Computer program, pain management assistance device, and pain management assistance method

Abstract

Provided are a computer program, a pain management assistance device, and a pain management assistance method capable of assisting appropriate pain management. The computer program causes a computer to repeatedly acquire pain-related information relating to pain of a patient at a required timing, store the acquired pain-related information, acquire medical information relating to medical treatment of the patient, store the acquired medical information, and perform a process for performing medical treatment on the patient. And generating pain management assistance information on the basis of the pain-related information and the medical information, and outputting the generated pain management assistance information.

Description

Technical Field

[0001] The present invention relates to a computer program, a pain management assistance device and a pain management assistance method. Background Art

[0002] Patent document 1 discloses the following diagnosis and treatment information management system, which has multiple treatment department servers that provide diagnosis and treatment information stored in the databases of multiple treatment departments within a medical institution, and a specific disease treatment unified server that obtains specific disease diagnosis and treatment information from the treatment department servers and provides unified specific disease diagnosis and treatment information from a unified database. By being able to refer to the diagnosis and treatment information of specific diseases such as cancer in all therapies that combine surgery, radiotherapy, chemotherapy and palliative care, and registered related information on a wide range of specific diseases, the progress of treatment can be grasped in a highly real-time manner.

[0003] Patent Document 1: Japanese Patent Application Publication No. 2010-3135

[0004] Pain caused by diseases such as cancer is directly related to the patient's quality of life (QOL), so appropriate pain management is required. However, for example, it is difficult for a patient who is recuperating at home to accurately convey to the doctor the pain and symptoms the patient has felt since the previous consultation. In addition, there is no general method for the doctor to ask about the patient's condition during the consultation and select an appropriate analgesic method. Therefore, appropriate pain management is hindered. Summary of the invention

[0005] The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a computer program, a pain management supporting device, and a pain management supporting method that can support appropriate pain management.

[0006] (1) The computer program of the present invention enables a computer to perform the following processing: repeatedly obtaining pain-related information related to a patient's pain at required times, storing the obtained pain-related information, obtaining medical information related to the diagnosis and treatment of the patient, storing the obtained medical information, generating pain management auxiliary information based on the pain-related information and medical information, and outputting the generated pain management auxiliary information.

[0007] Here, for the embodiments of the present invention,

[0008] (2) In the computer program of (1) above, preferably, the pain-related information includes at least one of an evaluation index for evaluating pain, vital data, medication information, and physical condition.

[0009] (3) In the computer program of (1) or (2) above, the medical information preferably includes at least one of diagnosis information, examination information, and prescription information.

[0010] (4) In any of the computer programs described in (1) to (3) above, the pain management support information preferably includes at least one of a pain evaluation result, recommended prescription information, and a medical consultation instruction for supporting the patient.

[0011] (5) In any one of the computer programs (1) to (4) above, the pain management assistance information preferably includes: at least one of a pain evaluation result for assisting a physician in examining the patient, whether a medical consultation is necessary, medication results, recommended prescription information, and a recommended treatment method.

[0012] (6) Any one of the computer programs (1) to (5) above preferably causes the computer to perform the following processing: based on the pain-related information, outputting a pain evaluation result indicating whether the patient has pain to a patient terminal device or an assistant terminal device; if pain is present, outputting recommended prescription information to the patient terminal device or the assistant terminal device.

[0013] (7) The computer program of (6) above preferably causes the computer to execute the following processing: outputting a pain evaluation result indicating the results of taking the medicine before and after taking the medicine based on the recommended prescription information to a patient terminal device, and outputting a medical consultation instruction to the patient terminal device based on the taking result.

[0014] (8) Any one of the computer programs (1) to (7) above preferably causes the computer to perform the following processing: outputting the temporal changes in the pain evaluation results representing the effect of the analgesic on the patient during the period of taking the analgesic to a doctor's terminal device, and outputting a recommendation to change the medication or whether a medical consultation is needed to the doctor's terminal device based on the effect of the analgesic.

[0015] (9) Any one of the computer programs (1) to (8) above preferably causes the computer to perform the following processing: outputting the temporal changes in the pain evaluation results indicating the effect of the analgesic on the patient during the period of taking the analgesic to a doctor terminal device, and based on the effect of the analgesic, outputting coping methods, recommended treatment methods, or introduction information of a doctor who has experience in the recommended treatment method to the doctor terminal device.

[0016] (10) Any one of the computer programs (1) to (9) above preferably causes the computer to perform the following processing: outputting confirmation items necessary for selecting recommended prescription information or recommended treatment methods during diagnosis to a doctor terminal device, receiving input information on the confirmation items, and outputting the recommended prescription information or recommended treatment methods to the doctor terminal device based on the input information.

[0017] (11) Any one of the computer programs (1) to (10) above preferably causes a computer to perform the following processing: outputting questions for evaluating the patient's pain condition to a patient terminal device, receiving input of answers to the questions, and outputting a response method to the patient terminal device based on the answers.

[0018] (12) Any one of the computer programs (1) to (11) above preferably causes a computer to perform the following processing: outputting a plurality of hypothetical questions related to the patient's pain to a patient terminal device, and outputting answers to hypothetical questions selected by the patient from the plurality of hypothetical questions to the patient terminal device.

[0019] (13) Any one of the computer programs (1) to (12) above preferably causes a computer to execute the following processing: outputting confirmation items necessary for generating pain management auxiliary information to a doctor terminal device, receiving input information on the confirmation items, and generating pain management auxiliary information based on the input information.

