JP2012228320A - Diaper cover for nursing care - Google Patents

Abstract

PROBLEM TO BE SOLVED: To keep feces stay at a predetermined position without coming around to a back side even when a person wears a diaper, who is in a state where gluteus maximus muscles are reduced thereby to allow a sacral bone to project outward from buttocks.SOLUTION: A diaper cover for nursing care includes: a buttocks correspondence elastic member 21 arranged at a position opposing to the buttocks by avoiding at least a tailbone at the distal end of the sacral bone thereby to push up the buttocks in a lying or sitting state from a floor side; a sacral bone protection elastic member 22 arranged on the human body side of the buttocks correspondence elastic member 21 and having a protection means for protecting a living body from pressing force at a position corresponding to the sacral bone and the buttocks; a defecation cylinder part 31 formed by penetration through the sacral bone protection elastic member 22 and the buttocks correspondence elastic member 21; and a cover 11 for covering the exposure surfaces of the buttocks correspondence elastic member 21, the sacral bone protection elastic member 22, and the defecation cylinder part 31, and covering a lower abdominal region via hips from the back side in a wearing state.

Description

  The present invention relates to a diaper for nursing care.

  As shown in FIG. 1, meat is abundant in the buttocks 91 of a non-aged person, but it is usual that the amount of meat decreases with age. People who need diapers, especially older people, are less likely to walk or move their bodies, so the greater gluteal muscles gradually decrease. This reduction in greater gluteal muscles is particularly noticeable when bedridden.

  A sacrum exists between the left and right greater gluteal muscles, and as the greater gluteal muscles decrease, the sacrum 92 is more than the buttock 91 as shown in FIG. It will be in the state of protruding outward. The broken line in FIG. 2 shows the buttocks 91 of a non-elderly person. The sacrum is a bone, and when a person in a state where the sacrum protrudes outward from the buttock sleeps in a supine position, the sacrum is pressed against the bedding side by weight and pressed. Here, it is as follows when the weight added to each part in the state where the person slept is considered. That is, when sleeping straight in the supine position, about half the weight is added to the waist. For example, the weight applied to each part for a person weighing 50 kg has a value as shown in FIG. For this reason, the blood flow at the tip of the sacrum becomes worse. When blood flow deteriorates, white blood cells contained in the blood do not arrive and the defense function against bacteria is weakened.

  There is an anus on the lower side of the sacrum, and in particular, a person who has been cut off is likely to have stool excreted from the anus. The stool contains many bacteria such as E. coli, and it is also known that the stool itself is strongly alkaline. Accordingly, itching occurs when stool adheres to the skin. When itching occurs, scratching or rubbing with the bedding while sleeping causes the skin on the tailbone at the tip of the sacrum to be damaged and broken, and further, bacteria propagate due to stool adhesion. Eventually, pressure ulcers (bed rubbing) occur.

  It is said that 70% of the pressure ulcers that occur in people such as bed-cuts occur in the skin on the coccyx at the tip of the sacrum. Many diapers, such as the elderly, use diapers. The diaper used here is set to wrap around the entire buttocks. And even if it is a flat-type diaper or a pants-type diaper, it is configured to receive the stool excreted from the anus directly in the water-absorbing layer containing the polymer. The above stool will turn to the back side. In particular, as time elapses from defecation, stool spreads to various parts of the diaper due to body movement, which is a big problem for people with pressure ulcers.

  If pressure ulcers have already occurred at the sacral tip of the sacrum, the stool turns as described above to contaminate the affected area, and the area is covered with treatment items such as gauze and bandages for treatment. Even if it is, the medical supplies will be contaminated. Therefore, the affected area becomes dirty and does not heal each time a bowel movement is performed, and it is necessary to replace and disinfect the treatment article, which also causes the affected area to be stimulated and delayed healing.

  A diaper spacer is placed between the buttocks and bedding to reduce the physical and mental burden of caregivers and care recipients by reducing or limiting the area contaminated by stool, and storing stool A paper diaper provided with a portion is provided (see Patent Document 1).

JP 2003-10221 A

  However, it cannot be said that it is sufficient as a countermeasure for a person who has a large gluteal muscle decreased and the sacrum protrudes outward from the buttock, and further improvement is required. Further, not only in the supine position, but also in a sitting position in a wheelchair, pressure ulcers can be formed in the vicinity of the anus, and there are problems as described above.

  The present invention has been made in view of such a current situation, and the purpose of the present invention is to sit on a wheelchair for a person whose great gluteal muscle has decreased and whose sacrum has protruded outward from the buttock. When a diaper is placed on a sitting person, the stool can be kept in place without turning around to the back side, especially for prevention of pressure ulcers in the coccyx area at the tip of the sacrum or in the vicinity of the anus. It is to provide a diaper cover for care that is effective for healing.

