Background
Acute respiratory distress syndrome is a severe respiratory function state of critically ill patients with high mortality. So far, the treatment means are limited. Studies now demonstrate that prone ventilation (changing the patient from a supine position to a prone position) is a simple and effective method of increasing oxygen and levels in patients with acute respiratory distress syndrome.
Prone position ventilation has been generally accepted clinically as an effective treatment strategy based on current phase research results, but there are still some problems and risks when prone position ventilation is performed. Critically ill patients have some risks in performing prone position changes. The most common and serious is dislodgement or loss of the airway passage and venous line, which, once present, can result in severe changes in the patient's vital signs and even death.
In addition, the critical patient needs a lot of manpower to cooperate when performing prone position ventilation (at least 5 operators are needed). Particularly, under the condition that the number of patients with large body weight is increased obviously earlier, the situation of manpower tension in the critical medicine department is greatly increased.
When the prone position is ventilated, if the turnover process is more labor-saving and controllable, medical staff can use more energy for pipeline nursing and patient condition observation, so that the falling of artificial air passages and venous pipelines is reduced, the vital signs of patients are prevented from being changed violently, and the problem of shortage of tense human resources is relieved. This new utility model is particularly important for new coronary pneumonia patients who develop severe respiratory complications during the new coronary pneumonia epidemic.
The comprehensive nursing frame for turning over and raising the position of paralyzed patient with application number 200910064010 has one movable and rotatable shaft installed over the sickbed to apply two different forces, and through simple transmission, one pull belt is stretched under the patient and around the shaft to reach the aim of turning over and raising the position of paralyzed patient.
The application number is 201320787011 'a sick bed convenient for paralyzed patients to go to toilet', the sick bed is made into a 3-section movable structure, when the patients need to go to toilet, the upper section bed board and the lower section bed board are respectively turned upwards and downwards, so that the patients can take a sitting posture.
The paralyzed patient position movement assisting device has application number 201410790297.6. The utility model discloses an use top frame, vertical braces and base. The paralyzed patient can be realized by vertically suspending the shoulders and the legs of the patient, and the patient can lift hands and legs, turn over, sit up and move for 5 kinds of movement.
The three paralyzed patient nursing devices can realize the basic body position movement of the patient, but cannot assist the patient to turn over at a large angle so as to achieve the aim of prone position.
SUMMERY OF THE UTILITY MODEL
The utility model aims to solve the technical problem of providing a mattress for the prone position of the critically ill patient to turn over aiming at the defects of the prior art.
The utility model provides an above-mentioned technical problem's technical scheme as follows: a mattress for turning a patient in a prone position, comprising: the mattress comprises a mattress main body, a fixing band used for fixing a user body and a plurality of handles used for pulling the mattress main body, wherein the fixing band is arranged on the side wall of the mattress main body, and the handles are arranged on the back of the mattress main body.
The utility model has the advantages that: the mattress with the fixing band and the handle is convenient to wrap a user, the turning-over operation of the user is convenient to realize by means of the mattress, the turning-over of the user in a large angle is realized, and the turning-over efficiency is improved.
Further, the mattress body includes: first amalgamation pad and second amalgamation pad, first amalgamation pad and second amalgamation pad detachably connect.
The beneficial effect of adopting the further scheme is that: the mattress main part includes first amalgamation pad and second amalgamation pad, and the user is put into to the mattress main part of being convenient for under, and after the operation of standing up was accomplished, be convenient for fill up the separation with first amalgamation and second amalgamation, realize the dismantlement and the laying of mattress main part, improve and stand up efficiency, improve user experience.
Further, the first split pad and the second split pad are detachably connected by a zipper.
The beneficial effect of adopting the further scheme is that: first amalgamation pad and second amalgamation pad pass through zip fastener detachably and connect, and the mattress main part of being convenient for is put into under the user, and after the operation of standing up was accomplished, be convenient for fill up the separation with first amalgamation and second amalgamation, realize the dismantlement and the laying of mattress main part, improve and stand up efficiency, improve user experience, reduction in production cost.
