CN218852929U - A restraint instrument that is used for intensive care unit to prevent unplanned extubation - Google Patents

Abstract

The utility model discloses a restraint tool for preventing unplanned extubation in an intensive care unit. Two load-bearing bags, the two sides of the first load-bearing bag have the middle connecting edge and the inner connecting edge respectively, the two sides of the second load-bearing bag respectively have the outer connecting edge and the inner connecting edge, the front end of the load-bearing bag has an opening, and the opening is provided with a mother and a child buckle, the first load-bearing bag and the second load-bearing bag are respectively provided with a first load-bearing body and a second load-bearing body, the inner connection edge, the outer connection edge and the middle connection edge are movably connected, and the cuff is fixedly connected to the opposite two On the middle connection side between the first load-bearing bags, the utility model can not only restrain the small arms of infants and children, but also grasp the tightness of the restraint belt to fix the patient's wrist, and can also restrain the lower limbs of infants and children, which can effectively Prevent infants and children from scratching the catheter with their hands and causing unplanned extubation.

Description

A restraint tool for preventing unplanned extubation in the intensive care unit

technical field

The utility model relates to a medical appliance, in particular to a restraint tool used in clinics, especially in intensive care units, to prevent unplanned extubation of infant patients.

Background technique

In clinical practice, patients treated in the intensive care unit generally need to use a variety of therapeutic and monitoring catheters. These catheters must be strictly protected and fixed, otherwise it will seriously affect the rescue treatment effect and even endanger the patient's life. Appropriate and effective restraint of the patient is one of the important measures to prevent unplanned catheter removal. One of the current main measures is to use restraint belts such as bandages, cloth tapes, and ropes to restrain the small arms by knotting them with the bed. However, this restraint method has the following problems in use: First, because each soil protector has different knotting techniques and methods, the tightness of the knots is not easy to grasp, or the patient's wrist slips out due to too loose, or Stretch marks on the patient's hand due to over-tightening. The second is that the existing restraint belts are generally mainly used to restrain the patient's wrist. When the patient is an infant or a child, the range of motion of the arm above the wrist is still relatively large. In addition, the ICU ward is an unaccompanied ward without family care. , and the activities of infants and children's arms and lower limbs may also cause patients to scratch the skin of the catheter with their hands, which may easily lead to the removal of therapeutic and monitoring catheters such as tracheal tubes and thoracoabdominal drainage tubes.

Utility model content

Aiming at the problems existing in the above-mentioned prior art when restraining the patient's wrist with the restraint belt, the utility model proposes a method for clinical use, especially for the intensive care unit, which can not only restrain the small arms of infants and children, but also It is better to grasp the tightness of the restraint belt to fix the patient's wrist, and it can also be used to restrain the lower limbs of infants and children. It can effectively prevent infants and children from scratching the catheter with their hands, resulting in unplanned extubation.

The technical solution to the technical problem to be solved by the utility model is: a restraint tool for preventing unplanned extubation in the intensive care unit, which includes at least one load-bearing bag symmetrically arranged on both sides of the sleeve, and the load-bearing bag The opposite inner side and the separated outer side have a middle connecting edge and an inner connecting edge respectively, and the front edge of the load-bearing bag is provided with an opening, and a snap button is arranged between the openings. body, the sleeve is fixedly connected to the middle connecting edge between two opposite load-bearing bags, a second telescopic pipe ring is arranged on one end of the sleeve sleeve, and a first telescopic pipe ring is provided on the other end of the sleeve sleeve. The first telescopic band and the second telescopic band are respectively movable in the first telescopic tube ring and the second telescopic tube ring, and the two ends of each telescopic band protrude out of the telescopic tube ring respectively, and a telescopic tube is arranged in the middle of the sleeve .

The use method of the utility model: the child lies on his back, his hands are straightened, and the child's wrist is inserted into the cuff of the sleeve part of the restraint tool, and as shown in Figure 5 and Figure 6, it is placed on the patient's small arm and lower limbs , press the weight bag portion of the restraint tool against the bedding or sheet.

The telescopic length of the sleeve is divided into 2-3 specifications according to the length of the arm of each age group.

The restraint tool described in the utility model can be used alone to restrain the small arms or lower limbs of infants and children, and can also be used to restrain the small arms and lower limbs of infants and children at the same time. Sometimes, it can also be used to restrain children and even adult patients who are unconscious, restless and have low self-control ability.

The restraint tool described in the utility model has exact restraint effect on the hands and lower limbs of children in the intensive care unit, can effectively restrain the limbs, reduce unplanned extubation by more than 23.30%, reduce self-scratching of children by more than 20%, and improve patient Satisfaction of children and their families, and comfort of children.

Compared with the prior art, the utility model has the following characteristics:

1. It is convenient to obtain materials, easy to use, comfortable, safe and free of complications during use.

2. The restraining effect is good, not only restraining the wrist, but also restraining the arm, preventing the patient from scratching the face and pulling out the catheter with the strength of the arm.