  The nursing diaper cover according to the present invention includes a hip-corresponding elastic member that pushes up the heel part in a supine and sitting position from the floor side at least at a position facing the hip part while avoiding the tailbone at the distal end of the sacrum, and a human body than the elastic member corresponding to the hip The elastic member for protecting the sacrum, which is disposed on the side and provided with protective means for protecting the living body from being pressed at a position corresponding to the sacrum and the buttocks, and formed through the elastic member for protecting the sacrum and the elastic member for the buttocks And a cover that covers the exposed surface of the sacrum-protecting elastic member, the sacrum-protecting elastic member, and the defecation tube portion, and covers the lower abdomen from the back side through the buttocks in the mounted state. And the diaper corresponding to a defecation is arrange | positioned on the cover of the said elastic member corresponding to a buttocks.

  The diaper cover for care according to the present invention is characterized in that a protruding elastic member is provided outward so as to cover the crotch, and the elastic member for standing is covered with the cover.

  In the diaper cover for care according to the present invention, the protection means is constituted by a defecation tube portion.

  In the diaper cover for care according to the present invention, the protection means is constituted by an elastic member that is softer than the elastic member corresponding to the buttocks.

  In the diaper cover for care according to the present invention, the buttocks corresponding elastic member is composed of two layers of elastic members, and a hole is formed at a position facing the buttocks in the elastic member in contact with the elastic member for protecting the sacrum. Is characterized in that an elastic member of the same quality as the elastic member for protecting the sacrum is interposed.

  The diaper cover for care according to the present invention includes a buttocks-corresponding elastic member that pushes up the buttocks in the supine state from the floor side at least at a position facing the buttocks while avoiding the tailbone at the tip of the sacrum. Even if the sacrum protrudes outward from the buttocks, the coccyx and the anus near the tip of the sacrum are not pressed against the bedding in the supine state, and pressure ulcers are applied to the skin of this area. Can be prevented and effective in healing. In addition, since the elastic member for protecting the sacrum is provided with a protective means for protecting the living body from pressing at a position corresponding to the sacrum and the buttocks, the sacrum and the vicinity of the anus can be protected, and the occurrence of pressure sores can be prevented. It is effective for healing.

  In addition, the nursing diaper cover according to the present invention is provided with an outwardly protruding elastic elastic member so as to cover the crotch and is covered with the cover, so that the movement of the diaper is suppressed and the stool is backed. It is possible to prevent the sacrum and the vicinity of the anus from being contaminated by preventing the urine from turning to the side and appropriately directing the urine toward the diaper.

  In the diaper cover for care according to the present invention, the buttocks-corresponding elastic member is composed of two layers of elastic members, and a hole is formed at a position facing the buttocks in the elastic member in contact with the elastic member for sacral protection, Since the elastic member of the same quality as the sacral protective elastic member is interposed in this hole, the buttock corresponding elastic member as a whole has the effect of pushing up the buttock of a person in a supine state or sitting from the floor side, An elastic member of the same quality as the elastic member for sacrum protection is inserted in a hole at a position facing the buttocks in the elastic member in contact with the elastic member for sacrum protection, so that the function of the elastic member for sacrum protection is supported, and the sacrum and anus The neighborhood is protected, the occurrence of pressure ulcer can be prevented, and it is effective in healing.

The principal part perspective view of the biological body for demonstrating the buttocks of a biological body. The figure which made the biological body a cross section by the straight line which goes through the sacrum and goes from the abdomen to the back. The figure which shows the weight added to each site | part about a person with a weight of 50 kg when sleeping straightly in the supine position. The perspective view which shows the diaper cover for care which concerns on 1st Embodiment. The assembly perspective view which shows the internal structure of the diaper cover for care which concerns on 1st Embodiment. The perspective view of the internal structure in the diaper cover for care which concerns on 1st Embodiment. AA sectional drawing of FIG. The perspective view which shows the internal structure and cover of the diaper cover for care which concern on 1st Embodiment. The perspective view which shows the procedure which mounts | wears with the diaper cover for care which concerns on embodiment. The perspective view which shows an example of the diaper included in the diaper cover for care which concerns on embodiment. The top view which shows another example of the diaper included in the diaper cover for care which concerns on embodiment. The perspective view which shows the auxiliary tool applied to the diaper of FIG. The top view of the state which applied the auxiliary tool to the diaper of FIG. Sectional drawing of the state which applied the auxiliary tool to the diaper of FIG. Sectional drawing which shows the state with which the diaper of FIG. 10 with which the auxiliary tool was applied was mounted | worn with the diaper cover for care which concerns on embodiment. The assembly perspective view which shows the internal structure of the diaper cover for care which concerns on 2nd Embodiment.

