臺灣博碩士論文加值系統

隨著行動運算與網路科技的發展日新月異，藉由行動裝置來進行各類領域的應用已逐漸被大眾接受。而遠距健康照護服務的模式，更是越來越依賴輕巧簡易的裝置做為輔助工具，來協助進行資料的收集，而遠距健康照護系統再藉由這些資料的分析做為決策支援的重要依據。由於行動通訊裝置例如PDA、手機等，不受時間空間的限制，可以很方便地進行資料通訊功能，因此將行動裝置應用在健康照護服務的模式中，則延伸出所謂的行動健康照護服務。
本論文首先分析參與健康照護服務的角色，以及過去對於照護需求的定義與歸類，並應用至本論文中。其參與健康照護服務的角色主要分為被照護者與照護者，而照護需求的類型在本論文中分為六大類型。
接著分析照護者在進行健康照護活動的過程，並嘗試使用派翠網路來建立行動健康照護服務模式下的照護過程之模型。當照護需求被提出後，則由系統針對此需求與被照護者的生理狀態，來產生適當的照護建議，透過行動裝置來通知照護者，以提醒照護者進行照護工作。另外針對此派翠模型加入額外的照護監控機制，透過系統的監控來維持整個照護過程運作順利。
本論文並針對被照護者的生理資訊進行分析，來提出被照護者的四項主要的生理狀態，包括疾病、居家、身體與輔具狀態。透過這四項被照護者生理狀態，以及所提出的照護需求的類型，便可以做為本論文照護規則庫的條件輸入，來進行規則的推論動作，以產生貼切的照護建議訊息，用來通知照護者。
最後本論文與某縣的老人保護服務協會合作，將行動健康照護系統實際運作至原本的關懷照護服務當中，照護者藉由操作本系統來進行照護工作，以協助改善被照護者的身心狀況並提高照護品質與效率。

This thesis proposed a clinical alert mechanism for modeling the health care process of patients. Petri net is used for presenting care rules to apply in the Mobile Healthcare work flow, and a rule-based system creates the care alert guidelines to alert the caregivers by the state of the patient including the disease state, physical state, living state, and the assist instrument state, finally the care assistances in the Mobile Healthcare service also purposed.
In this thesis, the Mobile Healthcare System provides the real-time without the location limited and time limited care service to the caregivers. The system will automatically to alert the caregiver about the care guideline of the care assistance which patient requested, this guideline was created by the mobile healthcare system to provide an appropriate care alert to the caregiver according the states of patient and the type of the care assistance. So the caregivers will get a better considering result of the home-care work while they are using the mobile healthcare system with the handheld device in the home-care service, and the system will also improve the fault of the Tele-Homecare system.
The Mobile Healthcare System will be applied to a care family organization for elder in a certain country in Taiwan. When the mobile caregivers of the organization do the home-care service, they use this system on the handheld device in their hand and the cooperators can monitor the status of the home-care service with the Tele-health system in the real-time. There are two systems in the care family organization: one is the twenty-four/all day call center system to provide an efficient intercommunication service for patients, and the other is patient data management service to create a unify interface for caregivers to manage the information of patients. The Mobile Healthcare system will reduce the delay time of the care action and raise the care ratio and quality to improve the patient’s life.
In the future, the mobile healthcare service will combine the resources in local area including the local library, the policy station, and the household registration office to provide a complete community healthcare service. The combination with Tele-Healthcare service and Mobile Healthcare service can improve the quality and the performance of the care process for patients and caregivers in the healthcare service.

目錄
中文摘要 I
英文摘要 II
謝誌 III
目錄 IV
圖目錄 VI
表目錄 VII
第1章 緒論 1
1.1 研究動機與目的 1
1.2 論文貢獻 1
1.3 論文架構 2
第2章 遠距照護與行動照護系統 3
2.1 遠距照護系統 3
2.2 行動照護應用 4
2.2.1 行動照護之定義 4
2.2.2 行動照護與遠距照護 4
2.2.3 行動照護之應用與現況 5
2.3 派翠網路分析模型與規則庫 7
2.3.1 派翠網路理論與架構 7
2.3.2 派翠網路傳遞規則 7
2.3.3 規則庫系統 10
2.4 照護需求與角色 11
2.4.1 參與角色 12
2.4.2 照護需求之定義與分類 12
第3章 照護需求、流程與監控分析 14
3.1 照護需求與角色 14
3.1.1 角色之定義 14
3.1.2 被照護者之活動狀態 15
3.1.3 照護需求之對應 17
3.2 以派翠網路模型分析照護流程 18
3.2.1 行動健康照護流程 19
3.2.2 派翠網路元件之對應 20
3.2.3 行動照護派翠模型 21
3.3 照護監控派翠模型 22
3.3.1 照護監控之分析 23
3.3.2 照護監控模型 23
第4章 行動照護系統之規則與實例 26
4.1 照護規則設計 26
4.1.1 照護需求與事實物件之對應 26
4.1.2 照護規則 27
4.1.3 照護通知 29
4.2 照護通知訊息設計 31
4.3 行動健康照護實例 32
第5章 行動健康照護系統架構 37
5.1 行動健康照護架構 37
5.2 行動健康照護之應用場景 39
5.3 行動健康照護系統展示 40
5.4 系統實際佈署與實驗規劃 42
第6章 結論 46
6.1 總結 46
6.2 未來工作 46
參考文獻 48


圖目錄
圖 2.1派翠網路模型架構 7
圖 2.2一對ㄧ傳遞規則 8
圖 2.3一對多的平行傳遞規則 8
圖 2.4一對多的選擇傳遞規則 9
圖 2.5多對ㄧ的平行傳遞規則 9
圖 2.6多對ㄧ的選擇傳遞規則 9
圖 2.7派翠網路的範例一 9
圖 2.8派翠網路的範例二 10
圖 3.1照護活動的先後順序 19
圖 3.2照護活動先後順序的分支情形 20
圖 3.3照護活動的流程 20
圖 3.4照護期間的狀態表示 20
圖 3.5照護活動的事件表示 21
圖 3.6照護狀態的轉移方向表示 21
圖 3.7照護狀態與記號的轉移 21
圖 3.8照護活動派翠網路模型 22
圖 3.9照護需求期間的監控 24
圖 3.10照護回報期間的監控 24
圖 3.11加上監控機制的照護活動之派翠網路模型 25
圖 4.1設定需求事件 33
圖 4.2判斷照護需求的優先等級 33
圖 4.3需求通知後進行照護動作 34
圖 4.4照護需求重新通知 34
圖 4.5完成照護動作 34
圖 4.6完成照護需求的狀態 35
圖 4.7需求的優先等級判斷 36
圖 4.8高優先需求進行通知 36
圖 5.1行動健康照護服務示意圖 37
圖 5.2行動健康照護系統架構圖 38
圖 5.3照護流程範例-生理檢測 39
圖 5.4照護流程範例-照護需求 40
圖 5.5系統登入畫面 41
圖 5.6被照護者管理畫面 41
圖 5.7生理狀態資料維護畫面 41
圖 5.8照護需求檢視與新增畫面 42
圖 5.9照護通知與照護回報畫面 42

表目錄
表 2.1典型派翠網路輸出入對應表 8
表 3.1被照護者活動能力之狀態表 16
表 3.2被照護者狀態範例列表 16
表 3.3照護需求對應比較表 17
表 3.4照護需求範例表 18
表 4.1被照護者列表 27
表 4.2規則模組與需求類型之對應表 29
表 4.3照護訊息樣版替換字串表 31
表 5.1督導訪視時間表 43
表 5.2訪視資料紀錄格式 44

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