The Determination of the Action towards the Patient’s Psychological Therapy in the Post-accident Using Case-based Reasoning

Abstract

The accident that occurred to somebody will give much suffering; moreover, if the accident gives the serious injury, such as a broken bone which needs to get more seriously treatment. Not only does the patient need the action towards his/her injury, but also he/she needs the psychological therapy in facing the problems happened which is suggested by a psychologist. One of the reasoning method in expert systems is Case-Based Reasoning (CBR). In Case-Based Reasoning, a case-based consists of various cases in conditions or symptoms and solution (the psychological therapy) given. To find out the solution from a new problem given, the system will find any cases in the case-based which have higher the degree of similarity between the cases. This research develops a case-based reasoning system to decide the action of the psychological therapy towards the patients in the post-accident who needs seriously treatment. The psychological therapy involves in giving assistance, consultation, psychiatrist support, and the compound of various actions as well. A case study was conducted from the medical records of psychological treatment at ‘Dr Soeharso’ hospital in Surakarta. Based on the result of the research developed, the action of psychological therapy upon the patient has successfully determined. They have accuracy rates of 60% in the threshold 50% compared to the treatments resulted from the psychologist. The result was found by calculating the degree of similarity between the new issue and all cases existing in the case base.