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Yoğun Bakım, Yanık Tedavi ve Fizik Tedavi Kombine Hasta Karyolasının Kavramsal Tasarımı

Year 2023, Volume: 21 Issue: 1, 12 - 21, 26.05.2023
https://doi.org/10.56193/matim.1094616

Abstract

İnsan yaşamının yaklaşık üçte biri yatakta geçer. Özellikle yanık tedavi ve yoğun bakım ünitesinde yatan bakıma muhtaç insanlar genellikle bütün gününü yatakta geçirirler. Uzun süre yoğun bakım ünitesinde yatan hastalar, mevcut hastalıklarının yanında farklı risklerle de karşı karşıya kalabilmektedirler. Bu çalışmanın amacı; özellikle mobilizasyonu riskli olan gruplar için yoğun bakım ve yanık tedavi ünitesinde yatıp aynı zamanda fizik tedavi gereksinimi duyulan hastaların sedye aracılığı ile fizik tedavi ünitesine taşınmasını önleyecek, yoğun bakım ünitesinde iken bu tedaviyi almasına imkân sağlayacak kombine bir yatak ve yatak kontrol sisteminin tasarlanmasıdır.

Supporting Institution

Ondokuz Mayıs Üniversitesi Bilimsel Araştırma Projeleri (BAP) koordinatörlüğü

Project Number

TTO.YMY.ULAP.21.281

References

  • https://rapor.saglik.gov.tr/istatistik/rapor/, T.C. Sağlık Bakanlığı verileri, Son erişim: 20.03.2022, 16:13
  • Sağlık İstatistikleri Yıllığı 2020 Haber Bülteni, https://sbsgm.saglik.gov.tr/Eklenti/41611/0/haber-bulteni-2020pdf.pdf, son erişim: 20.03.2022, 14.45
  • https://khgmsaglikhizmetleridb.saglik.gov.tr., T.C. Sağlık Bakanlığı verileri, Son erişim: 18.03.2022, 12:17
  • 8 Ekim 2019 SALI, Resmî Gazete, Sayı: 30912 Sağlık Bakanlığı: Yanık Tedavi Birimleri Hakkında Yönetmelik
  • https://www.haber7.com/genel-saglik/haber/1008918-21-sehire-26-yeni-fizik-tedavi-hastanesi, Son erişim: 10.03.2022, 10:13
  • Christopher Johnson, Design, organization and staffing of the intensive care unit, Crıtıcal Illness And Intensıve Care – I, Surgery (Oxford) Volume 36, Issue 4, April 2018, Pages 159-165
  • D.W. Bates , K. Pruess , P. Souney , R. Platt , Serious falls in hospitalized patients: correlates and resource utilization, Am. J. Med. 99 (1995) 137–143.
  • R.I. Salgado , S.R. Lord , F. Ehrlich , N. Janji , A. Rahman , Predictors of falling in elderly hospital patients, Arch. Gerontol. Geriatrics 38 (2004) 213–219.
  • L.Z. Rubenstein, Falls in older people: epidemiology, risk factors and strategies for prevention, Age and ageing, 35 Suppl 2 (2006) ii37-ii41.
  • L.Z. Rubenstein , A.S. Robbins , K.R. Josephson , B.L. Schulman , D. Osterweil , The value of assessing falls in an elderly population. A randomized clinical trial, Ann Internal Med 113 (1990) 308–316.
  • E. Capezuti , G. Maislin , N. Strumpf , L.K. Evans , Side rail use and bed-related fall outcomes among nursing home residents, J. Am. Geriatrics Soc. 50 (2002) 90–96.
  • Ikuko Sato-Suzuki, Fusako Kagitani, Sae Uchida, Somatosensory regulation of resting muscle blood flow and physical therapy, Autonomic Neuroscience: Basic and Clinical 220 (2019) 102557.
  • Selina M. Parry, Lee-anne S. Chapple, Marina Mourtzakis, Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness: A Narrative Review, Nutrition in Clinical Practice, Volume 33 Number 6, December 2018 772–789.
  • Carol L Hodgson,Claire J Tipping, Physiotherapy management of intensive care unit-acquired weakness, Journal of Physiotherapy 63 (2017) 4–10.