  Hereinafter, an embodiment of a diaper cover for care according to the present invention will be described with reference to the accompanying drawings. In the drawings, the same components are denoted by the same reference numerals, and redundant description is omitted. In the diaper cover for care according to the embodiment, as shown in FIG. 4, a cushion block 20 made up of components shown in an exploded perspective view of FIG. 5 is housed in, for example, a cloth cover 11.

  The cushion block 20 includes a hip-corresponding elastic member 21 and a sacrum protecting elastic member 22. The buttocks-corresponding elastic member 21 pushes up the buttocks in the supine state from the floor side at a position facing the buttocks while avoiding the tailbone at the tip of the sacrum, and has a two-layer structure of the body side member 23 and the pseudo buttocks 24. . The body side member 23 can be made of, for example, a polyethylene foam having a thickness of 15 mm. The pseudo brim piece 24 can be made of, for example, a 40 mm chip urethane foam.

  The planar shape on the upper surface 24A side of the pseudo buttock piece 24 is configured on the basis of the shape of the contact surface between the muscle and the floor from the buttock to the waist, which occurs when a person lies on the floor in a supine position. Can be heart-shaped. The heart-shaped narrow portion 24B in the pseudo heel portion 24 can have a shape along the human body part from the anus to the root of the inner side of both legs. Furthermore, the area of the lower surface is narrower than the upper surface 24A of the pseudo collar piece 24, and the side wall 24C of the pseudo collar section piece 24 is formed in a tapered shape toward the lower surface. A hole 24 </ b> D having a triangular planar shape with chamfered corners is formed in a portion where the anus and its periphery are positioned in the pseudo heel part 24. The portion from the wide portion 24E to the constricted portion 24F in the heart shape is configured in a taper shape that gradually becomes thin so as to fit and contact the hips to the waist.

  The body side member 23 has a slightly larger area than the pseudo heel part piece 24 and is integrated with the pseudo heel part piece 24 by an adhesive or the like. In particular, the narrow portion 23A opposite to the narrow portion 24B in the pseudo collar piece 24 is elongated toward the distal end portion 23F, and a chamfered inclined portion 23C is formed at the corner portion between the side wall portion 23B and the upper surface. .

  In the body side member 23, a hole 23D having the same shape as the hole 24D is formed at a position corresponding to the hole 24D of the pseudo heel part piece 24, and a substantially semicircular shape is formed in a half region adjacent to the hole 23D. A hole 23E is formed. The hole 23D and the hole 23E communicate with each other at the central portion 23G. In the hole 23E, a bone receiving pad 25 made of low-resilience urethane foam, which is an elastic member of the same quality as the sacrum protecting elastic member 22, is interposed.

  The elastic member 22 for protecting the sacrum includes a central portion 22A corresponding to the pseudo heel portion 24 and the body side member 23, and a side covering portion 22B integrally connected to the central portion 22A. The side covering portion 22B is positioned so as to cover the abdomen from the back through the side of the buttocks when worn on a person as a diaper cover. A hole 22C corresponding to the hole 23D and the hole 23E is formed at the center of the elastic member 22 for protecting the sacrum. When the diaper cover is mounted, the shape of the hole 22C is designed so that the tailbone at the tip of the sacrum does not come out of the hole 22C. The sacrum protecting elastic member 22 is overlapped with the buttocks corresponding elastic member 21 and fixed with an adhesive or the like. Thus, the elastic member 22 for protecting the sacrum is located on the human body side relative to the above-described elastic member 21 corresponding to the buttock, and is disposed in a state of being fixed to the elastic member 21 corresponding to the buttock, and is softer than the elastic member 21 corresponding to the buttock Consists of. Therefore, even when the sacrum and the tailbone are out of the hole 22C, the sacral protection elastic member 22 functions as a protection means for protecting the sacrum and the tailbone from being pressed by the buttocks corresponding elastic member 21.

  A bedding-side contact sheet 26 is provided on the lower surface side of the pseudo heel piece 24. This bedding-side contact sheet 26 cooperates with the elastic member 22 for protecting the sacrum to completely remove the buttock corresponding elastic member 21 except for the vicinity of the distal end portion 23F of the body side member 23 and the vicinity of the distal end portion of the pseudo heel portion piece 24. Cover. The bedding-side contact sheet 26 can be made of, for example, 20 mm low-resilience urethane foam. Corresponding to the wide side of the hole 24 </ b> D of the pseudo collar piece 24, the bedding side contact sheet 26 is formed with a semicircular recess 26 </ b> A. The bedding-side contact sheet 26 is fixed with an elastic member 22 for protecting the sacrum and the pseudo heel part 24 and an adhesive or the like.

