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JP7717447B2 - Edge seating support device with table - Google Patents
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JP7717447B2 - Edge seating support device with table - Google Patents

Edge seating support device with table

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JP7717447B2
JP7717447B2 JP2020152404A JP2020152404A JP7717447B2 JP 7717447 B2 JP7717447 B2 JP 7717447B2 JP 2020152404 A JP2020152404 A JP 2020152404A JP 2020152404 A JP2020152404 A JP 2020152404A JP 7717447 B2 JP7717447 B2 JP 7717447B2
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support device
seating
seating support
person
edge
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JP2022037839A (en
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光宏 倉重
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Description

本発明は、被介助者を端座位姿勢に保持する端座位保持具とその上部に位置させたテーブル等からなるテーブル付き端座位保持具に関する。The present invention relates to a seating support device with a table, which supports a person being assisted in a seated position on the edge of a chair and which is composed of a table or the like positioned on top of the device.

高齢者が二週間寝たきりになると、七年分の筋肉を失うという話が情報番組で紹介されたりする。寝たきり生活による筋力低下は高齢者にとって廃用障害に向かう入口と言える。廃用障害が進めば、介助者なしに生活できないことになりかねない。Information programs often feature stories about how if an elderly person is bedridden for two weeks, they lose seven years' worth of muscle mass. The muscle loss caused by being bedridden can be said to be the gateway to disuse disorders for the elderly. If disuse disorders progress, they may become unable to live without assistance.

一般に被介助者一名に対し、介助者は複数名いることはまれで、病院、福祉施設などでの食事介助等は、一対一で行われているのが実情である。少子高齢化と言われるわが国の在宅介護は、老々介護であり、これも一対一の介護である。
介助者一名が、自力で座位が取れないふらふらな人をベッド上で端座位保持具を用いて座位を取らせるには、介助者は、被介助者の体を片手で支えつつ、もう一方の手で端座位保持具を取り回してセットし、端座位姿勢を保持する。しかし、一般に既存の端座位保持具は片手で持つには重量が重い。そもそも、介助者が、被介助者を支える条件下で、もう一方の手は、可動範囲はおのずと狭く限られ、カーディガンのような上着の着せ替えであっても大変な労力を要する。およそ重く大きい端座位保持具を片手で扱うことには大きな困難がある(例えば、特許文献1及び特許文献2参照)。
Generally, it is rare for there to be multiple caregivers for one person requiring care, and in reality, meal assistance in hospitals, welfare facilities, etc. is provided on a one-to-one basis. In Japan, where the birthrate is declining and the population is aging, home care is provided by elderly people, which is also one-to-one care.
When a caregiver uses a bedside support device to help a wobbly person who cannot sit up on their own sit up on the edge of the bed, the caregiver supports the person with one hand while maneuvering and setting up the support device with the other hand to maintain the bedside position. However, existing support devices are generally too heavy to hold in one hand. In addition, when the caregiver is supporting the person, the range of motion of the other hand is naturally limited, making even changing a cardigan or other outer garment a significant effort. It is generally very difficult to handle a heavy and large support device with one hand (see, for example, Patent Documents 1 and 2).

既存の端座位保持具の中には、キャスターのついた脚部があり、ベッドの下に潜り込ませて使う方式のものがあるが、最近見られる転落事故防止を目的とした、ベッド高さを超低床にすることのできるタイプのベッドの中には、ベッドフレームと床面との隙間が、指一本入らないほど狭いものもあり、そもそも端座位保持具の脚部を差し入れることができないケースがある(例えば、特許文献1及び特許文献2参照)。Some existing edge-of-bed support devices have legs with casters that can be slipped under the bed. However, some of the recently introduced ultra-low bed types, which are intended to prevent falls, have a gap between the bed frame and the floor so narrow that it is not possible to fit even a finger in, making it impossible to insert the legs of the edge-of-bed support device in the first place (see, for example, Patent Documents 1 and 2).

特許文献3の聖路加国際大学の特許公報のタイプのものでは、端座位保持具自体をベッド端部に付属するサイドレールに固定するので、サイドレールを必要とする。まず、寝ている人をベッドに座らせようとする段階で、下半身とくに足がベッド足元のサイドレールにぶつかりやすく、いったん外さなければならない。ふらふらな人を支えつつ、サイドレール(通常鉄製品)をつけたり外したりは厳しい。それに対して、本願の発明品では、ベッド上に固定するためにサイドレールは不要なので、体を起こす際に邪魔となるサイドレールはあらかじめ外した状態で構わない。In the type of device disclosed in Patent Document 3, a patent publication of St. Luke's International University, the sitting support device itself is fixed to a side rail attached to the end of the bed, so the side rail is required. First, when trying to get a sleeping person to sit up in bed, the lower body, especially the feet, tend to hit the side rail at the foot of the bed, so the side rail must be removed first. It is difficult to attach and remove the side rail (usually made of iron) while supporting an unsteady person. In contrast, the device of the present invention does not require a side rail because it is fixed to the bed, so the side rail, which gets in the way when sitting up, can be removed in advance.

