JP2011256498A - Pajama jacket for patient - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a pajama jacket for a patient designed so that blockage due to bend of a drain and a tube is eliminated even with a pajama kept worn by the patient so as to smoothly perform issue of blood, pus and/or the like trapped in the chest cavity, the abdominal cavity and/or the like from her (his) body and intromission of medicament or infusion.SOLUTION: The pajama jacket for a patient 1 includes: primary slits 10 made toward cuffs 5 from a collar part 3; primary button members set to each of the front surface parts separated by the primary slits, and enabling the front surface parts to be fastened on each other; secondary slits 12 each made at a position corresponding to almost 1/3 of the distance between a side line and a median line toward the median line 15 from the side line, and made toward a bottom part 8 from a chest part 6; and secondary button members set to the front surface parts separated by the secondary slits, and enabling the front surface parts to be fastened on each other.

Description

  The present invention relates to a sleeping jacket for a patient.

  2. Description of the Related Art Conventionally, there has been known one in which a part of a nightcloth can be opened and closed so that it can be easily attached and detached. Referring to FIG. 7, in Patent Document 1, the left and right front surface portions 101 can be opened and closed to the left and right, and the sleeve portion from the collar portion 103 to the sleeve that can be locked by the locking means 102. A notch 106 is provided to reach the front end opening 105 of 104, the notch 106 can be opened and closed, and a stop hook 107 is provided in each of the parts separated by the notch 106 so that the parts separated by the notch 106 are separated from each other. A nursing nightcloth characterized by being able to be locked is disclosed.

  Referring to FIG. 8, Patent Document 2 discloses a sick nightcloth formed by folding a single nonwoven fabric cut into a vertically long substantially cross shape into two and joining the periphery thereof. The upper and lower parts 201 are formed in a vertically long portion so that they can be folded and overlapped, and the rear part 202 has a trapezoidal shape with a wide hem, and the folded portion has a shoulder line 203. A sleeve 204 is formed, a substantially circular neck hole is provided in the vicinity of the center of the shoulder line, one of the left and right shoulder lines of the neck hole is incised, and an incision part 205 is provided. A hook-and-loop fastener 207 is provided in the vicinity of the side portions 201a, 201b, 202a, 202b of the front and rear sides, the vicinity of the sleeve 206 of the sleeve 204, and the vicinity of the incision portion 205 of the shoulder line 203, respectively. Affixed with multiple intervals Sick for Nemaki is disclosed, wherein.

Japanese Patent Laid-Open No. 10-130917 JP-A-8-060415

  In connection with surgery, there is a case where a tubular device (hereinafter referred to as a drain) is inserted into the thoracic cavity, abdominal cavity or the like, and blood or pus accumulated in the body cavity is guided outside and discharged.

  In addition, a subcutaneous implantable port (hereinafter referred to as “port”) used for central parenteral nutrition (IVH therapy), central parenteral nutrition and drug administration (V port therapy) is implanted around the clavicle. In some cases, a puncture is performed with a needle, and an infusion solution or drug is delivered into the body through an infusion tube (hereinafter referred to as a tube).

  When receiving the above treatment, according to the conventional nightclothes, the drain and the tube may be bent when the nightclothes worn or the patient moves. If the drain and tube are obstructed by bending, the discharge of blood and pus accumulated in the thoracic cavity, abdominal cavity, etc. to the outside of the body is inhibited, causing complications for the patient, preventing wound healing, and drugs and infusions. There was a problem that the delivery was not smooth and the treatment was affected.

  Moreover, in order to avoid the said situation, it was necessary to roll up the bedcloth in the drain and the tube insertion part, and there existed a problem which gives a patient discomfort.

  In the present invention, even if the patient wears a nightcloth, the drain and the tube are not obstructed by bending, the discharge of blood and pus etc. stored in the thoracic cavity, abdominal cavity, etc., and the delivery of drugs and infusions, An object is to provide a sleeping jacket for a patient that can be smoothly performed.

  In order to solve the above-described problems, the patient's nightclothes jacket of the present invention is a patient's nightclothes jacket in which the front portion that can be opened and closed to the left and right can be locked by the locking means, and is provided from the collar portion toward the cuff. A first button member provided on each of the slit and the front portion separated by the first slit, and capable of locking the front portions, and a side line-median line from the side line toward the midline Locking the front portions provided at each of the second slit provided from the chest to the hem and the front portion separated by the second slit at approximately one third of the distance And a second button member that enables the second button member.

