老人居家健康照護之心靈互動夥伴系統(Ⅱ)：臥床睡眠監測系統

Healing Partner System for the Elderly Healthcare at Home(Ⅱ)：Sleep Monitoring System

賴薇(Wei Lai)

指導教授 ： 郭德盛

共同指導教授 ： 賴金鑫 ； 陸哲駒(Jer-Junn Luh)

國立臺灣大學/電機資訊學院/生醫電子與資訊學研究所/碩士(2010年)

https://doi.org/10.6342/NTU.2010.10399

摘要

本研究針對高齡化社會下日漸趨多的獨居老人，提供一兼具睡眠監測、床旁陪伴、生理參數監測、基本生活照護及遠距監控功能等老人心理與生理方面之居家健康照護需求，並秉持人性化與生活化的觀點，主張建立一套功能簡便、易於操控、低成本的照護裝置，且當設置於日常生活中必注意之處並能融入使用者生活環境。而藉由此照護裝置的引入，可以提醒老人時時注意自身的健康狀況外，透過與心靈互動夥伴的互動還可排解心靈的寂寞，並建立樂觀的生活態度。系統之遠端伺服器建置網頁介面之資料庫內容管理系統做為遠距監控的平台，可將系統所建置之健康管理風險分級分類制度與通報機制，根據高齡使用者上下床和臥床情形的偵測是否正常規律、生理參數異常程度來進行健康管理風險分級分類，根據不同風險級數和不同使用者的情況，決定是否立即透過網路端的監控台通報醫護人員與老人家屬，並前往探視或進行救護行動。急救通報與遠距監控的功能為：讓其家庭醫師與忙於工作的子女能夠於任何時刻任何地方，經由進入網頁管理介面讀取使用者的睡眠起居情況、生理狀況、用藥紀錄等資訊；且能於危險狀況發生時，能判別和推測使用者目前的情況而通報家屬與醫護人員前往救護。本系統預期可早期偵測或預防獨居老人居家生活可能發生之風險，並立即採取必要之緊急處置，以確保獨居老人之健康與安全，可節省大量的醫療人力、費用與時間，提供完善的居家健康照護。

關鍵字

睡眠監測 ； 床旁陪伴 ； 心靈互動夥伴 ； 網頁內容管理介面 ； 健康管理風險分類分級制度

並列摘要

The current study focuses on the aging population with an increasing number of elderly people who live alone. It proposes the practical solution for these healthcare issues of the elderly at home, developing a user-friendly healing partner system to provide the following healthcare functions at home which includes a sleep monitoring system, a psycho-emotional partner near the bed, a detection of monitoring for vital signs and sleep disorders, a system that provides remote monitoring. This study stands for using simply, operating easily, and low-cost healthcare system, which can be easily blended with users’ living environments and be put in a well noticed place in daily life. By using this system, the elderly people could be reminded constantly to keep an eye on their own health condition. And by interacting with healing partners of the system could help the elderly reducing the risks of emotional disturbance. There is a content management system which is used for remote monitoring. The health management of risk classification and rating system as well as notification mechanism built in the content management system, which will define the classification and the level of the risk by the information of bed entry and bed exit and the bed-time, and the abnormality of physical parameters. Different levels of risk will help the system to determine whether it should be immediately connected to the content management system for informing the family or the doctor or the other medical staff, moreover, paying attention to rescue the elderly if severely abnormal vital signs or life threatening situation detected by the system. In the content management system and the function of remote monitoring allow the family doctor and busy-working children to access the recent condition and to record of elderly people at home by a form of a web page. Moreover, it could immediately inform the doctors and the families for medical aids if it is an emergency. Therefore, this system is expected to detect and prevent the potential risk for the elderly living alone of healthcare at home, and take earlier emergency treatment. It not only can ensure the safety and health of the elderly living alone from the system, but also can save a lot of human resources, cost, and time for healthcare.

並列關鍵字

sleep monitoring ； psycho-emotional partner near the bed ； healing partner ； content management system ； the health management of risk classification and rating system

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