Colorectal cancer patient intestinal stoma whole-course management system based on E-coach mode

Abstract

The invention provides a colorectal cancer patient intestinal stoma whole-course management system based on an E-coach mode, and belongs to the technical field of intestinal stoma whole-course management. The colorectal cancer patient intestinal stoma whole-course management system comprises a doctor end, a nurse end, a patient end, a server end and a mutual assistance module. According to the invention, based on the mutual assistance module, patients in the same community can be associated with each other to form a link, and stoma nursing is carried out in the community shared nursing unit meeting nursing conditions and operation equipment according to the nursing capability of each patient and cooperative nursing among the patients, so that the stoma nursing effect of the patients in the community is greatly improved; community nursing assistance can be carried out based on stoma information of different patients in the same community, and the assistance range is adjusted according to change characteristics of stoma recovery of the patients before and after community nursing assistance, so that the stoma of the patient can be nursed in time; and the condition deterioration of the assisted patient caused by excessive assistance to other patients is avoided.

Description

Technical Field

[0001] The present invention relates to the technical field of comprehensive colostomy management, and in particular to a comprehensive colostomy management system for colorectal cancer patients based on an E-coach model. Background Art

[0002] Colorectal cancer is the third most common malignant tumor in the world, and 50% to 60% of patients need to undergo colostomy. Colostomy surgery is both necessary to save patients' lives and a means to improve their quality of life. Due to the shortened hospital stay, patients have not yet fully mastered colostomy-related nursing knowledge after surgery. After discharge, various colostomy complications may occur, which will reduce their social adaptability, increase their economic burden, and affect their psychological state and quality of life.

[0003] The E-coach health education management model is a new education model developed on the basis of health coaching technology and combined with the advantages of the Internet. It can make full use of the convenience and low cost of the Internet and combine the multidisciplinary coaching technology of a professional health coaching team to meet the needs of residents' health development. This model can not only ensure the standardization, effectiveness and comprehensiveness of education, but also increase the patient's compliance with treatment and improve the patient's adverse psychological state, thereby helping patients establish a healthy lifestyle and improve their quality of life.

[0004] However, in the prior art, E-coach health education management is relatively rough and does not take into account the different physical signs and life patterns of patients. Patients cannot receive targeted training and their stoma care capabilities cannot be improved. Most importantly, due to the roughness of the existing E-coach management model and the lack of refined classification and management of patients, patients are independent in home care and lack contact with each other. Untimely stoma care can easily cause inflammation and endanger the health of patients. In addition, blind nursing assistance by patients can easily lead to the worsening of the stoma condition of the assistant himself. Therefore, the present application provides a full-process stoma management system for colorectal cancer patients based on the E-coach model to solve the above problems. Summary of the invention

[0005] The technical problem to be solved by the present invention is to provide a comprehensive intestinal stoma management system for colorectal cancer patients based on the E-coach model, so as to solve the problems that the existing E-coach management model is rough, patients are not classified and managed in a refined manner, and patients' blind nursing assistance can easily lead to the deterioration of the assistant's own stoma condition.

[0006] In order to solve the above technical problems, the present invention provides the following technical solutions: A comprehensive management system for intestinal stoma of colorectal cancer patients based on the E-coach model, the system comprises: a doctor side, a nurse side and a server side, the server side comprises an early warning module, a health education module, a community module and a mutual assistance module; The mutual assistance module includes a shared care unit set up near the community, which is used to divide patients in the same community into assisting patients and patients to be assisted according to the patient information provided by the community module when the patients are at home; For any assisted patient, obtain the large nursing score set and the small nursing score set of the assisted patient before community assistance, perform chronic trend feature extraction based on the large nursing score set and the small nursing score set, and obtain the chronic trend of stoma recovery; Determine an initial assistance distance according to the stoma recovery chronicity trend corresponding to the assisted patient, and push community assistance to patients to be assisted in the same community to the assisted patient based on the initial assistance distance; Obtain the large nursing score set and small nursing score set of the assisted patient after community assistance and extract the change trend features to obtain the stoma recovery change trend; The initial assistance distance of the assisted patient is corrected based on the stoma recovery change trend corresponding to the assisted patient, and community assistance is pushed to the assisted patient to the patients to be assisted in the same community according to the corrected assistance distance.

[0007] Furthermore, the doctor end is used to diagnose and send a treatment plan, evaluate the patient's stoma evaluation level, and determine the stoma care frequency based on the patient's personal information and stoma information; The nurse terminal is used to evaluate the patient's stoma care ability score and provide nursing guidance; The server side is used to provide data storage and transmission services for the patient side, doctor side, and nurse side; The early warning module is used to send the stoma evaluation level to the patient and store relevant information; The health education module is used to push health education and training courses to the patient end; The community module is used to collect statistics on the patient's location information, personal information, and stoma care ability score when the patient is at home, and select patients to form a community group.

