Thoracic surgery postoperative rehabilitation nursing method and system

Abstract

The invention discloses a thoracic surgery postoperative rehabilitation nursing method and a thoracic surgery postoperative rehabilitation nursing system, and relates to the technical field of rehabilitation nursing. Wound images of patients are collected, data of wounds of the patients are obtained, the infection possibility of the wounds of the patients is analyzed, and if the infection possibility of the wounds of the patients is high, the patients can take the patient. If the wound infection possibility of the patient is low, the wound of the patient is classified according to the age of the patient and the recovery speed of the wound, and the rehabilitation nursing scheme of the patient is adjusted according to the classification of the wound of the patient. The wound of the patient can be treated in time, the effectiveness of the treatment method is guaranteed, and the rehabilitation speed of the patient is effectively increased.

Description

Technical Field

[0001] The present invention relates to the technical field of rehabilitation nursing, and in particular to a method and system for postoperative rehabilitation nursing for thoracic surgery. Background Art

[0002] With the continuous development of medical technology, thoracic surgery has made significant progress in the treatment of various chest diseases, and the indications for surgery have continued to expand. However, the trauma of surgery to the patient's body still exists, and postoperative rehabilitation has become a key factor affecting the patient's quality of life. Taking effective nursing measures can significantly reduce the probability of complications and ensure the patient's medical safety.

[0003] In the traditional postoperative rehabilitation nursing method and system for thoracic surgery, when performing rehabilitation nursing on the patient's wound, the medical staff judges whether the patient's wound is infected by observing the patient's wound condition. If infection occurs, the wound is rinsed with saline and anti-infection drugs are used. If no infection occurs, the patient is given rehabilitation training according to a unified rehabilitation nursing plan. Obviously, this postoperative rehabilitation nursing method and system for thoracic surgery has the following shortcomings: 1. In the traditional postoperative rehabilitation nursing method and system for thoracic surgery, the doctor judges whether the patient's wound is infected by the patient's wound condition. This judgment is subjective and may lead to misjudgment, and cannot guarantee that the patient's wound can be treated in a timely manner.

[0004] 2. In traditional thoracic surgery postoperative rehabilitation care methods and systems, when a patient's wound is infected, normal saline is used to flush the wound and anti-infection drugs are used at the same time. The cause of the patient's wound infection is not analyzed. When the patient's wound is infected, the effectiveness of the treatment method cannot be guaranteed.

[0005] 3. In the traditional postoperative rehabilitation care methods and systems for thoracic surgery, when the patient's wound is not infected, the medical staff continues to provide rehabilitation training for the patient according to a unified rehabilitation care plan, and does not adjust the rehabilitation care plan according to the patient's own condition, which cannot effectively improve the patient's recovery speed. Summary of the invention

[0006] In view of the above-mentioned technical deficiencies, the object of the present invention is to provide a method and system for postoperative rehabilitation care of thoracic surgery.

[0007] In order to solve the above technical problems, the present invention adopts the following technical solutions: In the first aspect, the present invention provides a postoperative rehabilitation nursing method for thoracic surgery, comprising the following steps: Step 1, data collection: When changing the dressing, use medical imaging equipment to collect the patient's wound image and dressing change video, and record the number of dressing changes.

[0008] Step 2: Data analysis: Obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound, calculate the infection risk coefficient of the patient's wound, and compare it with the preset infection risk coefficient threshold. According to the comparison results, analyze the possibility of infection of the patient's wound.

[0009] Step 3: Analyze the cause of infection: When the possibility of infection in the patient's wound is high, obtain the dressing change data from the dressing change video, obtain the number of dressing changes and the content of various nutrients in the patient's body from the database, analyze the reasons for the high possibility of infection in the patient's wound, and formulate a solution.

[0010] Step 4: Adjust the rehabilitation care plan: When the possibility of infection of the patient's wound is low, analyze the recovery speed of the wound, classify the wound according to the patient's age and the recovery speed of the wound, and adjust the rehabilitation care plan.

[0011] Preferably, the specific process of analyzing the possibility of infection of the patient's wound is as follows: obtaining the patient's wound image, and using graphic recognition technology to obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound image during each dressing change, and calculating the infection risk coefficient of the patient's wound, and comparing the infection risk coefficient of the patient's wound with a preset infection risk coefficient threshold. If the infection risk coefficient of the patient's wound is lower than the preset infection risk coefficient threshold, it means that the possibility of infection of the patient's wound is low. If the infection risk coefficient of the patient's wound is higher than the preset infection risk coefficient threshold, it means that the possibility of infection of the patient's wound is high.

[0012] Preferably, the infection risk coefficient of the patient's wound is calculated, and the specific process is as follows: according to the analysis formula: The infection risk coefficient β of the patient's wound is obtained, where A′ and B′ represent the preset swelling area threshold and the preset RGB value, respectively, C′ represents the area of ​​the wound, A, B, and C represent the swelling area of ​​the patient's wound, the wound RGB value, and the area occupied by the wound secretions, respectively, and w1, w2, and w3 represent the weight coefficient of the swelling area, the weight coefficient of the RGB value, and the weight coefficient of the secretion area, respectively.

