JP3803328B2 - Home care bus system - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a home bus system suitable for bathing people who are difficult to walk independently, such as seriously ill and bedridden elderly people.
[0002]
[Prior art]
Conventionally, in the care of a person who is difficult to walk independently such as a seriously ill person or a bedridden elderly person (hereinafter referred to as a patient in this specification), due to lack of personnel of the caregiver, etc., due to defecation processing and bathing of the patient etc. It is difficult to keep the body clean at all times. In other words, patients often excrete while wearing diapers, especially in patients with little care time, etc. In particular, the patient must wait for the caregiver with the filth flowing out of the diaper and turning to the back. . In addition, simple body washing such as shower bathing and towel wiping is often performed in a short time, and it is difficult for a patient or the like to take a bath slowly with his own intention.
[0003]
When a patient or the like takes a bath at home, it is performed in a home bathroom or a simple bathtub.
However, in the case of bathing in the bathroom at home, the patient or the like cannot travel alone to the bathroom, which places a heavy burden on the caregiver. Specifically, large-scale home renovations such as making the floor surface barrier-free to transfer patients etc. to the bathroom in a wheelchair, or installing a crane on the ceiling to move patients etc. into the bathtub, etc. Necessary and costly. If such remodeling is not possible due to housing reasons, etc., the caregiver needs to hold the patient and take a bath together. In recent years, due to the development of medical technology and the declining birthrate, an aging society has progressed, and elderly people have come to care for older parents, which is a heavy physical burden for caregivers.
Moreover, since it is necessary for the caregiver to take a bath after wiping off filth such as a patient, the caregiver is troublesome twice, and the caregiver's labor is large. Furthermore, patients may defecate when taking a bath, and there is a sanitary problem when the bathroom is shared with a family.
[0004]
On the other hand, bathing in a simple bathtub is often used for visiting care. As simple bathtubs, air-filled vinyl bathtubs are widely used from the viewpoints of installation, folding, carrying, and cost. Such a simple bathtub can be installed close to the bed at low cost, so there is less burden on the caregiver as described above, and it can be installed only at the time of use and can be cleaned up after use. There is an advantage of being.
However, there is a problem in terms of drainage, and every time the bathtub is used, a drain pipe must be installed from the room where the bathtub is installed to the toilet, which is complicated. In addition, it is necessary to clean up the drainage pipe after use, and there is a problem that care must be taken not to scatter the drainage in the drainage pipe into the room or hallway.
Moreover, since the bathtub made of vinyl is not high-strength, when the bathtub is damaged for some reason during bathing, there is a disadvantage that the surroundings are immersed in water.
[0005]
Various ideas have been made to reduce the burden on caregivers as described above, and to realize simple bathing for people who are difficult to walk independently such as seriously ill and bedridden elderly people (for example, Patent Documents 1 to 3). All of these devices are large and costly, and are difficult to install in ordinary households.
Moreover, as for the bathtub described in patent documents 1-3 grade | etc., All are moved to a bathtub with a patient etc. sleeping. Accordingly, the bathtub needs to be at least the height of the patient or the like, and it has been difficult to make the bathtub smaller than that in view of the configuration of the invention.
[0006]
On the other hand, seriously ill people and bedridden elderly people have a problem that they are likely to slip out of bed because it is difficult to turn over by themselves. Therefore, in the bathtubs described in Patent Documents 1 to 3 and the like described above, there is a problem that it is difficult to eliminate the bed slip because the patient or the like stays in bed even during bathing.
[0007]
[Patent Document 1]
Japanese Utility Model Publication No. 5-5125 [Patent Document 2]
Japanese Utility Model Laid-Open No. 2-126629 [Patent Document 3]
Japanese Utility Model Publication No. 64-39087
[Problems to be solved by the invention]
An object of the present invention is to provide a home bus system suitable for bathing people who are difficult to walk independently, such as seriously ill and bedridden elderly people.
