Information processing device, information processing method, and program

Abstract

To monitor whether an exercise prescription presented from a doctor (e.g., prescription regarding exercise amount, exercise strength, and exercise frequency) are properly observed outside a hospital as well, and assist doing exercise.SOLUTION: A server 1 is designed to assist rehabilitation of patients, and comprises a patient information acquisition unit 51 and a patient information presentation unit 53. The patient information acquisition unit 51 acquires the first index (pedometer, etc.) value of an exercise amount and the second index (hear rate, etc.) value of an exercise amount regarding a prescribed exercise imposed on a patient for rehabilitation of a given disease. The patient information presentation unit 53 presents the target heart rate-pedometer achievement of the patient, including a combination of the acquired pedometer and heart rate (e.g., pedometer from walking at heart rate of 100 bpm or greater) as assistance information for assisting rehabilitation of the disease.SELECTED DRAWING: Figure 4

Description

[Technical field]

[0001] The present invention relates to an information processing device, an information processing method, and a program. [Background technology]

[0002] For example, exercise therapy is said to be effective for organ diseases such as heart failure. 2. Description of the Related Art Conventionally, there exists a technique in which a doctor performs exercise therapy on a patient with a disease (see, for example, Patent Document 1). [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Patent No. 6855561 Summary of the Invention [Problem to be solved by the invention]

[0004] However, the above-mentioned conventional technologies are merely exercise therapy techniques that are performed within a hospital under the supervision of a doctor or medical staff. Exercise therapy outside of hospitals (outside of consultation hours) is mainly based on self-management by the patient, with doctors not providing sufficient evaluation or support for the exercise prescription, and there is no way to confirm whether the patient has actually performed the exercises sufficiently.

[0005] The present invention has been made in consideration of such circumstances, and aims to make it possible to monitor whether an exercise prescription presented by a doctor is being properly complied with even outside the hospital, and to provide support for the exercise. [Means for solving the problem]

[0006] In order to achieve the above object, an information processing device according to one aspect of the present invention comprises: An information processing device for supporting rehabilitation of a disease, exercise index acquiring means for acquiring a first index value of an amount of exercise and a second index value of an intensity of exercise for a prescribed exercise imposed on a patient as rehabilitation for the disease; a patient information presenting means for presenting information about the patient, the information including a combination of the acquired first index value and the acquired second index value, as support information for supporting rehabilitation of the disease; Equipped with.

[0007] An information processing method and a program according to one aspect of the present invention are each an information processing method and a program corresponding to the information processing device according to the aspect of the present invention described above. Effect of the Invention

[0008] According to the present invention, it is possible to monitor whether a patient is properly adhering to an exercise prescription provided by a doctor even outside the hospital, and to provide support for the patient's exercise. [Brief description of the drawings]

[0009] [Figure 1] FIG. 1 is a conceptual diagram showing an overview of a service to which an embodiment of an information processing device of the present invention is applied. [Diagram 2] FIG. 2 is a diagram showing an example of a system configuration of an information processing system applied to the present service of FIG. 1, that is, an information processing system including a server of an embodiment of an information processing device according to the present invention. [Diagram 3] 3 is a diagram illustrating an example of a hardware configuration of a server in the information processing system of FIG. 2. [Figure 4] 4 is a functional block diagram showing an example of a functional configuration of a server having the hardware configuration shown in FIG. 3. [Diagram 5] FIG. 3 is a diagram showing a screen of a patient application displayed on the patient terminal of FIG. 2. [Figure 6] FIG. 3 is a diagram showing a doctor confirmation screen of a doctor application displayed on the doctor terminal of FIG. 2. [Figure 7] FIG. 3 is a diagram showing the flow of a present service to which the information processing system of FIG. 2 is applied. [Figure 8]FIG. 13 is a diagram showing an example of visualization of the number of steps required to achieve a target heart rate, which is a combination of the heart rate and the number of steps. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0010] First, before describing an embodiment of an information processing device of the present invention, an overview of a service to which the embodiment of the information processing device is applied (hereinafter, referred to as "this service") will be described with reference to FIG.

[0011] In this service, the service provider registers patients with diseases such as heart failure and doctors as users, and provides a service that supports the patients in exercising outside the hospital according to the exercise prescription prescribed by their doctor.

