heart rate is not fast enough or the exercise intensity is insufficient (judged from the speed, amplitude, angle, etc. in the exercise state).

[0056] Among them, the training guidance tasks also include rehabilitation knowledge content learning tasks. The intelligent patient education module regularly pushes phased rehabilitation knowledge content to the patient terminal. Patients can select rehabilitation knowledge content learning tasks to complete as needed. The intelligent patient education module does not make mandatory requirements for this part of the learning tasks.

[0057] In one embodiment, the patient selects some rehabilitation knowledge content learning tasks as tasks that he must complete through the patient terminal. The intelligent patient education module adds the rehabilitation knowledge content learning tasks to the training guidance plan and issues prompts to the patient according to the training guidance plan. The intelligent patient education module determines whether the patient is in the state of learning rehabilitation knowledge content (learning concentration state) through the pulse wave signal, skin galvanic response signal and movement state monitored by the patient terminal, as well as the content played by the patient terminal, and sends an interactive request to the patient terminal at the same time. If the patient does not respond to the interactive request as required within the specified time, the node that responded to the interactive request last time will be returned to play the rehabilitation knowledge content.

[0058] Among them, the training guidance tasks also include symptom collection tasks, and the symptom management unit regularly urges patients to fill out the PSA-Lung Symptom Scale Questionnaire.

[0059] Specifically, when collecting the patient's physical symptoms, the patient terminal regularly displays information urging the patient to fill out the PSA-Lung Symptom Scale questionnaire, compares the shortness of breath, pain, cough, fatigue, and sleep symptoms counted by the PSA-Lung Symptom Scale questionnaire with the abnormal symptoms, and displays the compared differences on the patient terminal. The patient terminal waits to receive verification or modification instructions. After receiving the verification instructions, the patient terminal sends the content before and after the abnormal symptoms are modified together with the results of filling out the PSA-Lung Symptom Scale questionnaire to the medical terminal. After receiving the instructions, the medical terminal waits to receive confirmation or adjust the training guidance tasks and plans.

[0060] Specifically, when any of the pulse wave, galvanic skin response, and movement status is monitored to exceed the preset warning line, it is determined whether the changes in the pulse wave, galvanic skin response, and movement status are synchronized, and whether the amplitude of the changes in the pulse wave, galvanic skin response, and movement status are consistent with the daily life state. If they are synchronized and have the same amplitude, the patient terminal plays a soothing prompt and waits for a period of time before making another judgment; if they are not synchronized or have different amplitudes, the patient terminal issues an alarm prompt and waits to receive instructions for processing the alarm prompt (such as Figure 3 As shown); if the patient terminal receives a confirmation instruction, a remote processing or telephone intervention request is initiated to the medical terminal; if a shutdown instruction is received, the alarm prompt is closed, and no alarm prompt is issued within a specific time; if the patient does not receive the instruction within the preset waiting time, the patient is continuously monitored for a period of time, and an alarm prompt is issued to the emergency contact terminal to check the patient's specific situation. If the emergency contact terminal ignores this alarm prompt, the patient terminal will no longer issue an alarm prompt within a specific time. If the emergency contact terminal does not perform any operation on the alarm prompt within the preset waiting time, and the monitored data has exceeded the preset warning line for a period of continuous monitoring and has not shown a downward trend, a remote processing or telephone intervention request is initiated to the medical terminal; if the monitored data has exceeded the preset warning line for a period of continuous monitoring but shows a downward trend, the monitoring is continued for a period of time; if the number of continuous monitoring reaches 3 times, and the monitored data still exceeds the preset warning line after 3 continuous monitorings, a remote processing or telephone intervention request is initiated to the medical terminal.

