TWI785348B - hand restraint structure - Google Patents

hand restraint structure Download PDF

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Publication number
TWI785348B
TWI785348B TW109122321A TW109122321A TWI785348B TW I785348 B TWI785348 B TW I785348B TW 109122321 A TW109122321 A TW 109122321A TW 109122321 A TW109122321 A TW 109122321A TW I785348 B TWI785348 B TW I785348B
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Taiwan
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long sleeve
patient
arm
palm
restraint structure
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TW109122321A
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Chinese (zh)
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TW202202099A (en
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陳清惠
高淑真
黃靜鳳
張家豪
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長庚學校財團法人長庚科技大學
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  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)

Abstract

本發明係一種手部約束結構,主要係包括有一長套筒及結合於前端的活動式斜背帶所組成,其中長套筒係可供手臂完整置入,而活動式斜背帶則是可斜背於對邊的肩頸處以限定長套筒前端位置至腋下處,俾可令手臂完整被約束在長套筒中,讓手掌無法踫觸外界的物品。 The present invention is a hand restraint structure, which mainly includes a long sleeve and a movable oblique strap combined with the front end, wherein the long sleeve can be completely inserted into the arm, while the movable oblique strap can On the shoulder and neck on the opposite side, the front end of the long sleeve is limited to the armpit, so that the arm can be completely restrained in the long sleeve, so that the palm cannot touch external objects.

Description

手部約束結構 hand restraint structure

本發明係一種手部約束結構,主要由一前端設置活動式斜背帶的長套筒所組成,可由長套筒供手臂完整置入後,再以活動式斜背帶斜背於對邊的肩頸處以限定長套筒前端位置至腋下處,所以手臂可被完整的約束在長套筒中,防止手掌踫觸外界的物品。 The present invention is a hand restraint structure, which is mainly composed of a long sleeve with a movable oblique strap at the front end. The long sleeve can be used for the arm to be completely inserted, and then the movable oblique strap is used to obliquely carry the shoulder and neck on the opposite side. It is placed to limit the position of the front end of the long sleeve to the armpit, so the arm can be completely restrained in the long sleeve, preventing the palm from touching external objects.

在醫療院所接受治療或看護照顧的患者,往往因為病情需要而必須進行侵入性的治療,舉凡常見的點滴打針到插管(鼻胃管、呼吸管)、引流管、血液透析導管......等的設置,都是屬於侵入性醫療的一部分,而上述醫療的共通特點就是會有顯露於人體外部的管路。 Patients receiving treatment or nursing care in medical institutions often have to undergo invasive treatment due to their condition, such as common drip injections to intubation tubes (nasogastric tubes, breathing tubes), drainage tubes, hemodialysis catheters... ... and other settings are all part of invasive medical treatment, and the common feature of the above medical treatment is that there will be pipelines exposed outside the human body.

因此,在照顧上述患者的時候,除了要注意管路不要受到撓折、壓迫、拉扯之外,特別要小心患者故意(因為不合作或失智)或不小心的拉扯管路行為(睡眠時的不自覺動作),以免造成感染、出血甚至危及生命等醫療風險。 Therefore, when taking care of the above-mentioned patients, in addition to paying attention not to bend, oppress, or pull the pipeline, special attention should be paid to the patient's intentional (because of uncooperative or dementia) or careless behavior of pulling the pipeline (during sleep). Involuntary action) to avoid medical risks such as infection, bleeding or even life-threatening.

所以約束患者的雙手是必要的考量,然而習用的約束手套都是針對患者的手掌進行限制的,因此都會具有一容置空間供手掌穿入後就在手腕處進行束縛,防止患者的手掌脫離約束手套(約束手套另以一繫繩捆綁於床架上),然而手腕的束縛太鬆會有手掌鬆脫出的問題,束縛太緊又會影響患者的血液循環,加上繫繩限制手掌活動、擺動的作用,往往造成 手掌與約束手套間的極大摩擦而損傷皮膚。 Therefore, restraining the patient's hands is a necessary consideration. However, the commonly used restraining gloves are all limited to the patient's palm, so there will be an accommodation space for the palm to penetrate and restrain the wrist at the wrist to prevent the patient's palm from detaching. Restraint gloves (restraint gloves are tied to the bed frame with a tether). However, if the wrist is too loose, the palm will loosen and come out. If the restraint is too tight, the blood circulation of the patient will be affected, and the tether restricts the movement of the palm , the role of swing, often resulting in The extreme friction between the palm and the restraint glove can damage the skin.