[0012] Specifically, as shown in Figure 1, a patient undergoes an examination (such as an exercise stress test) at a hospital, and the doctor then prescribes an exercise program including steps, heart rate, resistance exercise, etc., and the patient performs the exercise for one month. During this one month period, the service provider will monitor the patient's condition (e.g. vital signs such as number of steps and heart rate) while outside the hospital (at home, etc.) using a wearable device (patient device) worn by the patient, and will make suggestions for exercise (amount of exercise, intensity, etc.) based on the monitored situation.

[0013] The wearable device is composed of, for example, a wristwatch-type activity measuring device and a smartphone equipped with a function for communicating with the device. A patient app provided by the service provider is installed on the smartphone. The patient's vital data is measured by the wearable device and provided to the service provider via the smartphone's patient app for monitoring. In addition, patients report their daily weight and symptoms of the disease over a one-month period to the service provider using the KCCQ or a diary, etc. KCCQ is an abbreviation for The Kansas City Cardiomyopathy Questionnaire, and is a questionnaire used to evaluate the QOL of heart failure patients.

[0014] Once the patient has completed the one-month exercise regimen, they return to the hospital, where the doctor examines them and makes a final decision based on the monitoring results provided to the doctor by the service provider and the patient's reports (KCCQ, diary, weight, etc.) before prescribing the next month's exercise. This process is then repeated.

[0015] In this way, by monitoring whether the patient is properly adhering to the exercise prescription given to them by the doctor even outside the hospital, and by supporting the patient's exercise and suggesting the next amount of exercise based on the exercise they have done over the past month, it is possible to improve the symptoms of the patient's illness.

[0016] Next, the configuration of an information processing system applied to the present service of FIG. 1 will be described with reference to FIG. FIG. 2 is a diagram showing an example of the system configuration of an information processing system applied to the present service of FIG. 1, that is, an information processing system including a server of an embodiment of an information processing device according to the present invention.

[0017] The information processing system of FIG. 2 is configured to include a server 1, a patient device 2, and a doctor terminal 3. The server 1, the patient device 2, and the doctor terminal 3 are connected to each other so as to be able to communicate with each other via a predetermined network N such as the Internet. The form of the network N is not particularly limited, and for example, Bluetooth (registered trademark), Wi-Fi (registered trademark), a LAN (Local Area Network), the Internet, etc. may be adopted.

[0018] The server 1 is an information processing device managed by a service provider, and provides information to each of users such as patients and doctors. The server 1 executes various control processes for supporting rehabilitation of a disease while appropriately communicating with the patient device 2 and the doctor terminal 3.

[0019] The patient device 2 is a terminal that accepts operations by users of this service, such as patients, and is, for example, an information processing device that combines a smartphone and a sensor device, such as a smart watch that is a wristwatch-type activity measuring device. The patient device 2 measures vital data of the patient wearing it, and transmits the data to the server 1 at a predetermined timing. The patient device 2 transmits to the server 1 text data of the patient's diary entries and answers to the KCCQ, describing the state of the disease that the patient felt after carrying out the exercise prescription prescribed by the doctor. In addition, the patient device 2 receives exercise prescription data from the server 1, as well as suggestions regarding the exercise prescription and support information to assist in rehabilitation of a disease, and presents this to the patient by displaying it on the screen of the patient app. In the following description, when there is no need to distinguish between the individual patient devices 2, they will be collectively referred to as the "patient device 2."

[0020] The doctor terminal 3 is a terminal that accepts operations by doctors who are users of this service, and is, for example, an information processing device such as a personal computer, tablet, smartphone, etc. The doctor terminal 3 receives the patient's out-of-office hours data transmitted (output) from the server 1 via the network N and displays it on the screen of the doctor app.

[0021] In the present embodiment, for example, a first method is adopted in which the patient device 2 accesses the website of the server 1 and displays the website as an example of cooperation between the patient device 2 and the server 1. According to the first method, the patient device 2 appropriately communicates with the server 1 and has the server 1 execute main processes. However, the method by which the patient device 2 and the server 1 cooperate to realize this service is not particularly limited to the first method. For example, the patient device 2 can adopt a second method of downloading and installing a dedicated application software program (hereinafter abbreviated as "app") in advance from the server 1 or a device (not shown) under its management, and executing the program using the app, as the "collaboration" method. Also, a method that appropriately combines the first and second methods can be adopted as the "collaboration" method. However, in the following example, for the sake of convenience, the first method will be described as the "collaboration" method. That is, in the following example, the server 1 is merely an example, and it goes without saying that the patient device 2 or doctor terminal 3 may be used as appropriate in implementation.