[0008] Furthermore, correcting the initial assisting distance of the assisted patient based on the stoma recovery change trend corresponding to the assisted patient specifically includes: Obtain the stoma recovery chronicity trend of the assisted patient before community assistance, and obtain the stoma recovery change trend of the assisted patient after community assistance; Similar features are extracted based on the stoma recovery chronic trend and the stoma recovery change trend to obtain the stoma recovery change feature corresponding to the assisted patient, and the initial assistance distance of the assisted patient is corrected based on the stoma recovery change feature.

[0009] Furthermore, when the patient is in the hospital, the nurse establishes a chronic disease management file for the colostomy patient through the nurse side; the nurse teaches the patient relevant knowledge about changing the ostomy bag, guides the patient to change the ostomy bag and evaluates his ability to change the ostomy bag; the health education module on the server side is used to push health education and training courses to the patient side.

[0010] Furthermore, during the patient's home life, the nurse guides the patient to input the patient's stoma information, take a photo of the stoma, and measure the stoma information through the nurse terminal; the stoma information includes the blood supply, height, shape and size of the stoma, the type and pattern of the stoma, the skin condition around the stoma, the recovery of the stoma function, and observes the bowel movement volume and the conditions of feces and urine; the patient uploads and records the stoma information through the patient terminal; at the same time, the patient uploads personal information, including age, weight, occupation, daily exercise steps, food intake, dietary structure, blood pressure and blood sugar.

[0011] Furthermore, the doctor evaluates the patient's stoma evaluation level based on the stoma information uploaded by the patient, formulates a stoma care plan for the patient, divides it into major care and minor care, and determines the major care frequency and the minor care frequency based on the stoma evaluation level and the patient's personal information.

[0012] Furthermore, the nurse evaluates the patient's stoma care ability score through the nurse terminal and uploads it to the server terminal; the server terminal counts the patient's stoma care ability score within one month, and sends an early warning reminder to the nurse terminal for patients with low nursing ability scores for multiple times. After receiving the reminder, the nurse will provide online guidance during the next major care.

[0013] Furthermore, the nurse conducts offline unified nursing training through the nurse terminal according to the age of patients in the community group, stoma nursing ability score and the number of patients, sends the training time and place to the community module, and the server terminal pushes the training information to all patient terminals in the community.

[0014] Furthermore, the community module displays the personal information and stoma care ability score of each patient.

[0015] Furthermore, the server side determines the scheduled stoma care time period of the patient who needs stoma care based on the information transmitted by the mutual assistance module, compares it with the home time period of other patients in the community, selects the patient whose home time period includes the scheduled care time of the requester, and finally sends the request information to the patient side of the above patient in order of distance from near to far; When patients in the community respond, the response results will be pushed to the mutual assistance module. The mutual assistance module will select patients whose response results are "agree" and dispatch them according to the distance from near to far, and push their closest personal information to the patient end of the requester.

[0016] When no one in the community answers, or the answers are all "disagree", the mutual assistance module promptly pushes the request information of the patient who needs stoma care to the server. The server compares the stoma care time period scheduled by the patient with the nurse's scheduled time period, selects the patient whose scheduled time period does not include the scheduled care time of the patient who needs stoma care, and sends the request information to the nurse's end of the above-mentioned nurse.

[0017] Compared with the prior art, the present invention has at least the following beneficial effects: In the above scheme, the present invention divides home care into minor care and major care according to the stoma information and personal information of different patients, determines the frequency of respective care according to the stoma condition and personal information of the patient, thereby improving the pertinence and effectiveness of stoma care and reducing the occurrence of inflammation.

[0018] By classifying patients through the community module, we can ensure that a certain number of patients can participate in offline training in a concentrated manner, making it convenient for patients to participate in training near their homes. By adopting an online + offline model, we can increase patients' enthusiasm, reduce the cost of offline training for medical staff, and improve training efficiency.

[0019] Based on the mutual assistance module, patients in the same community can contact each other and form a bond. According to the nursing ability of each patient, patients can collaborate in care and choose to carry out stoma care in the community shared care unit that meets the nursing conditions and operating equipment, which greatly improves the stoma care effect of patients in the community. In summary, the present invention has the technical effects of greatly improving the effect of patient home training, improving stoma care ability, and improving stoma care effect, and can provide community care assistance based on the stoma information of different patients in the same community, and adjust the scope of assistance according to the changing characteristics of the patient's stoma recovery before and after the community care assistance, so that the patient's stoma can receive timely care while avoiding the deterioration of the patient's own condition due to excessive help to other patients. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] The accompanying drawings, which are incorporated herein and constitute a part of the specification, illustrate embodiments of the invention and, together with the description, further serve to explain the principles of the invention and to enable those skilled in the relevant art to make and use the invention.

