TWM570695U - Mobile constrained article improved structure - Google Patents

Abstract

A movable restraint article improved structure comprising a hollow cone, a wrist strap, and a connecting member. In this way, the activity capacity of the elderly can be increased, and the quality of care of the maintenance institution of the elderly can be effectively improved, so as to reduce the nasogastric tube and catheter slip rate of the residents of the maintenance institution, and reduce limb deterioration, and at the same time introduce music in the maintenance institution. The mechanism of live therapy stimulates and activates the cranial nerves of the elderly by the sound of bells, and increases the interactivity; and uses the traditional totems, patterns, vivid colors and other sensory stimuli in the design to evoke the old memories of the elderly. Increase the characteristics and fun, thereby improving the wearing comfort and increasing the angle of movement of the wrist joints, improving the acceptance, self-esteem and patient safety of the elderly, reducing the extubation rate (p value <0.001), and enhancing interaction with the outside world. opportunity.

Description

Mobile constrained article improved structure

This creation department relates to an improved structure of movable restraint articles, especially in addition to avoiding bedside restraint and inconvenient activities, it can also reduce the suffering of patients, and at the same time enhance the ability of muscle strength to enhance activity, promote health and reduce limb deterioration. Effectively reduce the rate of nasogastric tube and catheter slippage, thereby improving the care quality of the maintenance organization, and can be used as a reference for nursing clinical care.

Under the trend of increasing global population year by year, the number of elderly people over 65 years old registered in China has 2.49 million,644 in June 2011, accounting for 10.76% of the total population, and the aging index is 69.97%, which has reached the UN World Health Organization. The aging social indicators are increasing year by year. However, the physiological changes after aging and the disability or disability caused by the symptoms of chronic diseases increase the dependence of the elderly. In addition, family caregivers have to place elderly people in elderly care facilities in situations where their conscious care ability and manpower cannot be loaded. About 25 to 34% of the elderly in the institution will be physically restrained to prevent falls, extubation, injury or others. However, the result of the constraint is not as expected; after being restrained for several months, the body is reduced due to activity restrictions. Opportunities for outside interactions lead to comorbidities such as perceptual exploitation, reduced range of activities, poor muscle strength, and incontinence, and even death. Moreover, in the assessment of constraints, there is a lack of clear institutional care policies and processes, and potential harms that are not well-constrained. Therefore, in order to reduce the negative effects of pipe slippage and limb degradation, it is expected that there are other alternatives that can replace the shortcomings of the existing restraint methods and achieve better benefits. In this regard, the applicant of this case has proposed an improved activity-type restraint article for clinical benefit analysis before and after intervention. The results of the study showed that after six months of testing, the experimental group had significantly reduced life stress and disease stress after using the modified active restraint, but the control group did not change. In addition, comparing the functions of daily life (Pap's scale), the results showed that the experimental group was not able to complete the bath and stool control, and the other items were improved, especially in the eating, the Pap scale score increased. However, the subjects in the control group showed significant regression in daily life functions, especially in the case of eating and shifting, the number of people who could not complete themselves increased significantly, and the score of the Papillon scale decreased. From the above results, the improved restraint article is indeed superior to the conventional restraint article. However, the experimental group using the modified movable restraint showed significant improvement in life stress, disease stress, daily living function, and body function (Ke's scale), but there was no improvement in muscle strength test. However, the results did not enhance the ability of muscle strength to improve activity, reduce limb degeneration, and can not reduce the rate of nasogastric tube and catheter slippage. Moreover, the improved movable restraint article does not introduce any sensory stimulation adjuvant therapy, and can not provide more interactive feelings for the elderly, so it does not help to stimulate and activate the brain of the elderly, and because of its appearance, it is a constraint glove. It is easy to remind the elderly or patients that their hands are constrained and cause emotional instability, which makes it impossible to effectively distract attention to reduce irritability and emotional agitation. Therefore, the user-like users cannot meet the needs of the user in actual use.