[0022] In this example, the server 1 executes the main processes, so the following will focus on the server 1 in the information processing system of FIG. 2 and describe the hardware configuration and functional configuration of the server 1.

[0023] First, an example of a hardware configuration of a server constituting the above-mentioned information processing system will be described with reference to FIG. FIG. 3 is a block diagram showing a hardware configuration of a server according to an embodiment of the information processing device of the present invention.

[0024] The server 1 includes a CPU (Central Processing Unit) 11, a ROM (Read Only Memory) 12, a RAM (Random Access Memory) 13, a bus 14, an input / output interface 15, an output unit 16, an input unit 17, a memory unit 18, a communication unit 19, and a drive 20.

[0025] The CPU 11 executes various processes according to a program recorded in the ROM 12 or a program loaded from the storage unit 18 into the RAM 13 . The RAM 13 also stores data and the like necessary for the CPU 11 to execute various processes.

[0026] The CPU 11, ROM 12, and RAM 13 are connected to one another via a bus 14. An input / output interface 15 is also connected to this bus 14. An output unit 16, an input unit 17, a storage unit 18, a communication unit 19, and a drive 20 are connected to the input / output interface 15.

[0027] The output unit 16 is composed of a display such as a liquid crystal display device, a printer, a speaker, etc., and outputs various information. The input unit 17 is configured with input devices such as a keyboard and a mouse, and various information is inputted. The storage unit 18 is configured with a dynamic random access memory (DRAM) or the like, and stores various data. The communication unit 19 communicates with other devices (eg, the patient device 2 and the doctor terminal 3 in FIG. 2) via a network N including the Internet.

[0028] Removable media 30, such as a magnetic disk, an optical disk, a magneto-optical disk, or a semiconductor memory, is appropriately loaded into the drive 20. A program read from the removable media 30 by the drive 20 is installed in the storage unit 18 as necessary. Furthermore, the removable medium 30 can also store various data stored in the storage unit 18 in the same manner as the storage unit 18 .

[0029] Next, the functional configuration of the server having the hardware configuration of FIG. 3 will be described with reference to FIG. FIG. 4 is a functional block diagram showing an example of a functional configuration of a server having the hardware configuration of FIG.

[0030] As shown in FIG. 4, in the CPU 11 of the server 1, a patient information acquisition unit 51, a new index generation unit 52, a patient information presentation unit 53, and a proposal creation unit 54 function. In one area of ​​the storage unit 18 of the server 1, a DB 61 is provided.

[0031] The patient information acquisition unit 51 acquires the number of steps (first index of exercise amount) and the heart rate (second index of exercise intensity) values ​​for an exercise prescription (prescribed exercise) imposed on a patient as rehabilitation for a disease such as heart failure, and stores the number of steps and the heart rate values ​​in DB61 in correspondence with their respective measurement times. Specifically, the patient information acquisition unit 51 acquires vital data including the number of steps and the heart rate value for an exercise prescription (for example, walking exercise such as strolling for at least two hours a day) imposed on the patient as rehabilitation for a disease such as heart failure, and stores the data in DB 61 in correspondence with the time of measurement. The patient information acquiring section 51 also acquires a fourth index (number of times) of the frequency at which the exercise intensity of the predetermined exercise exceeded a preset heart rate threshold (100 bpm). Furthermore, the patient information acquisition unit 51 acquires reports from the patient (for example, KCCQ, diary, weight, etc.) and stores them in the DB 61.

[0032] The new indicator generating unit 52 generates the number of steps to achieve the target heart rate (actual exercise information) as a new third indicator that combines the number of steps and the heart rate, based on the acquired value of the number of steps and the value of the heart rate. Specifically, the new indicator generation unit 52 generates the number of steps taken when the heart rate stored in DB61 is equal to or greater than, for example, 100 bpm (a heart rate threshold value previously set in DB61) as the number of steps required to achieve the patient's target heart rate, and stores this in DB61 in association with the measurement time of the vital data. In this embodiment, the heart rate threshold is set to 100 bpm, but this is merely an example and may be any value prescribed according to the patient's condition.

