CN203552411U - Anti-falling off-bed alarm system - Google Patents
Anti-falling off-bed alarm system Download PDFInfo
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Abstract
本实用新型公开了一种防跌倒离床报警系统。本实用新型的防跌倒离床报警系统包括:压力监测装置、红外监测装置、报警装置、数据通信装置和报警接收装置;压力监测装置放置在床板上;红外监测装置包括红外发射器和红外接收器,分别设置在位于床板的一侧两个床档的相对的位置。本实用新型安全系数高、有较强的融合性,对现有病床无需做任何改变,具有较好的临床应用前景;把预防跌倒发生的护理时机提前至危险动作发生之前,有效地阻止跌倒发生,最大程度上保护高危跌倒患者的安全;改变只能采取健康宣教等护理措施降低跌倒发生率的现状,从技术装备上给予支持护理措施的落实,保证高危跌倒患者离床活动时必须有人陪伴在侧的护理措施的完整实施。
The utility model discloses an alarm system for preventing falling and getting out of bed. The alarm system for preventing falls and leaving the bed of the utility model includes: a pressure monitoring device, an infrared monitoring device, an alarm device, a data communication device and an alarm receiving device; the pressure monitoring device is placed on the bed; the infrared monitoring device includes an infrared emitter and an infrared receiver , respectively arranged at the opposite positions of the two bed rails on one side of the bed board. The utility model has a high safety factor and strong integration, and does not need to make any changes to the existing hospital bed, and has a good clinical application prospect; it advances the nursing timing for preventing falls to before dangerous actions occur, and effectively prevents the occurrence of falls , protect the safety of high-risk fall patients to the greatest extent; change the current situation that only health education and other nursing measures can be taken to reduce the incidence of falls, and support the implementation of nursing measures from technical equipment to ensure that high-risk fall patients must be accompanied by someone when they leave the bed The complete implementation of side nursing measures.
Description
技术领域technical field
本实用新型涉及医疗护理领域,具体涉及一种防跌倒离床报警系统。The utility model relates to the field of medical care, in particular to an alarm system for preventing falling and getting out of bed.
背景技术Background technique
跌倒是指不能控制或非故意地倒在地上或其他较低平面上,除外遭到猛烈的打击、意识丧失、突然瘫痪或癫痫发作等原因。在美国,65岁以上老年人每年有30%发生跌倒,80岁以上老年人跌倒发生率则高达50%,其中一半以上曾发生多次跌倒,有10%导致骨折。在老年人照顾性医疗机构,跌倒尤其高发。英国文献报道,老年人髋关节骨折95%是由跌倒引起,而髋部骨折者10%~20%在一年内死亡。在澳大利亚,跌倒所致的社会经济损失每年约0.86亿澳元。在我国,跌倒是65岁以上老年人的首位伤害因素。每年至少有2000万老年人发生2500万次跌倒,社会费用高达600~800亿人民币。而老年患者普遍缺乏预防跌倒的知识,预防跌倒的意识及行为也不容乐观。跌倒往往可导致老年患者机体的创伤、功能状态的衰退、生活质量的明显下降,甚至危及其生命。A fall is defined as an uncontrollable or unintentional fall to the ground or other lower surface, except for violent blows, loss of consciousness, sudden paralysis, or seizures. In the United States, 30% of the elderly over the age of 65 fall every year, and the incidence of falls among the elderly over the age of 80 is as high as 50%. More than half of them have experienced multiple falls, and 10% have resulted in fractures. Falls are particularly common in elderly care settings. British literature reports that 95% of hip fractures in the elderly are caused by falls, and 10% to 20% of hip fractures die within one year. In Australia, the socioeconomic loss due to falls is approximately A$86 million per year. In my country, falls are the number one injury factor for the elderly over 65 years old. Every year, at least 20 million elderly people fall 25 million times, and the social cost is as high as 60-80 billion RMB. Elderly patients generally lack the knowledge of fall prevention, and the awareness and behavior of fall prevention are not optimistic. Falls can often lead to trauma to the body of elderly patients, decline in functional status, significant decline in quality of life, and even endanger their lives.