[0020] (14) The pain management assistance device of the present invention comprises: a first acquisition unit, which repeatedly acquires pain-related information related to the patient's pain at required times; a first storage unit, which stores the acquired pain-related information; a second acquisition unit, which acquires medical information related to the diagnosis and treatment of the patient; a second storage unit, which stores the acquired medical information; a generation unit, which generates pain management assistance information based on the pain-related information and the medical information; and an output unit, which outputs the generated pain management assistance information.

[0021] (15) The pain management assistance method of the present invention repeatedly obtains pain-related information related to the patient's pain at required times, stores the obtained pain-related information, obtains medical information related to the diagnosis and treatment of the patient, stores the obtained medical information, generates pain management assistance information based on the pain-related information and medical information, and outputs the generated pain management assistance information.

[0022] According to the present invention, appropriate pain management can be assisted. BRIEF DESCRIPTION OF THE DRAWINGS

[0023] Figure 1 It is a diagram showing an example of the configuration of the pain management support system according to the present embodiment.

[0024] Figure 2 This is a diagram showing an example of the structure of a pain management support device.

[0025] Figure 3 is a diagram showing information collection by means of a pain management assistance device.

[0026] Figure 4A is a diagram showing an example of pain-related information.

[0027] Figure 4B This is a diagram showing an example of medical information.

[0028] Figure 5 2 is a diagram showing provision of pain management support information by a pain management support device.

[0029] Fig. 6A This is a diagram showing an example of pain management support information for a patient.

[0030] Figure 6B This is a diagram showing an example of pain management support information for doctors.

[0031] Figure 7 This is a diagram showing a method for generating pain management support information.

[0032] Figure 8 This is a diagram showing a first example of pain management support information on the patient side.

[0033] Fig. 9 This is a diagram showing a second example of pain management support information on the patient side.

[0034] Fig.10 This is a diagram showing a first example of pain management support information on the doctor side.

[0035] Fig.11 This is a diagram showing a second example of pain management support information on the doctor side.

[0036] Fig.12 This is a diagram showing a third example of pain management support information on the doctor side.

[0037] Fig.13 This is a diagram showing a fourth example of pain management support information on the doctor side.

[0038] Fig.14 It is a diagram showing a fifth example of pain management support information on the doctor side.

[0039] Fig.15 It is a diagram showing a sixth example of pain management support information on the doctor side.

[0040] Fig.16It is a diagram showing a seventh example of pain management support information on the doctor side.

[0041] Fig.17 This is a diagram showing an eighth example of pain management support information on the doctor side.

[0042] Fig.18 This is a diagram showing a ninth example of pain management support information on the doctor side.

[0043] Fig.19 This is a diagram showing a tenth example of pain management support information on the doctor side.

[0044] Fig. 20 This is a diagram showing a third example of pain management support information on the patient side.

[0045] Fig.21 This is a diagram showing a fourth example of pain management support information on the patient side.

[0046] Fig. 22 This is a diagram showing a fifth example of pain management support information on the patient side.

[0047] Fig.23 It is a diagram showing a sixth example of pain management support information on the patient side.

[0048] Fig.24 This is a diagram showing a seventh example of pain management support information on the patient side.

[0049] Fig.25 This is a diagram showing an eighth example of pain management support information on the patient side.

[0050] Fig.26 This is a diagram showing a ninth example of pain management support information on the patient side.

[0051] Fig. 27 This is a diagram showing an eleventh example of pain management support information on the doctor side.

[0052] Fig.28 This is a diagram showing a twelfth example of pain management support information on the doctor side.

[0053] Fig.29 This is a diagram showing an example of a processing sequence using a pain management support device. DETAILED DESCRIPTION

[0054] Hereinafter, embodiments of the present invention will be described. Figure 11 is a diagram showing an example of the structure of the pain management support system of the present embodiment. The pain management support system includes a pain management support device 50. The pain management support system may also include a patient terminal device 10, a device 20, an assistant terminal device 30, and a doctor terminal device 40. The patient terminal device 10, the assistant terminal device 30, and the doctor terminal device 40 are connected to the pain management support device 50 via a communication network 1. The device 20 may be configured to be connected to the patient terminal device 10 wirelessly or by wire, or may be configured to be connected to the pain management support device 50 via the communication network 1. In addition, the device 20 is not essential, and may be configured to be composed only of input from the patient terminal device 10, for example.

[0055] The patient terminal device 10 is a terminal device carried or possessed by the patient, and the assistant terminal device 30 is a terminal device carried or possessed by assistants such as the patient's family members and caregivers. The patient terminal device 10 and the assistant terminal device 30 can be composed of a smartphone, a tablet computer, a personal computer, etc. having a display panel, an operation panel, a microphone, a speaker, etc. An application (application) for using the pain management assistance system is introduced into the patient terminal device 10 and the assistant terminal device 30. For example, it is assumed that the patient suffers from cancer and regularly goes to a medical institution while recuperating at home, but it is not limited to such patients. In addition, the application can be a web application or a download application.

[0056] Device 20 is a measuring device for measuring the patient's vital data, and can be a wearable terminal or a fixed device. Device 20 can measure vital data such as body temperature, heartbeat, brain wave, EDA (electrodermal activity: galvanic skin reflex). In addition, vital data is not limited to these, and any data that is considered to be related to the patient's pain caused by the disease can also be included. For example, vital data can also include blood pressure, pulse pressure, pulse, blood sugar level, weight, number of steps, activity level, etc.

[0057] The doctor terminal device 40 is a terminal device used by doctors in medical institutions, etc. The doctor terminal device 40 can be composed of a personal computer, a tablet computer, etc. with a display panel, an operation panel, etc. A healthcare worker, a nurse, or other medical practitioner can also use the doctor terminal device 40 under the guidance of a doctor. An application (such as a Web application, etc.) for using the pain management support system is introduced into the doctor terminal device 40.

