JP4566429B2 - Private room system for treating psychiatric patients - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a private room system for treating a psychiatric patient capable of changing the range of use of the private room according to the medical condition of the psychiatric patient.
[0002]
[Prior art]
In the conventional private room for treating psychiatric patients, only a toilet is provided in a room of about 10 square meters, and no bed is arranged.
[0003]
[Problems to be solved by the invention]
The conventional treatment room has a toilet, so there is a problem of drinking water in the toilet and causing poisoning in the toilet, or the toilet being destroyed, and the bed needs to be arranged whenever necessary. there were.
[0004]
The present invention solves these problems, and the bed is always arranged and the toilet room is locked when not in use to prevent the destruction of the toilet and water poisoning, and the washroom is unlocked for comfort. Psychiatric patients who can change the range of use of the treatment room according to the improvement of the medical condition by opening the door so that it can improve the nature and even go out of the room such as the garden An object is to provide a treatment room system.
[0005]
[Means for Solving the Problems]
In order to achieve the above-mentioned object, the present invention forms an interior space surrounded on all four sides by a partition wall into a living room, a toilet room, and a washroom by a partition wall, and the toilet room and the washroom are provided side by side. The door is located on one side of the internal space, and a lockable door with enhanced sound insulation is provided on the partition wall between the chambers. Sliding doors are provided so that they can be locked, and the respective compartment walls and doors or doors are locked or unlocked to form a private room whose use range can be changed according to the stage of treatment for patients with mental illness. Features.
[0006]
DETAILED DESCRIPTION OF THE INVENTION
A first embodiment of the present invention will be described with reference to FIG.
[0007]
1 shows a private room system for treating a psychiatric patient according to a first embodiment of the present invention. The private room system 1 has a living room 2, a toilet room 3 and a washroom in an internal space surrounded by walls 1a. The toilet room 3 and the washroom 4 are arranged in parallel on one side of the internal space, and the washroom 4 and the living room 2 are divided by the first partition wall 1b. The toilet room 3 and the washroom 4 are separated by the second partition wall 1c.
[0008]
The partition walls 1 b and 1 c of the living room 2, toilet room 3, and washroom 4 are each provided with a lockable door 5 with enhanced sound insulation, and the partition wall 1 b between the living room 2 and the toilet room 3. The first door 5 a and the second door 5 b are provided on the partition wall 1 b between the living room 2 and the washroom 4, and the third door 5 c is provided on the partition wall 1 c between the toilet room 3 and the washroom 4. A fourth door 5d is provided, an entrance / exit 1d to the outside is provided in the enclosure wall 1a on the side of the washroom 4, and a lockable sliding door 1e is provided at the entrance / exit 1d. Note that the doors 5a, 5b, and 5c are metal doors, and a rubber plate or the like is affixed inside to increase sound insulation. The door 5d is a wooden door.
[0009]
Moreover, although the bed 6 which can be always folded is arrange | positioned in the living room 2, the restraint bed which can restrain a patient by a medical condition may be used.
[0010]
Furthermore, a toilet 3 a and a hand-washing device 3 b are provided in the toilet room 3, and a wash basin 4 a is provided in the wash room 4. The toilet bowl 3a is not broken by making it stainless.
[0011]
Next, the usage method of the private room system 1 which is the 1st Embodiment of this invention is demonstrated using FIG. 2 thru | or FIG.
[0012]
The patient's medical condition is roughly divided into five categories from severe to mild.
[0013]
First, it is necessary to restrain a patient in the case of a patient who is most severely committed to suicide, self-harm, violence, or damage to an instrument.
[0014]
In this case, as shown in FIG. 2, a restraint bed 6 is arranged in the living room 2, the doors 5a, 5b, 5c, 5d and the sliding door 1e are all locked, and the toilet room 3 is only used when the toilet is used. Unlock.
[0015]
Further, since the restraining bed 6 is arranged, it is possible to immediately cope with restraining.
[0016]
Next, as a second state, there are violent acts such as damage to equipment, but there is no need for restraint, and in the case of a patient who can relieve stress by walking, secure a place to walk as shown in FIG. Therefore, the bed 6 is not installed or folded, and the doors 5a, 5b, 5c, 5d and the sliding door 1e are all locked, and an attendant unlocks the door 5a of the toilet room 3 only when requested by the patient.
[0017]
Even if the patient hits the door 5, the sound insulation is enhanced, so that a loud sound does not leak outside.
