JPH0833682A - Bed for heavy hemiplegic patient - Google Patents

Abstract

PURPOSE:To provide a bed capable of freely taking a posture lying prostrate and a posture lying face up for a male heavy hemiplegic patient and performing urination in the posture lying prostrate. CONSTITUTION:This bed is the one in which a frame 2 is mounted on a bed frame 1 and capable of being used by placing a mat 3 on the frame 2, and the frame 2 is formed in such a way that an upper part 4, a middle part 5 and a lower part 6 are separated and connected foldably interlocking mechanically, and pairs of symmetric right and left head holes 7 and urination holes 8 are performed on the upper part 4 and the middle part 5 of the frame 2, respectively. Covers 9a, 9b can be mounted on those head holes 7 and urination holes 8, and urination vessels 10 whose upper planes are opened can be loaded/ unloaded on the urination holes 8. Moreover, the mat 3 can be folded along the frame 2, and a head hole 7a and a urination hole 8a in accordance with the head hole 7 and the urination hole 8 of the frame 2 are formed on at least one side. Also, the head hole 7a and the urination hole 8a are formed so as to form a uniform plane by fitting mat pieces 11a, 11b in the head hole 7a and the urination hole 8a of the mat 3.

Description

Detailed Description of the Invention

[0001]

FIELD OF THE INVENTION The present invention relates to beds used by patients with severe hemiplegia.

[0002]

2. Description of the Related Art Although it is possible to turn over in one direction,
Severe hemiplegic patients who are unable to sit or stand can spend a long period of time in the lying position as a bedridden person, which easily causes pressure ulcers and knee / hip joint contractures, and also impairs mental function and incontinence It is known to occur. This is not only a problem for the QOL (quality of life) of the patient, but also a heavy burden on the caregiver.

Furthermore, urination in the supine position is a pain for both men and women, and especially for men, urination in this posture is even more difficult hydraulically.

Therefore, as a solution to these problems, in recent years, attention has been paid to the report of a lie-up therapy, and the present inventor has developed a bed for carrying out this lie-up therapy more effectively and patented it. Filed (Japanese Patent Application Laid-Open No. 5-22817)
No. 9).

[0005]

However, the bed for which the above-mentioned patent application has been made cannot be effectively utilized by a patient with severe hemiplegia by himself and needs further improvement. Therefore, an object of the present invention is to provide a bed in which a male patient with severe hemiplegia can freely take a prone position and a supine position and can urinate in the prone position.

[0006]

According to the present invention, a frame is attached to a bed frame, and a mat is placed on the frame for use. In this case, the frame is divided into an upper part, a middle part and a lower part. When the lower part is horizontally attached to the frame body, the middle part can be bent upward with respect to the lower surface and the upper part can be bent downward with respect to the middle surface. And a pair of head holes symmetrically provided on the upper part of the gantry, and a pair of micturition holes symmetrically provided in the middle part. A lid can be attached to each of the urinating holes, and a urine container with an open upper surface can be attached to and detached from the urinating hole, and a mat placed on the pedestal can be bent along the pedestal. Formed on the mat and A head hole and a urination hole corresponding to the head hole and the urination hole of the gantry are provided on at least one of the left and right sides, and further, a mat piece can be fitted into each of the head hole and the urination hole provided on the mat By mating the mat pieces, the mat surface can be formed into a flat surface, thereby solving the above problems.

In the bed of the present invention, by using the head hole of the gantry, the urinating hole, and the hole of the mat, the free side of the patient is closed and the inconvenient side of the patient is open. The patient can freely turn over and urinate.

For example, in a patient with left hemiplegia, the head hole of the gantry, the urination hole, and the hole of the mat are all closed on the right side, and the left side is left open, so that the patient is in the supine position on the right side of the mat. Then, if necessary, the non-paralyzed right half of the body can be used to roll over to the left to place the prone position on the left side of the mat. On the left side of the mat, there are a head hole and a urinary hole, so it is stable and comfortable for a long time without undue pressure on both eyes, nose, mouth, tracheostomy and abdomen. Can take the rank. In addition, since the urine container is attached to the urination hole, it is possible to urinate by itself.

It is possible to bend the middle part of the bed base upward with respect to the lower surface and the upper part downward with respect to the middle surface, with the lower part horizontally attached to the frame. Moreover, since the mat can be bent in the same manner, the patient can bend the knee at an arbitrary angle to take a state of bending forward and take a prone position.

The bending angle of the lower part of the middle part is
It is preferably adjustable in the range of 0 to 50 °,
Also, the bending angle with respect to the surface of the upper middle part is 0 to 4
It is preferable that it can be adjusted within a range of about 5 °.

Incidentally, the lid of the head hole and the urine drainage hole of the gantry are placed on the mat (or mat piece) which is placed on the upper side in a state where the lid is covered.
Any shape may be used as long as it does not affect the cushioning property of the
It is preferable that the lower end of the head hole is formed as a fulcrum so that it can be opened and closed downward.

