CN202050973U - Protective constraint clothes - Google Patents

Protective constraint clothes Download PDF

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CN202050973U
CN202050973U CN2011200681809U CN201120068180U CN202050973U CN 202050973 U CN202050973 U CN 202050973U CN 2011200681809 U CN2011200681809 U CN 2011200681809U CN 201120068180 U CN201120068180 U CN 201120068180U CN 202050973 U CN202050973 U CN 202050973U
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restraint
patient
protective
garment
chest
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徐柳柳
唐勇
张洁
刘星梅
金全香
刘寿娟
赵悠
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Nanjing Brain Hospital
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Nanjing Brain Hospital
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Abstract

本实用新型公开了一种适用于精神科病人的保护性约束衣。所述保护性约束衣包括钟形无领对开襟主体、衣袖、胸部约束带、腰部约束带和腕部约束带。胸部约束带负责约束患者上臂和胸背部,腰部约束带负责约束患者前臂和腰部,腕部约束带在患者手部笼于袖中时可封闭袖口,需要时也可上卷衣袖露出患者手部进行日常活动。所述保护性约束衣人性化程度高,方便舒适,美观安全,极大地减轻了对病患实施约束造成的身心伤害,同时也保障了诊疗的正常进行和医护人员的安全。

The utility model discloses a protective restraint garment suitable for psychiatric patients. The protective restraint garment includes a bell-shaped collarless placket main body, sleeves, chest restraint straps, waist restraint straps, and wrist restraint straps. The chest restraint belt is responsible for restraining the patient's upper arm and chest and back, the waist restraint belt is responsible for restraining the patient's forearm and waist, the wrist restraint belt can close the cuff when the patient's hand is caged in the sleeve, and the sleeve can also be rolled up to expose the patient's hand when necessary Go about your daily activities. The protective restraint clothing is highly humanized, convenient and comfortable, beautiful and safe, which greatly reduces the physical and mental damage caused by the restraint of patients, and also ensures the normal progress of diagnosis and treatment and the safety of medical staff.

Description

保护性约束衣protective straitjacket

技术领域 technical field

本实用新型涉及一种保护性约束衣,尤其涉及一种适用于精神科患者的保护性约束衣。  The utility model relates to a protective restraint garment, in particular to a protective restraint garment suitable for psychiatric patients. the

背景技术 Background technique

我国人口基数很大,各类精神病患者众多。精神疾病所导致的患者的非理智行为,不仅威胁着患者自身的健康,而且严重威胁着患者周围人群和公众的人身财产安全。为了确保患者生命安全,历史上精神科在临床护理过程中,曾采用传统的保护衣又称禁身衣来保护患者,防范意外事件的发生。使用传统的保护衣时,需将病人的双上肢约束环抱于胸前,这样虽然达到制约病人行为的目的,同时也让病人失去了自卫能力和平衡感,临床也遇到类似病人遭到病友攻击导致难以预料的伤害甚至更严重的后果。  Our country has a large population base, and there are many types of mental illness patients. The irrational behavior of patients caused by mental illness not only threatens the patient's own health, but also seriously threatens the personal and property safety of the people around the patient and the public. In order to ensure the safety of patients' lives, psychiatric departments have used traditional protective clothing, also known as barracks, to protect patients and prevent accidents during the clinical nursing process in history. When using traditional protective clothing, it is necessary to restrain the patient's upper limbs in front of the chest. Although this achieves the purpose of restricting the patient's behavior, it also makes the patient lose his self-defense ability and sense of balance. In the clinic, similar patients are attacked by fellow patients. Unforeseen injuries or even more serious consequences. the

同时,在日益重视患者人权和人格尊严的社会环境下,传统的保护衣不仅会对患者的身体健康造成不利影响,而且会伤害患者的自尊心,对患者产生多种副作用,如诱发抑郁症状、诱发患者对立情绪,甚至可能触发激越以及交往中的侵略行为。患者的紧张、恐惧、拒绝、反抗等负面情绪严重不利于治疗的进行。临床上全面禁止采用传统的保护衣,已是大势所趋。新型约束衣应当更人性化,能充分保护患者和医务人员,方便医务人员进行护理和治疗。  At the same time, in a social environment that pays more and more attention to patients' human rights and personal dignity, traditional protective clothing will not only adversely affect the patient's physical health, but also hurt the patient's self-esteem, and cause various side effects on the patient, such as inducing depression symptoms, inducing The patient's antagonistic emotions may even trigger agitation and aggressive behavior in communication. Negative emotions such as tension, fear, rejection, and resistance of patients are seriously unfavorable for treatment. It is the general trend to completely ban the use of traditional protective clothing clinically. The new type of restraint clothing should be more humane, fully protect patients and medical staff, and facilitate medical staff to provide care and treatment. the