[0018]
Next, as a third state, in the case of a patient who is not excited, but is in an excited state or annoying other patients, the bed 6 is always installed as shown in FIG. The doors 5a and 5b are unlocked and are in close contact with the wall surface so that only the toilet room 3 can be freely used. However, if there is a risk of water poisoning, the toilet water and the water in the handwasher 3b can be stopped. In addition, the door 5a adheres flatly to the surrounding wall 1a, and is safe without unevenness.
[0019]
Next, as a fourth state, in the case of a patient in a state where troubles due to interpersonal relationships with other patients continue, as shown in FIG. 5, only the sliding door 1e is locked to prevent entry and exit from the room. In addition, the use of the washroom 4 is free and the face can be washed and the comfort is improved.
[0020]
Finally, when the medical condition gets better, as shown in FIG. 6, in addition to the use of the toilet room 3 and the washroom 4, the sliding door 1e is also unlocked, and the outside air is taken out outside the garden or the like. It can be used as a general ward, and it is a preparation period to move to the ward where other patients are.
[0021]
In the case of the patients in the fourth and fifth states shown in FIGS. 5 and 6, when the doors 5a and 5b are locked and the entrance to the toilet room 3 is made through the wash room 4 and the door 5d, Discomfort such as odor leakage to 2 can be reduced.
[0022]
In addition, when the toilet room 3 and the washroom 4 are arranged in parallel, the partition of the living room 2 has no unevenness, and it is safe, and the washroom 4 can be used as an entrance / exit part. Because of the closeness of the construction, it becomes easy, and the existing ward can be remodeled and converted.
[0023]
As described above, in contrast to a private room with only a conventional toilet, depending on the patient's imminent condition and the improvement of the medical condition, it is restrained to a bed, and in addition to the freedom of use of the toilet room and washroom, it is outdoor The usage range of the private room can be changed by locking or unlocking a predetermined door.
[0024]
Next, a second embodiment of the present invention will be described with reference to FIG.
[0025]
The private room system 11 for treating a psychiatric patient according to the second embodiment of the present invention is formed in a section of a living room 2 and a toilet room 3, and is a so-called simplified type without a washroom of the first embodiment. It is a feature.
[0026]
The private room system 11 includes a toilet room 3 in which a toilet 3a provided at one corner of an internal space surrounded on all four sides by a wall 1a is surrounded by a partition wall 1b and a lockable door 5 having improved sound insulation, and the toilet room 3 The interior space except the room becomes a slightly larger living room 2, and the door 1 d provided in the enclosure wall 1 a is provided with a lockable door or sliding door 1 e to restrict access to the outside, and the bed 6 is arranged in the living room 2. Has been.
[0027]
This private room system 11 is suitable for treatment of patients in the first to third states described in the first embodiment.
[0028]
The private room system 11 is not only relatively easy to construct, but also encloses an existing treatment private room provided with a conventional toilet with a partition wall 1b and a lockable door 5. By this, it can form in this private room system 11 easily, and the damage of a toilet destruction and water poisoning can be prevented.
[0029]
Next, a third embodiment of the present invention will be described with reference to FIG.
[0030]
In the third embodiment, a microphone is installed on the ceiling surface of the living room 2 of the private room system for treating psychiatric patients so that the sound from each private room can be constantly monitored by a nurse station or the like. The feature is that the patient's safety is enhanced by the voice monitor regardless of the camera while keeping the patient's safety.
[0031]
For example, four private rooms comprising the living room 2 and at least the toilet room 3 shown in the first and second embodiments are set as one management unit, and the ceiling surface or the enclosure of the living room 2 of each of these treatment private rooms A microphone 24 and a speaker 25 are provided on the wall 1a.
[0032]
As an audio monitor function, each microphone 24 is connected to the audio monitor switching device 22 via a level adjustment circuit 24a for keeping a difference in acoustic conditions of each living room 2 and a temporal sensitivity drop at a constant level. The voice monitor switching device 22 includes an AU meter 22a for displaying sound pressure, a detection switch 22b for switching sound pressure signals for four individual rooms, and a monitor switch 22c for switching sounds for four individual rooms. And a simultaneous command button 22d for all four private rooms and a private room command button 22e for each private room, and further a time of sound pressure signal for automatically switching the four private rooms sequentially at a predetermined time period. A setting button 22f and an audio time setting button 22g are provided, and sound is output from the speaker 23a of the intercom base unit 23 connected to the audio monitor switching device 22. Voice comes out at the time of the monitor. If the detection changeover switch 22b and the monitor changeover switch 22c are pressed once, they are manually switched to a specific private room, and if they are pressed twice, they return to automatic switching. Further, the time period of automatic switching is set to the time setting buttons 22f, 22g. For example, if the sound pressure signal is switched every 2 seconds, the sound pressure signals of all four private rooms can be confirmed with the AU meter 22a in 8 seconds, and the sound is switched every 5 seconds. The sound of all four private rooms can be monitored in 20 seconds.
