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传感器监测用于测量和支持独立生活的老年人的日常功能:进一步发展的系统评价和路线图。

Sensor monitoring to measure and support daily functioning for independently living older people: a systematic review and road map for further development.

机构信息

Research Group of Participation and the Environment, Hogeschool van Amsterdam, University of Applied Sciences, Amsterdam, the Netherlands.

Research Group Digital Life, Hogeschool van Amsterdam, University of Applied Sciences, Amsterdam, the Netherlands.

出版信息

J Am Geriatr Soc. 2013 Dec;61(12):2219-2227. doi: 10.1111/jgs.12563.

DOI:10.1111/jgs.12563
PMID:24479150
Abstract

OBJECTIVES

To study sensor monitoring (use of a sensor network placed in the home environment to observe individuals' daily functioning (activities of daily living and instrumental activities of daily living)) as a method to measure and support daily functioning for older people living independently at home.

DESIGN

Systematic review.

SETTING

Participants' homes.

PARTICIPANTS

Community-dwelling individuals aged 65 and older.

MEASUREMENTS

A systematic search in PubMed, Embase, PsycINFO, INSPEC, and The Cochrane Library was performed for articles published between 2000 and October 2012. All study designs, studies that described the use of wireless sensor monitoring to measure or support daily functioning for independently living older people, studies that included community-dwelling individuals aged 65 and older, and studies that focused on daily functioning as a primary outcome measure were included.

RESULTS

Seventeen articles met the inclusion criteria. Nine studies used sensor monitoring solely as a method for measuring daily functioning and detecting changes in daily functioning. These studies focused on the technical investigation of the sensor monitoring method used. The other studies investigated clinical applications in daily practice. The sensor data could enable healthcare professionals to detect alert conditions and periods of decline and could enable earlier intervention, although limited evidence of the effect of interventions was found in these studies because of a lack of high methodological quality.

CONCLUSION

Studies on the effectiveness of sensor monitoring to support people in daily functioning remain scarce. A road map for further development is proposed.

摘要

目的

研究传感器监测(使用放置在家中环境中的传感器网络来观察个体的日常功能(日常生活活动和工具性日常生活活动))作为一种测量和支持独立在家居住的老年人日常功能的方法。

设计

系统评价。

地点

参与者的家中。

参与者

年龄在 65 岁及以上的社区居住者。

测量方法

在 2000 年至 2012 年 10 月期间,在 PubMed、Embase、PsycINFO、INSPEC 和 The Cochrane Library 中进行了系统检索,以查找描述使用无线传感器监测来测量或支持独立生活的老年人日常功能的文章。所有研究设计、描述使用无线传感器监测来测量或支持独立生活的老年人日常功能的研究、包括年龄在 65 岁及以上的社区居住者的研究,以及将日常功能作为主要结果测量的研究都包括在内。

结果

符合纳入标准的文章有 17 篇。9 项研究仅将传感器监测作为一种测量日常功能和检测日常功能变化的方法。这些研究侧重于传感器监测方法的技术研究。其他研究则在日常实践中调查了临床应用。传感器数据可以使医疗保健专业人员能够检测到警报状况和下降期,并能够进行早期干预,尽管由于这些研究缺乏高质量的方法学,因此发现干预措施的效果有限。

结论

关于传感器监测支持人们日常功能的有效性的研究仍然很少。提出了进一步发展的路线图。

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