[0013] Preferably, the specific process of analyzing the cause of infection is as follows: S11, using image recognition technology to identify the dressing change data when the medical staff changes the dressing, and obtaining the number of dressing changes and the patient's medical history from the database.

[0014] S12. Compare the dressing change data when the medical staff changes the dressings with the standards of the dressing change data. If there is a dressing change data that is different from the standard of the dressing change data, it means that the patient's wound is likely to be infected because the medical staff does not change the dressings in a standard manner. At the same time, compare the patient's dressing change times with the preset range of times. If the patient's dressing change times are not within the preset range of times, it means that the patient's wound is likely to be infected because the number of dressing changes is inappropriate. At the same time, analyze the patient's immunity based on the patient's medical history. If the patient's immunity is poor, it means that the patient's wound is likely to be infected because of poor immunity.

[0015] S13. Develop solutions based on the reasons why the patient’s wound is likely to become infected.

[0016] Preferably, the specific process of analyzing the patient's immunity is as follows: obtaining the patient's medical record from the database. If the patient's medical record states that the patient has other diseases, it means that the patient's immunity is poor. If the patient's medical record states that the patient does not have other diseases, the content of each nutrient in the patient's body and the patient's age are obtained from the patient's medical record, according to the analysis formula: The patient's immunity coefficient δ is obtained, where D a represents the content of the ath nutrient in the patient's body, E represents the patient's age, D a ′ represents the optimal content of the ath nutrient, E′ represents the optimal age, a represents the number of each nutrient, a=1,2,3,...,b, b represents the total number of nutrients, and a and b are both positive integers.

[0017] The patient's immunity coefficient is compared with the preset immunity coefficient threshold. If the patient's immunity coefficient is higher than the preset immunity coefficient threshold, it means that the patient's immunity is good. If the patient's immunity is lower than the preset immunity coefficient threshold, it means that the patient's immunity is poor.

[0018] Preferably, the specific process of formulating the solution is as follows: if the reason why the patient's wound is likely to be infected is that the medical staff does not change the dressing in a standard way, the standards of each dressing change data are obtained from the database and sent to the medical staff for learning. At the same time, the wound is rinsed with saline and anti-infection drugs are used.

[0019] If the reason why the patient's wound is likely to be infected is improper number of dressing changes, the number of dressing changes for the patient will be compared with the preset range of dressing changes. If the number of dressing changes for the patient is lower than the minimum value of the preset range of dressing changes, the number of dressing changes for the patient will be increased. If the number of dressing changes for the patient is higher than the maximum value of the preset range of dressing changes, the number of dressing changes for the patient will be reduced.

[0020] If the reason why the patient's wound is likely to be infected is that the patient has poor immunity, the patient's medical history will be obtained. If the patient's medical record states that the patient has other diseases, antibiotics will be used. If the patient's medical record states that the patient has no other diseases, the content of each nutrient in the patient's body will be obtained and compared with the standard content range of each nutrient. If the content of a certain nutrient in the patient's body is not within the standard range of the nutrient content, it means that the nutrient content is abnormal. In this way, the nutrients with abnormal contents in the patient's body are obtained, and the patient's diet is formulated according to the nutrients with abnormal contents.

[0021] Preferably, the specific process of analyzing the recovery speed of the wound is as follows: S21, obtaining the patient's wound image, and using image recognition technology to obtain various scab data values ​​of the patient's wound, and at the same time using a smart bracelet to collect various motion data values ​​of the patient.

[0022] S22, according to the analysis formula: Get the patient's wound recovery index Where F c Represents the cth scab data value of the patient's wound, G f represents the fth motion data value of the patient, F c ′ represents the preset numerical threshold of the cth scab data of the patient’s wound, G′ f represents the preset numerical threshold of the f-th motion data of the patient, c represents the number of each scab data value, c=1,2,3,...,d, d represents the total number of scab data, f represents the number of each motion data value, f=1,2,3,...,g, g represents the total number of motion data, c, d, f and g are all positive integers.

[0023] S23. Compare the patient's wound recovery index with a preset recovery index. If the patient's wound recovery index is lower than the preset recovery index threshold, it means that the patient's wound recovers slowly. If the patient's wound recovery index is higher than the preset recovery index threshold, it means that the patient's wound recovers quickly.

[0024] Preferably, the wounds are graded, and the specific process is: obtaining the patient's age and the wound recovery speed, comparing the patient's age with a preset age range, if the patient's age is within the preset range and the wound recovery speed is fast, the wound is classified as a Class I wound, if the patient's age is within the preset range and the wound recovery speed is slow, the wound is called a Class II wound, if the patient's age is not within the preset range and the wound recovery speed is fast, the wound is classified into a Class III wound, if the patient's age is not within the preset range and the wound recovery speed is slow, the wound is classified into a Class IV wound, and the patient's wounds are graded in this way.

