阅读说明：本技术 睡眠/觉醒判定系统 (Sleep/wake decision system ) 是由 轰真佑 矶野史朗 饭田德仁 于 2019-03-13 设计创作，主要内容包括：本发明涉及睡眠/觉醒判定系统(100),判定床(BD)上的受检者处于睡眠状态以及觉醒状态中的哪一种状态,具备：负荷检测器(11),检测上述床上的上述受检者的负荷；以及判定部(33),基于对上述受检者的负荷的随时间的变动的标准偏差进行时间积分而得到的值与阈值的比较,来判定上述受检者处于睡眠状态以及觉醒状态中的哪一种状态。(The present invention relates to a sleep/wake determination system (100) for determining which of a sleep state and a wake state a subject on a Bed (BD) is in, the sleep/wake determination system including: a load detector (11) for detecting the load of the subject on the bed; and a determination unit (33) that determines whether the subject is in the sleep state or the awake state based on a comparison between a value obtained by time-integrating a standard deviation of a temporal variation in the load of the subject and a threshold value.)

1. A sleep/wake determination system for determining which of a sleep state and a wake state a subject in bed is in, the sleep/wake determination system comprising:

a load detector for detecting a load of the subject on the bed; and

and a determination unit that determines which of the sleep state and the awake state the subject is in, based on a comparison between a value obtained by time-integrating a standard deviation of a temporal variation in the load of the subject and a threshold value.

2. The sleep/wake determination system as claimed in claim 1, wherein,

the sleep/wake determination system further includes a respiratory waveform acquisition unit that obtains a respiratory waveform of the subject based on a temporal change in a load of the subject,

the determination unit determines which of a sleep state and an awake state the subject is in, based on a comparison between a value obtained by time-integrating a value obtained by dividing the amplitude of the respiration waveform by the standard deviation and a threshold value.

3. The sleep/wake determination system as claimed in claim 1 or 2, wherein,

the load detector at least comprises a 1 st load detector and a 2 nd load detector,

the standard deviation is a simple average of a 1 st standard deviation of a temporal variation in the load of the subject detected by the 1 st load detector and a 2 nd standard deviation of a temporal variation in the load of the subject detected by the 2 nd load detector.

4. The sleep/wake determination system as claimed in claim 3, wherein,

the load detector further includes a 3 rd load detector and a 4 th load detector,

The standard deviation is a simple average of a 1 st standard deviation of temporal variation in the load of the subject detected by the 1 st load detector, a 2 nd standard deviation of temporal variation in the load of the subject detected by the 2 nd load detector, a 3 rd standard deviation of temporal variation in the load of the subject detected by the 3 rd load detector, and a 4 th standard deviation of temporal variation in the load of the subject detected by the 4 th load detector.

5. The sleep/wake determination system as claimed in claim 1 or 2, wherein,

the load detector at least comprises a 1 st load detector and a 2 nd load detector,

the standard deviation is a series of values obtained by sequentially selecting, at each time, the greater one of the 1 st standard deviation of the temporal fluctuation in the load of the subject detected by the 1 st load detector and the 2 nd standard deviation of the temporal fluctuation in the load of the subject detected by the 2 nd load detector.

6. A bed system is provided with:

a bed; and

the sleep/wake decision system as claimed in any one of claims 1 to 5.

Technical Field

The present invention relates to a sleep/wake determination system that performs sleep/wake determination of a subject based on a detection value of a load detector.

Background

In the field of medical care and nursing care, it is proposed to detect a load of a subject on a bed via a load detector and determine a state of the subject based on the detected load. Specifically, for example, it is proposed to determine which of the sleep state and the awake state of the subject, i.e., sleep/awake determination, is performed based on the detected load of the subject.

Patent document 1 discloses a sleep determination device as follows: the number of physical activities of the person on the bed, that is, the number of times of physical activities, is calculated based on the detection result of the load detection unit, and it is determined that the subject is in a sleeping state based on the calculated number of physical activities.

Patent document 1: japanese patent laid-open publication No. 2016 + 123810.

Disclosure of Invention

The invention aims to provide a sleep/wake determination system capable of performing sleep/wake determination of a subject with high accuracy.