  The defecation cylinder 31 shown in FIGS. 6 and 7 is constituted by the hole 22C of the elastic member 22 for protecting the sacrum, the hole 23D of the body side member 23, the hole 24D of the pseudo heel part piece 24, and the recess 26A of the bedding side contact sheet 26. The A bottom plate 32 serving as a lid for the opening is fixed to the bottom of the defecation tube 31 with an adhesive or the like. The bottom plate 32 can be constituted by, for example, a 2 mm resin board. Furthermore, a bottom sheet 33 that flexibly contacts the bedding is fixed to the bottom side of the bottom plate 32 with an adhesive or the like.

  On the distal end sides of the buttocks corresponding elastic member 21 and the sacrum protecting elastic member 22, a standing elastic member 34 is connected by an adhesive or the like. The elastic member 34 for the upright is convex outward, and can be made of, for example, 5 mm polyethylene urethane so that it can be folded so as to cover the crotch when the diaper cover is attached. The front elastic member 34 is configured to have a wide front end 34A so as to reach the abdomen when folded, and a rear end 34B serving as an adhesive portion has a strip 34C on both sides. It is V-shaped from the front end portion 34A to the central portion 34D, and is gradually widened from the central portion 34D and connected to the rear end portion 34B.

  As shown in FIG. 7 which is an AA cross-sectional view of the cushion block 20 of FIG. 6 excluding the elastic member 34 for the standing, in the diaper cover for care according to the present embodiment, the distal end of the sacrum is mounted. Of the coccyx abuts on the region S of the elastic member 22 for protecting the sacrum. Immediately below this region S is a central portion 23G where the hole 23D and the hole 23E in the body side member 23 communicate with each other, and a bone receiving pad 25 is provided. Further, below the region S and below the central portion 23G is a hole 24D of the pseudo collar piece 24.

  The elastic member 22 for protecting the sacrum, the bone receiving pad 25, the bedding-side contact sheet 26 and the bottom sheet 33 are made of an extremely soft elastic material, and can be made of a low-resilience urethane foam in this embodiment. . On the other hand, the buttocks-corresponding elastic member 21 pushes up the buttocks in the supine state from the floor side, and is therefore made of a hard elastic material. The body side member 23 constituting the buttock corresponding elastic member 21 according to the present embodiment can be made of polyethylene foam, and the pseudo heel piece 24 can be made of chip urethane foam.

  Therefore, only the sacrum protecting elastic member 22 and the bone receiving pad 25 exist below the region S, and these are made of an extremely soft elastic material. Therefore, it is difficult for blood circulation to occur, and the occurrence of pressure ulcer can be prevented, and it is effective for its healing.

  In the cover 11 shown in FIG. 8 of the diaper cover for care according to this embodiment, the cushion block 20 composed of the components shown in FIG. 5 is housed as described above. The cover 11 can be made of a washable cloth, and the surface is preferably water-resistant such as water repellent and has excellent air permeability. An entrance / exit 12 that is long in the lateral direction when mounted is formed slightly above the center portion of the back surface of the cover 11, and the edge of the two sides facing the entrance / exit 12 is a plane that is coupled to the other side. Fasteners 12A and 12B are provided. The cushion block 20 can be taken out from the entrance 12 and only the cover 11 can be washed.

  As shown in FIG. 8, the cover 11 includes a buttock cover portion 11A having a shape substantially matching the shape of the cushion block 20, and a back portion 11B that is continuous with the buttock cover portion 11A and is disposed on the back side when worn. Prepare. Both sides of the back portion 11B are belt-like portions 11C and 11C that wrap around from the flank to the abdomen via the greater trochanter. A cushion material made of sheet-like solid cotton or urethane (not shown) is interposed inside the belt-like portions 11C and 11C. The tips of the belt-like portions 11C and 11C have lengths that overlap each other when mounted, and planar fasteners 11D and 11E are provided on the overlapping surfaces.

  The side edge portions on both sides of the buttock cover portion 11 </ b> A are provided with a double waterproof waterproof guard edge 11 </ b> F (maximum width 50 mm to 60 mm). The front body portion 13 of the cover 11 that covers the portion of the elastic member for standing 34 has a larger area than the elastic member 34 for standing and covers the abdomen above the crotch when worn. As shown in FIG. 9, after the band-like parts 11C and 11C of the cover 11 are overlapped and the planar fasteners 11D and 11E are bonded and fixed, the front body part 13 is placed on the overlapping band-like parts 11C and 11C. Is superimposed on. A planar fastener 13A is provided so as to be close to the inner edge of the front body part 13, and a portion of the belt-like part 11C corresponding to the planar fastener 13A is connected to the planar fastener 13A. A fastener 13B is provided.