Further, the fixing band includes: the pair of shoulder fixing crossbars, the pair of thoracoabdominal fixing crossbars, the pair of hip fixing crossbars and the pair of lower limb fixing arms are symmetrically arranged around the mattress main body.
The beneficial effect of adopting the further scheme is that: the fixed band includes: the pair of shoulder fixing cross arms used for fixing shoulders of a user, the pair of chest and abdomen fixing cross arms used for fixing chest and abdomen of the user, the pair of hip fixing cross arms used for fixing hips of the user and the pair of lower limb fixing arms used for fixing lower limbs of the user are used for supporting and wrapping different parts of the user, the stability and the reliability of a mattress are improved, the user is prevented from sliding relative to the mattress, the turnover operation is facilitated, and the user experience is improved.
Furthermore, one end of each of the pair of shoulder fixing cross arms, the pair of chest and abdomen fixing cross arms, the pair of hip fixing cross arms and the pair of lower limb fixing arms is correspondingly arranged on the side walls of the two sides of the mattress main body, and the other end of each of the pair of shoulder fixing cross arms, the pair of chest and abdomen fixing cross arms, the pair of hip fixing cross arms and the pair of lower limb fixing arms is detachably connected correspondingly.
The beneficial effect of adopting the further scheme is that: the fixed band includes: the pair of shoulder fixing cross arms used for fixing shoulders of a user, the pair of chest and abdomen fixing cross arms used for fixing chest and abdomen of the user, the pair of hip fixing cross arms used for fixing hips of the user and the pair of lower limb fixing arms used for fixing lower limbs of the user are used for supporting and wrapping different parts of the user, the stability and the reliability of a mattress are improved, the user is prevented from sliding relative to the mattress, the turnover operation is facilitated, and the user experience is improved.
Furthermore, the other ends of the pair of shoulder fixing cross arms, the pair of chest and abdomen fixing cross arms, the pair of hip fixing cross arms and the pair of lower limb fixing arms are detachably connected correspondingly through magic tapes.
The beneficial effect of adopting the further scheme is that: correspond detachably through the magic subsides and connect, can wrap up the user fast, improve and stand up efficiency, reduction in production cost realizes supporting and the parcel to the different positions of user, improves the stability and the reliability of mattress, prevents that user and mattress from taking place to slide, is convenient for stand up the operation, improves user experience.
Further, the mattress body includes: the safety belt comprises a lantern ring and a safety belt, wherein the lantern ring is arranged on the back face of the mattress main body, and the safety belt is arranged in the lantern ring in a penetrating mode.
The beneficial effect of adopting the further scheme is that: the setting of the lantern ring and safety belt for supplementary fixed mattress and user's relative relation adjust the rate of tension of mattress, prevent that the fixed band from breaking because of the not enough emergence of load ability, improve the stability and the reliability of mattress main part.
Further, the safety belt is a buckle type safety belt.
The beneficial effect of adopting the further scheme is that: the safety belt is a buckle type safety belt, so that the safety belt can wrap a user quickly and can be detached quickly, and the turnover efficiency is improved.
Furthermore, the mattress main body is made of memory sponge, and the outer side of the mattress main body is coated with nylon fabric.
The beneficial effect of adopting the further scheme is that: the preparation material of mattress main part improves the comfort level of mattress for the memory sponge, and the perfect laminating of mattress and user of being convenient for improves user experience.
Further, the thickness of the mattress body is 10 cm.
The beneficial effect of adopting the further scheme is that: the thickness of the mattress main body is 10 cm, so that the comfort level of the mattress is improved, the load capacity of the mattress is improved, and the turning-over operation of a user is facilitated.
Advantages of additional aspects of the invention will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention.
Detailed Description
The principles and features of the present invention are described below in conjunction with the following drawings, the examples given are only intended to illustrate the present invention and are not intended to limit the scope of the present invention.
As shown in fig. 1 and 2, the embodiment of the present invention provides a mattress for a critically ill patient to turn over in prone position, which comprises: mattress main part 1, the fixed band 2 that is used for fixed user's body and a plurality of handles 3 that are used for tractive mattress main part, fixed band 2 sets up on the lateral wall of mattress main part 1, a plurality of handle 3 sets up the back of mattress main part 1.
