具警報機制之智慧型行動照護系統

An Intelligent Mobile Care System with Alert Mechanism

劉名修(Ming-Hsiu Liu)

指導教授 ： 李仁貴

國立臺北科技大學/機電學院/電腦與通訊研究所/碩士(2005年)

https://doi.org/10.6841/NTUT.2005.00074

摘要

心臟病、高血壓和糖尿病這幾種慢性病，需要長時間持續的監測、衛生教育支援、完整的專業醫療照護，才能有效的預防及控制。本文在各種慢性病完整的照護環境下，包含各種角色，例如：醫生、病患、護士和家庭看護等成員，以角色的觀點為基礎，來分析與設計一個具有警報機制之智慧型行動照護系統。在各種不同的照護情境，各角色端使用行動裝置，讓醫療資源的提供與使用者可以不用固定在一定的時間和地點。
前端的個人行動裝置，使用程式設計多功能的軟體，以藍芽手機整合多種生理參數擷取裝置，對慢性病病患可以監控血糖、血壓、脈搏、心電圖等多種生理資訊，及時將生理資訊上傳到照護中心或照護者與醫生的手機。在照護中心端運用警報的機制與管理，利用自動化警報緊急性對策的方式，可以在正確的時間內依序自動通知到正確的人，以確定資訊的準確性與通知的完成性，提升照護的品質，建立一個完整的智慧型照護鏈。

關鍵字

角色基礎 ； 行動照護 ； 行動通訊裝置 ； 藍芽 ； 警報 ； 緊急性

並列摘要

The cardiac disease, hypertension and diabetes are chronic diseases which can be effectively prevented and controlled only if the physiological parameters of the patient are constantly monitored, and the health education and professional medicine care is fully supported. In this paper a role-based intelligent mobile care system with alert mechanism in full chronic care environment is proposed and implemented. The roles in our system include patients, physicians, nurses, and home care assistants. Each of the roles uses a mobile device such as a mobile phone to communicate with the server so that he or she can go around without restrictions.
The front end personal mobile devices which are designed via multi-function software programming are integrated with Bluetooth mobile phone to get the physiological parameters of patients such as glucose, blood pressure, pulse, and ECG. Then, those parameters are uploaded in real-time to Care Center server or care provider’s and physician’s mobile phones. Our system provides alert management by using an automatic urgency strategy to assure the information correctness and notification completeness so as to improve the quality of chronic care. With the help of our system, it is possible to set up a whole intelligent chronic care chain in the care center.

並列關鍵字

Role-based ； Mobile Care ； Mobile Communication Devices ； Bluetooth ； Alert ； Urgency

參考文獻

[1] R. G. Lee, H. S. Chen, et al., “Home telecare system using cable television plants - an experimental field trial,” IEEE Trans. on Information Technology in Biomedicine, Vol. 4, pp. 37-44, Mar 2000.

[2] S. Guillen, M. T. Arredondo, et al., “Multimedia telehomecare system using standard TV set,” IEEE Trans. on Biomedical Engineering, Vol. 49, pp. 1431-1437, Dec. 2002.

[3] J. Bai, Y. Zhang, et al., “A portable ECG and blood pressure telemonitoring system,” IEEE Engineering in Medicine and Biology Magazine, Vol. 18, pp. 63-70, July 1999.

[4] A. Thanos, G. Economakos, et al., “An open system for ECG telemedicine and telecare,” Computers in Cardiology 1998, pp. 209-212, Sept. 1998.

[5] D. Franchi, A. Belardinelli, et al., “New telemedicine approach to the dynamic ECG and other biological signals ambulatory monitoring,” Computers in Cardiology 1998, pp. 213-216, Sept. 1998.