  Further, in the cover 11, the portions corresponding to the defecation cylinder part 31 of the cushion block 20 are provided on the concave hole sheet part 14 that fits the inner wall and inner bottom surface of the defecation cylinder part 31, and the outer wall and outer bottom surface of the defecation cylinder part 31. And the convex hole sheet portion 15 to be fitted. Therefore, a defecation tube appears in the cover 11 by the recessed hole sheet portion 14.

  Any nursing diaper cover according to the present embodiment configured as described above can be used as a diaper as long as it is laid on the inner surface of the cover 11. FIG. 10 shows a sheet type diaper 3 used as a state laid on the inner surface of the cover 11. The diaper 3 has a rectangular planar shape, a fiber sheet is provided on the side touching the user's skin, a waterproof sheet is provided on the side touching the nursing diaper cover, and a water absorbent polymer is provided between the fiber sheet and the waterproof sheet. It can be set as the thing on which it was pinched | interposed.

  The diaper 3 is folded in a three-layer state in which one end side in the longitudinal direction has a fold in the longitudinal direction. That is, the surface sheets 3A and 3A having a width of 1/6 of the entire width, the crease 4A being positioned at the center, are positioned on the surface, and the intermediate sheets 3B and 3B are folded and overlapped thereunder. The intermediate sheets 3B and 3B also have a width that is 1/6 of the total width, and include a center fold 4A that forms a boundary with the top sheets 3A and 3A, and folds 4B that are located on both side edges. A lowermost sheet 3C having a width of 1/3 of the entire width exists on the lowermost surface connected to the crease 4B. The top edges 5U of the top sheets 3A, 3A, the intermediate sheets 3B, 3B and the bottom sheet 3C are bonded together, and the bottom edge 5D present on the side facing the top edge 5U is rectangular without being processed. It is one side.

  When wearing, the upper edge 5U of the diaper 3 is positioned at the inner edge of the front body part 13 of the cover 11 of the diaper cover for care, and the lower edge 5D of the diaper 3 is the back of the cover 11 It is positioned at the inner edge of the part 11B. The stool receiving portion 3F of the diaper 3 corresponding to the defecation tube portion 31 is pushed into the defecation tube of the cover 11 along the concave hole sheet portion 14 of the cover 11 provided inside the defecation tube portion 31. Thereby, the diaper 3 is fixed to the diaper cover for care.

  The diaper 3 and the diaper cover for care stacked as described above can be worn by the user even when standing. The belt-like portions 11C and 11C of the cover 11 are rotated forward from the waist portion, overlapped at the abdomen, and fixed by the planar fasteners 11D and 11E. The front body portion 13 is lifted to the abdomen side through the crotch, and the planar fastener 13A and the planar fastener 13B are joined.

  When the user sleeps in the supine position in the diaper 3 and the diaper cover worn by the user as described above, the body side member 23 and the pseudo heel part piece 24 are disposed around the defecation tube part 31. Since the heel-corresponding elastic member 21 is made of a hard elastic material, the stool is discharged and held in the stool receiving portion 3F of the diaper 3 without breaking the shape of the stool tube portion 31. For this reason, the stool is hygienic without wrapping around the back and sacrum, helps prevent pressure ulcers from occurring, and is effective in healing.

  FIG. 11 is a plan view showing the configuration of another diaper 5. The diaper 5 has a generally trapezoidal shape as a whole, and a surface that contacts the user can be a fiber sheet such as a nonwoven fabric holding a water-absorbing polymer. Further, a moisture-permeable and waterproof resin sheet or the like can be used on the surface side in use. Near the lower base of the trapezoid is a backrest portion 51 that abuts on the back, and portions that extend to both sides of the backrest portion 51 are bellows winding portions 52 that wrap around from the lateral abdomen to the abdomen. Near the upper base of the trapezoid forms a front abdomen 53 covering the abdomen from the crotch. A gather 54 is formed near the middle of the edge from the corner of the front abdomen 53 to the abdomen wrapping part 52, and is configured to prevent leakage of urine from the base of the leg.

  A wide area from the front abdominal part 53 to the backrest part 51 is a central function part that performs the original function as a diaper. A flight receiving portion 55 is formed. The stool receiving portion 55 has the same shape as the defecation tube portion 31 shown in FIGS. 6 and 7, and the surface corresponding to the user, like the other portions, is a fiber such as a nonwoven fabric holding a water-absorbing polymer. A sheet can be used. Further, a moisture-permeable and waterproof resin sheet or the like can be used for the back surface. The toilet receiving part 55 is placed in the recessed hole sheet part 14 of the cover 11. The diaper 5 is also used in the same manner as the diaper 3 described above.

  In order to integrate the nursing diaper cover and the diaper 5 according to the present embodiment so as to improve the wearability, an adhesive means such as a planar fastener is provided on the opposing surface of the nursing diaper cover and the diaper 5. Is preferred. By using the diaper 5 shown here together with the diaper cover for care according to the present embodiment, the stool loosened by the defecation control is stored in the stool receiving portion 55, and it is hygienic without being scattered to the other. Helps prevent outbreaks and is effective in healing.

