JP2020049064A - Bath stretcher and method for bathing in lying posture - Google Patents

Abstract

To provide a bath stretcher significantly reducing the cost for mechanization in lying-posture bathing and contributing to improvement in working environment in a field of nursing-care.SOLUTION: A bath stretcher 1 includes: a carriage 3 that is movable by having casters 7; and a stretcher 5 placed on the upper surface side of the carriage 3 so as to be freely attached/detached vertically with respect to the carriage 3. The stretcher 5 includes, at four parts thereof, suspension parts 13 that engage hooks attached to the tip ends of sling belts 35 of a hanger 31 of a care lift 27. After the hooks are engaged therewith, when the hanger 31 is lifted, the stretcher 5 on which a care-receiver HP is placed is separated from the carriage, and the stretcher 5, with it separated therefrom is moved to immediately above a bathtub 55. Subsequently, the care lift 27 is operated to lower the stretcher 5 and put it in the bathtub 55, and the care receiver HP is made to soak in hot water S of the bathtub 55. After the bathing, the stretcher 5 is lifted, moved and placed at a prescribed position on the carriage 3.SELECTED DRAWING: Figure 7

Description

  TECHNICAL FIELD The present invention relates to a stretcher for bathing used for bathing in a lying posture (supine position) and a sleeping position bathing method.

  For example, in a nursing care facility for elderly people, when taking a bath for a severely disabled person (cared person) who has little freedom of body, move the cared person on a stretcher to the bathroom, and then move from the stretcher to the bathroom. Is transferred to a sling sheet suspended by a bathing-only lift device provided in the lounge. At present, the transfer to the sling sheet relies on the human power of an assistant.

Such manual transfer assistance places a heavy burden on both the care receiver and the assistant.
In other words, the care receiver may be forced to assume an unreasonable posture during transfer, and may suffer physical distress. In addition, since the sling sheet restrains the care receiver in a rounded manner, the physical burden during bathing is large. In particular, for a cared person such as a severely disabled person who cannot maintain a sitting posture, restraining by a sling sheet may cause great physical pain.
On the other hand, caregivers have a risk of dropping the cared person during transfer and falling over while holding the cared person. In addition, the risk of back pain is increased because of the heavy burden on a daily basis. In addition, in order to transfer one cared person, it is necessary to have a total of 3 to 4 persons, including not only the caregiver who is holding it, but also those who assist it, making it difficult to secure caregivers. The financial burden is also large for the facilities.

In order to cope with such a problem, in recent years, reduction of human assistance by mechanization has been promoted, and a method of bathing a care receiver while lying down has been implemented.
For example, Patent Literatures 1 and 2 disclose stretchers in which a stretcher on which a care receiver is placed while lying down is detachably provided.
After moving the care receiver from the bed to the stretcher, move the stretcher, lay it sideways on a so-called mechanical tub, adjust the height with the elevating function of the stretcher, and then move the stretcher into the bath tub via the rail. Then, the bathtub wall is raised, or the stretcher support is lowered, and the care receiver is immersed in hot water while being placed on the stretcher. Such a bathing method is generally called sleeping bathing or sleeping bath.

According to this bathing method, when the care receiver is put on the stretcher from the bed and when the stretcher is slid between the mechanical bathtub and the stretcher, human labor is required, but much labor is required as compared with the sling sheet transfer method. It is lighter, more secure, and the physical burden on the cared person is extremely small.
When transferring from the bed to the stretcher, the height of the stretcher and the bed can be adjusted using the elevating function of the stretcher, so that, for example, the sheet laid under the care receiver can be moved simply by pulling. It can also be moved using a mobile simple lift.
Since the cared person can take a bath while lying down, there is almost no physical burden. Since only one or at most two assistants are required, the physical and mental labor of the assistants is greatly reduced, and the facility side also has a small labor cost.

JP 2009-195536 A JP 2016-16213 A

As described above, for the mechanization (systemization) in bathing in a bed, a method is adopted in which a stretcher on a stretcher is horizontally slid and placed (moved) on a stretcher support in a mechanical bathtub.
However, in the method using a mechanical bathtub, a precise movable structure that maintains the watertight state of the bathtub is required, so that the price inevitably increases. The actual system price in the market using the mechanical bathtub is as high as about 1,000 million yen.
For this reason, in the field of nursing care, there is a strong demand for cost reduction, partly because of a rise in labor costs.