[0009]
[Means for Solving the Problems]
Previously, in order to solve the above problem, the present inventor has a bathtub whose one side surface of the bathtub side wall is opened and closed, and a bed which is disposed adjacent to the bathtub and the upper surface of the bed is substantially the same height as the bottom of the bathtub. And a stretcher-type sliding sheet for moving a bather from the bed to the bathtub, wherein a toilet is provided at the bottom of the bathtub, and the open bathtub side wall is the bathtub And invented a bus system that serves as a transfer plate between the bed and the patent (Japanese Patent No. 3208732). In the bath system of the present invention, a bed that is normally used can be used, and a patient or the like can easily bathe at a low cost.
[0010]
As a result of further intensive studies, the inventor moved to the bathroom while maintaining the reclining posture in the bed, thereby making it possible to reduce the size of the bathtub and eliminate bed slips. It was found that the patient can comfortably bathe because she can face the caregiver. The present invention has been made based on such findings.
That is, the present invention
(1) The bathtub has an inclination that makes one side of the backrest and one side of the bathtub side wall opens and closes , and can be disposed adjacent to the bathtub, and the height of the bed surface is substantially the same as the bottom of the bathtub. Ri, a bed capable of adjusting the angle of inclination of said one surface formed inclination as the back portion to be the same angle of the bathtub, the horizontal sideways while bathers maintaining the posture reclined from the bed to the bathtub A bus system for home care comprising a body horizontal and horizontal movement means for moving ,
The body horizontal and lateral movement means is formed by winding a cylindrical transfer sheet that can circulate on the surface of the mat core material that can be bent, and the cylindrical transfer sheet is an upper body part of a bather. A home care bath system, characterized in that it is a body movement mat divided into at least two parts, a part corresponding to the lower part of the bather and a part corresponding to the lower body part of the bather ,
(2) One side surface of the bathtub side wall opens to the outside and serves as a bridge between the bottom of the bathtub and the bed surface, and (3) the bath system for home care according to item (1), The home care bus system according to item (1) or (2), wherein an excrement discharge part is provided at the bottom.
Is to provide.
[0011]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. In the description of each drawing, the same elements are denoted by the same reference numerals.
1 to 3 are perspective views of a preferred embodiment of the home care bus system of the present invention.
The bus system of the present invention includes a bathtub 1, a bed 2, and body moving means 3.
[0012]
The bathtub 1 is in a state in which one surface 11 of the side wall can be opened and closed. Since the side wall of the bathtub can be opened, there is no need to lift and move the patient etc. into the bathtub, and it can be moved between the bed and the bathtub by a non-step horizontal movement with no steps, and the care is weak. Even a person can assist in bathing.
Any opening / closing means may be used as long as it does not prevent the patient or the like from sliding and moving from the bed 2 into the bathtub 1. For example, as shown in FIG. 1, the thing of the mechanism in which the opening / closing side wall 11 of the said bathtub rotates centering on the axis | shaft provided in the height of the bottom part 10 of the said bathtub is preferable. In this embodiment, the open / close side wall 11 serves as a bridge between the bathtub bottom 10 and the bed surface 21. Here, the bed surface means a bed surface on the upper surface of the bed. Moreover, as shown in FIG. 2, the shutter-type thing which the up-and-down side wall 11 of the said bathtub moves up and down along the guide rail 12 provided in the side of the bathtub 1 is also preferable. Further, as shown in FIG. 3, an arm 13 is attached to the open / close side wall 11 of the bathtub, and the open / close side wall 11 is opened and closed by rotating around the other end 14 of the arm 13. A wing door type moving in the same plane is also preferable. In addition, FIGS. 1-3 has shown the state which the bathtub side wall 11 opened in each response | compatibility, and the bathtub side wall 11 moves and closes in the arrow direction in a figure.
