JP2013165838A - Patient transfer apparatus - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a patient transfer apparatus enabling one caregiver to transfer a patient to a bed or the like with less burden on the caregiver.SOLUTION: A patient transfer apparatus includes: a sheet 10 with foldable elongated shape for being deployable to the direction of the body length of a patient; and pull strings 20 respectively arranged on a center part and both ends of the sheet longitudinal direction. The respective pull strings 20 have at least length corresponding to the width of the sheet 10 and the respective ends are fixed to the respective rims of the sheet without fixing a position of a middle part.

Description

  The present invention relates to a patient transfer device using a flexible sheet.

  In order to move a patient between beds or to move between a bed other than a bed such as a wheelchair, a plurality of assistants generally lift the patient. However, in this method, the patient's weight is a heavy burden on the caregiver, and the force applied locally when lifting may cause pain to the patient.

  In order to cope with this, various proposals for transferring a patient to a bed or the like have been made. For example, the transfer tool described in Patent Document 1 is composed of a flexible sheet and a pulling rod. One end edge of the flexible sheet inserted on the lower side of the patient is wound around the pulling rod, Used by moving the patient by manually pulling the rod.

  In addition, the transfer tool described in Patent Document 2 forms a transfer sheet by storing a base sheet in a bag-shaped outer sheet, and has a drawing means and a hand hook at the tip of the base sheet so as to protrude from the outer sheet. The mounting and transfer sheet is wound around a winding roller. When using, attach the take-up roller to the transfer bed and place it sideways on the side of the bed, and then pull out the transfer sheet from the take-up roller and insert it under the patient, and then rotate the take-up roller. The patient is moved by winding the transfer sheet to the transfer bed side.

International Publication No. WO 97/38659 Japanese Patent Laid-Open No. 6-269477

  However, all of the devices described in these patent documents require a sheet to be laid on the lower side of the patient. However, since the operation is not considered, the patient is lifted by 2 to several persons. It is necessary to insert a sheet between the bed surface or to expand the sheet on each side lifted while rolling the patient left and right. Therefore, the problem that the patient's weight places a burden on the caregiver and the operation is troublesome still cannot be solved. In particular, as a result of the widespread use of nursing care taxi where the driver also serves as an assistant, the aging of the family to assist, the shortage of personnel in hospitals and nursing care facilities, etc., the need to move patients by one assistant has increased. These problems have grown in recent times.

  SUMMARY OF THE INVENTION An object of the present invention is to provide a patient transfer tool that can reduce the burden on an assistant and can easily transfer a patient to a bed or the like even by one assistant.

  In order to achieve the above object, the present invention comprises a sheet having a foldable and elongated shape and deployable in the height direction of a patient, and a pull string disposed at the center and both ends of the sheet in the longitudinal direction. Each of the drawstrings has a length corresponding to at least the width of the seat, each end is fixed to each side edge of the seat, and the position of the intermediate portion is not fixed. Is to provide.

Action

  The patient transfer device according to the present invention has a foldable and slender shape and a seat that can be developed in the height direction of the patient (transferee), and a pull cord provided at the center and both ends of the sheet in the longitudinal direction. The device itself is light and easy to handle.

  These drawstrings have a length corresponding to at least the width of the sheet, one end is fixed to each side edge of the sheet, and the position of the intermediate part is not fixed.

  Therefore, this patient transfer tool can be used as follows when transferring a patient to a bed or the like. First, on one side of a patient lying on a bed or the like, a sheet is developed in the height direction of the patient. Then, the side edge of the sheet is inserted under the patient, and the sheet is expanded halfway to the other side of the patient. At this time, the middle portion of the drawstring is guided to the patient's lower side together with the sheet so that the drawstring is on the lower side. After that, by pulling the drawstring from the other side of the sheet, the sheet of that part is expanded to the full width. The pull string has a length corresponding to at least the width of the sheet, each end is fixed to each side edge of the sheet, and the position of the intermediate portion is not fixed. Therefore, the intermediate portion may be pulled.