防跌倒已经成为老年住院患者的护理重点和难点。据文献报道,住院患者中跌倒的高危人群为活动部分受限及活动自如的患者。武婷等人研究显示凌晨1~9点之间是心血管病患者发生跌倒的高发时段,且集中在床旁:凌晨1~6点人处于睡眠状态,迷走神经兴奋,冠状动脉痉挛,心率较觉醒时陧,血压下降,造成全身血管供血不足引起晕阙、跌倒。王克敏等人对三级医院住院患者跌倒与坠床相关因素分析中提到发生跌倒的地点:厕所占57.7%,床边占30.8%。可见跌倒地点主要集中在厕所和床边,通过对患者跌倒时正在进行的活动分析发现,这与患者起床动机有关,尤其是卧床时间较长的老年患者,如厕站起后,体位性低血压导致头晕所致。Fall prevention has become the focus and difficulty of nursing care for elderly hospitalized patients. According to literature reports, the high-risk group for falls among hospitalized patients is patients with partial limitation of activities and patients with free activities. The study by Wu Ting and others showed that the period of high incidence of falls in patients with cardiovascular disease is between 1 am and 9 am, and they are concentrated at the bedside: people are in a sleep state from 1 am to 6 am, the vagus nerve is excited, the coronary artery spasms, and the heart rate is more awakened When the time is high, the blood pressure drops, resulting in insufficient blood supply to the blood vessels of the whole body, causing dizziness and falls. Wang Kemin and others mentioned in the analysis of factors related to falls and bed falls among inpatients in tertiary hospitals: the toilet accounted for 57.7%, and the bedside accounted for 30.8%. It can be seen that the places where the falls are mainly concentrated in the toilet and the bedside. Through the analysis of the ongoing activities of the patients when they fell, it is found that this is related to the motivation of the patients to get up, especially for elderly patients who have been in bed for a long time. After standing up from the toilet, postural hypotension Caused by dizziness.
老年的住院患者是跌倒的高风险人群。而且老年人“不服老”、不愿意麻烦别人等思想普遍,且性格多固执,在护士反复劝说其夜间离床前务必告知陪护或者护士的情况下,仍会发生夜间独自离床如厕等行为,从而增加发生跌倒的风险。尤其是在夜间,值班人员少、需要巡视的高危跌倒患者多、护理人员不能及时、有效的发现患者私自离床行为,在夜间离床后跌倒的发生率更高。Elderly hospitalized patients are at high risk for falls. In addition, the elderly are "unconvinced" and do not want to trouble others. They have common thoughts and stubborn personalities. When the nurse repeatedly persuades them to inform the escort or nurse before leaving the bed at night, they will still leave the bed alone to go to the toilet at night. , thereby increasing the risk of falling. Especially at night, there are few on-duty personnel, many high-risk fall patients who need to be patrolled, and the nursing staff cannot timely and effectively detect the patient's private bed-leaving behavior, and the incidence of falls after leaving the bed at night is higher.
实用新型内容Utility model content
为了解决夜间患者离床时不能及时发现、有效的发现患者私自离床行为的难题,本实用新型提供一种在高危跌倒患者准备离床前,即能准确、及时的收到报警的系统,从而避免患者在无人协助情况下发生的跌倒情况,大大降低跌倒的发生率。In order to solve the problem that the patient cannot be detected in time and effectively when the patient leaves the bed at night, the utility model provides a system that can accurately and timely receive the alarm before the high-risk fall patient prepares to leave the bed, thereby Avoid the fall of patients without assistance, and greatly reduce the incidence of falls.
本实用新型的目的在于提供一种防跌倒离床报警系统。The purpose of the utility model is to provide an alarm system for preventing falling and getting out of bed.
病床包括床板以及分别在床板的两侧的床头端和床尾端的两对床挡。The sick bed comprises a bed board and two pairs of bed stoppers at the head end and the tail end of the bed respectively on both sides of the bed board.
本实用新型的防跌倒离床报警系统包括:压力监测装置、红外监测装置、报警装置、数据通信装置和报警接收装置;压力监测装置放置在床板上;红外监测装置包括红外发射器和红外接收器,分别设置在位于床板一侧的两个床挡的相对的位置。The alarm system for preventing falls and leaving the bed of the utility model includes: a pressure monitoring device, an infrared monitoring device, an alarm device, a data communication device and an alarm receiving device; the pressure monitoring device is placed on the bed; the infrared monitoring device includes an infrared emitter and an infrared receiver , respectively arranged at opposite positions of the two bed stoppers on one side of the bed board.
