Construction method of digital human health management system for chronic infectious diseases

Abstract

The application discloses a kind of chronic infectious disease digital people health management system construction method, it relates to AIDS nursing management technical field.Based on Triangle model, the management classification and characteristics of HIV patients are determined by latent profile and association rule analysis, and it is embedded into applet using agile development;Based on the basic nursing framework, the commonality and difference of patients in different levels are explored Care needs;Through the preliminary construction of AIDS hierarchical case management program by range review and focus group interview, the final draft is formed by revising and improving through written evaluation and field demonstration, and the well-constructed management program is embedded into a digital human interaction platform based on artificial intelligence.The application protects the privacy of patients, alleviates the shortage of medical human resources, meets the growing health needs of HIV patients, improves patient satisfaction and improves the quality of HIV care services.

Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of AIDS nursing management, and particularly relates to a construction method of a chronic infectious disease digital human health management system. BACKGROUND

[0002] Highly active antiretroviral therapy has prolonged the survival period of AIDS patients, and AIDS has become a chronic disease. However, the current situation of AIDS at home and abroad is still severe, and the potential high-risk population is more massive. The traditional chronic disease management mode cannot continue to meet the needs of the growing AIDS patient population due to limitations such as manpower and time. Not only is there a lack of medical and nursing resources, but patients' concerns about privacy exposure can also lead to psychological problems. AIDS case management is less developed in China, and there is a lack of scientific and practical case management program to guide clinical practice. In order to break through the current medical difficulties, it is particularly necessary to use new technologies such as 5G, artificial intelligence, and big data in combination with traditional medical care and internet medical care to develop a construction method of a chronic infectious disease digital human health management system. SUMMARY

[0003] In view of the deficiencies in the prior art, the present application aims to provide a construction method of a chronic infectious disease digital human health management system, which protects patients' privacy, reduces patients' concerns about their own privacy, alleviates the pressure of a lack of medical and nursing resources, improves traditional medical problems, meets the growing health needs of HIV patients, improves the satisfaction of AIDS patients, and improves the quality of HIV care services. It is easy to promote and use.

[0004] In order to achieve the above-mentioned purpose, the present application is realized by the following technical scheme: the construction method of the chronic infectious disease digital human health management system, the steps of which are:

[0005] (1) Exploration of HIV / AIDS patient classification and care needs based on Triangle hierarchical management model:

[0006] ① Based on the Triangle hierarchical management model, the cross-sectional survey method is used to explore the current situation of HIV / AIDS patient self-management level, and the influencing factors are analyzed. The latent profile analysis method is used to determine the classification of HIV / AIDS patient self-management level, and the Apriori association rule analysis method is used to identify the relevant characteristics of patients at different management levels.

[0007] ② The agile development and cloud development mode are used to develop the HIV / AIDS patient classification management applet, and the results of the previous latent profile analysis and Apriori association rule analysis are embedded in the applet, so that clinical staff or researchers can quickly identify patient management classification.

[0008] ③Under the guidance of the concept framework of basic nursing, descriptive qualitative research method is used to explore the care needs of patients at different management levels, identify common needs and different care needs, and provide clinical basis for subsequent nursing program construction.

[0009] (2) HIV / AIDS patient hierarchical case management program construction based on Triangle hierarchical management model and basic nursing concept framework:

[0010] ① The research team uses range review method and focus group interview to preliminarily construct HIV / AIDS hierarchical case management program.

[0011] ② The HIV / AIDS hierarchical case management program preliminarily constructed is revised and improved by written evaluation and on-site demonstration method, and finally the final draft of HIV / AIDS hierarchical case management program is formed. The researchers construct HIV / AIDS hierarchical case management implementation manual according to the program in order to guide the specific implementation of case managers in clinical situation.