Further, it is preferable that both the cradle and the head hole of the mat have a U-shape with an open upper end,
In this case, in the prone position, the medical staff or the caregiver can observe and contact the patient from the head side of the bed. For that purpose, it is preferable that the height of the head frame of the frame body of the bed is formed to be slightly lower than in the case of an ordinary bed. For example,
It is preferable that the difference from the height of the side frame is 25 cm or less, especially about 10 to 20 cm.

Further, casters with stoppers are attached to the legs of the bed frame so that the bed can be moved easily. Further, it is preferable that the gantry can be electrically operated by a motor so that the angle can be changed, and it is preferable that the gantry can be easily operated by the patient by using one switch.

In the bed of the present invention, the head hole and the urinary hole of the pedestal need to be provided on the left and right of the pedestal so that a patient with hemiplegia on either the left or the right can use the mat, but the mat is used as necessary. Since it can be used upside down, the head hole and the urinary hole may be provided on only one of the left and right sides. However, the head hole and the urination hole may be provided on both the left and right sides of the mat. In this case, the side where the patient is in the supine position is closed with a mat piece to form a flat mat for stable use by the patient. Need to be able to.

[0015]

The present invention will be described in more detail with reference to an example shown in the drawings. In the bed shown in FIGS. 1 to 3, a mesh frame 2 is attached to a bed frame 1 and a mat 3 is placed on the bed frame 1. The frame 2 includes an upper part 4, a middle part 5 and a lower part 3. In the state where the lower part 6 is horizontally attached to the frame body 1, the middle part 5 is in the range of 0 to 50 ° upward with respect to the surface of the lower part 6, and the upper part 4 is relative to the surface of the middle part 5 with the parts divided. It is foldably connected to the lower side in a range of 0 to 45 ° in a mechanically interlocking manner.

The upper part 4 of the gantry 2 is provided with a pair of bilaterally symmetrical head holes 7, and the middle part 5 is also provided with a bilaterally symmetrical pair of urine discharging holes 8. Lids 9a and 9b can be attached to the hole 7 and the urine drainage hole 8, and a urine container 10 having an open upper surface can be attached to the urine drainage hole 8.

The mat 3 can be bent along the pedestal 2, but in this example, the portions corresponding to the bending of the upper part 4 and the middle part 5 of the gantry are the upper part 4a and the middle part 5 of the mat 3.
a is connected only at the bottom surface, and the mat 4 can be bent while the upper portion 4a of the mat 3 is completely placed on the upper portion 4 of the gantry 2. However, the middle part 5a and the lower part 6 of the mat 3 are
The a is integrally formed, and the mat 3 is bent along the bending of the middle part 5 and the lower part 6 of the pedestal 2 due to the cushioning property of the mat 3-the mat containing urethane foam.

The mat 3 is also provided with a head hole 7a corresponding to the head hole 7 and the urine drainage hole 8 of the gantry 2 and a urine drainage hole 8a, which are fitted with mat pieces 11a and 11b. The matte surface can be made flat.

The lid 9a of the head hole 7 of the gantry 2 is formed so as to be able to open and close downward with the lower end of the head hole 7 as a fulcrum, and the lid 9b of the urination hole 8 is detachably formed from above. Each of the head hole 7 of the gantry 2, the head hole 7a of the mat 3, and the urine discharge hole 8a of the mat 3 are formed in a U shape with an open upper end.

The head frame 14 of the bed frame 1 is formed at the same height as the foot frame 15, and these are arranged from the side frame 16 by one.
It is only 8 cm tall. Therefore, with the mat 3 placed on the pedestal 2, the height of the head frame 14 of the bed frame 1 protruding above the mat 3 is about 10 cm, and even from the head of the bed, a medical worker or an assistant Makes it easier to observe and treat the patient. In addition, casters 12 with stoppers are attached to the legs of the bed frame 1.

As shown in the drawing, this bed covers, for example, the left head hole 7 and the urinary hole 8 of the gantry 2, and the right head hole 7 and the urinary hole 8 are opened. The mat 8 is used by placing the mat 3 on the pedestal 2 in a state in which the mat 8 is attached to the urine container 10. At this time, the mat piece 11a is provided in the head hole 7a and the urination hole 8a on the left side of the mat 3. ,
11b is fitted, and the head hole 7a and the urine discharge hole 8a on the right side are opened and used.

A patient with left hemiplegia can take a supine position on the right side of the bed, and, if necessary, roll over on the left side and a prone position on the left side of the bed. In the prone position, since the face and the neck are located on the open head holes 7a, 7 and the abdomen is located on the urinary holes 8a, 8, so that there is no pressure on those parts and it is stable and comfortable. , You can keep lying.

The pedestal 2 is formed such that the lower portion 6 is horizontally attached to the frame 1 and the middle portion 5 and the upper portion 4 are foldable by a link mechanism by a motor 13 in association with a desired angle. The middle part 5 can be bent up to 50 ° with respect to the surface of the lower part 6, and the upper part 4 can be bent up to 45 ° with respect to the surface of the middle part 5.
These bending angles can be arbitrarily set with one switch.