According to the 1 st aspect of the present invention, there is provided a sleep/wake determination system for determining whether a subject in bed is in a sleep state or an awake state, the sleep/wake determination system including:

a load detector for detecting a load of the subject on the bed; and

and a determination unit that determines which of the sleep state and the awake state the subject is in, based on a comparison between a value obtained by time-integrating a standard deviation of a temporal variation in the load of the subject and a threshold value.

The sleep/wake determination system according to claim 1 may further include a respiratory waveform acquisition unit that obtains a respiratory waveform of the subject based on a temporal variation in the load of the subject, and the determination unit may determine which of the sleep state and the wake state the subject is in based on a comparison between a value obtained by dividing the amplitude of the respiratory waveform by the standard deviation and a threshold value, and a threshold value.

In the sleep/wake determination system according to claim 1, the load detector may include at least a 1 st load detector and a 2 nd load detector, and the standard deviation may be a simple average of a 1 st standard deviation of temporal fluctuation of the load of the subject detected by the 1 st load detector and a 2 nd standard deviation of temporal fluctuation of the load of the subject detected by the 2 nd load detector.

In the sleep/wake determination system according to claim 1, the load detector may further include a 3 rd load detector and a 4 th load detector, and the standard deviation may be a simple average of a 1 st standard deviation of temporal fluctuation of the load of the subject detected by the 1 st load detector, a 2 nd standard deviation of temporal fluctuation of the load of the subject detected by the 2 nd load detector, a 3 rd standard deviation of temporal fluctuation of the load of the subject detected by the 3 rd load detector, and a 4 th standard deviation of temporal fluctuation of the load of the subject detected by the 4 th load detector.

In the sleep/wake determination system according to claim 1, the load detector may include at least a 1 st load detector and a 2 nd load detector, and the standard deviation may be a series of values in which one of a 1 st standard deviation of temporal fluctuation of the load of the subject detected by the 1 st load detector and a 2 nd standard deviation of temporal fluctuation of the load of the subject detected by the 2 nd load detector is larger is selected in order at each time.

According to the 2 nd aspect of the present invention, there is provided a bed system comprising:

a bed; and

the sleep/wake determination system according to claim 1.

According to the sleep/wake determination system of the present invention, it is possible to perform sleep/wake determination of a subject with high accuracy.

Drawings

Fig. 1 is a block diagram showing a configuration of a sleep/wake determination system according to an embodiment of the present invention.

Fig. 2 is an explanatory diagram showing the arrangement of the load detector with respect to the bed.

Fig. 3 is a flow chart illustrating a method of sleep/wake determination using a sleep/wake determination system.

Fig. 4 is a schematic diagram showing changes in the load value detected by the load detector for both the quiet period in which the subject breathes only and the period in which the subject is performing physical activity.

Fig. 5 (a) is an explanatory view schematically showing a case where the center of gravity of the subject vibrates in the body axis direction of the subject according to the breathing of the subject. Fig. 5 (b) is a graph showing an example of a respiration waveform drawn based on the vibration of the center of gravity of the subject corresponding to the respiration of the subject.

Fig. 6 (a), 6 (b), 6 (c), 6 (d), 6 (e) are graphs showing the relationship between the physical activity of the subject and the amount of increase in the activity index caused thereby, respectively. Fig. 6 (a) is a graph when the subject in sleep turns over, fig. 6 (b) is a graph when the subject in sleep makes twitches (twitches), fig. 6 (c) is a graph when the subject in sleep moves the right hand, fig. 6 (d) is a graph when the subject in wakefulness reads, and fig. 6 (e) is a graph when the subject in wakefulness has a meal.

Fig. 7 is a block diagram showing the overall configuration of the bed system according to the modification.

Detailed Description

< embodiment >

The sleep/awake determination system 100 (fig. 1) according to the embodiment of the present invention is described by taking as an example a case of determining whether the subject S on the bed BD is in the sleep state or the awake state by using the same together with the bed BD (fig. 2).

As shown in fig. 1, the sleep/wake determination system 100 of the present embodiment mainly includes a load detection unit 1, a control unit 3, and a storage unit 4. The load detection unit 1 and the control unit 3 are connected via an a/D conversion unit 2. The control unit 3 is further connected with a display unit 5 and an input unit 6.