[0012] As preferred, the cross-sectional survey method in step (1) includes obtaining the self-management level data by at least one of questionnaire survey and clinical data collection; the latent profile analysis method is used to divide the self-management level of HIV / AIDS patients into multiple latent categories, and the categories are determined based on at least one of self-management behavior, psychological state and social support factors; the Apriori association rule analysis method is used to mine at least one association rule of demographic characteristics, clinical characteristics and behavior characteristics of patients at different management levels.

[0013] As preferred, the HIV / AIDS patient hierarchical management applet in step (1) adopts agile development and cloud development mode, and embeds the results of latent profile analysis and Apriori association rule analysis, which is used to realize the rapid identification of patient management classification; the applet includes at least one of patient data input module, hierarchical identification module and feature display module, and the hierarchical identification module automatically outputs patient management classification based on the embedded latent profile analysis and association rule analysis results.

[0014] As preferred, the descriptive qualitative research method in step (1) includes collecting care needs data of patients at different management levels by at least one of semi-structured interview and focus group discussion.

[0015] As preferred, the step (2) adopts the range review method, including systematic retrieval of Chinese and English databases, setting clear inclusion and exclusion criteria, and independent literature screening and data extraction by two or more researchers, systematic integration of existing evidence, and preliminary formation of the core elements of the HIV graded case management program; the research team organizes focus group interviews, discusses and refines based on the core elements, and preliminarily constructs the HIV graded case management program, and the participants of the focus group interviews include at least one of clinical experts, case managers, and nursing researchers in the field of AIDS prevention and control.

[0016] As preferred, the step (2) adopts the written evaluation method, invites experts to review the preliminarily constructed program and provide modification suggestions, and accordingly makes the first round of revisions to the program; adopts the on-site demonstration method, organizes experts to conduct on-site deliberation and verification on the program after the first round of revisions, and accordingly makes the second round of revisions and improvements to the program, to form the final draft of the HIV graded case management program; based on the final draft, an HIV graded case management implementation manual is prepared to guide case managers in specific implementation in clinical settings.

[0017] As preferred, the constructed and improved management program is embedded in an Internet platform, and the platform includes:

[0018] A data access module for integrating patient questionnaires, clinical records, and behavior logs;

[0019] A grading evaluation engine with built-in latent profile analysis model and Apriori association rule model to realize automatic grading;

[0020] A natural language processing module to support multi-round semantic interaction with patients;

[0021] A personalized recommendation module to generate customized care paths based on grading results and care needs;

[0022] A virtual image rendering module to present in a personified form on a mini-program or terminal device.

[0023] As preferred, the digital human platform adopts a cloud-native architecture for deployment, supporting high-concurrency access and cross-regional medical collaboration.

[0024] As preferred, the digital human platform has emotional recognition capability, can judge the psychological state of patients through text sentiment analysis, and start the corresponding psychological support protocol.

[0025] As preferred, the digital human platform is linked with the HIV graded case management implementation manual to ensure that all recommended content meets the expert consensus and clinical guidelines.

[0026] The method realizes effective matching with demand, finally forms an internet-based chronic disease management mode, widely connects high-quality medical resources and information to HIV patients, protects patient privacy, reduces patient concerns about their privacy, alleviates the pressure of lack of medical human resources, improves traditional medical problems, improves the health outcomes of AIDS patients, meets the growing health needs of HIV patients, improves the satisfaction of AIDS patients, improves the quality of HIV care services, and has a wide application prospect. DETAILED DESCRIPTION

[0027] In order to make the technical means, creative features, purposes and effects realized by the present application easy to understand, the present application will be further described below in combination with specific embodiments.

[0028] The specific embodiment adopts the following technical solution: a construction method of a chronic infectious disease digital human health management system, the steps of which are:

[0029] (1) HIV / AIDS patient classification and care needs exploration based on Triangle hierarchical management model:

[0030] ① Based on the Triangle hierarchical management model, the cross-sectional survey method is used to explore the current situation of HIV / AIDS patient self-management level and analyze its influencing factors. The latent profile analysis method is used to determine the classification of HIV / AIDS patient self-management level, and the Apriori association rule analysis method is used to identify the relevant characteristics of patients at different management levels.