Therefore, when the patient is in the prone position, the pedestal 2 and the mat 3 are bent by a switch operation as shown in FIG. 1, whereby the knee of the patient bends naturally between the lower part and the middle part, Moreover, since the patient's waist flexes naturally between the middle part and the upper part, it is possible to easily and stably take a state similar to the sitting position. Furthermore, a male patient can urinate close to the urine container 10 through the urinary holes 8a, 8 as if it were natural. The prone position can prevent the contracture of the patient's knee joint or hip joint, and can treat the contracture if it has already occurred.

Fourteen adult males, each using three different postures, each of which is a prone position (when the gantry 2 is bent), a supine position and a normal standing position, using a table similar to the bed shown in the drawing.
Urination was performed once or five times, and the average urine flow rate value in each posture was calculated. At the same time, the presence or absence of subjective symptoms of delayed urination, pain in urination, and feeling of residual urine was examined in each person, and the results are shown in Table 1.

[0026]

[Table 1]

As shown in Table 1, when urinating in the prone position using the bed of the present invention, it is much easier to urinate than in the supine position, and the urine flow value changes from the standing position. It will be nothing. In addition, none felt urination pain, and few felt residual urine.

In the above description, in a bed having a hole on the left side of the mat, a patient with left hemiplegia takes a supine position on the right side of the mat. However, depending on the convenience of the patient, a similar bed may be used. May be used by a patient with right hemiplegia, or conversely, a patient with left hemiplegia may use a bed with holes on the right side of the mat.

[0029]

EFFECTS OF THE INVENTION In the bed of the present invention, a patient with severe hemiplegia can arbitrarily turn over by himself and bend the cradle to take a posture similar to a sitting position, so that various types of functional recovery can be achieved. Can help. Further, due to the presence of the head hole and the urinary hole, the patient can maintain a posture based on the prone position stably and comfortably for a long time. It is also possible to watch TV, read books, and work on the unaffected upper limbs by adding ancillary devices and equipment. In addition, it is possible to urinate naturally while standing upright without disturbing others. It should be noted that the space between the gantry and the floor is effectively used, and the folding mechanism of the gantry can be simplified and incorporated between them.

[Brief description of drawings]

FIG. 1 is a perspective view showing a state in which a gantry is bent, in an example of the present invention, A shows a state in which a mat is removed, B shows a state in which a mat is placed, both of which are a head hole and a urinary hole on one side. Shows a closed state.

FIG. 2 is a perspective view of a case where the gantry has a planar shape in the example of FIG.

FIG. 3 is a perspective view of relevant parts showing a state below a gantry in the example of FIG. 1.

[Explanation of symbols]

 1 Frame 2 Stand 3 Mat 4 Upper 5 Middle 6 Lower 7,7a Head Hole 8, 8a Urination Hole 9a, 9b Lid 10 Urine Container 11a, 11b Mat Piece 12 Caster 13 Motor 14 Head Frame 15 Foot Frame 16 Side Frame

Claims (5)

[Claims] 1. A pedestal 2 is attached to a bed frame 1, and a mat 3 is placed on the pedestal 2 for use. The pedestal 2 includes an upper part 4, a middle part 5 and a lower part 6. The three parts are separated and mechanically interlocked and foldable.
With the lower part 6 attached horizontally to the frame body 1, the middle part 5
Can be bent upward with respect to the surface of the lower portion 6, and the upper portion 4 can be bent downward with respect to the surface of the middle portion 5. A pair of head holes 7 are provided in the upper portion 4 of the pedestal 2 symmetrically. In addition, a pair of micturition holes 8 are symmetrically formed in the middle part 5 as well.
A lid 9a, 9b can be attached to the head hole 7 and the urine drainage hole 8, and a urine container 10 having an open upper surface can be attached to and detached from the urine drainage hole 8. That is, the mat 3 is formed to be bendable along the gantry 2, and the mat 3 also has a head hole 7a corresponding to the head hole 7 and the urine hole 8 of the gantry 2 and urination. Hole 8a
Are provided on at least one of the left and right sides, and there are mat pieces 11a and 11b which fit into the head hole 7a and the urine discharge hole 8a of the mat 3 and can make the mat surface flat. Bed for patients with severe hemiplegia. 2. The bed according to claim 1, wherein the lid 9a of the head hole 7 of the gantry 2 is formed so as to be opened and closed downward with the lower end of the head hole 7 as a fulcrum. 3. The bed according to claim 1, wherein both the head hole 7 of the gantry 2 and the head hole 7a of the mat 3 have a U-shape with an open upper end. 4. The bed according to claim 1, wherein casters 12 with stoppers are attached to the legs of the bed frame 1. 5. The bed according to claim 1, wherein the gantry 2 is formed to be bendable by a motor 13, and the bending angle can be controlled by operating a single switch.