TWM560668U - Patient-out-of-bed reporting system - Google Patents
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- TWM560668U TWM560668U TW106211104U TW106211104U TWM560668U TW M560668 U TWM560668 U TW M560668U TW 106211104 U TW106211104 U TW 106211104U TW 106211104 U TW106211104 U TW 106211104U TW M560668 U TWM560668 U TW M560668U
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Abstract
本創作涉及一種病患離床通報系統,其包括一壓敏感測墊體、一訊號轉換器、一病房呼叫裝置;該壓敏感測墊包含一上導電層、一下導電層與介於其間之一絕緣層,該上導電層、該下導電層能夠因壓力變化而產生一電信號;該訊號轉換器用以接收自該壓敏感測墊所發出的電信號並產生對應的一病患狀態訊號;該病房呼叫裝置傳輸來自該訊號轉換器之該病患狀態訊號至設置在護理站的監視警示呼叫裝置,由該監視警示呼叫裝置依據該病患狀態訊號,而顯示或/及儲存對應的資訊。該病患離床通報系統可以直接和現有的護理站呼叫系統連接使用,便於照護者安裝及操作使用。The present invention relates to a patient out-of-bed notification system comprising a pressure sensitive pad body, a signal converter, and a ward call device; the pressure sensitive pad comprising an upper conductive layer, a lower conductive layer and one of the insulation layers therebetween a layer, the upper conductive layer and the lower conductive layer are capable of generating an electrical signal due to a pressure change; the signal converter is configured to receive an electrical signal from the pressure sensitive pad and generate a corresponding patient status signal; the ward The calling device transmits the patient status signal from the signal converter to the monitoring alert calling device disposed at the nursing station, and the monitoring alert calling device displays or/and stores the corresponding information according to the patient status signal. The patient's out-of-bed notification system can be directly connected to the existing care station call system for easy installation and operation by the caregiver.
Description
本創作整體涉及醫療保健設施技術領域,尤指一種可平放在既有病床中之適當位置,藉由病人之身體重量隨時掌握病人臥床動態,並透過病人臥床動態預測判斷病人是否有下床意圖的通報系統。The whole creation relates to the technical field of health care facilities, especially a suitable position in the existing bed, the patient's bed dynamics can be grasped at any time by the patient's body weight, and the patient's bed is dynamically predicted to determine whether the patient has got out of bed. Notification system.
拜醫療技術與科技大幅進步之賜,人類壽命得以延長許多,然而,壽命得以延長的同時,也可能意味著,吾人生病的機率也隨之增加許多,縱然現代醫學可以克服絕大部份的病症,而還給病患一個健康的身體,不過在痊癒之前,病人終究是要經過一定的醫療過程才能康復。Thanks to the great advances in medical technology and technology, human life has been extended. However, while life expectancy has been extended, it may mean that the chances of my illness are also increasing, even though modern medicine can overcome most diseases. And give the patient a healthy body, but before he recovers, the patient will eventually undergo a certain medical process to recover.
面對較為嚴重或複雜的病情時,有些患者會有必須臥床以接受醫療或觀察的需要,當然也有少數病患是難以或無法自行離床活動的,還有少數人則是雖然可以自理其生活,但仍應由照護或醫療人員在旁協助或觀察照護者,因此這類照護或醫護人員的工作量即愈來愈顯得吃重,而且,單純地運用科技化的醫療設備,相對於更廣大且持久性的療程而言,並無法有效地減少照護人員數量上與工作量上的需求。In the face of more serious or complicated conditions, some patients may have to stay in bed for medical treatment or observation. Of course, there are a few patients who are difficult or unable to get out of bed, and a few people are able to take care of their own lives. However, caregivers or medical personnel should still be assisted or observed by the caregiver. Therefore, the workload of such care or medical staff is becoming more and more serious, and the use of scientific and technological medical equipment is relatively large and lasting. In terms of sexual treatment, it is not effective to reduce the number of caregivers and the workload.
在台灣,相關的後續研究報告則指出,2006至2007年之間,台灣的區域級以上醫院,其病人與護士人數比約為12:1。如果,再加上人口結構急速老化的社會型態等因素,可以想見,未來臥床病人的人數與臥床時間,將會顯著的增加,而相對的對護理人員與照護工作量的需求也會跟著增加許多。照顧行動自如、但意識混亂之失智病人或身心功能衰弱需要照護者隨行之病人,常會擔心病人自行離開病床或跌落病床所造成之意外傷害,當病人跌落病床或離床跌倒,照護者若未在第一時間立即處置,將可能導致更嚴重的損傷或死亡等不良後果。In Taiwan, the relevant follow-up research report pointed out that between 2006 and 2007, the ratio of patients to nurses in Taiwan's regional and above hospitals was about 12:1. If, together with factors such as the rapidly aging population structure, it is conceivable that the number of bedridden patients and bedtime will increase significantly in the future, and the relative demand for nursing staff and care workload will follow. Add a lot. A patient who is free from taking care of the action but who is confused or who is mentally debilitated or who is debilitated by the caregiver, often has to worry about the accidental injury caused by the patient leaving the bed or falling off the bed. When the patient falls off the bed or falls off the bed, the caregiver does not Disposal immediately at the first time may result in more serious consequences such as serious injury or death.
已公開第102207861號「病床的防護警示裝置」新型專利案(證書號:M465634),該病床具有支承一人體的一床面、鄰近人體一頭部的一前端部,及鄰近人體一腳部的一後端部,該防護警示裝置包含:一載具,配置在該病床;一光感應單元,安裝在該載具且與該病床的床面形成有一高度差,並沿該病床一短邊方向在不大於該病床短邊長度的一感測範圍內接收光線;及一警報單元,與該光感應單元電連接,且在該感測範圍內的光線變異時,產生一警示訊息。A new patent case (certificate number: M465634) for "protective warning device for hospital beds" No. 102207861 has been disclosed. The bed has a bed surface supporting a human body, a front end portion adjacent to a head of the human body, and a foot adjacent to the human body. a rear end portion, the protective warning device comprises: a carrier disposed on the hospital bed; a light sensing unit mounted on the carrier and forming a height difference with the bed surface of the hospital bed, and a short side direction of the hospital bed Receiving light within a sensing range not greater than the length of the short side of the bed; and an alarm unit electrically coupled to the light sensing unit and generating a warning message when the light within the sensing range is variated.
