Medical turning-over auxiliary device for cardiovascular surgery nursing
By designing a medical cardiovascular surgical turnover assist device, the coordination of the transverse rod and ring sleeve is used to achieve limit and support on the patient's back, solving the problem that patients with larger weights find it difficult to keep lying on their side for a long time after the operation, and improving the patient's comfort and anti-pressure ulcer effect.
Patent Information
- Application Number
- CN202510604477.9
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2025-05-12
- Publication Date
- 2025-08-05
- Estimated Expiration
- Not applicable · inactive patent
AI Technical Summary
In the prior art, patients with larger and heavier weight find it difficult to maintain a lying position on the side for a long time after turning over after surgery, resulting in fatigue and affecting the effect of anti-pressure ulcers.
A medical cardiovascular surgical care turnover assist device is designed, including a transverse rod, ring sleeve and back plate. The back plate is fitted with the patient's back through the rotation of the ring sleeve, providing limits and support to assist the patient in maintaining a lying position on the side.
It improves the comfort and stability of the patient when lying on the side, reduces fatigue and enhances the effect of anti-pressure ulcers.
Smart Images
Figure CN120420167A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the field of cardiovascular technology, in particular to a medical cardiovascular surgery nursing turning auxiliary device. Background Art
[0002] As is known to all, cardiovascular surgical nursing is a discipline that provides professional nursing care for patients with cardiovascular surgical diseases from preoperative to postoperative period, covering multiple aspects such as disease assessment, surgical cooperation, postoperative monitoring and rehabilitation guidance, aiming to ensure patient safety, promote recovery and improve quality of life. Its main nursing contents include preoperative care, intraoperative cooperation, postoperative monitoring and rehabilitation care.
[0003] During the nursing process, turning the patient over is an important part of postoperative care. Before assisting the patient to turn over, wash your hands first, then move the patient's left hand to the side of the head and bend it, then place the patient's right hand horizontally in front of the chest, straighten the left foot and bend the right foot, grab the patient's right shoulder blade with one hand and the patient's right hip with the other hand, turn the patient to the left, and turn the patient to the other side every two hours.
[0004] When turning patients over during the above-mentioned postoperative care, due to the different body shapes and weights of patients, after turning over a patient with a larger body shape and a heavier weight, it is inconvenient for the patient to lie on his side for a long time, and he may feel tired, which affects the patient's side-lying posture and reduces the effect of preventing pressure sores, bringing certain deficiencies to the turning nursing in cardiovascular surgery. Summary of the Invention
[0005] In view of the above problems existing in the prior art, one aspect of the present invention is to provide a medical cardiovascular surgery nursing turning assisting device to solve the above deficiencies of the prior art.
[0006] In order to achieve the above-mentioned purpose, the present invention provides a medical cardiovascular surgery nursing turning auxiliary device, which includes a nursing bed and also includes: a transverse guard bar, which is arranged on the nursing bed, and a limiting portion is provided on the transverse guard bar; a ring sleeve, which is arranged on the transverse guard bar, and a protrusion is provided on the ring sleeve for abutting and cooperating with the limiting portion; a back plate is provided on the ring sleeve, which is used to abut and cooperate with the patient's back; when the ring sleeve rotates, the protrusion abuts and cooperates with the limiting portion in a horizontal state, so that the back plate is in a vertical state.
[0007] Preferably, a clamping plate is arranged opposite to the limiting portion.
[0008] Preferably, each of the clamping plates is a disc structure, and the ring sleeve is located between the clamping plates.
[0009] Preferably, it further comprises connecting arms which are arranged on the ring sleeve relative to each other, and each connecting arm is specifically a round rod structure.
[0010] Preferably, each connecting arm is provided with a reinforcement portion, and each reinforcement portion is specifically a round rod structure.
[0011] Preferably, the nursing bed is provided with a plurality of guide portions, each of which is a strip-shaped groove.
[0012] Preferably, the transverse guard bar is located on every two of the guide portions.
[0013] Preferably, a limit plate is provided on the transverse guard bar and abuts against the nursing bed.
[0014] Preferably, limit clamps are relatively provided on the transverse guard bars, and each of the limit clamps is specifically a circular ring structure.
[0015] Preferably, each guide portion is provided with a locking portion that engages with each limit clamping ring.