[0013]
Waterproofing is applied between the open / close side wall 11 of the bathtub 1, the bathtub side wall 15 in contact with the open / close side wall 11, and the bottom 10 of the bathtub so that the bath water does not leak from the bathtub 1. Although the waterproof means is not particularly limited, a conventionally known waterproof means is used. For example, a waterproof packing may be attached to the open / close side wall 11 of the bathtub, the open / close side wall 11, the bathtub side wall 15 in contact with the open / close side wall 11, and the bottom of the bathtub. A rubber on the bellows may be attached between the two and waterproof. In addition, a locking means for locking the open / close side wall 11 is provided so that the open / close side wall 11 does not open and close during bathing.
[0014]
Although the material of the bathtub 1 is not specifically limited, For example, the product made from fiber reinforced plastics (FRP) etc. is preferable.
[0015]
Although the magnitude | size of the bathtub 1 is not specifically limited, Since this invention can take a bath in the reclining state with respect to what a conventional patient etc. take a bath with lying, the length of the bathtub can be shortened. Here, the length of the bathtub means the length in the height direction of the bather. In addition, the depth of the bathtub is sufficient as long as the patient can take a half body bath.
[0016]
Moreover, although it does not specifically limit about the thickness of a bathtub side wall, as shown in FIG. 1, when the opening / closing side wall 11 of a bathtub becomes a bridge between the bathtub bottom 10 and the bed surface 21, the bathtub 1 and the bed 2 A thickness that does not hinder the movement of the body moving means 3 between the two is preferable. Further, the distance from the ground to the bathtub bottom 10 is not particularly limited.
[0017]
The bed 2 may have any moving means as long as it can move so as to be disposed adjacent to the bathtub 1. For example, a caster may be attached to the leg of the bed so as to be movable, or a sliding sheet 22 processed to be slippery by silicon processing or the like may be attached to the bottom surface of the bed leg so as to be movable. Specific examples of the sliding sheet include Kagsvale Pro (trade name, manufactured by NICHIAS Corporation).
Further, in the present invention, the bed surface 21 needs to be substantially the same height as the bathtub bottom 10 so that the patient can move horizontally from the bed 2 to the bathtub 1, but the bed surface 21 is substantially the same as the bathtub bottom 10. Even a bed fixed at the same height may be a bed having a function of adjusting the height of the bed surface 21. Since it is easy to move a patient or the like from a higher side to a lower side, a bed having a function capable of adjusting the height of the bed surface 21 is preferable. Moreover, it is preferable that the height of the bed surface 21 can be adjusted to approximately the same height as the chair portion of the wheelchair, so that a patient using a wheelchair other than a bedridden patient or the like also uses the bus system of the present invention. be able to.
The bed 2 is preferably waterproof so that it can be easily cleaned even if it becomes dirty. Further, a bed having a reclining function is preferable in order to prevent a bed slip of a patient or the like.
[0018]
The body moving means 3 is used for the movement of the bather between the bed 2 and the bathtub 1. The body moving means 3 used in the present invention can move while maintaining the reclining posture of the bather. As the body moving means 3, the following mats and trays can be used.
[0019]
FIG. 4 is a perspective view of a body movement mat used in the present invention. The body moving mat 3 has a structure in which a round cylindrical transfer sheet 32 divided into at least two parts is wound around the surface of a bendable core material 31.
Conventionally used body movement mats are based on the premise that the mats are moved horizontally with the patient lying on the mats (for example, Japanese Patent Laid-Open Nos. 7-255791 and 10-179643). Gazette, Japanese Patent Laid-Open No. 2002-17783, Japanese Patent No. 3247253, etc.). When a patient or the like is moved on a bed on which this conventional mat is reclined, the cylindrical transfer sheet is rolled up at the bent portion of the mat and cannot be moved, and the mat is folded. Could not be used. The body moving mat used in the present invention solves such problems.
[0020]
The mat 3 for body movement used in the present invention uses a bendable mat core material 31, and a round cylindrical transfer sheet 32 wound around the mat core material 31 is provided on the upper body of a patient or the like. It is divided into a corresponding part 33 and a part 34 corresponding to the lower body part such as a patient, and can be moved in a reclining posture. The portion 34 corresponding to the lower body portion of the patient or the like may be further divided into a portion corresponding to the thigh portion of the patient or the like and a portion corresponding to the lower knee of the patient or the like.