The load detection unit 1 includes 4 load detectors 11, 12, 13, and 14. Each of the load detectors 11, 12, 13, and 14 is a load detector that detects a load using a beam-shaped load cell, for example. Such a load detector is described in, for example, japanese patent No. 4829020 and japanese patent No. 4002905. The load detectors 11, 12, 13, and 14 are connected to the a/D converter 2 by wires or wirelessly.

As shown in FIG. 2, the 4 load detectors 11 to 14 of the load detector 1 are respectively arranged on the legs BL attached to the four corners of the bed BD used by the subject S ₁、BL₂、BL₃、BL₄Caster C of the lower end part₁、C₂、C₃、C₄Below (c).

The a/D converter 2 includes an a/D converter that converts an analog signal from the load detection unit 1 into a digital signal, and is connected to the load detection unit 1 and the control unit 3 by a wire or wirelessly.

The control unit 3 is a dedicated or general-purpose computer, and has a standard deviation calculation unit 31, a respiratory waveform drawing unit (respiratory waveform acquisition unit, respiratory waveform calculation unit) 32, and a sleep/wake determination unit 33 built therein.

The storage unit 4 is a storage device that stores data used in the sleep/wake determination system 100, and a hard disk (magnetic disk) can be used, for example.

The display unit 5 is a part for performing predetermined display based on the output from the control unit 3, and includes a monitor 51 such as a liquid crystal monitor for performing display based on an image (video) and a speaker 52 for performing display based on sound.

The input unit 6 is an interface for performing predetermined input to the control unit 3, and may be a keyboard or a mouse.

An operation of determining sleep/wake of a subject in bed using such a sleep/wake determination system 100 will be described.

The determination of sleep/wake of a subject using the sleep/wake determination system 100 includes, as shown in the flowchart of fig. 3: a load detection step S1 of detecting a load of the subject S, a standard deviation calculation step S2 of calculating a standard deviation showing a degree of fluctuation of the detected load, a respiratory waveform drawing step S3 of drawing a respiratory waveform of the subject based on the detected load, a sleep/wake determination step S4 of performing sleep/wake determination of the subject using the standard deviation found in the standard deviation calculation step S2 and the respiratory waveform drawn in the respiratory waveform drawing step, and a display step S5 of displaying a result of the sleep/wake determination.

[ load detection Process ]

In the load detection step S1, the load of the subject S on the bed BD is detected using the load detectors 11, 12, 13, and 14. The load of the subject S on the bed BD is applied to the legs BL arranged at the four corners of the bed BD in a distributed manner₁～BL₄The lower load detectors 11 to 14 detect the loads in a distributed manner.

The load detectors 11 to 14 detect loads (load changes) and output the loads as analog signals to the a/D converter 2. The a/D converter 2 converts an analog signal into a digital signal with a sampling period of, for example, 5 milliseconds, and outputs the digital signal (hereinafter referred to as a "load signal") to the controller 3. Hereinafter, the load signals obtained by digitally converting the analog signals output from the load detectors 11, 12, 13, and 14 in the a/D converter 2 will be referred to as the load signals s₁、s₂、s₃、s₄。

[ procedure for calculating Standard deviation ]

At standard deviation calculationIn step S2, the standard deviation calculation unit 31 calculates the standard deviation for each load signal S₁、s₂、s₃、s₄The standard deviation σ of the sample values included in the predetermined sampling period (5 seconds as an example) is calculated₁、σ₂、σ₃、σ₄. The calculation may be performed all the time.

The standard deviation represents the magnitude of the difference in the sample values, so as shown in fig. 4, the subject S on the bed BD is quiet and the load signal S ₁～s₄Period P with a small amount of fluctuation₁Standard deviation σ₁～σ₄And also becomes smaller. On the other hand, the subject S moves the body (physical activity is generated in the subject S) and the load signal S₁～s₄Period P of large fluctuation₂Standard deviation σ₁～σ₄And also becomes larger.

Therefore, during a period in which the subject S is physically moving, the standard deviation σ is larger than during a period in which the subject S is not physically moving (for example, during a period in which the subject S breathes without moving the body or the hands and feet)₁～σ₄The value of (a) is large.

Further, in the present specification and the present invention, "physical activity" includes "greater physical activity" and "smaller physical activity". The subject's body moves slightly due to the subject's breathing, heartbeat, but these are not included in "physical activity".