The main purpose of this creation is to overcome the above problems encountered in the prior art and to provide an activity that can increase the mobility of the elderly and effectively improve the care quality of the maintenance institutions of the elderly, so as to reduce the nasogastric tube and catheter of the residents of the maintenance institution. Shearing rate, improved structure of movable restraint articles that reduce limb degradation. The secondary purpose of this creation is to provide a mechanism for introducing Lohas therapy in a maintenance institution, which stimulates and activates the cranial nerves of the elderly by the sound of bells, thereby enhancing the interactive structure of the active restraint articles. Another purpose of the present invention is to provide an improved structure of movable restraint articles which adopts the traditional sense of Taiwan, such as traditional totems, patterns, and vivid colors to arouse the old memories of the elderly, and to increase the characteristics and fun of the present. A further objective of the present invention is to provide an improved angle of wear and increase the movement angle of the wrist joints, improve the acceptance of the elderly, self-esteem and patient safety, and achieve a reduction in the extubation rate (p value < 0.001), and enhance Improved structure of movable restraint supplies for external interaction opportunities. For the purpose of the above, the present invention is an improved structure for a movable restraint comprising: a hollow cone comprising an inner diameter of a plastic sheet made of a plastic sheet larger than the palm of the user and accommodating the user. An annular side wall of the palm, a first opening through which the user's hand can be inserted into the annular side wall, and a condition for the caregiver to observe the blood of the distal end of the user's hand that has been placed in the annular side wall a second opening, the plastic plate is wrapped in a first flower cloth to be integrally formed and folded at both ends to be folded into each other to form a ring shape with a short hand, the annular side wall a plurality of first threading holes are disposed adjacent to the top end of the first opening, and a sounding member is coupled to the outer periphery of the annular side wall; a wrist fixing belt corresponding to the first opening of the hollow cone to fix the user The wrist is fixed in the annular side wall, and the wrist fixing strap comprises a wrist sleeve and a bonding member, the wrist sleeve is made of a second flower cloth coated with a soft material, and has a plurality of annular sidewalls The first threading hole corresponds to the first a threading hole, and two sides connectable to each other, the side edges being adhered to each other via the bonding member, so that the length of the bonding position of the bonding member can be adjusted to adjust the length to match the size of the wrist of the user For facilitating the fixation of the wrist joint portion; and a connecting member disposed between the hollow cone and the wrist fixing strap, the connecting member is respectively disposed on each of the first and second threading holes The elastic cord is configured to fasten and fasten the hole through to each other in order to maintain the angle of the user's original wrist joint. In the above embodiment of the present invention, the moldable plastic sheet is cut into a rectangular sheet that can be folded into the hollow cone. In the above embodiment of the present creation, the hand short refers to a person who can cover the palm and the finger. In the above embodiment of the present creation, the first and second fabrics are formed of a breathable cotton fabric having a vivid color totem pattern. In the above embodiment of the present invention, the plastic sheet wrapped in the flower cloth is fixedly joined by a suture at a folding boundary at both ends. In the above embodiment of the present invention, the number of the plurality of first stringing holes and the plurality of second stringing holes is four. In the above embodiment of the present creation, the sounding member is a bell. In the above embodiment of the present creation, the soft material is cut into a filler that conforms to the size of the wristband, and is a composite of foam rubber and double gauze. In the above embodiment of the present invention, the bonding member is a devil felt combination disposed on the sides of the wrist cover. In the above embodiment of the present invention, the elastic cord is a non-woven fabric, a cotton cord, or a rubber cord, and the diameter of the first and second threading holes is the size through which the elastic cord is worn. In the above embodiment of the present invention, the number of the plurality of elastic cords is four, and each of the elastic cords is sequentially fastened to each other through the first stringing hole and the second stringing hole. In the above embodiment of the present invention, the number of the plurality of elastic ropes is eight, and four elastic ropes are respectively inserted into the first threading holes, and the other four elastic ropes are respectively inserted into the second threading ropes. The holes are fixed to each other.

