10生活環境研究報告.indd

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1 An investigation on performance of wheelchair used for patient s movement was made based on analysis data of previous case reports about patient s falling and stumbling to prevent falling of wheelchair patient in acute hospital. Performance items required for wheelchair by patient group were extracted as follows: 1) A wheelchair available for all kinds of patients should be equipped with a brake of which on/off operation is understandable at a glance and a fall-prevention device. 2) A wheelchair available for persons whose recognition/understanding or the sense of balance was affected and those presenting restlessness/dangerous behavior should be equipped with a parking brake that cannot be released by patients themselves. And the wheelchair should be designed to certainly raise the food-rest and prohibit a patient from standing up without wearing the safety belt. 3) A wheelchair available for patients disabled to keep sitting position should be equipped with some device to keep a balance at sitting posture as seen in a high-back chair in addition to a safety belt quickly applicable from the front side of wheelchair. * 宮 城 学 院 女 子 大 学 生 活 文 化 デザイン 学 科

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3 表3 車いすの物的要因と患者の行為別転倒事例 患者の入院生活における物的環境の適正評価 須田 厳 9

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7 ブレーキのかけ 忘 れをなくす ブレーキのON/OFFが 一 目 でわかる ブレーキにロック 機 能 を 設 け 患 者 が 自 分 でブ レーキを 解 除 できないよ うにする フットレストの 上 げ 忘 れをなくす 安 全 ベルトではないかた 車 いすからの ちで 車 いすからの 立 ち 離 床 を 防 止 する 上 がりを 防 止 する 車 いすの 転 倒 を 防 止 する 座 位 バランスを 確 保 する 車 いすに 求 められる 性 能 転 倒 防 止 機 能 のある 車 い すを 用 いる ハイバックチェアーなど 座 位 バランスが 保 持 でき る 車 いすを 用 いる 安 全 ベルトを 用 いる ( 車 いすの 前 側 から 素 早 く 装 着 することができる もの) 認 知 理 解 力 に 問 題 のない 患 者 認 知 理 解 力 に 平 衡 感 覚 障 害 の 問 題 のある 患 者 ある 患 者 患 者 像 不 穏 行 動 危 険 行 動 のみられる 患 者 座 位 保 持 が とれない 患 者 車 いす 背 面 に 重 量 物 を 装 着 している 患 者

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