JP6609652B2 - Toilet equipment for nursing care - Google Patents
Toilet equipment for nursing care Download PDFInfo
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- JP6609652B2 JP6609652B2 JP2018013237A JP2018013237A JP6609652B2 JP 6609652 B2 JP6609652 B2 JP 6609652B2 JP 2018013237 A JP2018013237 A JP 2018013237A JP 2018013237 A JP2018013237 A JP 2018013237A JP 6609652 B2 JP6609652 B2 JP 6609652B2
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- 230000000474 nursing effect Effects 0.000 title claims description 6
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims description 9
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 6
- 238000005406 washing Methods 0.000 claims description 4
- 210000000038 chest Anatomy 0.000 description 6
- 238000011010 flushing procedure Methods 0.000 description 5
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 5
- 239000010931 gold Substances 0.000 description 5
- 229910052737 gold Inorganic materials 0.000 description 5
- 210000000481 breast Anatomy 0.000 description 4
- 230000013872 defecation Effects 0.000 description 4
- 210000003141 lower extremity Anatomy 0.000 description 3
- 206010019468 Hemiplegia Diseases 0.000 description 2
- 238000000151 deposition Methods 0.000 description 2
- 210000002414 leg Anatomy 0.000 description 2
- 230000002265 prevention Effects 0.000 description 2
- 210000001364 upper extremity Anatomy 0.000 description 2
- 208000035657 Abasia Diseases 0.000 description 1
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 206010048744 Fear of falling Diseases 0.000 description 1
- 206010021639 Incontinence Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000001217 buttock Anatomy 0.000 description 1
- 230000000249 desinfective effect Effects 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- MPOKJOWFCMDRKP-UHFFFAOYSA-N gold;hydrate Chemical compound O.[Au] MPOKJOWFCMDRKP-UHFFFAOYSA-N 0.000 description 1
- 230000009191 jumping Effects 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000027939 micturition Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
Images
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- Non-Flushing Toilets (AREA)
- Toilet Supplies (AREA)
- Sanitary Device For Flush Toilet (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Description
本発明は、車椅子を使用する高齢者、身体障害者等の要介護者用として好適な介護用トイレ装置に関し、詳しくは、車椅子からトイレの便座まで容易に移動を可能にした移乗装置に関する。 The present invention relates to a care toilet apparatus suitable for a care recipient such as an elderly person who uses a wheelchair and a physically handicapped person, and more particularly to a transfer apparatus that can be easily moved from a wheelchair to a toilet seat.
従来の洋式トイレは、車椅子を使用する高齢者、身体障害者等の要介護者やその介護者にとって大きなリスクや負担が伴う場所である。すなわち、便器の手前で身体を１８０度回転しなければならないからである。その結果、転倒する率が高く、骨折するという由々しき事象も報告されている。 A conventional Western-style toilet is a place that involves great risks and burdens for elderly people who use wheelchairs, care recipients such as disabled persons, and the caregivers. That is, the body must be rotated 180 degrees before the toilet. As a result, it has been reported that the rate of falling is high, and the cause of a broken bone is reported.
被介護者を車椅子からトイレの便座に移動させる場合、今までは介護者が被介護者の身体を直接持ち上げて向きを変えたり、大がかりな器具で被介護者を吊るして移動させるなどの方法であった。全く下肢を動かす事のできない被介護者に対してはそのような方法もいたしかたないが、歩行が不可能でも自身の下肢で立つことのできる被介護者に対しては、より労力の少なく簡便な装置が求められていた。
しかしながら、介護者が被介護者の身体を直接持ち上げる場合には、介護者の肉体的労力が大きくかなりの負担となっていた。さらに、狭いトイレ内での車椅子から便座への移乗は、余計に労力の負担が大きかった。また、器具で被介護者を吊るして移動させるものは、簡単に設置できるような装置ではなく、移乗時に被介護者の足が床から離れるため、被介護者にとっては落下の不安があった。
When moving a cared person from a wheelchair to a toilet seat, the caregiver has lifted the cared person's body directly and changed the direction, or by hanging the cared person with a large instrument and moving it. there were. This is not possible for carers who cannot move their lower limbs at all, but less effort is required for carers who are unable to walk and can stand on their lower limbs. A simple device has been demanded.