[0033]
Next, as an intercom function, when the simultaneous command button 22d or the private room command button 22e is pressed and then the talk button 23c of the interphone master unit 23 is pressed and the microphone 23b is used for speaking, sound is output from the speakers 25 provided in the individual rooms. If the patient speaks in each individual room, the microphone 24 provided on the ceiling surface 2a or the like picks up the sound and the sound is emitted from the speaker 23a of the interphone master unit 23, and simultaneous conversation is also possible.
[0034]
Next, a method of using the voice monitor system according to the third embodiment of the present invention will be described.
[0035]
For example, if a patient makes a loud noise when a patient makes a loud voice or blows, the needle of the AU meter 22a shakes greatly, so that the detection switch 22b searches for the specific private room or the speaker 23a makes a sound for, for example, 5 seconds. Therefore, the monitor changeover switch 22c is used for monitoring, and the toilet room is unlocked depending on the situation, and the intercom master unit 23 is used to soothe the patient to ensure patient safety. In addition, meals, lights off, etc. are transmitted to all the private rooms by the simultaneous command button 22d. Further, the speaker 25 can be used as a normal intercom in front of each private room.
[0036]
In addition, even when a specific private room is monitored by voice, other private rooms can be monitored by observing the fluctuation of the AU meter.
[0037]
Furthermore, when monitored by a camera, the patient's privacy cannot be protected and the camera is not conscious of calmness, but the voice monitor is not conscious of the microphone, and privacy can be enhanced while constantly monitoring the patient's safety.
[0038]
It should be noted that the voice monitor system of several units in four rooms can be simultaneously monitored by watching the fluctuation of the AU meter 22a at night.
[0039]
Next, a fourth embodiment of the present invention will be described with reference to FIG.
[0040]
In the fourth embodiment, the window 33 provided on the enclosure wall 1a of the private room for treatment consisting of the living room 2 and at least the toilet room of the first and second embodiments is an outer window 33a facing the outside. And an indoor window 33b, the outer window 33a may be an existing glass window, and the inner window 33b is a tempered glass or acrylic resin plate with a wire or film resistant to impact. And a roll curtain 32 that can be expanded and contracted in the vertical direction is installed above the window frame 34 at the intermediate portion between the outer window 33a and the inner window 33b.
[0041]
The curtain 32 that can be expanded and contracted in this way can lower the curtain so that the patient cannot be seen, and if the patient's condition improves, the curtain can be raised so that the outside can be seen. By doing so, the sound from the inside and outside can be lowered, and further, the patient can be prevented from being injured by the strong inner window 33b.
[0042]
The curtain may be opened and closed left and right.
[0043]
A fifth embodiment of the present invention will be described with reference to FIG.
[0044]
The fifth embodiment is characterized in that a storage bed is provided in the enclosure wall 1a of the living room 2 and can be installed or stored according to the patient's medical condition and needs so that the floor can be used widely. is there.
[0045]
A storage bed 42 that can be stored in the enclosure wall 1a of the living room 2 shown in the first and second embodiments is provided. When the storage bed 42 is stored, it forms the same surface as the wall surface of the enclosure wall 1a and locks it. Locked to the wall 1a.
[0046]
The root portion 42a of the storage bed 42 is pivotally supported by a slide portion 43 that is movable in the vertical direction. The slide portion 43 is formed by a parallel guide 44 that is firmly installed on the surrounding wall 1a, the floor surface of the living room 2, or the like. The height of the storage bed 42 is adjusted by electric or manual operation. The storage bed 42 stands up with the root 42a as the center and is tilted forward and locked in a horizontal position when used, and when tilted forward, it is dangerous to suddenly fall down. A buffer means 45 by hydraulic pressure or an air cylinder is provided between the slide portion 43 and the slide portion 43.
[0047]
Furthermore, in order to share the load of the root portion 42a and the slide portion 43, a folding-type auxiliary leg 46 capable of adjusting the height in the vertical direction may be provided at the distal end portion 42b of the storage bed 42.
[0048]
Next, a method of using the fifth embodiment of the present invention will be described.