实用新型内容 Utility model content

针对以上技术问题。本实用新型提供了一种保护性约束衣。所述保护性约束衣包括对开襟无领上衣主体和两个衣袖,所述保护性约束衣包括胸部约束带、腰部约束带和腕部约束带。所述约束衣左右肋处各至少设置有三根胸部约束带,所述约束衣左右腰处各至少设置有两根腰部约束带,所述约束衣左右袖口处各至少设置有两根腕部约束带,且所述约束衣开襟部分缝有粘扣布。所述胸部约束带长度为10cm至100cm,所述腰部约束带长度为10cm至50cm,所述腕部约束带露出部长度为5cm至40cm。所述保护性约束衣主体自腋部至下摆,所述保护性约束衣的宽度逐步增大,所述下摆的宽度为40cm至100cm。左侧三根胸部约束带在使用时将绕过患者左上臂后交叉打结固定,将患者的左上臂约束在左肋处,同理,右侧三根胸部约束带将患者的右上臂约束在右肋处。左侧两根腰部约束带绕过患者左前臂后交叉打结固定,将患者的左前臂约束在患者左侧髋部处,同理,右侧两根腰部约束带将患者的右前臂约束在患者右侧髋部处。这样,患者左臂就被约束在患者身体左侧面,患者右臂被约束在患者身体右侧面。众所周知,手臂对维系人体运动时的平衡至关重要,传统禁身衣将患者双臂在体前交叉固定,严重影响病人的平衡感,导致患者易摔倒受伤,并丧失自卫能力。而本实用新型将患者的手臂固定在对应的体侧,在约束患者的同时,尽最大可能保留了患者的平衡能力、移动能力和自卫能力。  For the above technical problems. The utility model provides a protective restraint garment. The protective restraint garment includes a tunic main body and two sleeves, and the protective restraint garment includes chest restraint belts, waist restraint belts and wrist restraint belts. There are at least three chest restraint belts at the left and right ribs of the restraint garment, at least two waist restraint belts at the left and right waists of the restraint garment, and at least two wrist restraint belts at the left and right cuffs of the restraint garment , and the opening part of the restraint garment is sewn with Velcro cloth. The length of the chest restraint belt is 10cm to 100cm, the length of the waist restraint belt is 10cm to 50cm, and the length of the exposed portion of the wrist restraint belt is 5cm to 40cm. From the armpit to the hem of the main body of the protective restraint garment, the width of the protective restraint garment gradually increases, and the width of the hem is 40cm to 100cm. The three chest restraint straps on the left will bypass the left upper arm of the patient and then be cross-knotted to fix the patient's left upper arm to the left rib. Similarly, the three chest restraint straps on the right will restrain the patient's right upper arm to the right rib place. The two waist restraint belts on the left side go around the patient's left forearm and then tie them cross-knotted to restrain the patient's left forearm at the patient's left hip. Similarly, the two waist restraint belts on the right restrain the patient's right forearm on the patient's Right hip. In this way, the patient's left arm is constrained on the left side of the patient's body, and the patient's right arm is constrained on the right side of the patient's body. As we all know, the arm is very important to maintain the balance of the human body during exercise. The traditional bodysuit fixes the patient's arms crossed in front of the body, seriously affecting the patient's sense of balance, causing the patient to fall easily and get injured, and lose the ability to defend themselves. And the utility model fixes the patient's arm on the corresponding side of the body, while restraining the patient, the patient's balance ability, mobility and self-defense ability are preserved as much as possible. the

所述保护性约束衣胸部约束带,一侧至少有三根,除两根负责固定患者的手臂外,另有至少一根胸部约束带环绕患者胸背部,起到防止保护性约束衣松动滑脱的作用。  There are at least three chest restraint belts on one side of the protective restraint garment. In addition to two that are responsible for fixing the patient's arms, at least one chest restraint belt surrounds the chest and back of the patient to prevent the protective restraint garment from loosening and slipping off. . the