上述第一前案能夠使感測範圍限制在病床的短邊方向,能夠使感測範圍擴及整個病床而減少死角,具有提升防護效果。但該前案無法感測病人之臥床動態,更無法預測判斷病人是否有下床意圖,當病人跌落病床或離床跌倒,照護者若能事先預防,將可杜絕嚴重的損傷或死亡等不良後果。The first pre-existing case can limit the sensing range to the short-side direction of the hospital bed, and can extend the sensing range to the entire hospital bed to reduce the dead angle, thereby improving the protective effect. However, the previous case cannot sense the bed dynamics of the patient, and it is even more impossible to predict whether the patient has the intention of getting out of bed. When the patient falls off the bed or falls off the bed, if the caregiver can prevent it in advance, it will prevent serious damage or death.
已公開第101219854號「可感知病患離床動作的病床」新型專利案(證書號:M447769),其包含:一床架,具有至少一離床側邊;一偵測模組,包括數個分別設置在該床架的偵測單元,每一偵測單元都可在偵測到病患肢體通過該離床側邊時發出一警示訊號;一處理模組,訊號連接該偵測模組的該等偵測單元,並能接收與處理該等偵測單元所發出的警示訊號,該處理模組同時接收到多個警示訊號時,會發出一離床訊號;及一警報模組,訊號連接該處理模組且會被該離床訊號驅動而發出一警報訊息。A new patent case (Certificate No.: M447769) of the "Keeping the patient's bed movement action" has been disclosed, which comprises: a bed frame having at least one side of the bed; a detection module comprising a plurality of separate settings In the detecting unit of the bed frame, each detecting unit can send a warning signal when detecting that the patient limb passes the side of the bed; a processing module, the signal is connected to the detecting module The monitoring unit can receive and process the warning signals sent by the detection units. When the processing module receives multiple warning signals simultaneously, it will send out a bed signal; and an alarm module, the signal is connected to the processing module. And will be driven by the off-bed signal to send an alert message.
上述第二前案之偵測單元能在病人離床時可發出一警示訊號,及早通知護理人員前來照料病人。但該前案無法感測病人之臥床動態,更無法預測判斷病人是否有下床意圖,當病人跌落病床或離床跌倒,照護者若能事先預防,將可杜絕嚴重的損傷或死亡等不良後果。The detection unit of the second pre-existing case can issue a warning signal when the patient leaves the bed, and inform the nursing staff to inspect the patient as soon as possible. However, the previous case cannot sense the bed dynamics of the patient, and it is even more impossible to predict whether the patient has the intention of getting out of bed. When the patient falls off the bed or falls off the bed, if the caregiver can prevent it in advance, it will prevent serious damage or death.
是以,如何改善上述問題以降低意外發生以及人力成本、時間,申請人有鑑於習知技術中所產生之缺失,經過悉心試驗與研究,並一本鍥而不捨之精神,終構思出本創作以解決習知技藝的缺點。Therefore, how to improve the above problems to reduce accidents and labor costs and time, the applicants have been carefully tested and researched, and have a perseverance in mind, in the light of the lack of knowledge in the prior art. The shortcomings of conventional skills.
有鑑於習知技藝之問題,本創作提供一種病患離床通報系統,其目的在於病人離床前就發出訊號通知照護者,在病人離床後也持續發出訊號通報,提醒照護者必須到病床邊關切病人,讓病人自行離床所帶來之傷害降到最低,以有效提昇照護者的工作效率;並且能夠直接與現有的護理站呼叫系統連接使用,以方便操作及安裝。 根據本創作之目的,本創作提供一種病患離床通報系統,其包括一壓敏感測墊、一訊號轉換器、一病房呼叫裝置;該壓敏感測墊包含一上導電層、一下導電層與介於其間之一絕緣層;該上導電層、該下導電層能夠因壓力變化而產生一電信號;該訊號轉換器與該壓敏感測墊電性連接,用以接收自各該壓敏感測墊所發出的該電信號,並進行運算分析後產生對應的一病患狀態訊號;該訊號轉換器與病房呼叫裝置電性連接,並且藉由該病房呼叫裝置傳送病患狀態訊號至設置於護理站的監視警示呼叫裝置。In view of the problems of the prior art, the present invention provides a patient out-of-bed notification system, the purpose of which is to send a signal to the caregiver before the patient leaves the bed, and to continue to send a signal notification after the patient leaves the bed, reminding the caregiver that the patient must be concerned with the patient bed. The harm caused by the patient's own bed is minimized to effectively improve the caregiver's work efficiency; and can be directly connected with the existing nursing station call system for easy operation and installation. According to the purpose of the present invention, the present invention provides a patient out-of-bed notification system comprising a pressure sensitive pad, a signal converter, and a ward call device; the pressure sensitive pad includes an upper conductive layer, a lower conductive layer and a medium An insulating layer; the upper conductive layer and the lower conductive layer are capable of generating an electrical signal due to a pressure change; the signal converter is electrically connected to the pressure sensitive pad for receiving from each of the pressure sensitive pads The electrical signal is sent and analyzed to generate a corresponding patient status signal; the signal converter is electrically connected to the ward call device, and the patient status signal is transmitted by the ward call device to the care station. Monitor the alert call device.
根據本創作之病患離床通報系統的一實施形態,該壓敏感測墊可以進一步劃分成至少一或複數個壓敏感測區;該一或複數個壓敏感測區因外力作用或壓力變化而分別產生相同、相異、或者部分相同的該電信號。According to an embodiment of the present invention, the pressure sensitive measuring pad can be further divided into at least one or a plurality of pressure sensitive measuring areas; the one or more pressure sensitive measuring areas are respectively affected by external force or pressure change The same, different, or partially identical electrical signals are generated.