However, when a caregiver directly lifts the cared person's body, the caregiver's physical labor is large and a considerable burden. Furthermore, transferring from a wheelchair to a toilet seat in a narrow toilet was an extra labor burden. In addition, a device that suspends and moves a cared person with an instrument is not an apparatus that can be easily installed, and the cared person's feet move away from the floor during transfer, so the cared person has a fear of falling.
また、便器に着座するまで時間がかかることによる失禁等で要介護者が自信を喪失することやそれによる介護者の用便後の処理負担、処理後の身体を清潔にするための衛生面での処理問題等は、曳いては介護放棄や医療費増加につながる大きな要因であると考察される。
In addition, the caregiver loses confidence due to incontinence due to the time it takes to sit on the toilet, the caregiver's post-flight processing burden, and hygiene to clean the body after processing. This problem is considered to be a major factor leading to abandonment of nursing care and an increase in medical expenses.
そこで、例えば、車椅子を使用した高齢者や身体障害者等のための便器及びトイレ設備として、トイレブース内に設置する便器を左右対称形状で右向き姿勢、左向き姿勢の何れの姿勢でも着座可能な双方向着座便器とし、さらにその便器の後方において左右方向に延びる形態で設置し、且つ左右方向端部が前方に湾曲した形態となし、占有スペースが少なくて済み尚且つ車椅子から便器への移乗が容易で低コストの便器及びトイレ設備が提案されている（特許文献１参照。）。
Therefore, for example, as toilets and toilet facilities for elderly people using wheelchairs and the disabled, toilets installed in the toilet booth are both symmetrical and can be seated in either a right-facing posture or a left-facing posture. It is a counter-seat toilet, and it is installed in the form that extends in the left-right direction behind the toilet, and the end in the left-right direction is curved forward, requiring less space and easy transfer from the wheelchair to the toilet. And low-cost toilets and toilet facilities have been proposed (see Patent Document 1).
他にも、便器の前方の床面に設置されるベース板上に、間隔も開けて複数の支柱を立設し、これらの支柱を複数の横桟で連結して枠体を構成し、この枠体へ披介助者が移乗する際に該披介助者が膝を当てる膝当て部が取り付けられている披介助者自身が移乗動作を安全且つ容易に行うことができる姿勢への自立支援、及び介助者の介護負担を軽減する支援ができるトイレ用移乗補助具（特許文献２参照。）、 洋式便座を備えたトイレの側壁に備えた排便介助装置であって、排便介助装置は側壁に設けられた介助手摺部に固定する基礎部と、基礎部に対して、テーブル部が洋式便座の前方で垂直及び水平に回動すると共に、水平状態では前後にスライドし、水平状態で後方に押し込んだ適宜の位置でロック手段でロックするように構成され、病人や高齢者等の披介護者が洋式便座を使用する際に、トイレの洋式便座から転落しないようにし、下腹に力を入れやすくし、且つ、洋式便座に座る場合や退出する場合に、出入りがスムーズでつまずくことがない排便介助装置（特許文献３参照。）が提案されている。
In addition, on the base plate installed on the floor surface in front of the toilet bowl, a plurality of support posts are set up at intervals, and these support posts are connected by a plurality of horizontal rails to form a frame. Independence support to a posture in which the assistant himself / herself to which the knee pad is attached to the frame when the assistant moves to the frame can be safely and easily performed, and Toilet transfer assisting device (see Patent Document 2) that can assist in reducing the caregiver's care burden, a defecation assistance device provided on the side wall of the toilet with a Western-style toilet seat, the defecation assistance device provided on the side wall The base part to be fixed to the assistant handrail part, and the table part pivots vertically and horizontally in front of the Western style toilet seat, slides back and forth in the horizontal state, and pushes back in the horizontal state as appropriate Configured to lock with locking means at the position of When a person or elderly caregiver uses a Western-style toilet seat, he / she should not fall from the Western-style toilet seat in the toilet, make it easier to put pressure on the lower abdomen, and enter / exit when sitting or leaving the Western-style toilet seat Has been proposed which is a smooth defecation assistance device (see Patent Document 3).
