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用于痴呆老年患者日常生活活动的信息通信技术:一项系统综述。

Information and Communication Technologies for the Activities of Daily Living in Older Patients with Dementia: A Systematic Review.

作者信息

D'Onofrio Grazia, Sancarlo Daniele, Ricciardi Francesco, Panza Francesco, Seripa Davide, Cavallo Filippo, Giuliani Francesco, Greco Antonio

机构信息

Department of Medical Sciences, Geriatric Unit and Laboratory of Gerontology and Geriatrics, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy.

BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Italy.

出版信息

J Alzheimers Dis. 2017;57(3):927-935. doi: 10.3233/JAD-161145.

Abstract

BACKGROUND

Significant innovations have been introduced in recent years in the application of information and communication technologies (ICTs) to support healthcare for patients with dementia.

OBJECTIVE

In the present systematic review, our goal is to keep track of ICT concepts and approaches to support the range of activities of daily living for people with dementia and to provide a snapshot of the effect that technology is having on patients' self-reliance.

METHODS

We reviewed the literature and identified systematic reviews of cohort studies and other authoritative reports. Our selection criteria included: (1) activities of daily living, (2) ICT, and (3) dementia.

RESULTS

We identified 56 studies published between 2000 and 2015, of which 26 met inclusion criteria. The present systematic review revealed many ICT systems that could purportedly support the range of activities of daily living for patients with dementia. The results showed five research bodies: 1) technologies used by patients with dementia, 2) technologies used by caregivers, 3) monitoring systems, 4) ambient assistive living with ICTs, and 5) tracking and wayfinding.

CONCLUSIONS

There is a potential for ICTs to support dementia care at home and to improve quality of life for caregivers, reducing healthcare costs and premature institutional care for these patients.

摘要

背景

近年来,在应用信息通信技术(ICT)以支持痴呆症患者的医疗保健方面引入了重大创新。

目的

在本系统评价中,我们的目标是追踪支持痴呆症患者日常生活活动的ICT概念和方法,并简要介绍技术对患者自立能力的影响。

方法

我们检索了文献,并确定了队列研究的系统评价和其他权威报告。我们的选择标准包括:(1)日常生活活动,(2)ICT,以及(3)痴呆症。

结果

我们确定了2000年至2015年间发表的56项研究,其中26项符合纳入标准。本系统评价揭示了许多据称可以支持痴呆症患者日常生活活动的ICT系统。结果显示了五个研究领域:1)痴呆症患者使用的技术,2)护理人员使用的技术,3)监测系统,4)ICT环境辅助生活,以及5)跟踪与寻路。

结论

ICT有潜力在家中支持痴呆症护理,并改善护理人员的生活质量,降低这些患者的医疗保健成本和过早机构护理的需求。

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