研究生: |
蘇郁荃 Yu-Cyuan Su |
---|---|
論文名稱: |
應用動作分析研究高齡者之床邊扶手配置 Motions Analysis Applied in Evaluating the Location of Bed-rails for Elderly |
指導教授: |
江行全
Bernard C Jiang |
口試委員: |
林久翔
Chiuhsiang Joe Lin 孫天龍 Tien-Lung Sun |
學位類別: |
碩士 Master |
系所名稱: |
管理學院 - 工業管理系 Department of Industrial Management |
論文出版年: | 2016 |
畢業學年度: | 104 |
語文別: | 中文 |
論文頁數: | 142 |
中文關鍵詞: | 床邊扶手 、高齡者 、起床 |
外文關鍵詞: | Bed rails, Elderly, Getting-up from bed |
相關次數: | 點閱:301 下載:1 |
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上下床是日常生活中不可或缺的動作,但隨著年齡增長造成生理機能退化,造成活動能力下降,使起床不便。由於起床會使身體重心移動,容易造成高齡者重心不穩或姿勢性低血壓導致失去平衡感而造成跌倒,因此可藉由床邊扶手降低高齡者在床邊跌倒或無法起身的風險。然而目前市面上各式各樣床邊扶手滿足高齡者的需求,但床邊扶手卻也容易因為錯誤的使用方式和不合適的位置造成傷害。
本研究針對高齡者起床姿勢操作及床邊扶手使用配置範圍進行探討,首先觀察不同年齡在無扶手起床和使用扶手的起床操作及受測者主觀施力位置的差異,並使用扶手主觀感受評量探討高齡者使用床邊扶手更容易起床的姿勢,再探討不同年齡和人體尺寸對於高齡者使用床邊扶手配置影響並找出合適的擺放位置。結果發現高齡者會較年輕人使用更多上肢和腿部力量,此起床操作可幫助使用扶手起床更容易。不同年齡情況下對扶手擺放的角度和距離有顯著影響,同樣地高齡者的不同人體尺寸會造成扶手擺放角度具有顯著差異。本研究會提出高齡者使用床邊扶手建議起床的姿勢以及建議擺放位置以降低高齡者在起床時所造成的跌倒風險,並可做為未來設計輔具上有重要的依據。
Getting into and out of bed is one of the most important activities of daily living. As people grew older, deterioration in mobility caused by age would make it difficult to get up from bed. Falling happens on changing body center because of lose balance and low blood pressure. Therefore, elderly can use bed rails to decrease falling risks and provide support when elderly have difficulty getting into and out of bed. Although various types may be used depend on elderly needs, bed rails may lead to accidents because wrong methods and improper installation. The main purpose of this study focuses on bed mobility for elderly and the location of bed-rails. First, the difference between healthy young adults and older adults in movement and point of application for getting up from bed was observed. Second, subjective ratings were applied to determine how to use bed rails to get up from bed easier for elderly.Third, the impact of age and body dimension for elderly on the location of bed-rails was assessed. The result shows that older adults using upper limbs and strength of lower extremities more frequently than healthy young adults to demonstrate the movement can make older adults get up from bed using bed rails easier. It was observed that age significantly influence the angle and distance of bed-rails. Similarly, the body dimension for elderly caused significantly difference on the angle of bed-rails. Finally, this study suggested the used of bed with bed-rails and the suitable location of bed-rails for better posture and to minimize risk of falling when getting up from bed. The finding can be used as a principle for the design of bed-rails and to decrease falling risks when getting into and out of bed for elderly.
Alexander N. B., Fry‐Welch, D. K., Marshall, L. M., Chung, C. C. F., & Kowalski, A. M. (1995). Healthy Young and Old Women Differ in Their Trunk Elevation and Hip Pivot Motions When Rising from Supine to Sitting. Journal of the American Geriatrics Society, 43(4), 338-343.