[0021] Figure 1 This is a schematic diagram of the module structure of the overall management system for intestinal stoma of colorectal cancer patients based on the E-coach mode of the present invention; Figure 2 It is a structural schematic diagram of the community module of the present invention; Figure 3 Schematic diagram of a community module for requesting stoma care for patients of the present invention. DETAILED DESCRIPTION

[0022] The following is a detailed description of a colorectal cancer patient colostomy management system based on the E-coach model provided by the present invention in conjunction with the accompanying drawings and specific embodiments. At the same time, it is explained here that in order to make the embodiments more detailed, the following embodiments are the best and preferred embodiments, and those skilled in the art may also adopt other alternative methods to implement some known technologies; and the accompanying drawings are only for a more specific description of the embodiments, and are not intended to specifically limit the present invention.

[0023] It should be noted that the references to "one embodiment", "embodiment", "exemplary embodiments", "some embodiments" and the like in the specification indicate that the embodiments described may include specific features, structures or characteristics, but not every embodiment may include the specific features, structures or characteristics. In addition, when a specific feature, structure or characteristic is described in conjunction with an embodiment, it should be within the knowledge of a person skilled in the art to implement such feature, structure or characteristic in conjunction with other embodiments (whether or not explicitly described).

[0024] In general, a term can be understood, at least in part, from its use in context. For example, depending, at least in part, on the context, the term "one or more" as used herein can be used to describe any feature, structure, or characteristic in the singular sense, or can be used to describe a combination of features, structures, or characteristics in the plural sense. Additionally, the term "based on" can be understood as not necessarily intended to convey an exclusive set of factors, but can instead, depending, at least in part, on the context, allow for the presence of other factors that are not necessarily explicitly described.

[0025] It will be understood that the meaning of “on,” “over,” and “above” in this disclosure should be interpreted in the broadest manner, so that “on” means not only “directly on” something, but also includes the meaning of being “on” something with intervening features or layers therebetween, and “on” or “over” means not only “on” or “above” something, but also includes the meaning of being “on” or “above” something with no intervening features or layers therebetween.

[0026] Additionally, spatially relative terms such as "under," "beneath," "lower," "above," "upper," and the like may be used herein for descriptive convenience to describe the relationship of one element or feature to another element or features, as shown in the accompanying drawings. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the accompanying drawings. The device may be oriented in other ways, and the spatially relative descriptors used herein may be similarly interpreted accordingly.

[0027] like Figure 1 As shown, an embodiment of the present invention provides a comprehensive management system for colorectal cancer patients' intestinal stoma based on the E-coach mode, such as Figure 1 As shown, the system includes: a doctor side, a nurse side and a server side, and the server side includes an early warning module, a health education module, a community module and a mutual assistance module; The mutual assistance module includes a shared care unit set up near the community, which is used to divide patients in the same community into assisting patients and patients to be assisted according to the patient information provided by the community module when the patients are at home; For any assisted patient, obtain the large nursing score set and the small nursing score set of the assisted patient before community assistance, perform chronic trend feature extraction based on the large nursing score set and the small nursing score set, and obtain the chronic trend of stoma recovery; Determine an initial assistance distance according to the stoma recovery chronicity trend corresponding to the assisted patient, and push community assistance to patients to be assisted in the same community to the assisted patient based on the initial assistance distance; Obtain the large nursing score set and small nursing score set of the assisted patient after community assistance and extract the change trend features to obtain the stoma recovery change trend; The initial assistance distance of the assisted patient is corrected based on the stoma recovery change trend corresponding to the assisted patient, and community assistance is pushed to the assisted patient to the patients to be assisted in the same community according to the corrected assistance distance.

[0028] Furthermore, the doctor end is used to diagnose and send a treatment plan, evaluate the patient's stoma evaluation level, and determine the stoma care frequency based on the patient's personal information and stoma information; The nurse terminal is used to evaluate the patient's stoma care ability score and provide nursing guidance; The server side is used to provide data storage and transmission services for the patient side, doctor side, and nurse side; The early warning module is used to send the stoma evaluation level to the patient and store relevant information; The health education module is used to push health education and training courses to the patient end; The community module is used to collect statistics on the patient's location information, personal information, and stoma care ability score when the patient is at home, and select patients to form a community group.