日本国内で厚生労働省が定める職場における腰痛予防対策指針では1人で扱える重量物の重さは体重の40%以下とされている。
若年群と高齢群との腰部負担を研究したある研究結果によると、用いた重量物の重量はこれらの基準よりもはるかに軽い5kgであったが、高齢群では腰部椎間板の負荷許容値の1.5倍もの腰部負担が生じていたため、腰痛のリスクが考えられたという。
したがって、高齢者にとって腰部椎間板の負荷許容値内に収まる、すなわち腰痛のリスクが小さいと言える重量は、5kg/1.5=3.3kg以下と考えられる(非特許文献1参照)。
In Japan, the Ministry of Health, Labor and Welfare's guidelines for preventing back pain in the workplace state that the weight of heavy objects that one person can handle should be no more than 40% of their body weight.
According to the results of a study that investigated the lower back strain in young and elderly groups, the weight of the heavy object used was 5 kg, which is much lighter than these standards, but in the elderly group, the lower back strain was 1.5 times the load tolerance of the lumbar intervertebral discs, which could lead to a risk of lower back pain.
Therefore, for elderly people, the weight that falls within the load tolerance of the lumbar intervertebral disc, i.e., the risk of lower back pain is considered to be low, is thought to be 5 kg/1.5 = 3.3 kg or less (see Non-Patent Document 1).

ベッド背上げも、疑似的座位であり、長時間となると、背筋(はいきん)が伸びきってしまうという問題が生じる、脳幹網様体が斜めとなり、脳の覚醒が不十分となるために、誤嚥を誘発するなどの短所がある。Raising the back in bed also creates a pseudo-sitting position, which has the disadvantage that if done for a long period of time, the spine becomes too straight, and the brainstem reticular formation becomes tilted, resulting in insufficient brain arousal and potentially inducing aspiration.

特開2011-024690JP 2011-024690 特開平10-085046JP 10-085046 特開2016-163692Patent Publication No. 2016-163692 国際医療福祉大学博士課程審査学位論文:加齢が持ち上げ動作時の姿勢と腰部負担に与える影響-精神作業負荷の影響を含めた検討-平成28年度 林 翔太 著Doctoral dissertation reviewed by International University of Health and Welfare: The effect of aging on posture and lower back strain during lifting - A study including the effect of mental workload - 2016, by Shota Hayashi

座位を取らせる既存の方法は、被介助者を座らせた段階、背もたれは適切か、テーブル位置は適切か、など座位完了時点に視点を置いたものと思われる。そもそも座位保持具は被介助者本人が座った状態を見ればどれも同じに見える。つまり、静的にはどれも同じであるが、動的な面、すなわち座らせる過程での負担の大小は、別問題である。つまり、寝た状態から座らせる過程において、ふらふらする被介助者を支えつつ残りの手で端座位保持具が簡単かつ安全に取り回すことが出来て、介助者・被介助者双方の身体的負担がいかに小さいかが課題である。Existing methods for helping people assume a seated position seem to focus on the stage when the person being assisted sits down, such as whether the backrest is appropriate, whether the table is positioned appropriately, etc. All seating support devices look the same when the person being assisted is sitting down. In other words, they are all the same statically, but the dynamic aspect, that is, the degree of strain placed on the person being assisted during the process of sitting down, is a different issue. In other words, the challenge is to minimize the physical strain on both the caregiver and the person being assisted, by being able to support the unsteady person with one hand while easily and safely manipulating the seating support device with the other hand during the process of sitting up from a lying down position.

本発明は、このような従来の構成が有していた問題を解決しようとするものであり、筋力の弱った高齢介助者でも取扱出来、老々介護ほか、人手不足の看護・介護現場においても簡単かつ頻度高く座位ケアが出来るテーブル付き端座位保持具を提供することを目的とする。The present invention is intended to solve the problems of such conventional configurations, and aims to provide a seating support device with a table that can be used even by elderly caregivers with weak muscles, and that allows for easy and frequent seating care in nursing and care settings where there is a shortage of manpower, such as elderly care.