[0058] Figure 2: is a diagram showing an example of the structure of the pain management assistance device 50. The pain management assistance device 50 includes a control unit 51 for controlling the entire device, a communication unit 52, a memory 53, a pain-related information DB 54, a diagnosis and treatment information DB 55, a pain management auxiliary information DB 56, an auxiliary information generation unit (generation unit) 57, and a storage unit 58. The pain management assistance device 50 may also disperse the processing functions and be composed of a plurality of devices. The pain-related information DB 54, the diagnosis and treatment information DB 55, and the pain management auxiliary information DB 56 may be configured to be built into the pain management assistance device 50, or may be installed in an external data server. In addition, the storage unit 58 may also be installed in an external data server.

[0059] The storage unit 58 can be composed of, for example, a hard disk or a semiconductor memory, and stores a computer program 59 (program product), a learning model unit 60, and necessary information. The computer program 59 can be downloaded from an external device via the communication unit 52 and stored in the storage unit 58. In addition, the computer program 59 recorded in a recording medium (for example, an optically readable disk storage medium such as a CD-ROM) can be read by a recording medium reading unit and stored in the storage unit 58, or the computer program 59 can be read by a recording medium reading unit and expanded in the memory 53.

[0060] The control unit 51 is configured to be equipped with a required number of CPUs (Central Processing Units), MPUs (Micro-Processing Units), GPUs (Graphics Processing Units), etc. The control unit 51 can execute the processing specified by the computer program 59. That is, the processing performed by the control unit 51 is also the processing performed by the computer program 59. The control unit 51 can execute the functions of the auxiliary information generation unit 57 by executing the computer program 59. The auxiliary information generation unit 57 can be configured by hardware, can be configured to be implemented by software, or can be implemented by a combination of hardware and software. The control unit 51 and the auxiliary information generation unit 57 can also perform processing using the learning model unit 60. The learning model unit 60 may not be a necessary structure.

[0061] The communication unit 52 includes a communication module and can exchange necessary information with the patient terminal device 10, the assistant terminal device 30, and the doctor terminal device 40 via the communication network 1. The communication unit 52 can also exchange necessary information with the device 20.

[0062] The memory 53 can be formed of a semiconductor memory such as SRAM (Static Random Access Memory), DRAM (Dynamic Random Access Memory), or flash memory. The control unit 51 can expand the computer program 59 in the memory 53 and execute the computer program 59 .

[0063] Figure 3 1 is a diagram showing information collection by the pain management support device 50. The pain management support device 50 obtains pain-related information related to the patient's pain caused by the disease from the patient terminal device 10, the equipment 20, and the supporter terminal device 30 via the communication unit 52. Pain-related information is appropriately and repeatedly sent from the patient terminal device 10, the equipment 20, and the supporter terminal device 30. For example, pain-related information may be sent once during the period from the patient's last visit to the hospital to the next visit to the hospital, or may be sent multiple times depending on the length of the period. The pain-related information obtained is classified for each patient and at each acquisition time and stored in the pain-related information DB 54.

[0064] Furthermore, the pain management support device 50 acquires medical information related to the medical treatment of the patient from the doctor terminal device 40 via the communication unit 52. The acquired medical information is classified for each patient and for each medical treatment time and stored in the medical information DB 55.

[0065] Figure 4A is a graph showing an example of pain-related information. Figure 4B is a diagram showing an example of medical information. Figure 4A As shown, pain-related information can be classified into pain evaluation index (evaluation index for evaluating pain), vital data, medication information, and physical condition. The pain-related information sent from the patient terminal device 10 and the device 20 includes at least one of the pain evaluation index, vital data, medication information, and physical condition. In addition, the classification is an example and is not limited to Figure 4A Example.

[0066] Pain evaluation indexes include VAS (visual analog scale), NRS (numeric rating scale), VRS (verbal rating scale), FRS (face rating scale), subjective evaluations such as the nature of pain and the degree of interference with daily life, or objective evaluations by medical practitioners. VAS, NRS, VRS, and FRS are all indicators that indicate the intensity of pain. VAS is a visual scale that indicates the current degree of pain, and patients are asked to look at and answer. NRS is a scale that divides pain into 11 levels from 0 to 10 to indicate the current degree of pain. VRS is a scale that indicates pain in 4 levels. FRS is an expression scale that indicates the intensity of pain through facial expressions. The nature of pain can distinguish the pain and symptoms felt, such as answering the degree of pain for types of pain such as "throbbing pain", "severe pain", "painful at the touch", "stinging", and "itching". The degree of interference with daily life is an evaluation of the extent to which pain affects daily life, for example, whether it hurts even when not moving, or when moving, or whether you can go out, or cannot sleep due to pain, etc.

[0067] Vital data include data that changes due to the response to pain, such as body temperature, heart rate, brain wave, EDA, pulse, etc. In addition, it can also include blood pressure, pulse pressure, blood sugar level, weight, number of steps, activity level, etc.

[0068] The medication information includes the type of medication, the amount of medication, the duration of medication, the time of medication (timing), whether medication is taken, etc. The medication information may also include medications that have been taken in the past, not just medications that are currently being taken. In addition, the duration of medication may also be included.

[0069] The physical condition includes the amount of activity, sleep time, sleepiness, fatigue, delusions, constipation, voice, expression, etc. It can include items that can evaluate whether the disorder occurs due to pain, medicine, disease symptoms, etc.

[0070] By acquiring the pain-related information as described above from the patient terminal device 10 and the equipment 20 , the patient can accurately communicate the pain and symptoms he or she feels during the period from the previous medical examination to the next medical examination.