[0029] It should be noted that in the present application, the major care score and the minor care score are obtained by machine learning based on the stoma images of the patient taken during the major and minor care process, based on the blood supply, height, shape and size of the stoma in the image, the type and pattern of the stoma, the skin condition around the stoma, and the recovery of the stoma function. In specific implementation, a single hidden layer neural network can be used as a classification model for the stoma care score. For example, the single hidden layer neural network is divided into an input layer, a single hidden layer and an output layer. A group of stoma images and manual scores are input into the single hidden layer neural network for training. The single hidden layer in the neural network contains an activation function as a classification neuron to classify the stoma images. The output layer is used to output the stoma care score of the stoma image. The stoma care score output by the single hidden layer neural network is compared with the manual score and the single hidden layer activation function parameters are adjusted until the deviation between the output stoma care score and the manual score is lower than the preset threshold. The single hidden layer neural network training is completed, and the stoma images of the patient taken during the major and minor care process are input into the trained single hidden layer neural network. The output layer of the single hidden layer neural network outputs the corresponding major care score and minor care score.

[0030] The assisted patients described in this application are those patients who help the patients to be assisted to perform stoma care during the community assistance process. According to the patient information provided by the community module, the patients in the same community are divided into assisted patients and patients to be assisted. Threshold screening can be performed according to the nursing score in the patient information, and some patients above the screening threshold can be regarded as assisted patients, and some patients below the screening threshold can be regarded as patients to be assisted. Manual selection of assisted patients can also be performed based on the patient information provided by the community module, and this application does not limit this.

[0031] It should be noted that the chronic trend of stoma recovery described in the present application indicates the chronic recovery status of the stoma of the assisted patient himself. The initial assistance distance is determined based on the chronic trend of stoma recovery, which can avoid the deterioration of the stoma due to long-distance community assistance for patients with poor recovery. In specific implementation, chronic trend feature extraction is performed based on the large nursing score set and the small nursing score set to obtain the chronic trend of stoma recovery, which specifically includes: obtaining the differential fitting curves corresponding to the large nursing score set and the small nursing score set respectively as the chronic trend of stoma recovery. It should be noted that the chronic trend of stoma recovery includes the differential fitting curve corresponding to the large nursing score set and the differential fitting curve corresponding to the small nursing score set. For example, the differential fitting curve corresponding to the large nursing score set is a curve obtained by first forward differencing the large nursing score set and then fitting based on the score time series.

[0032] In the present embodiment, determining the initial assistance distance according to the chronic trend of stoma recovery corresponding to the assisted patient specifically includes: obtaining a standard stoma recovery trend, performing machine learning based on the standard stoma recovery trend and the chronic trend of stoma recovery corresponding to the assisted patient to obtain a recovery trend score, performing distance mapping according to the threshold interval where the recovery trend score is located, and obtaining the initial assistance distance corresponding to the assisted patient. In specific implementation, the Pearson correlation coefficient between the standard stoma recovery trend and the chronic trend of stoma recovery corresponding to the assisted patient can be used as the recovery trend score, and the threshold interval where the recovery trend score is located is distance mapped based on a preset mapping table to obtain the initial assistance distance corresponding to the assisted patient.

[0033] In this embodiment, in the process of pushing community assistance of patients to be assisted in the same community to the assisting patient from the initial assistance distance, the assisting patient can only obtain community assistance push of patients to be assisted in the same community within the initial assistance distance.

[0034] In this embodiment, the large nursing score set and the small nursing score set of the assisted patient after community assistance are obtained and the change trend features are extracted to obtain the stoma recovery change trend. The stoma recovery transformation trend is obtained in the same way as the stoma recovery chronic trend.

[0035] In this embodiment, correcting the initial assisting distance of the assisted patient based on the stoma recovery change trend corresponding to the assisted patient specifically includes: Obtain the stoma recovery chronicity trend of the assisted patient before community assistance, and obtain the stoma recovery change trend of the assisted patient after community assistance; Similar features are extracted based on the stoma recovery chronic trend and the stoma recovery change trend to obtain the stoma recovery change feature corresponding to the assisted patient, and the initial assistance distance of the assisted patient is corrected based on the stoma recovery change feature.

[0036] Among them, the stoma recovery change feature is used to quantify the degree of change of stoma recovery of the assisted patient before and after community assistance. Usually, the stoma recovery change will affect the normal stoma recovery of the assisted patient. Therefore, when the corresponding stoma recovery change degree before and after community assistance is too large, it is necessary to correct the assistance distance of the assisted patient, thereby reducing the number of patients to be assisted within the assistance distance to reduce the workload, and avoid the process of assisting the patient for community assistance affecting his own recovery. In specific implementation, the differential fitting curves corresponding to the large nursing score set and the small nursing score set in the stoma recovery chronic trend and the stoma recovery change trend can be extracted respectively, and the Pearson correlation coefficient between the differential fitting curves corresponding to the large nursing score set and the small nursing score set can be extracted, and weighted fusion is performed based on the preset weight coefficients corresponding to the large nursing score set and the small nursing score set to obtain the stoma recovery change feature.