[0049]
In use, the lock 47 above the surrounding wall 1a is unlocked, and the storage bed 42 is slowly tilted forward by the operation of the buffer means 45 such as an air cylinder, and is locked in a horizontal position when the bed becomes horizontal. Lock and adjust the height of the slide part 43 according to the patient's medical condition and physique by manual operation, etc. When using the auxiliary leg 46, the folded left and right legs are turned to the floor side and locked, By adjusting and extending the length of the legs so as to have the same height as the slide portion 43, it is possible to prevent the bed from shaking even if it sits shockingly or a heavy person sleeps.
[0050]
Further, since a restraint belt hole 47 is provided on the back side of the storage bed so as to be movable in the longitudinal direction of the bed, in the case of the most severe patient shown in the first embodiment. There is no need to prepare a restraint bed, and it is possible to deal with restraints immediately.
[0051]
Furthermore, in the case of a patient in the second state, walking reduces the stress, so that the floor for storing and storing the storage bed 42 can be widened.
[0052]
In addition, since the bed is flush with the surrounding wall 1a during storage, accidents such as falls and bruises can be prevented.
[0053]
A sixth embodiment of the present invention will be described with reference to FIGS.
[0054]
The sixth embodiment is characterized in that the amenity can be improved by providing a storage table 52 in the enclosure wall 1a of the living room 2 so that the table can be used according to the patient's medical condition and needs.
[0055]
At a height position of about 0.8 meters from the floor surface in the enclosure wall 1a of the living room 2 shown in the first embodiment, the storage table 52 has a root portion 52a formed in a recess provided in the enclosure wall 1a. The stopper table 53 is pivotally supported so that the lower surface of the table close to the root portion 52a and the lower corner of the surrounding wall 1a come into contact with each other to make the storage table 52 horizontal, but bend into a square shape for further reinforcement. May be installed between the upper surface of the storage table 52 and the inside of the recess of the surrounding wall 1a.
[0056]
When storing, when the tip 52b of the storage table 52 is raised upward as shown by the arrow, the stopper metal 53 is bent at an acute angle, and the lock provided on the surrounding wall 1a at the tip 52b. Lock by 54 and lock. Further, a cushion material 55 is attached to the lower surface side of the storage table 52, and the surface of the cushion material 55 and the surrounding wall 1a are substantially flush with each other when stored.
[0057]
In this way, because the table is stored on the wall, it can be made to appear immediately when it is necessary to use it for meals, etc., and when it is not in use, it can be stored on the wall so that it does not get in the way and prevent patient accidents. In addition, since the cushion material 55 is stretched, it is possible to prevent injuries and the like as well as sound insulation even if it is hit.
[0058]
In the case of a patient whose condition has improved, the storage table 52 can be left out, and the patient can read a book or write something.
[0059]
The table storage method is not limited to the above method.
[0060]
A seventh embodiment of the present invention will be described with reference to FIG.
[0061]
The seventh embodiment is characterized in that the amenity in the private room can be improved in accordance with the condition of the patient whose medical condition has improved.
[0062]
A recess 64 is provided in advance in a part of the enclosure wall 1a of the living room 2 shown in the first embodiment, and a protective cover 65 having a cushion material 65a is usually provided in the recess 64 so as to be locked. It is formed so as to be flush with the surrounding wall 1a.
[0063]
In the case of a patient with a good medical condition, the protective cover 65 is removed, and a thin television 63 such as a picture 62 or a liquid crystal is fitted into the recess 64. Reference numeral 66 denotes a lock lock.
[0064]
In addition, the picture 62 may be provided in advance on the back surface of the protective cover 65 and the protective cover 65 may be turned upside down, or the picture 62 and the television 63 may be provided in the recess. The protective cover 65 is double-opened to the left and right.
[0065]
In this way, the fourth and fifth patients described in the first embodiment whose medical condition has improved are allowed to view pictures and television in the living room 2 so that one private room can be matched to the medical condition. Can change comfortably like a living room.
[0066]
An eighth embodiment of the present invention will be described with reference to FIG.
[0067]
The eighth embodiment of the present invention is characterized in that removal of roll paper in the toilet room is prevented.
[0068]
A recess 73 is provided at a height of about 0.5 meters from the floor surface of the enclosure wall 1a of the toilet room 3 shown in the first embodiment, and is provided at an intermediate portion between both side portions 73a of the opening of the recess 73. L1 support pieces 72 each having a predetermined length are provided, and the support pieces 72 are always locked while being biased by a spring or the like so as to face the axis of the roll paper. As shown in FIG. A root portion 72a is pivotally supported by the side portions 73a so as to be rotatable in the depth direction.