[0025] Preferably, the rehabilitation nursing program is adjusted, and the specific process is: S31. If the patient's wound is a Class I wound, the amount of rehabilitation training for the patient is increased, while the number of dressing changes for the patient is reduced.

[0026] S32. If the patient's wound is a Class II wound, then obtain the ingredients and prices of each specific medicine from the database, and compare the patient's allergy medicines with the ingredients of each specific medicine from the patient's medical records. If a certain allergy medicine of the patient is the same as a certain ingredient of a specific medicine, it means that the patient is allergic to the specific medicine. If the patient's allergy medicines are different from the ingredients of a specific medicine, it means that the patient is not allergic to the specific medicine, and the specific medicine is called a spare specific medicine. In this way, the patient's spare specific medicines are obtained, and at the same time, the patient's acceptable price, the price of each spare specific medicine and the effect score are obtained. According to the patient's acceptable price, the price of each spare specific medicine and the effect score, the usage index return value of each spare specific medicine is analyzed:

[0027]

[0028] Where H i ,I i Represent the price of the ith alternative specific drug and the effect score of the ith alternative specific drug, H′ represents the price acceptable to the patient, I i′ represents the price of other alternative special medicines, γ i Represents the return value of the usage index of the i-th backup special medicine, i represents the number of each backup special medicine, i=1,2,3,...,j, j represents the total number of backup special medicines, and the set U is used to represent each backup special medicine, then U={1,2,3,...,j}, i′ represents the number of other backup special medicines, i′∈U and i′≠i, i and j are both positive integers.

[0029] When the usage index of a certain spare drug returns a value of 1, the drug used by the patient will be replaced with the special spare special drug, and the amount of rehabilitation training for the patient will be increased.

[0030] S33. If the patient's wound is a Category III wound, add foods rich in protein and vitamins to the patient's diet, reduce the number of dressing changes for the patient, and increase the amount of rehabilitation training for the patient.

[0031] S34. If the patient's wound is a Category IV wound, add foods rich in protein and vitamins to the patient's diet, and increase the amount of rehabilitation training for the patient.

[0032] In a second aspect, the present invention provides a postoperative rehabilitation nursing system for thoracic surgery, comprising the following modules: a data acquisition module is used to use medical imaging equipment to collect the patient's wound images and dressing change videos when changing dressings, and record the number of dressing changes.

[0033] The data analysis module is used to obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound, calculate the infection risk coefficient of the patient's wound, and compare it with the preset infection risk coefficient threshold, and analyze the possibility of infection in the patient's wound based on the comparison results.

[0034] The infection analysis module is used to obtain dressing change data from the dressing change video when the possibility of infection in the patient's wound is high, obtain the number of dressing changes and the content of various nutrients in the patient's body from the database, analyze the reasons why the patient's wound is likely to be infected, and formulate solutions.

[0035] The rehabilitation care program adjustment module is used to analyze the recovery speed of the wound when the possibility of infection of the patient's wound is low, classify the wound according to the patient's age and the recovery speed of the wound, and adjust the rehabilitation care program.

[0036] The database is used to store various wound data, various dressing change data when medical staff change dressings, the number of dressing changes, the patient's medical history and the preset values ​​of various data.

[0037] The beneficial effects of the present invention are: 1. The present invention provides a postoperative rehabilitation care method and system for thoracic surgery, which collects the patient's wound image, obtains various data of the patient's wound, and analyzes the possibility of infection of the patient's wound. If the patient's wound is likely to be infected, the reason for the high possibility of infection of the patient's wound is analyzed, and a solution is formulated according to the reason. If the patient's wound is unlikely to be infected, the patient's wound is classified according to the patient's age and the recovery speed of the wound, and the patient's rehabilitation care plan is adjusted according to the classification of the patient's wound, thereby ensuring that the patient's wound can be treated in time and the effectiveness of the treatment method, effectively improving the patient's recovery speed. BRIEF DESCRIPTION OF THE DRAWINGS

[0038] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.

[0039] Figure 1 The present invention is a schematic flow chart of the steps for implementing the method.

[0040] Figure 2 It is a schematic diagram of the system structure connection of the present invention. DETAILED DESCRIPTION

[0041] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0042] See also Figure 1 As shown, in the first aspect, the present invention provides a method for postoperative rehabilitation care for thoracic surgery, comprising the following steps: Step 1, data collection: when changing dressings, use medical imaging equipment to collect the patient's wound image and dressing change video, and record the number of dressing changes.

[0043] Step 2: Data analysis: Obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound, calculate the infection risk coefficient of the patient's wound, and compare it with the preset infection risk coefficient threshold. According to the comparison results, analyze the possibility of infection of the patient's wound.