本発明では、前記課題を解決するために、極めて軽量な素材で作られた、厚みをもった平面逆U字型に形成した端座位保持具と、同様に極めて軽量な素材で作られた、薄板状の平面U字型に形成したテーブルから構成される。In order to solve the above-mentioned problems, the present invention is composed of a thick, flat, inverted U-shaped edge seating support device made of an extremely lightweight material, and a thin, flat U-shaped table made of an extremely lightweight material.

前記テーブルの前部両側に端座位保持具の肘掛部前面に当接する支持ピンがあり、肘掛部とテーブルを着脱自在に固定するベルトを有している。The table has support pins on both sides of the front of the table that come into contact with the front of the armrest of the seating support device, and a belt that detachably fastens the armrest and the table.

本発明では、前記テーブルは前面部、及び左右突出部からなる薄板状の平面U字型であり、前記左右突出部の後部内側から下方向に向かう支持脚をもち、前記支持脚は下方先端部左右外側に向かうアンカー板を有している。In the present invention, the table is a thin, flat U-shaped table consisting of a front portion and left and right protruding portions, and has support legs extending downward from the inside rear portions of the left and right protruding portions, and the support legs have anchor plates extending outward on the left and right sides of their lower tip portions.

本発明では、端座位保持具は、キャスター付き脚部といった構造を持たない。In the present invention, the seating support device does not have a structure such as a leg with casters.

本発明では、端座位保持具は、サイドレールに依存せず固定できる構造である。In the present invention, the edge seating support device has a structure that can be fixed without relying on side rails.

本発明では、総重量が3.3kg以下と極めて軽いという特徴がある。The present invention is characterized by its extremely light weight of 3.3 kg or less.

本発明では、一人の介助者が被介助者を端座位に座らせ、片手で被介助者を支えつつ、もう一方の手で、平面逆U字型に形成した端座位保持具をセットし、平面U字型に形成したテーブルを、端座位保持具の肘掛部上面の適宜な位置に設置して用いる。In the present invention, one caregiver sits the person being assisted in a seated position on the edge of the bed, supports the person being assisted with one hand, and sets the seated position support device formed in a flat inverted U-shape with the other hand. A table formed in a flat U-shape is placed at an appropriate position on the upper surface of the armrest of the seated position support device.

このようにふらふらな被介助者を支えなければならない状況下であっても、軽量で扱いが簡単であり、介助者にとって介助が楽であり、最小の人数、一対一での介助が可能という効果がある。Even in situations where an unsteady person needs to be supported, the device is lightweight and easy to handle, making it easy for the caregiver to provide care and allowing for one-on-one assistance with a minimum number of people.

被介助者にとっては、頻回な座位が可能となり、そのことが健康をもたらす、という効果がある。For those requiring assistance, this has the effect of enabling them to sit more frequently, which is beneficial to their health.

本発明では、テーブルの前部両側に端座位保持具の肘掛部前面に当接する支持ピンと肘掛部とテーブルを着脱自在に固定するベルトは、テーブル前端がテーブル上に置いた物の重みで前方に落ち込むことを防止し、安定させる効果を有する。In this invention, the support pins on both sides of the front of the table that abut against the front of the armrest of the seating position support device and the belts that detachably fasten the armrest and the table have the effect of preventing the front end of the table from falling forward due to the weight of an object placed on the table, and stabilizing it.

本発明では、アンカー板を設けた支持脚を形設したテーブルは、テーブル前端がテーブル上に置いた物の重みで前方に落ち込むことを防止し、安定させる効果を有する。In the present invention, a table having support legs with anchor plates formed thereon has the effect of preventing the front end of the table from collapsing forward due to the weight of an object placed on the table, thereby providing stability.

本発明では、キャスター付き脚部といった構造を有しないため、ベッド下面の床面との隙間に関わらず使用することが出来る。これは、被介助者が使用しているベッドによる制約なしで、座位が必要な時、必要な人に提供できることを可能にする。The present invention does not have a structure such as caster legs, so it can be used regardless of the gap between the floor and the underside of the bed. This means that the bed can be provided to those who need it when they need it, without being restricted by the bed they are using.

一般に、被介助者を端座位姿勢に起こす際に足元側にサイドレールがあると被介助者の足と干渉して邪魔となる。本発明ではサイドレールを外して使用するため、介助者・被介助者双方にとって、ストレスなく使用できるという効果がある。Generally, when raising a care recipient into a sitting position, if there is a side rail at the foot side, it interferes with the feet of the care recipient and becomes a hindrance. In this invention, the side rail is removed, so it can be used without stress for both the caregiver and the care recipient.