[0021]
In the present invention, a tray capable of maintaining a reclining posture can also be used as the body moving means 3 (not shown).
The tray used in the present invention is divided into a part corresponding to the upper body part such as a patient and a part corresponding to the lower body part such as a patient and can be reclined. The portion corresponding to the lower half of the patient or the like may be further divided into a portion corresponding to the thigh of the patient or the like and a portion corresponding to the lower knee of the patient or the like.
Means for maintaining the shape at the time of reclining may be provided in the connecting portion between the portion corresponding to the upper body portion such as the patient and the portion corresponding to the lower body portion such as the patient. Conventionally known means can be used as such means. For example, it may be separately fixed using an angle fixing device, a gear having a reverse rotation preventing function may be used, or a means described in JP-A-6-125821 may be used. In addition, if the fixing means of the connection part of a tray is cancelled | released, a patient etc. can be made into the original sleeping state.
[0022]
When the body moving means 3 is used by being placed on the bed 2 with a reclining function, the body moving means 3 can be deformed into the same shape as the bed surface 21 at the time of reclining. The tray can also be used on a bed that does not have a reclining function, and the caregiver lifts the tray of the upper body part of the patient and the like, and fixes the tray in a deformed shape by the fixing means of the tray connecting part. The patient can be kept in a reclining state.
[0023]
The body moving means 3 preferably has a handle portion 35 for the care giver to retract the body moving means 3. When the body moving means is a tray, a handle portion is preferably provided on the side surface of the tray. When the body moving means is the mat, the handle portion 35 is disposed on the cylindrical transfer sheet 32, but may be removable with Velcro (registered trademark) or the like.
Regarding the movement of the patient or the like riding on the body moving means 3, the movement from the bathtub 1 to the bed 2 is performed by the caregiver carrying and pulling the handle portion 35. To move from the bed 2 to the bathtub 1, the rope 4 is tied to the handle portion 35, and this rope 4 is passed through a handrail-type digging hook 51 installed near the bathtub wall on the opposite side of the bed. By pulling the rope 4, the patient or the like can be moved from the bed 2 to the bathtub 1 in the manner of a fixed pulley. Alternatively, the caregiver may push out the body moving means 3.
[0024]
In order to use the bus system of the present invention in a living room or the like, it is preferable to arrange a ventilation fan 52 in the upper part of the bathtub 1.
[0025]
The bathtub 1 may be provided with a reclining assisting device 53 that can adjust the posture of the bather at the time of bathing to a reclining state. Further, a shampoo table 54 may be provided in the bathtub 1. Moreover, bathing instruments such as a faucet 55 and a shower 56 are appropriately disposed in the bathtub 1.
It is preferable to install a handrail-type digging hook 51 in the vicinity of the bathtub wall (side wall facing the opening / closing side wall 11) on the opposite side of the bed. By pulling the hook 4 through the rope 4, the body moving means 3 tied to the rope 4 can be drawn into the bathtub 1.
A handle 57 is preferably provided on the side wall of the bathtub 1 to assist the bather. When the open / close side wall 11 as shown in FIG. 1 serves as a bridge between the bed and the bathtub, the handle 57 provided on the open / close side wall 11 preferably has a structure like a door of a passenger car. A structure that does not hinder horizontal movement is preferable. The handle 57 provided on the open / close side wall 11 can also be used as a handle for opening / closing the open / close side wall 11, but a handle for opening / closing the open / close side wall 11 may be separately provided on the outer surface of the bathtub of the open / close side wall 11.
It is also preferable to arrange an auxiliary plate in the opening / closing side wall 11 and a recess 58 provided on the side wall opposite to the opening / closing side wall 11, and the waist of the bather reclining by the bather as a footboard is in the foot direction. The sliding can be prevented.
