Faculty of Healthcare Management, Nihon Fukushi University, Mihama, Japan.
Social Welfare Corporation Tokyo Seishin-kai, Nishitokyo, Japan.
Geriatr Gerontol Int. 2020 Apr;20(4):373-378. doi: 10.1111/ggi.13890. Epub 2020 Feb 19.
The primary aim of this study was to examine the impact of age, gender and the stage of dementia on the results of an assistive technology intervention that make use of communication robots (com-robots). The intervention was designed to improve the social participation and interactions of nursing home residents. While our previous study showed that the overall effects of com-robot intervention were positive, it was unknown what impact age, gender and the stage of dementia of participants had on such an intervention.
This was a non-randomized, multicenter quasi-experimental intervention study conducted in residential care homes in Japan. Two types of com-robots were introduced for 8 weeks after baseline evaluation. The World Health Organization's ICF was used for evaluating any changes present after the 8-week intervention. In total, 78 residents (68 women, 10 men, 86.5 ± 7.7 years old) participated in the study. The Degree of Daily Life Independence Score for People with Dementia (DDLIS-PD) was employed for measuring the stage of dementia.
The results showed that the older participants aged ≥80 benefited more from the intervention than the younger cohort did (P < 0.05). A greater improvement was shown among those with a more advanced stage of dementia than those at a less advanced stage (P < 0.05), when using DDLIS-PD.
The overall findings support the use of com-robots within the context of a care team for older people with moderate dementia, and those who are aged ≥80 years. Geriatr Gerontol Int 2020; 20: 373-378.
本研究的主要目的是考察年龄、性别和痴呆阶段对使用交流机器人（com-robots）的辅助技术干预效果的影响。该干预旨在提高养老院居民的社会参与度和互动性。虽然我们之前的研究表明，com-robot 干预的总体效果是积极的，但尚不清楚参与者的年龄、性别和痴呆阶段对这种干预有何影响。
这是一项在日本养老院进行的非随机、多中心准实验干预研究。在基线评估后，引入了两种类型的 com-robots 进行 8 周的干预。使用世界卫生组织的 ICF 评估 8 周干预后存在的任何变化。共有 78 名居民（68 名女性，10 名男性，86.5±7.7 岁）参与了研究。使用痴呆患者日常生活独立性评分（DDLIS-PD）来衡量痴呆的严重程度。
结果表明，≥80 岁的老年参与者比年轻组从干预中获益更多（P<0.05）。与痴呆程度较轻的患者相比，痴呆程度较重的患者（DDLIS-PD）的改善程度更大（P<0.05）。
总体研究结果支持在护理团队中使用 com-robots 为患有中度痴呆症和≥80 岁的老年人提供服务。老年病学与老年医学杂志 2020; 20: 373-378.