本発明では、端座位保持具、テーブルの総重量を3.3kg以下に抑えている。これは筋力の弱った高齢介助者であっても腰部に高負荷をかけない重量と考えられ、65歳以上同士が59.7%(2019年厚生労働省 2019年国民生活基礎調査)に上る、と言われる老々介護を支援する効果が期待できる。In this invention, the total weight of the seating support device and table is kept to 3.3 kg or less, which is thought to be a weight that does not place a heavy load on the lower back of elderly caregivers with weakened muscles, and is expected to be effective in supporting elderly care, where 59.7% of caregivers are aged 65 or over (2019 Ministry of Health, Labor and Welfare, 2019 Basic Survey on Living Conditions of the People).

本実施形態におけるテーブル付き端座位保持具の使用状態図である。FIG. 1 is a diagram showing a state in which the seating position support device with a table according to the present embodiment is used. 本実施形態における端座位保持具の斜視図である。FIG. 1 is a perspective view of an end sitting position retainer according to the present embodiment. 本実施形態における端座位保持具の側面図である。FIG. 2 is a side view of the edge seating position retainer according to the present embodiment. 本実施形態におけるテーブル付き端座位保持具の斜視図である。FIG. 1 is a perspective view of a seating position support device with a table according to the present embodiment. 本実施形態におけるテーブルの固定方法を説明するための側面図である。FIG. 10 is a side view illustrating a method for fixing the table in the present embodiment. 本実施形態における別のテーブル付き端座位保持具の斜視図である。FIG. 10 is a perspective view of another seating position support device with a table according to the present embodiment. 本実施形態における別の形態のテーブルを説明するための斜視図である。FIG. 10 is a perspective view illustrating a table of another form according to the present embodiment.

端座位保持具1は、厚みをもった平面逆U字型に形成されている。素材は、樹脂、又は金属による中空体、又は発泡体、好ましくは、発泡スチロール製であり、軽量で介助者の腰痛のリスクを低減し、介助者の頻回な座位を可能にする。端座位保持具1の上面および底面は平らであり、1aは、肘掛部、1bは背もたれ部である。1cの逆U字型切り欠き部は、座面のない座部である。両肘掛け部1a前面には凹凸テープ1dが垂れ下がり、あらかじめベッドフレーム側に貼りつけた相手凹凸テープ1eに貼りつけて固定される。(図1)The edge seating support device 1 is formed in a thick, flat, inverted U-shape. It is made of a resin, metal hollow body, or foam, preferably polystyrene foam, and is lightweight, reducing the caregiver's risk of back pain and allowing them to sit frequently. The top and bottom surfaces of the edge seating support device 1 are flat, with 1a representing the armrests and 1b representing the backrest. The inverted U-shaped cutout at 1c is the seat without a seat surface. Textured tape 1d hangs down from the front of both armrests 1a and is attached and fixed to matching textured tape 1e, which has been previously attached to the bed frame (Fig. 1).

端座位保持具1の背もたれ部1b後ろ側には、グリップ部1fを有する。(図2)この端座位保持具1は、被介助者がベッド上にて端座位姿勢を取ったのち、安全のため被介助者を介助者は片手で支え、そのままグリップ部1fを片手で持ち、被介助者の背中側から回してセットし、前方に垂れた両肘掛け部前面の凹凸テープ1dをベッドフレーム側相手凹凸テープ1eに貼りつけて使用するものである。The edge sitting support device 1 has a grip part 1f on the rear side of the backrest part 1b (Fig. 2). After the person being assisted assumes an edge sitting position on the bed, the caregiver supports the person being assisted with one hand for safety, holds the grip part 1f with the other hand, turns it around from the back of the person being assisted, and sets it in place. The textured tape 1d on the front of both armrests hanging forward is attached to the mating textured tape 1e on the bed frame side.

次に平面U字型に形成したテーブル2は、端座位に腰掛けた被介助者の前方に来るよう上面に設置され、両肘掛部1aに巻かれているベルト2aにテーブル2の左右突出部22cを通し、またテーブル2の前部両側に端座位保持具1の肘掛部前面に当接する支持ピン2bを上から差し入れテーブルの固定を確実なものにする。(図4・図5)Next, the flat U-shaped table 2 is placed on top so that it is in front of the person being assisted who is sitting on the edge of the chair. The left and right protrusions 22c of the table 2 are passed through the belts 2a wound around both armrests 1a, and support pins 2b that abut against the front of the armrests of the seating position support device 1 are inserted from above on both sides of the front of the table 2 to securely fix the table in place (Figures 4 and 5).

