CN109199683A - It is a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing - Google Patents
It is a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing Download PDFInfo
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- CN109199683A CN109199683A CN201811059895.0A CN201811059895A CN109199683A CN 109199683 A CN109199683 A CN 109199683A CN 201811059895 A CN201811059895 A CN 201811059895A CN 109199683 A CN109199683 A CN 109199683A
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- bottom plate
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- wrist
- stiff
- offing
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- 210000000811 Metacarpophalangeal Joint Anatomy 0.000 title claims abstract description 23
- 230000002265 prevention Effects 0.000 title claims abstract description 15
- 210000000707 Wrist Anatomy 0.000 claims abstract description 62
- 239000000839 emulsion Substances 0.000 claims abstract description 33
- 239000011248 coating agent Substances 0.000 claims abstract description 4
- 238000000576 coating method Methods 0.000 claims abstract description 4
- 238000004804 winding Methods 0.000 claims description 17
- 238000001802 infusion Methods 0.000 claims description 10
- 239000004677 Nylon Substances 0.000 claims description 6
- 229920001778 nylon Polymers 0.000 claims description 6
- 230000014759 maintenance of location Effects 0.000 claims description 4
- 239000007787 solid Substances 0.000 claims description 4
- 239000011324 bead Substances 0.000 claims description 3
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- 239000000203 mixture Substances 0.000 claims description 3
- 230000017531 blood circulation Effects 0.000 abstract description 8
- 239000000463 material Substances 0.000 abstract description 5
- 230000001058 adult Effects 0.000 abstract description 3
- 210000003811 Fingers Anatomy 0.000 description 43
- 230000000694 effects Effects 0.000 description 14
- 210000003462 Veins Anatomy 0.000 description 12
- 210000003205 Muscles Anatomy 0.000 description 11
- 230000000474 nursing Effects 0.000 description 10
- 210000003813 Thumb Anatomy 0.000 description 7
- 238000010586 diagram Methods 0.000 description 7
- 239000000758 substrate Substances 0.000 description 5
- 210000003041 Ligaments Anatomy 0.000 description 4
- 206010024855 Loss of consciousness Diseases 0.000 description 3
- 239000007789 gas Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000007789 sealing Methods 0.000 description 3
- 210000001367 Arteries Anatomy 0.000 description 2
- 210000004369 Blood Anatomy 0.000 description 2
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- 206010011985 Decubitus ulcer Diseases 0.000 description 2
- 210000001503 Joints Anatomy 0.000 description 2
- 210000004932 Little Fingers Anatomy 0.000 description 2
- 208000004210 Pressure Ulcer Diseases 0.000 description 2
- 206010038743 Restlessness Diseases 0.000 description 2
- 208000003443 Unconsciousness Diseases 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
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- MYMOFIZGZYHOMD-UHFFFAOYSA-N oxygen Chemical compound O=O MYMOFIZGZYHOMD-UHFFFAOYSA-N 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
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- 210000001145 Finger Joint Anatomy 0.000 description 1
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- 210000001306 Ligaments, Articular Anatomy 0.000 description 1
- 235000003283 Pachira macrocarpa Nutrition 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/37—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts
- A61F5/3769—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the body to beds, wheel-chairs or the like
- A61F5/3776—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the body to beds, wheel-chairs or the like by means of a blanket or belts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
- A61M2005/1586—Holding accessories for holding infusion needles on the body
Abstract
It is a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing, including bottom plate, emulsion sheet, wrist strap and fingerstall, the emulsion sheet integral coating bottom plate, and it is connect by the zipper that emulsion sheet periphery is formed with bottom plate, the hermetic inflatable of bottom plate centre design considerations adult centre of the palm form, the palm that air cushion surface is accompanied by gel material subtracts a pad, lower part is equipped with traction wrist strap, the through-hole of fixed finger fingerstall is used for there are five making on bottom plate, fingerstall passes through through-hole and is inserted in patient's the five fingers to referring to root, and is fixed by the fixing buckle that bottom plate back side hinge fills.The present invention is by using taper tubular fixing sleeve made of the double-deck deformable diamond-mesh layer structure, the pulling force of traction is converted to the frictional force generated when diamond-mesh deformation to be evenly applied on patient's finger, and the unsmooth generation shown of finger local blood circulation is prevented while restrict patients fingers;And elastic restraint fingerstall allows patient movable in a certain range, increases the comfort of patient.