The utility model has the advantages that: the mattress with the fixing band and the handle is convenient to wrap a user, the turning-over operation of the user is convenient to realize by means of the mattress, the turning-over of the user in a large angle is realized, the ventilation of the user is convenient, and the turning-over efficiency is improved.
A mattress for the prone position of a critical patient to turn over is used for assisting the critical patient to perform the turning-over operation of prone position ventilation, and is provided with three fixed cross arms and a lower limb fixed arm to play a role in wrapping and fixing the body of the patient, and in addition, a buckle type safety belt is added outside the cross arms to reinforce and fix the effect. When the patient turns over, the lifting sling is used for connecting the buckle type safety belt and the hanging ring. A medical staff stands at the head side of a patient to fix the head, an artificial air passage and a venous catheter, and uses a lifting device to gradually lift the patient, and simultaneously, the patient is placed, and the patient gradually turns over to a prone position state. The device convenient operation practices thrift the required a large amount of manpowers when carrying out prone position operation to can obviously reduce to appear that patient's vital sign violently changes and relevant pipeline aversion drops, be applicable to the application in the intensive care unit.
As shown in figures 1 and 2, the mattress for the prone position of the critically ill patient to turn over is provided, a mattress main body 1 is made of memory sponge with the thickness of 10 centimeters, and the outer layer is covered with waterproof and breathable nylon fabric. After cutting, the whole state of the mattress is a three-horizontal one-vertical structure. The mattress is divided into a left part and a right part, and is combined into a whole by using a central seam zipper (namely a zipper 6). After the turning over is finished, the center seam zipper is unzipped, and the mattress can be unfolded and laid flat. The three fixed cross arms (namely a shoulder fixed cross arm, a chest and abdomen fixed cross arm and a hip fixed cross arm) can wrap and fix the shoulder, the chest and abdomen and the hip respectively. A vertical lower limb fixing arm 10 can wrap and fix the legs of a human body. 6 lantern rings 12 are sewed on the fixed cross arm on the back of the mattress. Three buckle type safety belts (namely the safety belts 13) are used for penetrating, and the function of fixing the body in a double way is achieved. The mattress is combined with the outside of the side face of the body of a patient and is provided with a dual-purpose handle (namely a handle 3) which is combined with a lifting device or is manually carried to exert force, wherein the dual-purpose handle refers to that the handle can be held by a hand to turn over the body manually or hooked by a hook of the lifting device to realize automatic turning over.
The embodiment of the utility model aims at providing a mattress for the prone position of critically ill patients to turn over. Mattress main part 1 is the nylon cloth that covers outside the irregular shape foam-rubber cushion, and it is fixed to encircle through buckle formula safety belt at shoulder, chest belly and hip, and inside foam-rubber cushion provides shoulder, chest belly and hip buffering for the patient prone position back. The body side is provided with a handle which can be used for medical staff to grip and lift the hook. When the condition permits, the body suspension frame can be shared with the paralyzed patient shifter. The utility model discloses can avoid the emergence of adverse events when the patient stands up to a great extent to obviously alleviate medical staff's work load and physical burden.
As shown in figures 1 and 2, the mattress for the prone position turning of the critically ill patient of the embodiment of the utility model has the shape of a three-horizontal-one-vertical structure. The vertical shape is used for bearing the body structure of a patient, and fixing bands of 3 cross arms and sponges wrap shoulders, chest, abdomen and hips respectively. The mattress main body is made of memory sponge material with the thickness of 10 cm, and the outer layer is covered with waterproof and breathable nylon fabric. The two ends of the fixing band of the cross arm sponge are respectively sewn with large-area magic tapes which can be adhered with each other to achieve the function of tightly fixing after wrapping a patient. Meanwhile, the middle seam of the mattress is penetrated up and down by a reinforced zipper, and can be untied after the turning over is finished, so that the effect of flatly laying the mattress is achieved.