[0026]
It is preferable that the excrement discharge part 6 is provided in the approximate center of the bottom part 10 of the bathtub 1, and it is preferable that it is piped to the sewer. By providing the excrement discharge part 6, when the patient etc. excreted with wearing the diaper is washed, or when the patient excretes at the time of bathing, the filth can be poured directly into the sewage. FIG. 5 is a side view of the bathtub 1, and a broken line in the drawing shows a state of passing through the bathtub. In addition, it is necessary to stop the discharge of bathing water by putting the lid 61 on the excretion discharge part 6 at the time of bathing.
Although the excrement discharge | release part 6 provided in the bottom part 10 of the bathtub 1 may be a simple toilet bowl, the water flow may come out from the water distribution pipe in the inside of a toilet bowl and can be washed out like a general flush toilet. The excrement discharge part 6 is preferably made of stainless steel and lightweight like a toilet used in a Shinkansen vehicle.
It is preferable that the bathtub bottom 10 is slightly inclined toward the excrement discharge part 6.
[0027]
Next, a preferred embodiment of a method for bathing a patient or the like by the bath system of the present invention will be described with reference to FIG. 1, but the present invention is not limited to this.
First, the position of the patient or the like sleeping on the bed 2 is adjusted, and the body moving means 3 is arranged between the patient and the bed 2. Next, the bed 2 is moved so as to be adjacent to the bathtub 1. At this time, the height of the bed surface 21 and the bathtub bottom 10 is adjusted as necessary. From the viewpoint of moving a patient or the like into the bathtub 1, it is preferable that the bed surface 21 is located slightly higher than the bathtub bottom 10.
[0028]
Next, after confirming that no water remains in the bathtub 1, the lid 61 of the excrement discharge part is removed, the open / close side wall 11 of the bathtub is brought down on the bed surface 21, the bathtub 1 is opened, and the bed 2 It is a bridge with bathtub 1. Reclin the bed and raise the patient's upper body. At this time, by using a tray as the body moving means 3 instead of the body moving mat, it is possible to recline a patient or the like even in a bed without a reclining function. Although it is necessary to adjust the reclining posture so that the inclination of the backrest portion of the bed 2 and the inclination of the backrest portion of the bathtub 1 are the same angle, the bed 2 and the body moving means 3 after reclining the bed. It may be adjusted by using a wedge-shaped adjusting material between them, or may be adjusted by using the reclining aid 53 of the bathtub 1.
[0029]
The rope 4 is tied to the handle portion 35 of the body moving means 3, and the caregiver pulls the rope 4 through the handrail-type digging hook 51 installed near the bathtub wall on the opposite side of the bed, and the patient The body moving means 3 on which etc. are moved is moved into the bathtub 1. After movement, the body moving means 3 is removed, and the open / close side wall 11 of the bathtub is closed and locked so as not to open during bathing.
[0030]
The patient's clothing is removed in the bathtub 1 and the patient's body is washed with a shower. At the end of the shower bath, the lid 61 of the excrement discharge part is attached, hot water is taken out from the faucet, and the patient is bathed.
[0031]
When bathing is completed, the excrement discharge part lid 61 is removed and drained. Even when patients defecate during bathing, sewage can be discharged into the sewer. After draining, wash again with a shower and wipe the patient's body well.
[0032]
After confirming that water does not remain in the bathtub 1, the open / close side wall 11 of the bathtub is brought down on the bed surface 21 to open the bathtub 1 to form a bridge between the bed 2 and the bathtub 1. The body moving means 3 is arranged in the bathtub 1 so that the patient or the like is placed on the body moving means 3, and the body moving means 3 on which the patient or the like gets is held by holding the handle portion 35 of the body moving means 3, and the bed is moved from the bathtub 1. Move to. In the case where a tray is used as the body moving means 3, the fixing means for the tray connecting portion can be subsequently released, and the patient or the like can be brought to the original sleeping state.
[0033]
The bus system of the present invention can also be used for washing clothes with clothes such as cloth diapers. For this reason, it is preferable to be piped to the sewer.