The large physical activity refers to a relatively large physical activity accompanied by movement of the body (trunk) of the subject, and specifically includes, for example, turning over, getting up, and the like. When a subject produces a large physical activity, in general, the orientation of the body axis of the subject (the orientation in which the spine of the subject extends) changes.

The small physical activity refers to a relatively small physical activity that is not accompanied by movement of the body (trunk) among the physical activities of the subject, and specifically, is, for example, a movement of only hands and feet, a head, or the like.

In general, the target in the case where the physical activity of the subject S is a large physical activityQuasi deviation sigma₁～σ₄Is smaller than the standard deviation sigma in the case where the physical activity of the subject S is smaller₁～σ₄The value of (2) is large.

[ respiratory waveform drawing step ]

In the respiratory waveform drawing step S3, the respiratory waveform drawing unit (respiratory waveform acquisition unit, respiratory waveform calculation unit) 32 calculates the respiratory waveform based on the load signal S₁～s₄A respiration waveform of the subject S is depicted.

Human breathing is performed by moving the chest and diaphragm to inflate and deflate the lungs. Here, during inspiration, i.e., when the lung is inflated, the diaphragm descends downward and the internal organs also move downward. On the other hand, during expiration, i.e., during lung contraction, the diaphragm rises upward, and the internal organs also move upward. As described in the specification of japanese patent No. 6105703, which is assigned to the applicant of the present invention, the center of gravity G slightly shifts with the movement of the viscera, and the shifting direction thereof is almost along the extending direction of the spine (body axis direction).

In the present invention and the present specification, the "respiration waveform" refers to a waveform in which the vibration of the center of gravity of a subject that vibrates in the body axis direction of the subject according to the respiration of the subject is developed and shown on the time axis. The 1 cycle of the respiratory waveform corresponds to 1 breath (expiration and inspiration) of the subject. The amplitude of the respiration waveform is affected by the physical constitution of the subject and the depth of respiration. Specifically, for example, the amplitude is increased when the subject is large in size or the subject breathes deeply, and the amplitude is decreased when the subject is small in size or the subject breathes shallowly.

The respiratory waveform drawing unit 32 draws a respiratory waveform as follows.

The respiratory waveform drawing unit 32 first uses the load signal s from the load detection unit 1₁～s₄The position of the center of gravity G of the subject S is calculated for each sampling timing. The center of gravity G of the subject S vibrates in the direction of the body axis SA of the subject S according to the breathing of the subject S as shown in fig. 5 (a).

Next, the respiration waveform drawing unit 32 draws the respiration waveform BW by plotting the distance between the position of the center of gravity G at each time after the position of the center of gravity G is projected onto the body axis SA and the vibration center of the vibration of the center of gravity G corresponding to respiration, along the vertical axis with the direction of the body axis SA as the vertical axis and the time axis as the horizontal axis ((b) of fig. 5).

The respiratory waveform drawing unit 32 does not necessarily have to actually draw the respiratory waveform, and may simply obtain data representing the respiratory waveform.

[ sleep/wake determination procedure ]

In the sleep/wake determining step S4, the sleep/wake determining section 33 uses the standard deviation σ calculated in the standard deviation calculating step S2₁～σ₄And the amplitude of the respiratory waveform BW generated in the respiratory waveform generation step S3, to determine which of the sleeping state and the awake state the subject S is in.

The determination is specifically performed as follows.

The sleep/wake determination unit 33 first detects the peak value of the respiratory waveform BW generated in the respiratory waveform generation step S3, and obtains the amplitude An of the respiratory waveform BW based on the 2 consecutive peak values and the minimum value between the 2 peak values (fig. 5 (b)). Then, a simple average of the amplitudes An of the respiratory waveform BW sequentially obtained every 1 cycle is calculated, and the respiratory waveform average amplitude a is obtained.

Next, the sleep/wake determination unit 33 obtains a normalized standard deviation σ s by the following expression (1)₁～σs₄。

[ formula 1]

σs_n＝σ_n/A(n＝1、2、3、4)

Such normalization is performed for the following reason.

As described above, the standard deviation σ₁～σ₄The value of (b) becomes large during the period in which the subject S generates physical activity. Here, the standard deviation σ₁～σ₄Showing the magnitude of the difference in the detection values of the load detectors 11 to 14 corresponding to the physical activity of the subject S, so that the magnitude of increase thereof, even in the same case of the physical activity, isThe size of the subject S is larger than the size of the subject S.