另外,雖然約束手套只是針對手掌進行約束,但由於繫繩的長度限制其實已經造成整隻手臂無法活動的狀態,因此對於患者來說是極不舒適的,也會有很強烈的抗拒心態,影響了患者的社交活動和生活品質(世界衛生組織也將身體約束視為是虐待的一種形式)。 In addition, although restraint gloves only restrain the palm of the hand, due to the length limitation of the tether, the entire arm is already in a state of being unable to move, so it is extremely uncomfortable for the patient, and there will be a strong resistance mentality, affecting social activities and quality of life of the patient (the World Health Organization also considers physical restraint a form of abuse).

本發明人鑑於上述之缺失,深覺習用的約束手套只著重在約束的功能發展,對於患者使用時的舒適性則限於既有結構的限制而無法有效改善,因此遂以其多年從事臨床照護患者的經驗,積極研發改良,在各方條件的審慎考量下,終於開創出本結構之組成,將可完全解決習用之各項問題。 In view of the above-mentioned deficiency, the inventor deeply feels that the commonly used restraint gloves only focus on the functional development of restraint, and the comfort of the patient is limited to the limitation of the existing structure and cannot be effectively improved. Therefore, he has been engaged in clinical care of patients for many years. Based on our extensive experience, active research and development and improvement, and under careful consideration of the conditions of all parties, we finally created the composition of this structure, which will completely solve various problems in common use.

本發明係一種手部約束結構,主要係包括有一長套筒及結合於前端的活動式斜背帶所組成,其中長套筒係可供手臂完整置入,而活動式斜背帶則是可斜背於對邊的肩頸處以限定長套筒前端位置至腋下處,因此在實施後將可提供下述之效能: The present invention is a hand restraint structure, which mainly includes a long sleeve and a movable oblique strap combined with the front end, wherein the long sleeve can be completely inserted into the arm, while the movable oblique strap can On the shoulder and neck on the opposite side to limit the position of the front end of the long sleeve to the underarm, so after implementation, the following effects will be provided:

由於本發明的手部約束結構係以一長套筒供手臂完整置入的設計,其長套筒的筒徑與手臂之間是呈寬鬆的裕度(理論上該筒徑可擴大至患者前臂無法反轉至上臂處為止,避免手臂向上脫離長套筒的限制),所以患者手臂、手掌在長套筒中的活動範圍是極為充裕的,可以大幅提升患者被約束時的舒適性及人身自由。 Because the hand restraint structure of the present invention is designed with a long sleeve for the complete insertion of the arm, there is a loose margin between the tube diameter of the long sleeve and the arm (theoretically, the tube diameter can be enlarged to the patient's forearm It cannot be reversed to the upper arm to prevent the arm from breaking away from the restriction of the long sleeve), so the range of motion of the patient's arm and palm in the long sleeve is extremely sufficient, which can greatly improve the patient's comfort and personal freedom when restrained .

本發明長套筒後端係設置有一繫繩捆綁於床架上,由於患者的手掌是位於長套筒內,且在手掌處並沒有解除、鬆脫手部約束結構的固 定元件,因此繫繩的長度可以預留更長(穿戴習用約束手套的患者,在雙手手腕相互摩、抵施力下往往可以掙脫約束手套,所以繫繩都不會預留長度而直接捆綁在床架上),只要讓手臂帶動長套筒的活動範圍不會干涉到任何醫療管路即可,不僅達到約束病人的目的,而且患者也不會有抗拒的心態。 The rear end of the long sleeve of the present invention is provided with a tether tied to the bed frame, because the palm of the patient is located in the long sleeve, and there is no fastening mechanism for releasing or loosening the hand restraint structure at the palm. fixed components, so the length of the tether can be reserved longer (patients wearing conventional restraint gloves can often break free from the restraint gloves under the mutual friction and resistance of both wrists, so the tether will not reserve a length and be directly tied On the bed frame), as long as the range of motion of the long sleeve driven by the arm does not interfere with any medical pipelines, it not only achieves the purpose of restraining the patient, but also the patient will not have the mentality of resistance.

1:長套筒 1: long sleeve

11:繫繩 11: Tether

12:透氣孔 12: ventilation holes

2:活動式斜背帶 2: Movable oblique strap

21:黏扣帶 21: Velcro

3:床架 3: bed frame

10:手部約束結構 10: Hand restraint structure

〔圖1〕係本發明之結構圖。 [Fig. 1] is a structural diagram of the present invention.

〔圖2〕係本發明之實施示意圖。 [Fig. 2] is a schematic diagram of the implementation of the present invention.

〔圖3〕係本發明之使用狀態參考圖。 [Fig. 3] is a reference diagram of the use state of the present invention.

〔圖4〕係本發明之再一結構圖。 [FIG. 4] is yet another structure diagram of the present invention.