[0071] like Figure 4B As shown in FIG. 1 , the medical information can be classified into diagnostic information, examination information, and prescription information. The medical information sent from the doctor terminal device 40 includes at least one of the diagnostic information, examination information, and prescription information. In addition, the classification is an example and is not limited to Figure 4B Example.

[0072] Diagnostic information includes observations based on questioning, inspection, palpation, percussion, etc. during the examination, electronic medical records, etc. Examination information includes blood tests, urine tests, image tests, etc. Prescription information includes the type and amount of medicine prescribed by the doctor. In addition, it can also include the period of taking the medicine.

[0073] Figure 5 5 is a diagram showing the provision of pain management auxiliary information by the pain management auxiliary device 50. For the target patient, the pain management auxiliary device 50 (control unit 51) reads pain-related information from the pain-related information DB 54, reads medical information from the medical information DB 55, and reads pain management auxiliary information generated in the past from the pain management auxiliary information DB 56, and generates pain management auxiliary information related to the patient based on the information that has been read. The pain management auxiliary device 50 divides the generated pain management auxiliary information into information to be provided to the patient side and information to be provided to the doctor side, and transmits it to the patient terminal device 10 and the doctor terminal device 40 via the communication unit 52. The timing of transmission can be performed at a desired timing and frequency. In addition, information that is preferably provided to the patient's family members, nursing staff and other assistants in the pain management auxiliary information provided to the patient side can also be sent to the assistant terminal device 30. In addition, information that is preferably not provided to the patient but only to the assistant in the pain management auxiliary information provided to the patient side can also be sent to the assistant terminal device 30 instead of being sent to the patient terminal device 10.

[0074] As described above, by transmitting pain management support information to the patient, it is possible to intervene in the patient's treatment at a desired timing and frequency, thereby achieving improvement in the patient's QOL.

[0075] Fig. 6A This is a diagram showing an example of pain management support information for a patient. Figure 6B FIG. 1 is a diagram showing an example of pain management support information for doctors. Fig. 6A As shown, the pain management auxiliary information for the patient (provided to the patient side) includes, for example, pain evaluation results, recommended prescription information, consultation instructions, etc. In addition, the pain management auxiliary information for the patient may also include a portion of the patient's pain-related information obtained from the patient terminal device 10 and the device 20.

[0076] like Figure 6B As shown, the pain management auxiliary information for doctors (provided to the doctor side) includes, for example, pain evaluation results, whether a consultation is needed, medication results, recommended prescription information, recommended treatment methods, etc. In addition, the pain management auxiliary information for doctors may also include a portion of the patient's pain-related information obtained from the patient terminal device 10 and the device 20.

[0077] Figure 7: is a diagram showing a method for generating auxiliary information for pain management. The auxiliary information generating unit 57 reads pain-related information of a target patient from the pain-related information DB 54, reads the medical information of the patient from the medical information DB 55, and generates auxiliary information for pain management related to the patient based on the pain-related information and medical information that have been read. When generating the auxiliary information for pain management, the auxiliary information generating unit 57 distinguishes between the auxiliary information for pain management provided to the patient side and the auxiliary information for pain management provided to the doctor side. The auxiliary information generating unit 57 stores the generated auxiliary information for pain management in the auxiliary information for pain management DB 56. In addition, the auxiliary information generating unit 57 may also read past auxiliary information for pain management related to the target patient from the auxiliary information for pain management DB 56 in addition to the pain-related information and medical information, and generate auxiliary information for pain management related to the patient based on the pain management auxiliary information that has been read.

[0078] The auxiliary information generating unit 57 may generate the pain management auxiliary information in the rule base using, for example, a table showing the correspondence between pain-related information, medical treatment information, and pain management auxiliary information. The table may also show the correspondence between pain-related information, medical treatment information, and past pain management auxiliary information, and the pain management auxiliary information.

[0079] The auxiliary information generating unit 57 may use a learning model generated by machine learning in the learning model unit 60. The learning model is a model using an algorithm obtained by performing machine learning, and for example, SVM (support vector machine), decision tree, random forest, adaptive boosting, neural network, etc. can be used.

[0080] Next, a specific example of pain management support information will be described. In the following examples, the input required by the patient or the like may be voice input.

[0081] Figure 8: This is a diagram showing a first example of pain management auxiliary information 100 on the patient side. The pain management auxiliary information on the patient side is displayed on the display panel of the patient terminal device 10 (it can also be the assistant terminal device 30), and the patient can perform input operations and selection operations according to the displayed content. The pain management auxiliary information 100 includes pain evaluation results and auxiliary information. In the pain evaluation results, for each item of VAS, brain wave, EDA, heart rate and body temperature included in the patient's pain-related information, the value of the previous day and the value of today are displayed in a comparable manner. For VAS, brain wave and EDA, the value converted into a pain index is displayed. In addition, in the pain evaluation results, the presence or absence of pain, the type or pattern of pain (in the example of the figure, "it seems to have prominent pain") is displayed. The judgment of "it seems to have prominent pain" is based on, for example, that today's brain wave, EDA and heart rate values ​​are larger than those of the previous day. The auxiliary information for patients includes, for example, recommended prescription information such as "please consider taking drug A". In addition, Figure 8 The example is just an example and is not limited to Figure 8 For example, the value of each item may be displayed in a graph rather than in a table. In addition, there may be a case where the patient is not expected to see the value converted into a pain index. Therefore, in this case, the value converted into a pain index may not be displayed.

[0082] As described above, the control unit 51 may output to the patient terminal device 10 a pain evaluation result indicating whether the patient has pain, which is analyzed based on the pain-related information, and output recommended prescription information to the patient terminal device 10 if pain is present.