3. Because the sleeve is covered with quilted gauze, the whole sleeve is soft and has a large internal space. The arm of the patient is not tightened, and the hand can move or turn freely. The child has no discomfort.

4. Both ends of the restraint tool are balanced in weight. The weight on both sides does not act on the arm, but on the sleeve, and there will be no pulling force and shearing force when the hand breaks free, so it will not tighten the arm and cause strangle marks.

5. The restraint tool can be made of cartoon flower cloth, which looks like wearing a sleeve when used. It is beautiful and comfortable, and the child and his family members cannot see that it is restraining.

6. The restraint tool is multi-purpose, which can restrain the limbs and press the bedding at the same time to prevent the bedding from covering the mouth and nose of the infant and ensure the safety of the child. In addition, the pipe can also pass through the sleeve to prevent the pipe from falling off and slipping out, which plays a fixed role.

7. The sleeves of the restraint tool contain cotton, which can keep warm, especially in winter.

Description of drawings

Fig. 1 is a half-section front structural schematic view of the utility model,

Fig. 2 is the top view structural representation of the utility model,

Fig. 3 is a schematic diagram of the A-A sectional junction of Fig. 1,

Fig. 4 is a schematic diagram of the B-B sectional junction of Fig. 2,

Fig. 5 is a reference use state diagram of the utility model when the lower limbs are clinically restrained,

Fig. 6 is a reference use state diagram of the present invention when the arm is clinically restrained.

In the figure, 1. Outer connecting edge 2. Second load bag 3. Second load body 4. First load bag 5. First load body 6. First telescopic belt 7. Second telescopic belt 8. First telescopic belt Pipe ring 9, inner connection edge 10, middle connection edge 11, button or zipper 12, opening 13, snap button 14, second telescopic pipe ring 15, sleeve sleeve 16, wrist 17, clothing 18, forearm 19, elbow Part 20, front connecting edge 21, telescoping section.

Detailed ways

The utility model is made of floral cotton cloth, quilted gauze, self-adhesive buckle, and shrinkage tape. The load-bearing body is made of powder materials with a specific gravity greater than 2g/cm3, no agglomeration, no pollution, not easy to be affected by moisture, and no radiation. , such as quartz sand, ceramic powder, salt, iron powder, etc.

The utility model can also increase the third load-bearing body (that is, connect the third load-bearing body on the second load-bearing bag or increase the load weight of the first and second load-bearing bodies according to different age groups or the same age situation.

Describe in detail below in conjunction with accompanying drawing: In the figure, embodiment 1, a kind of constraint tool that is used for intensive care unit to prevent unplanned extubation, it comprises cuff 15 and connection is arranged on cuff left and right sides and each side Two load-bearing bags connected to each other (it is mainly suitable for children aged 1-3, with two load-bearing bags on each side), that is, the load-bearing bags include the first load-bearing bag 4 and the second load-bearing bag, and the first load-bearing bag The opposite side is provided with a middle connection edge 10, and the middle connection edge is connected with a button or a zipper 11. The other side of the first load-bearing bag is provided with an inner connection edge 9, and the other side of the first load-bearing bag is connected to the second load-bearing bag through the inner connection edge. The inner connecting edge on one side of the bag links to each other with buttons or slide fasteners 11, and the second load-bearing bag other side is provided with an outer connecting edge 1 (certainly the outer connecting edge 1 on the other side of the second load-bearing bag can also be connected with the third The load-bearing bags are connected, and the first load-bearing bag 4 and the second load-bearing bag 2 on each side are connected sequentially. Two or even multiple load-bearing bags are arranged on each side, which can not only reduce the center of gravity of the load-bearing body, but also increase the stability of the load-bearing bag. The number of load-bearing bags can also be selected according to different ages. Both sides of the first load-bearing bag have a middle connecting edge 10 and an inner connecting edge 9, and both sides of the second load-bearing bag have an outer connecting edge and an inner connecting edge. Only the front connecting edge 20 of the load-bearing bag has an opening 12 (the opening is used for loading and taking out the load-bearing body), and the opening is provided with a snap button 13, and the first load-bearing bag and the second load-bearing bag are respectively provided with a The first load-bearing body 5 and the second load-bearing body 3, the weight ratio of the first load-bearing body and the second load-bearing body is 1:0.7-0.8, and the inner connection side, the outer connection side and the middle connection side are connected by zippers or buttons , the weight of the first load-bearing body is 0.5-1Kg, and the sleeve is fixedly connected to the middle connection edge 10 between the two first load-bearing bags with buttons or zippers. The load-bearing bag is in the shape of a cuboid. Lay flat on one side of the bed or bedding, the height of the load-bearing bag is 0.3-0.5 times its length or its width, and the ratio of length to width is 1:0.8. A second telescopic tube ring 14 is arranged on one end of the sleeve. The other end of the cover is provided with a first telescopic pipe ring 8, the mouth of the first telescopic pipe ring is larger than the outer diameter of the elbow 19, but less than the outer diameter of the clothing 17 placed on the forearm 18, and the mouth of the second telescopic pipe ring is larger than the hand bowl The diameter of part 16, the first telescopic tube ring and the second telescopic tube ring are respectively provided with a first telescopic band 6 and a second telescopic band 7, and the two ends of the first telescopic band 6 and the second telescopic band 7 respectively stretch out to the telescopic Outside the tube circle, the stretching of the first and second stretchable straps can make the knot tightness of the restraint strap better when knotted, and it will not happen that the patient's wrist slips out or the patient's hand is too tight. Stretching marks at the top of the sleeve. A telescopic section 21 is arranged in the middle of the sleeve.