  The shape of the diaper 3 shown in FIG. 3 can be deformed so as to fit the diaper cover for care according to the present embodiment using the cylindrical part forming auxiliary body 60 and the lid body 61 shown in FIG. The cylinder part formation auxiliary body 60 and the lid body 61 can be configured in the same manner as a paper cup with paper or the like. The cylinder portion forming auxiliary body 60 is formed like a heel or a ball, and a round hole 62 is formed in the bottom portion. The lid 61 has a disc shape and has a diameter equal to or larger than the diameter of the hole 62. The cylindrical portion forming auxiliary body 60 includes a tip edge portion 63 formed so as to protrude outward at the periphery of the opening. The trunk portion 64 of the tubular portion forming auxiliary body 60 has a diameter slightly smaller than the diameter of the defecation tubular portion 31 in the diaper cover for care according to this embodiment, and the height is slightly smaller than the depth of the defecation tubular portion 31. It is formed low.

  As shown in FIG. 13, the stool receiving part 3F of the diaper 3 described in FIG. 10 is pushed into the inner wall of the cylindrical part forming auxiliary body 60 configured as described above, and the center part of the stool receiving part 3F is perforated. 62 is passed. As shown in FIG. 14, the lid 61 is placed at the center of the stool receiving portion 3 </ b> F that has passed through the hole 62, and the diaper 3 is pulled out from the hole 62 in a state where the cylindrical portion forming auxiliary body 60 is pressed, The lid 61 holds the stool receiving portion 3 </ b> F so that the center portion does not come out of the hole 62. In this state, a circular adhesive sheet 65 that matches the outer bottom portion of the tube portion forming auxiliary body 60 is stuck from the outer bottom portion of the tube portion forming auxiliary body 60, and the stool receiving portion 3F holding the lid body 61 is fixed.

  The cylindrical part forming auxiliary body 60 fixed to the diaper 3 by configuring as described above is inserted while being pressed from the inside into the recessed sheet part 14 covering the defecation cylinder part 31 in the diaper cover for care according to this embodiment, The surface of the adhesive sheet 65 is in contact with the bottom surface. At this time, as shown in FIG. 15, the distal end edge portion 63 of the tube portion forming auxiliary body 60 elastically presses the inner wall of the defecation tube portion 31, so that the tube portion forming auxiliary body 60 is semi-fixed to the defecation tube portion 31. It becomes a state.

  By using the diaper 3 in this state, the stool is accommodated in the stool receiving portion 3F spread on the inner wall of the cylindrical portion forming auxiliary body 60, the anus can be kept relatively hygienic and the tailbone or sacrum The situation where the stool wraps around can be avoided, and the effect of the diaper cover for care according to the present embodiment can be sufficiently brought out.

  In addition, a cylindrical part forming auxiliary body having the same shape as the cylindrical part forming auxiliary body 60 and having no hole at the bottom is provided inside (or outside) the toilet receiving part 3F of the diaper 3, and the bottom is attached to the toilet receiving part 3F. May be. Furthermore, the stool receiving part 3F of the diaper 3 may be made of a material that is solidified by heat or pressure, and the stool receiving part 3F may be formed in the same shape as the cylindrical part forming auxiliary body 60 (without a bottom hole).

  The cushion block 70 used for the diaper cover for care which concerns on 2nd Embodiment is shown by FIG. The cushion block 70 includes a hip-corresponding elastic member 71 and a sacrum protecting elastic member 72. The elastic member 72 for protecting the sacrum is constituted by a butt receiving sheet 73 and a pressure absorbing sheet 74 that are stacked from the upper side in contact with the human body. The bottom receiving sheet 73 can be made of, for example, 20 mm chip urethane foam, and the pressure absorbing sheet 74 can be made of, for example, a 40 mm cotton-like fiber sheet. The bottom receiving sheet 73 and the pressure absorbing sheet 74 have the same area, and both have a pentagonal planar shape protruding to the crotch side at the time of mounting, and each corner is chamfered to improve the fit. Further, the upper edge portion of the buttocks receiving sheet 73 is also chamfered to improve the fit. In the center of the bottom surface of the bottom receiving sheet 73 and the pressure absorbing sheet 74, generally elliptical planar holes 75 and 76 are formed. The holes 75 and 76 are formed so as to be gradually narrower toward the crotch side when mounted.

  The collar corresponding elastic member 71 includes a base sheet 77, pseudo collar parts 78, 78, and collar part covers 79, 79. The base sheet 77 can be composed of a 30 mm low-resilience urethane foam. The base sheet 77 has the same planar shape as the buttocks receiving sheet 73 and the pressure absorbing sheet 74, but is configured to have a large area so as to cover the part from the entire buttocks to the back.