The present invention has been devised in view of such a current situation, and enables bathing in a lying position similar to that of the above-described mechanical bathtub, while having a simple configuration, and is capable of realizing a significant cost reduction. The purpose is to provide a stretcher.
Another object of the present invention is to provide a sleeping bathing method using the stretcher for bathing properly.

  SUMMARY OF THE INVENTION The present invention has been made to achieve the above object, and the invention of claim 1 has a movable trolley having casters and an area capable of mounting a care receiver in a lying posture. A stretcher mounted on the upper surface of the cart so as to be detachable in the up-down direction, and a plurality of hanging portions provided on the stretcher side, wherein the stretcher is a nursing lift via the hanging portion. A stretcher for bathing, wherein the stretcher is suspended from the trolley and lifted off from the carriage.

  According to a second aspect of the present invention, in the bath stretcher according to the first aspect, a rod-shaped fitting member is provided on one of the carriage and the stretcher, and the stretcher is lowered from above the carriage on the other. A fitting recess into which the fitting member is fitted when provided is provided, and the fitting recess is constituted by a positioning groove and a guide edge that extends in a tapered shape on both sides thereof toward the tip end. A stretcher for bathing, characterized in that a guide piece including the guide edge is bent inward.

  According to a third aspect of the present invention, in the stretcher for bathing according to the second aspect, a pair of the fitting concave portions are provided so as to face each other in a direction orthogonal to the height direction of the care receiver, and the fitting members are orthogonal to each other. A stretcher for bathing, which is provided so as to extend in the direction, and wherein the fitting member is fitted into the pair of fitting recesses at two places.

  According to a fourth aspect of the present invention, in the bathing stretcher according to any one of the first to third aspects, the locking means for preventing the caregiver from being displaced in the height direction while detaching the stretcher from the carriage above the stretcher. It is a stretcher for bathing characterized by having.

  According to a fifth aspect of the present invention, in the stretcher for bathing according to any one of the first to fourth aspects, the stretcher is bent in a direction perpendicular to a height direction of the care receiver, and the stretcher is bent. A stretcher for bathing, characterized in that the posture can be changed.

  According to a sixth aspect of the present invention, in the bath stretcher according to any one of the first to fifth aspects, a plurality of side covers are provided on both sides of the stretcher to prevent the care receiver from slipping off. Is a bath stretcher characterized in that the side cover has a detachable structure in which the lower end portion is simply inserted.

  The invention of claim 7 is the bath stretcher according to any one of claims 1 to 6, wherein the stretcher is provided with a gap, and a pillow is removably fitted in the gap. It is a stretcher for bathing.

  According to an eighth aspect of the present invention, in the sleeping position bathing method using the stretcher for bathing according to any one of the first to seventh aspects, a stretcher which is vertically detachable on an upper part of a movable cart having casters. After using the stretcher on which the care receiver is placed on the stretcher in a supine position, the stretcher is moved to the vicinity of the bathtub, and then the stretcher is placed with the care receiver on the stretcher. A sleeping position bathing method characterized by being suspended by a nursing care lift, positioned above the bathtub, and then lowered the stretcher so as to be immersed in the bathtub together with the cared person to take a bath.

  According to the present invention, there is no need for mechanization on the bathtub side, and if there is an existing nursing care lift, it can be used as it is for hanging a stretcher, thereby greatly reducing the cost of mechanization in bedtime bathing. And contribute to improving the working environment in the field of nursing care.

It is a schematic perspective view of the stretcher for bathing concerning one embodiment of the present invention. FIG. 2A is a front view and FIG. 2B is a side view showing a connection relationship between a stretcher angle changing function of the stretcher for bathing and a care lift shown in FIG. 1. It is a principal part perspective view which shows the structure of the lock means which connects a trolley | bogie and a stretcher. FIG. 3 is an exploded perspective view illustrating a configuration of a stretcher positioning unit. It is a schematic plan view of an example of the bathroom in which the stretcher for bathing shown in FIG. 1 is used. FIG. 2A is a front view and FIG. 1B is a side view of the stretcher for bathing shown in FIG. 1 in which a stretcher is suspended by a care lift. 1A is a schematic cross-sectional view showing a bathing method using a bath stretcher shown in FIG. 1, wherein FIG. 1A shows a state in which a stretcher is lowered to align with a bathtub, and FIG. It is a figure showing the state where the care receiver was immersed in the hot water of the bathtub.