[0033] The patient information presentation unit 53 presents the number of steps to achieve the target heart rate (a third index value that serves as a new indicator), which is information on the patient's actual exercise implementation, including a combination of the acquired number of steps and heart rate values, as support information to support disease rehabilitation. Furthermore, when the patient information acquisition unit 51 acquires the value (number of times) of the frequency (fourth indicator) at which the exercise intensity for an exercise prescription exceeded a heart rate threshold (e.g., 100 bpm, etc.), the patient information presentation unit 53 presents patient information including the value and number of steps taken to achieve the target heart rate in addition to the combination of the acquired step count and heart rate values ​​as support information, as a bar graph (see Figures 5, 6, etc.) on the patient app screen, doctor confirmation screen, etc.

[0034] The proposal creation unit 54 creates a proposal regarding an exercise prescription to be imposed on the patient from the next time onward based on machine learning or a judgment rule (predetermined algorithm) using a combination of the acquired step count value and heart rate value, and stores the proposal in the DB 61. The proposal regarding the exercise prescription is, for example, a target number of steps per day, a target heart rate per day, a target number of exercises per day, etc. The proposal creation unit 54 creates a proposal based on a predetermined algorithm that uses the contents of the KCCQ from the patient in addition to the combination of the acquired step count value and heart rate value. The KCCQ is used by reading out the one acquired from the patient and stored in the DB 61.

[0035] Here, the patient application screen and the doctor confirmation screen will be described with reference to FIGS. FIG. 5 is a diagram showing a screen of a patient application displayed on the patient terminal of FIG. FIG. 6 is a diagram showing a doctor confirmation screen of the doctor application displayed on the doctor terminal of FIG.

[0036] As shown in Figure 5(A), the screen of the patient app has a section for sending messages from doctors, a section for entering personal goals, a section for displaying today's condition, a section for displaying weight and the difference from the previous time, and a section for writing a diary. There are also buttons for links to today's record and weekly record. The today's status display section includes multiple resistance exercise symbols and a bar graph of the number of steps taken. Among the marks of multiple resistance movements, the marks of the resistance movements that have been carried out are colored. The bar graph of the number of steps is color-coded. In particular, the parts colored yellow (shaded parts in Figure 5) are the number of steps required to achieve the target heart rate. If a patient walks, for example, 4,800 steps in a day, and 3,100 steps are colored yellow, these 3,100 steps are the number of steps the patient walked at or above the target heart rate in the exercise prescription prescribed by the doctor, and are considered to be the amount of exercise that is substantially effective against the disease.

[0037] If you click the link button for the weekly record, a link page titled Exercise Record will be displayed, as shown in Figure 5(B). This link page displays a calendar, a column for the number of steps, this week's resistance exercise, weight changes, etc. On the calendar, messages are displayed as icons in the column for the day they were sent. In the step count field, a bar graph showing the number of steps to be taken for the day, such as 4500 steps, and the number of steps taken each day is displayed. Each bar graph in this field also shows the number of steps required to achieve the target heart rate, which is colored yellow (hatched in Fig. 6), and this number of steps is considered to be the amount of exercise that is substantially effective against the disease.

[0038] Next, the doctor confirmation screen of the doctor app will be described. As shown in Figure 6, the doctor confirmation screen of the doctor app is a large screen for PCs, and displays the activity data performed by the patient at home over a one-month period in the form of a bar graph. At the top of the doctor confirmation screen of the doctor app, the patient's daily step target: 4,500 steps, and daily heart rate target: 100 bpm are displayed. The bar graphs on the doctor confirmation screen are arranged in the order of days at a fixed interval. Each bar graph shows the number of steps measured in a day and the number of steps walked at 100 bpm or more (the number of steps to achieve the target heart rate) in different colors. The two bar graphs on the left side of the screen show the amount of exercise for the previous week and this week, and are shown as compressed values ​​for each week, allowing you to compare the amount of exercise for the previous week and this week. Weight is displayed as a line graph overlaid on a daily bar graph, making it possible to see weight trends at a glance. In addition, the doctor confirmation screen of the doctor app clearly shows with color-coded icons whether or not the patient has engaged in resistance exercise each day and whether or not they have written in their diary.