[0031] ② The agile development and cloud development mode are used to develop the HIV / AIDS patient classification management app, and the results of the previous latent profile analysis and Apriori association rule analysis are embedded in the app, so that clinical staff or researchers can quickly identify patient management classification.

[0032] ③ Under the guidance of the basic nursing concept framework, the descriptive qualitative research method is used to explore the care needs of patients at different management levels, and the common needs and different care needs are identified, providing clinical basis for subsequent nursing scheme construction.

[0033] (2) HIV / AIDS patient classification case management scheme construction based on Triangle hierarchical management model and basic nursing concept framework:

[0034] ① The HIV / AIDS classification case management scheme is initially constructed by using the range review method and the research team to carry out focus group interviews.

[0035] ii) The HIV / AIDS hierarchical case management plan initially constructed is revised and improved by using written evaluation and on-site demonstration methods, and finally the final version of the HIV / AIDS hierarchical case management plan is formed. The researchers construct an HIV / AIDS hierarchical case management implementation manual based on the plan in order to guide case managers in specific implementation in clinical settings.

[0036] This specific embodiment determines the management hierarchy of HIV / AIDS patients and explores the care needs of patients at different management levels through cross-sectional surveys and qualitative research. Based on the literature research and expert demonstration, and on the basis of the previous research, the literature research is used to construct the initial draft of the HIV / AIDS hierarchical case management plan, and the final version of the HIV / AIDS hierarchical case management plan is formed after on-site expert demonstration. A digital human case management system is developed and tested, and is clinically applied and promoted. Specifically:

[0037] The cross-sectional survey method in step (1) includes obtaining the self-management level data by at least one of a questionnaire survey and clinical data collection; the latent profile analysis method is used to divide the self-management level of HIV / AIDS patients into multiple latent categories, and the categories are determined based on at least one of self-management behavior, psychological state, and social support factors; the Apriori association rule analysis method is used to mine at least one association rule of demographic characteristics, clinical characteristics, and behavior characteristics of patients at different management levels.

[0038] The HIV / AIDS patient hierarchical management app uses agile development and cloud development mode, and embeds the results of latent profile analysis and Apriori association rule analysis, to realize the rapid identification of patient management hierarchy; the app includes at least one of a patient data input module, a hierarchical identification module, and a feature display module, wherein the hierarchical identification module automatically outputs the patient management hierarchy based on the embedded latent profile analysis and association rule analysis results.

[0039] The descriptive qualitative research method includes collecting care needs data of patients at different management levels by at least one of semi-structured interviews and focus group discussions.

[0040] In step (2), the range review method is used, including systematic retrieval of English and Chinese databases, setting clear inclusion and exclusion criteria, and independent literature screening and data extraction by two or more researchers, systematic integration of existing evidence, and preliminary formation of the core elements of the HIV / AIDS hierarchical case management plan; the research team organizes focus group interviews, discusses and refines based on the core elements, and initially constructs the HIV / AIDS hierarchical case management plan. The participants of the focus group interview include at least one of clinical experts in the field of HIV / AIDS prevention and treatment, case managers, and nursing researchers.

[0041] The experts are invited to review the preliminary constructed scheme and provide modification suggestions by using written evaluation method, and the scheme is revised in the first round according to the modification suggestions; the experts are organized to carry out on-site deliberation and verification on the scheme revised in the first round by using on-site demonstration method, and the scheme is revised and perfected in the second round according to the on-site deliberation and verification, so as to form the final draft of the HIV hierarchical case management scheme; and based on the final draft, the HIV hierarchical case management implementation manual for guiding the specific implementation of case managers in the clinical context is prepared.

[0042] The constructed and perfected management scheme is embedded in the construction of an Internet platform, and the platform comprises:

[0043] A data access module is used to integrate patient questionnaires, clinical records and behavior logs.

[0044] A hierarchical evaluation engine is used to realize automatic grading by using a latent profile analysis model and an Apriori association rule model.