[0083] Fig. 9 1 is a diagram showing a second example of the pain management auxiliary information 110 on the patient side. The pain management auxiliary information 110 includes a pain evaluation result and auxiliary information. In the pain evaluation result, the values ​​of the previous day, the values ​​before taking the medicine, and the values ​​after taking the medicine are displayed in a comparable manner for each item of VAS, brain wave, EDA, heart rate, and body temperature included in the patient's pain-related information. The values ​​of brain wave, EDA, and heart rate after taking the medicine are lower than those before taking the medicine, but are still larger than the values ​​of the previous day. Based on their transition, the evaluation result of "the effect of the medicine seems to be weakened" is determined and displayed. The auxiliary information for the patient includes, for example, a consultation instruction such as "please see a doctor". By the patient operating the "consultation appointment" icon 111, a screen for making a consultation appointment is displayed, and the consultation appointment can be made. In addition, although not shown in the figure, in the case where the evaluation value is abnormally reduced due to excessive drug effect, such a numerical value can also be displayed, and auxiliary information such as "please temporarily stop taking the medicine" can be displayed.

[0084] As described above, the control unit 51 may output the pain evaluation result indicating the taking result before and after taking the medicine based on the recommended prescription information to the patient terminal device 10 , and output a consultation instruction to the patient terminal device 10 based on the taking result.

[0085] Fig.10 This is a diagram showing a first example of pain management auxiliary information 400 on the doctor's side. The pain management auxiliary information on the doctor's side is displayed on the display panel of the doctor terminal device 40, and the doctor can perform input operations and selection operations based on the displayed content. The pain management auxiliary information 400 includes pain evaluation results and auxiliary information. The pain evaluation results display patient information (patient ID, patient name, etc.), medication information (type of medicine, amount of medicine, medication period, etc.), and changes in pain evaluation values. The pain evaluation value can be converted based on the pain evaluation index included in the pain-related information and the necessary information in the vital data. Fig.10 In the example, the pain evaluation value temporarily decreases due to taking the medicine, but then increases again. The effect of the medication and whether a consultation is needed are displayed in the auxiliary information. The effect of the medication can be selected by analyzing the change of the pain evaluation value. Fig.10 In the example of , "the medicine may become ineffective" is displayed. In this case, it is considered that the doctor needs to examine the patient, so whether the consultation is necessary becomes "yes". If the doctor operates the "recommended prescription information" icon 401, the recommended prescription information described later can be displayed.

[0086] As described above, the control unit 51 may output to the doctor terminal device 40 the temporal change in the pain evaluation result indicating the effect of the analgesic for the patient while taking the analgesic, and output to the doctor terminal device 40 whether a consultation is necessary based on the effect of the analgesic.

[0087] Fig.11 4 is a diagram showing a second example of pain management support information 410 on the doctor side. The pain management support information 410 includes recommended prescription information. The recommended prescription information displays patient information and recommended contents. Fig.11 In the example, as recommendation 1, the type of medicine to be changed and the amount of the medicine to be changed are displayed. As recommendation 2, it is recommended to stop taking a specific medicine. In addition to the recommended content, guidance to the doctor such as "Please refer to the above recommended prescription information and study it in combination with the examination results" can also be displayed. By operating the "Contact Patient" icon 411, the doctor can recommend an appointment for a consultation on a date earlier than the next scheduled examination date and convey the suspension of taking a specific medicine.

[0088] As described above, the control unit 51 may output a recommendation to change medication based on the effect of the analgesic to the doctor terminal device 40 .

[0089] Fig.12FIG. 4 is a diagram showing a third example of the pain management auxiliary information 420 on the doctor side. The pain management auxiliary information 420 includes the pain evaluation result and auxiliary information. Fig.10 The first example shown in the figure also displays patient information (patient ID, patient name, etc.), medication information (type of medication, amount of medication, medication period, etc.), and changes in pain evaluation values. In the third example, compared to the first example, the pain evaluation value changes at a higher value, temporarily decreases due to medication, but changes at a higher value again. The effect of medication and whether a medical consultation is needed are displayed in the auxiliary information. The medication effect can be selected by analyzing the changes in the pain evaluation value. Fig.12 In the example, "Pain often occurs. Treatment is required." In this case, it is considered that the doctor needs to examine the patient, so whether a consultation is necessary becomes "Yes." If the doctor operates the "recommended treatment method" icon 421, the recommended treatment method described later can be displayed.

[0090] Fig.13 4 is a diagram showing a fourth example of the pain management support information 430 on the doctor side. The pain management support information 430 includes a recommended treatment method. The recommended treatment method displays patient information and recommended contents. Fig.13 In the example, as recommendation 1, treatment method AA is displayed, and as recommendation 2, treatment method BB is displayed. In addition to the recommended content, it is also displayed as "Introducing experienced doctors in the absence of actual results of implementing the recommended treatment method." If the doctor operates the "display doctor list" icon 431, the introduction information of doctors who have experience in recommending treatment methods is displayed in the form of a list. The introduction information can include information such as the name of the medical institution, the name of the doctor, the treatment method with experience, and contact information. In addition, it can also be set to contact the required doctor by operating the "contact" icon.

[0091] As described above, the control unit 51 may also output to the doctor terminal device 40 the temporal changes in the pain evaluation results indicating the effects of analgesics on the patient while taking analgesics, and based on the effects of the analgesics, output to the doctor terminal device 40 recommended treatment methods or introduction information of doctors with experience in recommending treatment methods.