根據本創作之病患離床通報系統的一實施形態,其中該一或複數個壓敏感測區的數量及配置位置並未加以限定,可根據受測壓力位置及使用需求來區分,例如:可以在該壓敏感測墊的左、中、右劃分為三個區,也可以再進一步在該壓敏感測墊中間區域劃分為四個區;另外,該些壓敏感測區為分別具有相同、相異、或者部分相同之感測面積。According to an embodiment of the present invention, the number and arrangement position of the one or more pressure sensitive measurement zones are not limited, and can be distinguished according to the measured pressure location and usage requirements, for example: The left, middle and right sides of the pressure sensitive measuring pad are divided into three zones, and may further be divided into four zones in the middle of the pressure sensitive measuring pad; in addition, the pressure sensitive measuring zones are respectively identical and different , or partially the same sensing area.
根據本創作之病患離床通報系統的一實施形態,其中該絕緣層中可以存在多個鏤空區,藉以區隔出該些壓敏感測區。According to an embodiment of the present invention, the patient is provided with a plurality of hollowed out areas in the insulating layer, thereby separating the pressure sensitive measuring areas.
根據本創作之病患離床通報系統的一實施形態,其中該監視警示呼叫裝置包括伺服器、及/或無線發射器、及/或顯示單元,用以儲存及/或顯示與該病患狀態訊號相應的資訊;而該顯示單元可以是電腦螢幕或是LED面板。舉例來說,該顯示單元可以顯示病患是處於正常狀態或是危險狀態,以及顯示病患資訊,包括病房號碼、床位號碼、病患姓名、危險狀態的發生時間等。An embodiment of the patient out-of-bed notification system of the present invention, wherein the monitoring alert calling device comprises a server, and/or a wireless transmitter, and/or a display unit for storing and/or displaying a status signal with the patient Corresponding information; the display unit can be a computer screen or an LED panel. For example, the display unit can display whether the patient is in a normal state or a dangerous state, and display patient information, including the ward number, bed number, patient name, and time of occurrence of the dangerous state.
根據本創作之病患離床通報系統的一實施形態,上述之病患離床通報系統進一步包含用以發出警示訊息的至少一警報裝置,該警報裝置係通訊連結到該監視警示呼叫裝置以接收對應該病患狀態訊號的資訊。當病患處於危險狀態時,該顯示單元可以顯示病患資訊,包括病房號碼、床位號碼、病患姓名、危險狀態的發生時間等,而該警報裝置可以同步發出警示訊號。According to an embodiment of the present invention, the patient leaving the bed notification system further includes at least one alarm device for transmitting a warning message, the alarm device being communicatively coupled to the monitoring alert calling device to receive corresponding Information on patient status signals. When the patient is in a dangerous state, the display unit can display patient information, including the ward number, the bed number, the patient's name, the time of occurrence of the dangerous state, and the like, and the alarm device can simultaneously send a warning signal.
根據本創作之病患離床通報系統的一實施形態,其中該警示訊號為以聲音、影像、震動、光、及數位訊號中之至少一種方式呈現。According to one embodiment of the present invention, the warning signal is presented in at least one of sound, image, vibration, light, and digital signals.
根據本創作之病患離床通報系統的一實施形態,其中該警報裝置為無線呼叫器(BB call)、手機、蜂鳴器、燈號警示器、及語音警報器中之至少一種;另外,也可以是同時具有蜂鳴器、燈號警示器及語音警報器中之至少兩種以上警示器功能的警報裝置。舉例來說,該警報裝置可以顯示不同的燈號並發出警示聲響來表示病患的狀態;或是經由手機發出警示聲並顯示病患資訊,包括病房號碼、床位號碼、病患姓名、危險狀態的發生時間等。According to an embodiment of the present invention, the alarm device is at least one of a wireless caller (BB call), a mobile phone, a buzzer, a light alarm, and a voice alarm; It may be an alarm device having at least two of the buzzer, the light alarm, and the voice alarm. For example, the alarm device can display different lights and sound a warning to indicate the patient's condition; or send a warning sound via the mobile phone and display patient information, including the ward number, bed number, patient name, and dangerous status. The time of occurrence, etc.
根據本創作之病患離床通報系統的一實施形態,其中當病患處於危險狀態時,該警報裝置可以每隔一段時間持續發出警示訊號,直到警示解除。According to an embodiment of the present invention, the patient is in a dangerous state, wherein the alarm device can continuously send a warning signal at intervals until the warning is released.
根據本創作之病患離床通報系統的一實施形態,其中該監視警示呼叫裝置的無線發射器可以經由Wifi、ZigBee、或藍芽無線傳輸方式傳輸警示呼叫訊號。According to an embodiment of the present invention, the wireless transmitter of the monitoring alerting device can transmit the alerting call signal via Wifi, ZigBee, or Bluetooth wireless transmission.
根據本創作之病患離床通報系統的一實施形態,其中該壓敏感測墊係用以配置於一床具中,該床具係進一步包括一上墊與一下墊,該壓敏感測墊可以是放置於該上墊的上方,也可以是放置於該上墊與該下墊之間。According to an embodiment of the present invention, the pressure sensitive measuring pad is configured to be disposed in a bed, the bed further comprising an upper pad and a lower pad, the pressure sensitive measuring pad may be It may be placed above the upper pad or may be placed between the upper pad and the lower pad.
以下配合圖式及本創作之較佳實施例,進一步闡述本創作為達成欲定創作目的所採取的技術手段。In the following, in conjunction with the drawings and the preferred embodiment of the present invention, the technical means adopted by the present creation for the purpose of achieving the intended creation are further explained.
