JP2020062364A - Transfer assistance support belt - Google Patents

Transfer assistance support belt Download PDF

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JP2020062364A
JP2020062364A JP2018207761A JP2018207761A JP2020062364A JP 2020062364 A JP2020062364 A JP 2020062364A JP 2018207761 A JP2018207761 A JP 2018207761A JP 2018207761 A JP2018207761 A JP 2018207761A JP 2020062364 A JP2020062364 A JP 2020062364A
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belt
transfer
assistance
transfer assistance
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JP6662985B1 (en
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久仁子 安倍
Kuniko Abe
久仁子 安倍
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Abe Kuniko
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Abstract

To give safe, appropriate and comfortable transfer assistance to elderly people who, due to deterioration of muscles of their legs, start to require a helper's assistance in transfer from a wheelchair, etc. so that the helper can help such elderly people (1) stand up from the sitting position, (2) keep standing, or (3) walk and transfer from the wheelchair to a sofa, a toilet seat or the seat of a vehicle without grasping or pulling up their clothes while they wear clothes of any design or material they like.SOLUTION: A person to be cared wears a transfer assistance support belt in which two vertical belts to pass under the person's crotch are connected to a horizontal belt with an attachable/detachable buckle to be worn at the position of the person's waist from a lower garment of the person to be cared, with a short horizontal belt connected to the vertical belts at the position of the person's hips.SELECTED DRAWING: Figure 1

Description

本発明は、支えがあれば立位を保持できる程度の下肢機能が残存する被介助者に、不快感を与えず、歩みを誘導しながら、安全に移乗介助するための移乗介助支援ベルトの構造に関する分野に係る。  The present invention is a structure of a transfer assistance support belt for safely assisting a transfer while guiding a step without giving discomfort to a person being assisted who has a lower limb function capable of holding a standing position if supported. Related to the field.

日常生活において車椅子を使用している高齢者のなかには、立ち上がり器具やつかまり棒等を利用することにより、ひとりで車椅子から移乗できる人もいる。しかしながら、徐々に下肢の筋力が衰えてきて、移乗に介助者のサポートが必要になってきた移乗介助導入初期段階の高齢者を対象として使用するための、適切な移乗介助支援用具・用品がみあたらない。そのため特に一般家庭における介助者は、麻痺や関節に病気やケガ等による異常はないが、自力での移乗がスムーズに行えなくなってきた被介助者の着衣を掴みあげることにより、上下前後左右への移乗動作をサポートしているのが現状である。  Among elderly people who use wheelchairs in their daily lives, there are some who can transfer from the wheelchair by themselves by using a stand-up device or a gripping stick. However, as the muscle strength of the lower limbs gradually declines, it is necessary to support a person who is assisting with the transfer. Absent. Therefore, caregivers in general households have no abnormalities due to illness or injury to their paralysis or joints, but by grasping the clothes of the care-receiver who is no longer able to transfer by himself, he / she can move up / down, front / rear, and left / right. Currently, it supports the transfer operation.

しかし、この移乗介助方法では、回数を重ねることにより、着衣の緩み、破れや縫い目のほつれ、ゴムの延び等が生じてしまう。着衣によってはしっかり掴みづらい等安全に対する不安のほか、着衣を掴まれることに対する被介助者の不快感もある。また、被介助者の着衣は引っ張りに耐えられるものに限定されてしまい、自由に好きなデザイン・素材のズボン等をはくことができない。  However, with this transfer assistance method, loosening of clothes, tearing, fraying of seams, extension of rubber, and the like occur due to repeated use. Depending on the clothes, there are concerns about safety such as being difficult to grasp firmly, and there is also discomfort for the person being assisted by being able to grasp the clothes. In addition, the clothes of the person being assisted are limited to those that can withstand pulling, and it is not possible to freely wear pants or the like of a design and material that the user likes.