所述保护性约束衣袖处,处理为水袖形式,袖口设置有腕部约束带。可以根据患者实际情况,将患者手部置于袖口内或者袖口外。当患者手部置于袖口内时,可以防止撕抓行为,避免患者自残,或者其对病友、医护人员的伤害行为。当患者具备自理能力,或者需要对患者手部进行观察与医疗处理时,可将患者手部置于袖口外,既能给患者手部一定的活动空间,提高患者的舒适度,又能满足医务人员诊疗护理的需求。  The sleeves of the protective restraint are treated in the form of water sleeves, and the cuffs are provided with wrist restraint belts. According to the actual situation of the patient, the patient's hand can be placed inside or outside the cuff. When the patient's hand is placed in the cuff, the tearing behavior can be prevented, and the patient's self-mutilation, or its harmful behavior to patients and medical staff can be avoided. When the patient has the ability to take care of himself, or needs to observe and treat the patient's hand, the patient's hand can be placed outside the cuff, which can not only give the patient's hand a certain space for movement, improve the patient's comfort, but also meet the needs of medical staff. Medical care needs of personnel. the

在所述保护性约束衣内侧,缝制相同尺寸棉质内胆,外围缝制拉链,即为保护性约束衣冬款。冬天穿时加上棉质内胆,利于保持患者体温。夏天时取下棉质内胆,即为保护性约束衣夏款。夏款式样轻薄,透气凉爽,提高患者舒适度。  On the inner side of the protective restraint garment, a cotton liner of the same size is sewn, and a zipper is sewn on the periphery, which is the winter style of the protective restraint garment. When worn in winter, a cotton liner is added to help maintain the patient's body temperature. In summer, take off the cotton inner liner, which is the summer style of protective restraint clothing. The summer style is thin and light, breathable and cool, improving patient comfort. the

附图说明 Description of drawings

图1所示为保护性约束衣示意图;  Figure 1 shows a schematic diagram of protective restraint clothing;

图中各部件的标记为: The components in the figure are marked as:

1、主体;       2、衣袖;        3、胸部约束带;    4、腰部约束带; 1. Main body; 2. Sleeves; 3. Chest restraint belt; 4. Waist restraint belt;

5、腕部约束带; 6、粘扣布 5. Wrist restraint belt; 6. Velcro cloth

具体实施方式 Detailed ways

为详细说明本实用新型的技术内容、结构特征、实现的技术目的和技术效果,以下结合附图和实施方式进行详细说明。  In order to describe in detail the technical content, structural features, realized technical purpose and technical effect of the present utility model, the following will be described in detail in conjunction with the accompanying drawings and embodiments. the

实施例1:一种应用于精神科患者的保护性约束衣。保护性约束衣为有袖、对开襟无领上衣,保护性约束衣主体1为钟形,纯棉质地。自腋下部至腰部,所述保护性约束衣的宽度递增。所述保护性约束衣开襟部分,缝制有粘扣布6。保护性约束衣的整体设计,易于快速穿着,患者在医护人员帮助下双臂进入对应衣袖2,紧急状况下反穿亦可,合上前襟粘扣布6即完成穿着,有利于在最短时间内控制冲动型病人;同样,也可以快速脱卸,利于抢救危重状态患者。无领设计,能够有效防止病人在无意识或冲动情境下撕咬、吞咽领口引发的呕吐和窒息。纯棉质地,价格低廉,便于换洗。  Embodiment 1: A protective restraint garment applied to psychiatric patients. The protective restraint garment is a collarless top with sleeves and a pair of open fronts. The main body 1 of the protective restraint garment is bell-shaped and made of pure cotton. From the underarm to the waist, the width of the protective restraint garment increases. The opening part of the protective restraint garment is sewn with hook and loop cloth 6 . The overall design of the protective restraint clothing is easy to wear quickly. With the help of the medical staff, the patient's arms enter the corresponding sleeves 2. In an emergency, it can also be worn backwards. Closing the front velcro 6 can complete the wearing, which is conducive to the shortest possible time. Internal control of impulsive patients; similarly, it can also be quickly detached, which is beneficial to rescue critically ill patients. The collarless design can effectively prevent patients from vomiting and suffocation caused by biting and swallowing the collar unconsciously or impulsively. Pure cotton texture, low price, easy to change and wash. the

所述保护性约束衣的左肋部和右肋部,分别设置有四根胸部约束带3,其中两根长度为25cm,两根长度为40cm。使用时,用左侧的二根长25cm的胸部约束带3,绕过患者左上臂并打结;用右侧的二根长25cm的胸部约束带3,绕过患者右上臂并打结,完成患者上臂约束。此时,左肋和右肋各余两根胸部约束带3。取一根长40cm左侧胸部约束带3,与一根长40cm右侧胸部约束带3,在患者体前交叉打结;取一根长40cm左侧胸部约束带3,与一根长40cm右侧胸部约束带3,在患者身后交叉打结;完成保护性约束衣胸背部约束。  The left rib and the right rib of the protective restraint garment are respectively provided with four chest restraint belts 3, two of which are 25cm in length and two of which are 40cm in length. During use, use two chest restraint belts 3 with a length of 25cm on the left side to go around the patient's left upper arm and tie a knot; use two chest restraint belts 3 with a length of 25cm on the right side to walk around the patient's right upper arm and tie a knot to complete Patient upper arm restraint. Now, there are two chest restraint belts 3 left and right rib respectively. Get a long 40cm left side chest restraint belt 3, and a long 40cm right side chest restraint belt 3, cross and knot in front of the patient; get a long 40cm left side chest restraint belt 3, and a long 40cm right side The lateral chest restraint belt 3 is cross-knotted behind the patient; the chest and back restraint of the protective restraint garment is completed. the