請參閱圖1所示,其為顯示本創作之病患離床通報系統的架構之一實施例。本創作所揭示之病患離床通報系統,主要係由設於一床具(10)中的一壓敏感測墊(20)、一訊號轉換器(30)所構成;該床具(10)包含有一上墊(12)與一下墊(14),該下墊(14)之主要作用在於支撐,因此在實務上其亦可為床架(圖中未示)的一部份,其中訊號轉換器(30)能夠和病房呼叫裝置(40)電性連接並傳送並且藉由該呼叫鈴裝置(40傳送病患狀態訊號至設置於護理站的監視警示呼叫裝置(50)。在本創作中,該病房呼叫裝置(40)一般是設置於病床附近牆面上,其形態並未特別加以限定,主要是醫院內現有已配置於病房內的病房呼叫裝置,其具有有線或無線的通訊介面,能夠以擴充通訊介面的方式分別和訊號換器(30)及設置於護理站的監視警示呼叫裝置(50)進行通訊連接。該病房呼叫裝置(40)置設有緊急按鈕,當病患發生緊急狀況時,能夠自行按下緊急按鈕以發出警示訊息至護理站呼叫系統;而當訊號轉換器(30)和病房呼叫裝置(40)電性連接後,若病患有自行離床或是即將跌落的狀況發生,該病房呼叫裝置(40)同樣能夠將來自訊號轉換器(30)的病患狀態訊號傳送至護理站呼叫系統,藉以通報護理人員即時前往病房進行處理。Please refer to FIG. 1 , which is an embodiment showing the architecture of the patient out of bed notification system of the present invention. The patient out-of-bed notification system disclosed in the present invention is mainly composed of a pressure sensitive measuring pad (20) and a signal converter (30) disposed in a bed (10); the bed (10) comprises There is an upper pad (12) and a lower pad (14). The main function of the lower pad (14) is support, so in practice it can also be part of a bed frame (not shown), wherein the signal converter (30) being capable of being electrically coupled to the ward call device (40) and transmitting and transmitting the patient status signal to the monitoring alert call device (50) disposed at the care station by the call bell device (50). In the present creation, The ward call device (40) is generally disposed on the wall near the hospital bed, and its form is not particularly limited, and is mainly a ward call device already arranged in the ward in the hospital, which has a wired or wireless communication interface, and can The communication interface is expanded in communication with the signal converter (30) and the monitoring alert calling device (50) disposed at the nursing station. The ward call device (40) is provided with an emergency button when the patient has an emergency. , can press the emergency button by itself to send a warning message to the guard The station call system; and when the signal converter (30) and the ward call device (40) are electrically connected, if the patient is out of bed or is about to fall, the ward call device (40) can also come from The patient status signal of the signal converter (30) is transmitted to the care station call system to notify the caregiver to go to the ward for processing.
接著,請參閱圖2所示,其繪製本創作所述之壓敏感測墊的斷面結構示意圖;壓敏感測墊(20)係根據床具(10)的形狀設計成一矩形薄片狀,該壓敏感測墊(20)可以是內部相互平行配置的上導電層(22)、下導電層(24),以及介於上導電層(22)與下導電層(24)之間的絕緣層(26)所構成之一軟墊;其中該絕緣層(26)存在多個鏤空區(260),該些鏤空區(260)係使該上導電層(22)與該下導電層(24)區隔出多個壓敏感測區(200),每一壓敏感測區(200)則分別形成一壓阻式壓力感測器結構,而該些壓阻式壓力感測器結構係各別電性連接該訊號轉換器(30)。Next, referring to FIG. 2, a cross-sectional structural diagram of the pressure sensitive measuring pad described in the present application is drawn; the pressure sensitive measuring pad (20) is designed into a rectangular sheet shape according to the shape of the bed (10). The sensitive pad (20) may be an upper conductive layer (22), a lower conductive layer (24), and an insulating layer between the upper conductive layer (22) and the lower conductive layer (24). a cushion formed; wherein the insulating layer (26) has a plurality of hollow regions (260), the hollow regions (260) separating the upper conductive layer (22) from the lower conductive layer (24) A plurality of pressure sensitive measuring zones (200) are formed, and each pressure sensitive measuring zone (200) respectively forms a piezoresistive pressure sensor structure, and the piezoresistive pressure sensor structures are respectively electrically connected The signal converter (30).
請參閱圖3所示,其繪製本創作所述之壓敏感測墊的壓敏感測區分布型態示意圖;該壓敏感測區(200)主要根據該些鏤空區(260)的配置位置而分布於壓敏感測墊(20)的不同位置,其主要可分布於壓敏感測墊(20)左、中、右的位置且至少存在3個壓敏感測區(200)。根據本創作一實施例,該壓敏感測區(200)係可分布於壓敏感測墊(20)左、中、右的位置形成6個壓敏感測區(200a, 200b, 200c, 200d, 200e, 200f),而各個壓敏感測區(200)的面積可為相同、相異、或部分相同,根據本創作一實施例,其左/右側的壓敏感測區(200a, 200f)的面積大致相同,而分布於中間的四個壓敏感測區(200b, 200c, 200d, 200e)的面積大致相同。在此說明,圖式中僅是表示本創作所述之壓敏感測區(200)的一較佳實施例,不用以限制其分布位置、相對位置、面積大小。Please refer to FIG. 3, which is a schematic diagram showing the distribution pattern of the pressure sensitive measuring area of the pressure sensitive measuring pad according to the present invention; the pressure sensitive measuring area (200) is mainly distributed according to the arrangement positions of the hollowed out areas (260). At different locations of the pressure sensitive pads (20), they may be distributed primarily in the left, center, and right positions of the pressure sensitive pads (20) and there are at least three pressure sensitive zones (200). According to an embodiment of the present invention, the pressure sensitive measuring area (200) can be distributed in the left, middle and right positions of the pressure sensitive measuring mat (20) to form six pressure sensitive measuring areas (200a, 200b, 200c, 200d, 200e). 200f), and the areas of the respective pressure sensitive measurement zones (200) may be the same, different, or partially identical. According to an embodiment of the present invention, the area of the left/right pressure sensitive measurement zones (200a, 200f) is approximately The same, the four pressure sensitive zones (200b, 200c, 200d, 200e) distributed in the middle have approximately the same area. In the description, only a preferred embodiment of the pressure sensitive measurement zone (200) described in the present application is shown in the drawings, and the distribution position, relative position, and area size are not limited.