[0045] A natural language processing module is used to support multi-round semantic interaction with patients.

[0046] A personalized recommendation module is used to generate customized care paths according to the grading results and care needs.

[0047] A virtual image rendering module is used to present in a personified form on a mini-program or a terminal device.

[0048] The digital human platform is deployed by using a cloud-native architecture, and supports high-concurrency access and cross-regional medical collaboration.

[0049] As a preferred, the digital human platform has emotion recognition capability, can judge the psychological state of patients through text emotion analysis, and start the corresponding psychological support protocol.

[0050] The digital human platform is linked with the HIV hierarchical case management implementation manual to ensure that all recommended contents meet the expert consensus and clinical guidelines.

[0051] The specific embodiment innovates the HIV case management mode, realizes effective matching of supply and demand, and finally forms an Internet-based chronic disease management mode, widely connects and transmits high-quality medical resources and information to HIV patients. Under this background, the application of Internet medical treatment in HIV outpatient service can greatly reduce the current patients' concerns about their privacy, reduce the psychological problems caused by the patients' concerns about privacy exposure, and alleviate the pressure of the shortage of medical and nursing human resources. The advantages are:

[0052] (1) Based on the Triangle chronic disease hierarchical management model and chronic disease care mode, the HIV hierarchical case management scheme suitable for the national conditions, social culture and health service status of China is constructed to better guide clinical practice.

[0053] (2) According to the degree of disease, the needs and self-management ability of patients, the patients are stratified and managed, and the internet+ technology is used for presentation, so as to meet the nursing needs of patients, improve the quality of nursing, and save labor cost and medical resources.

[0054] (3) The construction of the digital case management system will lead the development of chronic infectious disease health management to a deeper direction, change the health management mode and concept of chronic infectious disease patients, and be a replicable application exploration for the health management of chronic diseases in China; secondly, the health management digital medical assistant will build a high-level health service on the information network, realize online sharing of medical resources and medical wisdom, and provide new health services in all-weather online mode; finally, the intelligent propaganda health management digital person is a technical means to implement the instruction of 'the best doctor is oneself', and uses intelligent propaganda means to change people's existing life and behavior habits, so as to promote the in-depth understanding of health and medical consciousness and behavior.

[0055] In summary, the present embodiment uses internet+ technology, uses the standardized AIDS hierarchical case management scheme constructed by the research methods of present situation investigation, expert consultation and literature research, and evaluates the effectiveness and suitability of the internet+ digital case management mode, greatly improves the traditional medical problems, increases the AIDS propaganda strength, improves the health outcome of AIDS patients, meets the increasing health needs of HIV patients, improves the satisfaction of AIDS patients, improves the quality of HIV nursing service, and has a broad market application prospect.

[0056] The above shows and describes the basic principles and main features of the present application and the advantages of the present application. Those skilled in the art should understand that the present application is not limited to the above examples, and the above examples and descriptions in the specification are only to illustrate the principles of the present application. Without departing from the spirit and scope of the present application, various changes and improvements can be made to the present application, and these changes and improvements all fall within the scope of the present application. The scope of protection of the present application is defined by the appended claims and their equivalents.