着衣を掴まない移乗介助補助具として、腰ベルトとベストからなる特許文献1の発明は、自力で歩くこと、立ち上がること、ベッドに座らせたり寝かせたりすることが困難な被介護者を対象としていて、介助者が全身で被介助者を移乗介護する場合には有益な方法である。しかし、自力での移乗は不安であるが、脚力は残存している高齢者等を対象とした移乗介助に使用するには大がかりな補助具である。もっと着脱が簡単でシンプル、一般家庭において誰もが直感的に使用できるコンパクトなものが求められる。  The invention of Patent Document 1 consisting of a waist belt and a vest as a transfer assistance aid for not grasping clothes is intended for a cared person who has difficulty walking, standing up, sitting on a bed or lying down on his / her own. This is a useful method when the caregiver transfers and cares for the care recipient throughout the body. However, although it is uneasy to transfer by yourself, leg strength is a large-scale assisting tool to be used for transfer assistance for elderly people who have remained. There is a demand for a compact product that is easier to put on and take off, simpler, and intuitive to use in general households.

特許文献2に示した発明は、臀部を包む座面部を有するパンツまたはズボン様の腰部に牽引バンドを縫い付けることにより起立支援を行うというものである。確かに都度の移乗介助具の装着作業はなくなるが、被介助者の体重を支えうる強度をもった布地で臀部を包むパンツまたはズボンに牽引バンド縫い付けなければならないため、複数の下衣に適切に縫い付ける手間に加え、被介助者は好きなデザイン・素材のズボン等を自由にはくということにおいて制約を受ける。  The invention shown in Patent Document 2 is to assist standing up by sewing a tow band to a waist like pants or trousers having a seating surface that wraps the buttocks. Certainly, it is not necessary to wear transfer aids each time, but it is necessary to sew a tow band to pants or pants that wrap the buttocks with a fabric that can support the weight of the person being assisted. In addition to the time and labor required to sew on, the care recipient is limited in that they can freely wear pants of their favorite design and material.

特許文献3に示した発明は、長年の闘病等で下肢や体幹が衰えている被介助者の移動時において、瞬時に被介助者の体を支えられるという点では有益な発明である。しかし、移乗介助導入初期段階の高齢者の中にはパンツ型介助ベルトやふんどし型介助ベルト等の着用には抵抗感を持つ人も少なくない。下衣が隠れる面積が広く複数の把持部が目立つことにより、着用させられる被介助者の自尊心を傷つけてしまう可能性もある。本発明が対象としている高齢者には、過剰介助にならないようできるだけスリムでシンプルなものが求められる。  The invention described in Patent Document 3 is a useful invention in that the body of the person being assisted can be instantly supported when the person being assisted whose lower limbs and trunk are weakened due to long-standing illness and the like. However, many elderly people in the early stages of introduction of transfer assistance have a feeling of resistance to wearing pants-type assistance belts and loincloth-type assistance belts. When the lower garment has a large area to be hidden and the plurality of grips are conspicuous, the self-esteem of the person being worn may be damaged. The elderly targeted by the present invention are required to be as slim and simple as possible so as not to over-assist.

特開2011−224297JP2011-224297A 特開2017−158931JP, 2017-158931, A 特開2018−126392Japanese Patent Laid-Open No. 2018-126392

下肢の筋力が衰えてきて、車椅子等からの移乗に介助者のサポートが必要になり始めた高齢者の移乗介助において、着衣の掴み上げや着衣の引っ張りを行わず、被介助者の好むデザインや素材の服装のままで、安全、適切に、不快なく移乗動作を介助することである。(1)座位からの立ち上がり動作介助。(2)立位保持の介助。(3)車椅子からソファーや便座及び車の座席等へ、被介助者の歩みをともなう移乗介助。  In the transfer assistance of elderly people whose muscles of the lower limbs have weakened and it is now necessary to support a person who needs assistance to transfer from a wheelchair, etc., do not pull up clothes or pull clothes, and design and It is to assist the transfer operation safely, properly, and without discomfort while wearing the clothes of the material. (1) Assistance in standing up from sitting position. (2) Assistance in maintaining standing position. (3) Transfer assistance from the wheelchair to the sofa, toilet seat, car seat, etc. with the walk of the person being assisted.