Alexander N. B., Fry‐Welch, D. K., Ward, M. E., & Folkmier, L. C. (1992). Quantitative Assessment of Bed Rise Difficulty in Young and Elderly Women. Journal of the American Geriatrics Society, 40(7), 685-691.
Alexander N. B., Galecki, A., Nyquist, L., Hofmeyer, M., Grunawalt, J., Grenier, M., & Medell, J. (2000a). Chair and Bed Rise Performance in ADL‐impaired Congregate Housing Residents. Journal of the American Geriatrics Society, 48(5), 526-533.
Alexander N. B., Grunawalt, J. C., Scott, C., & Augustine, J. (2000b). Bed Mobility Task Performance in Older Adults. Journal of Rehabilitation Research and Development, 37(5), 633.
Alexander N. B., Koester, D. J., & Grunawalt, J. A. (1996). Chair Design Affects How Older Adults Rise from a Chair. Journal of the American Geriatrics Society, 44(4), 356-362.
Capezuti E., Wagner, L., Brush, B. L., Boltz, M., Renz, S., & Secic, M. (2008). Bed and Toilet Height as Potential Environmental Risk Factors. Clinical Nursing Research, 17(1), 50-66.
Eguchi H., Maruyama, H., Takada, H., Ishigaki, E., Sakamoto, T., Kai, M., Taro, K., Hiroshi, S., Atsuyoshi, W., Norikazu, Y., Akira, T., Shin, N., Noritaka, S., Yoshida, N. (2009). Getting Up from a Side-lying Position at Different Angles of the Shoulder Joint: Electromyography of Muscles Surrounding the Shoulder Joint and Abdominal Muscles. Journal of Physical Therapy Science, 21(3), 213-219.
Flint M. M. (1965). Abdominal Muscle Involvement during the Performance of Various Forms of Sit-up Exercise: An Electromyographic Study. American Journal of Physical Medicine & Rehabilitation, 44(5), 224-234.
Ford-Smith C. D., & VanSant, A. F. (1993). Age Differences in Movement Patterns Used to Rise from a Bed in Subjects in the Third through Fifth Decades of Age. Physical therapy, 73(5), 300-309.
Hignett S., & Griffiths, P. (2005). Do Split-side Rails Present an Increased Risk to Patient Safety? Quality and Safety in Health Care, 14(2), 113-116.
Hospital B. S. W. (2003). Clinical Guidance for the Assessment and Implementation of Bed Rails in Hospitals, Long Term Care Facilities, and Home Care Settings. Critical Care Nursing Quarterly, 26(3), 244.
Hughes M. A., & Schenkman, M. L. (1996). Chair Rise Strategy in the Functionally Impaired Elderly. Journal of Rehabilitation Research and Development, 33(4), 409.
Janssen W. G., Bussmann, H. B., & Stam, H. J. (2002). Determinants of the Sit-to-stand movement: A Review. Physical Therapy, 82(9), 866-879.
Kawagoe S., Tajima, N., & Chosa, E. (2000). Biomechanical Analysis of Effects of Foot Placement with Varying Chair Height on the Motion of Standing Up. Journal of Orthopaedic Science, 5(2), 124-133.
López-Torres M., Porcar, R., Solaz, J., & Romero, T. (2008). Objective Firmness, Average Pressure and Subjective Perception in Mattresses for the Elderly. Applied Ergonomics, 39(1), 123-130.
Leon J., & Lair, T. J. (1990). Functional Status of the Noninstitutionalized Elderly: Estimates of ADL and IADL Difficulties.Department of Health & Human Services, Public Health Service, Agency for Health Care Policy and Research.
Levine J. M. (1994). A Historical Perspective on Specialty Beds and Other Apparatus for Treatment of Invalids. Advances in Skin & Wound Care, 7(5), 51-56.
McGill S. M. (1991). Electromyographic Activity of the Abdominal and Low Back Musculature during the Generation of Isometric and Dynamic Axial Trunk Torque: Implications for Lumbar Mechanics. Journal of Orthopaedic Research, 9(1), 91-103.