  In this operation, from one side of the patient to the introduction to the lower side of the patient, one end side, the other end side, and the central part (for example, the patient's head side part, foot side part, trunk part) in the longitudinal direction of the seat The entire sheet can be expanded to the lower side of the patient by sequentially performing the operation of pulling these parts to the other side of the patient. Since each operation only receives a part of the weight of the patient as a load, it can be easily performed with a small force. In particular, a part of the sheet may be inserted into the lower side of the patient, and after that, the pulling string only needs to be pulled toward the unfolding side.

  If the entire seat is pulled in this unfolded state, the patient can be easily transferred to an adjacent bed or the like.

  To remove the patient transfer device from the lower side of the patient after the transfer is completed, the other end of the pulling string is guided to the lower side of the patient together with the sheet by pulling the front side of the pulling string from one side of the bed or the like. It can be taken out to one side of the patient with the sheet up to the other end. This operation can also be performed sequentially for the drawstrings located on each part of the sheet, so that each operation can be easily performed under a small load.

  In this operation, from one side of the patient to the introduction to the lower side of the patient, one end side, the other end side, and the central part (for example, the patient's head side part, foot side part, trunk part) The entire sheet can be taken out from the lower side of the patient by sequentially performing the operation of pulling these parts to the other side of the patient. Since each operation only receives a part of the weight of the patient as a load, it can be easily performed with a small force. In particular, a part of the sheet may be guided to the lower side of the patient, and after that, the pulling string only needs to be pulled to the take-out side.

  In particular, if the pulling string provided at the end of the seat (for example, the head side of the patient) is pulled first, the load due to body weight is small, so the seat can be pulled out lightly, and the seat can be centered from the end. It can be pulled out over a range up to the vicinity of the part. Thereafter, the pull cord at the other end of the sheet (for example, the patient's foot side) is pulled, and the sheet is similarly pulled out from the end to the vicinity of the center. As a result, when pulling the drawstring at the center of the seat, the area of the seat to be passed under the patient is reduced, so that it can be easily passed under the trunk where much of the weight is applied. In this way, the entire patient transfer device can be easily removed from under the patient.

  Regarding the case of a reclining wheelchair in which the backrest can be deployed horizontally on the bed, when the patient is transferred from the bed to the wheelchair, the patient is placed on the seat on the bed as described above. The patient is moved onto the wheelchair together with the patient transfer tool, and thereafter, the pulling cord is sequentially pulled in the same manner as described above to take out the sheet from under the patient.

  In addition, when transferring a patient from a sitting wheelchair to a bed or the like, after the patient is placed on the wheelchair with the patient transfer device laid on the wheelchair in advance, the patient is transferred from the wheelchair to the bed or the like together with the patient transfer device. In the same manner as described above, the pulling string is sequentially pulled to remove the sheet from under the patient.

  As described above, according to the patient transfer device of the present invention, the burden on the caregiver is small, and even one caregiver can easily transfer the patient to the bed or the like.

It is a top view which shows the patient transfer tool which concerns on 1st embodiment of this invention with a patient and a bed. It is a bottom view of the patient transfer tool shown in FIG. It is explanatory drawing which shows an example of the method of putting a patient on the patient transfer tool shown in FIG. It is explanatory drawing which shows the example of the usage method following FIG. 3A. It is explanatory drawing which shows the example of the usage method following FIG. 3B. It is explanatory drawing which shows an example of the method of putting a patient on the patient transfer tool which concerns on other embodiment of this invention. It is explanatory drawing which shows the example of the usage method following FIG. 5A. It is explanatory drawing which shows an example of the method of taking out a patient transfer tool from the patient's lower side put on the patient transfer tool shown in FIG. It is explanatory drawing which shows the example of the usage method following FIG. 6A. It is a rear view of the patient transfer tool concerning an embodiment of the present invention suitable for a wheelchair. It is a perspective view which shows the example which applied the patient transfer tool shown in FIG. 7 to the wheelchair. It is a perspective view which shows the state which takes out the patient transfer tool shown in FIG. 7 from between a wheelchair and a patient.

  Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings. The same or similar parts in the drawings are denoted by the same reference numerals and description thereof is partially omitted. Further, the drawing shows a part necessary for clearly showing the structure or a part related to the transfer operation of the patient, and other parts may be omitted.