Please refer to the "Fig. 1 to Fig. 4" for the exploded view of the hollow cone and wrist strap, the three-dimensional schematic diagram of the improved structure of the creative movable restraint, and the improved structure of the creative movable restraint. A schematic diagram of the state of use of the state of use, and a schematic diagram of the state of use of the improved structure of the creative activity restraint article. As shown in the figure: The present invention is an improved structure of a movable restraint comprising a hollow cone 1, a wrist strap 2, and a connecting member 3. The hollow cone 1 mentioned above comprises an annular side wall 11 made of a moldable plastic plate 111 having an inner diameter larger than the palm of the user and accommodating the palm of the user, which can be worn by the user's hand. a first opening 12 disposed in the annular side wall 11 and a second opening 13 for the caregiver to observe the blood condition of the distal end of the user's hand that has been placed in the annular side wall 11, and the first opening 12 For horn shapes or other geometric shapes. The plastic plate 111 is cut into a rectangular piece that can be folded into the hollow cone 1 and covered in a first flower cloth 112 of a breathable cotton fabric formed with a vivid color totem pattern. Forming an integral shape and being folded at the two ends to form a ring shape with a short length of the hand. The annular side wall 11 is spaced apart from the top end of the first opening 12 and is provided with a plurality of first threading holes. 14. A sounding member 15, such as a bell, is coupled to the periphery of the annular side wall 11. The wrist fixing strap 2 corresponds to the first opening 12 of the hollow cone 1 to fix the user's hand in the annular side wall 11. The wrist strap 2 includes a wrist cover 21 and a bonding member 22, the wrist The sleeve 21 is made of a second flower cloth 212 covering the soft material 211, and the second flower cloth 212 is formed with a breathable cotton fabric with a vivid color totem pattern. The wristband 21 has a plurality of second threading holes 23 corresponding to the first threading holes 14 of the annular side wall 11, and two side edges 24 connectable to each other, and the bonding member 22 is provided For the devil's felt combination of the side edges 24 of the wrist cover 21, the side edges 24 are adhered to each other via the adhesive member 22, so that the length of the adhesive member 22 can be adjusted to adjust the length to match the length. The size of the user's wrist is convenient for the wrist joint to be fixed. The connecting member 3 is disposed between the hollow cone 1 and the wrist strap 2, and the connecting member 3 is composed of a plurality of elastic cords 31 respectively extending through the first and second threading holes 14 and 23. The composition may be a non-woven fabric, a cotton rope, or a rubber cord for fixing the holes to each other in order to maintain the angle of the user's original wrist joint. If so, a new movable restraint article improved structure is constructed by the above disclosed device. When making, the plastic plastic plate 111 is cut into a conical three-dimensional plane figure and can cover the size of the palm and the finger (depending on the shortness of the user's hand, the size is large, medium and small, and the principle is to cover the entire hand. ), the inner and outer layers are selected from the traditional cotton totem of Taiwan traditional totem as the first flower cloth 112, which is cut into a shape that can cover the entire plastic plate 111, and then the upper and lower layers of the cloth are sewn into a bag shape. After the plastic plate 111 is integrally formed and folded into the annular side wall 11, the two ends are folded and fixed at the joints of the two ends, and then fixed and joined by a suture to form a hollow cone 1 and formed at the top and bottom ends thereof. The two openings 12, 13 are then drilled in the east, south, west and north directions at a distance of about 2 cm from the top end of the hollow cone 1 (the hole size is for the elastic rope to pass through). A first stringing hole 14 is bored, and a bell is attached to the periphery of the annular side wall 11 as the sounding member 15. The wrist strap 2 adjacent to the wrist joint is made of the same color second cloth 212, and the inner layer is a filler that has been cut to fit the size of the wristband 21, and is a foam rubber and double layer. The gauze is adhered to the synthetic soft material 211, which is protective and can increase the user's comfort. At the two sides 24 of the wrist cover 21, the devil felt is sewn as the bonding member 22 to facilitate the fixing of the wrist joint portion; The proximal end of the contact with the first opening 12 of the hollow cone 1 is about 1 cm away from the edge, and four second threading holes 23 are also arranged at four intervals of east, south, west and north (the size of the hole is for elasticity) The wrist strap 2 is detachably connected to the first opening 12 of the hollow cone 1 by a connecting member 3 at a circumferential distance. Preferably, at the intersection of the hollow cone 1 and the wrist fixing strap 2, four or eight elastic ropes 31 (such as cotton ropes) close to the color of the flower cloth are used to fasten the holes and fasten the bows. Maintaining the user's original wrist joint activity, the perfect combination of the work is to complete the improved structure of the movable restraint of the creation, so that the user is no longer restrained, and at the same time reduce the risk of the nasogastric tube being pulled off by the user, and also increase The user's hands are flexible, active and full of freshness. As described above, when the number of the plurality of elastic cords 31 is four, each of the elastic cords 31 is sequentially fastened and fixed to each other through the first stringing holes 14 and the second stringing holes 23. When the number of the plurality of elastic cords 31 is eight, four elastic cords 31 are respectively inserted into the first threading holes 14, and the other four elastic cords 31 are respectively inserted into the second threading holes 23 respectively. Then, they are tied to each other and fixed; thereby, a plurality of elastic cords 31 are inserted into the plurality of threading holes 14, 23 to make a flat knot, which serves as a joint for fixing the hollow cone 1 and the wrist fixing strap 2. In a preferred embodiment, the present invention participates in the self-development plan of the Taipei Municipal Government Health Bureau from January 1, 2015 to December 