Hereinafter, a bath stretcher and a sleeping position bathing method according to an embodiment of the present invention will be described with reference to the drawings.
As shown in FIG. 1, the stretcher 1 for bathing includes a trolley 3 constructed by assembling pipe members so as to form a rectangular parallelepiped contour, and a vertical direction ( And a stretcher 5 detachably mounted in the direction of arrow Z).
Casters 7 are attached to the lower ends of the four corners of the trolley 3 so that the trolley 3 can freely change its direction by 360 °. Each caster 7 has a lever 7a for locking and unlocking wheels.

The stretcher 5 has a base frame 9 configured to form a rectangular frame with a pipe material, and a stretcher body 11 also formed of a pipe material and on which a care receiver is placed. The stretcher main body 11 has an area (contour area) in which the body of the care receiver can be stretched along the long side direction of the rectangle and placed in a lying posture (supine position).
The base frame 9 is provided with a suspending portion (hook engaging portion) 13 for suspending by a later-described care lift. The hanging portion 13 is formed of an annular body in which both ends of a bent rod-shaped body are fixed to the base frame 9 and closed. The hanging portion 13 protrudes above the base frame 9. In order to stably suspend the stretcher 5, two suspension units 13 are provided at two locations on both long sides, with a space between the suspension units 13, for a total of four locations.

  The pipe frame 15, which forms the contour of the stretcher body 11, is rotatably connected to a fixed portion 15a fixed to the base frame 9 and one end side (head side of the cared person) of the fixed portion 15a. An upper body supporting portion 15b that supports the upper body portion, and a first end that is rotatably connected to the other end side (leg side of the cared person) of the fixing portion 15a and supports the lower body portion of the cared person. It comprises a lower body support 15c and a second lower body support 15d rotatably connected to the other end of the first lower body support 15c.

A plurality of metal plates 17 for supporting the cared person are arranged and fixed in a bridging manner between the pipe members extending in the height direction of the cared person (the direction of the arrow Y) in the pipe frame 15. On the upper surface of each plate 17, cushion members 19 made of synthetic resin are arranged, and these cushion members 19 have a detachable structure in which the pins 21 are simply pushed in and stopped so as to be easily cleaned. This allows for one-touch removal and mounting during cleaning. In FIG. 1, reference numerals 17a and 19a indicate insertion holes of the pins 21.
There is a gap between the tip (horizontal frame) of the upper body supporting portion 15b of the pipe frame 15 and the cushion member 19 adjacent thereto, and a pillow 23 made of the same material as the cushion member 19 is removably fitted in the gap. ing. Although not explicitly shown, a recess is formed on the surface of the pillow 23 to stably accommodate the head of the care receiver.

  On both sides of the stretcher body 11, that is, on both long sides of the pipe frame 15, side covers 25a, 25b, 25c are arranged to face each other in order to prevent the care receiver from slipping off. Each of them is bent downward so that both ends of one pipe member are parallel in the same direction and faces downward. The side covers 25a, 25b, and 25c have different shapes of intermediate bent portions corresponding to body parts. As shown in the phantom diagram of the side cover 25a, small-diameter insertion portions 25a-1 are provided at both lower ends, and the insertion portions 25a-1 are simply inserted into the recesses (holes) on the pipe material side. It has a detachable configuration. The side covers 25b and 25c have the same detachable structure. When placing the care receiver on the stretcher 5 or washing the care receiver on the stretcher 5, these side covers 25a, 25b, and 25c are appropriately removed so as not to interfere. The surface may be covered with a flexible member such as a sponge to reduce the hit.

  As shown in FIG. 2A, the upper body supporting portion 15b of the stretcher main body 11 on the side where the head of the care-receiver is located has a configuration capable of being held at a predetermined angle from a horizontal plane. . In the present embodiment, the upper body supporting portion 15b can be appropriately set to any one of three stages of a horizontal position at an angle of zero, a position at an angle θ1 (15 °), and a position at an angle θ2 (30 °). Has become. This angle setting is for preventing the care-receiver's face from being immersed in the hot water when putting the care-receiver in the bathtub, or for appropriately raising the care-taker's posture at the time of bathing to reduce the burden.