On the other hand, since the amplitude of the respiration waveform is affected by the physique of the subject S as described above, the amplitude An and the respiration waveform average amplitude a become large when the physique of the subject S is large, and the amplitude An and the respiration waveform average amplitude a become small when the physique of the subject S is small.

Thus, the standard deviation σ is used as shown in equation 1₁～σ₄By normalizing the value of (a) by dividing the respiratory waveform average amplitude a, the body constitution (body characteristic) of the subject S can be reduced (compensated for) versus the standard deviation σ₁～σ₄The influence of the value of (c). Then, the normalized standard deviation σ s compensated for as described above is used₁～σs₄The accuracy of determination can be improved by performing sleep/wake determination on the subject S.

In addition, the standard deviation σ may be used instead of the average amplitude a of the respiration waveform₁～σ₄Is normalized by dividing the value of (a) by any of the amplitudes An obtained immediately before or this time.

Next, the sleep/wake determination unit 33 calculates the normalized standard deviation σ s by the following (expression 2)₁～σs₄The simple average of (a) is integrated with time to obtain a value, i.e., Activity index (ACI).

[ formula 2]

The integration time is 20 seconds here, but is not limited thereto as described later. Due to normalized standard deviation σ s₁～σs₄Increases according to the physical activity of the subject S, so in the case where the subject S shows the physical activity causing a large load change over a long time, the activity index ACI becomes large. Namely, the activity index ACI is a parameter that reflects both the magnitude of the physical activity and the duration (duration) of the physical activity.

In addition, in equation 2Normalized standard deviation σ s₁～σs₄The simple average of (c) is for the following reasons. I.e. normalized standard deviation σ s₁～σs₄The balance of the values of (a) varies depending on the position of the subject S on the bed BD, and for example, when the center of gravity G of the subject S is in the vicinity of the load detector 11, the normalized standard deviation σ S₁The value of (c) is larger than the values of the other normalized standard deviations. In such a case, for example, the standard deviation σ S may be normalized even if the subject S shows a large physical activity₂The value of (c) is not sufficiently increased. By finding the normalized standard deviation σ s₁～σs₄The simple averaging of (2) can suppress such an influence of the position of the subject S on the bed BD.

The sleep/wake determination unit 33 uses the normalized standard deviation σ s of each sampling time of the past 20 seconds every 20 seconds₁～σs₄To calculate a new activity index ACI. Then, it is determined whether the subject S is in a sleep state or an awake state based on a comparison of the calculated activity index ACI with a prescribed threshold value.

The comparison of the activity index ACI with the threshold value is performed, for example, as follows.

As an example 1, when any of the latest 4 values of the activity index ACI calculated every 20 seconds exceeds a predetermined threshold, it is determined that the subject S is in an awake state. As an example 2, when the total value of the latest 3 values of the activity index ACI calculated every 20 seconds exceeds a predetermined threshold, it is determined that the subject S is in an awake state. In this way, by performing the determination not only using the latest activity index ACI but using a plurality of activity indexes ACI obtained in a certain time width, the accuracy of the determination can be further improved.

Here, the reason why the accuracy of determination can be improved by performing sleep/wake determination of the subject S using the activity index ACI will be described.

In general, a human shows a smaller amount of physical activity in sleep compared to the amount of physical activity shown in arousal. However, even during sleepIn some cases, a turn, a minute movement called twitch (called a twitch movement of a muscle occurring in rapid eye movement sleep) is shown. In addition, the posture may be changed by moving hands, feet, or the head. Therefore, even according to the normalized standard deviation σ s₁～σs₄The value of (a) is not necessarily sufficient, and the presence or absence of physical activity and the number of times of physical activity of the subject S are determined, and sleep/wake determination is performed only based on the presence or absence of physical activity and the number of times of physical activity.

In contrast, the activity index ACI is for the normalized standard deviation σ s₁～σs₄The value obtained by integrating the simple average of (a) and (b) with respect to time is the magnitude of the physical activity (normalized standard deviation σ s)₁～σs₄Magnitude of the increase) and duration of physical activity (normalized standard deviation σ s)₁～σs₄Length of the increased period).