[0069]
Further, the length L from the axial center position of the roll paper to the depth surface 73b of the recess 73 is formed to be substantially equal to the sum of the predetermined length L1 of the support piece 72 and the axial center diameter L2 of the roll paper. The two-dot chain line indicates the roll paper 74.
[0070]
In order to support the roll paper 74, when the roll paper 74 is inserted from the opening of the recess 73, the support piece 72 contacts the both side portions of the roll paper 74 and rotates in the depth direction from the initially opposed position. When the shaft core 74a of the roll paper 74 is inserted, the support piece 72 that has been rotated enters the space portion of the shaft core 74a and immediately returns to the initial facing position and is locked by the force of the biasing spring. The roll paper 74 is supported.
[0071]
If the roll paper 74 in use is pulled forward, the shaft core 74a cannot be pulled out by the supporting piece 72 that is locked, and the roll paper that remains even when pushed inward as shown in FIG. Since the support piece 72 goes only halfway into the space of the shaft core 74a, the roll paper 74 cannot be removed. However, when there is no remaining paper and only the shaft core 74a is present, as shown in FIG. 16, when the empty shaft core 74a is pushed in the direction of the depth surface 73b, the support piece 72 is pushed by the shaft core 74a and along the side surface portions 73a. By rotating, the tip end portion of the support piece 72 can be removed from the front side of the shaft core 74a, and the shaft core 74a can be pulled out.
[0072]
In this way, the roll paper in use does not come off, and the roll paper can be used up to the end.
[0073]
【The invention's effect】
As described above, according to the present invention, the internal space surrounded by the surrounding walls is divided into the living room, the toilet room, and the washroom, and the predetermined door is locked or unlocked at the treatment stage. It has the effect of being able to perform treatment with enhanced patient comfort by restricting behaviors accordingly, eliminating dangers such as water poisoning and damage to equipment.
[Brief description of the drawings]
FIG. 1 is an explanatory plan view of a private room system according to a first embodiment of this invention.
FIG. 2 is an explanatory diagram of a compartment in a private room for a patient in a first medical condition state.
FIG. 3 is an explanatory diagram of a compartment in a private room for a patient in a second medical condition state.
FIG. 4 is an explanatory diagram of a compartment in a private room for a patient in a third medical condition state.
FIG. 5 is an explanatory diagram of a compartment in a private room for a patient in a fourth medical condition state.
FIG. 6 is an explanatory diagram of a division in a private room for a patient in a fifth medical condition state.
FIG. 7 is an explanatory plan view of a private room system according to a second embodiment of this invention.
FIG. 8 is a system configuration diagram of a third embodiment of the present invention;
FIG. 9 is an explanatory cross-sectional view of a fourth embodiment of the present invention.
FIG. 10 is an explanatory side view of a fifth embodiment of the present invention.
FIG. 11 is an explanatory cross-sectional view of a sixth embodiment of the present invention.
FIG. 12 is an explanatory cross-sectional view when stored.
FIG. 13 is an explanatory perspective view of a seventh embodiment of the present invention.
FIG. 14 is a plan sectional view of an eighth embodiment of the present invention.
FIG. 15 is a side sectional view thereof.
FIG. 16 is an explanatory diagram of operation.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Private room system 1a for mental patient treatment Enclosure wall 1b 1st partition wall 1c 2nd partition wall 2 Living room 3 Toilet room 4 Washroom 5 Door 6 Bed

Claims (2)

An interior space surrounded by a surrounding wall is divided into a living room, a toilet room, and a washroom by a partition wall, and the toilet room and the washroom are arranged side by side and arranged on one side of the internal space. The partition walls between these chambers are provided with lockable doors with increased sound insulation, and the doors or sliding doors to the outside are provided on the enclosure wall of the washroom so that they can be locked. A private room system for treating a psychiatric patient, wherein a private room whose use range division can be changed according to the treatment stage of the psychiatric patient is formed by locking or unlocking the door of the unit and the door of the entrance or the sliding door .   A recess for supporting the roll paper is provided in the wall surface of the toilet room, and a supporting piece having a predetermined length for supporting the roll paper at the axial center portion thereof is pivotally supported at the root of both sides of the recess. Each support piece is rotatable so as to be able to rotate in the depth direction of the recess, and is always urged so as to be collinear with the axis of the roll paper, and the depth surface of the recess is moved from the position of the axis to the tip of the support piece. 2. The private room system for treating a psychiatric patient according to claim 1, wherein the unit is formed to have a length that is a sum of a length in which the portion is movable in the depth direction and an axial core diameter of the roll paper.

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