Claims

1. A method for constructing a digital human health management system for chronic infectious diseases, characterized in that, The steps are as follows: (1) Exploration of HIV / AIDS patient triage and care needs based on the Triangle hierarchical management model: ①Based on the Triangle hierarchical management model, a cross-sectional survey method was used to explore the current status of self-management level of HIV / AIDS patients and analyze its influencing factors. Potential profile analysis was used to determine the level of self-management level of HIV / AIDS patients, and Apriori association rule analysis was used to identify the relevant characteristics of patients at different management levels. ② An HIV / AIDS patient triage management mini-program was developed using agile and cloud development models. The results of the preliminary potential profile analysis and Apriori association rule analysis were embedded into the mini-program so that clinical staff or researchers could quickly identify patient management triage levels. ③ Guided by the basic nursing concept framework, descriptive research methods were used to explore the care needs of patients at different management levels, identify common and differential care needs, and provide clinical evidence for the construction of subsequent nursing plans; (2) Construction of a graded case management program for HIV / AIDS patients based on the Triangle hierarchical management model and basic nursing concept framework: ① Using a scope review approach and focusing group interviews conducted by the research team, a preliminary tiered case management program for HIV / AIDS was developed; ② The preliminary HIV / AIDS graded case management plan was revised and improved using written evaluation and on-site demonstration methods, and finally a final draft of the HIV / AIDS graded case management plan was formed. The researchers then developed an implementation manual for HIV / AIDS graded case management based on the plan to guide case managers in specific implementation in clinical settings. A comprehensive management solution will be embedded into the construction of an internet platform, which includes: The data access module is used to integrate patient questionnaires, clinical records, and behavioral logs; The grading evaluation engine has a built-in potential profile analysis model and Apriori association rule model to achieve automatic grading; The natural language processing module supports multi-turn semantic interaction with patients; The personalized recommendation module generates customized care pathways based on the triage results and care needs. The virtual avatar rendering module presents a human-like form on mini-programs or terminal devices.

2. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, The cross-sectional survey method in step (1) includes obtaining data on the self-management level classification through at least one of questionnaire surveys and clinical data collection; the potential profile analysis method is used to classify the self-management level of HIV / AIDS patients into multiple potential categories, which are determined based on at least one indicator among self-management behavior, psychological state, and social support factors; the Apriori association rule analysis method is used to mine at least one association rule among the demographic characteristics, clinical characteristics, and behavioral characteristics of patients at different management levels.

3. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, In step (1), the HIV / AIDS patient triage management applet adopts an agile development and cloud development model, and embeds the potential profile analysis and Apriori association rule analysis results to achieve rapid identification of patient management triage.

4. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, The HIV / AIDS patient triage management applet in step (1) includes at least one of the following functional modules: a patient data input module, a triage identification module, and a feature display module. The triage identification module automatically outputs the patient management triage based on the embedded potential profile analysis and association rule analysis results.

5. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, The qualitative research methods described in step (1) include collecting care needs data of patients at different management levels through at least one of semi-structured interviews and focus group discussions.

6. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, In step (2), a scope review method is used to systematically integrate existing evidence and initially form the core elements of a graded case management program for HIV / AIDS. The research team conducted focus group interviews, discussed and refined the core elements, and initially constructed a graded case management program for HIV / AIDS.

7. The method for constructing a digital human health management system for chronic infectious diseases according to claim 6, characterized in that, The scope review method includes systematically searching Chinese and English databases, setting clear inclusion and exclusion criteria, and having two or more researchers independently screen literature and extract data.

8. The method for constructing a digital human health management system for chronic infectious diseases according to claim 6, characterized in that, The participants in the focus group interviews included at least one of the following: clinical experts in the field of HIV / AIDS prevention and control, case managers, and nursing researchers.

9. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, In step (2), a written evaluation method is used to invite experts to review the preliminary HIV / AIDS graded case management plan and provide suggestions for revision. Based on this, the plan is revised for the first time. An on-site demonstration method is used to organize experts to conduct on-site evaluation and verification of the plan after the first round of revision. Based on this, the plan is revised and improved for the second time, forming the final draft of the HIV / AIDS graded case management plan. Based on the final draft, an HIV / AIDS graded case management implementation manual is compiled to guide case managers in specific implementation in clinical settings.

10. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, The method for constructing the digital human health management system for chronic infectious diseases is characterized in that the platform is deployed using a cloud-native architecture, supporting high-concurrency access and cross-regional medical collaboration.

11. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, The platform has emotion recognition capabilities, which can determine the patient's psychological state through text sentiment analysis and initiate corresponding psychological support protocols.

12. The method for constructing a digital human health management system for chronic infectious diseases according to claim 1, characterized in that, The platform is linked to the HIV / AIDS triage case management implementation manual to ensure that all recommendations are in line with expert consensus and clinical guidelines.