[0016] In the above technical solution, the present invention provides a medical cardiovascular surgery nursing turning auxiliary device, which has the following beneficial effects: After the patient lies on his side, the transverse guard bar is placed between the two guide parts, such as Figure 1 and Figure 2 As shown in the state, the ring sleeve is rotated toward the side of the patient's back. During the rotation of the ring sleeve, when the protrusion on the ring sleeve reaches the end of its rotation, the protrusion will abut against the limiting part to make it horizontal. At this time, the backboard is in a vertical state, allowing the backboard to fit the patient's back, playing a role of limiting and supporting the patient's back. Figure 1 As shown in the status, the device uses the backboard to improve the support and limit the patient's back when the patient lies on his side, assisting the patient to lie on his side and facilitating the patient to maintain the side-lying posture for a long time. It weakens or even avoids the problem that after the patient with larger body size and heavier weight is turned over, the patient will be inconvenienced to maintain the side-lying posture for a long time, which will cause fatigue, affect the patient's side-lying posture, and reduce the effect of preventing pressure sores. BRIEF DESCRIPTION OF THE DRAWINGS
[0017] In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the following briefly introduces the drawings required for use in the embodiments. Obviously, the drawings described below are only some embodiments described in the present invention. For ordinary technicians in this field, other drawings can also be obtained based on these drawings.
[0018] Figure 1 It is a schematic diagram of the overall structure of the present invention;
[0019] Figure 2 This is a partial enlarged structural diagram of the limiting clamp and the locking portion of the present invention;
[0020] Figure 3This is a partially enlarged structural diagram of the limiting plate and the nursing bed of the present invention;
[0021] Figure 4 This is a schematic diagram of the explosion structure of the transverse guard bar and the ring sleeve of the present invention;
[0022] Figure 5 It is a schematic diagram of the partially enlarged structure of the internal explosion of the ring sleeve and the protrusion of the present invention.
[0023] Description of reference numerals:
[0024] 1. Nursing bed; 2. Horizontal guardrail; 3. Ring sleeve; 1.1. Guide part; 1.2. Locking part; 2.1. Limiting clamp; 2.2. Limiting plate; 2.3. Limiting part; 2.4. Clamping plate; 3.1. Protruding part; 3.2. Connecting arm; 3.3. Reinforcement part; 3.4. Back plate. DETAILED DESCRIPTION
[0025] In order to enable those skilled in the art to better understand the technical solution of the present invention, the present invention will be further described in detail below with reference to the accompanying drawings.
[0026] See also Figure 1-5 The medical cardiovascular surgery nursing turning assist device is used to solve the problem of turning patients over during postoperative nursing care. Because patients have different body shapes and weights, after turning over patients with larger body shapes and heavier weights, it is inconvenient for patients to lie on their side for a long time, which will cause fatigue, affecting the patient's side-lying posture, reducing the effect of preventing pressure sores, and bringing certain deficiencies to the turning of cardiovascular surgery nursing.
[0027] As a further technical solution proposed by the present invention, the nursing bed 1 also includes: a transverse guard bar 2, which is arranged on the nursing bed 1, and a limiting portion 2.3 is provided on the transverse guard bar 2; a ring sleeve 3, which is arranged on the transverse guard bar 2, and a protrusion 3.1 is provided on the ring sleeve 3 to abut and cooperate with the limiting portion 2.3; a back plate 3.4 is provided on the ring sleeve 3, which is used to abut and cooperate with the patient's back; when the ring sleeve 3 is rotated, the protrusion 3.1 abuts and cooperates with the limiting portion 2.3 to form a horizontal state, so that the back plate 3.4 is in a vertical state. Specifically, after the patient lies on his side, the transverse guard bar 2 is placed between the two guide portions 1.1, as shown in FIG. Figure 1 and Figure 2 As shown in the state, the ring sleeve 3 is rotated toward the side of the patient's back. During the rotation of the ring sleeve 3, when the protrusion 3.1 on the ring sleeve 3 reaches the end of its rotation, the protrusion 3.1 will abut against the limiting portion 2.3 to make it horizontal. At this time, the back plate 3.4 is in a vertical state, allowing the back plate 3.4 to fit against the patient's back, thereby limiting and supporting the patient's back. Figure 1As shown in the status, the device improves the support and limiting effect on the patient's back through the backboard 3.4 when the patient lies on his side, assists the patient in lying on his side, and is convenient for the patient to maintain the side-lying posture for a long time, weakens or even avoids the problem that after the patient with a larger body and heavier weight is turned over, the patient is not convenient to maintain the side-lying posture for a long time, which may cause fatigue, affect the patient's side-lying posture, and reduce the effect of preventing pressure sores.