  FIG. 1 is a top view of a patient transfer tool, a patient, and a bed according to the first embodiment of the present invention as viewed from above, and FIG. 2 is a bottom view of the patient transfer tool shown in FIG. The illustrated patient transfer device 1 includes a sheet 10 that has a foldable and elongated shape and can be developed in the height direction of the patient, and a plurality of pull strings 20 each having one end secured to each side edge of the sheet. ing.

  The sheet 10 is a single-layer or multi-layer fabric, knitted fabric, non-woven fabric, film, or two or more thereof having a foldable flexibility and a strength capable of withstanding a load when the patient is lifted and conveyed. It can be made of various materials made of a combination of The seat 10 has a size larger than a general adult's height and shoulder width so that a patient can be put on it. However, in the case of a wheelchair to be described later, the seat 10 may be a shorter size. It is desirable that the upper surface of the seat 10 has moderate friction so as to prevent the patient from slipping. On the other hand, it is desirable that the lower surface of the sheet 10 has a low friction so as not to cause inadvertent displacement with respect to the bed surface and to facilitate movement, as described later.

  The pull string 20 is provided at the center and both ends in the longitudinal direction of the sheet, and each end is fixed to each side edge of the sheet. The adhering can be performed by sewing, caulking of the heel, or the like. The drawstring 20 has a length corresponding to at least the width of the sheet, and can be 1.1 to 1.5 times the sheet width.

  In this embodiment, the operation hole 11 is provided in the center in the width direction of the sheet 10. The operation hole 11 is for bringing the drawstring to a position where it can be easily pulled from the other side when the seat is inserted from one side of the patient to the lower side, and corresponds to the attachment position of the drawstring 20. The sheet 10 is provided at the center and both ends in the longitudinal direction.

  On both side edges of the sheet 10, a plurality of handles 30 are provided that are gripped during patient transportation. In this example, the handle 30 is provided at the center and both ends in the longitudinal direction of the seat body, each of which is formed of a string-like member to form a U-shape, and the end corresponding to the U-shaped leg is a drawstring. At the positions on both sides of the 20 end portion, it is fixed to each side edge portion of the sheet by sewing, rivet crimping or the like.

  Further, in this embodiment, the reinforcing tape 12 is fixed over the entire length by sewing, bonding or the like at a position sandwiching the pulling string 20 in the center for reinforcement against a load at the time of patient transfer. As shown in the drawing, the reinforcing tape 12 is preferably fixed at the ends where the both ends of the handle 30 are fixed to the sheet 10. Thereby, the load applied to the sheet 10 from the handle 30 can be effectively received.

  This patient transfer device can be used as follows, for example. 3A and 3B show an example of the process of inserting the patient transfer tool under the patient K lying on the bed B, step by step. First, as shown in FIG. 3A (a), the patient transfer device 1 is placed at a position immediately next to the patient K on one side b1 of the bed B. At this time, the patient transfer device 1 is folded vertically in about two to three layers so that the front side surface (the side without the drawstring 20) is up.

  Next, as shown in FIG. 3A (b), a hand is inserted from the side b1 between the folded sheets, and the folded edge of the sheet 10 is inserted downward to about half of the width direction of the patient. This is performed by pushing the sheet 10 to the side b <b> 2 in a state where the pull string 20 on the lower side of the sheet is gripped by the hand passing through the operation hole 11. This operation can be easily performed by holding the pull string 20 with one of the index finger and the little finger and projecting from the operation hole 11 and inserting it below the patient K while pushing the edge of the operation hole 11 of the seat 10 with the thumb. It is desirable that the operation hole 11 has such a shape and size that allows a part of the hand to pass therethrough. From this viewpoint, each operation hole 11 can be made into a polygon or an oval such as a rectangle having a major axis of 8 to 13 cm and a minor axis of 3 to 5 cm.

  And as shown to FIG. 3A (c), a part of sheet | seat 10 can be expanded to the patient's other side b2 by pulling the pull string 20 to the side b2 side. At this time, the edge of the sheet 10 may be pulled, and if the handle 30 is pulled to the other side b2, it is easy to expand. In this way, the sheet 10 is pulled toward the side b2 to be in the state shown in the upper part of FIG. 3B (d). Since these operations only receive mainly the weight of the head of the patient K, they can be performed lightly.