Description
Technical field
The present invention relates to medical treatment and nursing product technical fields, are related to one kind and are used in medical care path, to patient's both hands
It is constrained, prevents patient from the constraint gloves of situations such as unexpectedly drawn tubes occur.And in therapeutic process, long-time palm is needed about
Shu Shi, for prevention, metacarpophalangeal joints are stiff and palm is press-offed that situation occurs, with guarantee patient safety, prevent it is unexpected safety-type
Gloves are used in constraint.
Background technique
Physical restraint is defined as by Australian evidence-based care center JBI (The Joanna Briggs Institute)
The body of patient is attached to or be close in using any physics or mechanicalness equipment, material or tool, limits freely living for patient
It moves or prevents patient from just very close to the body of oneself, patient cannot remove it easily.Because at present in clinical nursing activity
In, most of patients carries all kinds of merging conduits, such as trachea cannula, artificial airway, thoracic cavity because for the treatment of and the needs nursed
Drainage tube, peritoneal cavity drainage tube, hemodialysis pipe, stomach tube, catheter etc..The merging of similar conduit, the patient will feel uncomfortable, especially
It is unconsciousness or restless patient occurs there are surprisingly extract conduit phenomenon, some Consciousness under automatism
Patient, and thus occasional is because psychological problems generate self inflicted injury sexual behaviour, and patient can deliberately Lumen catheter be it is expected stopped treatment,
As the very big hidden danger of clinical safety, or even cause conflict between doctors and patients.Therefore it is unplanned to prevent to be often used physical restraint by medical worker
Property the adverse events such as tube drawing occur.It is clinical often to use the constraint tool to avoid such patient from unexpectedly drawn tubes occur, reach appropriate
Patient is constrained, ensures the purpose of patient safety.
Common the constraint tool clinical at present has restraint strap, camisole, constraint gloves etc., can be needed according to clinic to wrist,
Ankle or even shoulder, leg, upper body etc. are constrained.But the finger of people is the highest position of flexibility ratio, and often although some patients make
With restraint strap or constraint gloves, but still over the course for the treatment of with hand-lifting in addition to important pipeline, result in therapeutic process extend,
Pipeline resetting and so on.It has been reported that using the patient of constraint gloves compared with the patient using restraint strap, meaning
Outer decannulation rate is decreased obviously.But since constraint gloves now on the market deposit defect in design, although causing to have used about
Set in a helpless situation, but due to finger in constraint gloves only in refer to and be fixed finger ring from referring to that root is fixed, other fingers still can be
It carries out moving without track in constraint gloves, patient is easy to be sliped off gloves zipper inside constraint gloves with finger tip, finger
It stretches out out of constraint gloves, is extracted after touching various pipes;Or after finger stretches out constraint gloves, grope to restraint strap and bedside rails
Fixed buckle, is voluntarily unlocked.Document is shown in repeatly to be opened Lumen catheter after gloves zipper using patient after constraint gloves or voluntarily solves
Except the report of constraint.Especially Intensive Care Unit or night shift are nursed the period, and personnel are few, heavy workload, to it is this kind of using constraint gloves about
The patient of beam usually occurs because make an inspection tour not in time, downern dosage cause patient irritated using the reasons such as insufficient, cause
The finger ring of middle finger is fixed in constraint gloves, wrist portion frenulum tension causes patient part occur when ring set tension or patient struggle
Blood circulation disorder, serious nurse-patient conflict can also be caused by such as generating consequence.
In order to reduce the generation of Non-plan cupping phenomenon, hospital generally uses constraint gloves.It is placed in and completes in patient conduit
Afterwards, by constraint gloves cover patient on hand, and leash and bedside rails are fixed.As Chinese patent application (application number:
200920216448.2) a kind of hand protective constraint care implement, including substrate, the nursing sleeve being socketed on substrate are disclosed
It is equipped with opening Deng, the nursing sleeve front end, tightly binding device is equipped at the wrist at nursing sleeve rear portion, nursing sleeve front end is equipped with " V " word
Shape sealing, the sealing will partially be divided into thumb area and other four and refer to two regions before nursing sleeve.Above-mentioned binding nursing tool
The finger movement of patient is limited to a certain extent, prevents patient from movement pipeline easily.But it is using slab construction
, there is block substrate in gloves, the palm of patient need to shakeout fixed thereto, and comfort level is poor, and cannot check hand blood at any time
Whether there is or not swelling at liquid circulation and retention transfusion, whether there is or not the situations such as fall off, needing to be repeatedly opened gloves can just look into oxygen saturation fingerstall
It sees, increases workload of the nurse, frequent operation can also stimulate patient's aggravation restless, cause surprisingly, property easy to use is poor.