[0092] Fig.14 4 is a diagram showing a fifth example of the pain management auxiliary information 433 on the doctor side. The pain management auxiliary information 433 includes the pain evaluation result and auxiliary information. Fig.10In the first example shown in the figure, patient information (patient ID, patient name, etc.), medication information (type of medication, amount of medication, medication period, etc.), and changes in pain evaluation values ​​are displayed. In the fifth example, the pain evaluation value rises from a certain moment. The medication effect is displayed in the auxiliary information. The medication effect can be selected by analyzing the changes in the pain evaluation value. Fig.14 In the example of , "The pain seems to continue" is displayed. In this case, the doctor can be prompted with a coping method as pain management auxiliary information. If the doctor operates the "coping method confirmation" icon 434, the coping method described later can be displayed.

[0093] Fig.15 4 is a diagram showing a sixth example of the pain management support information 435 on the doctor side. The pain management support information 435 includes a countermeasure. Fig.15 In the example of , it is displayed as "Pump filled, medication ○○", and "Medication" icon 436 is displayed. The pump is, for example, a syringe pump. In addition, a reminder to the doctor such as "Please pay attention to the condition after medication" is displayed in the response method. If the doctor operates the "Medication" icon 436, the medicine connected to the pump can be given to the patient through the operation on the doctor's side. In addition, instructions can be sent to medical practitioners, nursing staff, etc. to start the pump remotely at home. Therefore, the pump does not need to be operated remotely.

[0094] Fig.16 4 is a diagram showing a seventh example of pain management auxiliary information 440 on the doctor side. Pain management auxiliary information 440 includes recommended confirmation items. Recommended confirmation items are information that recommends confirmation items that the doctor needs to confirm with the patient during the next consultation. That is, the control unit 51 can also output to the doctor terminal device 40 the confirmation items required during the consultation in order to select recommended prescription information or recommended treatment methods. When generating pain management auxiliary information, the auxiliary information generation unit 57 outputs the information necessary for analysis as recommended confirmation items to the doctor terminal device 40 and displays it, and obtains the recommended confirmation items from the doctor terminal device 40. In this way, the auxiliary information generation unit 57 can generate pain management auxiliary information.

[0095] exist Fig.16 In the 441, as the recommended confirmation items, the pain site, the condition when the pain occurs, and the timing of taking medicine are displayed. The doctor can confirm each item with the patient at the next consultation and input the input information. If the doctor operates the "points to pay attention to during consultation" icon 441, the points to pay attention to during consultation described later are displayed.

[0096] Fig.17This is a diagram showing an eighth example of pain management support information 450 on the doctor's side. Pain management support information 450 includes points to note when conducting a medical consultation. Points to note when conducting a medical consultation are displayed, for example, as "Do not ask directly about pain, confirm based on lifestyle, etc." and "Please confirm the situation including previous and subsequent actions." This allows doctors to approach patients in a manner that enables them to have acquired the skills and experience to ask patients for appropriate information, and to achieve appropriate communication with patients. If you operate the "return" icon 451, you will return to Fig.16 display screen.

[0097] Fig.18 4 is a diagram showing a ninth example of pain management auxiliary information 460 on the doctor side. Pain management auxiliary information 460 shows a situation when inputting recommended confirmation items. The doctor can input input information for each item obtained through the consultation during diagnosis and treatment. By sending the recommended confirmation items from the doctor terminal device 40 to the pain management auxiliary device 50, the pain management auxiliary device 50 (control unit 51) can generate pain management auxiliary information including recommended prescription information or recommended treatment method. When the doctor operates the "display recommended prescription information or recommended treatment method" icon 461, the recommended information described later is displayed.

[0098] Fig.19 4 is a diagram showing a tenth example of pain management support information 470 on the doctor side. The pain management support information 470 includes recommendation information. In the recommendation information, as recommendation 1, a prescription of a drug is displayed, as recommendation 2, a change of drug is displayed, and as recommendation 3, a combination of drugs and a treatment method are displayed. Fig.19 As shown, a suggestion such as "Please decide on treatment based on the guidance of a specialist as needed" may also be displayed.

[0099] As described above, the control unit 51 may receive input information on confirmation matters, and output recommended prescription information or recommended treatment methods to the doctor terminal device 40 based on the received input information.

[0100] Fig. 20 This is a diagram showing a third example of pain management support information 120 on the patient side. The pain management support information 120 includes information for confirming the coping method. The patient operates the application of the patient terminal device 10 to display a coping method confirmation screen. A sentence such as "Please inform the current situation" is displayed in the pain management support information 120. The patient can input the current pain situation and symptoms such as "The pain has not disappeared". The patient sends the input information to the pain management support device 50 by operating the "Send" icon 121. In addition, a plurality of formats indicating the current pain situation and symptoms can be prepared, and the plurality of formats can be displayed for the patient to select, and the selected format can be sent to the pain management support device 50.

[0101] Fig.211 is a diagram showing a fourth example of pain management support information 130 on the patient side. The pain management support information 130 includes information for confirming the coping method. If the pain management support device 50 (control unit 51) obtains input information indicating the patient's current pain condition and symptoms, it sends questions for further determining the patient's current condition in detail to the patient terminal device 10. Questions include, for example, "Please tell me your current pain using 1 to 10," "Did you sleep last night," "Where does it hurt?", "Which medicine did you take yesterday," etc., but are not limited to these. The patient inputs the answer to the question, notifies the operation of the "Confirm Input" icon 131, and sends the answer to the question to the pain management support device 50.

[0102] Fig. 22 1 is a diagram showing a fifth example of the pain management support information 140 on the patient side. When the pain management support device 50 (control unit 51) obtains the answer to the question, it can analyze the answer, generate a coping method, and output the generated coping method to the patient terminal device 10. For example, Fig. 22 As shown, the display reads "Please take two more pills of medicine ○○. (The increase of two pills has been approved by the doctor, please rest assured)" and "If there is no improvement after taking it for half a day, please contact the attending physician." In addition, voice output can also be used instead of display text.