被介助者の下衣の上から、腰の位置に装着する着脱可能な留め具付き横ベルトに股下を通る2本の縦ベルトを結合して、さらに、その縦ベルトの臀部の位置に短い横ベルトを結合させた構造の移乗介助支援ベルトを着用することにより課題を解決する。  From the undergarment of the person being assisted, connect two vertical belts that pass through the crotch to a horizontal belt with removable fasteners that is worn at the waist position, and then add a short horizontal belt to the buttocks position of the vertical belt. The problem is solved by wearing a transfer assistance support belt having a structure in which the belts are combined.

被介助者が移乗介助支援ベルトを着用することにより(1)着衣を引っ張られることがないので、夏の薄い下衣から防寒用の厚い下衣まで、着衣を選ばずに移乗介助を受けられる。(2)ベルトを持ち上げても、荷重のかかる縦ベルトが左右に位置する構造により、陰部への圧迫や過度な食い込みが生じない。(3)適切な高さでベルトを把持し被介助者を支えることにより、筋力が衰えた脚への負担を軽減し、つまずきや膝折れによる転倒を防止して、安全に歩みを誘導し、移乗介助ができる。(4)着脱が簡単で構造もシンプル、身体の締め付けや着用による蒸れが起こりにくいため、就寝時を含めて24時間の着用が可能である。(5)たとえば、5cmと3cmの平ベルト及びバックルで製作できるので、作りやすく低コストである。(6)パンツ型やふんどし型の介助ベルト着用にくらべ、被介助者の抵抗感が少ない。  When the person being assisted wears the transfer assistance support belt, (1) the clothes are not pulled, so that it is possible to receive transfer assistance regardless of clothes, from thin underwear in summer to thick underwear for cold weather. (2) Even if the belt is lifted, the vertical belt to which a load is applied is positioned on the left and right, so that pressure on the pubic area and excessive biting do not occur. (3) By supporting the person being assisted by grasping the belt at an appropriate height, the burden on the leg with weakened muscle strength is reduced, the fall due to stumble or knee break is prevented, and the walk is safely guided, Transfer assistance is available. (4) Since it is easy to put on and take off, the structure is simple, and stuffiness due to tightening and wearing of the body does not easily occur, it is possible to wear it for 24 hours including bedtime. (5) For example, since it can be manufactured with a flat belt and a buckle of 5 cm and 3 cm, it is easy to manufacture and low cost. (6) Compared with wearing a pants-type or loincloth-type assistance belt, the person being assisted feels less resistance.

移乗介助支援ベルトを前面から見た姿図Front view of transfer assistance belt 移乗介助支援ベルトを背面から見た姿図Rear view of the transfer assistance belt 座位における移乗介助支援ベルトの装着図Wearing diagram of transfer assistance belt in sitting position 立位における移乗介助支援ベルトの装着図Wearing diagram of transfer assistance belt in standing position

介助者はベッドに寝たままの被介助者の下衣の着替えを済ませたら、ズボンをはかせる要領で、輪状になっている左右の縦ベルトにそれぞれ足を通し、腰の位置に横ベルトを装着する。ベルトのサイズは装着したときに両手の指が入る程度のゆとりが必要である。  When the caregiver has finished changing the undergarment of the person being helped while lying on the bed, put their legs on the left and right vertical belts that are looped and put the horizontal belts on their waists in the same manner as putting on their pants. Mounting. The size of the belt should be large enough to fit the fingers of both hands when worn.

介助者は、ベッドやイス等からの被介助者の立ち上がり時において、声かけを行い、被介助者の動作を確認しながら、股下を通る2本の縦ベルトに結合させた臀部に位置する短い横ベルト、または、腰部の横ベルトを掴み持ち上げることにより、被介助者は陰部を圧迫されることなく楽に腰を上げ立つことができる。  The caregiver speaks to the person being assisted when he or she stands up from the bed or chair, and while checking the movement of the person being assisted, the assistant is short on the buttocks that are connected to the two vertical belts passing through the inseam. By grasping and lifting the lateral belt or the lateral belt of the waist, the person being assisted can easily stand up and stand without being pressed by the genital area.