Market major part constraint gloves are made of cloth or rubber material, and restraining force is poor, cannot effectively prevent non-
The generation of planned tube drawing;And active constraint gloves usually use ring set to constrain patient's middle finger and thumb, in disease
People can also make patient's local blood circulation unsmooth when struggling, and cause adverse effect.
The palm muscle of people is abundant, and articular ligament is numerous, metacarpophalangeal and there are multiple metacarpophalangeal joints between referring to.Palm exists for a long time
When flattened in constraint gloves, each muscle group is in tense situation, and after middle finger and thumb are fixed by finger ring, interphalangeal joint is also relatively solid
It is fixed, it is difficult to activity, for needing the braking in constraint patient's long-time muscular tone and joint for a long time that articulations digitorum manus must be brought stiff
Firmly, palm muscular fatigue.The palm of people is in that " c " shape the five fingers are slightly curved in a relaxed state, slightly partly holds shape to what the centre of the palm was collapsed
State.Existing constraint gloves do not account for ergonomic factor, and gloves substrate is plate, when patient needs to constrain for a long time,
It is actually the tense situation in muscle, metacarpophalangeal joints and ligament hyperextension that palm muscle, which is placed on plate, reduces patient and relaxes
Appropriateness, and need nurse at interval of a period of time to constraint the carry out activity of patient's finger-joint with prevent for a long time constrain after metacarpophalangeal
Anchylosis.Workload of the nurse is not only increased, is even more to be difficult to be timely completed when nursery work is busy.
Hand back vein is clinical common infusion fluid vein, using traditional constraints gloves patient, since whole hand is covered by gloves,
Can not carry out hand vein transfusion can not also carry out the observation of the back of the hand site of puncture, have to abandon hand vein transfusion access and select
Other veins carry out infusion treatment, need to be protected by the clinical vein that distal vein comes into effect when having violated periphery venipuncture former
Then.
Summary of the invention
It is an object of the invention to provide a kind of constraint gloves, the gloves are effective in place of overcome the deficiencies in the prior art
Ground prevent patient voluntarily tube drawing while, prevented patient and sliped off gloves zipper with finger tip inside gloves, finger stretches out gloves
Tube drawing caused by outer and the voluntarily risk of constraint relief have combined patient's metacarpophalangeal joints, ligament and palm muscle in putting
Loose state, and light activity, the comfort level of patient when increasing constraint can be carried out according to fixed curve movement in constraint gloves
Alleviating nursing work load ensure that patient safety simultaneously.
The purpose of the present invention is what is be achieved through the following technical solutions:
It is a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing, including bottom plate, emulsion sheet, wrist strap
And fingerstall, the emulsion sheet integral coating bottom plate, and connect by the zipper that emulsion sheet periphery is formed with bottom plate, bottom plate center
The hermetic inflatable of position design considerations adult centre of the palm form, the palm that air cushion surface is accompanied by gel material subtract a pad, and lower part is set
There is traction wrist strap, there are five the through-hole for being used for fixed finger fingerstall, fingerstall is inserted in patient's the five fingers across through-hole and extremely refers to system on bottom plate
Root, and by the bottom plate back side hinge dress fixing buckle fix, guarantee patient constraint when finger swing, metacarpophalangeal joints can be slight
It is flexible to wait activities, and finger is effectively prevent to slip off zipper with zipper in finger tip releasing gloves from quick-boiling out in fingerstall.
Moreover, the fingerstall includes connection handle, fixed pull ring and fixing sleeve, fixing sleeve lower end setting opening, top leads to
It crosses connection handle to connect with fixed pull ring, the fixing sleeve is low wide and up narrow taper tubular structure, and the fixing sleeve is mutual by two layers
Deformable diamond-mesh layer composition is connected, and internal layer diamond-mesh layer internal diameter is less than outer layer diamond-mesh layer internal diameter.
Moreover, can produce mutual displacement between two layers of deformable diamond-mesh layer.