[0103] As described above, the control unit 51 may output questions for evaluating the patient's pain condition to the patient terminal device 10 or the assistant terminal device 30, receive input of answers to the questions, and output coping methods to the patient terminal device 10 based on the received answers.

[0104] Fig.23 1 is a diagram showing a sixth example of the pain management support information 145 on the patient side. When the pain management support device 50 (control unit 51) obtains the answer to the question, it can analyze the answer, generate a coping method, and output the generated coping method to the patient terminal device 10. For example, Fig.23 As shown, it is displayed as "Add ○○ medicine from the pump". The medicine can be administered by operation on the patient side. In this case, a reminder to the patient such as "Pump is in operation, please do not touch the pump" can also be displayed. In addition, a reminder to the patient such as "The remaining amount of medicine after administration becomes medicine XXml. Please add medicine as needed" can also be displayed as needed. In addition, voice output can be used instead of displayed text.

[0105] Fig.241 is a diagram showing the seventh example of pain management auxiliary information 150 on the patient side. The pain management auxiliary information 150 includes information for supplementing pain-related information. When insufficient information exists for evaluating the patient's pain or symptoms, the control unit 51 may output questions for obtaining insufficient information to the patient terminal device 10. For example, it may be displayed as "The following information is insufficient in your evaluation of pain. Please answer the question" and the question item may be displayed. Fig.24 In the example of FIG. 5 , questions such as “Please tell me your current pain using 1 to 10,” “Did you sleep well last night?”, “How is your health status compared to yesterday?”, and “Which medicine did you take yesterday?” and a column for answering the questions are displayed. The patient enters the answer in the column for answering and operates the “confirm answer” icon 151, thereby sending the answer to the question to the pain management support device 50.

[0106] Fig.25 1 is a diagram showing an eighth example of the pain management support information 160 on the patient side. Fig.24 The patient's pain and symptoms are evaluated based on the answers to the questions exemplified in the example, and the evaluation results are output to the patient terminal device 10. Fig.25 In the example, the evaluation result is displayed as "the symptoms seem to have stabilized". In addition, the pain management support device 50 (control unit 51) can also display hypothetical questions related to the patient's pain and symptoms together with the evaluation results. Hypothetical questions are questions that the patient has or is concerned about based on the patient's current pain and symptoms, including the content of the patient's questions. Fig.25 In the example of FIG. 1 , hypothetical questions such as “I want to know the side effects of the medicine,” “I want to know other treatment methods,” and “Is it okay to travel?” are displayed, and the patient can get answers to the hypothetical questions by operating the respective icons 161, 162, and 163. The following describes the case where the icon 163 of “Is it okay to travel?” is operated.

[0107] Fig.26 1 is a diagram showing a ninth example of the pain management support information 170 on the patient side. The pain management support information 170 includes answers to the hypothetical questions. Fig.26 In the example, answers such as "It's okay to travel", "Please bring ○○ medicine when traveling. Also, please study the schedule and itinerary so as not to get too tired", and "If you have any concerns, please consult a doctor in advance" are displayed. In addition, voice output can also be used instead of displaying text.

[0108] As described above, the control unit 51 may output a plurality of hypothetical questions related to the patient's pain and symptoms to the patient terminal device 10 , and output an answer to a hypothetical question selected by the patient from the plurality of hypothetical questions to the patient terminal device 10 .

[0109] Fig. 27 This is a diagram showing the eleventh example of pain management auxiliary information 480 on the doctor's side. The pain management auxiliary information 480 includes information for supplementing diagnosis and treatment information. When there is insufficient information for selecting the patient's pain, symptoms, or recommended prescription information, or recommended treatment method, the control unit 51 may also output a confirmation item for obtaining the insufficient information to the doctor terminal device 40. For example, it may be displayed as "The following information is insufficient for selecting a treatment method. Please enter the information" and display the confirmation item. Fig. 27 In the example of FIG. 4 , confirmation items such as “CT image observation results”, “blood test results”, and “next hospital visit date” and input fields for the confirmation items are displayed. The doctor inputs input information in the input fields and operates the “confirm input” icon 481 to send the input information for the confirmation items to the pain management support device 50.

[0110] Fig.28 FIG. 4 is a diagram showing a twelfth example of the doctor's pain management support information 490. The pain management support information 490 includes the patient's pain evaluation result. Fig.28 In the example of FIG. 4 , the evaluation results related to pain such as “The health condition of the patient Mr. XXXX seems to have stabilized. The pain has also been relieved.” and “The patient is notified of the current health condition” are displayed. If the doctor operates the “Confirm notification content” icon 491, the pain management support device 50 can display the content of the notification to the patient. Thus, the doctor can confirm the content of the notification to the patient. In addition, the patient’s symptoms, recommended prescription information, or recommended treatment methods may be displayed instead of the pain evaluation results.

[0111] As described above, the control unit 51 may output confirmation items necessary for generating pain management auxiliary information to the doctor terminal device 40 , receive input information on the confirmation items, and generate the pain management auxiliary information based on the received input information.

[0112] Fig.29 5 is a diagram showing an example of a processing sequence by the pain management support device 50. In the following, for convenience, the main body of the processing is described as the control unit 51. The control unit 51 obtains the patient's pain-related information (S11), and stores the obtained pain-related information in the pain-related information DB54 (database) (S12). The pain-related information can be repeatedly obtained for each patient at a desired time. For example, it can be obtained once or multiple times during the period from the last visit to the hospital to the next visit to the hospital.

[0113] The control unit 51 acquires the patient's medical information (S13), and stores the acquired medical information in the medical information DB55 (database) (S14). The medical information can be acquired when the doctor determines that it is necessary, not only during the examination.