31, 2016, and discusses the improved structure of the creative activity-type restraint articles and the improved version of the previous case. The movable restraint supplies, the quality of care for the elderly care institutions before and after intervention, the clinical benefits of nasogastric tube, catheter slip rate and limb deterioration, wherein the nasogastric tube slip rate is the monthly unexpected nasogastric tube Number of slippage / monthly nasogastric tube placement; catheter slip rate and so on. Different from the movable restraint articles of the previous case, the improved structure of the movable restraint articles proposed in this creation further stimulates and activates the cranial nerves of the elderly by setting the bell sound mechanism, thereby increasing the interaction; and adopting the design Taiwan's traditional totems and patterns stimulate the memories of the elderly with the senses of color, increasing their characteristics and fun. In addition to increasing the mobility of the elderly, they also improve patient safety, reduce the rate of extubation, enhance the self-esteem of the elderly, and enhance Opportunities for outside interaction. When used, the resident of the elderly in the city of Taipei with a bed number of more than 30 beds was randomly distributed by means of sampling; and the experimental design method of pre-testing and post-testing was carried out using the experimental method (in the first month). Compared with the sixth month, it is divided into two groups: the difference between the experimental group (using the modified structure of the creative activity-type restraint) and the control group (using the active-type restraint). Results: The experimental group and the control group were statistically analyzed for the muscle strength, number of extubation times, number of weekly exercises, and time after each exercise (hours) in the past six months. The results obtained were the strength of the residents in the past six months. On the other hand, the results showed that there was a statistically significant difference between the two groups after the intervention, p value < 0.001; the number of extubation times p value < 0.001, a significant difference; the number of weekly exercise, each exercise time (hours) p value < 0.001 , all show significant differences. In addition to avoiding bedside restraint and inconvenient activities, the improved structure of the movable restraint article of the present invention can also reduce the patient's pain, enhance the muscle strength lifting activity, promote health, reduce limb deterioration, and effectively reduce the nasogastric tube, The urinary catheter slip rate, in order to improve the care quality of the maintenance organization, can be used as a reference for nursing clinical care. Therefore, the characteristics of the improved structure of the movable restraint articles proposed by the present invention include: 1. The creative system uses a plastic plastic plate (for example, an empty bottle of a bottle) to be folded to each other to allow air circulation. Let the fingers move freely and the limbs are unrestricted and non-invasive. In addition to reducing the psychological pressure of being tied, resources can also be used. 2. Hospital care workers and maintenance staff can make their own, and reduce costs and expenses, it is worth promoting. 3. The design is based on the traditional cotton totem fabric of Taiwan. The decoration and protection of the bottle of Baote bottle will not only make people feel that it is a restraining glove, but also increase its aesthetics. The sensory stimulation of color evokes the memories of the elderly, increases its characteristics and fun, stabilizes the patient's emotions, distracts attention to reduce irritability and emotional agitation, enhances patient comfort when restrained, and is easy to load and unload, once fixed It will not cause skin damage or edema and depression due to irritability or involvement, effectively reduce the unnecessary frictional damage during the process of breaking and breaking free, and the pressure sore with bandages, thus reducing the complication of patient restraint. 4. Since the front end of the improved structure of the movable restraint is open, it is convenient for family members and nursing staff to observe the skin color of the distal limbs of the user's hand and the blood circulation changes can be directly evaluated and monitored to improve the safety and quality of the patient's care. . 5. This creation creates a bell sound mechanism on the periphery of the hollow cone. The physical energy of the sonic vibration is generated by the bell sound mechanism to cause the harmonious resonance of the human tissue cells, and the cranial cavity, the thoracic cavity or a certain tissue to resonate to activate the brain tissue. To enhance the excitability and invigorating spirit of the cerebral cortex, to stimulate and activate the brain of the elderly, so as to increase interactivity. In summary, this creation is a modified structure of movable restraint products, which can effectively improve various shortcomings of the use, increase the mobility of the elderly, and effectively improve the care quality of the maintenance institutions of the elderly, so as to reduce the nasogastric tube of the residents of the maintenance institution. , urinary catheter slip rate, reduce limb degeneration, etc.; at the same time and introduce the mechanism of Lohas therapy in the maintenance institution, to stimulate and activate the cranial nerves of the elderly by the sound of the bell, to increase the interaction; The use of Taiwan's traditional totems, patterns, vivid colors and other sensory stimuli to arouse the old memories of the elderly, increase its characteristics and fun, thereby improving wearing comfort and increasing the angle of movement of the wrist joints, enhance the acceptance and self-esteem of the elderly And patient safety, to reduce the rate of extubation (p value < 0.001), enhance the opportunity to interact with the outside world, so that the creation of this creation can be more progressive, more practical, more in line with the needs of users, and indeed meet the new patent application The key requirements are to file a patent application in accordance with the law. However, the above descriptions are only preferred embodiments of the present invention, and the scope of the present invention cannot be limited by this; therefore, the simple equivalent changes and modifications made by the scope of the patent application and the contents of the new manual are All should remain within the scope of this creation patent.