  According to the present invention, even when a patient wears a nightcloth, obstruction due to bending of the drain and tube is eliminated, discharge of blood and pus, etc. stored in the thoracic cavity, abdominal cavity, etc. to the outside of the body, and into the body of drugs and infusions Can be transferred smoothly.

1 is an overall front view of a sleeping jacket for a patient according to the present invention. It is an enlarged view of the 1st slit of the jacket. It is an enlarged view of a trunk longitudinal direction section in the 1st slit part at the time of a patient wearing the jacket. It is an enlarged view of the 2nd slit of the jacket. It is a figure which shows the drain insertion site | part in a patient's supine position abdomen. It is an enlarged view of the trunk short direction section in the 2nd slit part at the time of a patient wearing the jacket. It is a whole front view of the sleeper for nursing care of a prior art example. It is a whole front view of the sick nightcloth of another conventional example.

  Embodiments of the present application will be described below with reference to the drawings. The embodiment disclosed this time should be considered as illustrative in all points and not restrictive. The scope of the present invention is defined by the terms of the claims, rather than the description above, and is intended to include any modifications within the scope and meaning equivalent to the terms of the claims.

  With reference to FIG. 1, the patient's sleep jacket 1 will be described. The patient's sleeping jacket 1 of the present invention is a state in which the front portion 2 is closed, the collar portion 3 is corrected, the sleeve portion 4 is expanded, and the patient's sleeping jacket 1 is expanded with the front portion 2 as an upper surface (hereinafter, developed). State)), the front part is the front part 2, the rear part 9 is the back part (see FIG. 6), the perpendicular extending from the point where the left and right collars intersect to the body direction is the midline 15, the front part The side line 2 is referred to as a side line 20, and the distance between the median line 15 and the side line 20 is referred to as a side line-median line distance 16. The shoulder line is referred to as a shoulder line 27. The patient's sleeping jacket 1 includes a front surface portion 2, a rear surface portion 9, a first slit 10, a first button member 11 (see FIG. 2), a second slit 12, a second button member 13 (see FIG. 4), and a latch. Means 14. The front surface portion 2 includes a collar portion 3, a sleeve portion 4, a shoulder portion 26, a chest portion 6, and an abdominal portion 7. The patient's sleeping jacket 1 is used by the wearer passing both arms through the sleeves 5 and closing the front part 2 opened by the locking means 14.

  FIG. 2 is a view in which the first slit 10 is opened. The first slit 10 and the first button member 11 will be described with reference to FIG.

  A first slit 10 is formed in the front surface portion 2 from the collar portion 3 toward the cuff 5 in substantially parallel to the shoulder width direction of the wearer. A first button member 11 is provided at each portion of the front surface portion 2 separated by the first slit 10 so as to be able to lock the separated front surface portions 2, and the first slit 10 of the front surface portion 2 is provided. The part can be opened and closed. One front surface portion 2 on the shoulder side separated by the first slit 10 overlaps the other front surface portion 2 of the chest from above and is locked by the first button member 11.

  A tube 22 (see FIG. 3) that punctures the port 23 (see FIG. 3) embedded in the periphery of the clavicle from outside the body between the first button members 11 that lock the front parts 2 together, and feeds drugs, infusions, and the like into the body. 3) can be fixed through. The space | interval of the 1st button members 11 should just be the space | interval which can let the tube 22 pass and can fix simultaneously. Since the tube 22 has an outer diameter smaller than that of the drain 17 described later, the interval between the first button members 11 is determined in accordance with the outer diameter of the drain 17. Specifically, the interval between the first button members 11 may be 2 cm or more and 6 cm or less, and more preferably 2 cm or more and 4 cm or less.

  FIG. 3 is an enlarged view of a longitudinal section of the body of the first slit 10 when the patient 18 wears the patient's sleeping jacket 1. The handling of the tube 22 will be described with reference to FIG. Reference numeral 18a represents the chest side body surface, and reference numeral 18b represents the back side body surface. In addition, the direction from the head to the foot of the torso is called “longitudinal direction”, and the direction horizontally traversing the torso from the right hand to the left hand is called “short-side direction”.