[0044] It should be noted that the image recognition technology is used to obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound. The specific process is: first, the histogram equalization algorithm, Gaussian filtering algorithm and standard color card are used to enhance the contrast of the image, remove the noise of the image and perform color correction. Then, the Canny algorithm is used to identify the wound edge, determine the boundary range of the wound, and morphologically analyze the shape and contour changes of the wound. The swelling area is calculated according to the change in the contour. Then, the wound is divided into multiple sub-areas, and the main RGB values ​​in each sub-area are counted. The RGB value of the wound is obtained according to the main RGB values ​​in each sub-area. Finally, the threshold segmentation algorithm is used to separate the secretions and wound tissue in the wound image to obtain a binary image of the secretions and the wound. The secretions and wound areas in the binary image are counted by pixels, and the area occupied by the secretions and the wound area are calculated according to the conversion relationship between pixels and actual areas determined in advance.

[0045] In a specific embodiment, the analysis of the possibility of infection of the patient's wound is carried out as follows: obtaining the patient's wound image, and using graphic recognition technology to obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound image during each dressing change, and calculating the infection risk coefficient of the patient's wound, and comparing the infection risk coefficient of the patient's wound with a preset infection risk coefficient threshold. If the infection risk coefficient of the patient's wound is lower than the preset infection risk coefficient threshold, it means that the possibility of infection of the patient's wound is low. If the infection risk coefficient of the patient's wound is higher than the preset infection risk coefficient threshold, it means that the possibility of infection of the patient's wound is high.

[0046] It should be noted that the swelling area, RGB value, area occupied by secretions and wound area of ​​the wound of a patient whose body is in good recovery condition are obtained, and the infection risk coefficient of the patient is calculated, and the infection risk coefficient is used as the preset infection risk coefficient threshold.

[0047] In the above, the infection risk coefficient of the patient's wound is described and calculated, and the specific process is as follows: According to the analysis formula: The infection risk coefficient β of the patient's wound is obtained, where A′ and B′ represent the preset swelling area threshold and the preset RGB value threshold, respectively, C′ represents the area of ​​the wound, A, B, and C represent the swelling area of ​​the patient's wound, the wound RGB value, and the area occupied by the wound secretions, respectively, and w1, w2, and w3 represent the weight coefficient of the swelling area, the weight coefficient of the RGB value, and the weight coefficient of the secretion area, respectively.

[0048] It should be noted that the swelling area threshold and RGB value threshold are preset by medical staff.

[0049] It should also be noted that the weight coefficient of the swelling area, the weight coefficient of the color RGB value, and the weight coefficient of the secretion area are set according to the correlation coefficient between the swelling area, RGB value, and secretion area and wound infection. The higher the correlation coefficient, the greater the set weight, and the sum of the weight coefficient of the swelling area, the weight coefficient of the RGB value, and the weight coefficient of the secretion area is 1.

[0050] Step 3: Analyze the cause of infection: When the possibility of infection in the patient's wound is high, obtain the dressing change data from the dressing change video, obtain the number of dressing changes and the content of various nutrients in the patient's body from the database, analyze the reasons for the high possibility of infection in the patient's wound, and formulate a solution.

[0051] It should be noted that the image recognition technology is used to obtain the data of each dressing change. The specific process is: use the OpenCV library to read the dressing change video file, parse it into a frame-by-frame image sequence, and use the median filtering algorithm and histogram equalization algorithm to process the video, and then determine the key frame according to the occurrence time of the key action, and use the template matching algorithm and feature point matching algorithm in each key frame to obtain the data of each dressing change.

[0052] It should also be noted that each dressing change data summarizes the area disinfected, the number of disinfections, the area of ​​the dressing, etc.

[0053] In a specific embodiment, the specific process of analyzing the cause of infection is as follows: S11, using image recognition technology to identify the dressing change data of medical staff when changing dressings, and obtaining the number of dressing changes and the patient's medical history from the database.

[0054] S12. Compare the dressing change data when the medical staff changes the dressings with the standards of the dressing change data. If there is a dressing change data that is different from the standard number of the dressing change data, it means that the patient's wound is likely to be infected because the medical staff does not change the dressings in a standard way. At the same time, compare the patient's dressing change times with the preset number range. If the patient's dressing change times are not within the preset number range, it means that the patient's wound is likely to be infected because the number of dressing changes is inappropriate. At the same time, analyze the patient's immunity based on the patient's medical history. If the patient's immunity is poor, it means that the patient's wound is likely to be infected because of poor immunity.

[0055] It should be noted that the standards for each dressing change data and the range of dressing change times are set by medical staff.

[0056] S13. Develop solutions based on the reasons why the patient’s wound is likely to become infected.

[0057] In the above, the specific process of analyzing the patient's immunity is as follows: obtain the patient's medical record from the database. If the patient's medical record states that the patient has other diseases, it means that the patient's immunity is poor. If the patient's medical record states that the patient does not have other diseases, then obtain the content of each nutrient in the patient's body and the patient's age from the patient's medical record, according to the analysis formula: The patient's immunity coefficient δ is obtained, where D a represents the content of the ath nutrient in the patient's body, E represents the patient's age, D a ′ represents the optimal content of the ath nutrient, E′ represents the optimal age, a represents the number of each nutrient, a=1,2,3,...,b, b represents the total number of nutrients, and a and b are both positive integers.

[0058] It should be noted that the optimal content and optimal age of each nutrient are set by experts.