1‧‧‧ hollow cone

11‧‧‧Ring side wall

111‧‧‧ plastic board

112‧‧‧First flower cloth

12‧‧‧ first opening

13‧‧‧second opening

14‧‧‧First rope hole

15‧‧‧Sounds

2‧‧‧ wrist strap

21‧‧‧ wristband

211‧‧‧Soft materials

212‧‧‧Second flower cloth

22‧‧‧bonding parts

23‧‧‧Second rope hole

24‧‧‧ side

3‧‧‧Connecting parts

31‧‧‧elastic rope

Fig. 1 is a schematic exploded view of the hollow cone and wrist strap of the present invention. Fig. 2 is a perspective view showing the improved structure of the creative movable restraint article. Fig. 3 is a schematic view showing the state of use of the improved structure of the creative activity restraint article. Fig. 4 is a schematic view showing the state of use of the improved structure of the creative activity restraint article.

Claims (12)

An improved structure for a movable restraint comprises: a hollow cone comprising a ring-shaped side wall made of a moldable plastic plate having an inner diameter larger than a user's palm and accommodating the palm of the user; The user's hand is inserted into the first opening in the annular side wall, and a second opening for the caregiver to observe the blood condition of the distal end of the user's hand that has been placed in the annular side wall Covered in a first flower cloth to form an integral shape and folded at both ends to be folded into each other to form a ring shape with a short hand, the annular side wall being spaced apart from the top end of the first opening a plurality of first threading holes are provided, and a sounding member is coupled to the outer periphery of the annular side wall; a wrist fixing belt corresponding to the first opening of the hollow cone to fix the user's hand in the annular side wall, The wrist strap includes a wrist sleeve and a bonding member, the wrist sleeve is made of a second flower cloth coated with a soft material, and has a plurality of first threading holes corresponding to the annular side wall. Second threading hole, and two can be mutually The side edges are adhered to each other via the bonding member, so that the length of the fastening of the bonding member can be adjusted to adjust the length of the wrist of the user to facilitate the fixing of the wrist joint portion; And a connecting member is disposed between the hollow cone and the wrist fixing strap, wherein the connecting member is composed of a plurality of elastic ropes respectively respectively threaded through the first and second threading holes, for The hole piercing is fixed to each other in order to maintain the angle of the user's original wrist joint activity. The movable restraint article improved structure according to claim 1, wherein the moldable plastic sheet is cut into a rectangular sheet that can be folded into the hollow cone. According to the improved structure of the movable restraint article according to the first aspect of the patent application, wherein the short hand refers to a person who can cover the palm and the finger. According to the improved structure of the movable restraint article according to the first aspect of the invention, wherein the first and second fabrics are formed with a breathable cotton fabric having a vivid color totem pattern. The movable restraint article improving structure according to claim 1, wherein the plastic sheet wrapped in the flower cloth is fixedly joined by a suture at a folding boundary at both ends. The movable restraint article improving structure according to claim 1, wherein the number of the first first stringing holes and the plurality of second stringing holes is four. The improved structure of the movable restraint according to the first aspect of the patent application, wherein the sounding member is a bell. According to the improved structure of the movable restraint article according to claim 1, wherein the soft material is cut into a filler conforming to the size of the wristband, and is a composite of foam rubber and double gauze. The movable restraint article improved structure according to claim 1, wherein the adhesive member is a devil felt combination disposed on the sides of the wrist cover. The movable restraint article improving structure according to claim 1, wherein the elastic rope is a non-woven fabric, a cotton rope, or a rubber rope, and the diameter of the first and second threading holes is for the elastic rope to be worn. size. The movable restraint article improving structure according to claim 1, wherein the number of the plurality of elastic cords is four, and each of the elastic cords sequentially passes through the first stringing hole and the second stringing rope. The holes are fixed to each other. According to the improved structure of the movable restraint article according to the first aspect of the patent application, wherein the number of the plurality of elastic ropes is eight, and four elastic ropes are respectively inserted into the first threading holes, and the other four are elastic. The ropes are respectively inserted into the respective second threading holes, and are fastened to each other.