  As shown in FIG. 2A, the first lower body support portion 15c and the second lower body support portion 15d that support the lower body portion of the care receiver have a configuration that can be held at a predetermined angle from a horizontal plane. doing. In the present embodiment, a state in which the boundary between the first lower body support portion 15c and the second lower body support portion 15d continues at a horizontal position at an angle of zero, and a state in which the boundary protrudes in a mountain shape, that is, the first lower body The support portion 15c can be appropriately set to a state where the support portion 15c is inclined at an angle θ3 (16 °). This angle setting is for suppressing the lower body of the care receiver from slipping down by raising the upper body supporting portion 15b.

  All of the above angle settings are realized using a link mechanism, and are securely locked at the set position. In this way, the stretcher 5 can be bent in the direction perpendicular to the height direction of the care receiver to change the posture of the care receiver placed thereon.

  FIG. 2 shows a state before the care lift 27 suspends the stretcher 5, that is, a lift-up preparation completed state. A traveling body 33 having a hanger 31 that can be moved up and down is provided on the horizontal rail 29 of the care lift 27. The hanger 31 extends in the X direction, and two sling belts 35 are connected to both ends of the hanger 31, respectively. At the lower end of the sling belt 35, a not-shown carabiner hook is provided, and the carabiner hook is engaged with the four hanging portions 13 fixed to the base frame 9 of the stretcher 5.

At the center of the stretcher 1 for bathing in the direction of the arrow Y, a lock means 37 for preventing the stretcher 5 from being detached from the carriage 3 is disposed to face in the width direction (the direction of the arrow X).
In the vicinity of both ends of the stretcher 1 for bathing in the direction of the arrow Y, stretcher positioning means 39 for guiding the stretcher 5 to the bogie 3 in the vertical direction and positioning the stretcher 5 with respect to the bogie 3 are provided in the width direction (arrow X). Direction).

As shown in FIG. 3, the locking means 37 includes a displacement control frame 41 formed of an annular body on the pipe material of the carriage 3, similarly to the hanging part 13. The misregistration control frame 41 protrudes downward. A carabiner hook 43 is connected to the displacement restriction frame 41.
The pipe material of the base frame 9 is also provided with a mounting frame 45 also formed of a J-shaped body. The mounting frame 45 also protrudes downward.

  FIG. 3A shows a state in which the lock is released. After the stretcher 5 is placed at a predetermined position on the cart 3, the carabiner hook 43 is engaged with the mounting frame 45 as shown in FIG. 3B to prevent the stretcher 5 from being detached from the cart 3. And lock it. This lock prevents the stretcher 5 from moving and being displaced with respect to the carriage 3 in the direction of the arrow Y.

As shown in FIG. 4, the stretcher positioning means 39 includes a fitting recess 47 fixed to the inside of the pipe member (XIN side) of the carriage 3 by means such as screwing or welding, and a width of the base frame 9 of the stretcher 5. And a fitting member 49 made of a pipe material or a round bar that is passed and fixed in the direction (arrow X direction). The fitting member 49 serves as a fitting member for the fitting recess 47 and also has a reinforcing function.
The fitting concave portion 47 is formed by bending a flat plate member into an L-shape, and wraps around the pipe member of the bogie 3 from the lower side to the inner side, and the inner part is higher than the pipe member. It protrudes. This protruding portion is cut out from the upper end in a Y-shape to form a pair of tapered guide edges 47a and 47b, and a centrally formed positioning groove 47c into which the fitting member 49 fits. In order to prevent the edges of the triangular guide pieces 47A, 47B having the guide edges 47a, 47b as the edges, respectively, from hitting the base frame 9 when descending the stretcher 5, the guide pieces 47A, 47B are bent inwardly. I have. The stretcher positioning means 39 at the other three locations have the same configuration.