压力监测装置包括多个压力传感器;多个压力传感器均匀分布在床垫内。压力传感器采用贴片式压力传感器;分布于床板上的床垫的两侧中,分别感受身体对床板的压力,能够全面均匀的采集压力,并且不会给患者带来任何的不适。患者平躺在床板上时,传感器的检测到的压力比较平均且压力值较小;当患者要下床是,要先坐到床边,压力主要集中在床边位于床挡中间的部分,这时一对床挡中间的传感器检测到的压力值增大,从而超过阈值。阈值由患者的体重以及患者与病床的接触面积决定。The pressure monitoring device includes a plurality of pressure sensors; the plurality of pressure sensors are evenly distributed in the mattress. The pressure sensor adopts a patch pressure sensor; it is distributed on both sides of the mattress on the bed board, which can feel the pressure of the body on the bed board respectively, and can collect the pressure comprehensively and evenly without causing any discomfort to the patient. When the patient is lying flat on the bed, the pressure detected by the sensor is relatively average and the pressure value is relatively small; when the patient wants to get out of bed, he must sit on the side of the bed first, and the pressure is mainly concentrated on the side of the bed in the middle of the bed block. At this time, the pressure value detected by the sensor in the middle of a pair of bed stoppers increases, thereby exceeding the threshold value. The threshold is determined by the patient's weight and the area of contact between the patient and the bed.
在病床的两侧分别设置有一套红外监测装置,红外监测装置包括红外发射器和红外接收器,分别设置在位于床板一侧的两个床挡的相对的位置。当患者即将下床时,要先坐到床边,从而红外接收器接收不到红外发射器发射出来的信号,即表示患者来到了床沿,准备下床。这种方法可以保证患者在没站立的时候就发出报警,而有的患者一站立就有倒下的可能,这种方法提高了患者的安全系数。为了保证患者从床的任何一侧下床均能监测到,在床的两侧分别安装一套红外监测装置。采用压力传感器超过阈值和红外接收器接收不到信号,这两个条件同时满足时产生报警信号,这样大大降低了由于患者只是翻身引起的压力值过大,或者由于其他因素阻挡了红外接收器接收信号而引起的误报警,两个条件同时满足可以确定患者准备下床,极大地降低了误报警的概率。A set of infrared monitoring devices are respectively arranged on both sides of the hospital bed. The infrared monitoring devices include an infrared emitter and an infrared receiver, which are respectively arranged at opposite positions of the two bed stops on one side of the bed board. When the patient is about to get out of bed, he should sit on the edge of the bed first, so that the infrared receiver cannot receive the signal emitted by the infrared transmitter, which means that the patient has come to the edge of the bed and is ready to get out of bed. This method can ensure that the patient sends an alarm when he does not stand, and some patients may fall down as soon as they stand, and this method improves the safety factor of the patient. In order to ensure that the patient can be monitored when getting out of bed from any side of the bed, a set of infrared monitoring devices are installed on both sides of the bed. When the pressure sensor exceeds the threshold and the infrared receiver cannot receive the signal, an alarm signal is generated when the two conditions are met at the same time, which greatly reduces the excessive pressure value caused by the patient just turning over, or the infrared receiver is blocked by other factors. If the two conditions are met simultaneously, it can be determined that the patient is ready to get out of bed, which greatly reduces the probability of false alarms.
报警装置可为一个单独的设备,也可内置在压力监测装置或红外监测装置里。报警装置优选设置在红外监测装置里。The alarm device can be a separate device, or it can be built into the pressure monitoring device or infrared monitoring device. The alarm device is preferably arranged in the infrared monitoring device.
当压力传感器检测到的压力超过阈值,同时红外接收器未接收到红外线时,报警装置产生报警信号,数据通信装置以无线网络方式,将报警信号传送至报警接收装置。When the pressure detected by the pressure sensor exceeds the threshold and the infrared receiver does not receive infrared rays, the alarm device generates an alarm signal, and the data communication device transmits the alarm signal to the alarm receiving device through a wireless network.
当报警信号传至报警接收装置时,报警接收装置接收报警信号并发出警报。报警接收装置可以采用护士随身配备的呼机,也可以采用在护士站的电脑,电脑接收报警信号并会弹出警报窗口,警报窗口中显示患者的房间号,床号与姓名,从而能够及时的感到患者的床边,解决其需求或者帮助其离床后的行动,从而避免患者在无人协助情况下发生的跌倒情况,大大降低跌倒的发生率。When the alarm signal is transmitted to the alarm receiving device, the alarm receiving device receives the alarm signal and sends out an alarm. The alarm receiving device can use the pager equipped by the nurse, or the computer in the nurse station. The computer receives the alarm signal and an alarm window will pop up. The alarm window displays the patient's room number, bed number and name, so that the patient can be notified in time. Bedside, solve their needs or help them move after getting out of bed, so as to avoid patients' falls without assistance and greatly reduce the incidence of falls.