[0039] According to the doctor confirmation screen of the doctor app, by displaying the number of steps to achieve the target heart rate (the yellow part of the bar graph (the shaded part in Figure 6)), which is a new parameter that combines heart rate and number of steps, the doctor can see at a glance how much walking exercise is actually effective against the disease. In addition, by displaying the number of steps taken to achieve the target heart rate (by dividing the bar graph area) along with the total number of steps taken for the day, it is possible to visualize the extent to which the patient exercised at a certain intensity or above.

[0040] As described above, according to the information processing system of this embodiment, the server 1 acquires vital data of the patient from the patient device 2 worn by the patient, and presents the number of steps required to achieve the patient's target heart rate (e.g., the number of steps walked at a heart rate of 100 bpm or more) as support information for the prescribed exercise imposed on the patient, which includes a combination of the number of steps and the heart rate value contained in the vital data. This makes it possible to monitor whether the exercise prescription presented by the doctor (e.g., the target number of steps and target heart rate per day, the target number of exercises per day, etc.) is being properly complied with even outside the hospital, and to support rehabilitation of the disease (effective exercise).

[0041] The flow of this service to which the information processing system of FIG. 2 is applied will be described with reference to FIG. FIG. 7 is a diagram showing the flow of the present service to which the information processing system of FIG. 2 is applied. In the case of this information processing system, in step S1, a patient visits a doctor for outpatient treatment, for example, once a month (once / month).

[0042] During an outpatient visit, in step S2, a doctor examines the patient and performs an exercise stress test such as a cardiopulmonary exercise stress test to determine a heart rate threshold suitable for the patient. In the exercise stress test, it is preferable to measure the anaerobic metabolic threshold and the lactate threshold, and it is preferable to carry out incremental exercise as the exercise stress. In addition, the doctor provides feedback on exercise therapy based on data entered by the patient outside of consultation hours.

[0043] Then, in step S3, when the doctor inputs the patient's exercise prescription data (e.g., daily target number of steps, daily target heart rate, daily target number of exercises, etc.) into the exercise prescription input field on the screen of the doctor's app on the doctor's terminal 3, the data is transmitted to the patient's device 2 via the server 1 and stored therein.

[0044] When the patient returns home from their outpatient visit and opens the patient app screen, the exercise prescription data will be set in the patient app, and the patient can then practice their exercise therapy at home in accordance with that prescription.

[0045] In step S4, when the patient is undergoing exercise therapy and vital data (number of steps, heart rate, etc.) measured by the smart watch or the patient opens the patient app screen on their smartphone to enter KCCQ, diary, weight data, etc., the patient device 2 transmits this to the server 1 as outside consultation hours data. In addition, app usage data such as vital signs will be automatically sent at specified times (when the smartphone and smartwatch are wirelessly connected, or at a pre-set time each day, etc.).

[0046] In step S5, the server 1 sends an exercise support push notification to the patient device 2 three times a day. The exercise support push notification notifies the current number of steps, the frequency with which the target heart rate was achieved, etc. at times such as 12:00, 15:00, and 6:00, etc. The exercise support push notification also includes messages such as resetting the amount of exercise per week and guidance for improving heart failure.

[0047] Next, in step S6, the server 1 provides the doctor terminal 3 of the doctor who is the patient's doctor with the out-of-office hours data. The out-of-office hours data is used in examining the patient the next time the patient visits the doctor for an outpatient consultation in step S1.

[0048] In this way, with this service, exercise support push notifications are sent to patients at home on a regular basis after they have seen a doctor, so that the patient becomes constantly conscious of the need to exercise and begins to exercise every day without fail. In addition, data on the patient's activities at home outside of consultation hours is provided to the doctor via server 1, allowing the doctor to know the patient's activity status outside of consultation hours, and the doctor can provide the patient with appropriate feedback on exercise therapy based on the data outside of consultation hours.

[0049] Next, with reference to FIG. 8, the effect of visualizing the number of steps for achieving the target heart rate, which is a combination of the heart rate and the number of steps, will be described. FIG. 8 is a diagram showing an example of visualizing the number of steps required to achieve a target heart rate, which is a combination of the heart rate and the number of steps.

[0050] Table 81 shown in FIG. 8 shows time on the horizontal axis and heart rate and number of steps on the vertical axis, with the data for heart rate and number of steps overlapping. Looking at Table 81, we can see that the patient walked between about 7:30 and just after 10:00 and the number of steps was measured, but the heart rate during that time only rose to a maximum of 90 bpm, which is below the target heart rate of 100 bpm, and therefore the exercise intensity required for rehabilitation of the disease is insufficient. In addition, the patient's walking time is measured between 7:00 and 8:30 p.m., and the patient's heart rate during that time rises to the 110 bpm range, indicating that the patient is exercising at a level of intensity necessary for rehabilitation, i.e., that the exercise intensity is sufficient. The server 1 records the number of steps taken during this time as the number of steps required to achieve the target heart rate.