為使 貴審查人員能確實明瞭本發明之結構組成及其所能達成之功能效益,餘下,茲配合圖式列舉實施例,詳細介紹說明如后: In order to enable your examiners to clearly understand the structure and composition of the present invention and the functional benefits that it can achieve, the remaining examples are listed in conjunction with the drawings, and the detailed description is as follows:

本發明係一種手部約束結構,主要係包括有一長套筒1及結合於前端的活動式斜背帶2所組成(如圖1所示),其中長套筒1係可供手臂完整置入,而活動式斜背帶2則是可斜背於對邊的肩頸處以限定長套筒1前端位置至腋下處(如圖2所示),俾可令手臂完整被約束在長套筒1中,達到讓手掌無法踫觸外界物品的目的。 The present invention is a hand restraint structure, which mainly includes a long sleeve 1 and a movable oblique strap 2 combined with the front end (as shown in Figure 1), wherein the long sleeve 1 can be completely inserted into the arm, The movable sling strap 2 can be slanted on the shoulder and neck of the opposite side to limit the front end of the long sleeve 1 to the armpit (as shown in Figure 2), so that the arms can be completely restrained in the long sleeve 1 , to achieve the purpose of preventing the palm from touching external objects.

其中,上述活動式斜背帶2係指至少一端可拆、裝與長套筒1的結合狀態,在本發明中係於活動式斜背帶2、長套筒1的結合處設有對應的黏扣帶21所達成(活動式斜背帶2的長度可調整,而且亦可採用 習知的扣環及扣件予以構成,但硬質材料與患者身體的接觸容易造成不適)。 Among them, the above-mentioned movable oblique strap 2 refers to the combined state that at least one end is detachable and installed with the long sleeve 1. In the present invention, a corresponding adhesive buckle is provided at the junction of the movable oblique strap 2 and the long sleeve 1. Achieved by belt 21 (the length of movable oblique strap 2 can be adjusted, and also can adopt Known clasps and fasteners are formed, but the contact of hard materials with the patient's body can easily cause discomfort).

因此本發明手部約束結構10於實施時,可先將活動式斜背帶2一端的黏扣帶21解除,再以長套筒1供整隻手臂完整置入(長套筒1採硬質不可撓彎的材質製成(如塑膠),該長套筒1的筒徑是以約束患者前臂無法反轉至上臂處為必要,避免手臂向上脫離長套筒1的約束作用,因此在長套筒1筒徑不受力變形的狀態下,筒徑小於患者手肘至手腕長度之尺寸即可),續將活動式斜背帶2環繞斜背於對邊的肩頸處後再經由黏扣帶21固定,藉以限定長套筒2前端位置處於患者的腋下處即可。便可達到防止手掌踫觸外界物品的目的,而且由於長套筒1的筒徑與手臂之間是呈寬鬆的裕度,所以患者手臂、手掌在長套筒1中的活動範圍是極為充裕的,可以大幅提升患者被約束時的舒適性及人身自由。 Therefore, when the hand restraint structure 10 of the present invention is implemented, the hook and loop 21 at one end of the movable oblique strap 2 can be released first, and then the long sleeve 1 can be used to completely insert the whole arm (the long sleeve 1 is hard and inflexible). It is made of curved material (such as plastic), and the barrel diameter of the long sleeve 1 is necessary to constrain the patient’s forearm from being reversed to the upper arm, so as to prevent the arm from breaking away from the restraint of the long sleeve 1 upwards. Therefore, the long sleeve 1 Under the condition that the tube diameter is not deformed by force, the tube diameter should be smaller than the length from the patient’s elbow to wrist), continue to wrap the movable sling strap 2 around the shoulder and neck on the opposite side, and then fix it with the Velcro 21 , so as to limit the position of the front end of the long sleeve 2 at the patient's armpit. The purpose of preventing the palm from touching external objects can be achieved, and because there is a loose margin between the tube diameter of the long sleeve 1 and the arm, the range of motion of the patient's arm and palm in the long sleeve 1 is extremely abundant , which can greatly improve the comfort and personal freedom of patients when they are restrained.

