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利益相关者对痴呆症社区居住老年人护理中技术使用的看法:一项系统文献综述

Perspectives of Stakeholders on Technology Use in the Care of Community-Living Older Adults with Dementia: A Systematic Literature Review.

作者信息

van Boekel Leonieke C, Wouters Eveline J M, Grimberg Bea M, van der Meer Nardo J M, Luijkx Katrien G

机构信息

Department Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, 5000 LE Tilburg, The Netherlands.

Health Innovations and Technology, Fontys University of Applied Sciences School of Allied Health Professions, 5631 BN Eindhoven, The Netherlands.

出版信息

Healthcare (Basel). 2019 May 28;7(2):73. doi: 10.3390/healthcare7020073.

Abstract

Although technology has the potential to promote aging in place, the use of technology remains scarce among community-living older adults with dementia. A reason might be that many stakeholders are involved who all have a different perspective on technology use (i.e., needs, wishes, attitudes, possibilities, and difficulties). We systematically searched the literature in order to provide an overview of perspectives of different stakeholders on technology use among community-living older adults with dementia. After selection, 46 studies were included. We mainly found perspectives of informal caregivers and, to a lesser extent, of persons with dementia and formal caregivers. Perspectives of suppliers of technology were not present. Shared perspectives among persons with dementia and informal and formal caregivers were, among other things, ease of use, stability and flexibility of technology, importance of privacy, and confidentiality. We also found that among older persons, fun and pleasure, in addition to enhancing freedom and independence, facilitates technology use. Informal caregivers' peace of mind and relief of burden also appeared to be important in using technologies. Formal caregivers value the potential of technologies to improve monitoring and communication. Insight in shared, and conflicting perspectives of stakeholders are essential to enhance the use of technology.

摘要

尽管技术有促进就地养老的潜力,但在患有痴呆症的社区居住老年人中,技术的使用仍然很少。一个原因可能是涉及许多利益相关者,他们对技术使用都有不同的看法(即需求、愿望、态度、可能性和困难)。我们系统地检索了文献,以便概述不同利益相关者对患有痴呆症的社区居住老年人技术使用的看法。经过筛选,纳入了46项研究。我们主要发现了非正式照护者的看法,在较小程度上也发现了痴呆症患者和正式照护者的看法。技术供应商的看法未被提及。痴呆症患者、非正式和正式照护者之间的共同看法包括技术的易用性、稳定性和灵活性、隐私和保密性的重要性等。我们还发现,在老年人中,乐趣和愉悦除了能增强自由和独立性外,还能促进技术的使用。非正式照护者的安心和负担减轻在使用技术方面似乎也很重要。正式照护者重视技术在改善监测和沟通方面的潜力。了解利益相关者的共同和冲突观点对于增加技术的使用至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35f0/6628181/3693539cdf13/healthcare-07-00073-g001.jpg

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