JAVA智慧养老养老护理帮忙代办陪诊陪护小程序APP源码

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Java智慧养老系统：打造数字化养老护理新生态

随着人口老龄化的加速，传统的养老方式正面临前所未有的挑战。为此，Java智慧养老护理平台利用SpringBoot+MyBatisPlus+MySQL的技术栈，并融合UniApp跨平台开发框架，为养老行业提供了全面的数字化转型方案。这一系统通过技术手段，有效应对了养老服务资源分布不均、服务质量参差不齐及监管难度高等行业难题，推动了“互联网+养老”服务模式的发展。

系统架构设计与技术实现

该系统基于分层架构设计原则，旨在提高系统的可用性和可扩展性。具体来说，控制层负责请求的调度，业务层则封装了核心业务逻辑，而数据访问层通过MyBatisPlus简化了数据库的操作流程。

// 控制层示例 - 服务预约管理
@RestController
@RequestMapping("/api/service")
public class ServiceController {
    
    @Autowired
    private ElderlyService elderlyService;
    
    @PostMapping("/appointment")
    public Result createAppointment(@RequestBody ServiceAppointmentDTO appointmentDTO) {
        return elderlyService.createAppointment(appointmentDTO);
    }
    
    @GetMapping("/available-nurses")
    public Result getAvailableNurses(@RequestParam String serviceType, 
                                   @RequestParam String serviceTime) {
        return elderlyService.getAvailableNurses(serviceType, serviceTime);
    }
}

// 服务层实现
@Service
@Transactional
public class ElderlyServiceImpl extends ServiceImpl<ElderlyServiceMapper, ServiceAppointment> 
    implements ElderlyService {
    
    @Override
    public Result createAppointment(ServiceAppointmentDTO appointmentDTO) {
        // 验证老人信息
        ElderlyInfo elderly = elderlyMapper.selectById(appointmentDTO.getElderlyId());
        if (elderly == null) {
            return Result.error("老人信息不存在");
        }
        
        // 创建服务预约
        ServiceAppointment appointment = ServiceAppointment.builder()
            .elderlyId(appointmentDTO.getElderlyId())
            .serviceType(appointmentDTO.getServiceType())
            .serviceTime(appointmentDTO.getServiceTime())
            .address(appointmentDTO.getAddress())
            .status(0)
            .createTime(new Date())
            .build();
        save(appointment);
        
        // 发送通知给护理人员
        notifyNurses(appointment);
        
        return Result.success("预约成功");
    }
}

诊前咨询与预约服务

平台提供了专业的诊前咨询服务，借助智能匹配算法，能够高效地将老年人与专业的医疗顾问对接起来。

// 诊前咨询服务
@Service
public class ConsultationServiceImpl implements ConsultationService {
    
    public Result createConsultation(ConsultationDTO consultationDTO) {
        // 智能匹配医疗顾问
        MedicalAdvisor advisor = matchAdvisor(consultationDTO.getSymptoms());
        
        Consultation consultation = Consultation.builder()
            .elderlyId(consultationDTO.getElderlyId())
            .advisorId(advisor.getId())
            .symptoms(consultationDTO.getSymptoms())
            .priority(calculatePriority(consultationDTO.getSymptoms()))
            .status("pending")
            .createTime(new Date())
            .build();
        
        consultationMapper.insert(consultation);
        
        // 建立实时通信
        createChatRoom(consultation.getId(), consultationDTO.getElderlyId(), advisor.getId());
        
        return Result.success("咨询创建成功");
    }
    
    private MedicalAdvisor matchAdvisor(String symptoms) {
        // 基于症状匹配专业对口的医疗顾问
        LambdaQueryWrapper<MedicalAdvisor> query = new LambdaQueryWrapper<>();
        query.like(MedicalAdvisor::getSpecialty, extractKeySymptoms(symptoms))
             .eq(MedicalAdvisor::getStatus, 1)
             .orderByDesc(MedicalAdvisor::getRating);
        return medicalAdvisorMapper.selectList(query).get(0);
    }
}

代办问诊与购药服务

考虑到部分老年人行动不便，系统特别推出了代为问诊和药物购买的服务。以下是该服务的一个示例代码片段：

康复训练与健康管理

平台还提供了定制化的康复训练计划以及健康监控功能，帮助老年人更好地管理自己的健康状况。

// 康复训练服务
@Service
public class RehabilitationServiceImpl implements RehabilitationService {
    
    public RehabilitationPlan createPlan(RehabilitationPlanDTO planDTO) {
        // 基于老人健康状况制定训练计划
        HealthAssessment assessment = healthAssessMapper
            .selectById(planDTO.getElderlyId());
        
        RehabilitationPlan plan = RehabilitationPlan.builder()
            .elderlyId(planDTO.getElderlyId())
            .planName(generatePlanName(assessment))
            .difficultyLevel(calculateDifficulty(assessment))
            .dailyDuration(30) // 默认30分钟
            .exercises(selectSuitableExercises(assessment))
            .startDate(new Date())
            .endDate(calculateEndDate(planDTO.getCycle()))
            .build();
        
        rehabilitationPlanMapper.insert(plan);
        