Moreover, the described fixing sleeve opening has also integrally produced flange.
Moreover, the traction wrist strap includes fixed section and winding section, bottom base plate extends downwardly that integrally to have produced wrist solid
Fixed board, Wrist fixing board two sides are respectively equipped with fixed section and winding section;And fixed section end is equipped with fixed ring buckle, winding section end
End is formed with nylon hook band, and winding section is around patient's wrist and penetrates in fixed ring buckle and the nylon velvet with the Wrist fixing board back side
Band, which is coupled, to be fixed.
Moreover, the Wrist fixing board upper surface is additionally provided with gel wrist portion supporting pad, in the gel wrist portion supporting pad
Portion's setting is fluted, and both ends are provided with retention bead.
Moreover, the nearly Wrist fixing board side of wrist strap winding section is also compounded with sponge cushion, the sponge cushion with
Ventilative through hole is also uniformly formed in wrist strap winding section.
It is adapted positioning groove with hand-type shape moreover, being formed on the bottom plate, and is also compounded with bottom in positioning groove
Plate sponge cushion, and multiple ventilative through holes are also uniformly formed on bottom plate sponge cushion.
Moreover, being also formed with the infusion through slot for being infused, observing in the middle part of the emulsion sheet, and also it is formed at the top of emulsion sheet
Dismountable observation emulsion sheet, can not influence to puncture and puncture into the hand back vein when patient carries out gloves constraint
To the observation of point of puncture after function.
Moreover, the fixing buckle uses the mountain-climbing buckle structure with screw thread safety cap.
Advantages of the present invention and economic effect are:
1, the present invention overcomes traditional constraints gloves, and that local blood circulation easily occurs when using finger fixing belt is unsmooth
Problem converts the pulling force of traction by using taper tubular fixing sleeve made of the double-deck deformable diamond-mesh layer structure
It is the frictional force that is generated when diamond-mesh deformation to be evenly applied on patient's finger, in the same of restrict patients fingers
When prevent the unsmooth generation shown of finger local blood circulation;And elastic restraint fingerstall allows patient in a certain range
Interior activity increases the comfort of patient.
2, when constraining patient the present invention overcomes traditional constraints gloves patient finger can in gloves voluntary activity, there is finger
Point slips off gloves zipper in gloves, and finger is caused to be exposed to outside gloves, once touch leash on patient circuit or bedside rails
Button there are unexpectedly drawn tubes or unlocks the risk of restraint strap.
3, the present invention overcomes traditional constraints gloves substrates without centre of the palm pad, palm muscle group anxiety, metacarpophalangeal when causing to constrain
Patient caused by hyperextension of joints is uncomfortable.And gel material is accompanied by using the air cushion surface of fitting centre of the palm form, alleviate palm length
The hyperextension and fatigue of metacarpophalangeal joints and palm muscle group when phase uses constraint gloves.
4, the infusion through slot that is formed with by using emulsion sheet of the present invention, convenient for for patient during the constraint gloves use still
It can use the hand back vein and carry out venipuncture, it then follows clinical vein protection philosophy, and after puncturing successfully opponent is quiet and secluded
Arteries and veins point of puncture carries out constantly observation and guarantees that infusion is unimpeded;And cooperate dismountable observation emulsion sheet, convenient for referring to the monitoring of arteries and veins oxygen,
While preventing patient is unconscious from grabbing pipe, the orderly development for the treatment of, detection has been ensured.
5, the emulsion sheet that the present invention is connected by using zip mode is observed hand blood fortune convenient for nurse and is operated.
6, the present invention is by using gel wrist portion supporting pad, and cooperates the sea of the nearly Wrist fixing board side of wrist strap winding section
Continuous cushion improves comfort and gas permeability of the patient using constraint gloves when, while preventing for a long time using constraint
Gloves and the wrist portion pressure sore generated.
Detailed description of the invention
Fig. 1 is main view of the invention;
Fig. 2 is rearview of the invention;
Fig. 3 is the structural schematic diagram (showing that fingerstall is dressed) of fingerstall of the present invention and bottom plate;
Fig. 4 is the structural schematic diagram (showing that fingerstall is fixed) of fingerstall of the present invention and bottom plate;
Fig. 5 is the structural schematic diagram of bottom plate of the present invention;
Fig. 6 is the structural schematic diagram (showing fingerstall wearing state) of fingerstall of the present invention;
Fig. 7 is the structural schematic diagram (showing fingerstall restrained condition) of fingerstall of the present invention;
Fig. 8 is the structural schematic diagram of wrist strap of the present invention;
Fig. 9 is the structural schematic diagram that the centre of the palm of the present invention subtracts a pad.