介助者は、被介助者の脚力に応じて、正面から、または横から、腰部、臀部に位置する横ベルトを両手、または片手で把持して被介助者を支えることにより、被介助者は安全に立位を保持し足を踏み出すことができる。ベルトが隠れる丈の上衣を着ている場合は、介助者は上衣の裾から中に手を入れてベルトを把持する。  Depending on the leg strength of the person being assisted, the caregiver supports the person being assisted by supporting the person being assisted by grasping the lateral belts located on the waist and buttocks with both hands or with one hand from the front or from the side. You can stand up and step forward. If the person is wearing a cloak that hides the belt, the caregiver puts his / her hand in the hem of the garment and grasps the belt.

在宅介護をしている家庭では、通院や外出に福祉車両ではない自家用車を使用する人が少なくない。車椅子から自動車へ乗り移るときの介助については、両脇を支えながら被介助者のお尻を座席に向け、自動車のフレームに頭をぶつけないように注意し、被介助者が座席に腰を下ろしたら横向きになっていた体を前向きにするという方法がある。  Many home caregivers use their own car, which is not a welfare vehicle, for visiting the hospital or going out. Regarding assistance when transferring from a wheelchair to a car, turn the buttocks of the caregiver to the seat while supporting both sides, be careful not to hit your head against the frame of the car, and when the caregiver sits down on the seat There is a way to turn the body that was lying sideways forward.

しかし、この方法は知識、技術、腕力等が必要であり、一般家庭において誰もが簡単にできるというものではない。一方、お尻から乗り入れるのではなく、多くの人が習慣としている足からの乗り入れを行う場合は、片足を上げ乗り込む時にもう一方の足がしっかりと自身の体重を支えることが必要で、これができなければバランスを崩し転倒してしまう。  However, this method requires knowledge, skill, physical strength, etc., and is not one that anyone in ordinary households can easily perform. On the other hand, when riding from the foot, which is customary for many people, rather than riding from the buttocks, it is necessary for the other foot to firmly support one's weight when raising one foot and doing this. If you do not, you will lose your balance and you will fall.

被介助者の足からの乗り入れを可能にするため、被介助者が車内の手摺等を掴んで片足を上げ乗り入れるときに、介助者は着用している移乗介助支援ベルトの臀部にある横ベルトの結合部を把持したまま、被介助者の動きに合わせて持ち上げることによって、被介助者は脚への負担が軽減されて安全にスムーズな乗り入れができる。  In order to allow the person being assisted to get in from the foot, when the person being assisted grabs the handrail etc. in the vehicle and raises one foot, the assistant takes care of the lateral belt at the buttocks of the transfer assistance belt worn by the person being assisted. By lifting according to the movement of the person being assisted while holding the joint portion, the person being assisted can reduce the load on the legs and can safely and smoothly get in.

車椅子からトイレの便座へ移乗する場合は、車椅子に座っているときに移乗介助支援ベルトのバックルを外し、さらにズボンの留め具を外してファスナーを下げておく。介助者は移乗介助支援ベルトの横ベルトを把持し、持ち上げて被介助者の立ち上がりを介助。歩みを誘導し、向きを変え、便座の前で被介助者がトイレの手摺に掴まり立っているときに、介助者はズボン及びリハビリパンツ等を下げ、被介助者の腕を支えながらゆっくりと便座に移乗させる。  When transferring from a wheelchair to the toilet seat, remove the buckle of the transfer assistance belt while sitting on the wheelchair, remove the trouser fasteners, and lower the fastener. The caregiver grasps the lateral belt of the transfer assistance belt and lifts it to assist the person being assisted in standing up. Guide the walk, turn around, and when the person being assisted is standing on the railing in the toilet in front of the toilet seat, the assistant lowers his pants and rehabilitation pants and slowly supports the person's arm while supporting the seat. Transfer to.

このとき移乗介助支援ベルトはズボンと一緒に下がっている。車椅子に座っているときにバックルを外すのは立位の時間を短くするためであり、ズボンのウエスト部が総ゴム等簡単に下げられる場合はズボンを下げる時にバックルを外す。  At this time, the transfer assistance belt is lowered together with the pants. The buckle is removed while sitting in a wheelchair in order to shorten the standing time, and if the waist of the pants can be easily lowered, such as with rubber, remove the buckle when lowering the pants.