[0059] The patient's immunity coefficient is compared with the preset immunity coefficient threshold. If the patient's immunity coefficient is higher than the preset immunity coefficient threshold, it means that the patient's immunity is good. If the patient's immunity is lower than the preset immunity coefficient threshold, it means that the patient's immunity is poor.

[0060] It should also be noted that the content of various nutrients and the age of the patient who is in good physical recovery status are obtained, and the immunity coefficient of the patient is calculated, and the immunity coefficient is used as the preset immunity coefficient threshold.

[0061] In the above, the specific process of formulating the solution is as follows: if the reason why the patient's wound is likely to be infected is that the medical staff does not change the dressing in a standard way, the standards of each dressing change data are obtained from the database and sent to the medical staff for learning. At the same time, the wound is rinsed with saline and anti-infection drugs are used.

[0062] If the reason why the patient's wound is likely to be infected is improper number of dressing changes, the number of dressing changes for the patient will be compared with the preset range of dressing changes. If the number of dressing changes for the patient is lower than the minimum value of the preset range of dressing changes, the number of dressing changes for the patient will be increased. If the number of dressing changes for the patient is higher than the maximum value of the preset range of dressing changes, the number of dressing changes for the patient will be reduced.

[0063] It should be noted that the number of dressing changes needs to be increased or decreased to within a preset range of dressing changes.

[0064] If the reason why the patient's wound is likely to be infected is that the patient has poor immunity, the patient's medical history will be obtained. If the patient's medical record states that the patient has other diseases, antibiotics will be used. If the patient's medical record states that the patient has no other diseases, the content of each nutrient in the patient's body will be obtained and compared with the standard content range of each nutrient. If the content of a certain nutrient in the patient's body is not within the standard range of the nutrient content, it means that the nutrient content is abnormal. In this way, the nutrients with abnormal contents in the patient's body are obtained, and the patient's diet is formulated according to the nutrients with abnormal contents.

[0065] It should be noted that when using antibiotics, they need to be used according to the patient's other types of diseases, and while using them, the patient's vital signs need to be observed in real time.

[0066] Step 4: Adjust the rehabilitation care plan: When the possibility of infection of the patient's wound is low, determine the recovery speed of the wound, classify the wound according to the patient's age and the recovery speed of the wound, and adjust the rehabilitation care plan.

[0067] In a specific embodiment, the specific process of determining the recovery speed of the wound is as follows: S21, obtaining the patient's wound image, and using image recognition technology to obtain the scab data values ​​of the patient's wound, and at the same time using a smart bracelet to collect the patient's various motion data values.

[0068] It should be noted that the process of using image recognition technology to obtain the data values ​​of each scab of the patient's wound is: use the OpenCV library to process the wound image and extract the color features of the wound area, and use the gray-level co-occurrence matrix to extract the texture features of the wound image, and obtain the data values ​​of each scab of the patient's wound based on the color features of the wound area and the texture features of the wound image.

[0069] It should also be noted that the values ​​of various scab data include the area of ​​scab, the area of ​​new scab and the area of ​​scab detachment.

[0070] It should also be noted that the values ​​of various sports data include exercise duration, heart rate during exercise, and physical energy consumption during exercise.

[0071] S22, according to the analysis formula: Get the patient's wound recovery index Where F c Represents the cth scab data value of the patient's wound, G f represents the fth motion data value of the patient, F c ′ represents the preset numerical threshold of the cth scab data of the patient’s wound, G′ f represents the preset numerical threshold of the f-th motion data of the patient, c represents the number of each scab data value, c=1,2,3,...,d, d represents the total number of scab data, f represents the number of each motion data value, f=1,2,3,...,g, g represents the total number of motion data, c, d, f and g are all positive integers.

[0072] It should be noted that the numerical thresholds of each scab data and each motion data are set by medical staff.

[0073] S23. Compare the patient's wound recovery index with a preset recovery index. If the patient's wound recovery index is lower than the preset recovery index threshold, it means that the patient's wound recovers slowly. If the patient's wound recovery index is higher than the preset recovery index threshold, it means that the patient's wound recovers quickly.

[0074] It should be noted that the values ​​of the scab data and the movement data of the patient in good physical recovery status are obtained, and the recovery index of the patient is calculated, and the recovery index of the patient is used as the preset recovery index threshold.

[0075] In another specific embodiment, the wounds are graded, and the specific process is: obtaining the patient's age and the wound recovery speed, comparing the patient's age with a preset age range, if the patient's age is within the preset range and the wound recovery speed is fast, the wound is classified as a Class I wound, if the patient's age is within the preset range and the wound recovery speed is slow, the wound is called a Class II wound, if the patient's age is not within the preset range and the wound recovery speed is fast, the wound is classified into a Class III wound, if the patient's age is not within the preset range and the wound recovery speed is slow, the wound is classified into a Class IV wound, and the patient's wounds are graded in this way.

[0076] It should be noted that the preset age range is set by medical staff.