  The port 23 is approximately 1.5 to 3.0 cm outside the midclavicular line passing through the center of the clavicle, and is further implanted subcutaneously at a position of approximately 1.0 to 2.0 cm toward the lower body. The port 23 is punctured with a needle 24 connected to the tube 22 from above the skin and infuses an infusion solution or the like into the body of the patient 18. As described above, in the state where the first slit 10 is closed, one front surface portion 2 on the shoulder side separated by the first slit 10 overlaps the other front surface portion 2 of the chest from above. The tube 22 extends in one direction from the connection portion of the port 23 toward the head of the patient 18, and then extends in the direction of the patient leg from between the first button members 11 that lock the front surface portions 2. That is, as shown in FIG. 3, since the tube 22 has a gentle curve shape and is not bent, the medicine or the infusion can be smoothly delivered into the body.

  In other words, when the tube 22 is taken out from the patient's sleeping jacket 1, a gentle curved shape can be formed by turning the tube 22 once in the direction opposite to the take-out direction between the chest surface 18 a and the jacket. it can.

  Referring to FIG. 1 again, in order for the tube 22 to be arranged in such a shape, the position of the first slit 10 needs to be provided on the upper body side with respect to the port 23. Here, a connection portion between the shoulder portion 26 and the chest portion 6 in the expanded state and the sleeve portion 4 is referred to as a connection portion 29. Specifically, it is only necessary that the first slit 10 is provided within the range of the shoulder line 27 to the length of 1/3 of the width of the sleeve portion in the connection portion 29. Optimally, it is desirable to provide the first slit 10 from the shoulder line 27 at a position that is 1/3 of the sleeve width at the connection portion 29.

  FIG. 4 is a view in which the second slit 12 is opened. With reference to FIG. 4, the 2nd slit 12 and the 2nd button member 13 are demonstrated.

  The front part 2 is substantially the same as the wearer's body direction from the side line 20 toward the midline 15, at a position approximately one third of the sideline-median distance 16 and from the chest 6 toward the hem 8. A second slit 12 is formed in parallel. Each part of the front part 2 separated by the second slit 12 is provided with a second button member 13 that enables the front parts 2 to be locked together, and the second slit 12 part of the front part 2 opens and closes. It is configured to be able to. One front surface portion 2 on the side of the median line 15 separated by the second slit 12 overlaps the other front surface portion 2 on the side of the side line 20 from above and is locked by the second button member 13.

  Between the second button members 13, a drain 17 (see FIG. 6) that discharges blood and pus stored in a body cavity inserted into the chest cavity, abdominal cavity and the like can be fixed. The space | interval of 2nd button members 13 should just be the space | interval which can let the drain 17 pass and can fix simultaneously. Since the outer diameter of the common drain 17 is 0.8 to 1.0 cm, the interval between the second button members 13 may be specifically 2 cm or more and 6 cm or less, and further 2 cm or more and 4 cm or less. Is preferred.

  With reference to FIG. 5, the position where the drain 17 is inserted into the chest cavity, abdominal cavity, etc. of the patient 18 will be described. FIG. 5 shows the abdomen of the patient 18 in the supine position. Since the abdominal wall arteriovenous runs from the patient midline 21 to 2/3 of the interval between the patient midline 21 and the lumbar end 25, the drain 17 is hardly inserted in this range. That is, the drain 17 is inserted from the lumbar end 25 within a range of 1/3 of the interval between the patient midline 21 and the lumbar end 25 (shaded portion in FIG. 5). This portion will be referred to as the drain insertion site 19. In the drain insertion site 19, the drain 17 is inserted from the body surface toward the substantially spine 28 (see FIG. 6).

  Since the patient's sleeping jacket 1 having a size corresponding to the body shape fits the patient's body, the patient's sleeping jacket 1 and the corresponding part of the patient's 18 body have a substantially similar relationship. That is, the positional relationship of the side line 20, the midline 15, and the sideline-median line distance 16 of the patient's sleeping jacket 1 is such that the waist end 25, the patient midline 21, and the patient midline 21-the waist of the patient 18. This corresponds to the positional relationship of the end 25 intervals.

  Accordingly, the position where the second slit 12 of the sleeping jacket 1 for the patient is provided, and the position of about 1/3 of the side line-median distance 16 from the side line 20 toward the median line 15 is the insertion position of the drain 17. From the waist end 25, it can be said that it substantially corresponds to a position having a length of 1/3 of the interval between the patient midline 21 and the waist end 25.