[0037] In this embodiment, the ratio between the stoma recovery change characteristic and the preset standard stoma recovery change characteristic can be used as a correction coefficient to achieve correction of the initial assistance distance of the assisted patient. In specific implementation, the product of the correction coefficient and the initial assistance distance of the assisted patient can be used as the assistance distance of the assisted patient after correction, and community assistance is pushed to the assisted patient for patients to be assisted in the same community based on the corrected assistance distance. In this way, when the assisted patient's own stoma recovery situation changes due to the influence of community nursing assistance, the assistance scope of the assisted patient is reduced, thereby improving the safety of community nursing assistance.

[0038] The present application can correct the initial assistance distance of the assisted patient based on the stoma recovery change characteristics after community assistance, so that changes in the patient's condition recovery can be discovered in time according to the stoma recovery change characteristics, and by dynamically adjusting the assistance scope of the assisted patient, it avoids the deterioration of the patient's stoma recovery caused by community assistance, thereby improving the safety of the community assistance process.

[0039] When the patient is in the hospital, the nurse will establish a chronic disease management file for the colostomy patient through the nurse terminal; the nurse will teach the patient the relevant knowledge about changing the ostomy bag, guide the patient and family members to change the ostomy bag and evaluate their ability to change the ostomy bag.

[0040] The health education module on the server side is used to push health education and training courses to the patients. It pushes and reminds patients every day about the colostomy knowledge they need to know and master that day. Nurses use the feedback method to understand the patients' mastery of colostomy care knowledge and continue to evaluate the patients' or their family members' ability to provide colostomy care at home.

[0041] One day before discharge: ① The nurse will assess the DET scale for the patient; ② The nurse will assess the RIO scale for the patient and select a suitable ostomy bag; ③ The nurse will distribute the enterostomy specialist discharge education card to provide discharge education for the patient; ④ The nurse will inform the patient that after discharge, he or she can consult online on ostomy-related issues through the patient end, and the ostomy specialist nurse will respond as soon as possible.

[0042] On the day of discharge, the nurse will pull the enterostomy patient into the discharge management of the chronic disease system: ① On the 3rd day after discharge: the server side (such as the chronic disease management applet) will push the stoma-related nursing knowledge; ② On the 4th-5th day after discharge: push the stoma outpatient review reminder; ③ On the 7th day after discharge: push the diet and stoma complications knowledge education.

[0043] Seven days after discharge, the stoma specialist nurses held a weekly intestinal stoma patient gathering, and professional stoma technicians answered patients' questions one-on-one. Stoma specialist nurses also made regular follow-up calls once a month.

[0044] During the patient's home life, the nurse guides the patient to input the patient's stoma information through the nurse terminal, specifically: take a picture of the stoma, observe the stoma condition and measure the stoma information; the stoma information includes the blood supply, height, shape and size of the stoma, the type and pattern of the stoma, the skin condition around the stoma, the recovery of the stoma function, and observe the bowel movement volume and the conditions of feces and urine.

[0045] The patient uploads and records the stoma information through the patient terminal; At the same time, patients upload their personal information through the patient terminal, including age, weight, occupation, daily exercise steps, food intake, dietary structure, blood pressure and blood sugar.

[0046] The doctor evaluates the patient's stoma evaluation level based on the stoma information uploaded by the patient; based on the stoma evaluation level and the patient's personal information, the doctor develops a stoma care plan for the patient, which is divided into major care and minor care.

[0047] Among them, major care includes replacing the ostomy bag, cleaning the inside of the stoma, and measuring the amount of feces and urine; minor care includes cleaning the skin around the stoma and measuring the size of the stoma.

[0048] The doctor determines the major care frequency and minor care frequency based on the stoma evaluation level and the patient's personal information. For example, for a certain patient, the minor care frequency is once every 2 days and the major care frequency is once every 4 days.

[0049] Afterwards, the doctor sends the stoma care plan to the nurse and patient through the doctor's end.

[0050] During minor nursing care, the nurse instructs the patient and family members to observe the bleeding and blood circulation of the stoma, disinfect the area around the stoma with iodine, keep the skin around the stoma clean, and measure the size of the stoma through the nurse terminal; During general nursing care, the nurse instructs the patient to change the stoma, clean the inside of the stoma, measure the amount of stool and urine, and observe the stool condition through the nurse end.

[0051] Nurses evaluate patients' stoma care ability scores through the nurse terminal and upload them to the server terminal.

[0052] The specific stoma care competency scores are as follows: Table 1 Scores of patients' stoma care abilities

[0053] The server side counts the patient's stoma care ability score within one month. For patients with low nursing ability scores for multiple times, an early warning reminder will be sent to the nurse side. After the nurse receives the reminder, he will provide online guidance during the next major care.