[0051] Although one embodiment of the present invention has been described above, the present invention is not limited to the above-described embodiment, and modifications, improvements, etc. within the scope that can achieve the object of the present invention are included in the present invention.

[0052] For example, the functional block diagram shown in Fig. 4 is merely an example and is not particularly limited. In other words, it is sufficient that the information processing system in Fig. 2 is provided with a function capable of executing the above-mentioned series of processes as a whole, and the functional blocks and databases used to realize this function are not particularly limited to the example in Fig. 4.

[0053] Furthermore, the locations of the functional blocks and databases are not limited to those shown in the example of FIG. 4 and may be arbitrary. Furthermore, one functional block and database may be configured as a single piece of hardware, a single piece of software, or a combination thereof.

[0054] For example, in the above embodiment, the patient information acquisition unit 51 to the proposal creation unit 54 shown in Fig. 4 are provided in a so-called cloud server 1. Specifically, for example, although only one server 1 is illustrated in Fig. 2 and Fig. 4, any of the patient information acquisition unit 51 to the proposal creation unit 54 may be arranged in a plurality of servers 1, and the servers may be communicatively connected to each other via a network N to realize the present service.

[0055] In the above embodiment, a vascular disease such as heart failure was given as an example of a disease, but the disease is not limited to this and may be any disease that can be expected to improve through appropriate exercise.

[0056] In addition, in the above-described embodiment, examples of information presented on the doctor terminal 3 and the patient device 2 include the number of steps, heart rate, number of steps required to achieve the target heart rate, number of times, etc., but it is not necessary to display all of these at once; it is sufficient to display the necessary information according to the user's operation or as needed.

[0057] In the above embodiment, the heart rate is exemplified as the second index of exercise intensity, but this is merely an example, and since it is known that there is a certain relationship between walking speed and heart rate, the walking speed or the heart rate estimated from the walking speed may be acquired as the value of the second index. Also, the pulse rate may be used as the second index of exercise intensity other than the heart rate. Alternatively, the patient may use a rehabilitation device simulating a bicycle at home, and the number of revolutions per minute when pedaling to turn the rotating shaft and the force with which the pedal is applied may be used as a first index of exercise volume and a second index of exercise intensity, respectively.

[0058] In the above embodiment, a wristwatch type device is exemplified as an example of the patient device 2, but the patient device 2 is not limited to the wristwatch type. In addition, the patient device 2 may be, for example, an electrocardiograph or a ring type device.

[0059] In the above embodiment, the number of steps is used as an example of the first indicator of the amount of exercise, but the exercise using the feet when measuring the amount of exercise can be, for example, walking, jogging, etc., or exercise such as pedaling with the feet, or a combination of these, as long as it is exercise using the feet.

[0060] When the processing of each functional block and database is executed by software, the program constituting the software is installed into a computer or the like from a network or a recording medium. The computer may be a computer built into dedicated hardware, or may be a computer capable of executing various functions by installing various programs, such as a server, a general-purpose smartphone, or a personal computer.

[0061] A recording medium containing such a program is not only composed of removable media that is distributed separately from the device body in order to provide each user with the program, but also composed of a recording medium that is provided to each user in a state in which it is pre-installed in the device body.