[0028] The protrusion 3.1 in this embodiment has two working states. The first working state is as follows: Figure 5 As shown in the state, it rotates to the right side and abuts against the limiting part 2.3, so that the backboard 3.4 supports and limits the back of the patient lying on the left side. Figure 1For reference, in the second working state, it is rotated to the left side to abut against the limiting part 2.3, that is, the backboard 3.4 supports and limits the back of the patient lying on the right side to prevent the patient from exerting too much force. The backboard 3.4 is specifically a wavy structure, and optionally, it is filled with memory foam and down and other materials. Preferably, the backboard 3.4 is filled with memory foam, and the outer sheath is optional, natural fiber, polyester fiber and Tencel and other materials. Preferably, it is sewn into natural fiber material. After the backboard 3.4 contacts the patient's back, the wavy backboard is ergonomically designed and fits the patient's back perfectly. Fits well and provides certain support to the back; It is well known that before the patient lies on his side, the patient's condition should be assessed first. First, the condition and type of surgery: clarify the surgical method (thoracotomy / intervention), the location of the incision (median sternum / lateral chest wall), whether there is a pericardial / mediastinal drainage tube, central venous catheter, intra-aortic balloon pump (IABP), etc. Second, vital signs: whether the blood pressure, heart rate, and blood oxygen saturation are stable, and whether there is a risk of orthostatic hypotension (especially for those using vasoactive drugs); Third, the pipeline and wound: check whether the drainage tube is firmly fixed, the nature of the drainage fluid, and whether there is bleeding from the incision dressing, Redness and swelling, sternal fixation (such as whether the wire fixation is stable), fourth, the patient's cooperation ability: consciousness state, muscle strength, pain score (NRS ≥ 4 points require analgesia first), whether there is cognitive impairment or agitation, the second step, use a single or double turning method, the double turning method is, step one, horizontally move the patient: the nurses stand on both sides of the bed, one person supports the patient's shoulders, back and head, the other person supports the buttocks and lower limbs, ask the patient to bend his knees, and use the horizontal method to move the patient to the proximal edge of the bed (to avoid dragging and reduce shear force), step two, turn the position: within 24-48 hours after surgery: it is recommended to take a 1 / 4 side-lying position (The back is at a 30° angle to the bed surface), avoid lying completely on the side to compress the sternal incision, the nurse on the back supports the shoulder with one hand and the iliac crest with the other hand, and cooperates with the nurse on the opposite side to slowly turn the patient to one side, keeping the spine in a straight position (especially for patients with spinal diseases or aortic dissection surgery), and more than 3 days after surgery: can be adjusted to a 45° side-lying position according to the recovery situation, with a soft pillow on the chest for support, avoid lying on the affected side (such as avoiding left-side lying to compress the heart after left-side thoracotomy), step three, position fixation: a triangular turning pad on the back, a soft pillow between the knees (keep the hip joint slightly bent), and a small soft pillow on the chest (to reduce tension on the sternum). Place an anti-pressure sore gasket on the side of the drainage tube to avoid pressure on the tube, step four, check the tube and skin: confirm that the drainage tube is not folded or twisted, and the scale mark is not shifted; check the skin of pressure areas such as the scapula, sacrum, and heels, and apply pressure relief patches to prevent pressure sores.
[0029] In another embodiment provided by the present invention, a clamping plate 2.4 is relatively provided on the limiting portion 2.3, each clamping plate 2.4 is specifically a disc structure, and the ring sleeve 3 is located between each clamping plate 2.4. Further, the ring sleeve 3 is rotatably provided between the two clamping plates 2.4, as shown in 1 and as shown in Figure 4As shown in the state, the two clamping plates 2.4 limit the ring sleeve 3, and the two are coaxial and rotated together so that the ring sleeve 3 can rotate left or right.
[0030] In another embodiment provided by the present invention, a connecting arm 3.2 is further provided on the ring sleeve 3. Optionally, the connecting arm 3.2 is a rectangular structure, a diamond structure and an irregular 3D structure. Preferably, each connecting arm 3.2 is a round rod structure. Further, as Figure 4 As shown in the state, the ring sleeve 3 is connected to the back plate 3.4 through the connecting arm 3.2 of the round rod structure, and the protrusion 3.1 is in contact with the limiting part 2.3, so that the back plate 3.4 is Figure 4 For reference, when it rotates to the right side, it will not continue to rotate due to interference, so that the backboard 3.4 remains in a vertical state on the right side, which is convenient for fitting and supporting the patient's back after turning over.
[0031] In this embodiment, the patient should pay attention to the following matters after turning over:
[0032] First, vital signs and disease monitoring
[0033] Compare before and after turning over: measure blood pressure and heart rate. If the systolic blood pressure drops by >20 mmHg or the heart rate is >120 beats / min, immediately return to the supine position and find out the cause (such as insufficient blood volume, cardiac tamponade).