[0054] The patient uploads the personal information and stoma information to the server through the patient end, and the doctor further adjusts the stoma care frequency based on the above information.

[0055] When the doctor finds that the patient's stoma has exudation, wrinkles, redness and swelling, the early warning module on the server side sends an alarm message to the patient and the nurse to provide immediate stoma care.

[0056] Compared with the prior art, the present invention divides home care into minor care and major care according to the stoma information and personal information of different patients, and then determines the frequency of each care, thereby improving the pertinence and effectiveness of stoma care and reducing the occurrence of inflammation.

[0057] In addition, the community module on the server side counts the location information, personal information, and stoma care ability scores of each patient, and selects patients with concentrated geographical locations to form community groups, such as Figure 2 shown.

[0058] Nurses conduct offline unified nursing training through the nurse terminal based on the age of patients in the community group, stoma care ability score and number of patients, and send the training time and location to the community module. The server terminal pushes the training information to all patient terminals in the community.

[0059] Specifically, patients were divided into three groups based on age: under 40 years old, 40-60 years old, and over 60 years old; According to the stoma care ability score, the patients were divided into two groups: those who did not meet the nursing ability standard and those who met the standard; Based on the respective positioning information of the patients, the location information is determined, and the patients whose distance is less than 3 km are concentrated into a community.

[0060] In a community, patients who are over 60 years old or whose stoma care ability is not up to standard, or whose stoma evaluation level is poor, are marked as key.

[0061] The server focuses on monitoring the above patients and pushes them to the nurse side. The nurse sets a specified stoma replacement time period and checks the stoma conditions uploaded by them.

[0062] If the server does not receive the stoma information uploaded by the patient within the specified time period, an alarm message will be immediately sent to the nurse, who will then confirm the stoma care situation with the patient.

[0063] The server divides the patients into the above-mentioned age groups, and automatically determines the patients' home time based on their geographic location information, divides the patients' home time periods, collects the overlapping time periods of the patients at home, and pushes them to the nurses. The nurses set up corresponding offline training courses based on the pushed time periods and different patient age groups. For example, for patients under 40 years old, the server pushes stoma care and occupational training courses to guide patients to choose appropriate occupations and exercise intensity; for patients aged 40-60, the server pushes stoma care and chronic disease training courses to guide patients to choose different stoma care methods according to their own chronic disease conditions; for patients over 60 years old, the server pushes stoma information measurement courses to guide patients how to confirm stoma deterioration and how to seek help from medical staff and stoma patients in the same community.

[0064] By classifying patients through the community module, it is possible to ensure that a certain number of patients can participate in offline training in a concentrated manner, increase the effectiveness of patient training course push, make it convenient for patients to participate in training near their homes, improve patient enthusiasm, and at the same time reduce the cost of offline training for medical staff and improve training efficiency.

[0065] At the same time, nurses can check the patient's stoma care score statistics through the nurse terminal, and select corresponding training courses for items with low scores. The server terminal pushes them uniformly during the patient's home time period to improve the patient's targeted and effective improvement of nursing capabilities.

[0066] Compared with the prior art that blindly pushes a large number of training courses, the community module of the present invention pushes targeted nursing items that are weak to patients, which can reduce the occupation of patients' daily time and avoid the situation where patients ignore the pushed information while on the way to work or school, further improving the effectiveness of patients receiving training.

[0067] At the same time, the community module displays the personal information of each patient, such as age, location information, home time period and stoma care ability score. For example, Zhang San, 35 years old, is 800m away, stays at home from 8 pm to 6 am the next day, and has a qualified stoma care ability score.

[0068] The mutual assistance module includes a shared care unit set up near the community, which is used to provide stoma care assistance among patients in the same community or provide stoma care for multiple patients in the same community through a nurse terminal when the patient is at home, based on the patient information provided by the community module.

[0069] When some patients are alone at home or it is inconvenient for them to carry out stoma care, they can send a request to the server in advance through the mutual assistance module. The server will promptly select patients from the same community based on the time period and location information, and send a request to the patient side, requesting door-to-door assistance for stoma care. The corresponding patients will reply through the patient side, which effectively solves the problem of insufficient medical staff and patients being unable to take care of their stomas in time, thereby improving the effect of stoma care.

[0070] The server side determines the scheduled stoma care time period for patients who need stoma care based on the information transmitted by the mutual assistance module, compares it with the home time periods of other patients in the community, selects patients whose home time periods include the scheduled care time of the requester, and finally sends the request information to the patient end of the above patients in order of distance from near to far.

[0071] The server-side conditions for selecting patients within the community are as follows: patients within the community are selected who are under 45 years old, have an average daily exercise step count of more than 3,000 steps in a week, have been rated as qualified or above in stoma care capabilities multiple times, and are within 2 km of the requester.