  The drawstring 20 is color-coded into two colors with the longitudinal center as a boundary. In this example, as shown in FIG. 2, the left side is red and the right side is white when viewed from the back side (lower side). Therefore, as shown in FIG. 3A (b), when pulling the pull string 20 pushed out from the operation hole 11, it is sufficient to pull the white side (left side as viewed from the upper side), thereby preventing an erroneous operation. Various colors can be set as long as the color can be distinguished by the user.

  Next, the same operation is performed on the foot side of the patient K as shown in the lower part of FIG. That is, on the lower side of the foot, the hand is passed through the operation hole 11 from between the folded sheets, the pulling string 20 is pushed to the side b2 side, and the pulling string 20 is pulled to the side b2 side. In this way, the nearby sheet 10 is expanded to a state shown in the lower part of FIG. 3B (e). This operation can be performed lightly because it only receives the weight of the foot of the patient K.

  Next, as shown in the central part of FIG. 3B (e), the same operation is performed near the waist of the patient K. That is, on the lower side of the waist, the hand is passed through the operation hole 11 from between the folded sheets, the pulling string 20 is pushed to the side b2 side, the pulling string 20 is pulled to the side b2 side, spread. With respect to this operation, the area of the sheet to be passed under the patient is reduced, so that it can be easily passed under the trunk where much of the weight is applied. Furthermore, when the entire sheet 10 is prepared, the state shown in FIG. Thus, the entire patient transfer device 1 can be inserted and expanded under the patient.

  FIG. 4 shows an example of a state in which the patient K is moved from the state of FIG. 3B (f) to the transfer bed Ba.

  First, as shown in FIG. 4A, the transfer bed Ba is arranged on the side of the bed B in the above state, and the heights of both beds are made uniform. Next, as shown in (b), the sheet 10 is pulled and moved together with the patient K toward the transport bed Ba. If this movement is performed over the entire sheet 10, the patient K can be moved onto the transport bed Ba. This operation can be easily performed with a small load if it is sequentially performed for each part of the sheet 10.

  5A and 5B show a patient transfer device according to the second embodiment of the present invention, and show an example of the process of laying under the patient in order. This patient transfer tool 1a differs from the patient transfer tool 1 already described only in that the operation hole 11 is not provided. Therefore, it can be used in substantially the same manner as the process shown in FIGS. 3A and 3B. Here, the difference will be mainly described.

  As shown in FIG. 5A (a), in one side b1 of the bed B, the front side surface (the surface on the side without the drawstring 20) is folded up vertically to about 2 to 3 layers. In the state, the patient transfer tool 1a is placed.

  Next, as shown in FIG. 5A (b), a hand is inserted from the side b1 between the folded sheets, and the folded edge of the sheet 10 is inserted downward to about half of the width direction of the patient. . This is performed in a state where the lower drawstring 20 is gripped via the sheet 10, and the drawstring 20 is pushed from the sheet 10 to the side b2 side.

  And as shown to FIG. 5A (c), a part of sheet | seat 10 is expanded to the other side of a patient by pulling the drawstring 20 to the side b2 side. Since this operation only receives mainly the weight of the head of the patient K, it can be performed lightly. Thereafter, the sheet edge portion or the handle 30 is pulled to expand the sheet 10 in the vicinity thereof, and the state shown in the upper part of FIG. 5B (d) is obtained.

  Next, as shown in the lower part of FIG. 5B (d), the pulling cord 20 is pulled to the side b2 side below the foot of the patient K, and the nearby seat 10 is expanded. As a result, the state shown in the lower part of FIG. 5B (e) is obtained. Since this operation only receives mainly the weight of the foot of the patient K, it can be performed lightly.

  Next, as shown in the center part of FIG. 5B (e), the drawstring 20 is pulled to the side b2 side below the waist of the patient K, and the nearby seat 10 is expanded. With respect to this operation, the area of the sheet to be passed under the patient is reduced, so that it can be easily passed under the trunk where much of the weight is applied. Furthermore, if the whole sheet | seat 10 is prepared, it will be in the state shown to FIG. 5B (f). In this way, the entire patient transfer device 1a can be inserted and expanded under the patient.