[0077] In another specific embodiment, the rehabilitation nursing program is adjusted, and the specific process is: S31, if the patient's wound is a Class I wound, the amount of rehabilitation training for the patient is increased, and the number of dressing changes for the patient is reduced.

[0078] S32. If the patient's wound is a Class II wound, then obtain the ingredients and prices of each specific medicine from the database, and compare the patient's allergy medicines with the ingredients of each specific medicine from the patient's medical records. If a certain allergy medicine of the patient is the same as a certain ingredient of a specific medicine, it means that the patient is allergic to the specific medicine. If the patient's allergy medicines are different from the ingredients of a specific medicine, it means that the patient is not allergic to the specific medicine, and the specific medicine is called a spare specific medicine. In this way, the patient's spare specific medicines are obtained, and at the same time, the patient's acceptable price, the price of each spare specific medicine and the effect score are obtained. According to the patient's acceptable price, the price of each spare specific medicine and the effect score, the usage index return value of each spare specific medicine is analyzed:

[0079]

[0080] Where H i ,I i Represent the price of the ith alternative specific drug and the effect score of the ith alternative specific drug, H′ represents the price acceptable to the patient, I i′ represents the price of other alternative special medicines, γ i Represents the return value of the usage index of the i-th backup special medicine, i represents the number of each backup special medicine, i=1,2,3,...,j, j represents the total number of backup special medicines, and the set U is used to represent each backup special medicine, then U={1,2,3,...,j}, i′ represents the number of other backup special medicines, i′∈U and i′≠i, i and j are both positive integers.

[0081] It should be noted that It means that the effect score of the i-th backup special medicine is greater than the effect scores of other backup special medicines. It means that there are other alternative special medicines whose effect scores are greater than the effect score of the i-th alternative special medicine.

[0082] It should also be noted that the price of each backup special-effect medicine is set by the manufacturer, and the effectiveness score of each backup special-effect medicine is set by experts based on the experimental results of clinical trials.

[0083] When the usage index of a certain spare drug returns a value of 1, the drug used by the patient will be replaced with the special spare special drug, and the amount of rehabilitation training for the patient will be increased.

[0084] S33. If the patient's wound is a Category III wound, add foods rich in protein and vitamins to the patient's diet, reduce the number of dressing changes for the patient, and increase the amount of rehabilitation training for the patient;

[0085] S34. If the patient's wound is a Category IV wound, add foods rich in protein and vitamins to the patient's diet, and increase the amount of rehabilitation training for the patient.

[0086] See also Figure 2 As shown, in a second aspect, the present invention provides a thoracic surgery postoperative rehabilitation nursing system, including: a data acquisition module for collecting the patient's wound image and dressing change video using a medical imaging device during dressing change, and recording the number of dressing changes.

[0087] The data analysis module is used to obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound, calculate the infection risk coefficient of the patient's wound, and compare it with the preset infection risk coefficient threshold, and analyze the possibility of infection in the patient's wound based on the comparison results.

[0088] The infection analysis module is used to obtain dressing change data from the dressing change video when the possibility of infection in the patient's wound is high, obtain the number of dressing changes and the content of various nutrients in the patient's body from the database, analyze the reasons why the patient's wound is likely to be infected, and formulate solutions.

[0089] The rehabilitation care program adjustment module is used to analyze the recovery speed of the wound when the possibility of infection of the patient's wound is low, classify the wound according to the patient's age and the recovery speed of the wound, and adjust the rehabilitation care program for the wound.

[0090] The database is used to store various wound data, various dressing change data when medical staff change dressings, the number of dressing changes, the patient's medical history and the preset values ​​of various data.

[0091] The embodiment of the present invention collects the patient's wound image, obtains various data of the patient's wound, and analyzes the possibility of infection of the patient's wound. If the possibility of infection of the patient's wound is high, the reason for the high possibility of infection of the patient's wound is analyzed, and a solution is formulated according to the reason; if the possibility of infection of the patient's wound is low, the patient's wound is classified according to the patient's age and the recovery speed of the wound, and the patient's rehabilitation nursing plan is adjusted according to the classification of the patient's wound, thereby ensuring that the patient's wound can be treated in time and the effectiveness of the treatment method, thereby effectively improving the patient's recovery speed.

[0092] The above contents are merely examples and explanations of the concept of the present invention. Those skilled in the art may make various modifications or additions to the specific embodiments described or replace them in a similar manner. As long as they do not deviate from the concept of the invention or exceed the scope defined in this specification, they shall all fall within the protection scope of the present invention.

Claims

1. A postoperative rehabilitation nursing method for thoracic surgery, characterized in that: The steps include: Step 1: Data collection: When changing dressings, use medical imaging equipment to collect the patient's wound images and dressing change videos, and record the number of dressing changes; Step 2: Data analysis: Obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound, calculate the infection risk coefficient of the patient's wound, and compare it with the preset infection risk coefficient threshold, and analyze the possibility of infection of the patient's wound based on the comparison results; Step 3: Analyze the cause of infection: When the possibility of infection in the patient's wound is high, obtain the dressing change data from the dressing change video, obtain the number of dressing changes and the content of various nutrients in the patient's body from the database, and analyze the reason for the high possibility of infection in the patient's wound, and formulate a solution; Step 4: Adjust the rehabilitation care plan: When the possibility of infection of the patient's wound is low, analyze the recovery speed of the wound, classify the wound according to the patient's age and the recovery speed of the wound, and adjust the rehabilitation care plan.