Specific embodiment
For that can further appreciate that the contents of the present invention, feature and effect, the following examples are hereby given, and cooperates attached drawing detailed
It is described as follows.It should be noted that the present embodiment be it is descriptive, be not restrictive, cannot thus limit guarantor of the invention
Protect range.
A kind of constraint gloves, including bottom plate 9, emulsion sheet 1, wrist strap and fingerstall 15, the emulsion sheet integral coating bottom plate,
And the zipper 4 being formed with by emulsion sheet periphery is connect with bottom plate, bottom plate lower part is equipped with wrist strap, and there are five for fixing for system on bottom plate
The through-hole 10 of fingerstall, fingerstall pass through through-hole and are inserted in patient's the five fingers and are fixed by the fixing buckle 12 of bottom plate back side hinge dress.
The fingerstall includes connection handle 17, fixed pull ring 16 and fixing sleeve 18, and fixing sleeve lower end is provided with opening, top
It is connect by connection handle with fixed pull ring, the fixing sleeve is low wide and up narrow taper tubular structure, and the fixing sleeve is by two layers of phase
Connect deformable diamond-mesh layer composition, and internal layer diamond-mesh layer internal diameter is less than outer layer diamond-mesh layer internal diameter.It is described
It can produce mutual displacement between two layers of deformable diamond-mesh layer.The described fixing sleeve opening has also integrally produced flange
19, facilitate nurse to be quickly inserted in patients fingers in fixing sleeve.
The wrist strap includes fixed section and winding section, and bottom base plate, which extends downwardly, has integrally produced Wrist fixing board 14, hand
Wrist fixed plate two sides are respectively equipped with fixed section 7 and winding section 6;And fixed section end is equipped with fixed ring buckle 8, winds section end system
There is a nylon hook band 24, winding section is around patient's wrist and penetrates in fixed ring buckle and the nylon velvet band with the Wrist fixing board back side
25 are coupled fixation.
The Wrist fixing board upper surface is additionally provided with gel wrist portion supporting pad 23, sets in the middle part of the gel wrist portion supporting pad
It is equipped with groove 22, both ends are provided with retention bead 21.Also, when being fixed by wrist strap, two sides protrusion curves inwardly,
Prevent patient from wearing part pressure sore caused by constraint gloves as long-time while ensure that fixing intensity.
The wrist strap winds the nearly Wrist fixing board side of section and is also compounded with sponge cushion 27, the sponge cushion and wrist strap
Ventilative through hole 26 is also uniformly formed in winding section.
It is formed on the bottom plate and is adapted positioning groove 20 with hand-type shape, had among positioning groove using the adult centre of the palm
Shape air cushion surface is accompanied by the centre of the palm made of gel and subtracts a pad 28, and is located at the centre of the palm and subtracts and be also formed with during inside is in the middle part of a pad
Empty adjustment chamber 30, be formed on the bottom plate with the intracavitary pumping being connected to of adjustment, suction pipe 31, and suction tube nozzle is equipped with sealing
End cap 32.And bottom plate sponge cushion is also compounded in the positioning groove, and also fabric on bottom plate sponge cushion
There are multiple ventilative through holes 13.The use of the ventilative through hole can effectively improve the gas permeability of patient's palm, have to the comfort of patient
Apparent improve.
It is also formed with the infusion through slot 5 for being infused, observing in the middle part of the emulsion sheet, and is also formed at the top of emulsion sheet removable
The observation emulsion sheet 2 unloaded.Dismountable observation emulsion sheet can be connect by zipper 3 with emulsion sheet, and velcro fastener can be also passed through
Form is attached with emulsion sheet.
The fixing buckle uses the mountain-climbing buckle structure with screw thread safety cap.Side and bottom plate back side hinge fill in the fixing buckle
Connection, the other side is formed with spring reset button column, and button column and fixing buckle ontology junction also pass through the suit of screw thread safety cap 11
It is fixed.
Preferably, the centre of the palm, which subtracts, is also uniformly compounded with multiple permanent magnet coatings 29 on a pad.