[0061] S30: The patient terminal receives a response to the reminder or guidance, adjusts the display mode of the reminder or the content of the reminder according to the response, monitors the patient's physical symptoms, determines the completion result and effect of the patient on the training guidance task, and adjusts the guidance content;

[0062] Specifically, the intelligent patient education module has several preset reminder methods, and the patient terminal can also add and formulate reminder methods. The intelligent patient education module records the reminders issued, and also records the training guidance tasks of the reminders and the responses to the reminders. It conducts a comprehensive analysis of the reminders, the responses to the reminders, and the training guidance tasks of the reminders, determines the reminder methods preferred by the patients, and eliminates the reminder methods with poor patient responses (excluding the reminder methods added and formulated by the patients); at the same time, it generates new response methods based on the patient's preferences.

[0063] Among them, when the intelligent patient education module sends reminders to patients, it gives priority to selecting from reminder methods with better response effects, followed by selecting from newly generated reminder methods; and finally selecting from other reminder methods.

[0064] Among them, the symptom management module of the management unit monitors the patient's physical symptoms through the patient terminal, including the patient's pulse wave signal, skin galvanic response signal and exercise status information, and judges the patient's emotional state, sleep state, vital signs, exercise intensity, etc. After the patient completes the training guidance task, the intelligent patient education module compares the patient's exercise duration, exercise intensity during the training, and various physical sign data with the historical training data to determine the patient's recovery status and recovery speed, and transmits the recovery speed and recovery status to the medical terminal, which modifies or confirms the training guidance plan and tasks after checking.

[0065] In another embodiment, when the patient's exercise intensity is too high, a rest reminder is issued to the patient, and the difficulty of the movements in the training guidance task is reduced.

[0066] In another embodiment, the patient detects that the exercise intensity is too high when completing the training guidance task. The intelligent patient education module uses the patient's exercise duration when the exercise intensity is too high as a reference to reduce the duration of the training guidance task.

[0067] Among them, when the intelligent patient education module prompts, reminds and guides patients to exercise, if the changes in the patient's physical symptoms after changing the exercise method are inconsistent with expectations, the prompts, reminders and guidance content will be adjusted according to the patient's actual physical symptom changes.

[0068] In one embodiment, the intelligent patient education module prompts the patient to increase the amplitude and intensity of exercise by monitoring that the patient's heartbeat amplitude and exercise intensity are insufficient. After the patient increases the heartbeat, the monitored amplitude and exercise intensity of the patient are excessive and the heart rate is too fast. The intelligent patient education module adds an adverb of degree (such as a little bit, slightly) to the prompt to increase the amplitude and intensity of exercise.

[0069] S40: Analyze the connection and changes between the training guidance tasks, training guidance plans and completion results, and judge the patient's recovery status in combination with the changes in the patient's physical symptoms. Adjust the training guidance tasks and plans according to the recovery status, and the patient terminal displays the incentive content.

[0070] In one embodiment, medical staff bind the recovery prediction plan with the training guidance task, and the intelligent patient education module compares the recovery status and recovery speed with the recovery prediction plan. When the recovery prediction plan meets the standards, the patient is given recognition and encouragement. When the recovery prediction plan does not meet the standards and the patient's exercise intensity is often insufficient, the patient's insufficient exercise intensity and the failure to meet the recovery prediction plan are explained to the patient, and the patient is reminded and encouraged. With the patient's consent, the duration of the training guidance task is increased.

[0071] The above is only an embodiment of the present invention, and the common knowledge such as the known specific structure and characteristics in the scheme is not described in detail here. It should be pointed out that for those skilled in the art, several deformations and improvements can be made without departing from the structure of the present invention, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicality of the patent. The scope of protection required by this application shall be based on the content of its claims, and the specific implementation methods and other records in the specification can be used to interpret the content of the claims.

Claims

1. A digital management method for perioperative lung cancer patients based on intelligent pulmonary rehabilitation digital therapy, characterized in that: The following steps are involved: S10: Collect the patient's medical history, movement limitations, and personality profile, and integrate them into comprehensive assessment information; S20: formulating training guidance tasks and plans based on the comprehensive evaluation information, and the patient terminal displays preset reminders or guidance according to the training guidance plan; S30: The patient terminal receives a response to the reminder or guidance, adjusts the display mode of the reminder or the content of the reminder according to the response, monitors the patient's physical symptoms, determines the completion result and effect of the patient on the training guidance task, and adjusts the guidance content; S40: Analyze the connection and changes between the training guidance tasks, training guidance plans and completion results, and judge the patient's recovery status in combination with the changes in the patient's physical symptoms. Adjust the training guidance tasks and plans according to the recovery status, and the patient terminal displays the incentive content.