また、ボールキャスターを備える便座と、ボールキャスターが配置される円周状の溝を上面に有する便座本体とを含む便器であって、大きな力をかけなくても回転可能で、しかも横ずれしないので、身体が不自由な人や力の弱い人でも利用することが可能にされたユニバーサルデザインによる円錐台形状の回転トイレ、及びそれを含むトイレユニット（特許文献４参照。）、便所の床に固定設置された便器の床固定部の両側部に沿うように配置される扁平な金属製の角パイプからなる左右一対のベース部材と、このベース部材に立設連結される左右一対の手摺部材を備えており、この左右一対の手摺部材は肘掛け位置において、一対の肘掛けが平面略ハの字状となるように、それぞれ肘掛けの前端部が便器の前端側で、その幅方向に接近して設けられ、便器に乗り移る際の助けになるだけでなく、便器に着座した後、楽な姿勢で用便を行うことができると共に、介護作業も容易に行うことができる便器用手摺（特許文献５参照。）、披介護者を立ち乗せさせるための台座と、台座に固定された披介護者を保護する転倒防止柵とからなり、台座は披介護者の向きを変えられるよう回転自在に支持されており、転倒防止柵には披介護者の台座への乗り降りを補助する把持部と、披介護者が自身の身体を支える手すりを備え、介護者が披介護者を狭いトイレ内で車椅子から便座へ移乗させることができる介護補助装置（特許文献６参照。）、腰かけ式水洗トイレの便器が、直流モータを使った動力回転モードと、使用者が便座に座ったままで足で床を蹴って回転する人力回転モードの双方を備え、排便や排尿をする基準位置から角度θで回転中心Ｄから距離Ｌの位置に非接触式自動手洗い装置を配置し、何物にも手指で触れることなく消毒、洗浄、乾燥、殺菌を行うことができる腰かけ式水洗トイレシステム（特許文献７参照。）が提案されている。
In addition, the toilet seat includes a toilet seat including a ball caster and a toilet seat body having a circumferential groove on the upper surface where the ball caster is disposed, and can be rotated without applying a large force, and does not shift laterally. A universal-designed truncated-conical rotary toilet that can be used by people with physical disabilities and weak people, and a toilet unit including the same (see Patent Document 4), fixed on the toilet floor A pair of left and right base members made of flat metal square pipes arranged along both sides of the floor fixing portion of the toilet bowl, and a pair of left and right handrail members that are erected and connected to the base member The pair of left and right handrail members are close to each other in the width direction at the armrest position so that the pair of armrests has a generally square C shape in the plane, and the front end of each armrest is on the front end side of the toilet. The handrail for a toilet bowl that can not only help when changing to a toilet bowl, but also can perform stool in an easy posture after sitting on the toilet bowl, and can also easily perform care work (Patent Document 5) See)), and a pedestal for the caregiver to stand on and a fall prevention fence that protects the caregiver fixed to the pedestal, and the pedestal is rotatably supported so that the orientation of the caregiver can be changed. The fall prevention fence is equipped with a gripping part that assists the caregiver in getting on and off the pedestal, and a handrail that supports the body of the caregiver. Nursing assistance device (see Patent Document 6) that can be transferred to the toilet, and the toilet bowl of the seat-type flush toilet is powered by the power rotation mode using a DC motor and the user rotates while kicking the floor while sitting on the toilet seat Both human power rotation modes Equipped with a non-contact type automatic handwashing device at a distance L from the rotation center D at an angle θ from the reference position for defecation and urination, disinfecting, washing, drying and sterilization without touching anything A seat-type flush toilet system (see Patent Document 7) that can be used has been proposed.
本発明もまた上記従来技術の課題に鑑み、被介護者自身が独力で車椅子からトイレの便器に着座して用便を済ますことができ、又その逆に、便器から車椅子に、容易に移乗することができる介護用トイレ装置を提供することを目的とする。また、軽度下肢不自由者にも同様の対応が可能である。
In the present invention, in view of the above-mentioned problems of the prior art, the cared person can sit on the toilet toilet from the wheelchair by himself and finish the toilet, and vice versa, easily transfer from the toilet to the wheelchair. An object of the present invention is to provide a toilet device for nursing care. Moreover, the same correspondence is also possible for people with mild lower limb disabilities.