进一步,包括销警按钮,设置在病床上或病床附近的区域。如果患者下床前已告知陪伴或者护士,陪伴人员可先按下销警按钮再协助患者下床,此次下床行为则不会报警。在系统已经发出报警信号时,陪伴也可使用该按钮进行销警,避免夜间长时间报警影响其他患者的休息。Further, the alarm button is included, which is arranged on the sick bed or the area near the sick bed. If the patient has informed the companion or nurse before getting out of bed, the companion can first press the alarm button and then assist the patient to get out of bed, and the behavior of getting out of bed will not call the police. When the system has issued an alarm signal, the companion can also use this button to cancel the alarm, so as to avoid the long-term alarm at night from affecting the rest of other patients.
本实用新型的防跌倒离床报警系统改变了以往只能采取健康宣教等护理措施降低跌倒发生率的现状,把预防跌倒发生的护理时机提前至危险动作发生之前。且此系统安全系数高、低功耗、有较高的融合性,对现有的病床无需做任何改变,具有较好的临床应用前景。The anti-falling and leaving-the-bed alarm system of the utility model changes the current situation in which only health education and other nursing measures can be taken to reduce the incidence of falls in the past, and advances the nursing timing for preventing falls to before dangerous actions occur. Moreover, this system has high safety factor, low power consumption, and high integration, and does not need to make any changes to the existing hospital beds, so it has a good clinical application prospect.
本实用新型的优点:Advantage of the utility model:
1)填补了国内离床报警装置在病床上临床应用的空白,且该装置低功耗、安全系数高、有较强的融合性,对现有病床无需做任何改变;1) It fills the blank of clinical application of the domestic bed-leaving alarm device on the hospital bed, and the device has low power consumption, high safety factor, and strong integration, and does not need to make any changes to the existing hospital bed;
2)把预防跌倒发生的护理时机提前至危险动作发生之前,有效地阻止跌倒的发生,最大程度上保护高危跌倒患者的安全;2) Advance the timing of nursing care to prevent falls before dangerous actions occur, effectively prevent falls, and protect the safety of high-risk fall patients to the greatest extent;
3)改变只能采取健康宣教等护理措施降低跌倒发生率的现状,从技术装备上给予支持护理措施的落实,保证高危跌倒患者离床活动时必须有人陪伴在侧的护理措施的完整实施。3) To change the current situation that only health education and other nursing measures can be taken to reduce the incidence of falls, support the implementation of nursing measures from technical equipment, and ensure the complete implementation of nursing measures that high-risk patients with falls must be accompanied by someone when they leave the bed.
附图说明Description of drawings
图1为本实用新型的一种防跌倒离床报警系统的结构框图;Fig. 1 is a structural block diagram of a kind of anti-falling and leaving the bed alarm system of the present invention;
图2为本实用新型的一种防跌倒离床报警系统的一个实施例的结构示意图;Fig. 2 is a schematic structural view of an embodiment of a fall-prevention and bed-leaving alarm system of the present invention;
图3为本实用新型的一种防跌倒离床报警系统的一个实施例的流程图。Fig. 3 is a flow chart of an embodiment of an alarm system for preventing falling and getting out of bed of the present invention.
具体实施方式Detailed ways
下面结合附图,通过实施例对本实用新型做进一步说明。Below in conjunction with accompanying drawing, the utility model is described further by embodiment.
病床包括床板01、床头03以及分别在床板的两侧的床头端和床尾端的两对床挡02。The sick bed comprises a
图1为本实用新型的一种防跌倒离床报警系统的结构框图。如图2所示,本实施例的防跌倒离床报警系统包括:压力监测装置、红外监测装置、报警装置、数据通信装置、报警接收装置4和销警按钮5;压力监测装置放置在床板01上;红外监测装置包括红外发射器2和红外接收器3,分别设置在位于床板01一侧的两个床挡02的相对的位置。报警装置内置在红外接收器3里。Fig. 1 is a structural block diagram of an alarm system for preventing falls and getting out of bed of the present invention. As shown in Figure 2, the alarm system for preventing falls and leaving the bed in this embodiment includes: a pressure monitoring device, an infrared monitoring device, an alarm device, a data communication device, an
压力监测装置包括多个压力传感器1,压力传感器1采用贴片式压力传感器;分布于床板1上的床垫的两侧中。在本实施例中,采用3*2分布,在床垫的每一侧,并在一对床挡02的中间,分别均匀分布3个压力传感器1,这样不管患者从哪一侧准备下床,压力传感器1均能检测到压力的变化。当患者准备下床时,压力传感器1检测到的压力超过阈值。压力传感器采用飞思卡尔半导体公司的MPXA6115A贴片式压力传感器,可测量绝对压力,具有温度补偿和校准功能,可以有效地解决电子元器件由于具有一定的温度系数,从而输出信号会随着温度变化而漂移的问题。The pressure monitoring device includes a plurality of pressure sensors 1 , and the pressure sensors 1 are patch pressure sensors; they are distributed on both sides of the mattress on the bed board 1 . In this embodiment, a 3*2 distribution is adopted, and three pressure sensors 1 are evenly distributed on each side of the mattress and in the middle of a pair of bed stops 02, so that no matter which side the patient is going to get out of bed, All pressure sensors 1 can detect changes in pressure. When the patient is about to get out of bed, the pressure detected by the pressure sensor 1 exceeds the threshold. The pressure sensor adopts the MPXA6115A chip pressure sensor of Freescale Semiconductor Company, which can measure absolute pressure and has temperature compensation and calibration functions, which can effectively solve the problem that the output signal of electronic components will change with temperature due to their certain temperature coefficient. And the problem of drift.