  6A and 6B sequentially show an example of a process of taking out the patient transfer tool 1 laid on the lower side of the patient K. FIG. 6A (a) shows a state where the patient transfer tool 1 is laid on the lower side of the patient K on the bed B. FIG. From this state, as shown in FIG. 6A (b), the pull string 20 located on the head of the patient K is taken out and pulled to one side b1 of the bed. Thus, as shown in the upper part of FIG. 6A (c), a part of the sheet 10 is taken out about half from the lower side of the head to obtain the state shown in the upper part of FIG. 6A (c).

  Next, as shown in the lower part of FIG. 6A (c), the pulling string 20 located on the foot of the patient K is taken out to one side b1 of the bed and pulled to one side b1 together with a part of the sheet 10. . Further, the pull string 20 is pulled, and the sheet 10 is taken out from the lower side of the foot portion to be in the state shown in the lower part of FIG.

  Next, as shown in the center part of FIG. 6B (d), the pull string 20 located at the waist of the patient K is taken out to the one side b1 side of the bed and pulled to the one side b1 together with a part of the sheet 10. .

  Further, the pull string 20 is pulled, and as shown in FIG. 6B (e), the center portion of the sheet 10 is in a state of being taken out about half from the lower waist side.

  And if the sheet | seat 10 is completely extracted from the lower side of the patient K, it will be in the state shown to FIG. 6B (f).

  In these operations for taking out the patient transfer device, the operation of taking out about half of the width direction of the patient can be performed without pulling up the patient K only by pulling the pull cord 20 and the sheet 10. Moreover, since it is sufficient to sequentially perform the drawstrings located in the respective portions of the sheet 10, each operation can be easily performed under a small load. And when taking out the patient transfer tool taken out about half, the patient's weight on a sheet | seat is reduced, Therefore It can carry out easily. Therefore, according to this patient transfer device, the burden on the assistant is small, and even one assistant can easily transfer the patient to the bed or the like.

  As in this embodiment, it is desirable that the side edge of the sheet 10 extends to a position beyond the handle 30 in the sheet width direction. By doing so, as shown in FIGS. 6A (b), 6 (c), and 6B (d), when pulling the pull string 20 and taking out the sheet 10, the handle 30 has a side end portion of the sheet 10 and an upper side thereof. Thus, the sliding resistance against the bed surface or the like can be reduced.

  FIG. 7 shows a patient transfer device according to still another embodiment of the present invention applied to a wheelchair as seen from the back side (the side with the drawstring). The patient transfer device 1b is smaller than the length of the seat 10b in the longitudinal direction of the seat 10b as shown in the embodiment shown in FIGS. The other specifications are the same as those of the above-described embodiment. However, the patient transfer device according to the previous embodiment can also be applied to a wheelchair.

  The drawstring 25 is elongated so that the other end reaches the side edge on the opposite side of the sheet at the center in the longitudinal direction of the sheet with one end attached to the sheet 10b. The sheet 10b has a length enough to cover a general patient's head to thigh, and exposes a lower portion of the patient's knee on the wheelchair to facilitate removal from the lower side of the patient.

  One end of a long drawstring 25 is attached to one corner of the patient transfer device 1b. This attachment is detachable by the support member 13 provided at the corner of the sheet 10b and the engagement member 26 provided at the end of the drawstring 25. These members can be in various forms such as those provided with a hook having spring properties and a receiving part for engaging and disengaging the spring by deformation, and those provided with a male screw part and a female screw part.

  With this structure, as will be described below, when the pulling string 25 is attached to the seat 10b, when the patient transfer tool 1b laid on the lower side of the patient on the wheelchair is taken out, the seat 10b is inclined. In this case, the length is sufficient to be pulled toward the center in the longitudinal direction. Moreover, when it is not applied to a wheelchair like transfer between beds etc., the drawstring 25 can be removed from the sheet | seat 10b, and when the patient transfer tool 1b moves, the long drawstring 25 gets caught or gets in the way. Can be prevented.

