- 學位論文
具翻身功能之沐浴床概念設計
A Conceptual Design of Bath Bed with Function of Turn-Over
摘要
對於一些無意識或無法行動之患者，日常生活中協助洗澡是不可或缺的需求。一般而言，將會需要藉由其它輔助工具，如使用沐浴椅、沐浴床等，來協助清潔以達到洗澡的目的。由於長期臥病人人數逐年增加，醫護、看護人員卻沒有隨之成長，人力上的匱乏造成日常看護品質的降低，沐浴是其中之一。然而使用沐浴椅常有安全上顧慮以及部分身體部位不易清潔，因而使用沐浴床將會是較好的選擇。目前一般使用的沐浴床並不具備翻身功能，以協助背部的清潔，因此期望藉由具翻身功能之沐浴床的研發，以降低照護人員的人力需求。 本研究先針對既有的翻身裝置相關文獻加以蒐集、分類與分析，瞭解其設計的重點、作動原理與優缺點；並親臨安養院，觀察照護人員實際為病患沐浴過程、沐浴技巧等。之後，提出了一具翻身功能之沐浴床概念設計，其機構包含內床板翻折機構、外床板翻折機構、床架伸縮機構等。此一新型設計利用Solidworks軟體建構，並利用其提供的Simulation功能，進行干涉檢驗、動態模擬及應力應變分析，其初步結果已證實此概念設計的可行性與安全性，期能藉由此翻身沐浴床讓使用者之看護或家屬，能獨立完成幫病患或老人進行洗澡。
並列摘要
For those persons in a persistent vegetative state or handicapped persons, the need to help taking a bath is an indispensable demand for daily life. Generally speaking, it always requires some kind of auxiliary devices such as bath seat or bath bed to help cleaning up in order to achieve the purpose of bathing. Though the number of chronic disease and persistent-vegetative-state patients gradually increases every year, the human resources in nurse and care-givers do not keep up with and result in the decrease the quality of daily care such as bathing. Using bath seat probably meet some safety concern and some part of patient’s body would not be easy to clean. Therefore, bath bed becomes a better choice. Currently the commercial bath bed does not provide the function of turn-over to assist in cleaning of patient’s back. It is the main purpose of this design study to design a bath-bed with the function of turn-over to reduce the demand of care-givers. Firstly, in this study, the related literature review is taken to classify and analyze in order to understand the key factors, kinematics and the advantages and disadvantages of current related bath-bed design. In the meantime, visiting the nursing homes and hospitals to observe how care-giver helps a patient in bathing and some special bathing techniques. Thereafter, a conceptual design of bath bed with function of turn-over is presented. The mechanisms of this novel design include: the folding mechanism of inner bedplate, the folding mechanism of outer bedplate, the retractable mechanism of bed frame. The 3D model of this novel design has been set up in Solidworks software. The interference test, dynamic simulation and stress/strain analysis have also been performed via the simulation function of Solidworks software. The preliminary results have confirmed the feasibility and safety of this new design. It hopes to let the care-givers or family members independently help the patient or elder people to take bath by using this novel bath bed.