Preferably, the centre of the palm subtracts a pad as shown in figure 5, the centre of the palm subtracts a pad from thumb to little finger direction width
It narrows from the width, height is from high to low.
The present invention overcomes 1. traditional constraints gloves to be referred in only being fixed using finger confinement ring in gloves, is struggled in patient
In the process, since pressure is concentrated, the unsmooth technical problem of local blood circulation easily occurs, by using the double-deck deformable water chestnut
Taper tubular made of shape lamina reticularis structure fixes fingerstall, converts the pulling force of traction to the friction generated when diamond-mesh deformation
Power is to be evenly applied on each finger of patient;2. due to being eaten in addition to middle finger in gloves during having prevented patient's constraint
Other fingers such as finger, thumb can occur sliping off gloves zipper on the inside of gloves using finger tip without track activity, some patientss, by hand
Refer to and stretch out constraint gloves outer contacting pipeline, leads to the generation of unexpectedly drawn tubes;3. this constraint gloves solves patient's metacarpophalangeal pass simultaneously
Section, ligament and palm muscle it is in tension during long-term constraint, make patient's palm each section muscle, metacarpophalangeal joints and
Ligament during long-time constraint gloves, the centre of the palm obtain pad, palm muscle and metacarpophalangeal joints do not loosen constraint and meanwhile can
Light activity is carried out according to fixed curve movement, the comfort level of patient when increasing constraint prevents anchylosis, prevents
Finger local blood circulation is unsmooth, while alleviating nursing work load, ensure that patient safety.
In the use of the present invention, constraint gloves are divided into left handed gloves and right hand glove each.
Whether pre occupation evaluation patient needs really is constrained using constraint gloves, according to clinical judgment criteria, true
Surely after needing to be constrained using constraint gloves, use of following the doctor's advice.
Need to obtain the cooperation of patient or family numbers of patients before use, signature uses constraint gloves informed consent form.
The zipper of constraint gloves emulsion sheet is all pulled open, patient's left or right hand is placed on corresponding gloves, for meaning
Patient compliance need to be obtained by knowing awake patient, be instructed according to nurse, by the hand finger according to the little finger-third finger-middle finger-index finger-
The sequence of thumb is sequentially inserted into finger fingerstall, until referring to root.It need to assist patient will be each by nurse the patient of unconsciousness
A finger is sequentially placed into each corresponding fingerstall.Adjustment patient centre of the palm position is placed in centre of the palm pad, aspirates air with 20ml empty needle
Inject centre of the palm pad afterwards, patient comfort's degree inquired in gas injection process, adjust air cushion inflation degree it is consciously comfortable to patient and
Suction tube ferrule end cap can be closed after complete pad palm.
Emulsion sheet is placed in palm back, zipper.Constraint gloves position is adjusted, is made in the middle part of emulsion sheet for being infused, observing
Infusion through slot, patient's hand transfusion situation can be observed.
If you need to it is logical that perfusion tube be passed through infusion before operating emulsion sheet, after carrying out perfusion tube exhaust in the hand transfusion
Punctured after slot in the back of the hand, transfusion needle be fixed after puncturing successfully, then cover emulsion sheet, and by infusion through slot into
The observation of site of puncture during row infusion.
Wrist traction wrist strap fixed section is wound wrist one week, and is inserted into fixed ring buckle and is fixed, pays attention to elastic appropriateness;
Wrist strap winding section is bypassed into patient's wrist and penetrates in fixed ring buckle and is coupled with the nylon velvet band at the Wrist fixing board back side solid
It is fixed.
Finally, wrist strap is connected to the fixed position such as bedside rails, the fixed effect of drawing is played.
For Consciousness patient, advises within every 1~2 hour during constraint patient to carry out the local movement of constraint palm, do not have to
Articulations digitorum manus introflexion and metacarpophalangeal can be carried out in constraint gloves by loosening or opening drawing wrist strap and constraint gloves, the restrained palm of patient
The movement of intra-articular receipts promotes constraint position blood circulation, prevents complication during constraint.
Daily assessment patient uses the necessity of constraint gloves, releases unnecessary constraint early.
After doctor's advice deactivates constraint gloves, nurse assesses patient and realizes acquirement patient compliance, first opens suction tube ferrule
End cap connects 20ml empty needle, takes out air in centre of the palm pad air bag to the greatest extent, opens emulsion sheet zipper, opens the drawing of wrist strap and bedside rails
The fixation of fixed and wrist strap fixing end and fixed interannular, by finger according to the sequence of thumb, index finger, middle finger, the third finger, little finger
Successively quick-boil out from only set.
