Alkadri Jamal, Jutai Jeffrey
Interdisciplinary School of Health Sciences, University of Ottawa, Canada.
Bruyère Research Institute, Ottawa, Canada.
J Rehabil Assist Technol Eng. 2016 Oct 10;3:2055668316668146. doi: 10.1177/2055668316668146. eCollection 2016 Jan-Dec.
The goal of this review was to investigate the relationship between cognitive impairment and assistive device use in elderly persons.
English-language articles for people aged 65 and over were identified by searching MEDLINE and Embase (1985-June 2015) with the keywords "self-help devices" and "cognition disorders" and relevant synonyms. Bibliographies of retrieved articles were also examined; 510 articles were selected for further evaluation. Abstracts of the remaining articles were evaluated and all of the studies that concerned one or more of the following criteria were included: geriatric, long-term care residents or cognitively impaired patients using assistive devices that addressed benefits, risks, adverse effects, or other problems. Ultimately, 15 articles were analyzed and included in the review.
Very few good-quality studies that specifically addressed the research question were found. We found that cognitively impaired elderly patients were more likely to use assistive devices ineffectively than cognitively intact elders. In addition, the literature describes promising approaches to assistive device training and technologies to accommodate cognitive impairment in this population.
The evidence basis for recommendations and training for assistive devices for cognitively impaired elders is weak. More research is needed on safety and effectiveness of devices for this population.
本综述的目的是研究老年人认知障碍与辅助设备使用之间的关系。
通过检索MEDLINE和Embase（1985年 - 2015年6月），使用关键词“自助设备”和“认知障碍”以及相关同义词，识别针对65岁及以上人群的英文文章。还检查了检索文章的参考文献；选择了510篇文章进行进一步评估。对其余文章的摘要进行了评估，所有涉及以下一项或多项标准的研究均被纳入：老年医学、长期护理居民或使用辅助设备的认知障碍患者，这些研究涉及益处、风险、不良反应或其他问题。最终，分析了15篇文章并纳入本综述。
发现很少有高质量的研究专门针对该研究问题。我们发现，与认知功能正常的老年人相比，认知障碍的老年患者更有可能无效使用辅助设备。此外，文献描述了在该人群中辅助设备训练和适应认知障碍技术的有前景的方法。
为认知障碍老年人提供辅助设备的建议和训练的证据基础薄弱。需要对该人群使用设备的安全性和有效性进行更多研究。
