Foster Marva V, Sethares Kristen A
Author Affiliation: Adult and Child Nursing Department, University of Massachusetts Dartmouth, North Dartmouth, MA.
Comput Inform Nurs. 2014 Nov;32(11):523-33; quiz 534-5. doi: 10.1097/CIN.0000000000000105.
Telehealth offers a great opportunity to provide follow-up care and daily monitoring of older adults in their homes. Although there is a significant body of literature related to telehealth in regard to design and adoption, little attention has been given by researchers to the perceptions of the older-adult end users of telehealth. As the numbers of older adults increases, there is a need to evaluate the perceptions of this population as they will most likely be the major users of telehealth. This review identified the current telehealth technologies that are available to older adults with a discussion on the facilitators of and barriers to those technologies. Literature published between 2003 and 2013 was reviewed using MEDLINE, PsycINFO, and CINAHL. A total of 2387 references were retrieved, but only 14 studies met the inclusion criteria. This review indicates that 50% of the studies did not specifically address facilitators of and barriers to adopting telehealth with older adults. Also, studies in this population did not address caregivers' perceptions on the facilitators of and barriers to telehealth. The use of telehealth among older adults is expected to rise, but effective adoption will be successful if the patient's perspective is kept at the forefront.
远程医疗为在家中为老年人提供后续护理和日常监测提供了绝佳机会。尽管有大量关于远程医疗在设计和采用方面的文献，但研究人员很少关注远程医疗老年终端用户的看法。随着老年人数量的增加，有必要评估这一人群的看法，因为他们很可能是远程医疗的主要使用者。本综述确定了目前可供老年人使用的远程医疗技术，并讨论了这些技术的促进因素和障碍。使用MEDLINE、PsycINFO和CINAHL对2003年至2013年发表的文献进行了综述。共检索到2387篇参考文献，但只有14项研究符合纳入标准。本综述表明，50%的研究没有具体探讨老年人采用远程医疗的促进因素和障碍。此外，针对这一人群的研究没有涉及护理人员对远程医疗促进因素和障碍的看法。预计老年人对远程医疗的使用将会增加，但如果将患者的观点放在首位，有效采用将会成功。