每一个压力传感器感受到的压力为其中G为病人的体重,S为患者与病床的接触面积,s1为压力传感器的面积,压力传感器的直径为2.5cm,则压力传感器的面积s为4.9×10-4m2。在本实施例中,患者的质量m为50kg,则体重G约为500N。患者平躺在病床上时,与病床的接触面积S为0.3m2,侧卧时与病床的接触面积S为0.2m2,则对病床的压强大致不会超过500N/0.2m2=2500Pa,压力传感器感受到的压力为P×s1=1.23N;患者想要下床,坐到病床边时,与病床的接触面积为0.1m2,则此时对病床的压强P约为500N/0.1m2=5000Pa,压力传感器感受到的压力为P×s1=2.45N。因此,在本实施例中,压力传感器的阈值就可以设定为2N。The pressure felt by each pressure sensor is Where G is the weight of the patient, S is the contact area between the patient and the hospital bed, s1 is the area of the pressure sensor, and the diameter of the pressure sensor is 2.5 cm, so the area s of the pressure sensor is 4.9×10 -4 m 2 . In this embodiment, the mass m of the patient is 50kg, and the body weight G is about 500N. When the patient lies on the bed, the contact area S with the bed is 0.3m 2 , and when the patient is lying on the side, the contact area S with the bed is 0.2m 2 , then the pressure on the bed Generally, it will not exceed 500N/0.2m 2 =2500Pa, and the pressure felt by the pressure sensor is P×s1=1.23N; when the patient wants to get out of bed and sits on the side of the bed, the contact area with the bed is 0.1m2, then this The pressure P on the hospital bed is about 500N/0.1m 2 =5000Pa, and the pressure felt by the pressure sensor is P×s1=2.45N. Therefore, in this embodiment, the threshold of the pressure sensor can be set to 2N.
在病床的两侧分别设置有一套红外监测装置,红外监测装置包括红外发射器2和红外接收器3,分别设置在位于床板的一侧两个床挡02的相对的位置。为了保证患者从床的任何一侧下床均能监测到,在病床的两侧分别安装一套红外监测装置。在本实施例中,报警接收装置4采用护士站的电脑,用vc++进行编程,采用visual studio6.0开发平台。报警信号传至护士站的电脑时,电脑接收报警信号并会弹出警报窗口,警报窗口中显示患者的房间号,床号与姓名,并且可以查看以前报警的记录。A set of infrared monitoring devices are respectively arranged on both sides of the hospital bed. The infrared monitoring devices include an
进一步,在床头03安装销警按钮5,当不需要报警时,取消离床报警。Further, an
在本实施例中,当患者准备下床时,红外接收器接收3不到红外发射器2发射出来的信号;同时压力传感器1检测到的压力超过阈值2N,报警装置产生报警信号,数据通信装置以无线网络方式,将报警信号传送至报警接收装置4;报警接收装置4接收到报警信号,发出警报,本实施例的实现流程如图3所示。In this embodiment, when the patient is ready to get out of bed, the infrared receiver receives 3 less than the signal emitted by the
最后需要注意的是,公布实施方式的目的在于帮助进一步理解本实用新型,但是本领域的技术人员可以理解:在不脱离本实用新型及所附的权利要求的精神和范围内,各种替换和修改都是可能的。因此,本实用新型不应局限于实施例所公开的内容,本实用新型要求保护的范围以权利要求书界定的范围为准。Finally, it should be noted that the purpose of announcing the implementation is to help further understand the utility model, but those skilled in the art can understand: without departing from the spirit and scope of the utility model and the appended claims, various replacements and Modifications are possible. Therefore, the utility model should not be limited to the content disclosed in the embodiments, and the protection scope of the utility model is subject to the scope defined in the claims.
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