この移乗介助支援ベルトの構造は、バックルが外れていても、両脚の付け根にしっかりと縦ベルトがセットされている状態であれば、横ベルトを掴んで持ち上げ被介助者を支えることができるが、これは例外的な使用方法であり、ベルトのずり落ちを防止するため普段はバックルを嵌めた状態で使用する。  The structure of this transfer assistance belt is that, even if the buckle is removed, if the vertical belt is firmly set at the base of both legs, the horizontal belt can be grabbed and lifted to support the person being assisted, This is an exceptional use method, and it is usually used with the buckle fitted to prevent the belt from slipping off.

ベルトの色柄をデザインし、正面から見える縦ベルトにレースやフリルを縫い付ける等の装飾をすることにより、とかく暗いイメージになりがちな介護用具を高齢女性にもファッション感覚で着用してもらうことが可能。一般家庭だけでなく介護施設などでの利用も見込まれる。  By designing the color pattern of the belt and sewn laces and frills on the vertical belt seen from the front, decorations that tend to give a dark image can be worn by elderly women in a fashionable way. Can. It is expected to be used not only in ordinary homes but also in nursing homes.

1、バックル
2、腰に装着する掴み用横ベルト
3、股下右側の縦ベルト
4、股下左側の縦ベルト
5、臀部の位置にある掴み用横ベルト
6、縫い付けられたクッション材を使用したキルティング様の食い込み防止材
1, buckle 2, horizontal belt for grasping worn on the waist 3, vertical belt on the right side of the crotch 4, vertical belt on the left side of the crotch, horizontal belt for grasping at the buttocks position 6, quilting using sewn cushioning material Preventive material

Claims (2)

支えがあれば立位を保持できる程度の下肢機能が残存する被介助者の移乗介助支援のために使用するベルトであって、腰の位置に装着する着脱可能な留め具付き横ベルトに股下を通る2本の縦ベルトを結合させ、さらに、その2本の縦ベルトの背面側臀部の位置に短い横ベルトを結合させた特徴を有する移乗介助支援ベルト。  A belt that is used for assisting transfer assistance of a person with a lower limb function that can hold the standing position if there is support, and the inseam is attached to a lateral belt with a removable fastener that is worn at the waist position. A transfer assistance support belt having a feature in which two vertical belts that pass through are coupled, and further, a short horizontal belt is coupled to the position of the back buttocks of the two vertical belts. 2本の縦ベルトの内側に、荷重時の股への食い込みを低減させるクッション機能のある保護材を縫い付けた特徴を有する請求項1記載の移乗介助支援ベルト。2. The transfer assistance support belt according to claim 1, wherein a protective material having a cushioning function for reducing bite into the crotch when a load is applied is sewn on the inside of the two vertical belts.
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Publication number Priority date Publication date Assignee Title
KR102680314B1 (en) * 2023-06-07 2024-07-01 주식회사 베쏘 Patient help moving subsidiary implement

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US20090178194A1 (en) * 2007-12-11 2009-07-16 Delia Story Manual Lifting Pelvic Harness
JP2010094375A (en) * 2008-10-17 2010-04-30 Fujii Denko Co Ltd Safety belt and mounting confirmation system of the same
JP2011224297A (en) * 2010-04-16 2011-11-10 Konomi Sasaki Transfer care aid
US20150021118A1 (en) * 2013-07-17 2015-01-22 Glen DOTY Assistant Harness

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Publication number Priority date Publication date Assignee Title
JPH0425727U (en) * 1990-06-25 1992-02-28
US20080156583A1 (en) * 2006-12-28 2008-07-03 Paul Meeks Safety harness and method
US20090178194A1 (en) * 2007-12-11 2009-07-16 Delia Story Manual Lifting Pelvic Harness
JP2010094375A (en) * 2008-10-17 2010-04-30 Fujii Denko Co Ltd Safety belt and mounting confirmation system of the same
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US20150021118A1 (en) * 2013-07-17 2015-01-22 Glen DOTY Assistant Harness

Cited By (1)

* Cited by examiner, † Cited by third party
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KR102680314B1 (en) * 2023-06-07 2024-07-01 주식회사 베쏘 Patient help moving subsidiary implement

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