According to the above configuration, when the stretcher 5 is placed on the cart 3, if the operator lowers the stretcher 5 while roughly adjusting the position while operating the remote control of the care lift 27, the stretcher 5 is automatically set to the predetermined position. Is placed in the position.
That is, if the position of the stretcher 5 is adjusted so that the fitting member 49 abuts on any position within the range (W2) where the taper function of the guide edges 47a and 47b operates, the stretcher 5 is fitted by its own weight thereafter. The joining member 49 slides on the guide edges 47a and 47b, and finally fits into the positioning groove 47c to be positioned at a predetermined position of the carriage 3.

Since the range (W2) where the taper function operates is set to be considerably larger than the width (W1) of the positioning groove 47c, the operator does not need to carefully adjust the position of the fitting member 49 with respect to the positioning groove 47c. Even if there is a deviation, it is automatically positioned by the taper function.
Thereby, the operation of placing the stretcher 5 on the carriage 3 becomes extremely easy. In other words, the operation of adjusting the posture of the stretcher 5 with the other hand while operating the nursing care lift 27 with the remote control held in one hand (single person operation) is facilitated. Therefore, there is almost no adverse effect due to the configuration in which the stretcher 5 is completely separated from the carriage 3.

  In this embodiment, the fitting member (fitting member 49) is provided on the stretcher 5 side, and the fitting recess 47 is provided on the bogie 3 side. Can be obtained.

Next, a sleeping position bathing method using the bath stretcher 1 according to the present embodiment will be described in detail.
FIG. 5 is a plan view showing an example of a bathroom. On the ceiling of the bathroom 51, two rails 53, 53 are installed in parallel, and the horizontal rail 29, which is mounted between the rails 53, 53, can run in the X direction. As described above, since the traveling body 33 can travel in the Y direction along the horizontal rail 29, the traveling body 33 can move in a plane in the bathroom 51. Of course, a line moving method using a single rail may be used.
The bathing stretcher 1 is moved while the care receiver HP is placed on the stretcher 5, and enters the bathroom 51 from the entrance 51E. The casters 7 of the stretcher 1 for bathing are fixed in the washing area AW, and the side covers 25a, 25b, 25c are removed, and the care recipient HP is washed.

When the washing before bathing is completed, the side covers 25a, 25b, and 25c once removed are attached again, and the nursing care lift 27 is operated with a remote control to position the traveling body 33 right above the bathing stretcher 1, As shown in FIG. 2, the hooks of the sling belt 35 of the hanger 31 are engaged with the four suspension portions 13 of the stretcher 1 for bathing.
Thereafter, the lock of the lock means 37 is released, and the hanger 31 is raised. When the hanger 31 rises, the stretcher 5 carrying the care receiver HP separates from the carriage 3 as shown in FIG. 6 (lift-up). The angle of the upper body supporting portion 15b of the stretcher 5 is set to 30 °.
In this state, the horizontal rail 29 is moved in the direction of the arrow X, and the stretcher 5 is positioned right above the bathtub 55. Here, the bathtub 55 is indicated by hatching for easy understanding. The bathtub 55 is a normal bathtub without any mechanical configuration.

  Next, as shown in FIG. 7A, the stretcher 5 is finely positioned with respect to the bathtub 55 while being gradually lowered. In this case, the stretcher 5 easily swings such as rotating in a horizontal plane, but the posture shift can be easily adjusted only by an operator (assistant) attaching one hand. The stretcher 5 is further lowered as shown in FIG. 7 (b), and the stretcher 5 is put into the bathtub 55, and the care recipient HP is immersed in the hot water S, while performing adjustment by remote control operation and manual adjustment.

When bathing is completed, the stretcher 5 is pulled up from the bathtub 55 by operating the nursing care lift 27, the horizontal rail 29 is moved and positioned just above the cart 3, and then lowered. As described above, when the stretcher 5 is lowered and mounted on the trolley 3, the positioning can be roughly performed, and when the stretcher 5 is further lowered, the fitting member 49 of the stretcher 5 can move the tapered guide edges 47a and 47b. It slides and automatically fits into the positioning groove 47c.
After the stretcher 5 is placed at a predetermined position on the trolley 3, the stretcher 5 and the trolley 3 are locked (coupled) by the locking means 37, and the bath stretcher 1 is moved to exit the bathroom 51.