所述保护性约束衣的左腰部和右腰部,分别设置有两根长20cm腰部约束带4。使用时,用左侧的两根腰部约束带4,绕过患者左前臂并打结;用右侧的二根腰部约束带4,绕过患者的右前臂并打结,完成患者前臂约束。  The left waist and the right waist of the protective restraint garment are respectively provided with two waist restraint belts 4 with a length of 20 cm. When in use, use the two waist restraint belts 4 on the left side to go around the patient's left forearm and tie a knot; use the two waist restraint belts 4 on the right side to walk around the patient's right forearm and tie a knot to complete the patient's forearm restraint. the

所述保护性约束衣的衣袖2部分,为水袖结构,袖口穿有两根露出部长12cm的腕部约束带5。当患者冲动有抓撕行为,有可能危害自身和他人安全时。将患者手部笼于袖口中,使用腕部约束带5扎紧袖口,避免患者手部从袖口中穿出。当需要观察患者手部,或者患者无撕抓行为时,可将袖口翻上,露出患者手部,用腕部约束带5缠绕腕部后打结即可。  The sleeve 2 part of described protective restraint garment is water sleeve structure, and the cuff is worn with two wrist restraint belts 5 that expose length 12cm. When the patient has an impulsive scratching behavior, which may endanger the safety of himself and others. The patient's hands are caged in the cuffs, and the cuffs are fastened with the wrist restraint band 5 to prevent the patient's hands from passing through the cuffs. When it is necessary to observe the patient's hand, or when the patient has no tearing behavior, the cuff can be turned up to expose the patient's hand, and the wrist restraint band 5 can be used to wrap the wrist and then tie a knot. the

在约束过程中,要注意绳结的收紧程度,避免过松而使患者易挣脱而起不到约束作用;同时也要避免过紧,造成患者局部肢体皮肤组织破损、褥疮、尿路感染、肌肉失用性萎缩、臂丛神经麻痹和损伤,特别是胸背部约束,过紧会造成胃部的挤压伤甚至窒息死亡。绳结的形式也很重要,既要是活结以便需要时快速解脱患者,又要保证有效的约束力度,防止患者利用约束带进行自残,或者用约束带攻击其他病人和医护人员。  During the restraint process, attention should be paid to the tightening degree of the knot, so as not to loosen the knot so that the patient is easy to break free and not achieve the restraint effect; at the same time, avoid too tight, which may cause damage to the skin tissue of the patient's local limbs, bed sores, urinary tract infection, Muscular atrophy, brachial plexus palsy and injury, especially chest and back restraints, can cause crushing injuries to the stomach and even death by suffocation. The form of the knot is also very important. It must be a slipknot so that the patient can be quickly released when necessary, and it must also ensure effective restraint to prevent the patient from using the restraint belt to self-harm or attack other patients and medical staff with the restraint belt. the

此外,约束带的长度也要精心考量,过短不利于医护人员进行约束,过长则有提供患者自缢工具的隐患。  In addition, the length of the restraint belt should also be carefully considered. If it is too short, it is not conducive to the restraint of medical staff, and if it is too long, there will be a hidden danger of providing tools for patients to hang themselves. the

实施例2:作为实施例1的有效补充。在所述保护性约束衣内侧,缝制相同尺寸棉质内胆。棉质内胆与保护性约束衣之间,通过拉链或者搭扣连接。秋冬季时,在保护性约束衣内装上棉质内胆,保持病人体温;春夏季时,卸下棉质内胆,使病人感觉凉爽;有效提升病人舒适度。  Embodiment 2: as an effective supplement of Embodiment 1. On the inside of the protective restraint, a cotton liner of the same size is sewn. The cotton liner and the protective restraint are connected by zippers or buckles. In autumn and winter, a cotton liner is installed in the protective restraint garment to maintain the patient's body temperature; in spring and summer, the cotton liner is removed to make the patient feel cool; effectively improving the patient's comfort. the