另又,在進一步約束患者時,本發明於手部約束結構10的長套筒1後端係連結有一繫繩11可供捆綁於床架3上(如圖3所示),由於患者的手掌是完全位於長套筒1內,且在手掌處並沒有解除、鬆脫手部約束結構10的固定元件,因此繫繩11的長度可以預留更長(穿戴習用約束手套的患者,在雙手手腕相互摩、抵施力下往往可以掙脫約束手套,所以繫繩都不會預留長度而直接捆綁在床架上),只要讓手臂帶動長套筒1的活動範圍不會干涉到任何醫療管路即可(因此患者的手臂除了可在長套筒1中自由活動,手臂也能在繫繩11長度的限制中帶動長套筒1擺動),不僅達到約束病人的目的,而且患者也不會有抗拒的心態。 In addition, when further constraining the patient, the present invention is connected with a tether 11 at the rear end of the long sleeve 1 of the hand restraint structure 10 for binding on the bed frame 3 (as shown in Figure 3 ), because the patient's palm It is completely located in the long sleeve 1, and the fixing element of the hand restraint structure 10 is not released or loosened at the palm, so the length of the tether 11 can be reserved longer (patients wearing conventional restraint gloves, the wrists of both hands) Mutual friction and resisting force can often break free from restraining gloves, so the tethers will not reserve length and are directly tied to the bed frame), as long as the arm drives the long sleeve 1, the range of motion will not interfere with any medical pipelines (so the patient's arm can move freely in the long sleeve 1, and the arm can also drive the long sleeve 1 to swing in the limitation of the length of the tether 11), not only to achieve the purpose of restraining the patient, but also the patient will not have Resist mentality.

再者,本發明長套筒1於對應手掌活動範圍外係開設有複數 透氣孔12(如圖4所示),可供空氣流通而不悶熱,並且由於透氣孔12是開設在患者手掌(手指)無法接觸的範圍,可以避免患者手指由透氣孔12伸出而拉扯物品。 Furthermore, the long sleeve 1 of the present invention is provided with plural Air vent 12 (as shown in Figure 4) can be used for air circulation without stuffiness, and since the air vent 12 is set in the range that the patient's palm (finger) cannot touch, it can prevent the patient's fingers from stretching out from the air vent 12 and pulling the article .

1:長套筒 1: long sleeve

11:繫繩 11: Tether

2:活動式斜背帶 2: Movable oblique strap

3:床架 3: bed frame

10:手部約束結構 10: Hand restraint structure

Claims (4)

一種手部約束結構,主要係包括有一長套筒及結合於前端的活動式斜背帶所組成,其中該長套筒係採硬質不可撓彎的材質製成而可供手臂、手掌完整置入,並具有約束患者前臂無法反轉至上臂處的寬鬆裕度筒徑,保持患者手臂、手掌在該長套筒中的充裕活動範圍,而該活動式斜背帶則是斜背於患者對邊的肩頸處以限定該長套筒前端位置至腋下處,俾可令手臂、手掌完整被約束在該長套筒中。 A hand restraint structure, which mainly includes a long sleeve and a movable oblique strap combined with the front end, wherein the long sleeve is made of hard and inflexible material and can be completely inserted into the arm and palm. And it has a loose margin tube diameter that restricts the patient's forearm from being reversed to the upper arm, keeping the patient's arm and palm in the long sleeve. The neck is to limit the position of the front end of the long sleeve to the armpit, so that the arms and palms can be completely restrained in the long sleeve. 如請求項1所述之手部約束結構,其中該活動式斜背帶係至少一端與該長套筒的結合處設有對應的黏扣帶以供拆、裝。 The hand restraint structure as described in Claim 1, wherein at least one end of the movable oblique strap is connected to the long sleeve with a corresponding hook and loop for disassembly and assembly. 如請求項1所述之手部約束結構,其中該長套筒後端係連結有一繫繩可供捆綁於床架上。 The hand restraint structure according to claim 1, wherein a tether is connected to the rear end of the long sleeve for binding on the bed frame. 如請求項1、2或3所述之手部約束結構,其中該長套筒於對應手掌活動範圍外係開設有複數透氣孔。 The hand restraint structure according to claim 1, 2 or 3, wherein the long sleeve is provided with a plurality of ventilation holes outside the range of motion of the corresponding palm.
TW109122321A 2020-06-30 2020-06-30 hand restraint structure TWI785348B (en)

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TWI785348B true TWI785348B (en) 2022-12-01

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202044386U (en) * 2011-03-26 2011-11-23 杨侠 Medical restraint band
CN208741240U (en) * 2018-03-20 2019-04-16 重庆医科大学附属儿童医院 One kind is anti-to grab de- oversleeve
CN210330875U (en) * 2019-06-13 2020-04-17 杭州市第一人民医院 Constraint oversleeve

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202044386U (en) * 2011-03-26 2011-11-23 杨侠 Medical restraint band
CN208741240U (en) * 2018-03-20 2019-04-16 重庆医科大学附属儿童医院 One kind is anti-to grab de- oversleeve
CN210330875U (en) * 2019-06-13 2020-04-17 杭州市第一人民医院 Constraint oversleeve

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