2. A postoperative rehabilitation nursing method for thoracic surgery according to claim 1, characterized in that: The specific process of analyzing the possibility of infection of the patient's wound is as follows: The patient's wound image is obtained, and graphic recognition technology is used to obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound image during each dressing change, and the infection risk coefficient of the patient's wound is calculated, and the infection risk coefficient of the patient's wound is compared with a preset infection risk coefficient threshold. If the infection risk coefficient of the patient's wound is lower than the preset infection risk coefficient threshold, it means that the possibility of infection in the patient's wound is low. If the infection risk coefficient of the patient's wound is higher than the preset infection risk coefficient threshold, it means that the possibility of infection in the patient's wound is high.

3. A postoperative rehabilitation nursing method for thoracic surgery according to claim 2, characterized in that: The infection risk coefficient of the patient's wound is described and calculated, and the specific process is as follows: According to the analysis formula: The infection risk coefficient β of the patient's wound is obtained, where A′ and B′ represent the preset swelling area threshold and the preset RGB value threshold, respectively, C′ represents the area of ​​the wound, A, B, and C represent the swelling area of ​​the patient's wound, the wound RGB value, and the area occupied by the secretions, respectively, and w1, w2, and w3 represent the weight coefficient of the swelling area, the weight coefficient of the RGB value, and the weight coefficient of the secretion area, respectively.

4. A postoperative rehabilitation nursing method for thoracic surgery according to claim 1, characterized in that: The specific process of analyzing the cause of infection is as follows: S11, using image recognition technology to identify the dressing change data of medical staff when changing dressings, and obtaining the number of dressing changes and the patient's medical history from the database; S12, comparing the dressing change data of the medical staff with the standard of the dressing change data, if there is a dressing change data that is different from the standard of the dressing change data, it means that the patient's wound is likely to be infected because the medical staff does not change the dressing in a standard manner, and comparing the number of dressing changes of the patient with the preset number range, if the number of dressing changes of the patient is not within the preset number range, it means that the patient's wound is likely to be infected because the number of dressing changes is improper, and at the same time, analyzing the patient's immunity according to the patient's medical history, if the patient's immunity is poor, it means that the patient's wound is likely to be infected because of poor immunity; S13. Develop solutions based on the reasons why the patient’s wound is likely to become infected.

5. A postoperative rehabilitation nursing method for thoracic surgery according to claim 4, characterized in that: The specific process of analyzing the patient's immunity is as follows: Obtain the patient's medical records from the database. If the patient's medical records state that the patient has other diseases, it means that the patient's immunity is poor. If the patient's medical records state that the patient does not have other diseases, obtain the content of each nutrient in the patient's body and the patient's age from the patient's medical records, according to the analysis formula: The patient's immunity coefficient δ is obtained, where D a represents the content of the ath nutrient in the patient's body, E represents the patient's age, D a ′ represents the optimal content of the ath nutrient, E′ represents the optimal age, a represents the number of each nutrient, a=1,2,3,...,b, b represents the total number of nutrients, and a and b are both positive integers; The patient's immunity coefficient is compared with the preset immunity coefficient threshold. If the patient's immunity coefficient is higher than the preset immunity coefficient threshold, it means that the patient's immunity is good. If the patient's immunity is lower than the preset immunity coefficient threshold, it means that the patient's immunity is poor.

6. A postoperative rehabilitation nursing method for thoracic surgery according to claim 4, characterized in that: The specific process of formulating the solution is as follows: If the reason why the patient's wound is likely to be infected is that the medical staff does not change the dressing in a standard way, the standard of each dressing change data is obtained from the database and sent to the medical staff for learning. At the same time, the wound is rinsed with saline and anti-infection drugs are used; If the reason why the patient's wound infection is likely to occur is due to improper dressing change frequency, the patient's dressing change frequency is compared with a preset dressing change frequency range. If the patient's dressing change frequency is lower than the minimum value of the preset dressing change frequency range, the patient's dressing change frequency is increased; if the patient's dressing change frequency is higher than the maximum value of the preset dressing change frequency range, the patient's dressing change frequency is reduced; If the reason why the patient's wound is likely to be infected is that the patient has poor immunity, the patient's medical history will be obtained. If the patient's medical record states that the patient has other diseases, antibiotics will be used. If the patient's medical record states that the patient has no other diseases, the content of each nutrient in the patient's body will be obtained and compared with the standard content range of each nutrient. If the content of a certain nutrient in the patient's body is not within the standard range of the nutrient content, it means that the nutrient content is abnormal. In this way, the nutrients with abnormal contents in the patient's body are obtained, and the patient's diet is formulated according to the nutrients with abnormal contents.