The outside of the transverse sponge fixing band is provided with a buckle type safety belt in a penetrating way, so that the body is further fixed. Meanwhile, a buckle ring at the side of the buckle type safety belt can be connected with lifting equipment. The nylon belt handle is arranged on the outer side of the spongy cushion (namely the mattress main body), so that medical staff can conveniently grasp and move patients without a hoisting device.
As shown in fig. 3 and 4, the embodiment of the present invention has the following steps:
step 1: the prone position turn-over mattress is arranged under the body of the patient.
Section 2: the shoulder, the chest, the abdomen and the hip cross arm fixing belts are respectively wrapped around the corresponding parts of the patient. And aligning and bonding the cross arm fixing band by using a magic tape. The patient is prevented from sliding and shifting within the mattress by re-tightening with a buckle-type safety strap.
And 3, step 3: the lifting sling is used for connecting the upper connecting hanging ring of the buckle type safety belt. One medical care worker stands on the head to firmly stabilize the artificial airway and the venous catheter and gradually lifts the patient. And meanwhile, the body position of the patient is placed, and the patient gradually turns over to the prone position state.
And 4, step 4: after the prone position is finished. The mattress is spread by unzipping the zipper in the middle seam of the mattress.
As shown in fig. 1 and 2, further, the mattress body 1 includes: a first split pad 4 and a second split pad 5, the first split pad 4 and the second split pad 5 being detachably connected.
The beneficial effect of adopting the further scheme is that: the mattress main part includes first amalgamation pad and second amalgamation pad, and the user is put into to the mattress main part of being convenient for under, and after the operation of standing up was accomplished, be convenient for fill up the separation with first amalgamation and second amalgamation, realize the dismantlement and the laying of mattress main part, improve and stand up efficiency, improve user experience.
Further, as shown in fig. 1 and 2, the first split pad 4 and the second split pad 5 are detachably coupled by a zipper 6.
The beneficial effect of adopting the further scheme is that: first amalgamation pad and second amalgamation pad pass through zip fastener detachably and connect, and the mattress main part of being convenient for is put into under the user, and after the operation of standing up was accomplished, be convenient for fill up the separation with first amalgamation and second amalgamation, realize the dismantlement and the laying of mattress main part, improve and stand up efficiency, improve user experience, reduction in production cost.
As shown in fig. 1 and 2, further, the fixing band 2 includes: a pair of shoulder fixation arms 7 for fixing the shoulders of the user, a pair of thoracoabdominal fixation arms 8 for fixing the thoracoabdominal region of the user, a pair of hip fixation arms 9 for fixing the hips of the user, and a pair of lower limb fixation arms 10 for fixing the lower limbs of the user, wherein the pair of shoulder fixation arms 7, the pair of thoracoabdominal fixation arms 8, the pair of hip fixation arms 9, and the pair of lower limb fixation arms 10 are provided symmetrically with respect to the mattress main body 1.
The beneficial effect of adopting the further scheme is that: the fixed band includes: the pair of shoulder fixing cross arms used for fixing shoulders of a user, the pair of chest and abdomen fixing cross arms used for fixing chest and abdomen of the user, the pair of hip fixing cross arms used for fixing hips of the user and the pair of lower limb fixing arms used for fixing lower limbs of the user are used for supporting and wrapping different parts of the user, the stability and the reliability of a mattress are improved, the user is prevented from sliding relative to the mattress, the turnover operation is facilitated, and the user experience is improved.
As shown in figures 1 and 2, the mattress is of a 3-horizontal 1-vertical structure, the mattress main body 1 is made of memory sponge with the thickness of 10 cm, and the outer layer is made of waterproof breathable nylon fabric. The left and right parts of the mattress (i.e. the first split pad and the second split pad) are integrated by using a center-seam zipper 6. The shoulder fixing cross arm 7, the chest and abdomen fixing cross arm 8 and the hip fixing cross arm 9 wrap and fix shoulders, the chest and abdomen and the hip of a human body respectively. The lower limb fixing arm 10 wraps and fixes the legs of the human body. Magic tape is sewn at the tail end of the fixed arm.