[0072] When patients in the community respond, the response results will be pushed to the mutual assistance module. The mutual assistance module will select patients whose response results are "agree" and dispatch them according to the distance from near to far, and push their closest personal information to the patient end of the requester.

[0073] When no one in the community answers, or the answers are all "disagree", the mutual assistance module will promptly push the request information of the patient who needs stoma care to the server. The server will compare the stoma care time period scheduled by the patient with the nurse's scheduled time period, select the patient whose scheduled time period does not include the scheduled care time of the patient who needs stoma care, and send his request information to the nurse's end of the above-mentioned nurse.

[0074] After the nurse responds through the nurse side, the response result will be pushed to the server side. The server side selects the nurse whose response result is "agree" and dispatches them according to the distance between the nurse and the patient from near to far, and pushes the personal information of the nearest nurse to the patient side of the patient who needs ostomy care.

[0075] In addition, the mutual aid module will count the communities where the patients are located, and set up shared care units dedicated to stoma care near each community, such as mobile care units, which include internal care space, disinfection space, tool room and mobile communication equipment, to facilitate mutual operation and cooperation between patients, or nurses can go to the shared care unit to provide stoma care services for scheduled patients.

[0076] In view of the current trend of aging and densely populated areas, the mutual assistance module can ensure that stoma care patients in the community can be effectively centralized and coordinated. Through the mutual assistance module, patients who can provide nursing assistance can be automatically matched. In the shared nursing unit near the community, one patient can provide home care for another patient. When the requirements cannot be met, the nurse side will match nearby nurses to the shared nursing unit. The stoma care recipients may be multiple patients in the same community, maximizing the nursing efficiency.

[0077] In the existing technology, patients in the community are scattered and have no contact with each other, and no bond is formed. When patients have difficulty in moving and are not accompanied by their children, medical staff cannot arrive in time in an emergency. Some patients are unwilling to request medical staff to provide home care due to cost reasons, which delays the stoma care time and causes infection.

[0078] Therefore, based on the mutual assistance module, patients in the same community can connect with each other and form a bond. According to the nursing ability of each patient, patients can collaborate in care and choose to carry out stoma care in a shared nursing unit in the community that meets the nursing conditions and operating equipment, which greatly improves the stoma care effect of patients in the community.

[0079] At the same time, nurses are unable to take care of patients at home in a timely manner due to their long-term work. Therefore, they give priority to patients who are close to the patients and meet the requirements. This can reduce the workload of medical staff and avoid the problem of medical staff being unable to go due to tight schedules.

[0080] When there are no suitable patients to choose from in the same community, the patient's request will be pushed to the nurse, who will go to the patient's home after get off work to help further solve the stoma care problems of patients whose nursing capabilities do not meet the standards.

[0081] Based on the coordinated cooperation between the community module and the mutual aid module, it is convenient for medical staff management and offline training, and also convenient for patients to exchange experiences and supervise each other, avoiding the situation where patients are left unattended after discharge and stoma care is random and irregular. Based on the community module, patients' stoma care requests can be counted in advance, which greatly improves the collaborative feedback between nurses and patients, further ensuring the patient's home rehabilitation effect. In addition, this application can provide community care assistance based on the stoma information of different patients in the same community, and adjust the scope of assistance according to the changing characteristics of the patient's stoma recovery before and after community care assistance, so that the patient's stoma can receive timely care while avoiding the deterioration of the patient's own condition due to excessive help to other patients.

[0082] The present invention covers any substitution, modification, equivalent method and scheme made on the essence and scope of the present invention. In order to make the public have a thorough understanding of the present invention, specific details are described in detail in the following preferred embodiments of the present invention, but those skilled in the art can fully understand the present invention without the description of these details. In addition, in order to avoid unnecessary confusion about the essence of the present invention, well-known methods, processes, procedures, components and circuits are not described in detail.

[0083] The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principle of the present invention. These improvements and modifications should also be regarded as the scope of protection of the present invention.

Claims

1. A comprehensive management system for intestinal stoma of patients with colorectal cancer based on E-coach mode, characterized in that: The system includes: a doctor side, a nurse side and a server side, wherein the server side includes an early warning module, a health education module, a community module and a mutual assistance module; The mutual assistance module includes a shared care unit set up near the community, which is used to divide patients in the same community into assisting patients and patients to be assisted according to the patient information provided by the community module when the patients are at home; For any assisted patient, obtain the large nursing score set and the small nursing score set of the assisted patient before community assistance, perform chronic trend feature extraction based on the large nursing score set and the small nursing score set, and obtain the chronic trend of stoma recovery; Determine an initial assistance distance according to the stoma recovery chronicity trend corresponding to the assisted patient, and push community assistance to patients to be assisted in the same community to the assisted patient based on the initial assistance distance; Obtain the large nursing score set and small nursing score set of the assisted patient after community assistance and extract the change trend features to obtain the stoma recovery change trend; The initial assistance distance of the assisted patient is corrected based on the stoma recovery change trend corresponding to the assisted patient, and community assistance is pushed to the assisted patient to the patients to be assisted in the same community according to the corrected assistance distance.

