行動遠距醫療-以路易斯湖高山症評估量表為例

Abstract

遠距醫療(Telemedicine)並不是一個新的概念，但傳統遠距醫療在機動性上有很大的缺點。近年來智慧型手機的發展蓬勃，在軟硬體上規格也不斷的進步，所以帶來另一種以行動裝置為平台，行動通訊為媒介的服務模式，稱為行動醫療(Mobile Health, mhealth);而這樣的模式能與多種技術和電子儀器做結合應用，其背後帶來的市場效應和學術貢獻不可小覷。 本論文以遠距醫療系統的架構，運用在高山症。藉由手機的軟硬體資源開發出一套行動專家系統，提供急性高山症(Acute Mountain Sickness，AMS)、高海拔腦水腫(High Altitude Cerebral Edema，HACE)和高海拔肺水腫(High Altitude Pulmonary Edema)的自我評估量表。 在系統的病態評估上，除了考慮到高山環境可能沒有網路通訊，加入了支援向量機(Support Vector Machine , SVM)，即使在離線模式下，還是能預測結果，同時也考量到使用者對於高山症的基本用藥常識不足，利用了近場通訊技術(Near Filed Communication，NFC)來幫助使用者辨識藥物和得知藥物資訊，進而達到行動式的隨身看護。Telemedicine is not a new concept and traditional telemedicine in a great drawback on the mobility. In recent years, due to the popularization of smart phones, another form of telemedicine arises, which is called “Mobile Health, mHealth”. This paper developed a set of application by the phone’s resources, used in mountain sickness under the system architecture of mHealth; and provided a self-assessment scale of Acute Mountain Sickness, High Altitude Cerebral Edema, and High Altitude Pulmonary Edema, which is based on the Lake Louise Consensus. In the consideration of the alpine environment, network communication, a Support Vector Machine to predict user’s status in offline mode was supported and so was Near Field Communication to check the drug information to achieve the purpose of ubiquitous care.