  • Katherine E. Hodgin, Amy Nordon-Craft, Kim K. McFann, Meredith L. Mealer, and Marc Moss, Physical Therapy Utilization in Intensive Care Units: Results from a National Survey, Crit Care Med. 2009 February ; 37(2): 561–568. doi:10.1097/CCM.0b013e3181957449.
  • Thiti Sricharoenchai, Ann M. Parker, Jennifer M. Zanni, Archana Nelliot,Victor D. Dinglas, Dale M. Needham, Safety of physical therapy interventions in critically ill patients:A single-center prospective evaluation of 1110 intensive care unit admissions, Journal of Critical Care 29 (2014) 395–400.
  • Liang-Hsuan Lu, Shang-Lin Chiang, Shun-Hwa Wei, Chueh-Ho Lin, Wen-Hsu Sung, Development and clinical application of a computer-aided real-time feedback system for detecting in-b e d physical activities, Computer Methods and Programs in Biomedicine 147 (2017) 11–17.
  • Peng Shih-Wei, Lian Feng-Li, Fu Li-Chen. Mechanism design and mechatronic control of a multifunctional test bed for bedridden healthcare. IEEE/ASME Trans Mech 2010;15(2):234–41.
  • Seo K. Unified framework for object tracking and recognition based on condensation principal component analysis in a structured environment. PhD thesis, Dept. EECS, KAIST; 2009.
  • Wren CR, Clarkson BP, Pentland AP. Understanding purposeful human motion. In: IEEE international conference on automatic face and gesture recognition;2000.
  • Tamura T, Jhou J, Mizukami H, Togawa T. A System for monitoring temperature distribution in bed and its application to the assessment of body movement. Physiol Meas 1993; 14:33–41.
  • Kap-Ho Seo, Tae-Yong Choi, Changmok Oh, Development of a robotic system for the bed-ridden, Mechatronics, Volume 21, Issue 1, February 2011, Pages 227-238.
  • Ping-WinLui, Feng MinLai, Kuo-ChihSu, Jen YungLin, Hwa WeiChi, Jean-ShyanWang, Yuh WenChen, Energy Procedia, Volume 143, December 2017, Pages 553-558
  • Ignacio Ghersi, Mario Mariño and Mónica Teresita Miralles, Smart medical beds in patient-care environments, Ghersi et al. BMC Medical Informatics and Decision Making (2018) 18:63. IEEE
  • G. Panik, K. Benki and B. Breko, Voice Operated Intelligent Wheelchair – VOIC, IEEE ISIE 2005, June 20- 23, 2005, Dubrovnik, Croatia.
  • Tawfik, Ahmed Hamdan, Abdulrahman Azzam and Yahya Ibrahim Published Online on 2018. Son erişim: 21.02.2022, 11:23
  • M.S. Kaiser, Z. Chowdhury, S. Al Mamun, A. Hussain, M. Mahmud. (2016). A Neuro-Fuzzy Control System Based on Feature Extraction of Surface Electromyogram Signal for Solar-Powered Wheelchair. Cogn. Comput., 8(5): 946-954. doi: 10.1007/s12559-016-9398-4.
  • H. Knight, J. K. Lee and H. Ma, "Chair Alarm for patient fall prevention based on Gesture Recognition and Interactivity," 2008 30th Annual International Conference of the IEEE Engineering in Medicineand Biology Society, Vancouver, BC, 2008, pp. 3698-3701.
  • Işık, E. & Çelik, İ. (2021). Tersine Mühendislik Çalişmalarinda Solidworks Scan To 3d Modülü Kullanarak Tarama Datasindan Kati Model Oluşturulmasi. Mühendislik Bilimleri ve Tasarım Dergisi, 9 (2), 606-615. DOI: 10.21923/jesd.823317

CONCEPTUAL DESIGN OF THE COMBINED PATIENT BED FOR INTENSIVE CARE, BURN THERAPY AND PHYSICAL THERAPY

Year 2023, Volume: 21 Issue: 1, 12 - 21, 26.05.2023
https://doi.org/10.56193/matim.1094616

