尿壺擺放裝置之開發與臨床測試
溫明寰、張家玉、陳俞伶、張為傑、廖淑貞
10.6283/JOCSG.202312_11(4).353
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中文摘要 人口高齡化，因病臥床病人持續增多，排尿護理十分重要，男性及少數女性病人透過使用尿壺可以解決夜間或日常排尿自理問題。對於使用尿壺的病人，臨床上提供尿壺架，目的是讓活動不便因住院期間而需要使用尿壺的病人，能夠方便易取，整潔擺放為原則。但大部分病人因尿壺架不合用或不願意將尿壺放在床邊或桌椅上，於是直接放在地上，容易灰塵附著、細菌孳生，病人使用後反而造成尿路感染率增加。而下床拿尿壺過程中，容易重心不穩導致跌倒，為改善尿壺置放問題，開發尿壺擺放裝置，讓住院期間需要使用尿壺的病人，能夠方便易取，整潔擺放。2023 年 2 月 14日至 24 日，利用觀察法並透過照相紀錄尿壺擺放方式與位置，查核 12 位病人，共 42 人次，尿壺照護正確 24 人次，正確率僅為 57.1%。於是開發尿壺擺放裝置，設計四大理念為：固定穩妥、尿壺不倒，使用簡單、容易清消，美觀大方、便於收納，高科技感、綠色環保。測試結果顯示病人及照顧者使用滿意度達 100%，照護正確率提升至 93.8%。本尿壺擺放裝置可以彈性調整運用在不同的設備規格，不受限於各種場域，非常適合推廣至各醫療院所、居家及長照機構，並且已申請通過國內新型專利，將開發成產品，期能造福更多人。
關鍵字：尿壺擺放裝置、排尿護理、活動受限
文章建立時間：2023-12-10
引用格式(APA)：
溫明寰、張家玉、陳俞伶、張為傑、廖淑貞(2023)。 尿壺擺放裝置之開發與臨床測試。
福祉科技與服務管理學刊， 11(4)， 353-367。
Conceptual Design and Development of an Innovative Urinal Stand
Ming-Huan Wen, Chia-Yu Chang, Yu-Ling Chen, Wei-Chieh Chang, Shu-Chen Liao
English Abstract Aging would cause the population structure of our society to change significantly in the near future. Due to the aging population, clinically the proportion of patients with bed-ridden and lower limbs weakness have increased. Elder patients are more prone to have decreased mobility and impaired self-control ability. They often need to be helped by assistive devices or someone else to assist with the voiding or defecation process. Thus, nursing for voiding or defecation process is an important area and need our attention to explore. The device of urinal can help male and a small proportion of female patient to solve the problem of inconvenient voiding, especially during the night to prevent accident like falling down. Urinal stand can put the device of urinal within reach by hand, however, the traditional urinal stand was not suitable or adjustable to hospital bed, tables or wheel chair. Therefore, patients are forced to put the urinal on the floor that will be contaminated and increased the rates of nosocomial urinary tract infection. Besides, fall down accidents resulting fractures/contusions can happen during the process to pick up the urinal on the ground. From February 14 to 24, 2023, the observation method and photography were used to record the placement and location of urinals. 12 patients, a total of 42 times, were checked. 24 patients took care of the urinals correctly, and the accuracy rate was only 57.1%. Therefore, a urinal stand was developed. The major design concepts for the device are as follows: stable and durable, the urinal will not fall over, simple to use, easy to clean, beautiful and elegant, easy to store, high-tech, and eco-friendly. The results showed that patient and caregiver satisfaction reached 100%, and the accuracy of care increased to 93.8%. The conceptual innovative urinal stand was designed to overcome the drawbacks of traditional stand. It can be flexible adjusted and fitted to multiple equipment within hospital ward like hospital bed, tables or wheel chair. By magnetic adhesion design, the size of our innovative urinal stand is small and easy to sterilize. More importantly, our innovative urinal stand can also be used conveniently at home or long-term care institution. This innovative design already got the patent (No. M644236, Taiwan, Republic of China) by government agencies and is released on the market as a commercial product. Hopefully in the future, by widespread use of this innovative urinal stand, more patients can be benefited and reflected by improved nursing care quality.Keywords：urinal stand, voiding care, restricted mobility