[0114] The control unit 51 reads pain management auxiliary information related to the patient from the pain management auxiliary information DB56 (database) generated in the past (S15), and generates pain management auxiliary information (S16) based on the acquired (stored) pain-related information, medical information and the read pain management auxiliary information.

[0115] The control unit 51 stores the generated pain management auxiliary information in the pain management auxiliary information DB 56 (database) (S17), outputs the generated pain management auxiliary information to the terminal device on the patient side, the assistant terminal device or the doctor side terminal device (S18), and ends the processing.

[0116] As described above, according to this embodiment, by accurately conveying the pain and symptoms felt during the consultation, the patient can assist in changing the analgesic method as needed, and intervene in the treatment at the required frequency, so that the patient's pain can be relieved and the improvement of QOL can be achieved. In addition, it can supplement the communication between the patient and the doctor and assist in appropriate pain management. In addition, it can assist the doctor in judging the coping method (prescription information, treatment method, etc.) for relieving the patient's pain.

[0117] Description of Reference Numerals

[0118] 1…communication network; 10…patient terminal device; 20…equipment; 30…assistant terminal device; 40…doctor terminal device; 50…pain management assistance device; 51…control unit; 52…communication unit; 53…storage; 54…pain-related information DB; 55…medical information DB; 56…pain management assistance information DB; 57…auxiliary information generation unit; 58…storage unit; 59…computer program; 60…learning model unit.

Claims

1. A computer program, characterized in that Causes the computer to perform the following processing: Repeatedly obtain pain-related information related to the patient's pain at the required time, Store the acquired pain related information, obtaining medical information related to the medical treatment of the patient, Store the obtained medical information, generating pain management auxiliary information based on the pain-related information and diagnosis and treatment information, The generated pain management auxiliary information is output.

2. The computer program according to claim 1, characterized in that The pain-related information includes at least one of an evaluation index for evaluating pain, vital data, medication information, and physical condition.

3. The computer program according to claim 1, characterized in that The medical information includes at least one of diagnosis information, examination information and prescription information.

4. The computer program according to claim 1, characterized in that The pain management auxiliary information includes: at least one of a pain evaluation result, recommended prescription information, and a medical consultation instruction for assisting the patient.

5. The computer program according to claim 1, characterized in that The pain management auxiliary information includes at least one of a pain evaluation result, whether a consultation is needed, a medication result, recommended prescription information, and a recommended treatment method for assisting a doctor who examines the patient.

6. The computer program according to any one of claims 1 to 5, characterized in that Causes the computer to perform the following processing: Based on the pain-related information, a pain evaluation result indicating whether the patient has pain is output to the patient terminal device or the assistant terminal device, In the case of pain, recommended prescription information is output to the patient terminal device or the assistant terminal device.

7. The computer program according to claim 6, characterized in that Causes the computer to perform the following processing: outputting the pain evaluation result indicating the taking result before and after taking the medicine based on the recommended prescription information to the patient terminal device, A consultation instruction is output to the patient terminal device based on the taking result.

8. The computer program according to any one of claims 1 to 5, characterized in that Causes the computer to perform the following processing: outputting the time-dependent change of the pain evaluation result indicating the effect of the analgesic on the patient during the period of taking the analgesic to the doctor terminal device, Based on the effect of the analgesic, a recommendation to change the medication or whether a medical consultation is needed is output to the doctor terminal device.

9. The computer program according to any one of claims 1 to 5, characterized in that Causes the computer to perform the following processing: outputting the time-dependent change of the pain evaluation result indicating the effect of the analgesic on the patient during the period of taking the analgesic to the doctor terminal device, Based on the effect of the analgesic, a countermeasure, a recommended treatment method, or introduction information of a doctor who has experience in the recommended treatment method is output to the doctor terminal device.

10. The computer program according to any one of claims 1 to 5, characterized in that Causes the computer to perform the following processing: Outputting confirmation items necessary for selecting recommended prescription information or recommended treatment methods during the consultation to the doctor's terminal device, accepting input information for said confirmation matters, Based on the input information, recommended prescription information or recommended treatment method is output to the doctor terminal device.

11. The computer program according to any one of claims 1 to 5, characterized in that Causes the computer to perform the following processing: outputting questions for evaluating the pain condition of the patient to the patient terminal device, accepting input of a response to said question, A countermeasure is output to the patient terminal device based on the answer.

12. The computer program according to any one of claims 1 to 5, characterized in that Causes the computer to perform the following processing: outputting a plurality of hypothetical questions related to the patient's pain to a patient terminal device, An answer to a hypothetical question selected by the patient from among the plurality of hypothetical questions is output to the patient terminal device.

13. The computer program according to any one of claims 1 to 5, characterized in that Causes the computer to perform the following processing: Outputting confirmation items necessary for generating pain management auxiliary information to the doctor terminal device, accepting input information for said confirmation matters, Pain management assistance information is generated based on the input information.

14. A pain management aid, characterized in that: have: a first acquisition unit that repeatedly acquires pain-related information related to the patient's pain at a desired timing; a first storage unit for storing the acquired pain-related information; a second acquisition unit that acquires medical information related to the medical treatment of the patient; a second storage unit for storing the acquired diagnosis and treatment information; A generating unit, which generates pain management auxiliary information based on the pain-related information and the diagnosis and treatment information; as well as An output unit outputs the generated pain management support information.

15. A pain management aid method, characterized in that: Repeatedly obtain pain-related information related to the patient's pain at the required time, Store the acquired pain related information, obtaining medical information related to the medical treatment of the patient, Store the obtained medical information, generating pain management auxiliary information based on the pain-related information and diagnosis and treatment information, The generated pain management auxiliary information is output.

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