  FIG. 6 is an enlarged view of a cross section in the trunk width direction of the second slit 12 when the patient 18 wears the patient's sleeping jacket 1. As described above, in the state where the second slit 12 is closed, one front surface portion 2 on the side of the midline 15 separated by the second slit 12 overlaps with the other front surface portion 2 on the side line 20 side from above. Yes. The drain 17 inserted in the direction of the substantially spine 28 from the body surface extends from the insertion portion into the body in the direction of the midline 15 and then between the second button members 13 that lock the front surface portions 2. It extends in the lateral position or lower body direction. That is, as shown in FIG. 6, the insertion site of the drain 17 has a gently curved shape and does not bend, so that the discharge of blood, pus, etc. stored in the thoracic cavity, abdominal cavity, etc. can be smoothly performed. It can be carried out.

  In other words, when the drain 17 is taken out from the patient's sleeping jacket 1, the drain 17 is once gently routed between the chest side body surface 18 a and the patient's sleeping jacket 1 in the direction opposite to the removing direction. A curved shape can be made possible.

  Therefore, the position of the second slit 12 needs to be provided at a position 1/3 of the side line-median line distance 16 from the side line 20 toward the midline 15. Since the insertion site of the drain 17 is substantially limited to the drain insertion site 19, the second slit 12 is provided at a position 1/3 of the side line-median distance 16 from the side line 20 to the median line 15. This is because the drain 17 is inevitably shaped as described above.

  Referring to FIGS. 5 and 6, more specifically, the second slit 12 extends from the side line 20 toward the median line 15 from the position of approximately 1/3 of the side line-median distance 16. It suffices if it is provided on the 15 side from the chest 6 toward the skirt 8.

  Preferably, it may be provided from the side line 20 toward the median line 15 at a position 1/3 of the side line-median distance 16 from the chest 6 toward the skirt 8.

  According to this embodiment, since the drain 17 is not bent and does not occlude, blood, pus, etc. accumulated in the drain 17 do not stay, so that it is possible to eliminate induction of complications and inhibition of wound healing.

  Moreover, leakage of blood and pus accumulated at the insertion site of the patient 18 in the drain 17 caused by the blockage of the drain 17 can be eliminated, and the number of treatments such as gauze replacement can be reduced, thereby improving the work efficiency in the medical field. can do.

  In addition, the drain 17 is fixed so as not to bend and block, and even if the patient wakes up while the drain 17 is inserted or walks, blood or pus accumulated outside the body such as in the thoracic cavity or abdominal cavity Since the discharge is not hindered, the freedom of movement of the patient can be increased.

  Further, since the drain 17 does not come out of the flank, even if the patient is in a lateral position, the body 17 does not come into contact with the body and there is no pain, and the drain 17 can be prevented from being blocked.

  The present invention is useful with patient sleepwear jackets.

DESCRIPTION OF SYMBOLS 1 Patient sleep jacket 2 Front part 3 Collar part 4 Sleeve part 5 Cuff part 6 Chest part 7 Abdominal part 8 Bottom part 9 Rear surface part 10 1st slit 11 1st button member 12 2nd slit 13 2nd button member 14 Locking means 15 Middle Line 16 Side line-median distance 17 Drain 18 Patient 18a Thoracic body surface 18b Back side body surface 19 Drain insertion site 20 Side line 21 Patient midline 22 Tube 23 Port 24 Needle 25 Lumbar end 26 Shoulder 27 Shoulder line 28 Spine 29 connections

101 Front surface portion 102 Locking means 103 Collar portion 104 Sleeve portion 105 Tip opening portion 106 Notch 107 Locking hook

201 front side 201a, 201b front side 202 202 rear side 202a, 202b rear side 203 shoulder 204 shoulders 205 incision 206 sleeve 207 hook-and-loop fastener

Claims (2)

There is a sleeping jacket for patients that can be locked by locking means on the front part that can be opened and closed to the left and right,
A first slit provided from the collar to the cuff;
A first button member provided on each of the front surface portions separated by the first slit, and capable of locking the front surface portions;
A second slit provided from the chest to the hem at a position approximately one third of the side line-median distance from the side line to the midline;
A sleeping jacket for a patient, comprising: a second button member provided on each of the front portions separated by the second slit and capable of locking the front portions. The sleeping jacket for a patient according to claim 1,
A sleeping jacket for a patient, characterized in that a first slit is provided at a position approximately 1/3 of the width of the sleeve portion at the connecting portion from the shoulder line.