  Alternatively, one end portion of the drawstring 25 may be fixed to the corner portion of the sheet 10b, and the other end portion and the intermediate portion may be detachable from the sheet 10b. Thereby, when taking out the patient transfer tool 1b laid on the lower side of the patient on the wheelchair, if the other end portion and the intermediate portion of the drawstring 25 are disengaged from the seat 10b, the seat 10b is moved to the center in the longitudinal direction. If it is long enough to be pulled to the side of the body and is not applied to a wheelchair, the pull strap 25 is engaged with the seat 10b, and the patient transfer tool 1b is caught or obstructed when moving. Can be prevented.

  FIG. 8 shows a state in which the patient transfer device 1b is laid between the seating surface of the wheelchair W and the patient K. In this example, the patient transfer tool 1b includes an engagement member 26 of the seat 10 and one end portion of the drawstring 25 in the vicinity of the front end of one side w1 of the wheelchair W (in the drawing, the side of the right leg knee of the patient K). The support member 13 is positioned in an engagement-like body, and the drawstring 25 passes through the lower side of the patient K and the other end is on the other side w2 of the wheelchair W (in the figure, on the side of the left leg of the patient K). positioned.

  FIG. 9 shows a part of the process of taking out the patient transfer device 1b from the lower side of the patient K on the wheelchair W in the state of FIG. For this, first, the pull string 25 on the side w2 of the wheelchair W is pulled upward and rearward. As a result, the end portion of the side w1 of the drawstring 25 is attracted obliquely (in the direction along the diagonal of the seat surface) from the vicinity of the front end of one side w1 of the seat surface of the wheelchair W to the rear end side of the other side w2. Together with this, the sheet 10b is pulled out from the lower side of the patient K (in the figure, the lower side of the leg and the buttocks of the patient K). Since the patient transfer tool 1b is almost released from the weight of the patient, the seat 10b can be pulled out from between the back of the patient K and the wheelchair W, and the entire patient transfer tool 1b can be taken out.

  Even in the case of this wheelchair W, the operation for taking out the sheet can be performed without lifting the patient K by simply pulling the pull string 25 (and the pull string 25, the edge of the sheet 10b as required). The operation load is small and can be taken out easily.

  As mentioned above, although embodiment of this invention was described, this invention is not limited to these, A various change is possible unless it deviates from the meaning. For example, the handles provided on the sheet can be provided in numbers and positions other than those shown in the embodiment, and the handles can be omitted when the operation is performed by gripping the sheet main body or the like. Further, the numbers and positions of the drawstrings and the operation holes can be determined as necessary. When the patient is transferred between the beds or from the bed to a wheelchair or the like, the order of operating the drawstring handle or the like may be other than that shown in the embodiment. On the lower surface of the sheet, a low-friction cloth, a film, or the like can be sewn or bonded, or a coating layer can be provided so as not to cause inadvertent displacement with respect to the bed surface and to facilitate movement.

1, 1a, 1b Patient transfer tool 10, 10b Seat 11 Operation hole 13 Support member 20 Pull string 25 Pull string 26 Engaging member 30 Handle K Patient B Bed W Wheelchair

Claims (4)

A sheet having a foldable and elongated shape and deployable in the height direction of the patient, and a drawstring disposed respectively at the center and both ends of the sheet longitudinal direction,
Each pulling string has a length corresponding to at least the width of the seat, each end is fixed to each side edge of the seat, and the position of the intermediate portion is not fixed.   The drawstring provided at the end of the seat includes a wheelchair drawstring in addition to the one attached to each side edge of the seat, and the wheelchair drawstring has one end on one side of the seat. The patient according to claim 1, wherein the patient is detachably locked at a corner portion on one side, the other end side has a length that reaches the central portion in the sheet longitudinal direction on the other side of the seat, and is not fixed. Transfer tool.   The patient transfer tool according to claim 1, wherein the sheet is provided with handles for patient conveyance at both side edges.   The seat is provided with an operation hole for bringing the drawstring to a position near the patient when the sheet is inserted below the patient, at least in the center in the longitudinal direction and the width direction. The patient transfer tool according to any one of claims 1 to 3.

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