  In the base sheet 77, holes 80, 80 having a generally crescent shape in plan view are formed at positions corresponding to the buttocks when the diaper cover for care according to the second embodiment is attached. The said shape of the holes 80 and 80 is a shape which cut off the collar part, and the pseudo collar part 78 and 78 are interposed in this hole 80 and 80. As shown in FIG. The planar shape of the pseudo brim pieces 78, 78 is the same as that of the holes 80, 80, and can be constituted by, for example, chip urethane foam. The surface in contact with the pressure absorbing sheet 74 in the pseudo saddle piece 78, 78 is a flat surface, and the back side of the flat surface has a hill shape or a shape with the ridges inverted, and resembles a gluteal muscle. The maximum thickness of the pseudo brim pieces 78 and 78 can be set to, for example, 50 mm, and protrudes to the back surface side of the base sheet 77 in a state of being interposed in the holes 80 and 80.

The collar piece covers 79, 79 can be made of a low-resilience urethane foam having a maximum thickness of, for example, 30 mm. The collar piece covers 79 and 79 are overlapped and fixed to the pseudo collar parts 78 and 78 and have the same shape as the pseudo collar parts 78 and 78.
A hole 82 having the same shape as the holes 75, 76 is formed in the center of the base sheet 77. By attaching the bottom receiving sheet 73, the pressure absorbing sheet 74 and the base sheet 77 in layers, the holes 75, 76 and the hole 82 are configured as one defecation tube portion 81.

  The cushion block 70 employs a configuration in which the flat area of the defecation tube portion 81 is widened as a protection means that protects the human body from pressing at least at a position corresponding to the coccyx at the distal end of the sacrum. That is, when the diaper cover for care according to the second embodiment is mounted, the anus, the tailbone, and the sacrum enter the defecation tube portion 81, and the anus, the tailbone, and the sacrum are not rubbed or pressed. ing. The cushion block 70 configured as described above is placed in the cover 11 shown in FIG. 8 as the cushion block 20 to be a nursing diaper cover, and is the same as the nursing diaper cover of the first embodiment. Used for.

  The nursing diaper cover according to the first and second embodiments described above has the following characteristics. In particular, it is known that if an elderly person is allowed to sleep freely, it will easily become a stoop. The nursing diaper cover according to the present embodiment floats the buttocks instead of the gluteal muscles, and on the back side of the hip portion from the buttocks to the back side from the front side (the base side of the lower limb) of the pseudo buttocks pieces 24 and 78 ( The taper is gradually tapered toward the back side, and a structure that functions as a waist pillow is formed to fit the relevant part of the living body, making it easy to sleep when sleeping and sleeping in the correct posture Can be prevented from becoming stooped. In addition, prevention of contracture and correction of contracture can be expected. With the configuration that functions as the waist pillow, it is comfortable when sleeping, and functions as a cushion of the waist when sitting in a wheelchair, so that the correct posture can be held comfortably.

  In addition, when lying on the back as described above, not only is it difficult to care, but there is a concern that dysphagia may occur and meals cannot be eaten. In order to cope with this, in the daytime, a patient is seated in a wheelchair and cared for. In this case, it is desired to sit in a correct posture, but the hips are likely to move forward of the wheelchair and become so-called “sacral sitting”. Furthermore, if the patient is sitting in a wheelchair for 10 hours, pressure ulcers develop in the anus and its surroundings after a certain number of days. This is called a wheelchair pressure ulcer and is a problem in the case of care using a wheelchair. According to the diaper cover for care according to the present embodiment, the pseudo heel part pieces 24 and 78 function to push up the patient's upper body in a straight state between the chair and the patient's buttock, and have a correct posture. In the correct posture, the pseudo buttock pieces 24 and 78 mainly function as stoppers, and the buttock is shifted forward of the wheelchair and is difficult to advance. This has the effect of making it difficult to become so-called “sacral sitting”. Moreover, even when sitting in a wheelchair, the anus and its surroundings are almost directly facing the opening of the defecation tube part 31, and this part is not severely pressed or rubbed, preventing the occurrence of pressure ulcers in the wheelchair. It is very useful for.

  Furthermore, the cushion blocks 20 and 70 housed in the cover 11 and attached to the patient wrap around the patient from the back to the flank as a whole and perform a corset function. For this reason, it is possible to prevent “side-down” in which the upper body falls to the side while sitting in a wheelchair, and a correct posture can be maintained in this respect as well.