[0034] Observe the patient's response: whether there is worsening chest pain (beware of sternal opening or pneumothorax) or difficulty breathing (beware of atelectasis or pleural effusion).
[0035] Second, incision and pipeline protection
[0036] Patients with sternal incision: Avoid pressing the sternum with both hands when turning over. Use fingers to apply force along the ribs on both sides. The turning angle should be less than 60°. When coughing, instruct the patient to press the chest with both hands (to reduce tension on the incision).
[0037] Drainage tube management: Mark the position of the drainage tube before turning over, check whether the scale is shifted after turning over, and keep the drainage bottle 60 cm below the incision to avoid reflux infection.
[0038] Third, posture and decompression points
[0039] Contraindicated positions: Patients after aortic dissection surgery should avoid violent turning over. Axial turning is recommended (head, neck, and trunk remain in the same plane). When taking a semi-recumbent position after coronary artery bypass grafting surgery, the head of the bed should be elevated ≤45° (to prevent twisting of the graft).
[0040] Focus on protecting bony protrusions: Use foam dressings or silicone pads to protect the sacrum and heels. Obese patients need to place gauze under their armpits and groin to keep them dry.
[0041] Fourth, pain management and psychological support
[0042] Preoperative analgesia: For patients with an NRS score ≥ 3, oral or intravenous analgesia (such as parecoxib) should be given 30 minutes in advance as directed by the doctor.
[0043] Move gently: avoid pulling on the wound sutures, instruct the patient to cross his arms and hug his shoulders, use core strength to turn over, and reduce the pain of incision pulling.
[0044] Psychological counseling: Inform the patient of the necessity of turning over, and provide verbal comfort during the operation. Especially for patients who are mechanically ventilated or anxious, you can gently hold the patient's hand to enhance their sense of security.
[0045] Fifth, frequency and time
[0046] Regular frequency: turning over every 2-3 hours, which can be extended to 4 hours at night (needs to be combined with Braden score, turning over should be increased for those with score ≤12).
[0047] Best time: avoid 30 minutes after a meal, 15 minutes after suctioning, and during blood pressure fluctuations (such as when using a norepinephrine pump).
[0048] In another embodiment provided by the present invention, each connecting arm 3.2 is provided with a reinforcement portion 3.3, and each reinforcement portion 3.3 is specifically a round rod structure. Further, as Figure 4 As shown in the state, the reinforcement portion 3.3 is a reinforcement rib, which is used to improve the stability of the connection between the back plate 3.4 and the connecting arm 3.2.
[0049] In another embodiment of the present invention, a plurality of guide portions 1.1 are provided on the nursing bed 1, and each guide portion 1.1 is specifically a strip groove, such as Figure 3 As shown in the state, the guide portion 1.1 is used to limit and guide the transverse guard bar 2. The two are adapted to each other. The transverse guard bar 2 is located on every two guide portions 1.1. Further, as shown in FIG. Figure 1 As shown in the state, when supporting the back of a patient lying on the left side, first place the transverse guard bar 2 into the two right guide parts 1.1, and then rotate the backboard 3.4 toward the left side of the patient's back until the two are in contact, as shown in the state. Figure 1 Status shown.
[0050] In this embodiment, when the patient steps on his side, the medical staff records the turning time, body position, patient reaction (such as changes in pain score), incision and tube conditions. Abnormal conditions (such as drainage tube prolapse of 1 cm) must be reported to the doctor immediately. Secondly, when lying on the side, the angle of lying on the side needs to be controlled. For general patients: when lying on the side, the back and the bed surface are at an angle of 30° to 45° (fixed with a triangular turning pad), avoiding lying on the side completely (90°) to cause excessive pressure on the shoulder and hip bones. For special surgical patients, for median sternal incision (such as coronary artery bypass grafting, valve replacement surgery): take a 1 / 4 lateral position (30°) within 24-48 hours after surgery to avoid compression of the sternal incision; after 3 days, it can be gradually increased to 45°, use a soft pillow to relieve the tension on the sternum, for lateral chest wall incision (such as thoracoscopic surgery): avoid lying on the affected side (such as left incision, do not lie on the left side), mainly lie on the healthy side at 30° to 45°, and use a pillow to support the back and chest to prevent pressure on the incision, after aortic dissection / aneurysm surgery: strictly maintain the axis of lying on the side (head, neck, and trunk in the same plane), with an angle ≤ 30°, to avoid spinal twisting that may cause displacement of the vascular stent, and finally, it is forbidden to lie on the affected side for a long time (especially after heart surgery and lung surgery) to prevent heart compression or collapse of lung tissue on the surgical side, for patients with heart failure / hypotension: when lying on the side, the head of the bed can be raised 15° to 20° to avoid postural hypotension caused by rapid lateral lying.
