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系統識別號 U0026-0112201416242000
論文名稱(中文) 雲端醫療資訊系統中個人化用藥排程演算法設計與實作
論文名稱(英文) Design and Implementation of Personalized Medication Scheduling Algorithm for iMUS
校院名稱 成功大學
系所名稱(中) 製造資訊與系統研究所
系所名稱(英) Institue of Manufacturing Information and Systems
學年度 103
學期 1
出版年 103
研究生(中文) 林軒至
研究生(英文) Hsuan-Chih Lin
學號 P96014090
學位類別 碩士
語文別 中文
論文頁數 58頁
口試委員 指導教授-蔡佩璇
口試委員-謝孫源
口試委員-朱治平
口試委員-蔡孟勳
口試委員-彭昭暐
中文關鍵字 藥物排程  智慧型藥盒子  醫療資訊系統 
英文關鍵字 Medication scheduler  intelligent medication box  healthcare system 
學科別分類
中文摘要 藥盒子為居家照護中普遍使用的用藥輔助工具,在正確用藥時間,病患開啟並拿出正確的藥物服用,可使治療的效果最佳化。隨著所需要服用的藥物愈多,藥物限制也會愈多,排程也相對的愈複雜,對於患有慢性疾病的老年人或照顧者而言,會有手動排程錯誤,造成吃錯藥的風險。吃錯藥的人,輕微者可能造成身體不適,嚴重者可能會導致死亡的風險。目前已有論文提出藥盒子在設計上使用二維條碼(QR-code)、射頻識別(RFID)等技術儲存藥袋資訊,並且利用藥盒子上面的機構解析,得到藥袋資訊後自動的依照藥袋上的限制,對病患的處方箋進行藥物排程。但是在某些情況下會發生給藥的時間在病患睡覺或是無法服用藥物的時間。也有給藥的時間太過於頻繁,造成生活上的不便利。發生排程結果不人性化的問題。
本篇論文針對排程結果不人性化的問題,設計一套藥物分群演算法FOMIT,目的為減少病患拿取藥物的次數,解決手動排程錯誤造成吃錯藥物的問題和排程結果不人性化的問題。本論文證明了在排程一次的情況下,FOMIT演算法拿取藥物次數會是最少的,並且模擬3、7、14以及30天中進行2-15種以及20、25、30、50、100種不同數量的藥物進行藥物排程,比較FOMIT藥物分群演算法跟其他四種藥物分群演算法在正常的情況下進行排程的結果。實驗結果顯示,FOMIT在30天內以及少於100種藥物數量的限制下,拿取藥物的次數都少於其他藥物分群演算法。
英文摘要 Medication box is an essential tool which assists outpatients to take medication at home. Taking the right medicine at the right time will certainly optimize the treatment effect. However, outpatients who need more prescriptions will have more complex schedule as the constraints for prescription increase. Taking wrong medicine leads to many implications such as illness or death. To solve this problem, intelligent medication box using RFID tag or QR-code to store the information of prescription is designed by some researchers. By analyzing RFID tag or QR code, the intelligent medication box obtains information of prescription and schedules the medication automatically. The improved medication box efficiently solves the problem of human error, but it leads to another problem, which is less humanized schedule. This automatic scheduler will set frequent reminders and affects the daily routine of outpatients, particularly when they are asleep.

In this paper, we present an algorithm in our proposed system, intelligent medication use solution (iMUS), to solve one of the less humanized schedule problems. The algorithm is called find overlap medication intake time (FOMIT) which aims to find group for every medication and reduce the frequency of medication reminder. In iMUS, an intelligent medication box (iMUS Base) collects the information of prescription and transfers it to a server (iMUS Agent) for medication grouping which reduces the frequency of medication conforming to the constraints of prescription. In the experiment, we design five algorithms to compare result of scheduling which dispatch time is less. The result show FOMIT algorithm get less dispatch time.
論文目次 摘要 I
Extended Abstract II
表目錄 XII
圖目錄 XIII
第一章 緒論 1
第二章 文獻回顧 4
2.1 市面上的智慧型藥盒子相關產品 4
2.2 醫療資訊系統與相關技術 6
2.3 相關智慧型藥盒子研究 7
第三章 iMUS系統與操作情境 9
3.1 系統架構 9
3.2 iMUS Base 12
3.2.1 硬體機構 12
3.2.2 UI設計畫面 15
3.3 iMUS Agent 20
3.4 使用情境 25
第四章 藥物分群演算法-FOMIT 29
4.1 FOMIT-虛擬碼設計與實作 29
4.2 FOMIT-區域最佳解證明 34
第五章 FOMIT效能實驗 41
5.1 區域最佳解實驗結果 41
5.2 藥物分群實驗 42
5.3 實驗設計 43
5.4 實驗結果分析 43
5.4.1 演算法效能的分析 45
5.4.2 間隔時間與演算法效能的分析 45
第六章 結論與未來展望 47
參考文獻 49
附件 53
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