As shown in fig. 1 and 2, one end of each of the pair of shoulder fixation arms 7, the pair of thoraco-abdominal fixation arms 8, the pair of hip fixation arms 9, and the pair of lower limb fixation arms 10 is provided on the side walls of the mattress main body 1, and the other end thereof is detachably connected.
The beneficial effect of adopting the further scheme is that: the fixed band includes: the pair of shoulder fixing cross arms used for fixing shoulders of a user, the pair of chest and abdomen fixing cross arms used for fixing chest and abdomen of the user, the pair of hip fixing cross arms used for fixing hips of the user and the pair of lower limb fixing arms used for fixing lower limbs of the user are used for supporting and wrapping different parts of the user, the stability and the reliability of a mattress are improved, the user is prevented from sliding relative to the mattress, the turnover operation is facilitated, and the user experience is improved.
As shown in fig. 1 and 2, the other ends of the pair of shoulder fixation arms 7, the pair of thoraco-abdominal fixation arms 8, the pair of hip fixation arms 9, and the pair of lower limb fixation arms 10 are detachably connected to each other by hook and loop fasteners 11.
The beneficial effect of adopting the further scheme is that: correspond detachably through the magic subsides and connect, can wrap up the user fast, improve and stand up efficiency, reduction in production cost realizes supporting and the parcel to the different positions of user, improves the stability and the reliability of mattress, prevents that user and mattress from taking place to slide, is convenient for stand up the operation, improves user experience.
As shown in figures 1 and 2, the bed mattress is also of a 3-horizontal 1-vertical structure, and the bed mattress main body 1 is connected into a whole by a center-seam zipper 6. The two ends of the shoulder fixing cross arm 7, the chest and abdomen fixing cross arm 8, the hip fixing cross arm 9 and the lower limb fixing arm 10 are respectively sewn with a primary surface and a secondary surface of a magic tape. Three buckle type safety belts 13 respectively penetrate through the lantern rings 12 on the fixed cross arms, and 4 lifting device combination or manpower carrying force exerting dual-purpose handles 3 are arranged at the parts of the side surfaces of the body of a patient of the mattress main body.
As shown in fig. 1 and 2, further, the mattress body 1 includes: a collar 12 and a safety belt 13, wherein the collar 12 is provided on the back surface of the mattress main body 1, and the safety belt 13 is inserted into the collar 12.
The beneficial effect of adopting the further scheme is that: the setting of the lantern ring and safety belt for supplementary fixed mattress and user's relative relation adjust the rate of tension of mattress, prevent that the fixed band from breaking because of the not enough emergence of load ability, improve the stability and the reliability of mattress main part.
Further, the safety belt 13 is a buckle type safety belt.
The beneficial effect of adopting the further scheme is that: the safety belt is a buckle type safety belt, so that the safety belt can wrap a user quickly and can be detached quickly, and the turnover efficiency is improved.
When the patient turns over in the prone position, the shoulder fixing cross arm, the chest and abdomen fixing cross arm, the hip fixing cross arm and the lower limb fixing arm wrap the fixing body and are reinforced again by using the buckle type safety belt. Then the patient is gradually lifted by combining the lifting device with the dual-purpose handle. At the moment, one medical staff fixes the head of the patient and the related artificial airway and blood vessel access on the head side of the patient, and one medical staff assists the patient to gradually change the posture state on the body side of the patient.
Furthermore, the mattress main body 1 is made of memory sponge, and the outside of the mattress main body 1 is coated with nylon fabric.
The beneficial effect of adopting the further scheme is that: the preparation material of mattress main part improves the comfort level of mattress for the memory sponge, and the perfect laminating of mattress and user of being convenient for improves user experience.
Further, the thickness of the mattress body 1 is 10 cm.
The beneficial effect of adopting the further scheme is that: the thickness of the mattress main body is 10 cm, so that the comfort level of the mattress is improved, the load capacity of the mattress is improved, and the turning-over operation of a user is facilitated.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; although the present invention has been described in detail with reference to the foregoing embodiments, it should be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the present invention.