又,壓敏感測墊(20)係可放置於上墊之上,也可以是放置於上墊(12)與下墊(14)之間;本創作之壓敏感測墊(20)的尺寸大小並未特別加以限定,可以配合病患的體型或病床的大小進行設計或調整。另外,也可以考量病患施加於壓敏感測區(200)的壓力大小及受壓部位是隨著平躺、坐臥於床具上等之不同動作及/或病患肢體型相異而變化的事實狀態,進一步使用配合前述施加於壓敏感測區(200)壓力大小以及受壓部位的對應位置,進而將壓敏感測墊(20)設計成不同尺寸大小;例如,在本創作之一實施例中,可以使用170公分x90公分(長x寬)的壓敏感測墊,但並不限於此,也可以使用其他尺寸大小的壓敏感測墊(20)。Moreover, the pressure sensitive pad (20) can be placed on the upper pad or between the upper pad (12) and the lower pad (14); the size of the pressure sensitive pad (20) of the present invention It is not particularly limited and can be designed or adjusted to match the size of the patient or the size of the bed. In addition, it is also possible to consider the magnitude of the pressure applied by the patient to the pressure-sensitive measurement zone (200) and the pressure-receiving site varies depending on the different actions of lying down, lying on the bed, and/or the different limb types of the patient. The factual state is further used to match the pressure applied to the pressure sensitive measuring zone (200) and the corresponding position of the pressed portion, thereby designing the pressure sensitive measuring mat (20) into different sizes; for example, in one of the creations of the present invention In the example, a pressure sensitive pad of 170 cm x 90 cm (length x width) can be used, but it is not limited thereto, and other sizes of pressure sensitive pads (20) can also be used.
承上所述,由上導電層(22)、下導電層(24),以及絕緣層(26)所形成壓阻式壓力感測的壓敏感測墊(20) ,當絕緣層(26)感受壓力而變形時,絕緣層(26)與導電層(22, 24)之間的電阻發生變化,通過測量電路即可輸出與電壓成一定關係的電信號。According to the above, the piezoresistive pressure sensing pressure sensitive pad (20) formed by the upper conductive layer (22), the lower conductive layer (24), and the insulating layer (26) is felt when the insulating layer (26) When the pressure is deformed, the electric resistance between the insulating layer (26) and the conductive layer (22, 24) changes, and an electric signal having a certain relationship with the voltage can be output through the measuring circuit.
又,請再參考圖1、及圖3,並配合圖4所示,圖4為本創作之病患離床通報系統的運作流程示意圖。訊號轉換器(30)係可為含有運算處理晶片的集成電路板構成,其用以收集來自壓敏感測墊(20)的每一壓敏感測區(200)的電信號(類比信號)並進行運算處理、分析、判讀,並透過病房呼叫裝置(40)以無線或有線方式發出一病患狀態訊號(例如:消耗功率極低之ZigBee無線傳輸技術)至監視警示呼叫裝置(50),而監視警示呼叫裝置(50)包括具有運算處理功能的伺服器,例如電腦主機,可對該些信號解讀後進行紀錄並顯示於顯示單元(51);該顯示單元(51)除了可以是連接電腦主機的電腦螢幕,也可以是和監視警示呼叫裝置(50)連接的LED看板。另外,該顯示單元(51)還可以顯示含對應警示訊號之該床具(10)位置,以及使用該床具(10)之病患症狀或姓名等資訊。Also, please refer to FIG. 1 and FIG. 3 again, and with FIG. 4, FIG. 4 is a schematic diagram of the operation process of the patient's bed-away notification system. The signal converter (30) may be an integrated circuit board containing an arithmetic processing chip for collecting electrical signals (analog signals) from each pressure sensitive measuring area (200) of the pressure sensitive measuring pad (20) and performing Computing, analyzing, interpreting, and transmitting a patient status signal (for example, ZigBee wireless transmission technology with extremely low power consumption) to the monitoring alert calling device (50) by wireless or wired through the ward calling device (40) The alert calling device (50) includes a server having an arithmetic processing function, such as a computer host, which can be interpreted and displayed on the display unit (51); the display unit (51) can be connected to the host computer. The computer screen can also be an LED kanban connected to the monitoring alert calling device (50). In addition, the display unit (51) can also display the position of the bed (10) containing the corresponding warning signal, and the symptoms or names of the patient using the bed (10).