Therefore, even when the subject S shows a relatively large physical activity during 20 seconds, the activity index ACI does not become a particularly large value when the duration of the physical activity is short. On the other hand, even in the case where the subject S does not exhibit a significantly large physical activity for a period of 20 seconds, the activity index ACI becomes a large value in the case where the subject S continuously shows a small physical activity.

A brief specific example is shown in fig. 6 (a) to 6 (e).

FIG. 6 (a) shows a normalized standard deviation σ S in the case where the subject S who is in a sleeping state during 20 seconds turns over₁～σs₄Simple average of (hereinafter, referred to as σ s)_AV) A brief diagram of the variation of (2). The value of the activity index ACI corresponding to this period corresponds to the area of the hatched portion of the graph (the same applies to fig. 6 (b) to 6 (e)).

Fig. 6 (b) is a graph showing a simple average σ S in the case where the subject S in the sleep state during 20 seconds shows twitching_AVIn fig. 6, (c) is a schematic diagram showing the state of change in the time period of 20 secondsThe subject S in the sleeping state shows a simple average σ S in the case where there is little physical activity and the right hand is changed from the state of bending to the state of stretching_AVA brief diagram of the variation of (2).

Fig. 6 (d) shows the simple average σ S in the case of reading the subject S in the awake state for a period of 20 seconds_AVFig. 6 (e) is a simple average σ S showing the case where the subject S in the awake state has a meal for 20 seconds_AVA brief diagram of the variation of (2).

As read from fig. 6 (a) to 6 (e), the value of the activity index ACI tends to become a larger value in the case where the subject S in wakefulness shows continued physical activity. Therefore, by appropriately setting the threshold value used for determination, the influence of instantaneous physical activity determination such as turning over, twitching, and posture change of the subject S during sleep can be reduced, and sleep/wake determination with high accuracy can be performed.

[ display Process ]

In the display step S5, the determination result output by the control unit is displayed on the display unit 5. Specifically, for example, whether the subject S is in a sleep state or an awake state is always displayed on the monitor 51, and when the subject S reaches the awake state from the sleep state, the subject is notified to the user in sound using the speaker 52.

The effects of the sleep/wake determination system 100 of the present embodiment are summarized as follows.

The sleep/wake determination system 100 of the present embodiment performs sleep/wake determination of the subject S using the activity index ACI. Therefore, the influence of the short-duration physical activity, such as turning over or twitching, of the subject S during sleep on the determination is suppressed, and the accuracy of the determination is high.

The sleep/wake determination system 100 of the present embodiment uses the standard deviation σ derived from the average amplitude a of the respiratory waveform₁～σ₄Normalized value of (a)₁～σs₄To calculate activitiesDynamic index ACI. Thus, mitigating the subject' S physical characteristics imparts a standard deviation σ₁～σ₄And further gives influence to sleep/wake determination, so that the accuracy of determination is high.

The sleep/wake determination system 100 of the present embodiment uses the leg BL disposed on the bed BD₁～BL₄The lower load detectors 11 to 14 monitor the biological state of the subject S. Therefore, it is not necessary to attach a measurement device to the body of the subject S, and discomfort are not given to the subject S.

[ modified examples ]

In the sleep/wake determination system 100 of the above embodiment, the following modification can be adopted.

In the sleep/wake determination system 100 of the above embodiment, the sleep/wake determination section 33 calculates the activity index ACI using (equation 2), but the calculation method of the activity index ACI is not limited thereto.

As an example, the normalization standard deviation σ s may be used in (equation 2) by the sleep/wake determination unit 33₁～σs₄Substitution to standard deviation σ₁～σ₄The activity index ACI is determined by the following equation (3).

[ formula 3]

The sleep/wake determination unit 33 may select the normalized standard deviation σ s for each sampling time₁～σs₄The normalized standard deviation σ s is the maximum value, and the normalized standard deviation σ s is the maximum value which is a series of values selected for each time_MAXThe value obtained by time integration is used as the value of the activity index ACI, or the standard deviation σ is selected for each sampling time₁～σ₄The standard deviation of the maximum value in (b) is calculated, and the standard deviation σ of the maximum value, which is a series of values selected for each time, is calculated_MAXThe value obtained by time integration is used as the value of the activity index ACI.