Advise patient voluntarily to clench fist 3~5 times, movable metacarpophalangeal joints and palm muscle group, nurse guidance under, right-hand man's wrist into
Row outward turning and inward turning activity 3~5 times, loosen wrist joint.Patient activity is accessible, and constraint gloves releasing finishes.
The activity for palm or wrist occur such as patient is inadaptable to notify doctor to be further examined immediately.
Claims (10)
1. a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing, it is characterised in that: including bottom plate, the palm
The heart subtracts a pad, emulsion sheet, wrist strap and fingerstall, the emulsion sheet integral coating bottom plate, and be formed with by emulsion sheet periphery
Zipper is connect with bottom plate, and bottom plate centre subtracts a pad with the centre of the palm, lower part is equipped with wrist strap, and system refers to there are five fixation is used on bottom plate
The through-hole of set, fingerstall pass through through-hole and are inserted in patient's the five fingers and are fixed by the fixing buckle of bottom plate back side hinge dress.
2. it is according to claim 1 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
Be characterized in that: the fingerstall includes connection handle, fixed pull ring and fixing sleeve, and fixing sleeve lower end is provided with opening, and top passes through
Connection handle is connect with fixed pull ring, and the fixing sleeve is low wide and up narrow taper tubular structure, which is interconnected by two layers of phase
Deformable diamond-mesh layer composition is connect, and internal layer diamond-mesh layer internal diameter is less than outer layer diamond-mesh layer internal diameter.
3. it is according to claim 2 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
It is characterized in that: can produce mutual displacement between two layers of deformable diamond-mesh layer.
4. it is according to claim 2 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
Be characterized in that: the described fixing sleeve opening has also integrally produced flange.
5. it is according to claim 1 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
Be characterized in that: the wrist strap includes fixed section and winding section, and bottom base plate extends downwardly and integrally produced Wrist fixing board, wrist
Fixed plate two sides are respectively equipped with fixed section and winding section;And fixed section end is equipped with fixed ring buckle, and winding section end is formed with Buddhist nun
Imperial hook strip, winding section is around patient's wrist and penetrates in fixed ring buckle and is coupled with the nylon velvet band at the Wrist fixing board back side solid
It is fixed.
6. it is according to claim 5 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
Be characterized in that: the Wrist fixing board upper surface is additionally provided with gel wrist portion supporting pad, sets in the middle part of the gel wrist portion supporting pad
It is equipped with groove, both ends are provided with retention bead.
7. it is according to claim 5 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
Be characterized in that: the wrist strap winds the nearly Wrist fixing board side of section and is also compounded with sponge cushion, the sponge cushion and wrist strap
Ventilative through hole is also uniformly formed in winding section.
8. it is according to claim 1 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
It is characterized in that: being formed on the bottom plate and be adapted positioning groove with hand-type shape, and be also compounded with bottom plate sea in positioning groove
Continuous cushion, and multiple ventilative through holes are also uniformly formed on bottom plate sponge cushion.
9. it is according to claim 1 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
It is characterized in that: being also formed with the infusion through slot for being infused, observing in the middle part of the emulsion sheet, and be also formed at the top of emulsion sheet removable
The observation emulsion sheet unloaded.
10. it is according to claim 8 a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing,
It is characterized in that: subtracting a pad with using the centre of the palm made of gel among the positioning groove.
Priority Applications (1)
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CN201811059895.0A CN109199683A (en) | 2018-09-12 | 2018-09-12 | It is a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing |
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CN201811059895.0A CN109199683A (en) | 2018-09-12 | 2018-09-12 | It is a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing |
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CN201811059895.0A Pending CN109199683A (en) | 2018-09-12 | 2018-09-12 | It is a kind of with prevention metacarpophalangeal joints are stiff and the constraint gloves of unexpected function of press-offing |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111643774A (en) * | 2020-06-20 | 2020-09-11 | 杜书华 | Nursing-used retention needle fixing device |
-
2018
- 2018-09-12 CN CN201811059895.0A patent/CN109199683A/en active Pending
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111643774A (en) * | 2020-06-20 | 2020-09-11 | 杜书华 | Nursing-used retention needle fixing device |
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