Brownsell Simon, Blackburn Steven, Hawley Mark S
Department of Medical Physics and Clinical Engineering, Barnsley Hospital, Barnsley, UK.
J Telemed Telecare. 2008;14(1):8-12. doi: 10.1258/jtt.2007.070410.
In a controlled study of older people living in sheltered housing (retirement housing), 24 people provided with telecare were compared with a control group of 28 people. The intervention consisted of second generation telecare equipment, such as automatic flood or falls detectors, a third generation lifestyle reassurance system and an Internet café. After a 12-month monitoring period, there was no noticeable change in the fear of falling. There was no significant difference for eight of the nine SF-36 domains. However, the Social Functioning domain showed a significant difference (P = 0.049), with scores 8% higher in the intervention group, suggesting a beneficial effect of telecare. Positive trends were also evident in areas such as an increase in the length of time spent out of the home, improved feelings of safety during the day and night, and a reduction in the fear of crime. The Internet café was used by 25% of people for at least 20 min per week. The results suggest that second generation telecare systems and Internet facilities could be more widely used in service delivery, but that lifestyle reassurance requires further development.
在一项针对居住在庇护性住房（退休住房）中的老年人的对照研究中，将配备远程护理的24人与28人的对照组进行了比较。干预措施包括第二代远程护理设备，如自动洪水或跌倒探测器、第三代生活方式安心系统和一家网吧。经过12个月的监测期，对跌倒的恐惧没有明显变化。在SF-36的九个领域中的八个领域没有显著差异。然而，社会功能领域显示出显著差异（P = 0.049），干预组的得分高8%，表明远程护理有有益效果。在诸如外出时间增加、白天和晚上安全感增强以及对犯罪恐惧减少等方面也有积极趋势。25%的人每周至少使用网吧20分钟。结果表明，第二代远程护理系统和互联网设施可在服务提供中更广泛地使用，但生活方式安心系统需要进一步发展。