In the present invention, since the stretcher 5 is suspended by the nursing care lift 27 so as to take a bath, no mechanization on the tub side is required at all, and if the stretcher 5 has an opening for accommodating the stretcher 5, a normal operation is possible. A bathtub can be used.
If the care lift 27 already exists in the bathroom, it can be used as it is to move the stretcher 5. In addition, since the function of positioning the stretcher with respect to the mechanical tub is not required, the carriage 3 having no elevating function can be used.

  As described above, in implementing the present invention, a new additional configuration is only the configuration of attaching and detaching the stretcher 5 to and from the locking means 37 and the carriage 3 in the vertical direction, and the system price is lower than that of the lying bed bathing method using the mechanical bathtub. It can be greatly reduced. As a result of actual calculation, the system price can be reduced to about half of the system price compared to using a mechanical bathtub. If the existing nursing lift and bathtub can be used as they are, the price can be reduced to about 1/3. It was confirmed that it was possible.

As described above, the present invention is based on the idea that the trend of conventional mechanization in bedtime bathing is based on the idea that the stretcher is slid horizontally and positioned in the mechanical bathtub, assuming the mechanical bathtub. Instead, the stretcher is attached to and detached from the cart in the vertical direction, and the nursing care lift is used as its power source.
By using an existing or new nursing care lift as a power source, the sleeping bathing function using an expensive mechanical bath can be replaced with a simple mechanical configuration.

  Although the embodiment of the present invention has been described in detail above, the specific configuration is not limited to this embodiment, and even if there is a change in the design without departing from the gist of the present invention, the invention is not limited to the embodiment. included.

DESCRIPTION OF SYMBOLS 1 ... Stretcher for bathing 3 ... Dolly 5 ... Stretcher 7 ... Caster 13 ... Hanging part 25a, 25b, 25c ... Side cover 27 ... Nursing care lift 37 ... Locking means 39 ... Stretcher positioning means 47 ... Fitting recess 47a, 47b … Guide edge 49… fitting member 51… bathroom 55… bath tub S… hot water

Claims (8)

  A movable cart having casters, a stretcher having a size capable of mounting the care receiver in a lying posture and being detachably mounted on an upper surface side of the cart in a vertically detachable manner; A stretcher for bathing, wherein the stretcher is suspended by a nursing lift via the suspension unit and is lifted and separated from the cart. The stretcher for bathing according to claim 1,
A rod-shaped fitting member is provided on one of the cart and the stretcher, and a fitting recess is provided on the other side, where the fitting member fits when the stretcher is lowered from above the cart. Yes,
The fitting recess is constituted by a positioning groove and a guide edge which is connected to both sides thereof in a tapered shape and extends toward the tip, and that a guide piece including the guide edge is bent inward. A stretcher for bathing. The stretcher for bathing according to claim 2,
The fitting recess is provided in a pair in a direction orthogonal to the height direction of the care receiver, and the fitting member is provided so as to extend in the orthogonal direction. A stretcher for bathing, wherein the stretcher is fitted in two places in the joint recess. The stretcher for bathing according to any one of claims 1 to 3,
A stretcher for bathing, comprising locking means for preventing the caregiver from being displaced in the height direction while the stretcher is detached from the carriage above. The stretcher for bathing according to any one of claims 1 to 4,
The stretcher for bathing, wherein the stretcher is bent in a direction perpendicular to the height direction of the care receiver so that the posture of the care receiver can be changed. The stretcher for bathing according to any one of claims 1 to 5,
A plurality of side covers are provided on both sides of the stretcher to prevent the care receiver from slipping off, and these side covers have a detachable structure in which only a lower end portion is inserted. Stretcher. The stretcher for bathing according to any one of claims 1 to 6,
A stretcher for bathing, wherein a gap is provided in the stretcher, and a pillow is detachably fitted into the gap. A sleeping position bathing method using the bath stretcher according to any one of claims 1 to 7,
Using a stretcher in which a stretcher detachably mounted in the up-down direction is placed on the upper part of a movable carriage having casters, the stretcher is placed near the bathtub with the care receiver placed on the stretcher in a supine position. After being moved to the bath, the stretcher is hung by a care lift while the care receiver is placed on the bath, the stretcher is positioned above the bath tub, the stretcher is lowered, and the bath is immersed in the bath tub together with the care receiver. A sleeping position bathing method characterized by causing the patient to sleep.

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