7. A postoperative rehabilitation nursing method for thoracic surgery according to claim 1, characterized in that: The specific process of analyzing the recovery speed of the wound is as follows: S21, obtaining a wound image of the patient, and using image recognition technology to obtain various scab data values ​​of the patient's wound, and using a smart bracelet to collect various motion data values ​​of the patient; S22, according to the analysis formula: Get the patient's wound recovery index Where F c Represents the cth scab data value of the patient's wound, G f represents the fth motion data value of the patient, F c ′ represents the preset numerical threshold of the cth scab data of the patient’s wound, G′ f represents the preset numerical threshold of the f-th motion data of the patient, c represents the number of each scab data value, c=1,2,3,...,d, d represents the total number of scab data, f represents the number of each motion data value, f=1,2,3,...,g, g represents the total number of motion data, c, d, f and g are all positive integers; S23. Compare the patient's wound recovery index with a preset recovery index. If the patient's wound recovery index is lower than the preset recovery index threshold, it means that the patient's wound recovers slowly. If the patient's wound recovery index is higher than the preset recovery index threshold, it means that the patient's wound recovers quickly.

8. A postoperative rehabilitation nursing method for thoracic surgery according to claim 1, characterized in that: The specific process of classifying wounds is as follows: The patient's age and the recovery speed of the wound are obtained, and the patient's age is compared with the preset age range. If the patient's age is within the preset range and the wound recovery speed is fast, the wound is classified as a Class I wound. If the patient's age is within the preset range and the wound recovery speed is slow, the wound is called a Class II wound. If the patient's age is not within the preset range and the wound recovery speed is fast, the wound is classified as a Class III wound. If the patient's age is not within the preset range and the wound recovery speed is slow, the wound is classified as a Class IV wound. In this way, the patient's wounds are graded.

9. A postoperative rehabilitation nursing method for thoracic surgery according to claim 1, characterized in that: The specific process is as follows: S31. If the patient's wound is a Class I wound, increase the amount of rehabilitation training for the patient and reduce the number of dressing changes for the patient; S32. If the patient's wound is a Class II wound, then obtain the ingredients and prices of each specific medicine from the database, obtain the patient's allergy medicines from the patient's medical records, compare the patient's allergy medicines with the ingredients of each specific medicine, if a certain allergy medicine of the patient is the same as a certain ingredient of a specific medicine, it means that the patient is allergic to the specific medicine, if the patient's allergy medicines are different from the ingredients of a specific medicine, it means that the patient is not allergic to the specific medicine, and the specific medicine is called a backup specific medicine. In this way, obtain the patient's backup specific medicines, and obtain the patient's acceptable price, the price of each backup specific medicine and the effect score, and analyze the usage index return value of each backup specific medicine according to the patient's acceptable price, the price of each backup specific medicine and the effect score: Where H i ,I i Represent the price of the ith alternative specific drug and the effect score of the ith alternative specific drug, H′ represents the price acceptable to the patient, I i′ represents the price of other alternative special medicines, γ i Represents the usage index return value of the i-th backup special medicine, i represents the number of each backup special medicine, i=1,2,3,...,j, j represents the total number of backup special medicines, and the set U is used to represent each backup special medicine, then U={1,2,3,...,j}, i′ represents the number of other backup special medicines, i′∈U and i′≠i, i and j are both positive integers; When the usage index of a certain reserve drug returns a value of 1, the drug used by the patient is replaced with the reserve special medicine, and the amount of rehabilitation training for the patient is increased; S33. If the patient's wound is a Category III wound, add foods rich in protein and vitamins to the patient's diet, reduce the number of dressing changes for the patient, and increase the amount of rehabilitation training for the patient; S34. If the patient's wound is a Category IV wound, add foods rich in protein and vitamins to the patient's diet, and increase the amount of rehabilitation training for the patient.

10. A thoracic surgery postoperative rehabilitation nursing system for executing a thoracic surgery postoperative rehabilitation nursing method according to any one of claims 1 to 9, characterized in that: include: The data acquisition module is used to collect the patient's wound image and dressing change video using medical imaging equipment during dressing changes, and record the number of dressing changes; The data analysis module is used to obtain the swelling area, RGB value, area occupied by secretions and wound area of ​​the patient's wound, calculate the infection risk coefficient of the patient's wound, and compare it with the preset infection risk coefficient threshold, and analyze the possibility of infection of the patient's wound based on the comparison results; The infection analysis module is used to obtain the dressing change data from the dressing change video when the possibility of infection in the patient's wound is high, obtain the number of dressing changes and the content of various nutrients in the patient's body from the database, and analyze the reasons for the high possibility of infection in the patient's wound, and formulate solutions; The rehabilitation care plan adjustment module is used to analyze the recovery speed of the wound when the possibility of infection of the patient's wound is low, classify the wound according to the patient's age and the recovery speed of the wound, and adjust the rehabilitation care plan; The database is used to store various wound data, various dressing change data when medical staff change dressings, the number of dressing changes, the patient's medical history and the preset values ​​of various data.

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