[0034]
The peripheral wall of the bus system of the present invention can be provided with a wall without a window, and the bus system of the present invention can be installed in a closet because it saves space.
Moreover, you may arrange | position the glass which stuck the frosted glass and the smoke seal so that it might not be visible from the outside on the surrounding wall of the bus system of this invention. In particular, in order to relieve the mental pain of patients etc., it is possible to look at the outside scenery from the inside while arranging the glass with UV cut glass and smoke seal so that the inside is not visible from the outside. It is preferable to be able to do this.
Moreover, you may arrange | position a door to the surrounding wall of the bus system of this invention at the time of non-use or a visitor's blindfold. The door can also be used as a fall prevention fence.
According to the bus system of the present invention, it is possible to talk with surrounding people while taking a bath while protecting the privacy of a patient or the like.
[0035]
The bus system of the present invention can be used not only by people who are difficult to walk independently such as seriously ill people and bedridden elderly people but also by people who use wheelchairs and crutches.
[0036]
【The invention's effect】
The bus system of the present invention is suitable for bathing people who are difficult to walk independently, such as seriously ill people and bedridden elderly people. In other words, even weak people such as women and children can take care of bathing patients, reduce the physical burden on caregivers, and install a low-cost stationary bus system. Therefore, it is possible to eliminate problems such as installation and clean-up of conventional simple bathtubs and reduce the burden on caregivers.
[0037]
Moreover, the bath system of the present invention can reduce the size of the bathtub and eliminate bed slip by moving to the bathroom while maintaining the reclining posture. Moreover, since the bus system of the present invention is space-saving, it can be installed in a living room or the like, and can be bathed in a reclining state, so patients can take a bath while facing their caregivers and family members. There is a feeling, conversation can be enjoyed, and the mental burden on both patients and caregivers can be reduced.
[0038]
Furthermore, the bus system of the present invention eliminates the need for bathing after wiping off filth such as patients by arranging the excrement discharge part (toilet bowl), and reduces the burden on the caregiver in body washing after excretion. Can do.
[Brief description of the drawings]
FIG. 1 is a perspective view of a preferred embodiment of a home care bus system of the present invention.
FIG. 2 is a perspective view of another preferred embodiment of the home care bus system of the present invention.
FIG. 3 is a perspective view of another preferred embodiment of the home care bus system of the present invention.
FIG. 4 is a perspective view of a body movement mat used in the present invention.
FIG. 5 is a side view of the bathtub.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Bathtub 10 Bath bottom 11 Bath open / close side wall 2 Bed 21 Bed surface 3 Body moving means 31 Mat core 32 Cylindrical transfer sheet 33 Portion corresponding to the upper half of the human body 34 Portion corresponding to the lower half of the human body 35 Handle portion 4 Rope 51 Handrail type digging hook 52 Ventilation fan 54 Shampoo base 6 Excretion discharge part 61 Cover of excrement discharge part

Claims (3)

Has a slope that one side of the bathtub becomes backrest, and a tub in which one side of the tub side wall to open and close, can be disposed adjacent the tub, Ri height of the bed surface is the tub bottom and substantially flush with Der, the A bed that can adjust the angle of inclination of the backrest portion so as to have the same angle as the inclination formed on one surface of the bathtub, and a body that horizontally moves the bather to the bathtub while maintaining the reclining posture from the bed A home care bus system comprising horizontal and horizontal moving means ,
The body horizontal and lateral movement means is formed by winding a cylindrical transfer sheet that can circulate on the surface of the mat core material that can be bent, and the cylindrical transfer sheet is an upper body part of a bather. A home care bath system, characterized in that it is a body movement mat divided into at least two parts: a part corresponding to the body part and a part corresponding to the lower body part of the bather .   2. The home care bus system according to claim 1, wherein one surface of the bathtub side wall opens outward and serves as a bridge between the bottom of the bathtub and the bed surface. The home care bus system according to claim 1, wherein an excrement discharge portion is provided at a bottom portion of the bathtub .

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