承上所述,當病患處於危險狀態時,透過與監視警示呼叫裝置(50)的無線發射器(未圖示)以wifi 、ZigBee或者藍芽無線傳輸技術相互連結的各種警報裝置(60),並且透過該警報裝置(60)接收來自監視警示呼叫裝置(50)即時的發出信號且顯示對應的資訊,使照護者可隨時觀察到病患的狀態,而該些警報裝置(60)顯示資訊之方式,可以包含聲、光、震動等各種不同且適當之視覺、聽覺或觸覺感受等,例如,可以經由聲音、影像、震動、光、及數位訊號中之至少一種方式呈現;而該些警報裝置可以是為無線呼叫器(BB call)、手機、蜂鳴器、燈號警示器、及語音警報器中之至少一種;另外,也可以是同時具有蜂鳴器、燈號警示器及語音警報器中之至少兩種以上警示器功能的警報裝置。又,監視警示呼叫裝置也可以將警示訊號同步顯示至照護者手機,以報知照護者即刻去了解病患的情況。以下列表1係根據本創作圖3所示的壓敏感測區分布,說明病患於床具(10)上處於各種不同臥床姿勢的狀態;在此實施例中,壓敏感測區200a為在靠近病患頭部的位置,而壓敏感測區200f為在靠近病患腳部的位置。According to the above, when the patient is in a dangerous state, various alarm devices (60) are connected to each other by a wireless transmitter (not shown) that monitors the alert calling device (50) by wifi, ZigBee or Bluetooth wireless transmission technology. And receiving an immediate signal from the monitoring alert calling device (50) through the alarm device (60) and displaying corresponding information, so that the caregiver can observe the state of the patient at any time, and the alert devices (60) display the information. The method may include various different and appropriate visual, auditory or tactile sensations, such as sound, light, vibration, etc., for example, may be presented by at least one of sound, image, vibration, light, and digital signals; and the alarms The device may be at least one of a BB call, a mobile phone, a buzzer, a light alarm, and a voice alarm; in addition, it may also have a buzzer, a light alarm, and a voice alarm. An alarm device for at least two of the alert functions in the device. In addition, the monitoring alert calling device can also display the warning signal to the caregiver mobile phone synchronously to inform the caregiver to immediately understand the patient's condition. The following list 1 shows the state of the patient in various bed postures on the bed (10) according to the pressure sensitive measurement area distribution shown in Fig. 3 of this creation; in this embodiment, the pressure sensitive measurement area 200a is in the vicinity. The position of the patient's head, and the pressure sensitive test zone 200f is in a position close to the patient's foot.
表1 <TABLE border="1" borderColor="#000000" width="85%"><TBODY><tr><td> 病患 狀態 </td><td> 各壓敏感測區的受壓情形 </td></tr><tr><td> 200a </td><td> 200b </td><td> 200c </td><td> 200d </td><td> 200e </td><td> 200f </td></tr><tr><td> 坐 </td><td> </td><td> V </td><td> V </td><td> </td><td> </td><td> </td></tr><tr><td> 坐 </td><td> </td><td> </td><td> </td><td> V </td><td> V </td><td> </td></tr><tr><td> 坐 </td><td> </td><td> </td><td> </td><td> V </td><td> V </td><td> V </td></tr><tr><td> 危險 </td><td> </td><td> V </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td> 危險 </td><td> </td><td> </td><td> V </td><td> </td><td> </td><td> </td></tr><tr><td> 危險 </td><td> </td><td> </td><td> </td><td> V </td><td> </td><td> </td></tr><tr><td> 危險 </td><td> </td><td> </td><td> </td><td> </td><td> V </td><td> </td></tr><tr><td> 危險 </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> V </td></tr><tr><td> 危險 </td><td> </td><td> V </td><td> </td><td> V </td><td> </td><td> </td></tr><tr><td> 危險 </td><td> </td><td> </td><td> V </td><td> </td><td> V </td><td> </td></tr><tr><td> 危險 </td><td> </td><td> </td><td> </td><td> V </td><td> </td><td> V </td></tr><tr><td> 危險 </td><td> </td><td> </td><td> </td><td> </td><td> V </td><td> V </td></tr><tr><td> 睡(平躺) </td><td> V </td><td> V </td><td> V </td><td> </td><td> </td><td> </td></tr><tr><td> 睡在床邊 </td><td> V </td><td> V </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td> 睡在床邊 </td><td> V </td><td> </td><td> V </td><td> </td><td> </td><td> </td></tr></TBODY></TABLE>Table 1 <TABLE border="1" borderColor="#000000" width="85%"><TBODY><tr><td> Patient Status</td><td> Pressure in each pressure sensitive area </ Td></tr><tr><td> 200a </td><td> 200b </td><td> 200c </td><td> 200d </td><td> 200e </td>< Td> 200f </td></tr><tr><td> sit </td><td> </td><td> V </td><td> V </td><td> </ Td><td> </td><td> </td></tr><tr><td> sit</td><td> </td><td> </td><td> </ Td><td> V </td><td> V </td><td> </td></tr><tr><td> sit</td><td> </td><td> </td><td> </td><td> V </td><td> V </td><td> V </td></tr><tr><td> Danger</td> <td> </td><td> V </td><td> </td><td> </td><td> </td><td> </td></tr><tr> <td> Danger</td><td> </td><td> </td><td> V </td><td> </td><td> </td><td> </td ></tr><tr><td> Danger</td><td> </td><td> </td><td> </td><td> V </td><td> </ Td><td> </td></tr><tr><td> Danger</td><td> </td><td> </td><td> </td><td> </ Td><td> V </td><td> </td></tr><tr><td> Danger</td><td> </td><td> </td><td> < /td><td> </td><td> </td><td> V </td></tr><tr><td> Danger</td><td> </td><td> V </td><td> </td><td> V </td>< Td> </td><td> </td></tr><tr><td> Danger</td><td> </td><td> </td><td> V </td> <td> </td><td> V </td><td> </td></tr><tr><td> Danger</td><td> </td><td> </td ><td> </td><td> V </td><td> </td><td> V </td></tr><tr><td> Danger</td><td> < /td><td> </td><td> </td><td> </td><td> V </td><td> V </td></tr><tr><td> Sleep (flat) </td><td> V </td><td> V </td><td> V </td><td> </td><td> </td><td> </td></tr><tr><td> Sleeping at the bedside</td><td> V </td><td> V </td><td> </td><td> </ Td><td> </td><td> </td></tr><tr><td> Sleeping at the bedside</td><td> V </td><td> </td>< Td> V </td><td> </td><td> </td><td> </td></tr></TBODY></TABLE>
由每一壓敏感測區(200)所形成的多個壓力感測器可依據是否承受外部壓力,亦即病患是否躺臥於其上之狀態,當某部分壓敏感測區(200)壓力增加時,上導電層(22)與下導電層(24)之間的阻抗降低而導致電容發生改變,透過病房呼叫裝置(40)發出適當之有線通訊訊號或ZigBee無線通訊信號。當各該壓敏感測區(200)依其是否承受壓力(亦即病患之重量),而發出對應訊號後,監視警示呼叫裝置(50)即會根據各個訊號綜合研判,該病患是平躺、翻身、側躺、坐起、坐在床沿,或是病患欲離床且離床時間異常等,並根據判斷結果發出對應之訊息或警示,以供該警報裝置的使用者可立即獲得第一手資訊,該些資訊可包括病房號碼、床位號碼、病患姓名、狀態的發生時間。The plurality of pressure sensors formed by each of the pressure sensitive measuring zones (200) can be based on whether or not the external pressure is applied, that is, whether the patient is lying on the state, when a part of the pressure sensitive measuring zone (200) is under pressure. When increased, the impedance between the upper conductive layer (22) and the lower conductive layer (24) is reduced to cause a change in capacitance, and an appropriate wired communication signal or ZigBee wireless communication signal is transmitted through the ward call device (40). When each of the pressure sensitive measuring areas (200) issues a corresponding signal according to whether it is subjected to pressure (that is, the weight of the patient), the monitoring warning calling device (50) is comprehensively judged according to each signal, and the patient is flat. Lying, turning over, lying on the side, sitting up, sitting on the edge of the bed, or the patient wants to leave the bed and the time of leaving the bed is abnormal, and send a corresponding message or warning according to the judgment result, so that the user of the alarm device can immediately obtain the first Hand information, which may include the ward number, bed number, patient name, and status of the time.