2. The perioperative digital management method for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy according to claim 1 is characterized by: The patient's pulse wave, galvanic skin response, and movement status are monitored, and the patient's exercise intensity is obtained through changes in the patient's exercise status, heart rate, and blood oxygen. When the training guidance task is completed, the guidance is displayed on the patient terminal through the patient's real-time exercise intensity. The patient's exercise status collected after the patient terminal plays the guidance is compared with the guidance content to determine the patient's feedback on the guidance. When the feedback is negative feedback, the feedback is combined with the patient's exercise intensity to determine whether the patient's exercise intensity meets the state of negative feedback. If the patient meets the state of negative feedback, a reminder, guidance or motivation is played to the patient terminal; if the patient does not meet the state of negative feedback, the content of this training guidance task is adjusted.

3. The perioperative digital management method for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy according to claim 2 is characterized by: The patient terminal monitors the patient's pulse wave and galvanic skin response. When the patient's pulse wave or galvanic skin response changes suddenly at the same time, it collects and determines whether the patient's movement state changes suddenly. If the patient's movement state does not change significantly, the pulse wave or galvanic skin response is processed as abnormal data. If the patient's movement state changes synchronously with the pulse wave or galvanic skin response, the patient's current data is continuously observed. If the patient's movement state and pulse wave or galvanic skin response are not synchronized during continuous observation, the pulse wave or galvanic skin response is processed as abnormal data, and a symptom prompt message is displayed when abnormal data is monitored. The patient terminal waits to receive a recording operation instruction, and records the abnormal data as abnormal symptoms after receiving the recording operation instruction.

4. The perioperative digital management method for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy according to claim 3 is characterized by: When collecting the patient's physical symptoms, the patient terminal regularly displays information urging the patient to fill out the PSA-Lung Symptom Scale questionnaire, compares the shortness of breath, pain, cough, fatigue, and sleep symptoms counted by the PSA-Lung Symptom Scale questionnaire with the abnormal symptoms, and displays the compared differences on the patient terminal. The patient terminal waits to receive verification or modification instructions. After receiving the verification instructions, the patient terminal sends the content before and after the abnormal symptoms are modified together with the results of the PSA-Lung Symptom Scale questionnaire to the medical terminal. After receiving the instructions, the medical terminal waits to receive confirmation or adjust the training guidance tasks and plans.

5. The perioperative digital management method for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy according to claim 4 is characterized by: When any one of the monitored data of pulse wave, galvanic skin response and movement status exceeds the preset warning line, determine whether the changes of pulse wave, galvanic skin response and movement status are synchronized, and determine whether the amplitude of changes of pulse wave, galvanic skin response and movement status are consistent with daily life status. If they are synchronized and the amplitude is the same, the patient terminal plays a soothing prompt and waits for a period of time before making another judgment; if they are not synchronized or the amplitude is different, the patient terminal issues an alarm prompt and waits to receive instructions for processing the alarm prompt; if the patient terminal receives a confirmation instruction, it initiates a remote processing or telephone intervention request to the medical terminal; if a shutdown instruction is received, the alarm prompt is closed, and no alarm prompt is issued within a specific time. If the patient does not receive the instruction within the preset waiting time, the patient will be continuously monitored for a period of time, and an alarm will be sent to the emergency contact terminal to check the patient's specific situation. If the emergency contact terminal ignores this alarm, the patient terminal will no longer send an alarm within a specific time. If the emergency contact terminal does not perform any operation on the alarm within the preset waiting time, and the monitored data exceeds the preset warning line for a period of continuous monitoring and does not show a downward trend, a remote processing or telephone intervention request will be initiated to the medical terminal; if the monitored data exceeds the preset warning line for a period of continuous monitoring but shows a downward trend, the monitoring will continue for a period of time; If the number of continuous monitoring reaches 3 times, and the monitored data still exceeds the preset warning line after 3 continuous monitoring times, a remote processing or telephone intervention request will be initiated to the medical terminal.

