Smith Glenn E, Lunde Angela M, Hathaway Julie C, Vickers Kristin S
Alzheimer's Disease Research Center, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Am J Alzheimers Dis Other Demen. 2007 Feb-Mar;22(1):20-6. doi: 10.1177/1533317506295888.
Medication safety is a special concern for the 30% to 40% of dementia patients who live alone at the time of diagnosis, and it plays an important part in relocation decisions. Televideo monitoring could improve medication self-administration accuracy and improve mood for persons with mild dementia who live alone or spend a significant amount of their day alone. The authors used 2-way interactive video technology to monitor medication compliance of 8 persons with mild dementia. They conducted more than 4000 contacts with these persons and found adequate technical outcome in 82% of calls. End medication compliance was 81% in the video-monitored group compared to 66% in the controls (P < .05). Comparison of compliance from initial to end ratings revealed that video-monitored participants' compliance remained stable while unmonitored patients' compliance fell 12 percentage points, consistent with expectations for dementia. This difference was also significant. Quantitative and qualitative outcome data from this project are presented.
药物安全是对诊断时独自生活的30%至40%的痴呆症患者的一个特别关注点，并且它在重新安置决策中起着重要作用。远程视频监控可以提高独自生活或一天中大部分时间独处的轻度痴呆症患者的药物自我给药准确性并改善情绪。作者使用双向交互式视频技术来监测8名轻度痴呆症患者的药物依从性。他们与这些患者进行了4000多次联系，发现在82%的通话中技术效果良好。视频监控组的最终药物依从性为81%，而对照组为66%（P <.05）。对初始评分到最终评分的依从性进行比较发现，视频监控参与者的依从性保持稳定，而未监控患者的依从性下降了12个百分点，这与对痴呆症的预期一致。这种差异也很显著。本文展示了该项目的定量和定性结果数据。