あるいはテーブル22において、左右突出部22cの後部内側から下方向に向かう支持脚22dをもち、前記支持脚22dは下方先端部左右外側に向かうアンカー板22eを有している場合は、端座位に腰掛けた被介助者の前方から水平に差し込むようにして設置することもできる。(図6・図7)Alternatively, if the table 22 has support legs 22d extending downward from the inside rear of the left and right protrusions 22c, and the support legs 22d have anchor plates 22e extending outward on the left and right sides of their lower tips, it can be installed by inserting it horizontally from in front of the person being assisted who is sitting on the edge of the chair (see Figures 6 and 7).

1 端座位保持具
1a 肘掛部
1b 背もたれ部
1c 座部
1d 凹凸テープ
1e 凹凸テープ
1f グリップ部
2 テーブル
2a ベルト
2b 支持ピン
22 テーブル
22c 左右突出部
22d 支持脚
22e アンカー板
1: Sitting position support device 1a; armrest 1b; backrest 1c; seat 1d; textured tape 1e; textured tape 1f; grip 2: table 2a; belt 2b; support pin 22: table 22c; left and right protrusions 22d; support legs 22e; anchor plate

Claims (3)

テーブル付き端座位保持具であって、前記テーブル付き端座位保持具は座面のない座部および肘掛部、および背もたれ部を有し、厚みをもった平面逆U字型に形成した端座位保持具と、前面部と左右突出部からなる薄板状の平面U字型のテーブルを備え、該テーブルは前記端座位保持具の肘掛部上面に着脱自在に設けられており、前記テーブルは前記左右突出部の後部内側から下方向に向かう支持脚をもち、該支持脚は下方先端部左右外側に向かうアンカー板を有し、該アンカー板を端座位保持具の下面にスライドすることにより前記テーブルを位置決めできることを特徴とするテーブル付き端座位保持具。 A seating support device with a table, which has a seat without a seat surface, armrests, and a backrest, and is formed into a thick, flat, inverted U-shape; and a thin, flat U-shaped table consisting of a front surface and left and right protruding parts, the table is detachably attached to the upper surface of the armrests of the seating support device, the table has support legs pointing downward from the inside of the rear of the left and right protruding parts, and the support legs have anchor plates pointing outward on the left and right ends of their lower tips, and the table can be positioned by sliding the anchor plates on the underside of the seating support device. 前記テーブルは前面部、及び左右突出部からなる薄板状の平面U字型であり、前記前面部に前記端座位保持具の前記肘掛部前面に当接する支持ピンを設けるとともに、肘掛部とテーブルを着脱自在に固定するベルトを設けたことを特徴とする請求項1記載のテーブル付き端座位保持具。The edge seating support device with table according to claim 1, characterized in that the table is a thin, flat U-shaped plate consisting of a front portion and left and right protruding portions, and a support pin is provided on the front portion to abut the front of the armrest of the edge seating support device, and a belt is provided to detachably fix the armrest and the table. 前記支持ピンは前記前面部の左右両端に2本設けてなることを特徴とする請求項2のテーブル付き端座位保持具。3. The seating support device with a table according to claim 2, wherein the support pins are provided in pairs on both the left and right ends of the front surface.
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JP7820880B2 (en) * 2022-02-16 2026-02-26 光宏 倉重 Reinforced grip.

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3000540U (en) 1994-01-28 1994-08-09 昭子 金丸 Support cushion for bed stool
JP3121898U (en) 2006-03-06 2006-06-01 マリ子 宿村 Seat posture assistive device
JP2007152059A (en) 2005-12-05 2007-06-21 Keiko Inaba Backrest with armrest for nursing care
JP3158615U (en) 2010-01-29 2010-04-08 利夫 安島 Detachable table with storage box

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007000312A (en) * 2005-06-23 2007-01-11 Mitsuhiro Kurashige End seating position auxiliary legless chair

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3000540U (en) 1994-01-28 1994-08-09 昭子 金丸 Support cushion for bed stool
JP2007152059A (en) 2005-12-05 2007-06-21 Keiko Inaba Backrest with armrest for nursing care
JP3121898U (en) 2006-03-06 2006-06-01 マリ子 宿村 Seat posture assistive device
JP3158615U (en) 2010-01-29 2010-04-08 利夫 安島 Detachable table with storage box

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