[0062] In other words, it is sufficient for an information processing device to which the present invention is applied to have the following configuration, and various embodiments can be adopted. That is, an information processing device according to an embodiment of the present invention (for example, the server 1 in FIG. 4) In an information processing device (such as the server 1 in FIG. 4) that supports rehabilitation for a disease (such as heart failure), Exercise index acquisition means (e.g., the patient information acquisition unit 51 in FIG. 4 ) for acquiring a first index of exercise amount (e.g., the number of steps, etc.) and a second index of exercise intensity (e.g., the heart rate or pulse rate, etc.) for a predetermined exercise imposed on a patient as rehabilitation for the disease; a patient information presenting means (e.g., the patient information presenting unit 53 in FIG. 4) for presenting exercise implementation information of the patient (e.g., the number of steps to achieve a target heart rate, etc.) including a combination of the acquired value of the first index (e.g., the number of steps, etc.) and the value of the second index (e.g., the heart rate or pulse rate, etc.) as support information for supporting rehabilitation of the disease; Equipped with. In this way, by obtaining the value of a first indicator of the amount of exercise (e.g., the number of steps) and the value of a second indicator of the intensity of exercise (e.g., heart rate or pulse rate) for the specified exercise imposed on the patient, and presenting the patient's exercise implementation information (e.g., the number of steps required to achieve a target heart rate) including a combination of the value of the first indicator (e.g., the number of steps) and the value of the second indicator (e.g., heart rate or pulse rate) as support information to support disease rehabilitation, it is possible to monitor whether the exercise prescription presented by the doctor (e.g., daily target number of steps and daily target heart rate, target number of exercises per day, etc.) is being properly complied with even outside the hospital, and to support disease rehabilitation (effective exercise).

[0063] The predetermined exercise is an exercise using feet (walking, jogging, etc.), The exercise index acquisition means (e.g., the patient information acquisition unit 51 in FIG. 4) acquires the amount of exercise related to the patient's leg and vital signs of the circulatory system detected by one or more predetermined devices as the value of the first index and the value of the second index, respectively. It is possible to do so. The amount of exercise related to the legs includes, for example, the number of steps, the distance traveled, etc. Furthermore, the vital signs of the circulatory system include the heart rate, the pulse rate, etc.

[0064] The information processing device (for example, the server 1 in FIG. 4) a new index generating means (e.g., new index generating unit 52 in FIG. 4 ) for generating a value of a new third index (diagonally shaded portion of the bar graphs in FIG. 5 and FIG. 6 : for example, the number of steps walked with a heart rate of 100 bpm or more) (the number of steps to achieve a target heart rate) by combining the first index (e.g., the number of steps) and the second index (e.g., the heart rate or pulse rate) based on the acquired values ​​of the first index and the second index; Further equipped with The patient information presentation means (e.g., the patient information presentation unit 53 in FIG. 4) presents the value of the third index (the shaded portion of the bar graphs in FIG. 5 and FIG. 6) (the number of steps the patient actually took while exercising with a load on the body (heart), etc.) as the support information. It is possible.

[0065] a proposal creation means (e.g., the proposal creation unit 54 in FIG. 4 ) for creating a proposal (e.g., a target number of steps per day, a target heart rate per day, etc.) regarding the predetermined exercise to be imposed on the patient from the next time onward, based on a predetermined algorithm using a combination of the acquired value of the first index (e.g., the number of steps, etc.) and the value of the second index (e.g., the heart rate or the pulse rate, etc.); Further comprising: It is possible.

[0066] The proposal creation means (e.g., the proposal creation unit 54 in FIG. 4) creates the proposal based on the predetermined algorithm (e.g., AI, proposal generation rules, etc.) using the contents of the report (e.g., KCCQ, etc.) from the patient in addition to the combination of the acquired first index value and the acquired second index value. It is possible.

[0067] The exercise index acquisition means (e.g., the patient information acquisition unit 51 in FIG. 4) further acquires a value of a fourth index (e.g., the number of times) of the frequency at which the exercise intensity for the predetermined exercise is equal to or higher than a predetermined value (e.g., a heart rate of 100 bpm or higher), The patient information presentation means (e.g., the patient information presentation unit 53 in FIG. 4) presents the patient information (heart rate, number of steps, number of steps to achieve target heart rate, number of times) including the value of the third index (yellow new parameter: number of steps to achieve target heart rate) in addition to the combination of the acquired value of the first index (e.g., number of steps, etc.) and the value of the second index (e.g., heart rate or pulse rate, etc.) as the support information (e.g., a bar graph on the patient app screen and the doctor confirmation screen, etc.). It is possible.

[0068] An information processing method executed by an information processing device according to one aspect of the present invention includes: In an information processing method executed by an information processing device (e.g., a server 1) for supporting rehabilitation of a disease, an exercise index acquisition step of acquiring a first index of exercise amount (e.g., number of steps, etc.) and a second index of exercise intensity (e.g., heart rate or pulse rate, etc.) for a prescribed exercise (e.g., exercise prescription, etc.) imposed on a patient as rehabilitation for the disease (e.g., heart failure, etc.); a patient information presenting step of presenting exercise implementation information of the patient (e.g., the number of steps to achieve a target heart rate, etc.) including a combination of the acquired value of the first index (e.g., the number of steps, etc.) and the value of the second index (e.g., the heart rate or pulse rate, etc.) as support information for supporting rehabilitation of the disease; Including, It is possible.