2. The E-coach-based enterostomy management system for colorectal cancer patients according to claim 1, characterized in that: The doctor end is used to diagnose and send a treatment plan, evaluate the patient's stoma evaluation level, and determine the stoma care frequency based on the patient's personal information and stoma information; The nurse terminal is used to evaluate the patient's stoma care ability score and provide nursing guidance; The server side is used to provide data storage and transmission services for the patient side, doctor side, and nurse side; The early warning module is used to send the stoma evaluation level to the patient and store relevant information; The health education module is used to push health education and training courses to the patient end; The community module is used to collect statistics on the patient's location information, personal information, and stoma care ability score when the patient is at home, and select patients to form a community group.

3. The E-coach-based colorectal cancer patient stoma management system according to claim 1, characterized in that: Correcting the initial assisting distance of the assisted patient based on the stoma recovery change trend corresponding to the assisted patient specifically includes: Obtain the stoma recovery chronicity trend of the assisted patient before community assistance, and obtain the stoma recovery change trend of the assisted patient after community assistance; Similar features are extracted based on the stoma recovery chronic trend and the stoma recovery change trend to obtain the stoma recovery change feature corresponding to the assisted patient, and the initial assistance distance of the assisted patient is corrected based on the stoma recovery change feature.

4. The E-coach-based colorectal cancer patient stoma management system according to claim 1, characterized in that: When the patient is in the hospital, the nurse will establish a chronic disease management file for the enterostomy patient through the nurse terminal; the nurse will teach the patient the knowledge related to changing the ostomy bag, guide the patient to change the ostomy bag and evaluate his / her ability to change the ostomy bag; The server-side health education module is used to push health education and training courses to patients.

5. The E-coach-based colorectal cancer patient stoma management system according to claim 4, characterized in that: During the patient's home life, the nurse guides the patient to input the patient's stoma information, take a photo of the stoma, and measure the stoma information through the nurse terminal; the stoma information includes the blood supply, height, shape and size of the stoma, the type and pattern of the stoma, the skin condition around the stoma, the recovery of the stoma function, and observes the bowel movement volume and the conditions of feces and urine; the patient uploads and records the stoma information through the patient terminal; at the same time, the patient uploads personal information, including age, weight, occupation, daily exercise steps, food intake, dietary structure, blood pressure and blood sugar.

6. The E-coach-based colorectal cancer patient stoma management system according to claim 5, characterized in that: The doctor evaluates the patient's stoma evaluation level based on the stoma information uploaded by the patient, formulates a stoma care plan for the patient, divides it into major care and minor care, and determines the major care frequency and the minor care frequency based on the stoma evaluation level and the personal information.

7. The E-coach-based enterostomy management system for colorectal cancer patients according to claim 6, characterized in that: Nurses evaluate patients' stoma care ability scores through the nurse terminal and upload them to the server terminal. The server terminal counts patients' stoma care ability scores within one month and sends early warning reminders to nurses for patients with multiple low nursing ability scores. After receiving the reminders, nurses will provide online guidance during the next major nursing visit.

8. The E-coach-based colorectal cancer patient stoma management system according to claim 7, characterized in that: The nurse conducts offline unified nursing training through the nurse terminal according to the age of patients in the community group, stoma nursing ability score and number of patients, sends the training time and place to the community module, and the server terminal pushes the training information to all patient terminals in the community.

9. The E-coach-based colorectal cancer patient stoma management system according to claim 8, characterized in that: The community module displays each patient's personal information and stoma care competency score.

10. The E-coach-based colorectal cancer patient stoma management system according to claim 9, characterized in that: The server side determines the scheduled stoma care time period of the patient who needs stoma care based on the information transmitted by the mutual assistance module, compares it with the home time period of other patients in the community, selects the patient whose home time period includes the scheduled care time of the requester, and finally sends the request information to the patient side of the above patient in order of distance from near to far; When patients in the community respond, the response results will be pushed to the mutual assistance module. The mutual assistance module will select patients whose response results are "agree" and send them according to the distance from near to far, and push the personal information of the closest patient to the requester's patient end; When no one in the community responds, or the responses are all "disagree", the mutual assistance module promptly pushes the request information of the patient who needs stoma care to the server. The server compares the stoma care time period scheduled by the patient with the nurse's scheduled time period, selects the patient whose scheduled time period does not include the scheduled care time of the patient who needs stoma care, and sends the request information to the nurse's end of the above-mentioned nurse.

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