        // 生成训练日程
        generateTrainingSchedule(plan);
        
        return plan;
    }
    
    private List<Exercise> selectSuitableExercises(HealthAssessment assessment) {
        // 基于健康评估选择合适的训练项目
        LambdaQueryWrapper<Exercise> query = new LambdaQueryWrapper<>();
        query.le(Exercise::getIntensity, assessment.getMaxIntensity())
             .eq(Exercise::getTargetBodyPart, assessment.getFocusArea())
             .eq(Exercise::getStatus, 1);
        return exerciseMapper.selectList(query);
    }
}

失眠护理与心理支持

系统集成了智能失眠检测与干预措施，有助于改善老年人的睡眠质量和心理健康状态。

// 失眠护理服务
@Service
public class InsomniaCareServiceImpl implements InsomniaCareService {
    
    public SleepReport analyzeSleep(Long elderlyId, Date startDate, Date endDate) {
        // 获取睡眠监测数据
        List<SleepData> sleepData = sleepDataMapper.selectByPeriod(
            elderlyId, startDate, endDate);
        
        SleepReport report = new SleepReport();
        report.setSleepDuration(calculateAvgSleepDuration(sleepData));
        report.setSleepQuality(calculateSleepQuality(sleepData));
        report.setWakeUpCount(calculateWakeUpCount(sleepData));
        report.setRecommendations(generateRecommendations(sleepData));
        
        // 保存报告
        sleepReportMapper.insert(report);
        
        // 如果睡眠质量差，触发干预
        if (report.getSleepQuality() < 0.6) {
            triggerIntervention(elderlyId, report);
        }
        
        return report;
    }
    
    private void triggerIntervention(Long elderlyId, SleepReport report) {
        InterventionPlan plan = InterventionPlan.builder()
            .elderlyId(elderlyId)
            .type("insomnia")
            .actions(generateInterventionActions(report))
            .startDate(new Date())
            .status("active")
            .build();
        interventionPlanMapper.insert(plan);
        
        // 通知护理人员
        notifyNurseForIntervention(elderlyId, plan);
    }
}

上门助浴与院内陪护

除了提供上门洗浴服务外，系统还支持院内的专业陪护管理，确保每位老年人都能享受到安全、舒适的服务体验。

// 上门助浴服务
@Service
public class BathAssistServiceImpl implements BathAssistService {
    
    public Result scheduleBathAssist(BathAssistDTO bathAssistDTO) {
        // 验证老人身体状况是否适合助浴
        HealthCondition condition = healthConditionMapper
            .selectById(bathAssistDTO.getElderlyId());
        if (!isSuitableForBath(condition)) {
            return Result.error("当前身体状况不适合助浴");
        }
        
        // 分配专业护理人员
        Nurse nurse = assignBathNurse(bathAssistDTO.getRequirements());
        
        BathAssistService service = BathAssistService.builder()
            .elderlyId(bathAssistDTO.getElderlyId())
            .nurseId(nurse.getId())
            .serviceTime(bathAssistDTO.getServiceTime())
            .bathType(bathAssistDTO.getBathType())
            .specialRequirements(bathAssistDTO.getSpecialRequirements())
            .safetyMeasures(prepareSafetyMeasures(condition))
            .status("scheduled")
            .build();
        
        bathAssistMapper.insert(service);
        
        // 准备助浴设备
        prepareBathEquipment(service);
        
        return Result.success("助浴服务预约成功");
    }
    
    private Nurse assignBathNurse(ServiceRequirements requirements) {
        // 选择有助浴资质且评分高的护理人员
        LambdaQueryWrapper<Nurse> query = new LambdaQueryWrapper<>();
        query.eq(Nurse::getHasBathCertification, true)
             .ge(Nurse::getRating, 4.5)
             .eq(Nurse::getStatus, "available")
             .last("LIMIT 1");
        return nurseMapper.selectOne(query);
    }
}

智能巡诊与健康监测

通过物联网技术的应用，系统实现了智能化的上门巡诊服务，能够实时监控老年人的健康状况。

<template>
  <view class="health-monitoring">
    <view class="real-time-data">
      <health-metric 
        title="心率"
        :value="heartRate"
        unit="bpm"
        :status="heartRateStatus"
      />
      <health-metric 
        title="血氧"
        :value="bloodOxygen"
        unit="%"
        :status="bloodOxygenStatus"
      />
      <health-metric 
        title="血压"
        :value="bloodPressure"
        unit="mmHg"
        :status="bloodPressureStatus"
      />
    </view>
    
    <view class="alert-panel" v-if="hasAbnormalData">
      <alert-notification :alerts="abnormalAlerts" />
    </view>
    
    <view class="nurse-call">
      <button @click="requestNurseVisit" class="emergency-btn">
        请求护士上门
      </button>
    </view>
  </view>
</template>