このため、本発明の介護用トイレ装置は、その高さが車椅子の座部と同等の高さにされ、当該車椅子の使用者が前向きに移乗して着座した状態で身体が前傾するように下方に向かって傾斜した座部に使用者の用便前後の着座動作及び起立動作を妨げない高さにされた金隠し部を備えた金隠し付便ホールが搭載され、開閉式の座枠又は蓋体を有しない前面座式の和式便器と洋式便器の良いところを兼ね備えたハイブリッド型便器と、当該便器の前方に位置する胸当てパッドと、水洗（洗浄・停止）ボタン、緊急通知ボタンが設けられた水洗処理操作パネルとトイレットペーパーホルダーを装備した支持台座と、前記車椅子が前向きに乗り入れ可能に開放されると共に、その上端を前記支持台座に、その下端を床面に固定して前記便器の両側に設けられると共に、使用者が車椅子に座ったままで手を前に出すと捕捉可能に配置され、車椅子から便器への移乗をサポートする一対のアーム（手摺り）で、前記ハイブリッド型便器を囲んだことを特徴とする。 Therefore, the height of the toilet device for care according to the present invention is set to the same height as the seat of the wheelchair, and the body tilts forward in a state where the user of the wheelchair is transferred forward and seated. A stool hole with a gold concealment provided with a gold concealment portion that is heightened so as not to interfere with the seating and standing operations before and after the user's stool is mounted on the seat inclined downward, and an openable seat frame or A hybrid toilet that combines the advantages of a front-facing Japanese-style toilet with a lid and a Western-style toilet , a breast pad located in front of the toilet , a flush (wash / stop) button, and an emergency notification button A support pedestal equipped with a washing operation panel and a toilet paper holder, and the wheelchair is opened to be able to enter forward, and the upper end thereof is fixed to the support pedestal and the lower end thereof is fixed to the floor surface. Set on both sides Is Rutotomoni is capturable arranged and out before hand while the user is sitting in a wheelchair, a pair of arms that support the ERROR from the wheelchair to the toilet bowl (balustrades), the enclosed the hybrid toilet It is characterized by.
本発明によれば、以下の優れた効果がある。
（１）便器前で身体を回転させて座る必要がなく、そのまま前を向いた状態で便座への移乗およびその逆の動作ができる。
（２）胸当てパッドに身体を預けることで、身体が安定し手が自由になり衣類やパンツの着脱がスムーズ且つ安全にできる。
（３）上肢片麻痺者でも着座した目の前に水洗操作パネルやトイレットペーパーホルダーがあることで、無理に身体を捻ることなく用便後の処理ができる。
（４）お尻が汚れて介助が必要な時もお尻が手前に位置することで、処理が楽にでき介護者の負担が軽減される。
（５）男性も着座する仕様なので、小水の飛散や、金隠しがあることで小水の前方への飛出しが無くなる。その結果、処理水やトイレットペーパー等の消費も軽減されエコで清潔なトイレとなる。
The present invention has the following excellent effects.
(1) It is not necessary to sit with the body rotated in front of the toilet bowl, and transfer to the toilet seat and vice versa can be performed while facing forward.
(2) By depositing the body on the breast pad, the body is stable and the hands are freed, and clothes and pants can be attached and detached smoothly and safely.
(3) Even if a person has hemiplegia in the upper limb, there are a flushing operation panel and a toilet paper holder in front of the eyes that are seated.
(4) Even when the butt is dirty and needs assistance, the butt is positioned in front, so that the processing can be facilitated and the burden on the caregiver is reduced.
(5) Because it is a specification for men to sit on, there is no splashing of small water, and there is no gold water concealment, so there is no jumping out of small water. As a result, consumption of treated water, toilet paper, etc. is reduced, resulting in an eco-friendly and clean toilet.
