在人口快速老化與高齡者慢性疾病的高盛行率下，機構式照護已成為高齡人口生活照護之重要選擇，但是一般民眾對於照護機構之服務品質仍有疑慮；使用自動定位監控系統，除了可以提升照護機構的照護品質與安全外，同時也可以提供給住民家屬做為參考，讓家屬可以實際的瞭解到住民的日常生活情形與照護機構對於改善照護環境的用心與決心，免除家屬對照護機構在服務上的疑慮。 本研究使用RFID識別技術與雙向無線通訊定位技術，偵測住民與照護者所在位置及其停留時間，並將資料續傳回後端伺服器，提供即時監測與事後查詢之功能。此外，系統除了可以提供人員定位外，亦可對安全照護提供警示功能，藉以降低機構照護的意外發生率。 本研究進行了一系列的測試，以驗證照護定位即時監測系統應用在機構式照護的可行性，其中，定位穩定性與照護服務模擬測試結果均達100%的定位正確率；安全照護功能(緊急求救與廁所延時警示功能)測試結果亦同樣顯示100%的成功率。此外，本研究提出利用照護路徑規劃與身體遮蔽之特性，來解決照護機構定位間距過短所產生通訊干擾問題。經試驗結果顯示，定位的正確率可達97%，驗證了本研究所提出之方式確實可以大幅的降低通訊干擾問題。實場動態路徑測試結果顯示，整體的測試正確率達97%，顯示本系統的定位正確率與安全照護之功能皆已滿足實務應用上的需求，同時亦確認自動定位監測系統在實務上應用之可行性。 With the rise of population aging and high prevalence of elderly chronic diseases, institutional care has become a major choice of care for the elderly population, though the service quality of care institutions is the prime concern of citizens. Apart from enhancing the quality and safety of care from care institutions, the automatic position monitoring system provides families with information concerning the daily life of patients in care institutions and the efforts and determination to improve care quality and the environment of care institutions in order to relieve the care quality uncertainty of family. This study developed a system for detecting the location and location staying time of patients with the RFID identification and 2-way radio positioning technologies and delivering real-time monitoring and afterward enquiry functions with data transferred to the rear-end server. In addition to locating the patient, the system provides alert functions for care safety to reduce accidents in care institutions. A number of tests were conducted to verify the feasibility of applying the system to institutional care, including 100% positioning accuracy in the stability and care service simulation test and 100% success in care safety maintenance tests (emergency call and alert for extended toilet occupancy). Additionally, this study solved the communication interference problem from short positioning distance in care institutions with care route planning and body coverage characteristics. Testing results show that the successful positioning rate is 97%, indicating that the solution can successfully overcome the communication interference problem. The test of onsite dynamic route shows 97% success, indicating that both the positioning accuracy and care safety maintenance function of the system have met the practical demand, and validating the feasibility of the automatic position monitoring system in practice.