The utility model can be made into restraining appliances of different sizes and specifications according to the physical characteristics of infants and children. The number of load-bearing bags and the weight of the load-bearing body can be determined according to the following ages: the general age group is divided into infants (under 1 year old), infants ( 1-3 years old), preschool (3-6 years old) and children (7-12 years old), the weight of the first load on each side of the appliance is 0.5-1.0Kg, and the weight of the second load is 0.3-0.7Kg. From the cuff to the left or right is called the first weight bag, the second weight bag, the third weight bag), the weight of each weight bag is from the first weight bag, the second weight bag, the third weight bag Gradually decrease, the weight ratio of the first load body to the second load body is 1:0.7-0.8, and the weight ratio of the second load body to the third load body is 1:0.7-0.8. Generally, one load-bearing bag is used for the baby section, and the weight of the load is 0.5-1.0Kg; The weight of the load-bearing body is 0.4-0.8Kg; three load-bearing bags (the first load-bearing bag, the second load-bearing bag and the third load-bearing bag) can be used first before school age. The weight of the first load-bearing body is 0.5-1.0Kg, and the weight of the second load-bearing body is Select 0.4-0.8Kg for use, and the weight of the third load-bearing body is 0.3-0.65Kg. Children or adults can choose more load-bearing bags, and the weight of each load-bearing bag can be increased.

The utility model is clinically used by the experimental group and the control group according to the prior art, adopts SPSS22.0 statistical software to analyze, and the numerical variable data is represented by "mean ± standard investigation", and adopts single-factor analysis of variance to carry out hypothesis testing. When the level is P<0.05, the difference is statistically significant; for categorical variable data: use "rate, composition ratio" to express, and the chi-square test is used for hypothesis testing. When the test level is P<0.05, the difference is statistically significant.

The statistical results are shown in the table below:

Table 1 Comparison of the number of unplanned extubation and the number of self-scratched patients in the two groups

The number of unplanned extubation and self-scratching of patients in the experimental group were less than those in the control group, and there was a significant difference, P<0.05.

The comparison of patient satisfaction scores between the two groups is shown in Table 2.

Table 2 Comparison of patient satisfaction scores between the two groups

From the above, the satisfaction degree of patients in the experimental group was higher than that in the control group, and there was a significant difference.

Claims (4)

1. A restraint tool for preventing unplanned extubation in an intensive care unit is characterized in that: the novel weight-bearing sleeve comprises at least one weight-bearing bag symmetrically arranged on two sides of a sleeve (15), wherein the inner side and the outer side, opposite to each other, of the weight-bearing bag are respectively provided with an intermediate connecting edge (10) and an inner connecting edge (9), the front connecting edge (20) of the weight-bearing bag is provided with an opening (12), a snap fastener (13) is arranged between the openings, the weight-bearing bag is provided with a powdery weight-bearing body, the sleeve is fixedly connected to the intermediate connecting edge between the two opposite weight-bearing bags, one end of the sleeve is provided with a second telescopic pipe ring (14), the other end of the sleeve is provided with a first telescopic pipe ring (8), a first telescopic belt (6) and a second telescopic belt (7) are movably arranged in the first telescopic pipe ring and the second telescopic pipe ring respectively, two ends of each telescopic belt extend out of the telescopic pipe rings respectively, and the middle of the sleeve is provided with a telescopic cylinder (21).

2. A restraint tool for preventing unplanned extubation in an intensive care unit according to claim 1, wherein: the novel oversleeve is characterized by further comprising two first load-bearing bags (4) and two second load-bearing bags (2) which are symmetrically arranged on two sides of the oversleeve (15) and connected in sequence from inside to outside, wherein two sides of each first load-bearing bag are respectively provided with an intermediate connecting edge (10) and an inner connecting edge (9), and two sides of each second load-bearing bag are respectively provided with an outer connecting edge (1) and an inner connecting edge (9).

3. A restraint tool for preventing unplanned extubation in an intensive care unit according to claim 2, wherein: the inner connecting edge (9), the outer connecting edge (1) and the middle connecting edge (10) are connected by a zipper or a button (11).

4. A restraint tool for preventing unplanned extubation in an intensive care unit according to claim 2, wherein: the specific gravity of the load body is more than 2g/cm ³ The powder material is non-caking, non-pollution, difficult to be affected with damp and non-radiation.

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