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題名 | The Development and Clinical Trial of Labor-Saving Care Facilities for Patients in a Persistent Vegetative State=省力化植物人照護系統之開發 |
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作者 | 黃美涓; 李明義; 鄧復旦; | 書刊名 | 長庚醫學 |
卷期 | 20:4 1997.12[民86.12] |
頁次 | 頁272-279 |
分類號 | 410.1644 |
關鍵詞 | 植物人; 省力化照護系統; 電腦控制牽車; 自動化設施; Patient in vegetative state; Labor-saving facility; TRANSCAR; Automatic device; |
語文 | 英文(English) |
中文摘要 | 背景:為減輕護理人員對植物人長期照護之工作負荷,本研究將開發一套中央控 制之照護系統,其規模為140床。 方法:本系統包括一多功能病床,此病床具自動活動橫桿,可減低背部所承受之壓力,在病 床前方有一自動洗澡機沿設定之路徑行走,可至每一病床與多功能病床連接,將病人移送至 洗澡機。 結果;在穿著上,病患穿一件以黏扣帶固定之衣服,為測知排泄情況,在尿布上裝一感知器, 若尿液飽和將有警示。體溫則由紅外線測溫槍測量。口腔衛生則應用自動噴槍及抽煙器。在 坐姿下,病患由一自動灌食系統供應。 結論:臨床測試本系統時,收集三位正常人及三位植物人,結果顯示,植物人使用本系統時 護理時數由4.60減至1.83時╱日。但測試中亦發現本系統若干硬體部份需作改良,包括預 防腳指或手指滑進橫桿,侏持整個背部清潔和增加尿布上感知器之敏感度。 |
英文摘要 | Background: In order to reduce the work load of nursing staff who provide long term care to the patients who are in a persistent vegetative state (PPVS), a centralized open care system which can accommodate 140 PPVS was developed. This system contained a multifunctional bed, auto-bathing machine transported by an automatically guided vehicle, a dental cleansing device, remote excreta detection diaper, and a centralized feeding system. Method: The multifunctional bed consisted of a modified bed top with automatically controlled moving bars covered by plastic foam to reduce pressure on the back. The inclination of the bed could be adjusted automatically. The patient could be transferred to an auto-bathing shower machine using a robotic arm mounted on the unmanned cart (TRANSCAR). Results: The clothing of the PPVS was modified to a single piece with Velcro closures. A T-shaped diaper contained a sensor and alarm for indicating the presence of excreta. Patients' temperatures were monitored by infrared aural thermometry. An automatic jet-spray and suction device for dental cleansing was also designed. Feeding was delivered by an automatic feeder attached to a minirefrigerating device with a patient centralized control system. The results showed that the system reduced the total nursing hours of each PPVS from 4.60 to 1.83 hours/day. Conclusion: A clinical trial of this system with 3 healthy young adults and 3 PPVS Was conducted. Many parts of the system need improvement, in order to prevent the slipping of a toe or finger into the moving bars of the bed, keep the whole body clean, and increase the sensitivity of excreta detection. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。