在此實施例中,該警報裝置(60)為具有蜂鳴及文字顯示功能的警示器。例如:當壓敏感測區200a、200b、及200c同時偵測到壓力時,監視警示呼叫裝置(50)根據病患狀態訊號判斷出病患係處於正常的平躺狀態,因此不必發出警示訊號,此時警報裝置顯示正常狀態的綠燈。再者,當壓敏感測區200a、200b同時偵測到壓力時,監視警示呼叫裝置(50)根據病患狀態訊號判斷出病患處於側躺在靠近床邊的位置或坐在床沿之危險狀態,因而發出警示訊號至警報裝置,並將病患資訊顯示於護理站的LED看板;此時警報裝置顯示警示訊息及發出蜂鳴聲,護理人員接收到訊息後可以及時前往病房處理;同理,當受壓感測區200a、200c同時偵測到壓力時,亦表示病患目前處於靠近床邊之危險狀態。In this embodiment, the alarm device (60) is an alerter having a buzzer and text display function. For example, when the pressure sensitive measuring areas 200a, 200b, and 200c detect the pressure at the same time, the monitoring warning calling device (50) determines that the patient is in a normal lying state according to the patient status signal, so that no warning signal is required. At this time, the alarm device displays a green light in a normal state. Moreover, when the pressure sensitive measuring areas 200a, 200b detect the pressure at the same time, the monitoring warning calling device (50) determines, according to the patient status signal, that the patient is lying on the side near the bed or sitting in a dangerous state at the edge of the bed. Therefore, a warning signal is sent to the alarm device, and the patient information is displayed on the LED board of the nursing station; at this time, the alarm device displays a warning message and a beeping sound, and the nursing staff can go to the ward to receive the message in time; for the same reason, When the pressure sensing regions 200a, 200c simultaneously detect the pressure, it also indicates that the patient is currently in a dangerous state near the bed.
又,當壓敏感測區200b、200c同時偵測到壓力時,監視警示呼叫裝置(50)根據病患狀態訊號判斷出病患處於坐在床上的危險狀態,因而發出警示訊號至警報裝置,並將病患資訊顯示於護理站的LED看板;此時警報裝置顯示警示訊息及發出蜂鳴聲,護理人員接收到訊息後可以及時前往病房處理;同理,當壓敏感測區200d、200e或壓敏感測區200d、200e、200f同時偵測到壓力時,亦表示病患目前處於側躺在靠近床邊的位置之危險狀態。Moreover, when the pressure sensitive measuring areas 200b, 200c detect the pressure at the same time, the monitoring warning calling device (50) determines that the patient is in a dangerous state of sitting on the bed according to the patient status signal, thereby issuing a warning signal to the alarm device, and Display the patient information in the LED kanban of the nursing station; at this time, the alarm device displays the warning message and beeps, and the nursing staff can go to the ward for treatment after receiving the message; similarly, when the pressure sensitive measurement area is 200d, 200e or pressure When the sensitive measuring areas 200d, 200e, and 200f detect the pressure at the same time, it also indicates that the patient is currently in a dangerous state lying on the side of the bed.
另外,當壓敏感測區200b、200c、200d、200e、及200f中之任一區偵測到壓力時,控終端(50)根據病患狀態訊號判斷出病患處於可能即將掉落床下或是欲離床的危險狀態,因而發出警示訊號至警報裝置,並將病患資訊顯示於護理站的LED看板;此時警報裝置顯示警示訊息及發出蜂鳴聲,表示目前有病患處於危險狀態,護理人員接收到訊息後可以及時前往病房處理;同理,當壓敏感測區200b及200d、壓敏感測區200c及200e、壓敏感測區200d及200f、或壓敏感測區200e及200f同時偵測到壓力時,亦表示病患處於危險狀態。In addition, when any of the pressure sensitive test areas 200b, 200c, 200d, 200e, and 200f detects pressure, the control terminal (50) determines, based on the patient status signal, that the patient is about to fall under the bed or In order to get out of bed, a warning signal is sent to the alarm device, and the patient information is displayed on the LED board of the nursing station; at this time, the alarm device displays a warning message and a beep, indicating that the patient is currently in a dangerous state, nursing After receiving the message, the staff can go to the ward for treatment. Similarly, when the pressure sensitive test area is 200b and 200d, the pressure sensitive test area 200c and 200e, the pressure sensitive test area 200d and 200f, or the pressure sensitive test area 200e and 200f are simultaneously detected. When it comes to stress, it also means that the patient is in danger.