[0051] In another embodiment of the present invention, a limit plate 2.2 is provided on the transverse guard bar 2 to engage with the nursing bed 1. Figure 3 As shown in the state, the limit plate 2.2 on the transverse guard bar 2 is used to limit the transverse guard bar 2 when it is placed behind the guide part 1.1, so that the transverse guard bar 2 will not be axially displaced in the guide part 1.1, thereby improving its stability after being placed in the guide part 1.1.
[0052] In another embodiment of the present invention, a limit snap ring 2.1 is relatively provided on the transverse guard bar 2, each limit snap ring 2.1 is specifically a circular ring structure, and each guide portion 1.1 is provided with a locking portion 1.2 that engages with each limit snap ring 2.1. Figure 2 As shown in the state, the limiting snap ring 2.1 is used for sliding on the transverse guard bar 2 and engaging with the locking part 1.2 after the transverse guard bar 2 is in the guide part 1.1, as shown in FIG. Figure 3 As shown in the state, the two are engaged with each other to lock the transverse guard bar 2 in the vertical direction. A rubber pad is provided on the limit clamp 2.1, which is used to increase the friction when the limit clamp 2.1 and the locking part 1.2 are engaged, thereby improving stability. During disassembly, the medical staff directly moves the part of the limit clamp 2.1 at the opening through the opening of the guide part 1.1 by hand until it is separated from the locking part 1.2. At this time, the transverse guard bar 2 can be displaced in the vertical direction to be removed from the guide part 1.1.
[0053] The above description is merely illustrative of certain exemplary embodiments of the present invention. It goes without saying that those skilled in the art will be able to modify the described embodiments in various ways without departing from the spirit and scope of the present invention. Therefore, the above drawings and description are illustrative in nature and should not be construed as limiting the scope of protection of the claims.
Claims
1. A medical cardiovascular surgery nursing turning auxiliary device, comprising a nursing bed (1), characterized in that: Also includes: A transverse guard bar (2) is provided on the nursing bed (1), and a limiting portion (2.3) is provided on the transverse guard bar (2); A ring sleeve (3) is provided on the transverse guard bar (2), and a protruding portion (3.1) is provided on the ring sleeve (3) for abutting and cooperating with the limiting portion (2.3); The ring sleeve (3) is provided with a back plate (3.4) for abutting against the patient's back; When the ring sleeve (3) rotates, the protruding portion (3.1) abuts and cooperates with the limiting portion (2.3) to be in a horizontal state, so that the back plate (3.4) is in a vertical state.
2. The medical cardiovascular surgery nursing turning assisting device according to claim 1, characterized in that: A clamping plate (2.4) is arranged opposite to the limiting portion (2.3).
3. The medical cardiovascular surgery nursing turning assisting device according to claim 2, characterized in that: Each of the clamping plates (2.4) is specifically a disc structure, and the ring sleeve (3) is located between the clamping plates (2.4).
4. The medical cardiovascular surgery nursing turning assisting device according to claim 1, characterized in that: It also includes connecting arms (3.2) which are arranged relatively on the ring sleeve (3), and each connecting arm (3.2) is specifically a round rod structure.
5. The medical cardiovascular surgery nursing turning assisting device according to claim 4, characterized in that: Each connecting arm (3.2) is provided with a reinforcement part (3.3), and each reinforcement part (3.3) is specifically a round rod structure.
6. The cardiovascular surgery nursing turning assisting device according to claim 1, characterized in that: The nursing bed (1) is provided with a plurality of guide portions (1.1), each of the guide portions (1.1) being specifically a strip-shaped groove.
7. The cardiovascular surgery nursing turning assisting device according to claim 6, characterized in that: The transverse guard bar (2) is located on every two guide parts (1.1).
8. The cardiovascular surgery nursing turning assisting device according to claim 7, characterized in that: A limiting plate (2.2) is arranged on the transverse guard bar (2) and is in contact with the nursing bed (1).
9. The cardiovascular surgery nursing turning assisting device according to claim 7, characterized in that: A limiting snap ring (2.1) is relatively provided on the transverse guard bar (2), and each limiting snap ring (2.1) is specifically a circular ring structure.
10. The medical cardiovascular surgery nursing turning assisting device according to claim 9, characterized in that: Each guide portion (1.1) is provided with a locking portion (1.2) that engages with each limit clamping ring (2.1).