The sleep/wake determination unit 33 may not use the normalized standard deviation σ s₁～σs₄Simple average, or standard deviation σ of₁～σ₄Is time-integrated, but instead the normalized standard deviation σ s is used₁～σs₄Or the standard deviation σ₁～σ₄A value obtained by integrating at least one of them with time is used as the value of the activity index ACI.

The activity index ACI of these variations is also a parameter that reflects both the magnitude of the physical activity and the duration (duration) of the physical activity. Further, an arbitrary parameter obtained by time-integrating the standard deviation of the temporal fluctuation of the load of the subject and reflecting both the magnitude of the physical activity and the duration (duration) of the physical activity may be used as the activity index ACI.

In the explanation of the sleep/wake determination system 100 according to the above-described embodiment and the modification, the integration time for calculating the activity index ACI is set to 20 seconds, but the invention is not limited thereto. The integration time may be arbitrarily set, but when the integration time is too short, the distinction between the physical activity with a short continuation time and the physical activity with a long continuation time becomes unclear. Conversely, if the integration time is too long, the interval between sleep/wake determinations (the period in which the determination is performed) becomes long, and it becomes difficult to make a timely determination. The sleep/wake determination section 33 calculates a new activity index ACI each time the set integration time elapses.

In addition, in the calculation of the activity index ACI, a variance, which is a square of the standard deviation, may be used instead of the standard deviation. In the present specification and the present invention, a value obtained by integrating the square deviation with time is also included in the "value obtained by integrating the standard deviation with time".

The sleep/wake determination unit 33 may have a hysteresis in the threshold value compared with the activity index ACI. Specifically, for example, a 1 st threshold and a 2 nd threshold larger than the 1 st threshold are set, and in a situation where it is determined that the subject S is in a sleep state, it is not determined that the subject S is in an awake state until the activity index ACI becomes equal to or larger than the 2 nd threshold. On the other hand, in a situation where it is determined that the subject S is in the awake state, even if the activity index ACI becomes smaller than the 2 nd threshold, it is not determined that the subject S has reached the sleep state, and at the time when the activity index ACI becomes smaller than the 1 st threshold, it is determined that the subject S has reached the sleep state.

The sleep/wake determination system 100 of the above embodiment does not necessarily have to include all of the load detectors 11 to 14, and may include only one of them. In the case where 4 load detectors are not provided, normalized standard deviation σ s included in (equation 2) is_nThe number of (n-1, 2, 3, 4) and the standard deviation σ included in (formula 3)_nThe number of (n ═ 1, 2, 3, 4) can be reduced in accordance with the number of load detectors. In addition, the maximum normalized standard deviation σ s_MAXMaximum standard deviation σ_MAXThe load detector may be set based on a normalized standard deviation σ s obtained in accordance with the number of load detectors_nStandard deviation σ_n。

The load detectors 11 to 14 are not limited to load sensors using beam-shaped load cells, and force sensors, for example, may be used.

In the sleep/wake determination system 100 according to the above embodiment, the load detectors 11 to 14 are disposed below the casters C attached to the lower ends of the legs of the bed BD, respectively, but the present invention is not limited thereto. The load detectors 11 to 14 may be provided between the 4 legs of the bed BD and the bed plate of the bed BD, or may be provided between the upper leg and the lower leg if the 4 legs of the bed BD are vertically separable. Further, the load detectors 11 to 14 may be integrated with or detachably combined with the bed BD to form a bed system BDs (fig. 7) including the bed BD and the sleep/wake determination system 100 according to the present embodiment.

The present invention is not limited to the above-described embodiments as long as the features of the present invention are maintained, and other embodiments that can be considered within the scope of the technical idea of the present invention are also included in the scope of the present invention.

Industrial applicability

According to the sleep/wake determination system of the present invention, it is possible to perform sleep/wake determination of a subject with high accuracy, and it is possible to provide medical treatment and care with high quality based on the determination with high accuracy.

Description of reference numerals: a load detection portion; 11. 12, 13, 14. An A/D conversion section; a control section; a standard deviation calculation section; a respiratory waveform delineation section; a sleep/wake determination section; a storage portion; a display portion; an input portion; a sleep/wake decision system; BD.. bed; a bed system; a subject.