Miller M. I., & Medeiros, J. M. (1987). Recruitment of Internal Oblique and Transversus Abdominis Muscles during The Eccentric Phase of the Curl-up Exercise. Physical therapy, 67(8), 1213-1217.
Millington P. J., Myklebust, B. M., & Shambes, G. M. (1992). Biomechanical Analysis of the Sit-to-stand Motion in Elderly Persons. Arch Phys Med Rehabil, 73(7), 609-617.
O'Keeffe S. (2004). Down with Bed-rails? The Lancet, 363(9406), 343-344.
O'Keeffe S., Jack, C. I., & Lye, M. (1996). Use of Restraints and Bed-rails in a British Hospital. Journal of the American Geriatrics Society, 44(9), 1086-1088.
Oliver D., Hopper, A., & Seed, P. (2000). Do Hospital Fall Prevention Programs Work? A Systematic Review. Journal of the American Geriatrics Society, 48(12), 1679-1689.
Pope M., Svensson, M., Andersson, G., Broman, H., & Zetterberg, C. (1987). The Role of Prerotation of the Trunk in Axial Twisting Efforts. Spine, 12(10), 1041-1045.
Schenkman M., Berger, R. A., Riley, P. O., Mann, R. W., & Hodge, W. A. (1990). Whole-Body Movements during Rising to Standing from Sitting. Physical Therapy, 70(10), 638-648.
Takahashi M., & Nanba, R. (2012). Analysis and Improvement of Standing-up Action for Elderly People from a Chair Using a Cushion-type Support Tool. Computer Technology and Application, 3(11).
Van der Heijden M., Meijer, K., Willems, P., & Savelberg, H. (2009). Muscles Limiting the Sit-to-stand Movement: An Experimental Simulation of Muscle Weakness. Gait & Posture, 30(1), 110-114.
Vander Linden D. W., Brunt, D., & McCulloch, M. U. (1994). Variant and Invariant Characteristics of the Sit-to-stand Task in Healthy Elderly Adults. Archives of Physical Medicine and Rehabilitation, 75(6), 653-660.
Weiner D. K., Long, R., Hughes, M. A., Chandler, J., & Studenski, S. (1993). When Older Adults Face the Chair‐rise Challenge: A Study of Chair Height Availability and Height‐modified Chair‐rise Performance in the Elderly. Journal of the American Geriatrics Society, 41(1), 6-10.
日本人間生活工學研究機構.(2001).高齡者人體計測.
丁玉蘭, & 劉伯祥. (2010). 應用人因工程學(第二版). 臺北: 新文京開發.
內政部建築研究所. (2010a). 老年人人體尺寸計測及動態能力調查研究.
內政部建築研究所. (2010b). 肢體障礙者人因工學及相關行為能力研究.
王茂駿, 王明揚, & 林昱呈. (2002). 台灣地區人體計測資料庫手册: 中華民國人因工程學會.
金子純一朗, 黒澤和生, 谷浩明, & 丸山仁司. (2000). 起わ上ゎベ動作ズ関エペ上肢ソ動作開始位置ソ検討. 理学療法学, 27(5), 157-161.
侯東旭, & 鄭世宏. (2010). 新版人因工程, 台北: 中興管理顧問公司.
高立杰. (2009). 高齡者輔助起身坐下座椅設計研究. 臺北科技大學創新設計研究所學位論文.
張力山, 李淑貞, 王順治, 曾亞惠, & 蔡佳芸. (2012). 老年人之人體尺寸計測及動態能力調查. 建築學報(81), 151-168.
許瑋玲. (2012). 臥床起身輔助裝置. 臺北科技大學創新設計研究所學位論文.
鄔慎智, 藍俊雄, 藍天雄, & 汪慧瑜. (2000). 人因工程. 臺北: 高立.
鄭涵壬. (2006). 圖解長期照護新百科. 台北: 日月文化.