6. A digital management system for lung cancer patients during perioperative period based on intelligent pulmonary rehabilitation digital therapy, characterized by: include: Collection unit: used to collect the patient's medical history, movement restrictions and personality profile, and integrate them into comprehensive assessment information for monitoring the patient's physical symptoms; Management unit: formulates training guidance tasks and plans based on comprehensive evaluation information, and the patient terminal displays preset reminders or guidance according to the training guidance plan; the patient terminal receives a response to the reminder or guidance, and adjusts the display mode of the reminder or the content of the reminder according to the response, so as to judge the completion results and effects of the patient on the training guidance task according to the patient's physical symptoms, and adjust the guidance content; Analyze the connection and changes between training guidance tasks, training guidance plans and completion results, and then judge the patient's recovery status based on changes in the patient's physical symptoms. Adjust the training guidance tasks and plans according to the recovery status, and the patient's terminal displays the incentive content.

7. The perioperative digital management system for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy according to claim 6 is characterized by: The management unit also includes an accelerated lung function rehabilitation module, which is used to develop a personalized perioperative rehabilitation program based on advanced domestic and international exercise prescription guidelines and comprehensive patient assessment information, and formulate the perioperative rehabilitation program into training guidance tasks and plans. The perioperative rehabilitation program includes a detailed respiratory exercise program and a whole-body aerobic / resistance training program.

8. The perioperative digital management system for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy according to claim 7 is characterized by: It also includes a medical terminal and a patient terminal. The patient terminal is used to carry a pulse wave sensor, a skin charge sensor and a motion sensor. The pulse wave sensor is used to monitor the patient's pulse wave signal, the skin charge sensor is used to monitor the patient's skin charge reaction signal, and the motion sensor is used to monitor the patient's movement status information. The patient terminal is used to send the pulse wave signal, skin charge reaction signal and movement status information to the management module; the medical terminal is used to transmit comprehensive evaluation information to the management module, and is also used to modify training guidance tasks and plans.

9. The perioperative digital management system for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy according to claim 8 is characterized by: The management unit also includes a symptom management module, which is used to receive pulse wave signals, skin electrodermal response signals and movement status information; when the skin electrodermal point response signal changes suddenly, it is determined whether the pulse wave signal and the movement status information change in the same step. If the pulse wave signal changes in the same step, but the movement status information does not change in the same step, the patient's current emotional state is processed as an abnormal state. If the pulse wave signal and the movement status information change in the same step, but the change duration of the movement status information is not greater than the change duration of the skin electrodermal response signal, the patient's current vital signs are processed as an adverse reaction state; if the patient's movement status information is in a static state and the pulse wave signal is in the sleep frequency band, the patient's current state is processed as a sleep state; if the patient's movement status information changes frequently or the pulse wave signal changes frequently when the patient is in a sleep state, the patient's sleep state is processed as a poor sleep state. When the patient is in a poor sleep state, the patient's skin electrodermal response is monitored. If the change of the patient's skin electrodermal response is synchronized with the change of the pulse wave signal, it is processed as the severity of the adverse reaction based on the patient's skin electrodermal response change range combined with the pulse wave signal change range.

10. The perioperative digital management system for lung cancer patients based on intelligent pulmonary rehabilitation digital therapy according to claim 9 is characterized by: The management unit also includes an intelligent patient education module, which is used to regularly push phased rehabilitation knowledge content to the patient terminal, record the patient's follow-up practice records for training guidance tasks, and combine the follow-up practice records with vital signs and exercise intensity to play reminders, guidance or motivation on the patient terminal.

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