Abstract

About a third of human life span is spent in bed. People in need of care, especially in burns and intensive care units, usually spend the whole day in bed. Patients who stay in the intensive care unit for a long time may confronted different risks besides their existing diseases. Being in the bed for a long time can seriously affect the capacity for physical activities, and this effect is exacerbated by the number of days in the hospital. The effect of inactivity is greater in the elderly and in patients with chronic diseases such as congestive heart failure and COPD (chronic obstructive pulmonary disease). In addition to the detrimental effects of inactivity, intensive care unit patients are also at high risk for the development of neuromuscular disorders. With these effects, the balance function of the inner ear can be impaired and patients may fall from the bed to the floor and be injured. The aim of this study is the design of a combined bed and bed control system that will prevent the patients who are in intensive care and burn treatment unit but also in need of physical therapy from being transported to the physical therapy unit by stretcher, especially for groups whose mobilization is at risk, (cardiology patients (angioplasty, hypertension, peripheral arterial disease), respiratory system diseases (COPD, asthma, etc.))and that will allow them to receive this treatment while in the intensive care unit.

Project Number

TTO.YMY.ULAP.21.281

References

  • https://rapor.saglik.gov.tr/istatistik/rapor/, T.C. Sağlık Bakanlığı verileri, Son erişim: 20.03.2022, 16:13
  • Sağlık İstatistikleri Yıllığı 2020 Haber Bülteni, https://sbsgm.saglik.gov.tr/Eklenti/41611/0/haber-bulteni-2020pdf.pdf, son erişim: 20.03.2022, 14.45
  • https://khgmsaglikhizmetleridb.saglik.gov.tr., T.C. Sağlık Bakanlığı verileri, Son erişim: 18.03.2022, 12:17
  • 8 Ekim 2019 SALI, Resmî Gazete, Sayı: 30912 Sağlık Bakanlığı: Yanık Tedavi Birimleri Hakkında Yönetmelik
  • https://www.haber7.com/genel-saglik/haber/1008918-21-sehire-26-yeni-fizik-tedavi-hastanesi, Son erişim: 10.03.2022, 10:13
  • Christopher Johnson, Design, organization and staffing of the intensive care unit, Crıtıcal Illness And Intensıve Care – I, Surgery (Oxford) Volume 36, Issue 4, April 2018, Pages 159-165
  • D.W. Bates , K. Pruess , P. Souney , R. Platt , Serious falls in hospitalized patients: correlates and resource utilization, Am. J. Med. 99 (1995) 137–143.
  • R.I. Salgado , S.R. Lord , F. Ehrlich , N. Janji , A. Rahman , Predictors of falling in elderly hospital patients, Arch. Gerontol. Geriatrics 38 (2004) 213–219.
  • L.Z. Rubenstein, Falls in older people: epidemiology, risk factors and strategies for prevention, Age and ageing, 35 Suppl 2 (2006) ii37-ii41.
  • L.Z. Rubenstein , A.S. Robbins , K.R. Josephson , B.L. Schulman , D. Osterweil , The value of assessing falls in an elderly population. A randomized clinical trial, Ann Internal Med 113 (1990) 308–316.
  • E. Capezuti , G. Maislin , N. Strumpf , L.K. Evans , Side rail use and bed-related fall outcomes among nursing home residents, J. Am. Geriatrics Soc. 50 (2002) 90–96.
  • Ikuko Sato-Suzuki, Fusako Kagitani, Sae Uchida, Somatosensory regulation of resting muscle blood flow and physical therapy, Autonomic Neuroscience: Basic and Clinical 220 (2019) 102557.
  • Selina M. Parry, Lee-anne S. Chapple, Marina Mourtzakis, Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness: A Narrative Review, Nutrition in Clinical Practice, Volume 33 Number 6, December 2018 772–789.
  • Carol L Hodgson,Claire J Tipping, Physiotherapy management of intensive care unit-acquired weakness, Journal of Physiotherapy 63 (2017) 4–10.