図１に示すように、本発明に係る介護用トイレ装置は、車椅子７の座部と同等の高さにされると共に、前方に向かって下方に傾斜した座部を有する洋式便器１を、この洋式便器１の前方側に胸当てパッド３を備え、便器１の両側面側に車椅子７が乗り入れ可能に開放して設けられた一対のアーム（手摺）２で囲まれて構成されている。
As shown in FIG. 1, the toilet device for care according to the present invention has a Western-style toilet 1 having a seat portion inclined downward toward the front while being set to the same height as the seat portion of the
ここで、洋式便器１は、金隠し部１ｂを備えた金隠し付便ホール１ａが搭載されたハイブリッド型とされ、和式便器と洋式便器の良いところを兼ね備えたサポート機能を備えたものとなっている。
Here, the western-style toilet 1 is a hybrid type equipped with a gold-
以下、本発明の使用方法に沿って利点を述べる。
（１）通常の便器と異なり、身体を回転することなく前向きのまま便器１に着座することができる。
（２）車椅子７を便器１に近づけ、車椅子７に座ったままで手を前に出すと手摺２があり、それに捉まりお尻を少し前方にずらし、足を少し前に（便器１を挟む形）に置く、起立して前方の胸当パッド３に胸を押し当て寄りかかり身体を預ける。その時点で手が自由になるので、ズボンやパンツ等の下穿き８を適当な位置まで下す。
（３）下穿き８を下ろして、手摺り２に捉まり便器１に着座する。ここで便座は前傾しているので、脚でしっかりと踏ん張ることができ身体がふらつかず転倒を防ぐことができる。
（４）高齢の男性も大柄な人も前向きに座るので便器１の正確な位置で安全に着座することができる。
（５）金隠し部１ｂがあるので、少し開脚した状態で着座することになる。男女共に陰部が覆われることになり小水の飛び散りが全くない。
（６）上肢片麻痺者でも胸当てパッド３の下の正面に水洗処理操作パネル６やトイレットペーパーホルダー５があることで、楽に用便やその後の処理ができる。
（７）用便後は起立し、また身体を胸当てパッド３に預けて下穿き８を上げる。
（８）下穿き８を履き、衣類が整えば手摺り２に捉まり、足を少し引いてそのまま車椅子７に移乗し、ロックを外し、退室する。すなわち、図５に示すＡ〜Ｆの連続動作を反復して行う。
Hereinafter, advantages will be described along the method of use of the present invention.
(1) Unlike a normal toilet, it can be seated on the toilet 1 while facing forward without rotating the body.
(2) When the
(3) Lower the lower lip 8 and catch on the
(4) Since both elderly men and large people sit forward, they can sit safely at the correct position of the toilet 1.
(5) Since there is the
(6) Even a person with hemiplegia of the upper limb can easily perform stool and subsequent processing by having the
(7) Stand up after the stool, leave the body on the
(8) Put on the underwear 8 and if the clothing is ready, get caught by the
尚、前部支持台座４には、水洗処理パネル７には、水洗（洗浄・停止）ボタン、緊急通知ボタンとトイレットペーパーホルダー５が装備され、使用者が前傾した状態でも操作しやすい形で配置されている。
The
尚、本発明は、上記実施例に限定されるものではなく、説明のため例に挙げたもので、特許請求の範囲から逸脱しない限りにおいて構成要件の変更及び付加が可能であることはいうまでもない。 It should be noted that the present invention is not limited to the above-described embodiments, but is given as an example for explanation, and it goes without saying that the structural requirements can be changed and added without departing from the scope of the claims. Nor.
１ ハブリッド型便器
１ａ 金隠し付便ホール
１ｂ 金隠し部
２ アーム（手摺り）
３ 胸当てパッド
４ 前部支持台座
５ トイレットペーパーホルダー
６ 水洗処理操作パネル
７ 車椅子
８ パンツやズボン等の下穿き
1
3 Chest pad
4 Front support base
5 Toilet paper holder
6 Flushing operation panel
7 Wheelchair
8 Underpants and pants
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2018013237A JP6609652B2 (en) | 2018-01-30 | 2018-01-30 | Toilet equipment for nursing care |
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| Application Number | Priority Date | Filing Date | Title |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| JPS5083043U (en) * | 1973-12-04 | 1975-07-16 | ||
| JPS54121547A (en) * | 1978-03-14 | 1979-09-20 | Sakai Iriyou Kk | Excreta action training device for disabled persons |
| JPS55163381U (en) * | 1979-05-11 | 1980-11-22 | ||
| JPH01147082U (en) * | 1988-03-31 | 1989-10-11 | ||
| JP2574829Y2 (en) * | 1992-04-30 | 1998-06-18 | 東陶機器株式会社 | Toilet booth |
| JPH07286353A (en) * | 1994-04-19 | 1995-10-31 | Masahide Nagahama | Western style stool |
| JP4347014B2 (en) * | 2003-10-10 | 2009-10-21 | アロン化成株式会社 | Simple toilet |
| KR20070032763A (en) * | 2007-02-23 | 2007-03-22 | 김창덕 | Full seatable toilet seat |
| US9113757B2 (en) * | 2009-09-30 | 2015-08-25 | Kishor C. Desai | Toilet and support bars for the disabled |
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