Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Old Road Campus, Oxford, OX3 7LF, UK.
BMC Geriatr. 2019 Jun 14;19(1):160. doi: 10.1186/s12877-019-1169-0.
BACKGROUND: Dementia is a health and care priority globally. Caring for persons with dementia is a challenge and can lead to negative psychological, physiological and financial consequences for informal carers. Advances in technology have the potential to assist persons with dementia and their carers, through assistive technology devices such as electronic medication dispensers, robotic devices trackers and motion detectors. However, little is known about carers' experience and the impact of these technologies on them. This review aims to investigate the outcomes and experience of carers of persons with dementia, who live at home and use assistive technology. METHODS: A systematic search in seven databases and manual searches were carried out using pre-defined inclusion and exclusion criteria to identify studies on carers of persons with dementia involving the use of assistive technology. The search identified 56 publications with quantitative, qualitative and mixed-method designs. RESULTS: The studies reported positive and negative findings and focused on a wide variety of assistive technology devices. There were large differences in the uses of assistive technology, outcome measures used and the quality of studies. Knowledge and acceptance, competence to use and ethical issues when using assistive technology were themes that emerged from the studies. Carers generally appreciated using assistive technology and their experience of use varied. CONCLUSIONS: The intention of this systematic review is to list and classify the various types of assistive technology used by carers of persons with dementia and explores the positive and negative aspects, knowledge, acceptance and ethical issues in the use of assistive technology by carers of persons with dementia. We recommend the use of a standard and person-centred system of classifying and naming assistive technology devices and systems and for future research efforts in assistive technology to incorporate a family/carer centred model. SYSTEMATIC REVIEW REGISTRATION: PROSPERO - CRD42017082268 .
背景：痴呆症是全球的一个健康和护理优先事项。照顾痴呆症患者是一项挑战，可能会给非专业护理人员带来负面的心理、生理和经济后果。技术的进步有可能通过电子药物分配器、机器人设备跟踪器和运动探测器等辅助技术设备来帮助痴呆症患者及其护理人员。然而，人们对护理人员的体验以及这些技术对他们的影响知之甚少。本综述旨在调查居家使用辅助技术的痴呆症患者的护理人员的结果和体验。
方法：通过使用预先定义的纳入和排除标准，在七个数据库中进行系统搜索，并进行手动搜索，以确定涉及使用辅助技术的痴呆症患者护理人员的研究。搜索确定了 56 篇具有定量、定性和混合方法设计的出版物。
结果：这些研究报告了积极和消极的发现，重点关注各种辅助技术设备。辅助技术的使用、使用的结果衡量标准和研究质量存在很大差异。研究中出现的主题包括知识和接受度、使用辅助技术的能力以及使用辅助技术时的伦理问题。护理人员通常很欣赏使用辅助技术，他们的使用体验也各不相同。
结论：本系统综述的目的是列出和分类痴呆症患者护理人员使用的各种类型的辅助技术，并探讨护理人员使用辅助技术的积极和消极方面、知识、接受度和伦理问题。我们建议使用标准的和以患者为中心的辅助技术设备和系统分类和命名系统，并在辅助技术的未来研究工作中纳入以家庭/护理人员为中心的模式。
系统评价注册：PROSPERO-CRD42017082268。
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