  In addition, each member of the cushion blocks 20 and 70 may be constituted by a container such as a resin balloon, and a gas such as air or a gel (glue) liquid or water enclosed therein may be used. The entirety of the cushion blocks 20 and 70 may be configured by a single container such as a resin balloon, and liquid or gas may be sealed in the same manner as described above. Furthermore, a gel-like resin has been developed that retains the shape to some extent without being dropped into a container and flowing at a normal temperature, so that it adheres to the outside of the balloon. The cushion blocks 20, 70 themselves or each member thereof may be created by fixing them. When the above air or gel is used, the cover 11 can be made of a resin integral with a resin that forms a balloon or the like. Moreover, the diaper cover for care of each embodiment can be used together with the diaper as described above, but the defecation bag invented by the inventors of the present application (Japanese Patent Laid-Open No. 2008-253584) is used on a patient or the like. The defecation bag can be put into the defecation tube portions 31 and 81 and used.

  According to the diaper cover for care according to the embodiment, since it is possible to prevent defecation from entering the defecation tube portion 31 and splashing or adhering to other portions, especially for women who use diapers. Many cystitis can be prevented. In other words, for a woman who used diapers who developed cystitis, the reason for the origin of cystitis was investigated. It is known that the cause is contamination. Especially in the case of women, the distance from the anus to the urethral opening is short, and cystitis is likely to occur. The diaper cover for care according to this embodiment provided with the defecation tube portion 31 that is configured to prevent scattering and adhering to other portions can prevent cystitis caused by such a cause.

  According to the diaper cover for care which concerns on embodiment, generation | occurrence | production of pressure sores of a greater trochanter part can be prevented beforehand. The greater trochanter part refers to a portion where the pelvis protrudes to the sides of the left and right hips. This greater trochanter part is a part that comes into contact with the floor when lying on its side, as is apparent from its position and protruding shape. In addition, for patients with pressure ulcers in the sacrum, it is generally practiced that the sacrum is left and right by changing its lateral position every two hours so that the sacrum does not touch the floor. Even if this horizontal position is changed from side to side, the greater trochanter part rubs and eventually pressure ulcers are formed. In particular, in the case of an elderly person, the meat on the outside of the greater trochanter part falls like the buttocks, so that pressure ulcers are easily formed on the greater trochanter part. In order to cope with this, the cushion material already described is interposed in the belt-like portions 11C and 11C of the cover 11, and when the nursing diaper cover according to the embodiment is attached, the greater trochanter portion is softly wrapped. Acts as follows. Therefore, as described above, when a patient with pressure ulcers in the sacral region is cared for every two hours by changing the lateral position from side to side, or when a person who does not have pressure ulcers in the sacral region is laid sideways, The child part is protected by the cushion material, and the band-like parts 11C and 11C and the greater trochanter part are not rubbed tightly, thereby preventing the occurrence of pressure sores.

3, 5 diaper 11 Cover 20, 70 Cushion block 21, 71 Saddle-corresponding elastic member 22, 72 Sacral protective elastic member 31 Defecation tube part 32 Bottom plate 33 Bottom seat 34 Standing elastic member 51 Back support part 52 Abdomen winding part 53 Front abdomen 54 Gather 55 Stool receiving part 60 Cylinder part forming auxiliary body 61 Lid body 62 Hole 63 Tip edge part 64 Body part 65 Adhesive sheet 73 Butt receiving sheet 74 Pressure absorbing sheet 75 Hole 77 Base sheet 24, 78 Single cover 81 Defecation tube

Claims (5)

At least at the position facing the buttocks avoiding the tailbone at the tip of the sacrum, the buttocks corresponding elastic member that pushes up the buttocks in the supine and sitting positions from the floor side,
An elastic member for protecting the sacrum, which is disposed closer to the human body than the elastic member corresponding to the buttock, and is provided with protection means for protecting the living body from being pressed at a position corresponding to the sacrum and the buttock;
A stool tube part formed through the elastic member for protecting the sacrum and the elastic member corresponding to the buttocks,
Covering the exposed surface of the buttock corresponding elastic member, the sacrum protecting elastic member and the defecation tube portion, and covering the lower abdomen from the back side through the buttocks in the mounted state,
A diaper for nursing care, wherein a diaper corresponding to defecation is disposed on the cover of the elastic member corresponding to the buttocks.   The diaper cover for care according to claim 1, wherein an elastic member for standing upright is provided so as to cover the crotch, and the elastic member for standing up is covered with the cover.   The diaper cover for care according to claim 1 or 2, wherein the protection means is constituted by a defecation tube portion.   The diaper cover for care according to claim 1 or 2, wherein the protection means is constituted by an elastic member softer than the elastic member corresponding to the buttocks. The hip-corresponding elastic member is composed of two layers of elastic members,
A hole is formed at a position facing the buttocks in the elastic member in contact with the elastic member for protecting the sacrum, and an elastic member having the same quality as the elastic member for protecting the sacrum is interposed in the hole. 4. A diaper cover for nursing care according to 4.

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