  • Katherine E. Hodgin, Amy Nordon-Craft, Kim K. McFann, Meredith L. Mealer, and Marc Moss, Physical Therapy Utilization in Intensive Care Units: Results from a National Survey, Crit Care Med. 2009 February ; 37(2): 561–568. doi:10.1097/CCM.0b013e3181957449.
  • Thiti Sricharoenchai, Ann M. Parker, Jennifer M. Zanni, Archana Nelliot,Victor D. Dinglas, Dale M. Needham, Safety of physical therapy interventions in critically ill patients:A single-center prospective evaluation of 1110 intensive care unit admissions, Journal of Critical Care 29 (2014) 395–400.
  • Liang-Hsuan Lu, Shang-Lin Chiang, Shun-Hwa Wei, Chueh-Ho Lin, Wen-Hsu Sung, Development and clinical application of a computer-aided real-time feedback system for detecting in-b e d physical activities, Computer Methods and Programs in Biomedicine 147 (2017) 11–17.
  • Peng Shih-Wei, Lian Feng-Li, Fu Li-Chen. Mechanism design and mechatronic control of a multifunctional test bed for bedridden healthcare. IEEE/ASME Trans Mech 2010;15(2):234–41.
  • Seo K. Unified framework for object tracking and recognition based on condensation principal component analysis in a structured environment. PhD thesis, Dept. EECS, KAIST; 2009.
  • Wren CR, Clarkson BP, Pentland AP. Understanding purposeful human motion. In: IEEE international conference on automatic face and gesture recognition;2000.
  • Tamura T, Jhou J, Mizukami H, Togawa T. A System for monitoring temperature distribution in bed and its application to the assessment of body movement. Physiol Meas 1993; 14:33–41.
  • Kap-Ho Seo, Tae-Yong Choi, Changmok Oh, Development of a robotic system for the bed-ridden, Mechatronics, Volume 21, Issue 1, February 2011, Pages 227-238.
  • Ping-WinLui, Feng MinLai, Kuo-ChihSu, Jen YungLin, Hwa WeiChi, Jean-ShyanWang, Yuh WenChen, Energy Procedia, Volume 143, December 2017, Pages 553-558
  • Ignacio Ghersi, Mario Mariño and Mónica Teresita Miralles, Smart medical beds in patient-care environments, Ghersi et al. BMC Medical Informatics and Decision Making (2018) 18:63. IEEE
  • G. Panik, K. Benki and B. Breko, Voice Operated Intelligent Wheelchair – VOIC, IEEE ISIE 2005, June 20- 23, 2005, Dubrovnik, Croatia.
  • Tawfik, Ahmed Hamdan, Abdulrahman Azzam and Yahya Ibrahim Published Online on 2018. Son erişim: 21.02.2022, 11:23
  • M.S. Kaiser, Z. Chowdhury, S. Al Mamun, A. Hussain, M. Mahmud. (2016). A Neuro-Fuzzy Control System Based on Feature Extraction of Surface Electromyogram Signal for Solar-Powered Wheelchair. Cogn. Comput., 8(5): 946-954. doi: 10.1007/s12559-016-9398-4.
  • H. Knight, J. K. Lee and H. Ma, "Chair Alarm for patient fall prevention based on Gesture Recognition and Interactivity," 2008 30th Annual International Conference of the IEEE Engineering in Medicineand Biology Society, Vancouver, BC, 2008, pp. 3698-3701.
  • Işık, E. & Çelik, İ. (2021). Tersine Mühendislik Çalişmalarinda Solidworks Scan To 3d Modülü Kullanarak Tarama Datasindan Kati Model Oluşturulmasi. Mühendislik Bilimleri ve Tasarım Dergisi, 9 (2), 606-615. DOI: 10.21923/jesd.823317
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Mechanical Engineering
Journal Section Araştırma, Geliştirme ve Uygulama Makaleleri
Authors

Harun Sümbül 0000-0001-5135-3410

Ahmet Böğrek 0000-0001-9767-9897

Abdurrahman Tunçer 0000-0002-2480-4535

Project Number TTO.YMY.ULAP.21.281
Publication Date May 26, 2023
Submission Date March 28, 2022
Published in Issue Year 2023 Volume: 21 Issue: 1

Cite

Vancouver Sümbül H, Böğrek A, Tunçer A. Yoğun Bakım, Yanık Tedavi ve Fizik Tedavi Kombine Hasta Karyolasının Kavramsal Tasarımı. MATİM. 2023;21(1):12-21.