進一步說明,當護理人員接收到病患處於危險狀態的訊息時,若未能及時處理,監視警示呼叫裝置(50)將每隔一段時間發送對應的警示訊息至持有警報裝置(60)的護理人員,直到護理人員抵達現場進行處理,並且按下配置於病房呼叫裝置的警示解除按鈕,而完成警示解除的動作後則會回傳訊息至監視警示呼叫裝置(50),監視警示呼叫裝置(50)則停止持續發出警示訊息並且記錄警示解除時間。Further, when the caregiver receives the message that the patient is in a dangerous state, if not processed in time, the monitoring alert calling device (50) will send a corresponding warning message to the nursing device holding the alarm device (60) at intervals. Personnel, until the caregiver arrives at the scene for processing, and presses the warning release button disposed on the ward call device, and after completing the action of canceling the warning, the message is returned to the monitoring alert calling device (50), and the monitoring call device is monitored. ) Stop sending a warning message and record the warning release time.
再進一步說明,為便於少數護理人員必需同時照護多數位病患,以及護理人員可能在行進中或並非長時間停留於定點等,實際上經常發生的狀況,本創作中藉由消耗功率極低之ZigBee無線傳輸技術,將使該警報裝置(60)可設計為小巧之可攜式裝置,俾便於護理人員可以隨時掌握病患狀態,俾即時前往巡視,或適時提供適當之協助。To further illustrate, in order to facilitate the need for a small number of caregivers to care for the majority of patients at the same time, and the caregiver may be on the road or not staying at a fixed point for a long time, etc., the situation that often occurs is extremely low in power consumption in this creation. ZigBee wireless transmission technology will enable the alarm device (60) to be designed as a compact portable device, so that the nursing staff can keep abreast of the patient's condition, go to the inspection immediately, or provide appropriate assistance at the right time.
又,當護理人員所負責之照護區域較為廣大時,可另外設置用以接收來自多個床具(10)中的各該壓敏感測墊(20)感應之病患狀態訊號,並將該訊號再傳輸至該警報裝置(60)之一中繼收發器(repeater,圖未示),當然,亦可將每一該警報裝置(60)設為兼具收發訊號之功能,即可使各該警報裝置(60)同時成為其他警報裝置(60)之中繼收發器,藉此以擴大該裝置之有效應用範圍,並避免發生重要訊號漏接之情形。Moreover, when the nursing staff is responsible for a large area of care, a patient condition signal for receiving the sensing from each of the plurality of beds (10) may be additionally provided, and the signal is received. And then transmitted to one of the alarm devices (60), a relay transceiver (not shown), of course, each of the alarm devices (60) can also be configured to have the function of transmitting and receiving signals, so that each The alarm device (60) also serves as a relay transceiver for other alarm devices (60), thereby expanding the effective application range of the device and avoiding the occurrence of important signal leakage.
綜合以上實施例之說明與例示,可以確認:本創作所揭露之病患離床通報系統,能夠在病人離床前就發出訊號通知照護者,提醒照護者必須到病床邊關切病人,讓病人自行離床所帶來之傷害降到最低,以有效提昇照護者的工作效率;另外,本創作所揭露之病患離床通報系統還可以直接和現有的護理站呼叫系統電性連接,不但便於安裝使用,還能夠減少安裝成本。Based on the description and illustration of the above embodiments, it can be confirmed that the patient out-of-bed notification system disclosed in the present invention can send a signal to the caregiver before the patient leaves the bed, reminding the caregiver that the patient must be concerned with the patient bed and let the patient leave the bed. The harm caused is minimized to effectively improve the efficiency of the caregiver; in addition, the patient's out-of-bed notification system disclosed in this creation can also be directly connected to the existing nursing station call system, which is not only easy to install and use, but also capable of Reduce installation costs.
惟以上所記載之具體實施例,僅係用於例釋本創作之特點及功效,而非用於限定本創作之可實施範疇,於未脫離本創作上揭之精神與技術範疇下,任何運用本創作所揭示內容而完成之等效改變及修飾,均仍應為下記載之申請專利範圍所涵蓋。However, the specific embodiments described above are only used to illustrate the features and functions of the present invention, and are not intended to limit the scope of implementation of the present invention, without departing from the spirit and technical scope of the creation. The equivalent changes and modifications made by the present disclosure are still covered by the scope of the patent application described below.
10‧‧‧床具10‧‧‧ Beds
12‧‧‧上墊12‧‧‧Upper pad
14‧‧‧下墊14‧‧‧Under the mat
20‧‧‧壓敏感測墊20‧‧‧ Pressure sensitive pad
22‧‧‧上導電層22‧‧‧Upper conductive layer
24‧‧‧下導電層24‧‧‧lower conductive layer
26‧‧‧絕緣層26‧‧‧Insulation
200‧‧‧壓敏感測區200‧‧‧pressure sensitive area
200a~200f‧‧‧壓敏感測區200a~200f‧‧‧pressure sensitive area
260‧‧‧鏤空區260‧‧‧ hollow area
30‧‧‧訊號轉換器30‧‧‧Signal Converter
40‧‧‧病房呼叫裝置40‧‧‧ ward call device
50‧‧‧監視警示呼叫裝置50‧‧‧Monitor warning call device
51‧‧‧顯示單元51‧‧‧Display unit
60‧‧‧警報裝置60‧‧‧ alarm device
S1~S7‧‧‧步驟S1~S7‧‧‧ steps
圖1係顯示本創作之病患離床通報系統的一實施例架構示意圖。 圖2係顯示本創作之壓敏感測墊的斷面結構示意圖。 圖3係顯示本創作之壓敏感測區分布型態示意圖。 圖4係顯示本創作之病患離床通報系統的運作流程示意圖。Fig. 1 is a schematic view showing the structure of an embodiment of the patient's bed-away notification system of the present invention. Figure 2 is a schematic cross-sectional view showing the pressure sensitive pad of the present invention. Figure 3 is a schematic diagram showing the distribution pattern of the pressure sensitive measurement area of the present creation. Figure 4 is a schematic diagram showing the operation of the patient's bed-away notification system of the present invention.
Claims (10)
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