<script>
export default {
  data() {
    return {
      heartRate: 0,
      bloodOxygen: 0,
      bloodPressure: '',
      abnormalAlerts: []
    }
  },
  computed: {
    hasAbnormalData() {
      return this.abnormalAlerts.length > 0
    }
  },
  mounted() {
    this.startHealthMonitoring()
  },
  methods: {
    startHealthMonitoring() {
      // 连接健康监测设备
      this.$api.connectHealthDevice()
        .then(device => {
          device.onData(data => {
            this.updateHealthMetrics(data)
            this.checkAbnormalConditions(data)
          })
        })
    },
    
    async requestNurseVisit() {
      const visitRequest = {
        elderlyId: this.userInfo.id,
        reason: '健康数据异常',
        urgency: 'high',
        healthMetrics: this.getCurrentMetrics()
      }
      await this.$api.requestNurseVisit(visitRequest)
      this.$toast('护士上门请求已发送')
    }
  }
}
</script>

数据安全与隐私保护

为了保障用户的数据安全和个人隐私，系统实施了多层级的安全防护措施。

// 数据加密服务
@Service
public class DataSecurityServiceImpl implements DataSecurityService {
    
    @Value("${aes.secret.key}")
    private String aesKey;
    
    public String encryptHealthData(HealthData healthData) {
        try {
            String plainText = JSON.toJSONString(healthData);
            return AES.encrypt(plainText, aesKey);
        } catch (Exception e) {
            log.error("健康数据加密失败", e);
            throw new RuntimeException("数据加密失败");
        }
    }
    
    public HealthData decryptHealthData(String encryptedData) {
        try {
            String plainText = AES.decrypt(encryptedData, aesKey);
            return JSON.parseObject(plainText, HealthData.class);
        } catch (Exception e) {
            log.error("健康数据解密失败", e);
            throw new RuntimeException("数据解密失败");
        }
    }
}

// 访问控制服务
@Service
public class AccessControlServiceImpl implements AccessControlService {
    
    public boolean checkDataAccess(Long userId, Long elderlyId, String dataType) {
        // 验证用户是否有权限访问老人数据
        LambdaQueryWrapper<AccessPermission> query = new LambdaQueryWrapper<>();
        query.eq(AccessPermission::getUserId, userId)
             .eq(AccessPermission::getElderlyId, elderlyId)
             .eq(AccessPermission::getDataType, dataType)
             .eq(AccessPermission::getIsActive, true);
        
        return accessPermissionMapper.selectCount(query) > 0;
    }
    
    public void grantAccess(AccessGrantDTO grantDTO) {
        AccessPermission permission = AccessPermission.builder()
            .userId(grantDTO.getUserId())
            .elderlyId(grantDTO.getElderlyId())
            .dataType(grantDTO.getDataType())
            .grantedBy(grantDTO.getGrantedBy())
            .grantTime(new Date())
            .expireTime(grantDTO.getExpireTime())
            .isActive(true)
            .build();
        
        accessPermissionMapper.insert(permission);
    }
}

智能预警与紧急响应

系统建立了完整的预警体系，能够在第一时间发现并处理潜在的健康风险。

// 智能预警服务
@Service
public class AlertServiceImpl implements AlertService {
    
    public void checkHealthAlerts(HealthData healthData) {
        List<Alert> alerts = new ArrayList<>();
        
        // 检查各项健康指标
        if (isHeartRateAbnormal(healthData.getHeartRate())) {
            alerts.add(createAlert(healthData.getElderlyId(), 
                "heart_rate_abnormal", healthData.getHeartRate().toString()));
        }
        
        if (isBloodOxygenLow(healthData.getBloodOxygen())) {
            alerts.add(createAlert(healthData.getElderlyId(),
                "blood_oxygen_low", healthData.getBloodOxygen().toString()));
        }
        
        if (isBloodPressureCritical(healthData.getBloodPressure())) {
            alerts.add(createAlert(healthData.getElderlyId(),
                "blood_pressure_critical", healthData.getBloodPressure()));
        }
        
        // 保存并发送预警
        if (!alerts.isEmpty()) {
            saveAlerts(alerts);
            sendAlertNotifications(alerts);
        }
    }
    
    private void sendAlertNotifications(List<Alert> alerts) {
        alerts.forEach(alert -> {
            // 通知家属
            notifyFamilyMembers(alert);
            
            // 通知护理人员
            notifyNurses(alert);
            
            // 紧急情况通知急救中心
            if (alert.getLevel() == AlertLevel.EMERGENCY) {
                notifyEmergencyCenter(alert);
            }
        });
    }
}

商业模式与社会贡献

Java智慧养老系统不仅通过技术革新带来了多样化的商业价值，如为养老机构提供数字管理工具、创造护理人员的就业机会、给予家庭成员更多的安全感等；而且，它还极大地提升了养老服务的效率，减少了护理成本，改善了老年人的生活质量，减轻了社会养老的压力。面对日益增长的银发经济市场，这一系统为创业者们打开了进入养老行业的数字化大门，展现出广阔的发展前景和投资价值。

从技术架构的角度来看，该系统采用了微服务的设计理念，这不仅方便了功能的扩展，也支持了定制化的开发需求。通过使用SpringBoot，系统的稳定性得到了有效保障。而UniApp的应用，则使得多平台的兼容性得以实现。此外，MyBatisPlus的引入大大简化了数据库操作流程，为未来功能的更新和技术的升级提供了稳固的基础。

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