实施例3:作为实施例2的有效补充。所述保护性约束衣外观颜色为蓝色或橙色或黄色或绿色或紫色,选择相应的颜色以适用于不同类型精神疾病患者,配合面料上的卡通图案,可缓解患者紧张的情绪。  Embodiment 3: as an effective supplement of Embodiment 2. The appearance color of the protective straitjacket is blue or orange or yellow or green or purple, and the corresponding color is selected to be suitable for patients with different types of mental illness. With the cartoon pattern on the fabric, the nervousness of the patients can be relieved. the

通过在精神科临床护理中应用本实用新型,发现其能有效控制病人的紊乱行为,确保病人能够下床活动,配合外出检查和执行治疗护理操作,在适当控制病人紊乱行为的同时,既避免病人长期约束与床面摩擦导致皮肤破损,又使病人的日常生活有保障,同时保证了护理人员执行治疗和护理操作,很大程度上提高了病人的生活质量和满意度,确保自身和病房的安全。  Through the application of the utility model in psychiatric clinical nursing, it is found that it can effectively control the disordered behavior of the patient, ensure that the patient can get out of bed, cooperate with going out for inspection and performing treatment and nursing operations, and at the same time properly control the disordered behavior of the patient, it can prevent the patient from Long-term restraint and bed surface friction lead to skin damage, which ensures the patient's daily life and ensures that the nursing staff can perform treatment and nursing operations, which greatly improves the patient's quality of life and satisfaction, and ensures the safety of the patient and the ward . the

以上所述,仅是本实用新型的较佳实施例而已,并非是对本实用新型保护范围的限定,只要是采用本实用新型的技术方案,或者仅仅是通过本领域的普通技术人员都能作出的任何常规修改或等同变化,都落入本实用新型所要求保护的范围之中。  The above is only a preferred embodiment of the utility model, and is not a limitation of the protection scope of the utility model, as long as it adopts the technical solution of the utility model, or only can be made by those of ordinary skill in the art Any routine modifications or equivalent changes all fall within the scope of protection claimed by the utility model. the

Claims (3)

1.一种保护性约束衣,包括对开襟无领上衣主体(1)和两个衣袖(2),其特征在于:所述保护性约束衣包括胸部约束带(3)、腰部约束带(4)和腕部约束带(5),所述约束衣左右肋处各至少设置有三根胸部约束带(3),所述约束衣左右腰处各至少设置有两根腰部约束带(4),所述约束衣左右袖口处各至少设置有两根腕部约束带(5),且所述约束衣开襟部分缝有粘扣布(6)。 1. A protective restraint garment, comprising a collarless top body (1) and two sleeves (2), characterized in that: the protective restraint garment comprises a chest restraint belt (3), a waist restraint belt (4) and wrist restraint belts (5), at least three chest restraint belts (3) are provided at the left and right ribs of the restraint garment, and at least two waist restraint belts (4) are respectively provided at the left and right waists of the restraint garment , at least two wrist restraint straps (5) are arranged at the left and right cuffs of the restraint garment, and hook and loop cloth (6) is sewn on the opening part of the restraint garment. 2.根据权利要求1所述的保护性约束衣,其特征在于:所述胸部约束带(3)长度为10cm至100cm,所述腰部约束带(4)长度为10cm至50cm,所述腕部约束带(5)露出部长度为5cm至40cm。 2. The protective restraint garment according to claim 1, characterized in that: the length of the chest restraint belt (3) is 10cm to 100cm, the length of the waist restraint belt (4) is 10cm to 50cm, and the length of the wrist The length of the exposed part of the restraint belt (5) is 5cm to 40cm. 3.根据权利要求1或2所述的保护性约束衣,其特征在于:所述保护性约束衣主体自腋部至下摆,所述保护性约束衣的宽度逐步增大,所述下摆的宽度为40cm至100cm。 3. The protective restraint garment according to claim 1 or 2, characterized in that: the main body of the protective restraint garment extends from the armpit to the hem, the width of the protective restraint garment gradually increases, and the width of the hem 40cm to 100cm.
CN2011200681809U 2011-03-16 2011-03-16 Protective constraint clothes Expired - Fee Related CN202050973U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105054408A (en) * 2015-08-26 2015-11-18 贡浩凌 Gastric lavage restraint coat
CN108451082A (en) * 2018-04-12 2018-08-28 柳州市人民医院 The multi-functional camisole of patient ICU

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105054408A (en) * 2015-08-26 2015-11-18 贡浩凌 Gastric lavage restraint coat
CN108451082A (en) * 2018-04-12 2018-08-28 柳州市人民医院 The multi-functional camisole of patient ICU

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