[0069] A program according to one aspect of the present invention comprises: Computers to support rehabilitation of illnesses an exercise index acquisition step of acquiring a first index of exercise amount (e.g., number of steps, etc.) and a second index of exercise intensity (e.g., heart rate or pulse rate, etc.) for a prescribed exercise (e.g., exercise prescription, etc.) imposed on a patient as rehabilitation for the disease (e.g., heart failure, etc.); a patient information presenting step of presenting exercise implementation information of the patient (e.g., the number of steps to achieve a target heart rate, etc.) including a combination of the acquired value of the first index (e.g., the number of steps, etc.) and the value of the second index (e.g., the heart rate or pulse rate, etc.) as support information for supporting rehabilitation of the disease; A control process including the steps of: It is possible. [Explanation of symbols]

[0070] 1...server, 2, 2-1 to 2-n...patient device, 3...doctor terminal, 11...CPU, 12...ROM, 13...RAM, 14...bus, 15...input / output interface, 16...output section, 17...input section, 18...storage section, 19...communication section, 20...drive, 51...patient information acquisition section, 52...new index generation section, 53...patient information presentation section, 54...proposal creation section, 61...DB, N...network

Claims

1. In an information processing device that supports disease rehabilitation, An exercise index acquisition means for acquiring the value of a first index of exercise volume and the value of a second index of exercise intensity for prescribed exercises that are prescribed by a physician and performed by the patient outside the hospital as part of rehabilitation for the disease in question, A patient information presentation means that presents the patient's exercise performance information, including the combination of the acquired values ​​of the first indicator and the second indicator, as support information for supporting the rehabilitation of the disease, An information processing device equipped with the following features.

2. The aforementioned prescribed exercise is an exercise using the feet. The aforementioned movement indicator acquisition means acquires the amount of movement of the patient's feet and the vital signs of the circulatory system, respectively, as the values ​​of the first indicator and the second indicator, respectively, as detected by one or more predetermined devices. The information processing apparatus according to claim 1.

3. A new index generation means that generates a new third index value by combining the first index and the second index based on the acquired first index value and second index value, Furthermore, The patient information presentation means presents the value of the third indicator as the support information. The information processing apparatus according to claim 1.

4. A proposal generation means that generates a proposal for a predetermined exercise to be assigned to the patient on subsequent visits, based on a predetermined algorithm using a combination of the acquired values ​​of the first indicator and the second indicator. The information processing apparatus according to claim 1, further comprising:

5. The proposal generation means generates the proposal based on a predetermined algorithm that uses the combination of the acquired values ​​of the first indicator and the second indicator, as well as the patient's report content. The information processing apparatus according to claim 4.

6. The aforementioned exercise index acquisition means further acquires a value for a fourth index, which is the frequency at which the exercise intensity for the predetermined exercise exceeds a predetermined level. The patient information presentation means presents patient information, including the value of the fourth indicator in addition to the combination of the acquired values ​​of the first indicator and the second indicator, as the support information. The information processing apparatus according to claim 1.

7. In an information processing method performed by an information processing device that supports the rehabilitation of diseases, As part of rehabilitation for the disease in question, the exercise index acquisition step involves obtaining the value of the first index of exercise volume and the value of the second index of exercise intensity for the prescribed exercises that are prescribed by a physician and performed by the patient outside the hospital. A patient information presentation step includes presenting the patient's exercise performance information, including the combination of the acquired values ​​of the first indicator and the second indicator, as support information for supporting the rehabilitation of the disease. Information processing methods including

8. A computer to support rehabilitation for diseases, As part of rehabilitation for the disease in question, the exercise index acquisition step involves obtaining the value of the first index of exercise volume and the value of the second index of exercise intensity for the prescribed exercises that are prescribed by a physician and performed by the patient outside the hospital. A patient information presentation step includes presenting the patient's exercise performance information, including the combination of the acquired values ​​of the first indicator and the second indicator, as support information for supporting the rehabilitation of the disease. A program that executes control processes, including those mentioned above.

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